NCG030005_MONITORING INFO_20190610

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
CCU O 3 V � V
DOC TYPE
�I�RICALFILE
O�ONITORING REPORTS
DOC DATE
❑ � I� � � � �2
YYYYMMDD
O(�Ib

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality eneral Permit No. NCG030000
Date submitted 5 I
CERTIFICATE OF�OVERAGE NO. NCG03Q-ain- _C; SAMPLE COLLECTION YEAR &�Ol�
FACILITY NAME GWReW. SIOCA _ tvlEMi C-WJ:-f SAMPLE PERIOD ❑ Jan June EJ July -Dec
COUNTY A T I or E ]'Qonthly1 month
PERSON COLLECTING SAMPLES Ll: REGEI V E&CHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORV5,-AAft0l'0.tVr Lab Cert. # ❑Zero -flow ❑Water supply ❑SA
Comments on sample collection or analysis: U N Q 2019 ❑Other
CENTRAL ICES
D4'�R SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
SEi
Part A: Stormwater Benchmarks and Monitoring Results
No dischorge this period e
Outfall'No,
-_
Date.Sampie
Collected'
(mo/dd/yr)
24hour rainfall
amount,
Inchesa
Total Suspended solids
Total
pH,
,Standard units
Copper
Lead
Zinc
Non-Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks -=a
_
1W 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
' 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
tune manufacture use the definition found in 40 CFR 46931).
Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012
Page 1 of 3

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Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for T O 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 T O 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."
r-1? q 1�
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11 qVJ
Name (Print name)
Print ti le) rr
l
' na re) {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. "cXx me11.". 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 periodr2
Outfatl No.
Date Sample _
Collected _
(mo/dd/yr)
24-hour rainfall_
amount,
Inches;
Non -polar O&G/ITPH by.
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L "
100 mg/L`or 50 mg/L*.
6.0 — 9.0 5U
Footnotes from Part A also apply to this Part B
• See General Permit text, Table S, 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

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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 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 CONTA T DWQ REGIONAL OFFICE? YES �O ❑
REGIONAL OFFICE CONTACT NAM EN iE- LE.'C[UZ .S&NT 5647
Mail an orlainal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab 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, 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."
skt(
j Date)
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

ye

Semi-annual Stormwater _Discharee Monitoring Report
for North Carolina Division of Water ua i �. eral Permit No. NCG030000
Date submitted
CERTIFICATE OF CJPVERAGE NO. NC�G03�LQJr_
FACILITY E ZW fro %72- M00 rruoue
COUNTY � I!.
PERSON COLLECTING SAMPLES t r
LABORATORY u V utOtI`I' Z- Lab Cert. #
Coygments on sample collection or analysis:
Part A. Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR e20 !
SAMPLE PERIOD ❑ ian Jane July -Dec
R E C� I V or Q'�anthlyt month
ARGING TO CLASS []ORW ❑HQW OTrout ❑PNA
APR 2 2 2019 QZero-flow ❑Water Supply [:]SA
❑Other
CENTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
❑ No dischorge 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
Organics �
Benchmarlrs
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
[
(I
C_
7.07
. DD`{
1-
le-
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.
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

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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 Ti0 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."
N me (Print nai�e)
"ton ► t��Mzaowre) (Date)
Note: Results must be reported in numerical format. no 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 retorted in the format, "<XX mrJV 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 Z 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
Ouftll No.
fate Sample
collected
(ino/dd/yr)
2"our rainfall
amount,
Inches a
Non -polar O&G/TPH by
EPA 1664 (5GT-HEM)
Total Suspended Solids
PH ,
Oinchmarb
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 $U
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

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Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, J"rer 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 SE ION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE OR THE SAME PARAMETER AT ANYONE OUTFALL? YES QNO ❑
IF YES, HAVE YOU CONTACUAjTHE DWQ REGIONAL OFFICE? YES NO ❑
REGIONAL OFFICE CONTACT NAME: 15016 CyCogf. Lin-tiZ sEkgr 3 `,511-7
Mail an original and one coos of this DMR Including all "No Discharge" reports, within 30 don of receipt of the lab results for at end of monitorina period
in the case of "No Discharge'° reoortsl 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:
"1 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 thgrg,are-si&nificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
i`7f15
(Si ture of Permittee (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

A�h
w s��rrr�
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit ham;,(/portal.ngdenr org/=b/)cZlipdes-stormwater/
Permit No.:
Facility I+
County
Inspector: _
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): ` I L
p 3100015
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
es ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable_ storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signagi%�fythat this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
5WU-242, Last modified 7/31/2013

1. Outfajl Description:
Outfall No. Structure (pipe, ditch, etc.) L Calk
Receiving Stream: OiC T� R
Describe the industrial activitiVA�
that occur i the outfall drainage area:
A^
2. Color: Describe the color of U
11CA'scharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors; - ` Vj2W Q _ L—` &hE:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):. Lll� OWVf4-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and S is very cloudy:
1 G 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
7.
8.
R.
1 0 3
is there any foam in the stormwater discharge?
4 5
Yes
Is there an oil sheen in the stormwater discharge? Yes
`J
G
Is there evidence of erosion or deposition at the outfall? Yes co?
10. Other Obvious Indicators of stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
eu111_749 tact mnd1fied 7/31/2D13

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1. Outf ll Description:
Outfall No. a2 Structure (pipe, ditch, etc.)"Dwu '
Receiving Stream:
Describe the industrial activiUgs that occur pitithe outfall drainage area:,
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ OLFA-9— _ '%CxAR-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy-
0 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 '0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 � 3 4 5
7. is there any foam in the stormwater discharge? Yes (00
S. is there an oil sheen in the stormwater discharge? Yes 0
9. is there evidence of erosion or deposition at the outfall? Yes Na
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
CNAM.?67 S.aat mndiiied 71311Z013

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Emwkwumml 90 hmsumbd
CLARCOR EMS (STORMWATER)
DWIGHT ALLIGOQD
P.Q. Box 1105
WASHINGTON ,NC 27689
ID#: 385
DATE COLLECTED: 03/26/19
DATE REPORTED : 04/03/19
REVIEWED BY:
Stormwater
Stormwater
Analysis
Method
PARAMETERS
(#I, Grab)
(#2, Grab)
Date
Analyst
Code
Total Suspended Residue, mg/l
<2.5
<2.S
03/28/19
JMH
254OD-11
Copper, ug/l
3
4
03/29/19
LFJ
EPA200,7
Lead, ug/l
<5.0
<5.0
04/01/1.9
.MTM
3113B-10
Zinc, ug/l
36
47
03/29/19
.LFJ
EPA200.7
TPH (1664B), mgti
<5
<5
03/27119
SEJ
EPA1664B

Environment 1, Inc. CHAIN OF CUSTODY RECORD
x 7085, 114 Oakmont Dr. Page 1 of, 1
r'.r.P w lP Nr 77242
. . I: a 1.
■CHLORINE
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-®■■■■■■■■■®■■■■■■■■■CRAIN
11
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DURING11
Foar[n rs PLEASE READ lnstruetions for completing this form on the reverse side.
Sampler must place a V for composite sample or a'G' for
Grab sample in the blocks above for each parameter requested N o 3 694 4-2 2

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pH Meter Calibration for Storm Water Sampling
@pH4.01 I @pH7.00 I @pH10.00
dot
I Time
Reading
Calibrat d
Reading
Calibrated
Reading
Calibrated
Operator
Comments
II
OqX
I q.01
.00
10,W
I✓
Thermo Scientific pH Meter Operation and Calibration Operation and Calibration
Calibration
1. Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0, 10.0)
2. Turn the meter on, and wait for the display to stabilize.
3. Press the "Calibration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place into first buffer solution (7,0),
S. Afterthe meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
S. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10. Press the "Measure" key, and record the slope. The slope should always be between 92 -102%. If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now in measurement mode, and samples can be analyzed.
pH Measurement
1. if power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with DI water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
5. Repeat as needed.
NOTES:
When not taking measurements, the pH electrode should be kept in the storage solution, not in DI water or buffer solution.
When ready to take measurements, rinse the electrode with DI water, and then gently shake of the excess water and blot the electrode with a clean, dry tissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or pH buffer for calibration.
When placing the electrode into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wait for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Form-062 rev 01 (03/21/2016) I Page 1 of 1

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Q li neral Permit No. NCG030000
Date submitted 119
CERTIFICATE OF 5OVERAGE NO. N0003V 0Q_d SAMPLE COLLECTION YEAR. PZ01 1
FACILITY NAME 94M PVIVE MMU_F_ AAWIAP SAMPLE PERIOD y[:]J n-June ❑ July -Dec
COUNTY (�1�tF Q Wr or onthly' f�fiRi�Ae'� (month)
PERSON COLLECTING SAMPLES L +Hu-u�i� RECEIVEGISCHARGINGTOCLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORYVIJA)1l1 fJ+MEW 1 _ Lab Cert. # MAR 2 5 2019 ❑?ero-flow ❑Water supply ❑SA
Comments on sample collection or analvsis: ❑Other
CENTRAL. FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3
❑ No discharge this period?z
Outfal! No.
pate Sample
1
Collected
(mo/dd/yr)
24hour rainfall
amount,
inches; .
Total Suspended Solids
pH,
Standard units
Copper
Lead
Tnc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Tots! Taxis
s
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
1
z 17.o
Z
Z_ 74 1 %5
.9
L
?• 12
G.
�- . Oo5
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.
° 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

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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 Tf0 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."
'D.
Name (Print name)
ro int t -3 ka /19
RTM 1
(dote: 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?Z
OutfallAo
-
Date Sample
Collected
(mo/dd/yr)
24Fiour rain#all
_amount; �..
3
Inche"s.i
_ -
- Nan-polarO&G%TP�I:by
-
µ.EPA=1664(5Gi-HEM)
-
- -
-Total Suspended Solids
pH
Benchmarksrr�g/i•
-6 D 90 5U_
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 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 SEgION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACT THE DWQ REGIONAL OFFICE? YES L_j NO ❑ REGIONAL OFFICE CONTACT NAME: V%V C�$. V.�L �tzr ,3I 3h 7
Mail an original and one copy of this DMH includina all "No Discharge" reports, within 30 days of receipt of the lab 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, 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
arr� aware that jt Ape -a Iignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of
Permit Date: 11/1/2012-10/31/2017
'�Oln
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

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Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this farm, please visit: hhp.Ilpgr I,nc enr.ore/web/lr./apdes-storm., ater/
Permit No.: ly/�/ / /�/�/�/Q/ or Certificate of Covergge No.: VV/( /G/-0/`/j'jQ/L],5/
Facility
County:
inspector:' 1 J 1.
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):. - [ _
Phone No.
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Iles ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureahle storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do nothave this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
that this report is accurate and complete to the best of my knowledge:
of Perrlitee or Designee)
Pagel of 2
SWU-242, Last modified 7/31/2013

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1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.) 'rGH
Receiving Stream: t::� 1
Describe the industrial activiges,thha; occur within the out£all drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: -,ae _ U eh�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): K`]7 02,R2Zt
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 a 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 �2 3 4 5
7. is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. is there evidence of erosion or deposition at the outfall? Yes GNo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
cAu11_?a7 Lair modified 7/31/2013

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1. Outfall Description: . tt
Outfall No. a2. Structure (pipe, ditch, etc.) +� c- l _ _
Receiving Stream: ^^T" �'rRCt LVi2
Describe the industrial actiyiUes that occur,3a4hin the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: R
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): KVOC1OR
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
L1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
G 2 3 4 5
6. Suspended Solids. Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 L`/ 3 4 5
7. is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes G
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
aum_9e7 1smt mndifted 7/31/2013

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ID#: 385
CLARCOR EMS (STORMWATER)
DWIGHT ALLIGOOD
P.O. BOX 1105 DATE COLLECTED: 02/20/19
WASHINGTON ,NC 27889 DATE REPORTED : 03/08/19
J \
REVIEWED BY:
Stormwater
Stormwater
Analysis
Method
PARAMETERS
(#1, Grab)
(#2, Grab)
Date
Analyst
Code
Total Suspended Residue, mg/1
3.1
<2.6
02/25/19
TBG
2540D-11
Copper, ugll
5
<5.0
02/28/19
LFJ
EPA200.7
Lead, ug/l
<5.0
<5.0
02/28/19
MTM
311313-10
Zinc, ug/l
71
69
02/28/19
LFJ
EPA200.7
TPH (1664B), mgll
<5
<5
02/28/19
SEJ
EPA1664B

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P:G,713t>x67085, 114 Oakmont Dr. Page 1 of 1
Greenville, NC 27858
environment 1 inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
CHLORINE
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pH CHECK (LAB)
CLIENT: 385 Week:11
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LARCOR EMS (STORMWATER)
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SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENTIDELIVERY
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SAMPLES COLLECTED BY:
(Ple&% Prim)
SAMPLES RECEIVED IN LAB AT 0, �C
RELINQUISHED BY (SIG.) (SAMPLER)
DATEITiME
REC D Y (SIG.)
TFnIME
COMMENTS:
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DATEIIIME
RELINQUISHED BY(SIG.)
RECEIVED (SIG.)
DATEI1ME
RELINQUISHED BY (SIG.)
DATEIiIME
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C° for composite sample or a "G" for
FORM #$ Grab sample in the blocks above for each parameter requested. N 0 365808

SAMPLING INSTRUCTIONS AND FORM COMPLETION
4+AILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
l) Samples not falling within the required guidelines will need to be re -collected, The client will be contacted and inibrmed of'any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time oi'collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bollle, or in the case of40 mi. Volatilcs Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front ofthis form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. it is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be bel'ore any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of6 hours from time ofcollection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with FPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, Bush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection,

max 1, Inc. CHAIN OF CUSTODY RECORD
POTa 085,114 Oakmont Dr. Page I of
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Sampler muss place a V for composite sample or a V for
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pH Meter Calibration for Storm Water Sampling
@ PH 4.01 f @ pH 7.U0 - I @ pH 10.00
Date
Time
Reading
Calibrated
Calibrated
Reading
Calibrated
Operator
Comments
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Thermo Scientific pH Meter Operation and Calibration Operation and Calibration
Calibration
I. - Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0,10.0)
2. Turn the meter on, and wait for the display to stabilize.
3. Press the "Calibration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place into first buffer solution (7.0).
5. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
8. Rinse the electrode with DI water,'then gently shake off excess water and blot dry. Place electrode into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10. Press the "Measure" key, and record the slope. The slope should always be between 92 -102%. If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now in measurement mode, and samples can be analyzed.
PH Measurement
1. If power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with DI water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
S. Repeat as needed.
NOTES:
When not taking measurements, the PH electrode should be kept in the storage solution, not in DI water or buffer solution.
When ready to take measurements, rinse the electrode with 01 water, and then gently shake of the excess water and blot the electrode with a clean, dry tissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or pH buffer for calibration.
When placing the electrode Into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wart for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Form-062 rev 01 (03/21/2016) Page 1 of 1

is

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Qualltv General Permit No. NCG030000
Date submitted c2-- __ t�'l
CERTIFICATE OF WVERAGE NO. N000319 D V
FACILITY E CZ E G'L CCQcte
COUNTYQIA.4F--Q'V_�
PERSON COLLECTING SAMPLES
Lab Cert: #
Comments on sample collection or analysis:
k�) _'T 'L
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR, __2D VA
SAMPLE PERIOD ❑ Ja -June July -Dec
or onthW "VkR- month
R E C E l �tgsOARGING TO CLASS ❑ORW ❑HQW rout ❑PNA
❑Zero-flow []water Supply ❑SA
Other
,1T RA� PILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
t SECTIOI-q
❑ No discharge this period?'
outfall No.
Date Sample
1
Collected
(mo/dd/yr)
' 24-hour rainfall
amount,
lnches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
.g'
Organics
Benchmarks ===>
_
-
100 mg/L or SO mg/L
6.0 - 9.0
0.007 mg/L
0.03 mg/l.
0.067 mg/L
15 mg/L
1 mg/L
-[
7.
-nlo
Q21,�-
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.
° 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), 1 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."
t
Name {Print name
(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, tha must be re orted in the format "<XX m 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, Trer 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gall of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
24-hour rainfall
amount,
�
inclies
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM) _
Total Suspended Solids
PH(mo/dd/yr)
Benchmarks
15 nig/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

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Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, fifer 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 SE91ON B.
• 11ER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE5,FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ZNOn
IF YES, HAVE YOU CONTA THE WQ REGIONAL OFFICE? YES NO ❑ 3 ! 1
REGIONAL OFFICE CONTACT NAME: O� CfW 13117
Mail an orlainal and one coon of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitorina oerlod
in the case of "No Discharae" 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 property 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 them significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of
Permit Date:11/112012-10/31/2017
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

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Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on f [ling outthis form, please visit: hUp://portaLncdenr orglmeb/lr/nudes-stormwater/
Permit No.: I�/�/ /�/,�/ �/Qj'©/C�/ or Certificate of C verage No.: bl/C/—�(�Q/
FacilityName: CLARCM '�---1D60,M N+476
County:' t- _ Phone No.
Inspector:' I J 1—+l l+ 0,Oo
Date of Inspection: 1- Z-4—
Time of Inspection:
Total Event Precipitation (inches): i ['1
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
2---Yes ❑ No `
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
I certify that this report is accurate and complete to the best of my knowledge:
of PermKttee or Designee)
Pagel of 2
SWU-242, Last modified 7/31/2013

1. Outf 11 Description:
Outfall No. Structure (pipe, ditch, etc.)��u"�
Receiving Stream: r rz ? l -R1 ►- .5 &�t. 7t o
Ejescribe the industrial ap4ities that ocpq within the outfall drainage area:
2. Color: Describe the color of the
harge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ V49Lx3V.7
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): __ �2C7 fi70e
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 �`-' 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 � 3 4 5
7. Is there any foam in the stormwater discharge? Yes
B. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes 00
to. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
cIem_949 1-wt mnditfted 7/31/2013

I. Outfall Description:
Outfall No. -0- Structure (pipe, ditch, etc.) %T'6k�-
Receiving Stream: _ l Ls V 1 O l R-3avccE.¢S
Describe the industrial ac i4ties that occur wa thin the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: cgloa CC.1, R-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): No a2fz-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (V 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 ( 3 4 5
7. is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes Vo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
c1e111_7d') i.wcr mnrlifled 7/31/2013

