NCG030061_MONITORING INFO_20190613 (2)

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑ HISTORICAL FILE
,MONITORING REPORTS
DOC DATE
❑ �bI �J �� D 3
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 6/3/19
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr
LABORATORY No Discharge Lab Cert. # NJA Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results .
SAMPLE COLLECTION YEAR 2029
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
RECE1y�lor ® Monthly' May
DISC GlNG TO CLASS ❑ORW ❑HQW []Trout ❑PNA
hN 14 2D11 ❑zero -flow ❑Water supply ❑SA
®Other C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
® No discharge this period:2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24hour rainfall
amount,
- Inches'
-'
Total Suspended Sol -ids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics5
Benchmarks ==_>
_
-
100 mg/L or 50 mg/L°
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
NA
SDO-2
NA
_
' 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 anon -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'(formetal 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 defi n ition, found in 40 CFR 469.31).
Permit Date:11/1/2019-10/31/2019
REC E tt
JUN 1 S 2019
CENTRAL 1`lL . -
IDWR SEC Tlo U-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 far 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. E 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 (Pri t
(Signat r (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 team.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month..
® No discharge this period ?2
Outfall Na.
Date Sample
Collected'
'(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664.(SGT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
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: 11/1/2018-10/31/2019
SWU-245, last revised 10/25/2012
Page 2of3

Note: if you report o sample value in excess of the benchmark, you must implement rer 1, rier 2, or Tier 3 responses. See General Permit text
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orfainal and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case o "No Discha 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. I
am aware thaythere qke sigpificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
. b -]A
(Date)
Permit Date:11/1/2018-10/31/2019
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater DischgM. Monitoringrt
for North Carolina Division of Water Quariity GEneral Pen nft No. NCG03WW
Date submitted 3 11/2079
COMRCATE'OFCOVOWENO. NOG03MI
FAMUTYNAME Moon
COUNTY2RM
PBMN C0UIU NG SAMPLESJask Ft LaMar Jr
LA00R4MRYBtvlror>Cgerjt f7 Lab cert. i 10 comments on sarnq*
collacum o'ranatysls:
Part A: $twmwater 8oh7arb and Monitoring Results
SAMPLECOLLECMN YEAR 1"
SAMPLEPEFM Ari-A re July -Dec
or Monthly's
DtSCMIRGlNG TO CItA . ORW HpW Trot PMA
Zero -flow Water Supply SA
other C
REASE12EMEMBER TO SIGN ON AAGMAND/OR 3 -k
No discharge this perioo"-4
OutW Na
condde&
amount
Total2apasded Salida
$M an0s
Capper
Lead
Zinc
Nan-Potar O6 G/
Tataf Petrakwn
o�co
lAndm>arks
-
7Wmg1Lor50nWL4
6.0--Ro
QWmg/L
RO nWL
0.067nWL
75OWL
7mgIL
SUO.7
2/ZV19
a59
ROMAVL
ZI
WS L
<20L
a L
'&0MgIL
Ma
MG-2
W"19
aL59
<-6 L
7.2
M4MVL
420
ac"ingnC&OFWL
I n/a
' Monthly sampling (instead of semiannual) must begin with the second consecutive benchmark era eedance for the same parameter at the same outfali.
2AY sampling periods with no discharge at any single outfalE. you must still submit this discharge monitoring report with a dteckmark here.
sThe 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 crystal, or manufacture cathode ray tubes For purposes of this permit the definition of Total Toxic Organics isthat definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (far metal finishing use the definition as found in 40 CFR433.11; for semiconductor
manufacture use the definition as found in 40 CFR469.12; for electronic crystal m arKdacture use the definition as found in 40 CFR469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 111IM 8.1 WMIM19
RECE! V eS4VlF24S,last revised 10125f2072
H ADD Page of 3
. 0-8 2019
WR SECr1ZES
• 10A)

Facilities that incorporate a solvent managemeatplan into the Stormwater Pollution Prevention Plan may so oertify, and the requirement for TrO monitoring
may be waived. The solvent management plan shall include a list of the total totdc 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 staterrrerrt:
"Based upon my inquiry ofthe person or persons dfrectty responsible for managing compliance with the permit monitoring requirement fortotal toxic organics
(TTOJ I certify that to the best of my ImMedge and belief, no dumping of concentrated Mite organics into the storrnwater or areas which are emosed to rainfall or
stonYwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the an the provisions of the
solvent management plan included in the Stomtwater Pollution Prevention Plan..
Name name)
Title (Print
ZO_ 1193
(Signatures (Date)
Note: Resuftsmust be reported An numerical format. (figg notreaart Bela Detection Limit, BDL, cPQI, Nowdetect, ND, or other similar non -numerical
format. When results are tieelow the applicable litmus, theymust be reonrted in fire i mnA `%cbfrmgd , where V is the numerical value of the detection
limit, reporting limit, etc. in mg&
Note: ffyou mponta=Tipbvahreinmmoffhebenchiurisyou ftxts b,pliarrait TAw1,rwZorrra3re;r1-i s Sae Geft dPen7tte2t
Part & Vd dde Maintenance Area Monitoring Riestd& only fcw facilities averaging s 55 gal of new at/ per month
No drscharcre this neriodn
Ocrtla0 No
Date
Conectedl
did/
ZO•bora rainfall
a must "
hxhw
lYnrrpularO&WTPFfby
EPA 1660 4M
Total %*endedSoft
pH
Be7sirRnaiis�
-
l5mg/L
100mg/Lor50rng1L*
&a-9.0SU
Footnotes from Part A Woo apply to this Part B
" See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective bendimark applies.
Permit Date:11P1/2018-10/31/M19 ANU-245, last revised 10/25/2012
Page of 3

3b
Able lfyuu repart a sw#e rahre In e>xe rs afthe beizM ark yntr must hrokma t Tier 1, Tier Z or 77er3 resllart= &e Genera! PtrmY teat ,
FOR PART A AND PART Q MONirORINQ Re'"St1LTS
• AW CWM EXCEEDANCE TRIGGERS I— I iOafiMltia M SEE PERMIT PART If SECTION B:
• 2 EXCEEDANCES IN A ROW FORT)-E SAME PARAMETEAAT THE SAME OUTFALL TRIGGER nEIT2RMUIRB SIM. SEE PERMIT PART II SECTION B.
• TMR3: HAS YOUR FAC .M HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR TK SAME PARAMETER AT ANY ONE OUTFALL? YES NA
FVM HAVE YOU CONTAM THE DWQ REGIONAL OFFICE? YES NO
REGIONAL OFFICE CONrACr NAME
MailanotioNraland9neowvctftDMRLn kdhoafl-IkAfsdraruerepartsYrithfn3Odaysofreaett Odmlab.rewts(oratendofrtlanrtarinone►llodin
Division of Water Quality
Atim: DWQ Central Files
1617 Mail Service Carter
Raleigh, North Carolina 2769%1617
YOUiIAUSTOGNTtpSC> 11R 1Ol�fi}R4NY1_ RTAATffIHlREPOM ;
'1 certify, under penalty of law, that this documern and all attachments were prepared under my direction or supervision in amordartce with a system designed to
assure that qualified personnel prop" gather and evaluate the information aubrriined Based on rrty inquiry of the person or perms who manage the systerrt or
those persons directly r or gathering the information, the tnfamiation submitted )s, to the best of my Iai edge and belief, true, aoourme, and complete. I
am away@ tha0h2revq a penaltles for submitting false information, including the possibility of fines and imprisonment for kwMng violations."
MOWN
r. .
Permit Date. 11112W81W3121 19
SWU-204last revised 10251=2
Page of 3

r
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 5/2/2019
CERTIFICATE OF COVERAGE NO, NCG030061 SAMPLE COLLECTION YEAR 2019
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Craven or ® Monthlyl A rii
PERSON COLLECTING SAMPLES Jack H Taylor Jr DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑
LABORATORY Environment 1 Lab Cert. 010 Comments on sample PNA
collection or analysis: Heavy pollen in RECEIVED ❑Zero -flow []Water Supply ❑
area SA
4
Part A: Stormwater Benchmarks and Monitoring Results
MAY 14 200 ®other C
WR SECTiG�i. i"Il..lr P
DLEASE,REMEMBER TO SIGN ON PAGES 2 AND/OR 3
WR SE
❑ 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/Total
Total Petroleum
Hydrocarbons
Toxic
Organics"
Benchmarks
-
-
100 mg/L or 50 mg/!°
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
4/2/19
0.96
122 mg/L
7.3
.026 mg/L
<2.0 mg/L
0.434mg/L
<5.0 mg/L
n/a
SDO-2
4/2/19
0.96
33 mg/L
7.0
.013 mg/L
<2.0 mg/L
0.215 mg/L
<5.0 mg/L
n/a
1 Monthly sampling (instead of semi-annual) must begin.,wlth 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_meta l-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:11/1/2018-10/31/2019
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)
S`
Title (Pri t tl O�
�1
(Signs ur (Date)
TA
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 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 > 55 gal of new oil per month.
M No discharge this period?'
Outfatl No.
Date. Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664(SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
- r
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
f
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:11/1/2018-10/31/2019
SWU-245, last revised 10/25/2012
Page 2 of 3
w

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.
0 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 M of this DM& including all "No Discharge" reports, within 30 days of recelpt of the lab results for at end of monitoring period
1n 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 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 therq/are sl�qifignt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Date:11/1/2018-10/31/2019
5-1
(Date)
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 4/4/2019
CERTIFICATE OF COVERAGE NO. NCGO30061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES lack H Taylor Jr
LABORATORY Environment 1 Lab Cert. #i 10 Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _Z019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
RECEIVED or ® Monthly' March
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
APR 2 2 200 ❑Zero -flow ❑Water Supply ❑SA
CENTRAL FILES ®Other C
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non-Polar O&G/hour
Total Petroleum
Hydrocarbons
I
Total Toxic
Organicss
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
SDO-1
3/26/19
0.60
38 mg/L
7.3
.017 mg/L
2.0 mg/L
0.222mg/L
<5.0 mg/L
n/a
SDO-2
3/26/19
0.60
12 mg/L
7.2
.072 mg/L
<2.0 mg/L
0.062 mg/L
<5.0 mg/L
n/a
' 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 46931). '
Permit Date: 11/1/2018-10/31/2019
n
SWU-245, last revised 10/25/2012
Page 1 of 3
fi

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."
Name (Print name)
r %
(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, rier 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,
Inchee
Rion -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks -�>
_
-
15 `ing/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: 11/1/2018-10/31/2019 5WU-245, last revised 10/25/2012
Page 2 of 3
4
120

1-0
Note: if you report a sample value In excess of the benchmark, you must implement rer 2, Tler 2, 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 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER 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 orlainal and one copy of this MR, includina all "No Dischome w reports. within 30 days of recelgt of theJob results for at end of manitorfna period
in the case of "No Discharwe" reyorts� to: T
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 a nd belief, true, accurate, and complete. I
am aware that tPere argAignific j+t penalties for submitting false inform ation,.includ i ng the possibility of fines and imprisonment for knowing violations."
(Signature
Permit Date:11/1/2018-10/31/2019
a
' to) -
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3
6

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 2/1/19
CERTIFICATE OF COVERAGE NO: NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr
LABORATORY No Discharge Lab Cert. # N/A Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Ian -June ❑ July -Dec
or ® Monthly' January
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
®Other C
FEB 12 2019
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
® No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches a
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/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
NA
SDO-2
NA
' 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.
° 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: 11/1/2018-10/31/2019
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 im plementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
a~2i aks o,
�.
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical .
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
® No discharge this period?2
Outfall No.
Date Sample,
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
y; . •,
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: 11/1/2018-10/31/2019
SWU-245, last revised 10/25/2012
Page 2 of 3
i

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.
FOR PART AAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oricyinal and one copy of this DMR including all "No Discharge' reports, within 30 days of receipt of the lab results or at end of monitoring eriod
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 thit therq aR sigAi ficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
(Date)
Permit Date: 11/1/2018-10/31/2019
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge. Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 1/4/19
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr .
LABORATORY No Discharge Lab Cert. # N A Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVE 12MPLE PERIOD COLLECTION❑ Jan -June 18❑ July -Dec
,BAN 2 2 2019 or ® Monthly' December
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
CENTRAL FILES ❑Zero -flow ❑Water Supply ❑SA
DWR SECTION ®Other C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
® Nordischarge•this period?2
Outfall No.
Date Sample
Collected1.
(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
SDO-1
NA
SDO-2
NA
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.
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:11/1/2018-10/31/2019
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)
HLO
(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 rer 1, 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?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
'24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ==>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2018-10/31/2019
SWU-245, last revised 10/25/2012
Page 2 of 3
a

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tiier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE -BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coov of this DMR, includina all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitoring period
in the case of „No Discharge" reports) to: ,
Division of Water Quality S
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617 V
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 thaythere are sig¢ificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
I -
(Date)
Permit Date:11/1/2018-10/31/2019
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 11/21/18
CERTIFICATE OF COVERAGE No. NCG030061
FACILITY NAME Moen _ RECEIVED
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr DEC 0 7 2018
LABORATORY No Discharge Lab Cert. # N/A Comments on sample
collection or analysis: CENTRAL FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or, ® Monthly' October
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
[]Zero -flow ❑Water Supply ❑SA
®Other C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
® No discharge this period?'
Outfall No.
Date Sample
P
Collected'
(mo/dd/yr)
24-hour rainfall
amoun3,
Inches
Total Suspended Solids
P H,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks
100 mg/L or 50 mg/1-4
6.0 — 9.0
0.007 mg/L
0.03 mg/1
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
NA
SDO-2
NA
' 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 maybe 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.
'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 in40 CFR 469.31).
Permit Date: 11/16/2017-10/31/2018
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)
(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 repdrted 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, Tier 2, or Tier 3 responses. See General Permit text
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
® No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =_=>
_ ,
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/16/2017-10/31/2019
SWU-245, last revised 10/25/2012
Page 2 of 3
r.

Note: if you report a sample value in excess of the benchmark, you must implement Tier T, Tier Z, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
a 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 QUTFALL 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 QUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one conv of this DMR includina all "No Discharge" reports, within 30 days of receipt of the lob 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:
"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 si&Qifi&t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
Permit Date:11/16/2017-10/31/2018
(dale)
SWU-245, last revised 10/25/2012
Page 3 of 3

November 13, 2018
Central Files
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: ABB Motors and Mechanical (Baldor Electric)
General Permit No. NCG0030070
ABB Motors and Mechanical
70 Reems Creek Rd
Weaverville, NC 28787
R CONI ID
10S6Z�
C WR cT110N
D
Please note the name change above. We have been part of the ABB group for some time,
operating as Baldor Electric. A name change request has been submitted
Please find enclosed the stormwater discharge monitoring report for the semi-annual sampling
that was conducted October 26, 2018.
This sampling complies with the direction of Laura Herbert of the NC DENR Asheville
Regional office. We understand that this relief expired when the new permit became effective
11 /01 /2018.
Zinc continues to be problematic for us. No significant process sources of zinc or copper have
been identified at our facility. We continue to believe that the major contributors are
infrastructure sources. We have one production area that uses a small quantity of zinc
chloride. This room previously vented to the roof area that drains to conveyance point D. We
have completed a project that eliminates the possibility of this material making it to the roof.
We have submitted the original data to the Regional DEMLR that we gathered when we asked
for monitoring relief during the term of the previous permit. The intent is to provide the
information that the previous relief was based on and ask for the same relief for the duration
of the current permit.
Please contact me with operational or compliance issues. Otherwise contact Dan March of
Pisgah Environmental Services at 828-768-3335 or via email at [e-mail] if you
have questions or comments concerning technical aspects of this report.
Sincerely,
yvl
Gary Massey
Safety Coordinator
Baldor Electric Company
828-645-1718
gary.massey(a),us.abb.com
Page 1 of 1

-z
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted _November 7, 2018_
CERTIFICATE OF COVERAGE NO. N00030070
FACILITY NAME _ABB Motors and Mechanical, Inc.
(previously: Baldor Electric Company)
COUNTY - Buncombe
PERSON COLLECTING SAMPLES -Dan March
LABORATORY -Pace Analytical Lab Cert. # 40
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly} Imonthl
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?'
Outfall No.
Date Sample
Collected i
(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/O
6.0 - 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
B
10/26/18
1.82
<2.9
6.5
<0.005
<0.005
0.310
<5.0
C
6.5
6.3
0.0081
<0.005
0.0575
<5.0
D
<2.9
7.3
0.0057
<0.005
0.230
<5.0
E
<2.9
7.4
<0.005
<0.005
0.0565
<5.0
F
<32
7.3
<0.005
<0.005
0.0456
<5.0
G
<2.7
6.4
<0.005
<0.005
0.0418
<5.0
H
<3.0
6.2
<0.005
<0.005
0.0681
<5.0
1
<2.7
6.3
<0.005
<0.005
0.0415
<5.0
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469:12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
m, y 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."
Datz, S
Name (Print name)
?k c., } P
Title (Print title)
✓�� _ t[ • lZ• tv
(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 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 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,
Inches
Non -polar O&G/TPH by
EPA. 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

r
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED T� E DWQ R.�GIOVAL FFICE? YES [qNO ❑
REGIONAL OFFICE CONTACT NAME: ",,AA HEr(1Tr
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the Jab results for at end of monitoring period
in the case of "No Discharge" reports j 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."
Q1-1-C-
(Signature of Permittee)
Permit Date:11/1/2012-10/31/2017
P
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

f
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 10/31/18
CERTIFICATE OF COVERAGE NO. NCG030061 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Craven or ® Monthly" September
PERSON COLLECTING SAMPLES Jack H Tavlor Jr DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
LABORATORY No Discharge Lab Cert. # N A Comments on sample ❑zero -flow ❑Water supply ❑SA
collection or analysis: RECEIVED ®Other C
OV 13 2018 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
FILES
Part A: Stormwater Benchmarks and MonitoringResults DWR CENTRAL SECTION
SECT10lV
® No discharge this period?
Outfall No.
Date Sample
Collected"
(mo/dd/yr)
24hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non-Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organl&
Benchmarks -- =>
_
-
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
SDO-1
NA
SDO-2
NA
" 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 sensitiveeceiving 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: 11/16/2017-10/31/2018
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)
I a. �K_
(Date)
Note: Results must be reported in numerical format Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX ma/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?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
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: 11/16/2017-10/31/2018 SWU-245, last revised 10/25/2012
�, Page 2 of 3

e
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 li SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION a.
+ 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 oriainal and one copy of this DM& including all "No Discharge" reports, within 30 days 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.
am aware that them are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permitteej
� �- 2-
(Date)
Permit Date:11/16/2017-10/31/2018
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater DischaEge'Monitorinig Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 9/25/18
CERTIFICATE OF COVERAGE NO. NCG030061 SAMPLE COLLECTION YEAR 2028
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan -June [] July -Dec
COUNTY Craven or ® Monthly' August
PERSON COLLECTING SAMPLES Jack H Taylor Jr DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY No Discharge Lab Cert. # NNLA Comments on sample ❑Zero -flow ❑Water Supply [—]SAcollection or analysis: R EG F IVED ®Other C
OCT 0 2 2018 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTS FILES
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION
® No discharge this period?'
Outfall No.
Date Sample
p�
Collected
(mo/dd/yr)
24hour rainfall
amount,
Inches
Total Suspended Solids
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
rganl
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
SOO-1
NA
SDO-2
NA
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 musts ill'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.
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 requirementtto 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: 11/16/2017-10/31/2018 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."
AV(
Name 104int name)
Title [Print ti e
(Signature) _U (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, 13DL, <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 I, 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?'
OutFall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
IncheO
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*
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:11/16/2017-10/31/2018
SWU-245, last revised 10/25/2012
Page 2 of 3
ilk -Or