Emkom@0 Flo 110coff pu
ID#: 385
CLARCOR EMS (STORMWATER)
DWIGHT ALLIGOOD
P.O. BOX 1105 DATE COLLECTED: 01/24/19
WASHINGTON ,NC 27889 DATE REPORTED : 02/12/19
REVIEWED BY:
Stormwater
Stormwater
Analysis
Method
PARAMETERS
(l/1, Grab)
(#2, Grab)
Date Analyst
Code
Total Suspended Residue, mg/l
7.4
<2.6
01/28/19
JMS
254OD-11
Copper, ug/I
10
3
02/04/19
LFJ
EPA200.7
Lead, ug/l
49
7
02/07/19
MTM
3113E-10
Zinc, ug/l
48
26
02/04/19
LFJ
EPA200.7
TPH (1664B), mg/l
<5
<5
02/01/19
SEJ
EPA1664B

Environment 1, Inc. CHAIN OF CUSTODY RECORD
1 1
-t RO `B6x 7085, 114 Oakmont Dr. Page of
Greenville, NC 27858
environmentl inc.com
DISINFECTION
Phone [phone] • Fax [phone]
CHLORINE NEUTRALIZED AT COLLECTION
CHLORINE
Ij
L
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pH CHECK (LAB)
CLIENT: 385 Week: 6
uv
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LARCOR EMS (STORMWATER)
NONE
P
P
P
G
CONTAINERTYPE, PIG
WIGHT ALLIGOOD
A
A
A
C
CHEMICALPRESERVATION
.O. BOX 1105
(ASHINGTON NC 27889
❑
A -NONE D-NAOH
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COLLECTION
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G-NATHIOSULFATE
SAMPLE LOCATION
DATE
I TAME
Stormwater (#I, Grab)
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CLASSIFICATION:
Stormwater (f12, (grab)
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WASTEWATER (NPDES)
DRINIUNG WATER
DWQrGW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING IPMENT/DELIVERY
Y N
SAMPLES COLLECTED BY:
(Pbaw Prh)
4 v LLy
7p
SAMPLES RECEIVED IN LABAT C_, (O °C
RELINQUISHED BY (SIG.) (SAMPLER)
DATEIIIME
RE IVED (SIG.)
ATEIf1`1IME
COMMENTS:
l ti
RELINQUISHED BY (SIG.)
DATEMME
RECE Y (SIG:
ME
IRELINQUISHED BY (SIG.)
DATEITIME
— I
RECENED BY (SIG.) _r
DAMMME
I .
I
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "T for �7 p 3 ,�
FORM #5 Grab sample in the blocks above for each parameter requested. L� _

SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not lalling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the requiredd#uidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of (lie regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 mi. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles belbre collecting samples. Any residue or liquid in the
bottle is required Ibrproper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection belbre being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosullate in the bottles shipped from the lab) will be checked ibr proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "C" for Crab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section,
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the ibrm for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coli!'orm and Enterococci samples have a holding time of6 hours from time of collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and M BAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with waterand seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

pH Meter Calibration for Storm Water Sampling
@pH4.01 I @pH7.010 1 @pH10.00
Date
Time
I Reading
I Calibrated
Reading
Calibrated
Reading
Calibrated
Operator
Comments
[- 2-1- :5
y . of
`7 . tV
`i-S
to- a
Thermo Scientific pH Meter Operation and Calibration Operation and CaCbratiort
Calibration
1. Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0,10.0)
2. Turn the meter on, and wait for the display to stabilize.
3. Press the "Calibration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place into first buffer solution (7.0).
5. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
8. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10. Press the "Measure" key, and record the slope. The slope should always be between 92 -102%, If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now in measurement mode, and samples can be analyzed.
pH Measurement
1. If power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with DI water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
5. Repeat as needed.
NOTES:
When not taking measurements, the pH electrode should be kept in the storage solution, not in DI water or buffer solution.
When ready to take measurements, rinse the electrode with DI water, and then gently shake of the excess water and blot the electrode with a clean, dry tissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or pH buffer for calibration.
When placing the electrode into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wait for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Form-062 rev 01(03/21/2016) Page i of 1

0
j

Semi-annual Stormwater Discharge Monitoring Re ort
for North Carolina Division of Water Qu�h Genera! Permit No. NCG030000
Date submitted [
07
CERTIFICATE OF F9VERAGE NO. NCG03D- D-5- SAMPLE COLLECTION YEAR ©�
FACIUP"4AME AQ t SAMPLE PERIOD QApn-June July -Dec
COUNTY 1�7�{�f1�pRi
PERSON COLLECTING SAMPLES
or
C E I V E V DISCHARGING TO CLASS
LABORATORYLA- V LWVQ IU► 1LLab Cert. # 15 7019
CoMments on sample collection or analysis:
ISk- 3 CENTRAL FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
❑water supply
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -->
❑ No discharge this period?"
Outfall No.
Date Sample`
Collected)
(mo/dd/yr)
24-hour ralnfail
amount,
Indies?
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/ -
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks —==>
_
-
100 mg/L or so mg/L
6.0 — 0.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
s-
9.1
.87
k
40
3Q7
' 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.
° 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 1of3

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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 fling the last discharge monitoring report. 1 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)
I\145-ignature) (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. "cXX mx/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.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)'
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA.1"A (SGT-HEMj
Total suspended solids -
- pH
H
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

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Nate: if you report a sample value in excess of the benchmark, you must implement Tier 1, Trer 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 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART I SE ION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE OR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONT THE DWQ REGIONAL OFFICE? YES �NO ❑�
REGIONAL OFFICE CONTACT NAME: L
Mall an original and one copy of this DMR inciudina all "No Discharge" reports. within 30 days of recelpt of the lob results for at end of monitorina period
in the case of "No Discha e" m oru 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."
of
Permit Date: 11/1/2012-10/31/2017
l —R— b
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

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REID E R
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling outthis form, please visit: bUR;//nortal.ncdenr.gre/well/Ir/nodes-storm aye ter/
Permit No.: /�/ / U/3/ 0Lq-o/L,)/ or Certificate of Cove age No.: hj/.C/EJO/`3/-Q0/0`6
Facility N e: 2 1E Q lt�
County: � �Pr�V � . - ! _Phone No. - 36a o 5
Inspector: G o
Date of Inspection: lLt
Time of Inspection: �� 5 Ad 1 �l bpb Z
Total Event Precipitation (inches): -`y 7
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event"or "measureablestorm event' (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
signature, I cer�tif� tbAtiffi-is-Ifegort is accurate and complete to the best of my knowledge:
gnature of Permittee or D
Page 2 of 2
SW U-24Z Last modified 7/31/2013

1. Outfall Description:
Outfall No. -4 1 �
Receiving Stream:
Describe the industrial activi
(pipe, ditch, etc.) L)V�-C- kA
that occurAthin the outfall drainage area:
2. Color: Describe the color of the discharge using
ftht, mediurrl, dark) as descriptors: �*?
3. Odor: Describe any distinct o
weak chlorine odor, etc.): cV
ors (red, brown, blue, etc.) and tint
that the discharge may have (i.e., smells strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 04 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 `� 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 T 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall?
Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
cur��_7s9 Ismt mnditied 7/31/2013

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1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.�tiTo+
Receiving Stream: �^ �R izy -jt�-rQ i 1 5 (e
V0 `1~afz.`% -kUC L
D scribe the industrial activ}'ies that occur wit' 1 the outfall drainage area:
2. Color: Describe the color of
(li t, medium, dar s descriptors:
467� SS � 1
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): , 2Q_ M- QV L_
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 (f 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids-
1 2 tJ 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 0 4 5
7. Is there any foam in the stormwater discharge? Yes
B. is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
cian1.947 I-sw modified 7/31/2013

EndopomulM Flo pflompumW .
ID#: 385
CLARCOR EMS (STORMWATER)
DWIGHT ALLIGOOD
P.O. BOX 1105 DATE COLLECTED: 12/14/18
WASHINGTON ,NC 27889 DATE REPORTED : 12/28/18
REVIEWED BY:
A-
Stormwater
Stormwater
Analysis
Method
PARAMETERS
(#1, Grab)
(#2, Grab)
Date
Analyst
Code
Total Suspended Residue, mg/1
293
43
12/18/18
TCW
2540D-11
Copper, ug/1
33
7
12/20/18
LFJ
EPA200.7
Lead, ug/1
40
<5.0
12/20/18
MTM
3113B-10
Zinc, ug/i
316
63
12/20/18
LFJ
EPA200.7
TPH (1664B), mg/1
<5
<5
12/21/18
SEJ
EPA1664B

El- .. ent 1, Inc. CHAIN OF CUSTODY RECORD
10.. Box 7085, 114 Oakmont Dr. Page 1 of
Greenville. NC 27858
environment 1 inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
Ij CHLORINE
CLIENT: 385 Week: 2
uv
pH CHECK (LAB)
'LARCOR EMS (STORMWATER)
NONE
P
P
P
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CONTAINER TYPE, PIG
,WIGHT ALLIGOOD
CHEMICAL PRESERVATION
.O. BOX 1105
Ll
VASHINGTON NC 27999
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COLLECTION
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SAMPLE LOCATION
DATE
TIME
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12
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3.3
3
#
0"1CLASSIRCATION:
WASTEWATER(NPDES)
Stormwater (#2, Grab)
-F{-
7; Sv
104
3
"
aW
DRINKINGWATER
DWCV/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHJPMENTIDELIVERY
Oy N
SAMPLES COLLECTED BY:
(Please Print)
R lc!Yas-z:—%
/
SAMPLES RECEIVED IN LABAT / °C
RELINQUISHED BY (SIG.) (SAMPLER)
DATEITIME
RECEIVED BY G.) rf
D MMME
COMMENTS:
RELINQUIS11l U BY (SIG.)
DATEMME
RECEIVED BY (
DATEfl1ME
RELNQUISHED BY (SIG.)
DATEfrIM
RECEIVED BY (SIG.)
TDATE/T1ME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for
FORM #5 Grab sample in the blocks above for each parameter requested. N 0 350267

i SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and inlbrmed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of' the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of40 ml. Volatiles Vials, provide a bottle of -Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked lbr
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this firm for any sample locations applicable. This value would be before any
neutralization is performed.
S) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of6 ]tours from time of collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and M BAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling; the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

pH Meter Calibration for Storm Water Sampling
@ pH 4.01 I @ pH 7.00 I @ pH 10.W
Date
Time
Reading Calibrated
Reading
Calibrated
Reading
Calibrated
Operator
Comments
14 18
r
7.
Thermo Scientific pH Meter Operation and Calibration Operation and Calibration
Calibration
1. Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0, 10.0)
2. Turn the meter on, and wait for the display to stabilize.
3. Press the "Calibration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place into first buffer solution (7.0).
5. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration"' button.
8. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10. Press the "Measure" key, and record the slope. The slope should always be between 92 -102%. If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now in measurement mode, and samples can be analyzed.
pH Measurement
1. If power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with DI water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
5. Repeat as needed.
NOTES:
When not taking measurements, the pH electrode should be kept in the storage solution, not in DI water or buffer solution.
When ready to take measurements, rinse the electrode with DI water, and then gently shake of the excess water and blot the electrode with a clean, dry tissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or pH buffer for calibration.
When placing the electrode into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wait for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Form-062 rev 01(03/21/2016) Page 1 of 1

r.
• -
''i
F
L.
t
.-
i
'.

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF VERAGE NO. NCG03Q 0
FACILITY ME ���� r=±2 1{tJE
COUNTY AU_9T'
PERSON COLLECTING SAMPLES LJW LCrrttT i-t u—iUfJW _
LABORATORYL0lQ %39R r�1- Lab Cert. #
9orments on sample colle°n or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jim -June Ej July -Dec
or Qi'Aonthlyl_ EA)1✓fy 'LlgEk month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water supply ❑SA
RECEIVED [—]Other
JAN 0 3 2019 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL PILES
DWR SECTION
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
-(mo/dd/yr)
24-hour rainfall
amount,
Inches3•
Total
Total Suspended Solids
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks = ==>
-
-
100 mg/L or 50 mg/L
6A — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
�..
o 5
041tip
a-1174
71,
14
4•2 t_
O
/-- .
7
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.
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 5WU-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 5tormwater Pollution Prevention Plan."
Name (Print name) w
itle rint title
nature) (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 mug be reported in the format. "<!(X me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample valve in excess of the benchmark, you must Implement Tier 1, Ther Z 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-hoar rainfall
amount,
Indies;
Non -polar O&G/TPH by
EPA 1664 (SGT=HEM)
Total Suspended Solids
pH
'Benchmarks
15 mg/L
100 mg/L or 50 mg/V
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, Trer 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 SE N B.
• TIER 3: HAS YOUR FACILITY
, HAVE YOU YHHAD
D44jOR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANYONE OUTFALL7 YES NO ❑
REGIONAL OIF FFICE E CONTACT NAME. �7i`1�7W R �CZ.�AL FF1a�2 N� � sk k
Mail an oriainal and one copy of this DMR, includina all No Discharge" retorts within 30 dat+s of receipt of the lab results for at end of onitorina period
in the case of "No Discharae" reports) to. -
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CER71FICATION FOR ANY INFORM TION 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
aWware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of
Permit Date: 11/1/2012-10/31/2017
111al /10—
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085, 114 Oakmont Dr. Page 1 of
Greenville. NC 27858
environment 1 inc .com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
CHLORINE
CLIENT: 385 Week: 50
UV
pH CHECK (LAB)
P
P
P
G
CONTAINER TYPE, PIG
',LARCOR EMS (STORMWATER)
❑ NONE
IWIGHT ALLIGOOD
'.O. BOX 1105
CHEMICAL PRESERVATION
VASHINGTON NC 27889
A
A
A
C
a
� A - NONE D - NAOH
975-9224
w LU J
L o
z
O
W
B HNO3 E HCL
00
Cr
w C - H2SO, F -ZINC ACETATE/NAOH
COLLECTION
COLLEC T tON
J C
m
Q o
W
k" ¢
LL
P
r�
3
1
`-'
n
G NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
Stormwater (#1 Grab)
11-7-4
0-7
�q.L--
3
k
z -r
) .4
>:
CLASSIFICATION:
WASTEWATER(NPDES)
LjDRINKING WATER
Stormwater (#2, Grab)
11-76-IB
3
'`
_156
DW(/GW
LjSOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES COLLECTED BY:
(PWse Print)
( T 0 UAGWO
SAMPLES RECEIVED IN LAB AT°C
RELINQUISHED BY (SIG.) (SAMPLER)
DATEMME
RECE BY (SIG.)
COMMENTS:
)WATUiME
3`r
I fDATE
.e�k5'D 0� . 07
RELINQUISHED BY (SIG.)
ITTME
RECEIVE BY(SIG.
ATEITITE
f* ,I
V16 �Sv Z J `
RELINQUISHED BY (SIG.)
DATE111ME
RECEIVED BY (SIG.)
DATFJIIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for
FORM #5 Grab sample in the blocks above for each parameter requested. N2 358607

SAMPLING INSTRUCTIONS AND FORM. COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
l) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample 'Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 mi. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection belbre being placed in our sample bottles.
Sodium Thiosulfatc is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine Ibr disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Crab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature al Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONS[ DERATIONS:
Coliform and Enterococci samples have a holding time of 6 hours from time of collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and M BAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

r=1 o n n n
CLARCOR EMS (STORMWATER)
DWIGHT ALLIGOOD
P.O. BOX 1105
WASHINGTON ,NC 27889
ID#: 385
DATE COLLECTED: 11/26/18
DATE REPORTED : 12/06/18
REVIEWED BY:
Stormwater
Stormwater
Analysis
Method
PARAMETERS
(ill, Grab)
(/12, Grab)
Date
Analyst
Code
Total Suspended Residue, mg/l
6.1
4.2
11/28/18
JTH
254OD-11
Copper, ug/l
7
10
11/29/18
LFJ
EPA200.7
Lead, ugll
<5.0
<5.0
12/03/18
MTM
3113E-10
Zinc, ugll
61
72
11/29/18
LFJ
EPA200.7
TPH (1664B), mg/1
<5
<5
11/28/18
SEJ
EPA1664B

-CCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For auidance on filling out thisform, please visit: hUp://poELgi.ncdenr.org/web/­it/npdes-stQrm3yaterl
Permit No.: ji/� /i�/3/Q/DOL/ or Certificate of Coverage No.: bt/ �C./Q/,�/�Q/Q/ /
Facility e: iZ V4J V MILE.
County: J�I.tF�,ZT- ,T Phone No. — O O
Inspector: ffc- 1
Date of Inspection: 1
Timeoflnspection: c7 l Pt7'i
Total Event Precipitation (inches): —L
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Iles ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
this report is accurate and complete to the best of my knowledge:
Permittee or DNignee)
Pagel of 2
SWU-24Z Last modified 7/31/2013

1. Outfall Description:
Outfall No. i Structure (pipe, ditch, etc.) VT'G. LA
Receiving Stream: R t.3 -FO MaAV\cs-fts 1�7E
D scribe the industrial ac'vvities that occur thin the outfall drainage area:
Y .nT �+At2.
2. Color: Describe the color of
(light, medium, dark) as descriptors:
3. Odor: Describe any
weak chlorine odor, etc.): _
using basic colors (red, brown, blue, etc.) and tint
that the discharge may have (i.e., smells strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 0 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (D 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 (J2 3 4 5
7. Is there any foam in the stormwater discharge? Yes 0
8. Is there an oil sheen in the stormwater discharge? Yes 6
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
CiAM06? 1.aetmndi8ed7131/2013

1. Outfall Description:
Outfall No. Structure
Receiving Stream: �R
Describe the industrial aCtivities that
2. Color: Describe the color of the
(light, medium, dark) as descriptors: (
ditch, etc.) k rz, tk-
the outfall drainage area:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors at the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _ _ E2? Do
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. is there any foam in the stormwater discharge? Yes No
8. is there an oil sheen in the stormwater discharge? Yes V�
9. is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
list and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be Indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
Mnl.?e? l.icrsnndi(ied7131/2013