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail on original and one copy of this DMR, including all "No Discharge" repom within 30 ddaa rs afreceipt of the I results for at end of monitoring period
in the case, of "No DischgMe" 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 were ale sgnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
i
(Date)
Permit Date: 11/16/2017-10/31/2018 , 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-8/28/18
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr o 20$
LABORATORY No Discharge Lab Cert. # NLA_ Comments on sampleSE?
collection or analysis: ;ENTRAL FILES
MUR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' July
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑zero -flow ❑Water Supply []SA
®Other C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
® No discharge this period?2
Outfall No. .
Date Sample
Collected
(mo/dd/yr)
24hour 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/O
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
1S mg/L
i mg/L
SDO-1
NA
SDO-2
NA
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: 11/16/2017-10/31/2018 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Pr' t itle]
So-
(Si- 9--
gnature) (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. K<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.
® No discharge this period?Z
Outfall No:
Date Sample
Collected'
(mo/dd/yir)
24-hour rainfall
amount,
Inches;
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 ski
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:11/16/2017-10/3112018
SWU-245, last revised 10/25/2012
Page 2 of 3
_;I

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.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER i REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all 'No Discha e" reports, within 30 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:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
(Date)
Permit Date: 11/16/2017-10/31/2018 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitorin_g Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date'submitted 6/6/2018
CERTIFICATE OF COVERAGE NO. NCG030061 SAMPLE COLLECTION YEAR 2019
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Craven RECEIVED or ® Monthly' May
PERSON COLLECTING SAMPLES Jack H Taylor Jr DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY No Discharge Lab Cert. # N/A Comments on sample JUN 13 zw ❑Zero -flow ❑Water Supply [:]SA
collection or analysis: CENTRAL FILES ®Other C
DWR SECTION
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
® No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks
100 mg/L or 50 mg/V
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
NA
SDO-2
NA
' 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 muss still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from anon -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water -classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to''sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listedin 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."{�
oa
Name Print name)
L+_I&_ %
(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. "OU mg/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 I, 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"
irno/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/k or 50 mg/L*
6.0 — 9.0 su
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one ropy of this DMR, includine 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
3
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 armAcant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Signature
(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 6/6/2018
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr
LABORATORY No Discharge Lab Cert. # NIA Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly" June
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
flCw ❑Water SuRRIY ❑SA
RECEIVED
®�he
JUL 31
2a1PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CEtvT�,:,L I+rl`ILE Es
M4jR SECTIO)\j
® No discharge this period?z
OutFaIl No.
Date Sample
Collected i
(mo/dd/yr) ,
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Capper,
Lead
Zinc
Non -Polar O&G/
Tote! Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks
100 mg/L or 50 mg/L4
6.0 — 0.0
0.007 mg/L -
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
NA
SDO-2
NA
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 outf.all, 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.
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,rrietal 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."
` a Lam! U�Q T(14
Name (Print name)
-Zq A
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar nori-numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mz/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?i2
Outfall Na.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/1PH 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
-0+

., tijp
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reits within 30 da s o racel t of the lab results Lor at end of monitoring period
in the case of "No Discharge" reports] to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are signifgant p9palties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
{Signature of
Permit Date:11/1/2012-10/31/2017
1-2-
A-
(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
RE(ggnJyLM ed 5/25/2018
CERTIFICATE OF COVERAGE NO. NCG030061 ,BAN 0 2 2019
FACILITY NAME Moen
COUNTY Craven CENTRAL FILES
PERSON COLLECTING SAMPLES Jack H Taylor Jr DWR SECTION
LABORATORY Environment 1 Lab Cert. #f 10 Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' November
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑zero -flow ❑Water Supply ❑SA
®Other C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -->
❑ 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
Nan -Polar O&C/
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
SDO-1
1112118
1.17
16 mg/L
7.1
.009 mg/L
<2.0 mg/L
0.037mg/L
<5.0 mg/L
n/a
SDO-2
11/2/18
1.17
<2.6 mg/L
7.1
.038 mg/L
<2.0 mg/L
0.056 mg/L
<S.0 mg/L
n/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.,
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 forthe 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: 11/1/2018-10/31/2019
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)
5( q- t c&sk
Title [Print Mel
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When -results are below the applicable limits, they must be_reported_in the format. "<XX ma/L where XX is the numerical vahie 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 firer 1, Tier Z or Tier 3 responses. See Genera! 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,
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:11/1/2018-10/31/2019
SWU-245, last revised 10/25/2012
Page 2 of 3

F�
Note: if you report a sample value in excess of the benchmark, you must implement Trer 1, Tier 2, or Tier 3 responses. See General Permit text
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orlainal and one copy of this DM& lncludina all "No Discharge" reports, within 30 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 THIIS 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 res onsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that..0ere ftre snificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date:11/1/2018-10/31/2019
2-I�-��
(Date)
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. NCG030600
Date submitted 5/25/2018
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr
LABORATORY Environment 1 Lab Cert. # 10 Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' April
EC E C7 1,P)�P6RGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[�C ❑Zero -flow ❑Water Supply ❑SA
JUN 13 2M ®Other C
CENTRAL FILES - PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH;
Standard units
Copper
Lead
Zinc
Nan -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic'
organics'
O
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
SDO-1
4/24/18
1.34
16 mg/L
7.4
.012 mg/L
<2.0 mg/L
.181 mg/L
<S.0 mg/L
n/a
SDO-2
- 4/24/18
1.34 ,
5 mg/L
7.5
.077 mg/L
Q.0 mg/L
.075 mg/L
<5.0 mg/L
n/a
' 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.
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 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."
Name (Print name)
Title (Print ttle)
3
(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?'
Oatfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
PH
Senchmarft =>
_
-
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 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 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 oriainal and one covv of this DMR includina all "No Discharae" reports. within 30 days of receivt of the lab results for at end of monitoring Period
in the case of "No Discharae" reports) to:
Division of water Quality
Attn: DWQ Central Files
y
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 respon ble for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that yhereg Sig fi ant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Resources General Permit No. NC6030000
CERTIFICATE OF COVERAGE NO. NCG03 0 O (6 I
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack Taylor
LABORATORY No oischarge Lab Cert. p NIA
Comments on sample collection or analysis:
NIA
Date submitted 4124118
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or 0 Monthly',N--.h (month)
C NG TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
R G C ETM ❑Zero -flow ❑Water Supply ❑SA
APR 3 0 2018 *Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results 13WR SECTION
n No discharge this period??
outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Total Suspended Solids
pH
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics
Benchmarks ==>
_
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 n1_07L
SDO-1
N/A
SD0-2
NIA
'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.
4 See General Permit, Table 3 identifying the especially sensitive,receiving water classifications where the more protective benchmark applies.
S Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal 'finishing use the definition as found in 40 CFR 433,11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469,31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the 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 TT© 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)
Title (Prin itl
(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, tl-cXX mprJL". 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, Tler 2, or 77er 3 responses. see General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
0 No discharge this period?2
Outfali No.
Date Sample
collected'
(mo/dd/ )
24-hour rainfall
amount
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Senchmarks ===n
_
-
is mg/L
100 mg/L or 50 mg/L'
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
• See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017
5WU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement 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 EXCEEDANCE5 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 n■ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one
In the case of "No Discho
this DMR, includina all "No
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
to:
ports, within 30 do
f the lab results (or at end a
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
" I certify, under penalty of law, that thfs document and atl 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 di ILA for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that th a are nir penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
Permit Date: 11/1/2012-10/31/2017
q-ZQ—a
(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 3/31/2018
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr
LABORATORY No Discharge Lab Cert. # WA Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
{r, �� �^�, or ® Monthly' February
RECE1 VEDARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
MAY 0 201$ [_]Zero -flow [-]Water supply [-]SA
®Other C
CENTRAL FILES
DWRSPLEASE REMEMBER TO SIGN ON PAGES 2 AND OR 3 4
DWR SECTION /
® No discharge this period?iz
Outfall No.
Date Sample
Collected'
(mo/d.d/yr)
24hour 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
SDO-1
NA
SDO-2
NA
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.
a 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
(70), 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."
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, 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 Trer 1, Trer 2, or Tier 3 responses. See General Permit text
Part S: Vehicle Maintenance Area Monitorine Results: only for facilities averaging > 55 gal of new oil oer month.
Q9 No discharge this period?z
Outfail No. Date Sample 24-hour rainfall
Coilecte& . amount, Non=polar O&G/TPFE by
4, K Total Suspended Solids" pii
(mo/dd/yr) Inches EPA 1664'.(SGT_HEMj,
Bencirmorks.==> 1L SOO mg/L or 50 mg/L*. 6.0 — 9.0 SU
a ?
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. 11/1/2D12-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

r
Nate: 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 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 try of this DMA including all '"No Discharge" reports, within 30 da�rs_of receipt of the lab results for at end of monitoring 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:
"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 r ponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware tgat tkre ar f ,gnifcant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Permit Date: 11/i/2012-10/31/2017
4-7-0 - 10
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