��
1.
. '�
r
l
!
�

pH Meter Calibration for Storm Water Sampling
@PH4.01 @PH7.00 @PH10.00
Date
rime
I Reading
I Calibrated
Reading
Calibrated
Reading
I Calibrated
I Operator
Comments
11-2L- 4
071.E
t- q
E5
7-17o
4 LS
o_ov
is
4 . c
Thermo Scientific pH Meter Operation and Calibration Operation and Calibration
Calibration
1. Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0,10.0)
2. Turn the meter on, and wait for the display to stabilize.
3. Press the "Calibration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place into first buffer solution (7.0).
5. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
8. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10. Press the "Measure" key, and record the slope. The slope should always be between 92 -102%. If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now in measurement mode, and samples can be analyzed.
PH Measurement
1. If power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with DI water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
5. Repeat as needed.
NOTES:
When not taking measurements, the pH electrode should be kept in the storage solution, not in DI water or buffer solution.
When ready to take measurements, rinse the electrode with DI water, and then gently shake of the excess water and blot the electrode with a clean, dry tissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or pH buffer for calibration.
When placing the electrode into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wait for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Form-062 rev 01(03/21/2016) Page 2 of 1

Semi-annual Stormwater Discharge _Monitoring Report
for North Carolina Division of Water Quality Geral Permit No. NCGO30000
Date submitted �f ` o�Z—IF
CERTIFICATE OF RVERAGE NO. NCG03 00 0--
FACILITY MEUA(2 CrOC2. �,►�GI►aE _ t/1EJluE t7�[�P
COUNTY
PERSON COLLECTING SAMPLE A,'
LABORATORYT N_PV1 W MgW 1 Lab Cert. #
Co ents on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _ Jol 6
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly3 month
DISCHARGING -TA CLASS ❑ORW ❑ []Trout Trout ❑PNA
RECENEU ❑Zero -flow ❑Water Supply ❑SA
DEC 0 4 2018 ❑Other
CENTRAL MAP' REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3
DWR SECT141i1
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
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
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/l/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 theeSStorrmmw�atter Pollution Prevention Plan."
�Name (Print name)Utlp ^
i A� �� �►.x. � �u P�� � s off.
(Print title)
nature) U (Date)
Note: Results must be reported in numerical format. Do not repgrt 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 Trer 1, Trer 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,
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

Note: if you report a sample value in excess of the benchmark, you must implement rer 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 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SE 71ON B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC OR THE SAME PARAMETER A7ANYONE OUTFACE? PESFA O ❑
IF YES, HAVE YOU CONTA THE D�{1�� REGIONAL OFFICE? YES NO
REGIONAL OFFICE CONTACT NAME ► "IE�bW- L.�-%Xg- 31S11
Mail an original and one cooy of this DMR, including all "No Discharge" reports, within 30 days of receiat of the lab results (or at end of monitoring period
in the case of "No Discharge" re
portsl 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 directlon 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
anyarivare that there are sign lfican_j4xn a#@s for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of
Permit Date:11/1/2012-10/31/2017
(Date)
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
CERTIFICATE OF VERAGE NO. NCG03 ��� SAMPLE COLLECTION YEAR A®b V
FAClLI AMEf-►.x r7L l cue SAMPLE PERIOD ❑ Jan -June ❑July -Dec
COUNTY or ❑ Monthly SUTSV EV, month
PERSON COLLECTING SAMPLES 1 ICricT Ci�HARGING TO CLASS ❑ORW []HQW ❑Trout ❑PNA
LABORATORYVS}1J►C�E?1JWZf.13t - Lab Cert. # p ECE G ❑Zero -slow ❑Water Supply [-]SA
Co ents on sample collection or analysis: Nib
n ❑Other
C�NTRAL i-ILF PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
pWR SEGT10IN
o discharge this period?z
Outfall No.
Date Sample
Collected'amount,
(ma/dd/yr)
24haur rainfall
Inches 3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non-Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks =Aa
-
200 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.
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 5tormwater Pollution Prevention Plan."
Name (Print name)
a (Print title)
19'ly-'
(Signature) (Date)
Note: Results must be reported in numerical format. Do not reportBelow Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, th9y must be reported in the format d<XX m 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 Z, 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,
= Inclies3
Non -polar O&G/TPH by
EPA 2664 (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 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 SE ION B_
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 0 NO ❑
IF YES, HAVE YOU CONTAIT T E DWQ REGIONAL FICE? YES NO ❑ n
REGIONAL OFFICE CONTACT NAME £
Mail an original and one cane of this DMR includWo all "No Discharge"' Mports,�, within 30 days of receipt of the lab results for pt 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 Ones and imprisonment for knowing violations."
rtg--8 18
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

,4
RECEIVED
CERTIFICATE OF
CAI: i-0
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 9— L — 19
NO. NCG03jQJ2QJr_
PERSON COLLECTING SAMPLES t 31 xhCr % I
LABORATORYGl 'L Lab Cert. #
Comments on sample collection or analysis:
�( 1. � �r � 2 M
Part A: Stormwater Benchmarks and Monitoring Results
S£P 0 4 2018
CENTRAL FILES
DWR SECTION
SAMPLE COLLECTION YEAR
, oWtg
SAMPLE PERIOD ❑ Ja34une Q July -Dec
or onthW. _ ,� (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow [:]WaterSupply [:]SA
[-]Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
_V discharge this period:2
Outfall No.
Date Sample
Collected'
-(mo/dd/yr)
24-hour rainfall
amount,
Inches 3.
Total Suspended Solids
pH.
Standard units
Copper
Lead
Zinc
Ton -Polar Petroleum
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks -=_>
-
-
100 mg/L or so mg/L
. 6.0 - 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/1
15 mg/L
1 mg/L
:'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.
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."
Name (Print name)
(Print title) U—,&
�5i uro (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 mg1lf, where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: !f you report a sample value in excess of the benchmark, you must implement Tier 1, Trer Z 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 N°.
Date Sample
collected'
(mo/dd/yr)
24-hour rainfall .
amount,
Inches
Non-polarO&G/TPH by
EPA 1664 (SGT=HEM).
Total Suspended Solids
pH
'genchmarks
.15 mg/L
100 mg/L or 50 mg/L*
5.0 — 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 Her 3 responses. See General Permit text
FOR PART A AND PART 8 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 D(CEEDENqP FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ffrN—O ❑
IF YES, HAVE YOU CONTAQEEP THE DWQ REGIONAL OFFICE? YES 171 NO ❑ �7
REGIONAL OFFICE CONTACT NAME:6f � /
Mail an original and one copy of this DMR includin all "7vo Dischar e" re orts within 30 d o recei o the lab results or erid o monitorin eriod
in the case of "No Discharge" reports) to.
Division of Water Quality
Attn: DWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
N certify, ender 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."
8-1-16
(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 uality General Permit No. NCG030000
Date submitted — —18
OF $;O�V,,ERAGE NO. NCG03,)Q Q S
FACILITY N_AME L.LL� VXX7! _ F_t,,Z k3E Vygys
PERSON COLLECTING SAMPLES ►�.7�Ct�__Y--1
LABORATORIt—__►zV19MynWT 1 Lab Cert. f#
�nments on sample collection or analysis:
e es
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jam -June ❑ July -Dec
REC or []'Mon DO month
�.' FdI1tIVAQING TO CLASS QORW ❑H W (month)
❑PNA
JUL 13 2018 ElZero-flow QWater Supply ❑SA
CENTRAL FILES ❑Other
DWR SFCTIO_j PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No discharge this period??
Outfall No.
-Date Sample
Collected ,
(mo/dd/W)
all
24-hour rainfall
amount,
Inches3_
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
O&G/
Total Petroleum
Hydrocarbons
Total Taxis
Organics s
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
i mg/L
1 Monthly sampling (instead of semi-annual_) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfafl.
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."
�QIiattX C tt
Name (Print name)
. 9 (Print title)
..
Note: Results must be reported in numerical format. Do not reportBelow 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, a<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, iier z, 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'
(ma/dd/yr)
24-hour rainfall .
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
`Benchmarks -= -->
_
-
IS mg/L
200 mg/L or 50 mg/L*
6.0 - 9.0 SU
Footnotes from Part A also apply to this Part 8
* 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 EXCEEDEYNO
FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑
REGIONAL OFFICE CONTACT NAME: —jm9> Cq-tOoy-� — uy—oag— - W17
Mall an anginal and one coav of this DMR, including, g11 "No Discharge" reports. within 30 daw of receipt of the lab results for at end o monitoring aeriod
in the case -of "No Discharge" regorts 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."
(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 _C�' kC' -
CERTIFICATE OF CAVERAGE NO. NCG03
FACILrTY N E P.QSZ %X E
COUNTY � F Q"V-0VX_ (�
PERSON COLLECTING SAMPLES 'I ]
LABORATORYFAV\ 20V3V%1: 1 Lab Cert. #
comments on sarn le collection or ana
`�-
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Ja� -June July -Dec
or [�' onthlyl „ P12-VL-- fmonthl
� �,�ISC A1t�GINIG TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
MAY 2 9 2018 ❑Other
LCN T RAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
DWR SECTION
No discharge this period?z
Outfall No.
Date Sample
,
Collected
-(mo/dd/yr)
24-haur ralnfafl
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
hydrocarbons
Total Toxic
s
Organics
Benchmvrlrs.-- =>
-
-
100 mg/L or 50 mg/L
. 6.0 - 9.0
0.007 mg/L
0A3 mg/L
0.067 mg/L
15 mg/L
1 mg/L
I 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.
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.
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

r,
T
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. l 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)
(Print title)
Zsiirature) (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, tbo must be reported in the format "<XX m L" where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note. ►f 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
8enchmorks == >
-
-
15 mg/L..
100 mg/L or 50 mg/L*
6.0 — 9.0 5U
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 Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
0 A BENCHMARK D(CEEDANCE 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 REQUIREMENT'S. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC OR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 10
IF YES, HAVE YOU CONTA DWQ REGIONAL OFFICE? YES NO El-7
REGIONAL OFFICE CONTACT NAME:MCVR--r--
.per 3
Mail an orlainal and one copy of this DMR Including all "'No Discharges mporis within 30 days of receipt of the lab results for at end of monitorina period
In the case of "No Discharae" 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."
of
Permit Date:11/1/2012-10/31/2017
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discha-me Monitoringt Report RECEi ED
for North Carolina Division of Water Quality General Permit No. NCG03000%AY 1
Date submitted q-12—k6 4 2016
Co ents on sample collection or analysis:
--tL 3 ICJ ` 015cw G_
Part A: Stormwater Benchmarks and Monitoring Results
CSNPiT FILeS
SAMPLE COLLECTION YEAR 200S, izc �1p�
SAMPLE PERIOD ❑ Jan -June July -Dec
or �onthly' IRQ. (month)
DISCHARGING TO CLASS ❑ORW ❑FIQW []Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
�Nodischarge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3-
Total Suspended Solids
py
Standard units
copper-
Lead
Zinc
Non -Polar O&G/
Total Petroleum .
Hydrocarbons
Total Toxic
'Organics5
Benchmarks ===>
_
100 mg/L or 50.;W0
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
is mg/L
i mg/L
' 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.
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.
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: }.1/1/2012-10/31/2017
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."
`LwtGyT
Name (Print name)
�t Print tit )
Nina
ture) T (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, Trer 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.
n No discharge this period?'
Outfall No.
Date
Date Sample
(mo/dd/yr)
24-hour rainfall
amount,
llnchess
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

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Note. if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Ter 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11SE�CTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCE R THE SAME PARAMETER AT ANYONE OUTFALL7 YES 2*06 ❑
IF YES, HAVE YOU CONTACT TH DW EGIONAL OFFICE? YES NO ❑
REGIONAL OFFICE CONTACT NAME: �3L-3 1(7
Mall an odainal and one cwv of this DMR including all "No Discharae'° reports, within 30 days of receipt of the lab results for at end of monitorina period
in the case of "No Discharae'r 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
aware that there are significaryt< penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of
Permit Date: 11/1/2012-10/31/2017
q — 1 �—
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 7 k8
CERTIFICATE OF WVE�RAGE NO. NCG03vt9 0
FACILITY NAME CUHV_eF—t, UE �iLE 0'� 1iI '
PERSON COLLECTING SAMPLES &JgtkT_ 1::AU ,CQQei
LABORATORYT_0AJQL0 1 Lab Cert. # CqWments on san! le collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR. c2DLS-
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
RECEIVED or ❑ Monthlyl t,] A2 month
DISCHARGING TO CLASS ❑ORW ❑HQW Trout ❑PNA
MAR 13 2018 ❑Zero -flow [—]Water Supply []SA
CENT ►vAi` FILES
❑Other
DWR SECTION
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No discharge this period??
�Outfall No.
Date Sample
Collected 1
(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
Organics s
Benchmarks W>
_.
-
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
-�
6
4. WS
1-
0(
/-.ccs
OqL
S
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.
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 459.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

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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."
DI Ot&ttl C-)UAC-c6D
Name (Print name)
Qe (Print title)
ature)' (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 rPRIV, 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 Tler 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
Outfail.No:
Date Sample. :
Collected'
(mo/dd/yr)-
24-hour rainfall:.
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
V.
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

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Note: If you report a sample value in excess of the benchmark, you must implement rer 1, Trer 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 11 SE N B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC OR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACCED T E DWQ REGIONAL OFFICE? YES Ef NO Elj
REGIONAL OFFICE CONTACT NAME6 MOO LV- UTMP— L �303 ,7
Mail an orlainal and one ropy of this DMR, including all "No Discharge" reports within 30 dag of receipt of the lab results for at end of monitoring period
in the case of 'No Dischame" 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
p4aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Of
3- -7- 1g
(Date)
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

I

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085, 114 Oakmont Dr. page I of 1
Greenville- NC 27858
environm-1 inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phoi- [phone] • Fax [phone]
Ij CHLORINE
CLIENT:385 Week: 6
UV
pH CHECK (LAB)
p
p
p
G
CONTAINERTYPE, PIG
'LARCOR EMS (STORMWATER)
❑ NONE
rWIGHT ALLIGOOD
CHEMICAL PRESERVATION
1.0. BOX 1105
VASHINGTON NC 27889
A
A
A
C
A - NONE D - NAOH
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) 975-9224
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COLLECTION
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SAMPLE LOCATION
DATE
TIME
•
CLASSIFICATION: r
Stormwater (##1, Grab)
23-18
` 15 PN
q.
3
� WASTEWATER(NPDES)
Stormwater (#2, Grab)
1-73- 'E5
1z: r A
17a
3
DRIM9NG WATER
DWww
Ii SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES COLLECTED BY:
(Please Print)
ICAE G0CD
SAMPLES RECEIVED IN LAB AT _2�_� °C
(SAMPLER)
DATFJTIME
REC Y (SIG.)
j ATUnME
COMMENTS:
S"DQ � � �� —7,
MHE
1_z5� 163z
_
1 33
15 Q �� -7. 719
DATEITIME
RECEIVED BY IG.)
DATEITIME
RELINQUISHED BY (SIG.)
DATIMME--]
RECEIVED BY (SIG.)
DAT EMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for N 0 341052
FORM #s Grab sample in the blocks above for each parameter requested. —

SAMPLING INSTRUCTIONS AND FORM COMPLETION
Z.,
FAIL�JRE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of' the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples ]or compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 mi. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form,
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total K,jeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosullate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be bei'ore any
neutralization is performed.
5) A "C" for Composite Sample or a "C" for Crab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of 6 hours from time of collection to time ofanalysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and WAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dales in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
fbr certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. if any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

ElMommEM % Im
Mod
ID#: 385
CLARCOR EMS (STORKWATER)
DWIGHT ALLIGOOD
P.O. BOX 1105 DATE COLLECTED: 01/24/18
WASHINGTON ,NC 27889 DATE REPORTED : 02/09/18
REVIEWED BY:
Stormwater
Stormwater
Analysis
Method
PARAMETERS
VI, Grab)
02, Grab)
Date
Analyst
Code
Total Suspended Residue, mg/1
19
<2.5
01/26/18
MAR
2540D-11
Copper, ug/l
6
6
02/01/18
LFJ
EPA200.7
Lead, ug/I
<5.0
<5.0
01/30/18
MTM
3113E-04
Zinc, ug/I
30
96
02/01/18
LFJ
EPA200.7
TPH (16648), mg/1
<5
<5
01/26/18
SEJ
EPA1664B

-if"A
NCDE�R
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance onFlling out this form, please visit: ham;,(mortal.ncdenr.org/web/It/Ilndes-stonnwater/
Permit No.: Iy./C,,,d101QO1U / or Certificate of Covprage No.:
Facility
County:
Inspect(
Date of:
Time of
Total Event Precipitation (inches): j^
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
�VYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event"(requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
signature, I certify khat this report is accurate and complete to the best of my knowledge:
Permittee or
Page 1 of 2
SWU-24Z last modified 7/31/2013

�
r
i
1_ }
�
�
� � �. � �
- � — �
.� �
�
� � � �
_ . �
t.
I
...
-
� `
�i, s � -

1. Outfall Description:
Outfall No.
Receiving Stream:
Describe the industrial activi
cture [pipe, ditch, etc.)
that occur wikh#i the outfall drainage area:
,�++T �r ailz�l�7iY
2. Color: Describe the color of
(light, medium, dark) as descriptors:
charge using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _ LIX2�
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4� 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 { 2} 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and S is extremely muddy:
1 2 (D3 4 5
7. Is there any foam in the stormwater discharge? Yes
No
0. is there an oil sheen in the stormwater discharge. Yes
ON
9. Is there evidence of erosion or deposition at the outfall?
Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5Wi1-242. Last modified 7/31/2013