4
d,
Semi-annual Stormwater Discharyte Monitoring Report_
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 2/15/2019
CERTIFICATE OF COVERAGE No. NCG03M2
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Tatrlor Jr
LABORATORY Environment 1 Lab Cert. # 10 Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® MonthW January
f�p C C E I lVdEUGING TO CLASS ]ORWEjzerofl�HO❑W E]r routsup❑SA
FEB 2 7 2m ®other C
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
❑ No discharge this period
Outbu Na.
Date sample
Collected'
(mo/dd/yr)
244hour rainfall
amount,
Inches°
Total Suspended solids
pH,
Standard units
Copper
Lead
23nc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organicss
Benchmarks
-
100 mg/L or 50 mW
6A — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
i mg/L
"SDD-1
1/x3/18
0.38
191 mg/L
7.9
.061 mg/L
0.029 mg/L
.619 mg/L
I <5A mg/L
n/a
soo-2
1/23/tS
0.38
114 mg/L
7.7
.236 mg/L
0.035 mg/L
.331 mg/L
a.0 nWL
n/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.
'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.
'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 mon#toring 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 titii'L n
(Signature)
(Date)
Note: Results must be reported to 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, thWmust be reported to the format, "4M rr aW 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 bemAmarl4 you must Implement Tler 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Velhicle Maintenance Area Monitoring Results: only for faciiMes averaging > 55 gal of new oil per month.
No discharge this period?'
Outfall No.
Date sanvie
Collected
{mo/dd/yr)
244wur rainfall
amount.
Inches'
Non -polar O>}G/'1'PH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
9eechnm ics -=a
_
-
15 mg/L
1W mg/L or So 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/l/2012-10/31/2D17 SWU-245, last revised 10/25/2012
Page 2 of 3 4

Note: If you report a sample value In excess of the benchmark you must Implement Tier 1, Tier 2, or Tler 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.
w 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 Q
REGIONAL OFFICE CONTACT NAME:
Mall an original and one copy of this DMX IndudIna all 'No Discharaereports. within 30 days of receipt of the lab 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:
"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. I
am aware that there nsign"rit penalties for submitting false information, indudIng the possibility of fines and Imprisonment for knowing violations."
r
�i�
--�z
(Date) i
Permit Date.11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report -
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 1/28/2017
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H TaylorJr
LABORATORY No Discharge Lab Cert. # N/A Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
Monthly'or December
RECEN9ARGINGTO®LASS ❑O W❑HQW ❑Trout ❑PNA
FEB 0 6 2418 ❑Zero -flow ❑Water Supply ❑SA
®other C
CENTRAL FILES
DWR SECTION 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,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics
Benchmarks =_>
_
-
100 mg/L or So mg/O
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
NA
SDO-2
NA
' 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.
'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."
906c
Name (Print name) 1
�5 7
Title (Print ti e t �[
(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, thew 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 Her 1, Tier 2, or 7-ter 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?2
Outfall No.
Date sample
'Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
• See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
a 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 YOU R FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES 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 MR, including all "No Discharge" reports within 30 days of receipt of the lob results for of endue 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 a nd belief, true, accurate, and complete. I
am aware that there arp-signif^t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
{Signature
(Date)
Permit Date: 11/112012-10/31/2017 , SWU-245, last revised 10/25/2012
Page 3 of 3

Y� Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 1/26/2017
CERTIFICATE OF COVERAGE NO. NC6030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr
LABORATORY No Discharge Lab Cert. # N A Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' December
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RSC- EIVED ❑Zero -flow ❑Water Supply ❑SA
FEB 14 2017 ®Other C
CEN_Nk FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
® No dischorge 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/O
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
i mg/L
SDO-1
NA
SDO-2
NA
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfali.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40-CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since fling 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)
-3
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
® No discharge this period?2
Outfall No.
Date'Sample
Collected)
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
lUon'polar O&G/TPfi by
EPA` •1664 (5GT=HEM)':
"
Total Suspenried Solids
.. pH
Benchmarks
100 mg%L or 54 mg/L•
6:0 = 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.
Permi'� ale: 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 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 original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period_
in the case of "No Discharge" 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 artf'�ignftant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
t.
—S
(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. NM030000
Date submitted W27/2017
IEATIAiATE OF COVERAGE NO. NCGO30061
FACILITY NAME Moen
COUNTY CZa%W
PERSON COLLECTING SAMPLES Igk Her Jr
LABORATORY EnWronment 1 Lab Cem 9 19 Comments on sample
collection or anatyds:-
Part A: Stermwater Benchmarks and Monitoring Resu is
SAMPLE COLLECTION YEAR P17
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ®MonthWAgpmber
F F 1\/ 4S ARGING TO cLAss ❑ORw ❑HQw ❑Trout ❑PNA
i� JAN l 4 2D18 'flow, ❑water Supply ❑SA
®other. C
DWR GEIMON �:PL9- -- REM1cMUR 0 SIChI'ON PAGES 2 AND/DR'3 a
INFORMATION PROCESSING UNI
n No dischame this neriod?z
outfau No
Date
to11
xA-ltau rah"
arrmeutt,
Total Suspended Soilds
5taadard unitsOrprtic
Coyper
Lead _
Zinc
Non�Palar ow
Total Petroleum
Tate
Total nims
BerrarrrrmWft
100 rng/L or So mg/L;
6A— 9.0
.0.007 rng/L
0.03 ng/L
0A67 rttg/L
15 ma/L
1 ntg/L
sl>0.1
11/13/17
0»iS
31 mg/L
8.0
A31 mg/L
0.004 ntg/L
.235
c5.0 mglL
n/a
500-2
li W17
0.15
20
79
im mg/L
0=4
A31 ntg/L
<SA
n/a
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the saute parameter at the same outfall.
2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a dtedcmark here.
3The total predptiadon must be recorded using data from an on -site rain gauge. Unattended sites may be'epgible for a waiver of the rain gauge requirement.
See General permit, Table 3 identifying the especially sensitive receiving water dassifigtlons 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 permif 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, fok'electrontc crystal manufacture use the definition as found In 40 CFR 469.22; and fear cathode ray
tube manufacture use the definition found In 40 CFR 469.31).
Perrnit Date:11/1/2012-10/31/2017 5WU-245, Last revised 10/25/2012
Page 1 of 3

Facilitles•that incorporate a solmettt management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be valved. The solvent management plan shall Include a list of the total torac organic compounds used and the other elements listed in the General
Permit. For those faa. es electing to employ the TM monitoring waiver, the discharger shall sign the following certification statement;
%aced Won my wry of the person or pawns directly responsible for managing compliance with the permit monitoring requinmwAt for total toxic ogpnks
(Trot i certify that to the best of my humledge and belief, no dumping of corimrtrated tcaic organics into the stormwater or areas which are exposed to rainfall or
stonim ater runoff has otcurred since titiltg the.last disdrarge moniftwing report 1 further certify that this fadljty is implementing the all the provisions of the
sdvent management plan included in the Stormwater Pollution Reverrdon Plan.'
Name (Print name)
c� E Ba Gk�
77M�U
�-2,-kg-
P-
(ba"),
Note; ResLdts must be reported in nunumical format Do not reaart Below Detection limit, BDL, cPQI, Non -detect. ND, or other similar non -numerical
fai naL; Whim results are below the applicable limits, them mun be r jg"d in the forrna&:M =W. where XX is the numerical value of the detection
limit, reporting Ilm% etc. in mg/L
None: Ifyou rgpart a sample v due in ewm of the benchmwadr, yarn must hr rrt Tier 4 Tier 2, or Tier 3 ngponsm See GemYd Pemtlt text
Par! B: Vehlde Malrttei rice Anna Monitoring Results: only for W1.1 des-everaging > 3S gal of new oil per month.
® No discharge this period
OMNI No.
Data S=*
coUetteP
(mat )
24hMff rainfall
arnoun%
inches'
Nowpolar MOM by
EPA 1W A -Hai)
Total S Solids
p ff
Berrdrn>611b
_
-
is rrrg/L
100 m sIL or So m L•
6A— 2.0 5U
Foubmtes from Part A also apply to this Part B
• See General Permit text, Table S, idenWytrrg the espedaity sensitive receMng water dassificatlons where the more protective benchmark appikm
Permit Date:11/1/2012-10/31/2017 Swu-gas, cast revised 10/25/2012
�. c Page 2 of-3

Nate: If you mpart a sample valve In muen of the bem*mariy you must implement Tier 1, Tler 2, or Tier 3 nm panses. See Genera! Piemiit tmt
FOR EM A AND PARTS MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 0 SECTION S.
a 2 EXCEEDANCES INA. ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUMEME?4rM SEE PERMIT PART Il SECTION B.
a TIER S: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL7 YES ®NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? TIES ®NO ❑
REGIONAL OFFICE CONTACT NAME:
Mallon lnal a one coovgf this VAVL Lh_d_u_dfta11'ftQftft0jlffremft wfWn30need PtoftheLab results for at enchof flngfturingdod
in the Case of'ft Msdiaraeneaavtsl tn:
Division of Water Quality
Attn: DwQ Central Flies
1617 Mail Service Center
Raleigh, North Carolina. 27699-1617
40U jAVM:Af h1jCER'l7F gj#ON FOIL ANYJNF6ftl%A1-niDN-RMK,- MD:.
'1 cer*, 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, a=rate, and complete. I
am aware thpt there M significant penalties for submitting false information, including_tlre possibility of fines and imprisonment for knowing violations."
Z`
(;
Permit Date:11/1/2012-10/31/2017
SWU-245, last m%ised 10/25/2012
Page 3 of 3

RECEIVED
DEC 0 7 2017
CENTRAL FILES
DWR SECTIo1v
Semi-annual Stormwater Discharee Monitories peaort
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 11/27/2017
CERTIFICATE OF COVERAGE NO. NCG030061 SAMPLE COLLECTION YEAR 2017
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Craven or ® Monthly' October
PERSON COLLECTING SAMPLES Jack H TavlorJr , ; ti DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA
LABORATORY No Discharge Lab Cert. JI N/A Comments on sample ❑Zero -flow ❑water supply ❑SA
collection or analysis: _ ®Other C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
Part A: Stormwater Benchmarks and Monitoring Results
® No discharge this period??
x�
l
y"
�otk
�ple
r,;�,,In
�24ourrainfail
amounta:�ar;5tand�oyrd�units�
hc
rµ� c es
a
'Total Suspended'Sotia!rq
i''y
to
[upper
1
f.Lead
1;'
,
lnc�
q
Non-Poutf
kTot I PColacta�s
a
WYiarlsons
prganlw''
-:r:',i�m/d/Yr)a
iBeireh'rnnrks =-
""?' {'
k r# _10D
mg/LroO�m'g/WL!0
9 0 .�0007&:g/
ff,
C,0:03
0:067 mg/L�
a.ta
:a `'SS�rrig/Lp
w.
l:rrig/L't"
soo-1
NA
SDO.2
NA
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/i/2012-10/31/2017 SWU-245, last revised 10/25/2012
Pagel of 3

Facil [ties that incorporate a solvent management plan Into the 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics Into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is Implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Nome(Printname)
V
Title Print e
(5lgnatur (Date)
Note: Results must be reported in numerical format. Do not rep Bel w D tection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, th must he r 0 n Ste for at "<XX m " 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 ►ler 1, Tier 1, 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
v
OtitfallNa kr
r
:'& i'ih '.'
Data 5ampla
n ��*� r
.Collected
A i
1 ! ; -..
r ea r
24 hour rainfall
amnun
Inche!'. ,.`
( M1
. 'a y e
_
fNnn'•'polp�0&G/TPHbyr
EP.A f1664 SGT HEM}l
t '.: exert R °1 'i.
6 f t - "=`� 4
i Total Suspended,Sollds -
: W (�
t pH
Benihmarks >7
" " ` 1 "
"
" ` K 1s rtig%L, '+
" 100;m8/tQor'S0 mg/L•
f ,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

Nate:.lf you report a sample value In excess of the benchmark, you must Implement Tier 1, T1er 2, or Tier 3 responses. See General hermit text
FOR PART A AND PART B MONITORING RE5ULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FORTHE 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 EXCEEOENCES FORTHE SAME PARAMETER AT ANY ONE OUTFALL7 YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME; .
f
Mail an orlalnal and one copy of this DMR. Including all No_Ofschorae_" marts within 3QnmelntoLthe tab results (or of of monftorinperlod
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 r onsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware th ther r si nificant penalties for submitting false Information, including the possibility of fines and Imprisonment for knowing violations."
(Signature Pe ittee (bate)
Permit Date: 11/1/2012-10/31/2017 SWU-245,.1ast revised 10/25/2012
Page 3 of 3

RECEIVED
NOV 08 2017
CENTRAL FH.ES
DWR SEC-noN
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 10/25/2017
CERTIFICATE OF COVERAGE NO. NCG030061 SAMPLE COLLECTION YEAR 2017
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan -June ❑ Juiy-Dec
COUNTY Craven or ® Monthly' Sentember
PERSON COLLECTING SAMPLES Jack H Taylor.l y DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY No Discharge Lab Cert. 4 N/A Comments on sample []Zero -flow []Water Supply ❑SA
collection or analysts: ®Other C
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
� No discharge this ,period ?2
aIi
a
Non•Polar OGG/ll
O4 utlaii No
"Dte Sarrmple
'24•hour rainfa
c9e
SusndedSoll
pH
'
Lead
Zinc
Total Petroleum:Ca
Total Toxic
�+
r
�?pip
�n�
Ft
??per
Hydrocarbons
Organicss
§
(mo/dd r)
Inches!"
y
n ,
mg/Lw 50 mg/L°
r 6 0: 9 0
0.007 mg/LT
0 03 mg/L
0;067 mg/L
15 mg/L•
l mg/L
SDO.1
NA
SDO-2
NA
' 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.
` 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 (far 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 facillties 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 requl rem ent for total toxic organics
{TTO), I certify that to the best of my knowiedge 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 StormwRtP.IIutjLDn Prevention Pan." p
� IL�fSnLJ'11/
Name trrim name)
u4 6
Title (Print el
(Signatu
(Date)
Note: Results must be reported in numerical format Do not repart 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 detectlon
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value In excess of the benchmark, you must Implement 11er 1, 17er Z or Tier 3 responses. See General Permit text.
Part B: Vehicle Mal ntenance Area Monitoring Results: only for facilities averaging > SS gal of new olI per month.
No dischorae this Deriod F
Bete Sample 24=hour rainfall
Ouifall No x F
2t Coll cted z i, amount, . Non -polar O&G/TP�H by;
Total.Suspendad solids ' pp pH
m6%dd/ r Inches'. _. 111EPM1664. SGT,HEM). s t.
9enihmarks > �x 15'mg/L 10o mg/L of 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 TFer 1, Tier 2, or Tier 3 responses. See General Permit text
FOR PART AND_PART _0 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 li SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ®NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO
REGIONAL OFFICE CONTACT NAME:
Mall an orialaol and one roan of this AMR, includlaa all "No Aischarae" reports, within 30 days of recelpt of the lab results for at end of monitoring perlod
in the case of "No Aischarae" 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:
1.1 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 espa able for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware tflat there re\sigrtf cant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations."
jSIgnaturW Permittee) (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Dischante Monitoring Re ort
for North Carolina Dhdslon of Water Quality General Permit No. NCGO30000
Date submitted 9/2S/2017
CERTIFICATE OF COVERAGE NO. NCG030061 SAMPLE COLLECTION YEAR MZ
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan -June [] 1uNwDec
COUNTY Craven or ® MonthW August
PERSON COLLECTING SAMPLES r Jr y DISCHARGING TO CLASS ❑oRw ❑ [:]Trout
Trout PNA
LABORATORY Environment 1 tab Cent. 010 Comments on sample
C E 1 VE D Elzero-flow ❑Water supply ❑SA
collection or analysis: 0 C T 03 2017 ®Other C
Part A: Stormwater Benchmarks and Monitoring Results
CENTRAL FILES
DWR SECTION
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No discharge this period?'
outfall No.
Date sample
ConE+�tedx
(mo/dd/Vr)
244mur rah"
amour
Indhess
Total Suspended solids
PK
units
Copper
Copper
Lead
Zinc
�lon-Paler 08;G/
Total Petroleum
Hyd rccu6or's
Total Toxic
Organt:0
Sendwmmb
1W mg/L or S0 mg/V
6A — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
is mg/L
1 mg/L
S00-1
08/09/17
0.73
93 mg/L
7.3
A09
eO.WZ TML
.045 mdL
I -S.O L
Na
S00-2
08/09/17
0.73
its My&
7.6
.263
0A10
R.g48 mg/L
c5A L
n/a
1 Monthly sampling (instead of semi-annual) most begin with the seeondconsecutive benchmark exceedance for the same parameter at the same outfall.
i 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�thls 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 46912, and far cathode ray
tube manufacture use the definition found in 40 CFR 469 31).
Permit Dat_e: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 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 Wowing 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
( TO), 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 Stornmater Pollution Prevention Plan."
:�CLe—
Name {Print name)
Title (Print
(Signature) (Date)
Note: Results must be reported In numerical format Do not report Below Detection Limit, BDL, <PQL, Non -detect, NO, or other similar non -numerical
format When results are below the applicable limits, theft must be reported In the format._"O(where XX is the numerical value of the detection
limit, reporting limit, etc. In mg/L.
Note. If you report a sample slue In excess of the bench nark you must brWlernent Tier t Tier 2, or TTer 3 responses. See General Permit text
Part B: Vehicle Maintenance Area Monitoring Results: only far fediities averaging > 55 gal of new oft per month.
M No dfschorge this perlod?2
flutfall Na.
rate `
Caiiestedl
(mo/dd/yr
244mur rainfall
amount,
Incites'
NonlWar O8G/TPH by
EPA 1664 SGT-HEM
Total Suspended Soak
pH
Sendemartrs
1s nWL
1O0 mg/L or SO mg/V
GA — 9.O SU
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: li/VM12-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Nate: if you report a sample value In excel of Ow benchmark you must Implement Tier 1, Ver 2, or Tfer 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• _. A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREII/UM SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDAmas IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B-
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mall an -orlainal and are copy ! QNS !nd dl 11 0 !n 1 0 or end d
in the case of "No Disrhame"
Division of water Quality -
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
OU MUH SIGlS CETIF RMA E D• IO
"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 inqulry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for knowing violations."
(Signature of PermIttee)
q —Vol
(Date)
Permit Date: 11/i/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

r' .
Semi-annual Stormwater Discharge -Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 8/28/2017
CERTIFICATE OF COVERAGE NO. NCG030061 SAMPLE COLLECTION YEAR 2217
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan June ❑ July -Dec
COUNTY Craven or ® Monthly' July
PERSON COLLECTING SAMPLES Jack H Taylor) 3 DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY No Discharge Lab Cert. # � Comments on sample ❑Zero flaw ❑Water Supply [:]SA
collection or analysis: ®Other C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
No discharge this ueriod72
Outfall No.
Data Sample
Collected'
(mo/dd/yr)
24•hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics'
Benchmarks ==ate
_
100 mg/L or 50 mg/L4
6.0 — %0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
$00-1
NA
SOO-2
NA
' 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 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.
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
R C N D
CFMI-F�AL FILES
DWR SECTION
SWU-245, last revised 10/25/2012
Page 1 of 3