1. Outfall Description:
Outfall No.
Receiving Stream: L
Qescribe the industrial actin
(pipe, ditch, etc.
that occ r w the outfall drainage area:
ArcC �P.fz-'IIJG-
2. Color: Describe the color of the
(light, medium, dark) as descriptors: _
3. Odor: Describe any distinct
weak chlorine odor, etc.): _Q)G
using basic colors (red, brown, blue, etc.) and tint
rs that the discharge may have (i.e., smells strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 6 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes V
B. Is there an oil sheen in the stormwater discharge? Yes G
9. Is there evidence of erosion or deposition at the outfall? Yes DNo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5W11-242. Last modified 7/31/2013

pH Meter Calibration for Storm Water Sampling
@ pH 4.01 1 @ pH 7.00 1 @ pH 10.00
Date
Time
Reading
Calibrated
Reading
Calibrated
Reading
Calibrated
Operator
Comments
Thermo Scientific pH Meter Operation and Calibration Operation and Calibration
Calibration
I. Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0, 30.0)
2. Tum the meter on, and wait for the display to stabilize.
3. Press the "Calibration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place into first buffer solution (7.0).
5. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
8. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10. Press the "Measure" key, and record the slope. The slope should always be between 92 -102%. If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now in measurement mode, and samples can be analyzed.
pH Measurement
1. ff power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with DI water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
S. Repeat as needed.
When not taking measurements, the pH electrode should be kept in the storage solution, not in DI water or buffer solution.
When ready to take measurements, rinse the electrode with DI water, and then gently shake of the excess water and blot the electrode with a clean, dry tissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or pH buffer for calibration.
When placing the electrode into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wait for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Form-062 rev 01 (03/21/2016) Page 1 of 1

Semi-annual Stormwater Disthar�e Monitoring Report -
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF OVERAGE NO: NCG030 Vb5 ,
FACILITY NAME �w�Cr\►�� Mi04i�� GQOLG�
COUNTY
PERSON COLLECTING SAMPLES 1 AAZSr M A1"(7M-0
LABORATORY ► �1- Lab Cert. #
ents on sample collection or analysis: Cf�nm
Part A: Stormwater Benchmarks -and Monitoring Results
SAMPLE COLLECTION YEAR r-
SAMPLE PERIOD ❑ Jan -Jane .❑ July -Dec
or ❑ Monthly- (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA
[]Zero -flow ❑Water Supply ❑SA
RE—CF13VI D ❑Other
MAR 13 20K-EASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CEN fKAL FILE $
LWR SECTION
o discharge this period?z
outfall No.
Date Sample
eolkictedl
(mo/dd/yr)_
24-hour rainfall
amount,
ificheO
Total Suspended Solids
pH,.
Standard units
Copper.
Lead
Zinc
Non -Polar U&G/Total
Total Petroleum
Hydrocarbons.
7a)dc
Drganics5
Benchmarks = >
_
-
100 mg/L or 50 mg/0
- 6.0 - 9.0
0.007 mg/L
0.03 ing/L
...0.067 mg/L
• 15 mg/L
i mg/L
s 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 exposers to rainfall or
stormwater runoff has occurred since filing the fast 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)
(Print title)
( 1�_
�• ���� r
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 firer 3 responses. See General Permit team
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.5uspended 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 5Wi1-245, last revised 10/25/2012
Page 2of3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Ter 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 SE ON 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 CONTA THE D Q REGIONAL OFFICE? YES [VD ❑ I� r
REGIONAL OFFICE CONTACT NAME �� _ -`I�✓ �,b l�
Mail an on lnal and one My of this DMR includin all "No Discharge" reports, within 30 days of receipt of the tab results tar at end of monitoring period
in the case of "No Discharge's 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."
3 — !' 16
( Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3of3

Semi-annual Stormwater Dischar a Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted _ r" I 2
CERTIFICATE OF COVERAGE NO. NCG03_C-QQ�
FACILITY ME 1_+�� C ���C7�i P_
COUNTY
PERSON
on sample collection or a
'v--
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR ao 9
SAMPLE PERIOD ❑ Jan -June July -Dec
or M 1onthlyl" `� 9)s (_„(months
RE E (A0LZDRGING TO CLASS ❑ORW ❑HCQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
FEB 0 8 2018 ❑Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
No discharge this period
outfall No.
Date Sample
CollectePd
(mo/dd/yr)
Z4-hour rainfall
amount,Standard
Inches 3
Total Suspended Solids
P H,
units
Copper
Lead
Zinc
Non -Polar O&G/ .
Total Petroleum
Hydrocarbons.
Total
ni&
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
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.
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.
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: 1111/2012-10/31/2017 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 TfO 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
MO), 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)
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, "cXx me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: !f 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.
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,
Inches3
Non -polar a&G/TPH by
EPA 1664 (SGT HEM)
Total Suspended Solids.'
pH
Benchmarks
15 mg/L
100 mg/L or SO. mg/L*
6.0 — 9:0 5U
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:11/112012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note. If you report a sample value in excess of the benchmark, you most 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 SE ION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONT&GFM THE DWQ REGIONAL OFFICE? YES [ NO ❑ (
REGIONAL OFFICE CONTACT NAME:i�,
Mail an on inal and one co o this AW includin all "No Discha e" re arts within 31? da o recei t o the lab results for at end o monitoringperiod
in the case of "No Discharge" m2orts) 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 signifi�.ar+ realties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
—1b
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3of3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 16Z I --1:1 _
CERTIFICATE OF �,O�YERAGE NOACG030 Q 0,�
FACILITY N ME lit Z �� sTU€ [-E
COUNTY
PERSON COLLECTING SAMPLES17L]JsCT
LA13ORATORYr�;J,1V%MVpmta7r -1 Lab Cert. #
CoMments on sarnrle collection or analysis:
-Nisa.. _3 - - -tea rOV5 C1�t3KCr1~
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _�?OV17
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑ MonthW (month)
CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply - ❑SA
DEC 11 2017 ❑other
CENTRAL F E REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SEC I�
o discharge this period:
Outfall No.
Date Sample
Collected)
(mo/dd/yr).
24hour rainfall
amount,
Inchee
-
Total Suspended Solids
pH, -
Standard units
Copper
Lead
Zinc
Non-Polar O&G/
Total Petroleum
Hydrocarbons,
Total Toxic
O $
rganics
Benchmarks =_=>
_ '
-
100 mg/L or 5o mg/L°
6.0 -- 9.0
.0.007 mg/L
0.03 ing/L,
..0.067 mg/L
15 mg/L
1.m9/L
' 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

_t-
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 ame)
:.ture)
Print title)
IA
(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 T%r 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
Outfall No.
pate Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inchee
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended solids
pH
Benchmarks-=> .
_
-
15 mg/L
;100 mg/L or 50.mg/0
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 rer 1, lier 2, or rer 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 SE N B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDE6�NOCnE
THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACT THE DWQ REGIONAL OFFICE? YES
REGIONAL OFFICE CONTACT NAME: AWIE.VNQ09j=! &&I R �'�R• < < 1(-7
Mail an on inal and one copy of this DMR including all "No Discharge" re orts within 30 days of receit gf the lab results or at end of monitoring period
in the case of "No Dischame 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:
9 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."
- P
[oats)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

7. .
Semi-annual Stormwater Disthar a Monitoring Report
for Nortti Carolina Division of Water Quality General Permit No. NCG030000
Date submitted I — -7-1­7
CERTIFICATE OF VERAGE NO. NCG0302Qa -
FACILITY NAME AVZQft T—__ ba5J E R6 1 IU [P
COUNTY 96LQ1AFVKr P - i
PERSON
LABORA'
C ents on sample collection or analysis:
Um7 1 M I _
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR OO 1-7
SAMPLE PIERIOD ❑ J1,W0une July -Dec
or Monthly1_ FSZ. (month)-
RECei4G TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow []Water Supply [:]SA
DEC 11 2017 [-]Other
CENTRAL SE, TION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
owR s�crronl
❑ No discharge this period?'
outfall No.
oate Sample
p
Collected 1
(mo/dd/yr)
24-hour rainfall
amount,
Inche0
Total Suspended Solids
p H, .
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleem
Hydrocarbons..
Total Toxic
Organics s
,
Benchmarks = -->
la �,� RBI
-
100 mg/L or 50 mg/L°
6.0 — 9.0
-0.007 mg/L
0.03 mg/L -
: O.Ob7 mgJL
'. 15 mg/L
Ling/I.
s-.
4 1 29 117
.75
Q.
7.o 1
W
4. 5
018
L 5
MA
v25 17
�2.
3
<. S
•�7
N�
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.
a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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 fast 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 Pla ."
160 4((:4ZOQ
Name (Print name) -
1Vku.-nn�c (A KRk) �soQ
(Print title)
ZNgnature) (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 n<XX me/!" 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?z
outfall No
pate Sample
Collected}
(mo/dd/yr).
24-hourrainfall
amount,
InchW
Non -polar O&G/TPH by.
EPA 1664 {S(jT-HEM).
Total Suspended Solids '
pH
Benchmarks -- =>
_
15 mg/L
100 mg/L or 50 mg/L'
6.0 — 9:O 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 bent rmarl4 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 SECTpo NB.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES OR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTAQ �THE DWQ REGIONAL OFFICE? YES NO ❑ �J�,
REGIONAL OFFICE CONTACT NAME. _ 0L- Lump- -su x- -3LS1r 7
Mail an on final and one covy of this MR, including all "No Discha e" reports, within 30 days o eigt of the lab results Lar at end at 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:
N 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 property 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
apv4ware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." -
of
Permit Date:11/1/2012-10/31/2017
IA-7-1
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

f%nvirunment a. Inc. CHAIN OF C:U:S` O DY :CORD
P.U. riox 70085�1 t 1 Oakmont ]:h•, F',i << _ I Or
011ti ilolt111ctilli11C.Ct)111
Phone 756-6?08 • Fax Q1 y.) 756-063 i
CNLOR111JENEUTRALIZEDATCOLLECTION
Li (.'IIT.c' RrLNL
PH CHECK (LAB)
C LIENT: 3$5 Week: 45
j� [ . v
P
p
)p
G
W4TAINER TYPE. R, G
EMS (STORMWATER)
� i i ti I
DWICLARCOR
'ii AM OD
CHEMICAL PRESERVATION
P.O. B
P.O. BOX 11Q5
1105
�
WASHINGTON NC 27989
--
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U) A- NONE D• NA08
( ) 975-9n4
B HNO, E HCL
Or
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rqrC
ff
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G NATHUSULEATE
WAPLELOCATION
OATI=
TIME
O
CLASSIFIGAMN:
VLIASTENtATER (NPDCS)
idi 1
fl�IS
,� �
DRINKING' VATER
OWO:'0'•1
SOLID WASTE SECTION
CHAIN OF[USTODY (SEAL) h1AINTAINEC!
OURINC, IPMENT. CJELIVERY
Y N
SAMPLES 03ZECTED BY'
SAIAPLES RECEIVED IN L S AT_rr Q __ `C
wiL
;RETIZ"SHED
IPLERj
//���Q'7"Y71 11
qEc (SjC
ATE -TIME
CQMr�ENTS� ?�-"7a0N1ft.
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BY (SIG,)
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PECETV V
ATE ME
ED BY (SIGJ
ff
DATE'i ME
RECEIVED EY fs[C, t
DATUnME
PLEAS3 READ Illstr(iClip115 te,r completing thiso; m un. [?1f ..
Sampler most place a 'C- iar cornposiie sample, or a ­G" Icr No 346970
FORM K5 Grab sarnpie in the block above lot each parameter (equested.

ERAOTmEw % hcw
CLARCOR EMS (STORMWATOR)
FIGHT ALLIGOOD
P.O. SOX 1105
WASHINGTON .NC 27889
rgq@d
ID#s 385
DATE COLLECTED* 10/29/17
DATE REPORTBD 1 11/27/17
RRVIRWRD BY3 /Z'0�
Stornmater
Stommater
Analysis
Method
PARAMLTRRS
(Nl, Grab)
(#2, Grab)
Date Analyst
Code
Total Suspended Residue, mg/l
<2.6
<2.6
10/31/17
MAR
2540D-11
Copper, ug/1
3
5
11/10/17
LFJ
EPA200.7
Lead, ug/l
<5.0
<5.0.
11/08/17
MTM
3113E-04
Zinc, ug/1
18
21
11/10/17
LFJ
LPA200.7
TPH (1664H), mg/l
<5
<6
11/02/17
SEJ
KPA1664B

RUDER
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out tShlisform, please visit. http://portal.ncdCnr.org/web/ir/npdes-stormwatCr/
Permit No.: Nl-u 0351 J/0Q/0 or Certificate of Coverage No.: N/C/G/00/D/L9/O6/
Facility Nas
County:.'
Inspector: J
Date of Insl
Time of Ins -
Total Event Precipitation (inches): , —73
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See inf xmation below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
ort is accurate and complete to the best of my knowledge:
re or Permittee or
Page 1 of 2
5wU-242, Last modified 7/31/2013

I. Outfall Description:
Outfall No.
Receiving Stream: CRUZ'
Describe the industrial activi
re (pipe, ditch,)
that occur
z. Color: Describe the color of the disch
(light, medium, dark) as descriptors: U�
the outfall drainage area:
LCL
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): VW 0M)V .
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 L2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes Co
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWI1-242, Last modified 7/31/2013

1. Outf 1 Description:
Qutfall No. IF a 11
Receiving Stream: Citumt
2. Color: Describe the color of the
(light, medium, dark) as descriptors: T
the outfall drainage area:
using bqqic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
61) 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 C2) 3 4 5
7. Is there any foam in the stormwater discharge? Yes
CjNo
B. Is there an oil sheen in the stormwater discharge? Yes
cNo
9. Is there evidence of erosion or deposition at the outfall?
Yes 00.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SW11-742. Last modified 7/31/2013

pH Meter Calibration for Storm Water Sampling
@ pH 4.01 @ pH ZOO @ pH 10.00
Calibrated
Reading
Calibrated
Reading
calibrated
Operator
Comments
in=Reading
01
Lt)
7.�
s
0
Ls
D A_
,5LV25.7
Thermo Scientific pH Meter Operation and Calibration Operation and calibration
Calibration
1. Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0, 10.0)
2. Turn the meter on, and wait for the display to stabilize.
3. Press the "Calibration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place into first buffer solution (7.0).
S. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
8. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode Into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10. Press the "Measure" key, and record the slope. The slope should always be between 92 -102%. If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now in measurement mode, and samples can be analyzed.
pH Measurement
1. If power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with DI water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
5. Repeat as needed.
NOTES:
When not taking measurements, the pH electrode should be kept in the storage solution, not in DI water or buffer solution.
When ready to take measurements, rinse the electrode with DI water, and then gently shake of the excess water and blot the electrode with a clean, dry tissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or pH buffer for calibration.
When placing the electrode into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wait for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Form-062 rev 01(03/21/2016) Page 1 of 1

I_
_
l�
1
_ r ,.
� r
-'/

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted /it ) — 6 10 i-7
CERTIFICATE OF OVERAGE No. NCG03 d V 0 5
FACILITY NAME LJ=1 �N �I�E tt, 099cP
COUNTY n)7=1W_Vf:0K
PERSON COLLECTING SAMPLES
Lab Cert. f#
on sample collecti o or
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 01
SAMPLE PERIOD ❑ Jari June ❑ July -Dec
or anthly' Ui— month
RE(-;&V'W'NG TO CLASS []ORW ❑HQW []Trout ❑PNA
OCT 16 2011 zero -flow []water supply OSA
❑Other
CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
52eNo discharge this period ?2
outfall No.
Date Sample
Collected'
{mv/dd/yr}
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,'
Standard units
Capper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons .
Total Toxic
Crganics s
Benchmarks
100 mg/L or 5o mg/O
6.0 — 9.0
0.007 mg/L
0.03 mg/L
A.067 mg/L
15 mg/L
1 mg/L
' 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.
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 5WU-245, last revised 10/25/2012
Page 1 of 3

�
�
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I
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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 TfO 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
PTO), 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)
-�
YLPature) D.
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 mwhere 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 Tler 1, Tier 2, or Tier 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
Outfail No.
hate Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
lnches3
Non -polar O&G/TPH by
EPA 1664 (SGT-THEM)
Total Suspended Solids
pH
Benchmarks -- =�
_
-
15 mg/L
100 mg/L or 5o 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 10/25/7012
Page 2of3

t
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Note. If you report a sample value in excess of the benchmark, you must implement Tler 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART AAND PART MONITORING RESULTS:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMEN75. SEE PERMIT PART It SE ON B.
O TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEED ENC OR THE SAME PARAMETER AT ANYONE OUTFALL? YES Q NO ❑
IF YES, HAVE YOU CONTACTED THE DW NAL OFFICE? YES NO ❑ REGIONAL OFFICE CONTACT NAMECZ S �hfj
17
Mail an orialnal and one copy of this OMR, indudina all "No Dischame" reports, within 3+0 days of recelot of the lob results for at end of monitorina nerved
in the rase of "No Discharae" 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
Aw,aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations."
of
J'40-
(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 Qua ityfn
eneral Permit No. NCG030000
Date submitted S
CERTIFICATE OF WVERAGE NO. NCG03 D 0— 9— 6
FACILiTT,4ME LAWL39—tJC7t► !'iE&L-F- C22M&
COUNTY ,rat=.HUF
PERSON COLLECTING
LASORATORYEI %i
sample collection or
� -!g I l el�w
Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 6:�Qlq _
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly 1 0-,F-9—month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
_ ❑Zero -flow ❑Water Supply [—]SA
❑Other
OCT 12 2017 'PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES'
DWR SECTION
No discharge this period?2
Out€all No.
Date Sample
Collected1
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
qH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons.
Total Toxic
Organics5
Benchmarks,
100 mg/L or 50 mg/L4
- 6.0 —9.0
•0.007 mg/L .
0.03 mg/L-
0.067 mg/L
15 mg/L
i mg/L
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 maybe 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

1�..
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 Tf0 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
(T'O), 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."
�c(� C) U7pnN eMO
Name (Print name)
'N1.'R.1�-�tJ+A�JC'E �t.tPr� �R-19t5oP
(Print title) 45b
` grrature) (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. "00(ma/L-11 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 mast implement Ter 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?'
Outfail No:
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (5GT-HEM)
Total Suspended Solids
pH
Benchmarks -=>
_
-
15 mg/L
100 mg/L or So mg/L"
6.0 — 9.0 5U
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

L
Note: If you report a sample value in excess of the benchmark, you must implement rer 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 11 SECTION B.
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE5,FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES �O ❑
IF YES, HAVE YOU CONTAPFEq THE DWQ REGIONAL OFFICE? YES NO ❑
REGIONAL OFFICE CONTACT NAME: , _fVX00(zV-- L11n-iv, _ 3 W O
Mail an original and one coov of this DMR, including all "No Dischame" reports, within 30 days of receipt of the lab results for at end of monitorina Period
in the case o "No Discho 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. 1
arpqware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
©sl1.
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