•�4
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 d;rectly responsible for managing compliance with the permit monitoring requi rem ent 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 flung 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 (Prrnt name)
Title (r tltitle)
(Signatu {Date}
0
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format, when results are below the applicable limits, they must be reported In the format, "<XX ma/r.", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
7 No discharoe this oeriod?2
Outfall No.
Date Sample
Collected'
(mo/dd/yri
24-hour rainfall
amount,
Inches'
Non -polo r O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ■•*>
1S mg/L
100 mg/L or 50 mg/L*
6.0— 9.0 sll
Footnotes from Part 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: il/1/2012-10/31/2017 SWU-245, #ast revised 1o/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must Implement Tler 1, Tler Z or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING R T :
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriairial and one cony of this ON& including all "No 01scharl7e" reports, within 30 days of receipt of the lob results (or at end of morrltorina period
in the case of " o Olscha o o:
Division of Water Quality
Attn: DWQ Central Files
1617 Mall 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 a nd belief, true, accurate, and complete.
am aware that there arq signlfic4q p&ltles for submitting false information, Including the posslbility of fines and imprisonment for knowing violations."
)Signature of rmlt e) (Date)
Permit Date: 1111/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

r..
REeEiVED
AUG 10 2017
CENTRAL FILES
DWR SECTION
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO30000
Date submitted 7/26/2017
CERTIFICATE OF COVERAGE NO. NCG030061 SAMPLE COLLECTION YEAR 2017
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Craven or ®Monthly' June
PERSON COLLECTING SAMPLES Jack H Taylor Jr DISCHARGING TO CLASS ❑ORW ❑NOW ❑Trout ❑PNA
LABORATORY No Discharge tab Cert. fi N/A Comments on sample ❑Zero -flow ❑Water Supply ❑SA
collection or analysis: ®Other g
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
15a No discharge this Deriod ?'
i 'OutfalI No =
y
Date Sample
s
-Collected
ecte_
(nio/dd/yrj .
24 hour rainfall
amount,
Inches'
Total Suspended Soilds
PH,
standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Oranlq s
g
s.+ .
`
300 mg/L o� 50 mg/L
5.0 9 0 .
0 007,mg/I.
0:03 mg/L `=
0 O67 mg/L
,'. 15 mg/L
>< mg/L
SDO-1
NA
SOO-2
NA
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 fora 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 1o/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
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."
.!kou XI a
Name (Print name)
Tltle (Print t
-k'7
(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, lhgv must be reported In the format, "<XX 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 facllitles averaging > SS gal of new oil per month.
M No discharge this periodY
Outfall No.
Date Sample
Collected'
(mo%dd/ r)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664.(SGT-HEM)
total Suspended Solids„j.
pH
Benchmarks -■°i
15 n1g/L
100 mg/L or SD'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 2, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULT
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orlainaf and one coov of this OMR. Includina all "No aischarae" reports, within 30 days of receipt of the lab results for at end of monitarina 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 responsinr gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that Opere are si^flctnt jerialtles for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of ermittee) (Date)
Permit Date: il/l/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

RECEIVED
JUN 2 0 2017
CENTRAL FILES
DWR SECTION
DljftM2 NiglIttodagLeRM
for Noreft Carolina Dlvislon of Water QuatitY General Permit No. NC6030OW
Daft worn tied Br32MI
cERnwATE Of Covumg mm NCGO30061 iAIMPU 001A TM YCAR MZ
•ACftM NAKU MM s+utl"PM7 JVWA= ❑A&PO c
cmlx" g a► Mordw t
PMM C0116 n"0 sinsj1P*KjMdgLft IMMAROM TO CIM E p�IQW Cme pia
lAlROMORT i Lab cart. r JS e an sample � OWder Sup* 05A
coflectlon of analydst
Pot A: Stovmwater Bends nadti vW Rltatdtorheg Revuft
PLEA-99M l M TO S M ON PAGES 2 AND/O0 3
rl AIa d7W&MM this aerrie v
Lltr" Ifo.
cwktu&
snow".
trwwo
Todd handed lauds
Staff �
coppir
Lad
ZbK
Ilorrelodr OIL#/
TOW 00001MM
`n
T rode
A -sip
-
-
1M mp/►w!0 mp/L
U-1A
OAR me/L
0.03 m//L
CA P mp/l
13 aa(l
1 m8A
6130-1
7
O"
u nVil.
7.2
Al2 M&
0M
an W401
4A
51304
7
0610
*MIA
71
MGMIA
4&M mrA
AM
0.0
a
` MmOly sarWlig Onstead of sem l-annual) must begin with the second coraeartive benchmark eimeedanca for the same parameter al the same outfall.
For camp ft periods with no dWathap at a+y single outran, you must still sabmit this discharge monluwlq report with a du3<kmark here.
'The total precipitet en must be few, ed using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gaup requirement
'See General ftnnlU Table 3 klantlTying the especlaily se Wom receivtng water classifications where the more protecthm bendurim applies.
' Total Tonic Organics sanpttng Is appticaMe only for time faciRtles whirl► perform metal ffnishing operations, mtinufatlure samicpr ors, manufacture
electranic crystals, or marwfaetura radrode ray tubes. For purposes of this permit the de% tton of Total Toxic Organics Is that definition contained in the EPA
Effluent Guidelines for the fadmy subject to the requlrernent to sample (for metal finishing use do definitlon as found In 40 CFR 433.11; for semloonductar
manufaed re use the definition as found In 40 CFR 469.14 for dectrork crystal manufacture use the definition as found In 40 CFR 469-M and for cathode ray
tube manufacture use the definition found In 40 CFR 469.31).
Permit eats: 11/VM12-I W'31M17 swu-245. tan resksea 10/xs/M3
Pap 1 of 3

facilities that Incorporate a sobreret marngimmtt! plan into the Stormwater Pollu*m Preventiat Plan maT so certify, and the regulrernen for TtO monitoring
may be weve& The son. rrmmog went Plan shall Include a IM of the WW toslc orgark compoun& used and the other elements listed in the General
Permit. For those facilities elecft to employ the TTO monitoring welver, the dWwrger shag sign the following osrdf atim statement:
"Bared upon my Utvov d ft Penal or pw" db COV responsible lbr MOMMOM oompBsnaa With the POW m WtkMb p t f(► rani toodc
MO), f eerdfy dot to the best of my titowlsdita'ancl Osaaf, no dumi ft of concleiti sstad =01c orgaMa into the storatwster or n - wlddt are exposed to n &M or
awn wnw rurwff has ocmn*d pace oft the fast dbdwp monitorlry report i further wrtihr that"hctBtY is implsnte mg the eb the prowl" s of the
solvent ntans;ameett plan btdtrdsd to the SConuw�a�taLnrdt���llutlon PtarentJat Plan.'
Nams
(Prktt �irw�tte)
C. .. b
. Tftk {Print rr nn
Now Remedb feast In reported in rahtrterlcal lbmtat.R& tecdon ' lmtt, elm <PCL Nondetec% NO, or other sbnbr rwr"xorterlal
format. When results are below the t bin gmlby ' " where lat Is the numerical value of the datectton
ftmit. reporting Arms, ett;.. in mg/t
f es. f lwr+ report a vc w br estam altfle aoedtrncrk Mgr MMM TA9r 4 Tiler;, ar TW S rtt arttea. See Grrserd PW"* teat
Part N: Vehhie Mal see rsca Area Mmdtcm ng Returlts: ottly for tadiitles sera&* > 55 gM of near all per nsortswt.
Ud No &W-wroe this aerlhdN
Ckaw WL
I2ste semga
taltactad'
UWdAM
2i tmtrr rttfrtllea
amauet,
hdMs}
""10181oiti/T>aN by
EPA 16M WMA
Tatal Uspermw soads
PM
Amdhwob on*
33 MdL
WO aWLOr tic msA*
RO-9A M
Footnotes tram Part A also apply to"Part B
• Sea Oww ral Permh tend. Tahte S. i mdhft the wpKWIy semttfva recchOng water dassigat m when die more pr is 0 m Iterdtmari appon
Permit Data:13/1/201Z-W3VM7 MU-245. last reared WnSl=
Pge2ata

At CO. ff pa apart a 1 Mille 83 9XVM a of are bendtMWk, ratr RUM 6ttplansnrt Tier 1, nb & or TW J MIPMAM sae coal Fbntlt tea
A DENCHtMR1t E=EEDANCE TRI MUS TIER 1 WICAXRDMNM SEE PERMIT PART u SECWN IL
• 2 EXCEEDAMM IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TMR 2 REWISIMM SEE PEROW PART p SEMM 6.
+ TTER 3r HASYOUR FACMM HAD ;OR MORE KNLTIAMRK E)MDENCES FOR THE SAME PARAMETER AT ANY ONE WWALL7 TO ®NO ❑
D YEf, mm YOU CONTACTED THE ma REGIONAL OFFICE? m ®NO ❑
REOMM OF= CONTACT NAME:
DMsbn of Water Qu ttY
Attn: DNQCUOM Fifes
1617 Map Service Center
Rale4% NoO Qn&w TM9-1617
�{%�sttr iIStI d �CItTION fCR Ai�f1'ltl�l�fAROIr�J
+ , ardor pmt>M of hart, tint thh doaamanR and dl rrero prepared wrier my dhectlon ar supervlsmn it emordmsur with a Wswo derJV , to
awe OW cptOW pmarn el prapato [OW and evaluatethe hdbrmatbn submitted. Based on my hmpAy of the person or pumas who ntansRe the grshm or
throe pow* duet* sesparuMk for pdtw V Ow Womaskm tha htlbrnaft tarbrntusd b, Co the bat of »N iaiorategBa and btSkl, true, sowrase, erd m I Fete
am aware that ttwre wa for vAmuttttg false htbarm nM% hndudtng the ponMMty of firs and Impwbonment for bx w ft vioiapttans
91 cw
Lo& n
(DwW,
Permit Data: 11/2MIZ-W3Tf2M7 MOMS, hest rMsed IOMM12
Pala 3 of 3

fCDU
Stormvvater Discharge autfall (SDO)
Qualitative Monitoring Report
Forgufdance ontilling out this form, please visit
Permit No.:1j1Q.Q/-3/Q/Q .Q1W or Certificate of Coverage No.: tll�l�/QI IQI?J$l11
Facility Name: Moen
County: Craven Phone No. 252-638-3300
inspector. Jack Taylor
Date of inspection: 5/23/17
Time of inspection: 0825
Total Event Precipitation (inches): 0.70
Was this a'Representative Storm Evenr" or "Measureable Storm Event" as defined by the permit?
(See information below.)
® Yes ❑ No
Please verffy whether Qualitative Monitoring must be performed during a "representative storm
event'' or'measureabie 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 evenC 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:
(Signature of Permittee or Designee)
Page l of 2
SWU-242, last modlfled 7/31/2013

I. Outfall Description:
Outfall No. SDO-1 Structure (pipe, ditch, etc.): Overland flow
Receiving Stream: Quarry Pond
Describe the industrial activities that occur within the outfall drainage area: Parking
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light tan. cla"
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): a=
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 Is
clear and 5 Is very cloudy:
1 2 0 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
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 © 3 4 5
7. Is there any foam In the stormwater discharge? Yes Q
8. Is there an oil sheen In the stormwater dischargeT Yes IYo
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution.,
. List and describe: None Observed
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-24Z fast modified 7/31/2013

A i 7*A
FCDEENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguldance on filling out this form please visit
Permit No.: Ja/f -Q1.31 /WWW or Certificate of Coverage No.: fj1fj `i/Il/3/S 2.1fVl/
Facility Name: Moen
County: Craven Phone No. 252-638-3300
Inspector: Jack Taylor
Date of Inspection: 5/23/17
Time of Inspection: 0830
Total Event Precipitation (inches): 0.70
Was this a "Representative Storm Event' or "Measureable Storm Event' as defined by the permit?
(See information below.)
0-
Please verip whether Qualitative Monitoring must be performed during a 'mpresentadve storm
event' or'measur�eable storm event' (raequtrements 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:
(Signature of Perrnittee or Designee)
Page 1 of 2
SWU-242, list modified 7/31/2013

L Outfall Description:
Outfall No. SDO-2 Structure (pipe, ditch, etc.): Overland flow to drainage grate
Receiving Stream: Absorb into earth, run off towards US 70
Describe the industrial activities that occur within the outfall drainage area: Parking
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light gm
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc,): none
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 O 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 © 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
Q
a. Is there an oil sheen in the stormwater discharge? Yes
©a
9. is there evidence of erosion or deposition at the outfall?
Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe: None Observed
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2of2
SWU•242, Last modified 7/31/2013

C�mu�o��uo�� 90
IDO: 537
KOMM STOR1l1[ATSR (88AHROC8)
ATTSa JACK TAYLOR
C/O SHAMROClt•NNN BM1 DATB COLLECTBDs 05/23/17
3205 MOYSS BLW. DATE RBIPORTSD r 06/09/17
M M BMS .XC 28560
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91
03i2A/17
KKM
2540D-97
12
36
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LFJ
EPA200.7
<2.0
<2.0
05/3l/17
MIM
3113E-04
75
33
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LFJ
KPA200.7
<3
<5
05rW17
SFJ
EPA1664B

Environment 1, inc.
P.O. Box 70",414 Oakmont Dr.
f o-envilie_ Nr 27R5R
CHAIN OF CUSTODY RECORD
Page I_ of _I
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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 5 19 17
CERTIFICATE OF COVERAGE NO. NCG030061 SAMPLE COLLECTION YEAR - 2017
FACILITY NAME National Salvage and Service_ Corporation RECEIVED SAMPLE PERIOD ® Jan -June ❑ July -Dec
COUNTY Brunswick or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES Matt Smith JUN 03 2017 DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Pace Analytical Lab Cert. 12 Comments on sample ❑Zero -flow ❑Water Supply ❑SA
collection or analysis: CENTRAL FILES ®Other -C
DWR SECTION
r Benchmarks -and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this
Outfall No.
Oat le
Collette
(mo/dd/yr)
24-hour rainfall
amount,
ches'
Total Suspended Solids
pH,
Standard
units
Copper
Lead
Zinc
WO Molar
O&G/ Total
petroleum
Hydrocarbons
Total Tox
Organics
Benchmarks ===>
_
100 mg/L or 50 mg/t°
b.0 — 9.0
0.007 mg/L
0.03
0.01i7 mg/L
15 mg/L
1 mg/L
' Monthly sampling (instead of semi-annual) must begin with the sec consecuti nchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, ust still submit this d"ift e monitoring report with a checkmark here.
'The total precipitation must be recorded using data fro on -site rain gauge. Unattended s ay be eligible for a waiver of the rain gauge requireme
a See General Permit, Table 3 identifying the espe ' sensitive receiving water classifications where are protective benchmark applies.
'Total Toxic Organics sampling is applicabl for those facilities which perform metal finishing operatio anufacture semiconductors, manufacture
electronic crystals, or manufacture c e ray tubes. for purposes of this permit the definition of Total Toxic Or s is that definition contained in the E
Effluent Guidelines for the faci ' bject to the requirement to sample (for metal finishing use the definition as found i CFR 433.11; for semiconductor
manufacture use the de n as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 469.22; and for cathode i
tube manufacture a definition found in 40 CFR 469.31).
Permit Date: 11/112012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

. 'ties that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, aril the requirement for TTO mo
rPermay b ed. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the Gg�
it. For t acilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inqu the person or persons directly responsible for managing compliance with the permit monitoring requir or total toxic organics
(TTO), I certify that to the be y knowledge and belief, no dumping of concentrated toxic organics into the Stormwater eas which are exposed to rainfall or
stormwater runoff has occurred sin ng the last discharge monitoring report. I further certify that this facility is i enting the all the provisions of the
solvent management plan included in the water Pollution Prevention Plan."
Name (Print
Title (Print title)
re)
Date)
Note: Results must be repo numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or o imilar non -numerical
format. When result�ein
low the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerica a of the detection
limit, reportin ,mg/L.
if you report a Sam !e value in excess o the benchmark you must implement Tier 1 Ter 2 or Tier 3 responses. See Genera! Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharae this neriod?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
SDO-1
5/5/17
Est. 1.6
<5.0 mg/L
18.6 mg/L
N/A
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 ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 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:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
3a-e 7 ----
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitorine Report
for North Carolina Division of Water Quality General Permit No. NCGO30000
Date submitted 5/11/2017
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr
LABORATORY Environment 1 Lab Cert. q 10 Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® MonthW April
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECE tt 1V ED ❑Zero -flow ❑Water Supply ❑SA
MAY 18 20i7 ®ocher t
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
❑ No discharge this period?2
oudall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Sows
pH,
Standard untts
Copper
Lead
Zinc
Nan -Polar O&G/
Total Petroleum
Hydrocarbons
total Toxk
Organks s
Benchmarks -- =>
-
-
100 mg/L or S0 mg/L'
6.0 — 9.0
0.W7 mg/L
&03 mg/L
0.061 nWL
15 mg/L
1 mg/L
5DO-1
04/Z4/17
1.41
24 mg/L
7.3
.020 mg/L
x" mg/L
.ZW mg/L
c5.0 mg/L
n/a.
SDO-2
04/24/17
L41
110 mg/L
7.0
.337 mg/L
.020 mg/L
.424 uWL
<5.0 nWL
n/a
Monthly sampling (instead of semi-annual) must begin,withthe second consecutive benchmark exceedance for the same parameter at the same outfall.
x For sampling periods with no discharge at any single,outfall, you must still submit this discharge monitoring report witli a checkmark here.
3 The total precipitation must be recorded using data'from anon -site rain gauge. Unattended sites maybe eligible for a waiver of the rain gauge requirement.-
' See General Permit, Table 3 identifying the especially sensitive receiving vvater classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which peifo`rm 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 requireinek 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
sotvent'management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
(Date) y
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, thpy must be reported in the format, '<XX m 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 ben6mark you must Implement Tier 1, Tier 4 or Tier 3 responses. See General Permit text.
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new all per month.
No discharge this period r'2
Outfall Na.
Date Sample
Collected'
(mo/dd/yr)
24-hoar rainfall
amount,
Indwns
Non -polar O&G/'TPH by
EPA 1664 (SGT-HEM]
Total Steed Solids
pH
Bendimarb -- =>
_
-
is mg/L
100 mg/L or So mg/L*
6.0 — 9.0 SU
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