•
Semi-annual_Stormwater Discharize Monitoring Report
for North Carolina Division of Water Qu lity,
General Permit No. NCG030000
Date submitted
r.
ii,� r
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _ O 12
SAMPLE PERIOD ❑ Jan -June July -Dec
!Cn or �onthW Sr month
E El V C aHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
Z017 ❑Zero -flow []Water Supply [_]SA
4CT 1 ❑Other
DWR S CT LES
ON
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.
Inches
Total Suspended Solids
pH,'
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Tota! Petroleum
Hydrocarbons
Total Toxic
Organics'
Benchmarks =_�
_ '
-
100 mg/L or S0 mg/O
&a — 9.0
0.007 mg/L .
0.03 mg/L
..0.067 mg/L
15 mg/L
1.mgJL
23 '7
ir�,
I 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.
'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

k
1
�
l
Y
,

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."
'DQiC,)*T "w �L
Name (Print name)
title)&wmmy:m
i 1 ,
Qe (Print
1 r • ,
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 mpJlwhere 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 Tler 1, Trer 2, or Tier 3 responses: See General Permit tears.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?=
Oettfall No.
Date Sample
Collected`
' (mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Totel.5uspended 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

t
� _
'
a
f

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 AND PART 8 MONITORING RESULTS:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK
IF YES, HAVE YOU CONTA TH IONA OFFICE
REGIONAL OFFICE CONTACT NAME: 1. _L.ETM
SEE PERMIT PART II SE936N B.
Mail an on final and one cipipy o this DMR indudin al! No Discharge' M its within 30 d o reWi t o the Jab results or at end o monitorin erlod
in the case of "Na Dischame" reaortsl #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. I
arMaware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of
1�L4a
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Emp,mmumm % bam mmUd
CLARCOR BMS (STORMWATSR)
DWIGHT ALLIGOOD
P.O. BOX 1105
WASHINGTON ,NC 27889
ID#t 386
DATE COLLBCTBDt 08/23/17
DATE RBPORTBD t 09/12/17
PJM ZNBD BY t
Stormwater
Stormwater
Analysis
Method
PARAMETERS
Oq, Grab)
(#2, Grab)
Date
Analyst
Coda
Total Suspended Residue, nigil
15
<2.6
09/28/17
MAR
2540D-97
Copper, ug/l
6
4
09/05/17
LFJ
EPA200.7
Lead, ugll
<5.0
<5.0
09/05/17
MIM
3I1311.04
Z(ac, ttg/i
27
47
09/05/17
LFJ
EPA200.7
TPH (1664B), mgli
<5
<S
09106/17
SEJ
EPA1664B

:nvironrnent 1, Inc.
'O. Sox 7085. 114 Oakmont Dr.
3reenviIle. NC 27858
aivironment I inc.com
'hone [phone] • Fax [phone]
CLIENT: 3W Wes; 36
CLARCOR EMS (STORMWATER)
DWIGHT ALLIGOOD
P.O. BOX 1105
WASH1fNGTON NC 27899
( ) 975-9224
CHAIN OF CUSTODY RECORD
Page _i of.-
LlCHLORINE
uv
NON E
MEN[
Im",
RROMMONNNNENNE.
CMRCAnOK-
�iiDWOM
CHAIN OF CUSTODY (SEAL) MAINTAINED
TMIX

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance o nfilling out thisform, please visit: htW://nortaLncdennorg/webAr/nodes-stormwater/
Permit No..
Facility 1�
County:
Date of Inspection:
Time of Inspection:
Il
Total Event Precipitation (inches): ti�—
al"I"31O� 01061
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
signature, I certify that this report is accurate and complete to the best of my knowledge:
Permittee or
Page 1 of 2
SWU-242, Last modified 7/31/2013

w

�r 1
1. Outf4ll D escrii
Outfall No. ^fit
1.
Receiving Stream:
Describe the industrial
Sure (pipe, ditch, etc.) A.2 VI CIA
that occur wkin the outfall drainage area:
2. Color: Describe the color of th
(light, medium, dark) as descriptors: —
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: �
1 2 r 3J 4 S
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 0 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 0 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes ON
9. is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
MV-242. Last modifted 7/31/2013
Page 2 of 2

I. Outfall Descri]
Outfall No:tt oil
Receiving Stream:
Describe the industrial
Struci�ire (pipe,
that occur with' the outfall drainage area:
_Akr rAW--%9_(z.-
2. Color: Describe the color of the
(light, medium, dark) as descriptors: J
3. Odor: Describe any
weak chlorine odor, etc.): _
e using basic colors (red, brown, blue, etc.) and tint
L L:gln"C
that the discharge may have (i.e., smells strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
G 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 G 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 0 4 5
7. is there any foam in the stormwater discharge? Yes G
B. is there an oil sheen in the stormwater discharge? Yes GNo
9. Is there evidence of erosion or deposition at the outfall? Yes ONO
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further Investigation.
C
Page 2 of 2
SW11-242. Last modified 7/31/2013

pH Meter Calibration for Storm Water Sampling
@PH4.01 1 @pH7.0U 1 @PH10.00
Date
Time
Reading
Calibrated
Reading
Cakirmted
Reading
Calibrated
Operator
comments
:6:
5
. i�
~l-
I
DL
I
1 97--9
Thermo Scientific pH Meter Operation and Calibration Operation and Calibration
Calibration
1. Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0,10.0)
2. Turn the meter on, and wait for the display to stabilize.
3. Press the "Calibration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place into first buffer solution (7.0).
S. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
S. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10. Press the "Measure" key, and record the slope. The slope should always be between 92 -102%. If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now In measurement mode, and samples can be analyzed.
PH Measurement
1. If power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with DI water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
5. Repeat as needed.
NOTES.
When not taking measurements, the pH electrode should be kept in the storage solution, not in DI water or buffer solution.
When ready to take measurements, rinse the electrode with DI water, and then gently shake of the excess water and blot the electrode with a dean, dry tissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or pH buffer for calibration.
When placing the electrode Into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wait for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Form-062 rev 01(03/21/2016) Page 1 of 1

Semi-annual Stormwater Discharize Monitoring Report
for North Carolina Division of Water Q " li !General Permit No. NCG030000
Date submitted 17
CERTIFICATE OF COVERAGE No. NCG03Q D
FACILITY
COUNTY
SAMPLE COLLECTION YEAR — QZDI 1
SAMPLE PERIOD ❑ J -June [] July -Dec
or [2Monthlyl_ �'1J�1�I✓ (month)
PERSON COLLECTING SAMPLES DWI lt, DISCHARGING TO CLASS ❑ORw ❑HQW ❑Trout ❑PNA
LABORATORYRQ\1% Mj_.t 1 Lab Cert. tt �C E 6 V E D ❑Zero -flow ❑water Supply [:]SA��� ❑Other
Comments on sample collection or analysis:
VV3 7A�[L T JUL 27 J''W
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: 5torrnwater Benchmarks and Monitoring Results DWR SECTION
❑ No discharge this period?'
Outfail No.
Elate Sample
Collected)
(mo/dd/yr)
24hour rainfall
amount,,
Inches'
Total Suspended Solids
pH,'
Standard unfts
Copper
Lead
Zinc
Non-Polar O&G/
Total Petroleum
Hydrocarbons.
Total Toxic
Organicss
Benchmarks ==
-
-
100 mg/L or 50 mg/L4
. 6.0 — 9.0
0.007 mg/L
0.03 mg/L -
.0.067 mg/L
°, 15 mg/L
1.mg/U
19 17
7 55
. 011
Z_ S
. try}
Z_
12
,4 `'
t 0
7.01
opt,
4.005
OLA5�-
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.
'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 46931).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/7-5/2012
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'TfO 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
(iTO), 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."
IWrgQ
Name (Print name)
!Tit Print title)
nature) (Date)
Note: Results must be reported in numerical format. Do not reportBelow 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/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, rer Z 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?'
Outfatl 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 2of3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Ter 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 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES OR THE SAME PARAMETER AT ANY ONE OUTFALL? YES a NO ❑
IF YES, HAVE YOU CONTA THE DWQ REGIONAL OFFICE NO ❑ `31l
REGIONAL OFFICE CONTACT NAME M L �C V- �Lor c3 f
Mail an oriainal and one copy pf his DMR. including all "No Discharge" reports, within 3A days of receipt of the lab results for 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:
"1 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."
7/a�1�
(Signature o Permitteej (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-24S, last revised 10/25/2012
Page 3of3

if
ERwohmamm % kwommud
ID#e 305
CLARCOR EMS (STORMWATER)
DWIGHT ALUGOOD
P.O. BOX 1105 DATE COLLECTMa 06/19/17
WASHINGTON ,NC 27089 DATE REPORTED s 07/05/1.7
REVIEWED BY s
Stormwater
Stormwater
Analysis
Method
PARAMETERS
(51, Grab)
02, Grab)
Date Analyst
Code
Total Suspended Residue, mg/l
109
10
06/23/17
KAC
2540D-97
Copper, ug/l
11
6
06/30/17
LFJ
EPA200.7
Lead, ug/1
<5.0
<5.0
06/30/17
111TAi
311313-04
Zinc, ug/l
107
45
06/30/17
LFJ
EPA200.7
TPH (1664B), mg/l
<5
<5
06/27/17
SEd
EPA16640
d

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1'_0, B(v%.'70S5. II -I Qal:.rtz� w IX,
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CHLOFUNE NEUTRALIZED AT COLLECTION
(JR.01"'p; '.
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pH CHECK (LAB)
tz
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DURING SHIPMENT10 E LIVERY
N
SAMPLES QOLLEMD BY:
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SAMPLES RECEIVED IN LAB AT
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POW1d a; Grab sample in Ilse blocks above for each parameler requested.

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I�CDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. httl2://12ortal.ncdenr.org/web/lr/nodes-stormwater/
Permit No.: N/C 643/ p/ — — or Certificate of Coverage No.: N/C//21,3/ —020/,5/
Facility N e: A E1J IQE-
County: EAId,�LM---_t Phone No. 5
Inspector: I XQ.
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): 3 -
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
ff-Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall, The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
signature, l fie{ this report is accurate and complete to the best of my knowledge:
aturebf Permittee ol�Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.) 1 4TCJA
Receiving Stream: ►J 1 TJ
D tribe the indus 1 activities that occur within the outfall drainage area:
Vier 4r AQ1GtJ(7f
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: c4t:L & = -T—kij -
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): KO Q XP= _
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 0 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
7.
8.
9.
1 (J2 3
Is there any foam in the stormwater discharge?
4 5
Yes
Is there an oil sheen in the stormwater discharge? Yes
Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe L�f.1J C
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWIf-242. Last modifled 7/31/2013

1. Outfa 1 Description:
Outfall No. K
Receiving Stream: i
Describe the industrial activi
:ture (pipe, ditch, etc.) M
i�.t.IJ Ti7 �+Av�Tf�� �EK
that occur w inthe outfall drainage area:
avwT00'Q-'ka%z)t<-.
2. Color: Describe the color of the
(light, medium, dark.) as descriptors: I
ischarge using basic colors (red, brown, blue, etc.) and tint
QD T l0—i
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _�—E ©[Zi20�
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 (J4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 (J2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes (No
10. Other Obvious indicators of Stormwater Pollution:
List and describe LgUU Elate OUT
n
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SW11-242. Last modified 7/31/2013

pH Meter Calibration for Storm Water Sampling
@ pH 4.01 I @ pH ZOO I @ pH 10.00
Date
Time
I Reading
I Calibrated I
Reading I
Calibrated
I Reading I
Calibrated
I operator I
Comments
-/q 115!5D(
.3
q-of
.5
.v
I CO.s
Thermo scientific pH Meter Operation and Calibration Operation and Calibration
Calibration
1. Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0, 10.0)
2. Turn the meter on, and wait for the display to stabilize.
3. Press the "Calibration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place into first buffer solution (7.0).
5. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
8. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10. Press the "Measure" key, and record the slope. The slope should always be between 92 -102%. If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now in measurement mode, and samples can be analyzed.
pH Measurement
1. If power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with DI water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
5. Repeat as needed.
NOTES:
When not taking measurements, the pH electrode should be kept in the storage solution, not in DI water or buffer solution.
When ready to take measurements, rinse the electrode with DI water, and then gently shake of the excess water and blot the electrode with a clean, dry tissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or pH buffer for calibration.
When placing the electrode into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wait for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Form-062 rev 01 (03/21/2016) Page 1 of 1

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Qua ity eneral Permit No. NCG030000
Date submitted D 1 -
CERTIFICATE OF COVERAGE No. NCG03f f L;
FACILITY NAME CLAV407- r_u Qe I!M{L.I= i C'
COUNTY uF[7
PERSON COLLECTING SAMPLES Dtk=rAK AtA.=f,�Wp
LASORATORYfj.SUIRQI,IME�JT^l, Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR -.201-7
SAMPLE PERIOD ❑ Jan -June July -Dec
R1 or 21' onthly1_4AJ r200 (month)
IMWAQQG TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
JUL D q 2017 '❑Zero -flow ❑Water Supply ❑SA
CENTRAL itil ❑Other
Owl SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?'
Outfall No.
Date.Sample
Collected 1.
(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
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
1.
4•b
3
C
3
1.q8"
. 014
< • S
1
�
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.
° 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) -
it (Print title)
IL
QuiaW
..
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, RID, 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 Ter 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:
_ bate Sample
Collected"
(mo/dd/yr)
24-hour rainfall
amount,
Inches"
Non -polar O&G/TPH by.
EPA 16M (SGT-HEM)
.. Tctal 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: 11/1/2012-10/31/201T 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, rier 2, or Tier 3 responses. See General Permit text
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 2 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 SE ON B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENrNo
OR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [�] NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑
REGIONAL OFFICE CONTACT NAME: 1W9 "DMZ I.=i�CL S>=+. _ 3 ��
Mail an on final and one copy of this DMR includin all "No Discha e" reports within 30 dayE of receipt of the lob results for at end of monitoring period
in the case o "No Discharge" re its 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 signi%ant-penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Mrmittee)
Permit Date: il/1/2012-10/31/2017
(Date)
SWU-245, last revised 10/25/2012
Page 3of3

Em,mmmaw, 'JU howsumd
CLARCOR EMS (OTORMWATER)
DWIGHT ALLIOOOD
P.O. BOX 1105
WASHINGTON NO 27889
ID#e 305
DATE COLLRCTSDi 05/23/17
DATE REPORTED 1 06/08/17
REVIEWED BY e
Stormwater
Stormuater
Analysts
Method
PARAMETERS
(#I, Gran)
(92, Grab)
Data
Analyst
Code
Total Suspended Residue, mg/1
4.6
4.8
05/24/17
KKM
2540D-97
Copper, ug/l
5
14
05/25/17
LFJ
EPA200.7
Lead, ug/l
11
<5.0
05131/17
111TM
3113E-04
Zhic, ug/l
63
163
05/25/17
LFJ
EPA200.7
TPH (1664B), mo
<5
<5
05/24/17
SEJ
EPA1664B

r 1, lllc• CHAIN OF CUSTODY'REICORD
RO-Bojx-108� "140ak-montDr.
Gcc--cjivUlc, NC,27S5S
envirollmollt) hic will
DlSV4FFC'll0\-T
Fix 756-06�'%l
CHL07RI JE NEUMALIZED AT COLLECT"
J
pH CtiECK W)
CLYENT. 3w Week: 23
P
P
F
G
CONTAINER TYPE. PJG
CLARCOR EMS (9rOltMWATM
NON�T
DWIGHT ALLIGOOD
A
A
A
C
CHEMICALPRESERVATON
P.O. BOX lies
WASHWGTON NC 27889
- A NONE D - NAOH
2 -
)975-9224
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COLLECTION
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NA THOSLUATE
S.41VIPLE LOCATION
DATE
TIME
SWrmwater (#I, Grab)
co
w
3
WSSIRCATION:
WASTE-NATER(NPDES)
ftrmwaftr I#% Grab)
&
.3
DRINKING 6,VATER
JDWG IGW
Ll SOLID VIASTESECTION
CHAIN or cus-rooy (SEAL) MAINTAINED
DUAiNG SHIPMENTiDELIVERY
N
_0
S.41PLES COLLECTED BY,
Pew pr"fj
SAMPLES RECEIVED IN LAS.AT._
R I IIXY (SAMPLEM
D AT EiTil M E
REC!j q�lc,)
QATE
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COMWNTS, 1?14*"
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R OBY
0AT&TIME
(&G.,,
1Jr
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PECENIEDBY(Sqr�
DATETME
RELPWISHED 6Y.sa)
DATE-TWE
- -- I
RECEY',IED 2Y i$101
-
DATE-TIVIE
-- - L
VoRm CF5 [PLEASE READ Instructions for coiriple6no this, iorw cm II Sampler enUS I place a T' for COMPOSile SaMple Of a 3
Far N?I. , -
Grab san-#p in the t0ocks above !or each.0ilfameter requested. 32299

F
1
F

WNW
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidunce on filling outthisform, please visit: )fig;//per l.ncdenr.orgf web/lrinpdes-stormwater/
Permit No.: N/-C/L
Facility Name:
County:bt!Alk
Inspector: 1)
Date of Inspection:
Time of Inspection:
or Certificate of Coverage No.: N/C/G/m/Q-0/56/
Total Event Precipitation (inches):_
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a °measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
signature, I certify that t4is-�is accurate and complete to the best of my knowledge:
of POf mittee
Page t of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. _ I_ ^ Structure (pipe, ditch, etc.) 1
Receiving Stream: W1-2Ey 4q"' rd " G"pA C>~RS GijasK Tb :CAIZ tit►k4 (Z
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:Lu�_,
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): W ®Rwiz,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 (3J 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 0 5
7. Is there any foam in the stormwater discharge? Yes fo
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5W I-242. Last modified 7/31/2013

1. Outfall Description:
Outfall No. a Structure (pipe, ditch, etc.) T'CaR
Receiving Stream: eQ�_ ul� ' 1.�t�Q. C%—i eLk
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:,(_
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 11 )�2_ Q%02�
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 (D 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes G
8. Is there an oil sheen in the stormwater discharge? Yes V
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious indicators of Stormwater Pollution:
List and describe
Nate: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWii-242. Last modified 7/31/2013

pH Meter Calibration for Storm Water Sampling
@pH4.01 I @pH7.00 I @PH10.00
Date
Time
Reading
Calibrated
Reading
Calibrated
Reading
Calibrated
Operator
Comments
a3
D 7 53
4.
4- . 0
i
-7 •
. fg
ho-oo
U I
swm loo rt
Thermo Scientific pH Meter Operation and Calibration Operation and Calibration
Calibration
1. Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0, 10.0)
2. Turn the meter on, and wait for the display to stabilize.
3. Press the "Calibration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place Into first buffer solution (7.0).
5. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
8. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10. Press the "Measure" key, and record the slope. The slope should always be between 92 - 102%. If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now in measurement mode, and samples can be analyzed.
pH Measurement
1. If power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with 01 water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
S. Repeat as needed.
NOTES:
When not taking measurements, the pH electrode should be kept in the storage solution, not in DI water or buffer solution.
When ready to take measurements, rinse the electrode with DI water, and then gently shake of the excess water and blot the electrode with a clean, drytissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or pH buffer for calibration.
When placing the electrode into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wait for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Form-062 rev 01 (03/21/2016) Page 1 of 1

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085, 114 Oakmont Dr. Page 1 of I
C',rPPnvifle NC '77RSR
environment I inc.com
DISINFECTION
CHLORINE NEUTRALIZED ATCXLECTION
Phone [phone] • Fax [phone]
CHLORINE
CLIENT: 385 Week: 23
UVpH
CHECK ¢AB)
CLARCOR EMS (STORMWATER)
❑ NONE
P
P
P
G
CONTAINER TYPE P/G
DWIGHT ALLIGOOD
CHEMICALPRESERVATION
P.O. BOX 1105
WASHINGTON NC 27889
A
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SAMPLE LOCATION
DATE
TIME
o
a
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Stormwater RI, Grab}
�
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CL4SSIFiCATION
WASTEWATER (NPDES)
Stormwater (#2, Grab)
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61
IN
DRMNG WATER
DNWW
SOW WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
Y N
SAMPLES COLLECTED BY'
SAMPLES RECEIVED IN LAB AT °C
REI"ISHED BY (SIG.) (SAMPLER)
DATEITIME
RECENED BY (SIG.)
DATEVE
COMMENTS
i*
RELINQUISHED BY (SIG.)
DATEMW
RECENED 13Y (3G,)
DATE.ITIME
RELINQUISHED BY (SIG.)
DATEMW
RECEIVED BY (SIG.)
DAWnME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for N U 332,2499
FORM #s Grab sample in the blocks above for each parameter requested. -

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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Qu lit General Permit No. NCG030000
Date submitted rJ" i
CERTIFICATE OF COVERAGE NO. NCG03-Q fZ
FACILITY NAME
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
V10 ZXQL7
t
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR f I
SAMPLE PERIOD ❑ Ja -June El July -Dec
or [� Monthlyi AMIL- (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 ->
2--No discharge this period?'
Outfall No:
:Date Sample
_ :.
Collected
(mo/dd/yr)
;-244hour:ralrifall
amount,
Inchee
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/L4 . ;
6.0-:9.0
0.007 mg/L
0.03-mg/L
-.0.067. mg/.L.:
- 15.mg/L
1 mg/L
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 thi,,,ncorporate a solvent management plan into the Stormwater Pollu"on Prevention Plan may so certify, and the requirement for TTO mu, iitoring
rrlay 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)
fr
ature) (Date)
Mote: 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 mK/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 Tler 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
OutfallAo:
Date Sample_
Coilectedl
(mo/dd/yr).
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPRby
EPA-1664.,,(SGT--HEM), :.
Total'5uspended,5olids .
pH
Benchmarks = >
-
-.
1S;m9/.L ,
100:mg/L or-50'mg/L*
6.0 — 9.O'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:11/1/2012-10/31/2D17 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If yore , ,-port a sample value in excess of the benchmark, you must imple:.,,ent Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART [I SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC "FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑,
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES + NO ❑ j 1
REGIONAL OFFICE CONTACT NAME: r,yb MQ7Ql- L.en4,Q.
Mail an orWinal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the tab results (or 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, 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.
amakvare that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of
SI
{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 Qu l;yr
eneral Permit No. NCG030000Date submitted .5�
CERTIFICATE OF COVERAGE NO. NCG03 D 5
FACILITY NAME C..CDQ G"Cs1UE MOP,�Lr` CT{LDIRP
COUNTY i�)EAUPDeT-
PERSON COLLECTING SAMPLES _,%)W%frHT A1.1A&22Q _ 1'
LABORATORY ►sT I- Lab Cert. #
Comments on sample collection or analysis:
Part A., Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _ A)i_7 _
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or 6onthly19ftCA _ ,200 (month)
ECEI EnPCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
V GL1 ❑Zero -flow ❑Water Supply ❑SA
MAY 0 8 2017 ❑Other
;ENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
❑ No discharge this period?2
Outfall'No':
'Date Sample
-Collectedl
(mo/dd/yrj-
`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/0
6.0 -'9.0
0.007 mg/L
0.031mg/L
0.067. mg/L ,
15 mg/L
1 mg/L
t3I
FC71
1.79fi
-006
. D-Is
G 5
i,3a
3 Nl
1165
.00-5
45.2
5
' 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.
'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.
a 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-24S, last revised 10/25/2012
Page 1 of 3

Facilities tha, incorporate a solvent management plan into the Stormwater Pollu,,on Prevention Plan may so certify, and the requirement for TTO mu,iitoring
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."
..J 0 t Ott I w&ciD 0
Name (Print name)
M AVTs tJ A NC.E � QU,soR
9 1 P1 Print title)
k—t Z3" ty rT-, EVF Y:_)IS( t7
ture) (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/V 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 rer 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?'
Outfall No.
Date Sample .
Collected'
(mo/dd/yr).
24-hour rainfall
amount,
Inches
Nor► -polar O&G/TPH by
EPA 1664,(SGf-HEM)
Total Suspended Solids
pH
Benchmarks
151mg/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

1
f
�
_
i
� .
r
<
.. �
'
A
�
i
I
y
1
`
1
•.
_
4
� �
�
1 '

r—_
Note: if yoc, , eport a sample value in excess of the benchmark, you must imple..:ent Tier 1, irer 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 SECWN B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC OR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACI[Sp THE DWQ REGIONAL OFFICE? YES 0 NO ❑ j��
REGIONAL OFFICE CONTACT NAME: � 05 M�Z�_ bon %CON t� � V 3 k l
Mail an oriainal and one copy of this DMR including all "No Discharge' reports, within 30 days of receiyt of the lab results for at end of monitoring period
in the case o "'No Discha e" re arts 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."
.5I3 1-7
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

EmAnnuma % im
CLARCOR ENO (STORKWATBR)
DWIGHT ALLIGOOD
P.D. BOX 1105
WA$HINGTON ,NC 27689
mUd
ID#s 385
DATE COLLECTEDs 03/31/17
DATE REPORTED t 04/18/17
RNVXHWHD By s
Storntwater
Stormwater
Analysts
Method
PARAMETERS
(#1, Grab)
(#2, Grab)
Date Analyst
Code
Total Suspended Residue, mg/I
78
7.7
04/03/17
KAC
2540D-47
Capper, ug/l
8
5
04/10/17 •
LFJ
EPA200.7
Lead, ug/l
8
<5.0
04/06/17
JMN
3113B44
Zinc, ug/l
75
84
04/10/17
LFJ
EPA200.7
TPH (1664B), mg/l
<5
<5
04/06/17
SEE
EPA1664D

srnt 1,Inc-
'P-0Box 70-M.A14 Qilwwa Dr.
^irCtmrilli'. NC 785
011vtiUC- 1nw
c�i 4�ir�<�ilmcnr J. ulc,culii
�.�rsrr�r`�.c-r. nc�:�
i .i1w,o_{1\ + i;n-5 0521 75$-063 5
77
CHLORINE NEUTRALIZEDATGOLLECTION
.
L f13.()R1tiI-
UZ
pH CHECK (LAB)
CLIENT: 385 Week- 19
t.=
CLARCOR EMS (STORMWATER)
c,tiTf;
P
P
P
G
CONTAINER TYPE, PIG
DWIGffr ALLIGOOD
I
CHEMICAL PRESERVATION
P.O. BOX 1105
WASMNGT'ON NC 27839
--__.—_..-
A
A
A
C
CD
to A • NONE D NAOH
5►75-92ui
y; L
w
�:,
cn
e HNO € HGL
-' -
_
u
uj
g U
c
a
a
r-
"' C - H,SO, F - ZNC ACE[AT&NAOH
LL' ¢
�
E,
,°a
d
G - NA THIOSULFATE
SAMPLE LOCATION
DATE
MME
S: tw VI, Grab)
319147
WISA
11°
3
IN
0
MIN
CL48SIRCATION:
WASTEWATER(NPDES)
Skwur"ter (#2, Grab)
3 � ��
Ij:3
Q
3
IN
0
1110
DRNICNG WATEN
MUGW
SOLID WASTE SECTION
CHAIN OE CUSTOOY(SEAL) MAIN7A€NED
DURING WIPMENT DELIVERY
Y N
SAMPLES COLL-ECTED BY:
(PIeaSC P;tnr)
SAMPLES FIECErv€D IN LAB AT.J
ELF- (SIG.) (SAMPLER)
JATETIME
FLECEArl � G)
COMMEN)s:
lr%
/31ITE11ME
Z"
OATETIME
P I! OUISHEDBYi.S!G.)
PECEIVU; By I'SIG.
DATETRAE
FREV,UJISHED BY {SIG t
DATES
RECEIVED SY ESIG I
DATE`t ME
f!q SE READ InstrUCtianS for e"ornpletinn this fur!;; 0', the reverse side. Sarr;pler must p<a� � "C" tdr Comp�,s(te sample car a `'G` for
J— :,Jk ._ V. - --- - -- -- Grab sample In the Ulocks above for each pararlioler requested. N° 329689

VCF WR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit:
Permit No.:
Facility
County
Inspector: ` 1 Jig:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): 1 •1 0
NI�IGIl.-1�I��lQ�I
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
signature, I certify that tbjsx-eKrt is accurate and complete to the best of my knowledge:
ittee or Designee
Pagel of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. _ Structure (pipe, ditch, etc.) I�Gt-F
Receiving Stream: C/ 5z1i1� To �rtZ��n4.s_ Ctif�,k_ 1-0~r'AR. C�.uf.Q.
Describe the industrial activ}><ies that occur vAthin the outfall drainage area:
2. Color: Describe the color of
(light, medium, dark) as descriptors:
charge using basic colors (red, brown, Iglue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): MtLc Tq
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 (3 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 6 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 G 5
7. Is there any foam in the stormwater discharge? Yes
0. Is there an oil sheen in the stormwater discharge? Yes S
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
� � S`T�'-1�. {1'1fS5_C� �t �' lr7►�7.� g�R NK
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWif-242, Last modified 7/31/2013

1. Outfall Description:
outfall No. rZ - Structure (pipe, ditch, etc.)
Receiving Stream: CAWRq CZU CALK
ft
Describe the industrial acts that occur wi the outfall drainage area: j�j
2. Color: Describe the color of the disc
(light, medium, dark) as descriptors: C.l.:
—r A 6L
using basic colors (red, brown, blue, etc.) and tint
LIAT
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 1W Cw9n
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 S
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 (�J2 3 4 5
7. is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes DNo
9. Is there evidence of erosion or deposition at the outfall? Yes DNo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
M11-242. Last modified 7/31/2013

pH Meter Calibration for Storm Water Sampling
@pH4.01 @pH7.00 @pH10.00
Date
Time
Reading
Calibrated
Reading
Calibnated
Reading
Calibrated
Operator
Comments
n
. , I
q_ of
1 Yes
1 -1a
£
5
t
,Wp q _ C
H1%
Calibration
Thermo scientific pH Meter Operation and Calibration Operation and Calibration
I. Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0,10.0)
2. Turn the meter on, and wart for the display to stabilize.
3. Press the "Calibration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place into first buffer solution (7.0).
S. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
8. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10, Press the "Measure" key, and record the slope. The slope should always be between 92 -102%. If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now in measurement mode, and samples can be analyzed.
pH Measurement
I. If power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with DI water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
5. Repeat as needed.
NOTES:
When not taking measurements, the PH electrode should be kept in the storage solution, not in DI water or buffer solution.
When ready to take measurements, rinse the electrode with DI water, and then gently shake of the excess water and blot the electrode with a clean, dry tissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or pH buffer for calibration.
When placing the electrode into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wait for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Farm-062 rev 01 (03/21/2016) Page 1 of 1

I
t�

Semi-annual_Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 3 S /7
CERTIFICATE OF COVERAGE NO. NCG03 .cam 4 �
FACILITY NAME a 4RCOR I -&VS
COUNTY BIFAUFsRf
PERSON COLLECTING SAMPLES
LABORATORY 1411.4 _ -- Lab Cert. #
Comments on sample collection or analysis:
A10 Fto d 0Jc*bF& f NuRA✓G r1 g,3 �oe
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR ;0/ 7
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec 7
RECEIVED or ❑ Monthly' �jAeA&L 4r ��(month)
MAR ISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
2017 ❑Zero -flow ❑Water Supply [:]SA
CENTRAL FILES ❑Other
owR SECTION
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
to discharge this period:
-
0utfall No
=-M7_
Date Sample
- - } ,
Collected
(mo%dci/yrj
=
24hour rainfall
— _-
amount, :
Inches3
_ _
-_.
Total Suspended Solids
_
-- -- -
-
pH, _
_ _
:standard un:ts
_
Copper _
_ _
_
dead
_Zmc� -
_ -
_
Non:Oo O&G/
T6ta1 Petroleum -
--
Hyilracarbons '
F
„Total -Toxic_
-
O anics-
= =
Ben_chmarks -- >
=
z
100 m/L or 50 mg/L Y _
_ -6:0 = 9 0
D:007 mg/L
DA3 mg/L
D`067 mg/L
x15 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.
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 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)
(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?Z
Outfall IVo
Date -Sample
24-hour rainfall
_-
a
--
=Collected)
amount;
=Mon_—polar.O&G/TPH;by
4it7
_
�3.
_ — -
TotaFSu§pended Solids
pH-
:[mo/dd/
_ IncFies _"EPA
_1664`[5GT-HEMj_
_,: -
- :_.
13errctimarks_= >
_
_ 15`mg/L
300'mg/Udr_50mg/!* �
-5 0 '9A'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/l/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 rer 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 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES YNO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: 11OQ 01A;- Peea*,&If
cWjL of fr W4ic. Gvfd6
Mail an oriainal and one copv of this DMA includina all "No Discharae" reports, within 30 days of receipt of the lob results for at end of monitorina period
in the case of "No Discharae" 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 thug are sign' an penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
J�
(Date)
Permit Date:11/1/2012-10/31/2017 5WU-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 suGftlj J► . 42
CERTIFICATE OF COVERAGE NO. NCG03 D g Q S' MAR 18 20ii
FACILITY NAME CMR694 ","WE N44r4#_ J'p4mg2. -W, S L FILES
COUNTY 6k.44. FarPr SECTION
PERSON COLLECTING SAMPLES JZ BMW Fi4EStEIt—
LABORATORY LdVJWyw**NT l Lab Cert. #
Comments on sample collection or analysis:
A"&(I,r3 TA36- CE R _ _ r" 3
Part A; Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR .2,91 T
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or [gMonthlyl Ao17 (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No discharge this period?Z
-_ ✓
--
- -_' - -
�--__�-
-
Otitfall:Nv
Date Sample
= =- _ f.
t24-hour rainfall .
--A ----
,. -
-TotaLSuspended Solids
pH, _
_ _
Copper .-
,Lead Y
- =
Zinc—'
. -- -
Tata! Petroleum
Tot8l.Toicic
:
- -_
Collected-
amount,-=-
�-- l
_Standard units
-
_-
—
•..
Organics
r -
3
�_
drocar[ions
�.
_
T 100 mg/L. or 50rmg/L4
6 0 = 9 0 _
0 007 mg/L
z_.... _ �,� .
OA3 mdC
-- —
_0 �067 mg/L
_
15 mg/L
-
1`mg/L
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/l/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."
'-Ow Oraism4e _
Name (Print name)
Title (Print title)
(Si ur) ( ate)
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, the must be reported in the format "<XX m 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, rer 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?'
LL -� -
Iqutfall jNo
Date Sample—
Collectedl -
_ �- -
-: (mo/dd/yr)-;
3.
24=hour rainfall
amourit
3j g
_=lnchesuT
J -
Non polar O&G/TP.Hby
�UPA�_1664jSGT-HEMjr-
- �15 cng/L
-
-.-_
Total Suspended Solids
­ iQQ mg/L or 50 mg/L*
PH
6 Q 9Q SU�
_
Benchmarks >
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 1, 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 ANYONE OUTFALL? YES ENO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES QINO ❑
REGIONAL OFFICE CONTACT NAME: J&d xooeiCdi RAo
Mail an oriainal and one copv of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lob results for at end of monitorina period
in the case of "No Discharae" reoorts) 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 sigKijicant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
&=V/7
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

EUMUmminq Ala Wmo®r mUd
DRIVE.
CLARCOR EMS (STORMWATER)
JOHN FORESTELL
P.O. BOX 1105
WASHINGTON ,NC 27889
PARAMETERS
Total Suspended Residue, mg/l
Copper, ug/l
Lead, ug/l
Zinc, ug/l
TPH (1664B), mg/l
ID#: 385
DATE COLLECTED: 01/21/17
DATE REPORTED : 02/09/17
REVIEWED BY:
Stormwater
Stormwater
Analysis
Method
(#1, Grab)
(#2, Grab)
Date
Analyst
Code
1"
8.0
01/24/17
MAR
2540D-97
19
6
01/30/17
LFJ
EPA200.7
13
<5.0
02/07/17
MTM
31t3B-04
101
81
O1/30/17
LFJ
EPA200.7
<7
<6
01/27/17
SEJ
EPA1664B

EtCVimmment 1, Inc.
P.O. Box 7085, 114 Oakmont Dr.
Greenvilte, NC 27858
CHAIN OF CUSTODY RECORD
Page —I of I
envimrsmentl inexom
Phone (252) 756;6208 - Fax [phone]
DISINFECTION
❑ CHLORINE
CHLORINE NEUTRALIZED AT COLLECTION
CLIENT: 3g5 Week: 6
❑ UV
pH CHECK (LAB)
P
P
P
G
CONTAINERTYPE, P/G
CLARCOR EMS (MRMWATER)
iom Foms[ELL
❑ NONE
A
A
A
C
CHEMICALPRESERVATION
P.O. S0X'1IOS
WASMGFON NC °27889
❑
( ') 975-9224
COLLECTION
A -NONE D•NAOH
U3
B- HNO, E- HCL
C - HzSO, F - ZINC ACETATE/NAOH
tu
G-NATHIOSULFATE
a
E o
X�
cc
U ¢
o p
Lj Z
Cro
n-
W a
W
z
¢
Ems-
w
.4
w
19
C7
F
SAMPLE LOCATION
DATE
TIME
Storm-ater (#I, Grab)
I U /7
: �.
3
CLASSIFICATION:
❑ WASTEWATER (NPDES)
Stormwater (#2, Grab)
f v 17
j :.c r
1 •.1
3
111
E
120
❑ DRINKINGWATER
❑ Dw wGW
❑ SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES COLLECTED BY:
{Please Print)
�,sw FeR�sr�
SAMPLES RECEIVED IN LABAT s', q "C
FIRMUISHED BY (SIG.) (SAMPLER)
.f 1L fOR�STAIC
DgATEMME
�//7 /Q:
Y (G.)
iL. TEIFIME
Ul{
COMMENTS:
8 Ca RAB �a
RELINQUISHED BY (SIG.)
DA. E
RECEIVED BY (SIG.)
TEMME
P S:
S'trc Bo L4 R&Ab f LIP ,4JD t rsr�t�D
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATE(11ME
JO w/4 t✓N!✓ 9 Ji��l d
Sampler must place a "C' for composite sample or a "G" for
PLEASE REAR Instructions for completing this form on the reverse side. — —
FORM es Grab sample in the blocks above for each parameter requested. N o _ 3 3 15 �, 4

SAMPLING INSTRUCTIONS AND FORM COMPLETION
` FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not failing within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualitled". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance moniioring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted, Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided: The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 44 mi. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There, are some samples ('lbtal KJeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the '"Total Chlorine at Collection' on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed:
5) A "C" for Composite Sample or a "G" for Crab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section. e
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section _
CONSIDERATIONS:
Colifonn and Enterococci samples have a holding time of hours from time of collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add t�ese chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water riifd seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify prober handling and personal protection.

VWX
• KUM
Stormwater Discharge Outfall (SD4)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit:
Permit No.: or Certificate of Coverage No.: /�/�/�/�/
Facility Name: e-kfycwr jy4xwe �O'a�"`�-r�-M�rG,✓
County: F cr�Rf Phone No. As --AOZ- oG
Inspector: 17-*V*1 V /--,0
Date of Inspection: / t� i7
Time of Inspection: _ �Oo Qf ___ 7'1���`+ __ �mG 7•�°siP�r
Total Event Precipitation (inches):
A
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Rr Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
• event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signaturA I certyfy that thilLepart is accurate and complete to the best of my knowledge:
• (SignajaiirVomittee or Designee)
Page 1 of 2
5WU-242, bast modified 7/31/2013

• 1. Outfall Description:
Outfall No. / - Structure (pipe, ditch, etc.) 19frcH
Receiving Stream: CNAgy R+r.) Z- WAM.0 Coe"'C_ re riw ,el✓E
Describe the industrial activities that occur within the outfall drainage area:
r1A�JF,4r,F�rRl.�G ?�,A�✓� g' ►�/l,rKl.✓G
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
0
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): pl w5!!� l _wdy* /pop OMEN ���- Srra4
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1. is
clear and 5 is very cloudy:
1 2 3 4
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 ® 5
7. is there any foam in the stormwater discharge? Yes &%
B. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe N0 rr o400mRS rw4 r _ d 4.10lixe 14 CR.1 E
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be Indicative of pollutant exposure. 'these conditions warrant further investigation.
SWIf-242. Last modified 7/31/2013
Page 2 of 2

. 1. Outfall Description:
Outfall No. a— Structure (pipe, ditch, etc.
Receiving Stream: 2ARa A` 7-
Olrc K
4-1'"l CRdolc P ft! "Ve"' c
Describe the industrial activities that occur within the outfa drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: to'[d3? 7"Wf' dux 44fs1f
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _,4z&_ O'e''rf` - &0're-a- _
4. CIarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
6� 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (V 3 4 5
•
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
g2 3 4 5
7. is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
•
List and describe x-1 $ ¢'FS r g 0 d �
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
SW11-242. Last modified 7/31/2013
Page 2 of 2

pH Meter Calibration for Storm Water Sampling
@PH4.01 I @pH7.00 I @PH10.00
Date
Time
Reading
Calibrated
Reading
Calibrated
Reading
Calibrated
Operator
Comments
1/11//,2
G:/o
Y.O/ I
0ej 1
7•00
1 vS
/m.VC,
Ves
f"WVs&-
I SZOV 9p.. & --
Thermo scientific pH Meter Operation and Calibration Operation and Calibration
Calibration
1. Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0, 10.0)
2. Turn the meter on, and wait for the display to stabilize.
3. Press the "Calibration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place into first buffer solution (7.0).
5. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
8. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10. Press the "Measure" key, and record the slope. The slope should always be between 92 - 102%. If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now in measurement mode, and samples can be analyzed.
pH Measurement
1. If power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with DI water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
5. Repeat as needed.
NOTES.
When not taking measurements, the pH electrode should be kept in the storage solution, not in DI water or buffer solution.
When ready to take measurements, rinse the electrode with DI water, and then gently shake of the excess water and blot the electrode with a clean, dry tissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or pH buffer for calibration.
When placing the electrode into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wait for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Form-062 rev 01 (03/21/2016) Page 1 of 1

�- for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted //LS//7
CERTIFICATE OF COVERAGE NO. NCG03_0 Q d SAMPLE COLLECTION YEAR JL
FACILITY NAME hA6r4,t SAMPLE PERIOD ❑ Jan -June [riJuly-Dec
COUNTY dy&oreer or ❑ Monthlyl m
PERSON COLLECTING SAMPLESFoR ESrE c.c� I�RGING TO CLASS ❑ORW ❑HQW [:]Trout
LABORATORY L, 44;tA,"xwr ! Lab Cert. # ❑Zero -flow ❑Water Supply
Comments on sample collection or analysis: JAN 3 0 2017 ❑Other
Rt$arrs 1 & 4fr4 •FtEA A CENTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
Part A: Stormwater Benchmarks and Monitoring Results
No discharge this period?2
NohPolar O&G /
-
-- =- --
Outfall No:
-
. Date.Sample,
- I
m24-hour rainfall _
- -
_ . - - - .. °` .
Total Suspended;Solids
_gH,
'" - =
_Copper
= �- -
Lead : =
_
-
Zmc -
_
Total Petroleum
Total Toxic
s
'Coilected
amount, ,-
sue-_
-Standard
Hydrocarbons
=
_
- ino dd /11r)^
lnches.
Benchmarks_100
- -
mg/L or 50 mg/L4
-
r 6:0 -9 0
-
0.007 mg/L=
- --.0/ -
0:03 mg/E-
-
-_O.Ofi7
- _
a~
/ dia/
0•17-
33/y`�
G.33
4e.0os'
<
A Ti
?V
. ®V
40.OB�
/o-a(e3r
V - /0,
J
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.
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 tha0corporate a solvent management plan into the Stormwater PollOn Prevention Plan may so certify, and the requirement for TTO mooring
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."
f ,Vr g!RAWAr4&
Name (Print name)
jII -sixtr4r.rs r•
Title (Print title
(Sig #ur (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, Trer 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.
i__! ►VU Urscnurye
uus perrUU.-
_ _
OutfailNof
-{mo/dd/yr)__
k
Date Sample
Collected'
244hour rainfall
-_ -amount,—
-lnches3
- ---°-
Non -polar O&G/TPH by,
EPA-1664 {SGT=FEEMj
-_
�
Total Suspended 5ofids
_
:
_
—
.Benchmarks = >
, _ . _- _- —
_ ,
_ 15 m L mm
..r gl
j100 mg/L or 50 mg/!
9.O 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: i1/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if yodiort a sample value in excess of the benchmark, you must implAnt Tier 1, Tier 1, or Tier 3 responses. See General Permit text •
FOR PART AAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
Q 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 DAM including off "No Discharge" reports, within 30 days of receipt of the lob results for at end pf monitoring eriod
in the case of 'No Discharae" 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."
zz 17
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

•
AWFWAI
RAC =-'�-
��VED NCDENR
"AA/ 3 0Wrmwater Discharge Outfall (SDO)
Cvi�-RFCFi,Qualitative Monitoring Report
rioN
Forguidanre on filling out thisform, please visit. httl2;//portal.ncdennorg/web/lr/nodes-stormwater/
Permit No.: N/C/-6/ or Certificate of Coverage No.: N/L/a/ O/?/ o/ U/�/s�/
Facility Name: C444I-M "X.✓6 Af4Ai .raWrl.,,✓y
County: a fA+rfiiPr Phone No. ,ACZ_ 361- -Yo G 9►
Inspector: air I—e—
Date of Inspection: T&(K
Time of Inspection: S'Oe ad1 /140 14A ADO /%rr fmy
Total Event Precipitation (inches):. 3;-
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
R"Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature,,kcertiyy fiat this report is accurate and complete to the best of my knowledge:
(Sign
or Designee)
5WU-242, Last modified 7/31/2013
Pagel of 2

1. Outfall Description:
• Outfall No. / Structure (pipe, ditch, etc.) 17.cre. <
Receiving Stream: TMWrMf e.+ AAK-
Describe the industrial activities that occur within the outfall drainage area: Pi4[K4 r/T
AAd 4f*rk&W& Pt.Awr APO A
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C-44 AX r AAUIL
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _ _ __ _ IWA��
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 0
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 0 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 0 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Test - AI -MA ,rr - 4641row-r J ✓VAK~S -
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further Investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
. Outfall No. A Structure (pipe, ditch, etc.) psrcy
Receiving Stream: COW 4 A,4-r 70 rit .1MO CA*" ra TAR RcogA
Describe the industrial activities that occur within the outfall drainage area:
PMseWG A&r I MA-VjcAC 1*dJ: r 1. p(.N f Roap
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C41FAIJs t
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _ N A
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 3 4 5
• 6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 O 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious indicators of Stormwater Pollution:
List and describe 77hM4,(- W fe- ;yo 06✓ * A'/'pGt,'"s
. Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

pH Meter Calibration for Storm Water Sampling
@pH4.01 @PH7.00 @pH10.00
Date
Time
Reading
Calibrated
Reading
Calibrated
Reading
Calibrated
I Operator
I Comments
AlIP1,16
va-M-
yO/ I
V/6.5
70 U
E6
/d-OV
q&S
T. fift"
iP Z scor{-
Thermo Scientific pH Meter Operation and Calibration Operation and Calibration
Calibration
1. Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0, 10.0)
2. Turn the meter on, and wait for the display to stabilize.
3. Press the "Calibration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place into first buffer solution (7.0).
5. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
8. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10, Press the "Measure" key, and record the slope. The slope should always be between 92 -102%. If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now in measurement mode, and samples can be analyzed.
pH Measurement
1. If power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with DI water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
5. Repeat as needed.
NOTES:
When not taking measurements, the pH electrode should be kept in the storage solution, not in Di water or buffer solution.
When ready to take measurements, rinse the electrode with DI water, and then gently shake of the excess water and blot the electrode with a clean, dry tissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or pH buffer for calibration.
When placing the electrode into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wait_ for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Form-062 rev 01 (03/21/2016) Page 1 of 1

B@w'UT@1@H@V % hw
CLARCOR ENS (STORNWATER)
JOHN FORESTELL
P.O. BOX 1105
WASHINGTON ,NC 27889
0@0
ID#: 385
DATE COLLECTED: 12/19/16
DATE REPORTED : 01/10/17
REVIEWED BYs
Stormwater
Stormwater
Analysis
Method
PARAMETERS
(#I, Grab)
02, Grab)
Date Analyst
Code
Total Suspended Residue, mg/l
33
5.8
(2/20/16
MAR
2540D-97
Copper, ug/l
11
9
12/21/16
LFJ
EPA200.7
Lead, ug/I
5
<5.0
01/05/17
MTM
3113B-04
Zinc, ug/I
63
107
12/21/16
LFJ
EPA200.7
TPH (1664B), mg/l
<6
<5
12/22/16
SEJ
EPA1664B
9
•

Environment 110
P.O, BoQ7 85, t 14 Oakmont Dr.
Greenv' e_ NC 27858
CHAIN OF CU*DY RECORD
Page 1 of
environment I inc.corn
DISINFECTION
CHLORINE NEUTRALIZED -AT COLLECTION
Phone [phone] • Fax [phone]
CHLORINE
-
CLIENT: 385 Week: 42
UV
pH CHECK (LAB)
P
IP
CONTAINER TYPE, PIG
CLARCOR EI1S (STORNIMATER)
NONE
JOHN FORESTELL
CHEMICAL PRESERVATION
P.O. BOX 1105
❑
WAStHNGTON NC 27889
C
A -NONE D-NAOH
CMo
E F
{ ) 975-9224
z `d C-)(n
z
c�7
C B HNO E HCL
3
O p
aC O
:
z
0
LU C - H SOS F - ZINC ACETATE/NAOH
COLLECTION
¢
or o
°�
.,
x
n
G - NA THIOSULFATE
SAMPLE LOCATION
DATE
11ME
Stormwater VI, Grab)
�,
�'SO�q,y
r}. a
3��+►
< =
CLASSEFiCAiTON:
WASTEWATER(NPDES)
5tormwater (#2, Grab)
r ig fb
�S/o
G
3`
``'
DRINKING WATER
DWQ+GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES C .LECTED BY:
(Please Pr")
SAMPLES RECEIVED IN LABAT 0 ` 7� °C
RELINQUISHED BY (SIG.) (SAMPLER)
DATEMME
RMG.)
I DATE/TIM7E/
COMMENTS:
REUNQUISHEDBY(SIG.)
DATEITIME
RECEIVED BY(SI
DATEITIME
e� y
RELINQUISHED BY (SIG.)
DATE/TIME
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for NO. 3 4 518
FORM #5 Grab sample in the blocks above for each parameter requested. _ _ _

SAMPLING INSTRUCTIONS AND FORM COMPLETION
KPLURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
EJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 46 ml. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
otal Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
hlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to he completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of 6 hours from time of collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and M BAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
ri
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. I f any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical I
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

CLARCOR
Engine Mobile Group
June 28, 2016
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
To whom it may concern,
JUL 0 5 2016
CENRR ���. LES
ON
DW
Enclosed is the stormwater semi-annual test for the first half of the year for CLARCOR. The
documents include the forms required for reporting and the laboratory result for SDOs # 1 and
#2. Please note that there were exceedances noted for pH, Copper and Zinc. Therefore we
have triggered a Tier 1 response to investigate the cause of the exceedances and will document
finding and corrective actions as required in the permit. If you have any questions, please
contact me. My contact numbers are listed below and I have included by business card with this
report.
Sincerely,
EHS Specialist
Phone: [phone]
Cell: 252-402-9264
Email: [e-mail]
CLARCOR Engine Mobile Group
P. a. Box 1105, 230 Clarks Neck Rd., Washington, NC 27889, USA Tel. [phone]

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted W///
,fit i
CERTIFICATE OF COVERAGE NO.`NCG03y O D S SAMPLE COLLECTION YEAR o2016
FACILITY NAME C44,0e f E,d9.411E P1Oalt 6,0%4 IVCLJLEPERI
REC�OD 2 an -June ❑July -Dec
COUNTY &AviCM f REC or ❑ Monthly'_ _ _ (month)
PERSON COLLECTING SAMPLES Sf V �lEi��ttL JUL 05 7Qp�CHARGING TO CLASS ❑ORW ❑HQW [-]Trout❑PNA
LABORATORY_ IG,r/✓tRO.r//'1E,rif j Lab Cert. # ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: CENTRAL FILES ❑Other
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3
❑ No discharge this period?Z
- _
Date Sample-
24-hour rainfall
Y
pH,
Non=Palar O&G/
-
Total Toxic
--Outfall No 4-
_ - ; - t
Collected:
- - .
,;amount,
• Total Suspended Wids>
-
R
= Standard units
_Copper
lead. -
Zinc - --.
Total: Petroleum
-
`Organics
r _
_
w. -
— a_
Inches-
-� ;r
-
_
_
-
�
Hydrocarbons
,
-
�Benchmorks >=
-
_
f
100 rttg/Lor'S0`mg/L°
_ �3
_
fi 0�9 0 _'
0 00Tmg/1-,_
Jo•o
U 03 mg/L=
0 067 mg/L:
K _15 mg/L:-
-
.1 mg/LH.
os r�
•/ '�
. //
t o. oss
-v/A
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.
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

pH Meter Calibration for Storm Water Sampling
@PH4.01 1 @pH7.00 1 @PH10.00
Date
Time
Reading
Calibrated
Reading
Calibrated
Reading
Calibrated
Operator
Comments
17=
�[. o [
`��
C-0 03
G
?
Thermo Scientific pH Meter Operation and Calibration Operation and Calibration
Calibration
1. Prepare buffers that bracket the expected sample pH (pH 7.0, 4.0,10.0)
2. Turn the meter on, and wait for the display to stabilize.
3. Press the "Callbration" button.
4. Rinse the electrode with DI water, shake off excess water, blot dry and then place into first buffer solution (7.0).
S. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
6. Rinse the electrode with 01 water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (4.0).
7. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
8. Rinse the electrode with DI water, then gently shake off excess water and blot dry. Place electrode into second buffer solution (10.0).
9. After the meter has stabilized and the result has been displayed, record the result and then press the "Calibration" button.
10. Press the "Measure" key, and record the slope. The slope should always be between 92 -102%. If not, repeat the calibration. If the slope is still outside the range, contact the EHS
Specialist.
11. The meter is now in measurement mode, and samples can be analyzed.
PH Measurement
1. If power is off, press the power key.
2. Press the "Measure" key.
3. Rinse the electrode with DI water, gently shake off excess water and blot dry.
4. Place electrode into sample, gently stir and then allow meter to stabilize and display results.
5. Repeat as needed.
A611 *5
When not taking measurements, the PH electrode should be kept in the storage solution, not in DI water or buffer solution.
When ready to take measurements, rinse the electrode with DI water, and then gently shake of the excess water and blot the electrode with a clean, dry tissue. DO NOT RUB the electrode
as this may cause static build up. Then place the electrode into the sample or PH buffer for calibration.
When placing the electrode into a sample or buffer solution, gently stir with the electrode for a few seconds, and then wait for the meter to stabilize and for the display to stop flashing and
to display the result.
Fresh buffer solution must be used each day. Throw out old buffer solution.
WES-Form-062 rev 01(03/21/2016) Page 1 of 1

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for Tf0 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
(TTd), 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)
CO /�
(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?z
--Outfall No'.
_
J Date Sample
- _ 1
Collected
(mo/dd/yi)
r
24=hour rainfall .
w
amount,
3
_ __,. Indies,
' T
-
_Non-polar.0&G/TPH-by
=
EPA_1554{SGT,-HEMj
-
- Total.5uspended5ollds':
-
pH_ _
Benchmdrks` >':
-= _
--• __
15'mg/L
10D`mg/L or 50mg/L*T-
-6:D 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
j

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 ATTHE 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 ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orictinal and one co-ov afj this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab 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, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FORANY 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 signigaant 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

AR.
NCDE VAR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit. htta;l/portal,ncdenr.otg/Weblwq/ws/su/apdessw#tab-4
Permit No.: or Certificate of Coverage No.:
Facility Name: C'CAQCQ5Z __>✓"i,a mahiL SniuHms _.
County: Beau6r_l- _- -_ -- Phone No, (ZS'Z—)g7X.257S3
Inspector: Tohnalinat% ikry;, i-;-
Date of Inspection: 6 Z 24fS
Time of Inspection:
Total Event Precipitation (inches): W o F10 AUG 0 4 20,
C,5 T
Was this a "Representative Storm Event" or "Measureable Storm Event" as de § t-pl* in" Ir`ct it?
(See information below.)
❑ Yes [(No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

P
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.) �L
Receiving Stream: T'Ca,n4er.s (�nPP4 rf TAr Ai V-8r
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: N D MOW -
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): NO flow
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: No rl),,o
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
Nam lo"A
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
No Flow
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10, Other Obvious Indicators of Stormwater Pollution:
List and describe N O No"
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
SWU-242, Last modified 10/25/2012
Page 2 of 2

0
1. Outfall Description:
Outfall No. 2- Structure (pipe, ditch, etc.) f2cjj_
Receiving Stream: ,&Q e k Tar ri Je r
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Ng F'1 ow
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: F 10 6v
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
No He-4
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
NO T-jow
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe No r 1 D"
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
SWU-242, Last modified 10/25/2012
Page 2 of 2

H
cANA'
r-
FEB 0 9 2015
Stormwater Dischar g a Outfall t � SDO CENTRAL DWR SE YIDS
SE
Qualitative Monitoring Report
Permit No.: NICI 1 l ^I_I^I 1 1 or Certificate of Coverage No.: N/CIG/Q1J IDI Q/Ql 7
Facility Name: C.. P r'
County: Phone No.
Inspector:
Date of Inspection: % 12 - I G - (4
By this sign ertify t this report is accurate and complete to the best of my knowledge:
';Zz
(Signature of P tee or Designee)
1. Outfall Description
Outfall No. Structure (pipe, ditch, etc.) C
Receiving Stream: '��„��.�. r (�xrso� ��' ; ito.1'
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors:
3. Odor
Describe any dis inct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) t/l
4. Clarity
Choose the number which best describes the clarity of the discharge where l is clear and 10 is very
cloudy:
1 2 3 4 5 6 7 8 9 10
Page k
5WU-242-020705

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
1 2 3 4 5 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 2 3 4 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes No
S. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes (N)o
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes / Nq/
t0. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
SWU-242-020705

Stormwater Discharge Outfall (SDQ)
Qualitative Monitoring Report
Permit No.: NICI—l-1 _ 1 / I_I_I or Certificate of Coverage No.: NICIGI 0U/0—l0/QI5/
Facility Nam
County: c Phone No.
Inspector:
Date of Inspection:
By this si re cert' at this report is accurate and complete to the best of my knowledge:
(Signature of Pekn6itee or Designee)
11. Outfall Description
Outfall No. ��, Stru ture (pipe, ditch, etc.)
Receiving Stream: � eG A � C' G r .%J ex
Describe the industrial activities that occur within the outfall drainage area:
f
2. Color
Describe the color of the discharg using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: I ; GA,-1 Gl"yX
3. Odor
Describe, any d' tinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.)
4. Clarity
Choose the number which best describes the clarity of the discharge where i is clear and 10 is very
cloudy:
1 2 3 4 5 6 8 9 10
P age 1
SWU-242-020705

S. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
I is no solids and 10 is the surface covered with floating solids:
1 2 3 4 5D 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 2 3 4 6 7 8 9 10
7. Foam eo)
Is there any foam in the stormwater discharge? Yes
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes IV
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes ND
It. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe
indicative of conditions that warrant further investigation and corrective action.
Page 2
5 W U-242-020705

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGO30000 OOO 5
CERTIFICATE OF COVERAGE NO. NCG03
FACILITY NAME lr G. Or S
PERSON COLLECTING SAMPLES r t
CERTIFIED LABORATORY—F I%i. POrb t AV 1 Lab # _
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: '� 0 i
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives thr, sampl'g results from the laboratory.)
COUNTY u of L
PHONE NO. ( a52 )TO -- 0 057
PLEASE SIGN ON THE REVERSE 4
Outfall
No.
Date
Sample Collected,
mo/d
00530
00400
' 01051
00556
78141
Total Suspended Solids,
PH,
Standard units
Lead, mg/E
Oil.and Grease,
Total Toxic Organics',
Benchmark
100
Within 6.0 - 9.0
0.033
30
1
%L-
R. < A
C- t13EL!�
c...
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Ontfall
No.
Date
Sample Collected,
/
00556
00530
00400
Oil and Grease,
Total Suspended Solids,
= pH,
Standard units
New Motor on Usage,
Annual ave e SLMM
Benchmark
-,Ji
30
100
6.0 - 9.0
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date 14! "-(first event sampled
Total Event Precipitation (inches): •
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SWU-245-031308
Page 1 of 2

l 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).
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."
"V-V,x s R CA VI
Name (Print name)
Pk (tyke
Title (Print title)
(Signa ) (Date)
"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
�-sIr
(Date)
SWU-245-031308
Page 2 of 2

EfinkoggoW % hm
CLARCOR EMS (STORMWATER)
FAHEEM AMOD
P.O. SOX 1105
WASHINGTON ,NC 27889
a
ID#: 385
DATE COLLECTED: 12/16/14
DATE REPORTED : 12/30/14
REVIEWED BY: �
eA
2
Stormwater
Stormwater
Analysis
Method
PARAMETERS
(#1, Grab)
(#2, Grab)
Date Analyst
Cade
Total Suspended Residue, mg/l
9.1
<2.7
12/19/14
KKF
254OD-97
Copper, ug/1
5
6
12/28/94
LFJ
EPA200.7
Lead, ug/I
<5.0
<5.0
12/29/14
MTM
311313-04
Zinc, ug/I
91
101
12/30/14
MTM
3111B-99
TPH (1664B), mg/1
<5.0
<5.0
12/18/14
SEJ
EPA1664B

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085, 114 Oakmont Dr. Page 1 of 1
Greenville, NC 27858
environment 1 f nc.com
DISINFECTION
Phone [phone] • Fax [phone]
CHLORINE NEUTRALIZED AT COLLECTION
❑ CHLORINE
L2
C
pH CHECK (LAB)
CLIENT: 385 Week: 41
❑ CV
CLARCOR EMS (STORMWATER)
NONE
P
P
P
G
CONTAINER TYPE, PIG
FAHEEM AMOD
A
A
A
C
CHEMICAL PRESERVATION
P.O. BOX 1105
Ll
WASMNGTON NC 27889
v, A -NONE D-NAOH
E o
() 975-9224
�
z U
Fr
M o
Cr
z
2
U
w B HNO, E HCL
t7-
o
o ¢
d
Uj C - HzSO, F -ZINC ACETATE/NAOH
COLLECTION
F
o
a
x
3
G - NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
Stormwater (#1, Grab)
/z 1�• r;{
1D.0��
3
CLASSIFICATION:
� WASTEWATER(NPDES)
Stormwater (#2, Grab)
1.�•f
22CIrv
�0.7J
��
3
❑ DRINIQNG WATER
❑ DWCYGW
❑ SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING 1P NTIDELIVERY
N
wres CTED BY:
(Please N
SAMPLES REC IVED IN LAB AT Q •�) °C
RELINQUISHED BY (SIG.) (SAMPLER)
DATE/TIME
RECEIVE IG.)
r7 DTI MME
COMMENTS:
t
RELINQUISHED BY (SIG.)
DAT'E/TIME
RECEIVED BY (SIG.) '
DATEITIME
RELJNQtJISHED BY (SIG.)
DATEITIME
RECEIVED BY (SIG.)
DATEIIIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for N 0 283078
FORM #5 Grab sample in the blocks above for each parameter requested.

SAMPLING INSTRUCTIONS AND FORM COMPLETION
,FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
•SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of -the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of'40 ml. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any 'Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia ]Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked 1br proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this form 11or any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and limes can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinlection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of hours from time of'collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time 1br transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and M BAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. liany chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

a°t W���Q*✓ RECEIVED
r JUL D S 2014
a CENTRAL FILES
DWCBGG
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICI_I_I_I I_I I 1 or Certificate of Coverage No.: N/C/G1�1.3101Q1�1�1
Facility Name:
County: Phone No.
Inspector: 21 �. �. a t�t�► _. --..._ —...
Date of Inspection: 5 I L 201q
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
/I , l%. e
(Signature of Perfl& ee or Designee)
1. Outfall Description
Outfall No. �_ Structure (pipe, ditch, etc.) i.] + C
Receiving Stream: r,^ ,r. �.,a _ ��r "V r
Describe the industrial activities that occur within a outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: _ C t eo r- _
3. Odor
Describe any dis
etc.)
4. Clarity
odors that the discharge may have (i.c., smells strongly of oil, weak chlorine odor,
Choose the number which best describes the clarityof the discharge where 1 is clear and l0 is very
cloudy:
1 2 D 4
5 6 7 8 9 10
Page 1
5 WU-242-020705

04CC411 1
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
I is no solids and 10 is the surface covered with floating solids:
1 2 6 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
l O 3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes No
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
9. Deposition at Outfall
is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes ®o
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes
i
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
SWU-242.020705

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICI�I_1 1 _I 1_ _I_I or Certificate of Coverage No.: NIC/G/ 01310/0/01571
Facility Name:
County: ?' Phone No.
Inspector: r,
Date of Inspection: _ s- I b - / 4
By this si 7 ce.a* thatAis report is accurate and complete to the best of my knowledge:
(Signature of ermin or Designee)
1. Outfall Description
Outfall No. a Structure (pipe, ditch,
Receiving Stream: —7t`e.A�
Describe the industrial activities that occur with
the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: �p_
3. Odor
Describe any di
etc.)
odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
W P-
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3 \./ 5 6 7 8 9 10
Page i
S WU-242-020705

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
1 © 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy:
1 2 3 O 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes eo)
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes ON
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
S WU-242.020705

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2ae
Individual NPDES Permit No. NCS❑❑UUUU or
Certificate of Coverage (COC) No. NCG©0 0❑61©❑
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name:
County:
Phone Number
("tea VKS
'RV"FoZT
Total no. of SDOs monitored
Outfall No. I
Is this outfall currently in Tier 2 (monitored monthly)? Yes L✓J 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 Z
..
Total
Rainfall,
inches
Parameter, (units)
"<
.. �.
u911
L Aad
c+�lt
Z+�c
o.�{4,.
TP*
�� I L
'
mod,.
Benchmark
N/A
Date Sample
Collected,
mmlddlyy
SW U-264-Gene ric-13 Dec2012

Additional Outfall Attachment
Outfall No. 7—
Is this outfall currently in Tier 2 (monitored monthly)? Yes FeT No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes 2"' 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 DWO to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total . -TOW
Rainfall,
gincF es
- Parameter, (units)
'S.4n�-
e-;' LG.
�Itae�Ea�
Benchmark
N/A
i L
I L
Mra IL
I L
1 L
Date Sample
Collected,
mm/dd/yy
SI4r i
4
LS.p
SW U-264-Generic-1 Mec2012

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 _
Date L
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
KS_ HEVII:LE`REGIONAL 6M, CE
FAYETTEVILLE REGIONAL,OFFICE
11i64jRESVILLE?3EGI7CiMkLvOFFICIE
225 Green Street
610 East Center Avenue/Suite 301
2090 US Highway 70
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
MWEIGH I2EGIONAMOFFICE
WNHINGTON 1tEGIONAti;OFFIClr3
WIIIMINGTUNI EGIONAL OFFICE
943 Washington Square Mall
127 Cardinal Drive Extension
3800 Barrett Drive
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 29405-2845
[phone] .
[phone]
[phone]
WI_ NS�ON_-'SALEMjLREGIONAL OFFICE
CENITRAti''OFFI_G`E
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
70 Presefve,prnded•.
and errhanoe'
SW U-264-Generic-13Dec2012

CLARCOR
Engine Mobile Solutions
June 24, 2014
Division of Water Quality
Water Quality Section
ATTN: Central Files
P.O. Box 29535
Raleigh, NC 27626-0535
Clarcor EMS, 230 Clarks Neck Road, Washington, North Carolina
Stormwater Reporting Parameters
To whom it may concern:
Clarcor EMS recently acquired the facility that was previously owned by Stanadyne at 230 Clarks Neck
Road. The acquisition took place on May 151, 2014.
During a recent environmental audit, it was brought to Stanadyne's attention that previous Stormwater
Discharge Outfall submittals did not include test results for all required parameters listed in
GENERAL PERMIT NO. NCG030000.
The enclosed SDO report, our first for the 2014 calendar year, now includes zinc and copper, which were
previously not tested for in Stanadyne's SDO reports.
If the need arises, Clarcor EMS will work with the Division of Water Quality in full cooperation and
compliance. Should you have any questions about our report or require any additional information from us
at this time, please do not hesitate to contact me.
Very T y You s,
Fa eem Amod
Environmental Management Representative
Clarcor EMS
Clarcor EMS
230 Clarks Neck Road, Washington, NC 27889, USA
Tel: [phone]; www.ClarcorEMS.com

I�
p
PO`-BOX-70.13
$5 114 OAKMONT DRIVE
GREENVILLE N.C.27835-7085
STANADYNE DIESEL (STORMWATER)
LAURA WILLSON
WASHINGTON PLANT
P.O. BOX 1105
WASHINGTON ,NC 27889
PARAMETERS
Total Suspended Residue, mgll
Copper, ug/I
Lead, ug/l
Zinc, ug/l
TPH (1664A), mg/l
FAX
ID#: 385
DATE COLLECTED: 05/16/14
DATE REPORTED : 06/04/14
REVIEWED BY; 4
Stormwater
Stormwater
Analysis
Method
(#I, Grab)
(#2, Grab)
Date Analyst
Code
5.3
C 2.8
05/19/14 LW
2540D-97
8
12
05/20/14 LFJ
EPA200.7
<5.0
C5.0
06/03/14 M"EL
3113E-04
99
113
05/22/14 MTM
311IB-99
<5.0
c5.0
05/20/14 SEJ
EPA1664B
756-6208

WBo
ent 1, Inc.
085, 114 Oakmont Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECORD
Page 1 of 1
Phone [phone] • Fax [phone]
DISINFECTION
CHLORINE NEUTRALIZEDAT COLLECTION
CHLORINECLIENT:
7i
V
'e2
pH CHECK (LAB)
ass week: 15
UV
P
P
P
G
CONFAINERTYPE,PIG
STANADYNE DIESEL (STORMWATER)
NONE
LAURA WILLSON
555rrrn
CHEMICALPRESERVATiON
WASHINGTON PLANT
❑
P.O. BOX 1105
A
A
A
C
WASHINGTON NC 27989
A -NONE D-NAOH
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COLLECTION
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SAMPLE LOCATION
OATE
TIME
Stormwater (#I, Grab)
5 • i w4
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22
3
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CLASSIFICATION:
X WASTEWATER(NPDES)
Stormwater (/12, Grab)
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2,20
3
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LlDRINKING WATER
Ll DWCI+GW
SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES COLLECTED BY:
pease
II
SAMPLES RECEN& IN LAB AT -C
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DA ME
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COMMENTS:
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DATEfRME
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PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for LT 2 7 4 Q O 8
FORM #5 Grab sample in the blocks above for each parameter requested. i� O O

SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLE, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not failing within the established guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses ofthe current
samples. Any samples analyzed outside ofthe required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2)Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is not
permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 ml. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles belbre collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time ofcollection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and them the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "C" ibr Grab Sample should be placed in the box for all requested parameters.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name ofperson or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type of Disinfection
Deletion on the form for any samples which are not needed (example! dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Colif'orm and Enterococci samples have a holding time of 6 hours from time of collection to arrival at the lab. Therefore, samples
should be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD samples have a 48 hour holding time and are set in the lab Monday through Friday.
Other samples such as Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS also have a 48 hour holding time. The
lab reserves the right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
These sample bottles may contain acid or other corrosive and potentially harmful chemicals. Laboratories are required to add these
chemicals for certain analyses in order to comply with 13PA preservation requirements. Use extreme care when opening and handling
the bottles. If any chemical should get on your skin or clothes, flush liberally with water and seek medical attention.