Note: if you report a sample value In excess of the benchmark you must implement Tier 1, fler 2, or Tier 3 responses. See General Permit text
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER i REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt d the lab resuks for at end of monitoring neriod
in the case of No Dischartre" relrorts) 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 arqNignifj43nt penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations."
-
jDate)
Permit Date: 11/l/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

AA.
w►.wnwAw�
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: httnJ/po�l.ngdenr.org/web/lr/nudes-stormwaterl
Permit No.: or Certificate of Coverage No.:
Facility Name: Moen
County: Craven
Inspector: Jack Taylor
Date of Inspection: 4/24/17
Time of Inspection: 1125
Total Event Precipitation (inches): 1.41
Phone No. 252-638-3300
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.
y
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:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, last modified 7/31/2013

1. Outfall Description,
Outfall No. SDO-1 Structure (pipe, ditch, etc.): Overland flow
Receiving Stream: Quarry Pond
Describe the industrial activities that occur within the outfall drainage area: Parking
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light tan. clayish
3. Odor; Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): none
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 Q 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 0 4 5
7. is there any foam in the stormwater discharge?' Yes VSo
a. Is there an oil sheen in the stormwater discharge? Yes No
9. is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe: None Observed
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, Lest modified 7/31/2013

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: httn://portal,13cdenr.org f we ir/­nilde"5-stomiMMtg[l
Permit No.: WjC/Q/j/Q/Q/Q/Q/ or Certificate of Coverage No.: h/,jC/.G/,Q/3/Il/2j$/j,/
Facility Name: Moen
County: Craven Phone No. 252-638-3300.
Inspector: Jack Taylor
Date of Inspection: 4/24/17
Time of Inspection:1130
Total Event Precipitation (inches)- 1.41
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 niches 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:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. SDO-2 Structure, (pipe, ditch, etc.): Overland flow to drainage grate
Receiving Stream: Absorb into earth, run off towards US 70
Describe the industrial activities that occur within the outfall drainage area: Parking
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light gra
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): none
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 0 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 ® 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 ©o
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfail? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe: None Observed
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

Wgnopo TM ad
I
ID#a 537
MORN 8TOR10IAT8R (6HAHROCK)
ATT93 JACK TAYLOR
C/O t3HIMOCK-trill BERN DATE COLLECTED, 04/24/17
3205 BRUSH BLVD. D11TB RBPORTBD s 05/09/17
NEW BBRR ,NC 20560
F
RBVIZt48D BY
Stormwater Stormtrater Analysis Method
PARAA'iliMRS (91, Grab) (#I, Grab) Date Analyst Code
Total Sips mimed Residue, mgA
24
110
04/25/17
KAC
254OD-97
Copper, ag/l
20
337
05/01/11
LFJ
ZPA200.7
Lead, ug4
4
20
04/25/17
MTM
3113B.04
Zinc, uglt
210
424
05/01/17
LFJ
EPA200.7
TPH (16M, mg/l
<5
<3
04/27/17
SRI
EPA1664B

I•:ttvlt•imolvill.1.Inc. CRAIN OF CUSTODY .RE CORD
PO RiA,, 708�. 11-4 0alanoui. Dr. pa ge of
'euvixViituelithuc-coill
lfTSL111=c l l(.?
CHLORPiC W.UTRALI4MOATCOLLECTION
.. �
i
d, CHECK 08)
t'I.n?ti1: S37 Wei: to
KOEN STORMWATER (SHAMROCK)
I.1�'1:
P
IP
G
CONTAINER TYPE PC
,'ITN: JACK TAYLOR
CHEM CAL PRESERVATION
�IO SAA11IItOCK-NEW BERN
(�
1205 NEUSE BLVD.
A
C
Qw BI?RN NC Aw
0
N A • IV{11 T} • NAC>H
252y 63&2900
ui
$ - ItU, E • HCL
r
cc
e
C HrSQ, F - ZING AGETATEtN, 0Fl
w
olxa.EcTmry
0-
a
E
G - NA TIi*SMFATE
SAMPLE LOCATIQN
DATF
TIME
9to><mwater (#I, Grab)
Y
:�
3
CLASWICATION:
V#MnWATERl.WMS1
❑ Dr-MING WA1 ER
StmuWater (m Grab)
'
3
D4NGQ
SWD WASTE SECTiQN
CHAIN Or',US YODY (SEAL! MAWTAINE:D
DIJRING SIiIPM[--N1NELlW-IlY
t% N
SAWLESco f0ml3Y•
i Pkam F*1
4z41z'
SAMPLES RECEIVED IN LAB AT 7 L__ ,' C
R { (SAMPLEFtJ
DATSTW
RECE Q (SIG )
!IME
COIu�tEtdTS;
U B i
DATE=TIME
RECENER13Y;5tG.
DATETIME
HE fIJOVISHE BY (SIG,)
DA%TIME
RECEIVED BY (SIG,)
DATF-.TK
PLEASE READ Insh ticlions for a omplefing this corm w the ren4ose 5idp, Sampler must piac:e a "C° for composite sample of a "G" tot N U 33 6 �,10 5
VoRm ef; Gfall sample in Me bucks aWve for each parameter requested.

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 4/20/2-017
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr
LABORATORY No Discharge Lab Cert. # N A Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
RECEI %EDMPLE PERIOD ❑ Jan -June ❑ July -Dec
MAY 2 3 2017 or ® Monthly) March
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
CENTRAL FILES ❑Zero -flow ❑water Supply [:]SA
DWR SECTION ®Other C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
El No discharge this Period?iz
Outfall No.
Date Sample
1
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
Organicss
Benchmarks ==>
_
-
100 mg/L or 56 mg/L°
6.0 - 9.0
0.007 mg/L .
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
NA
SDO-2
NA
-
1 Monthly samoline (instead of semi-annual) must beein 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 maybe 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."
V_0Afn_m_ f
Name (Print name)
S 1S�
Title (Print titl
(Signature) (Date) 1
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 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.
pate Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non=p IaOi G/TPH by
EPA 1664 (SGT=HEM).
Total Suspended Solids
pH
Benchmarks =_>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 2 of.3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART If SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® No ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharae" reports within 30 days of receipts 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 toere are sWifpgnt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
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 2/16/2017
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr
LABORATORY No Discharge Lab Cert. # NJA Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
E^���� or ®MonthlylJanua
R GC I DING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
MAR 13 2017 ❑Zero -flow ❑Water Supply ❑SA
CENTRAL FILES ®Other C
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
® No discharge this period?'
Outfa[I:No
r 'y-r si -
Date Sample=
1. ,
Collected
(mo/dd/yr)'
rs
''• +"-
24hour rainfall
f .. A ;:.
amount
Inches3.'. r;
-..�ixwvrdt� �."t'PY.~"
`=a x-
Tgtat`Suspended Solids
Pa
:�" �' '-fie'
KPH; �`'
:. r:_ ..
; Standard units
S
g state
°fix .:
Copped
g
Leath
f `
a _
Zinc
,Hydrocarbons.
.
fig,
Narl pOlarOS[G�S
a_ . _y
Tutal'Petroleum ....
a; -- _
a?
Tvtal Toxic',
Organics s
Benchmarks—=>
- -
l00 mg/L or 50;mg/L
?�6i0 ' 9 00.007
mg/Lx
.. 0.03 mg/L
0.067. rr�gfL
15 mg/L
_ l mg/L,
S00-1
NA
SDO-2
NA
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. .
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11,-for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit_ For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TrO), 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)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Trer 2, or Tier 3 responses. See General Permit text.
s
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gat of new oil per month.
® No discharge this period?2
Date:Sample
24houriainfall
w r
-
outfall No
t ?!MA
s collectedl Wamourrt,
Norrpolar0&GH b�Y�,�=
.
b
Total5uspended Solids
H
`P x
s/.d_d%l►rj
EPA_ i6b4.(SGT- M�..,
y r
s
w
Ind�ies�
,
Benchmarks ->
`;1
15 t
Z. �'mg%'r �, �
100 ing/iL or'SO rrEgf L•
6 0 - 9 0
���
,�..
��
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 Z or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to: k
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
a- -n
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwa_t_er Discharge Monitoring Report,
for North Carolina Division of Water Quality General Permit No. NCGO30000
Date submitted 2/16/2017
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Ta or Jr
LABORATORY No Dlscharee Lab Cert. 810 Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
IR& EIVEDSAMPLE SAAMPPLE oo p Jane ❑ July-0ec
MAR 2 7 2017 or ® MonthW February
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
DWR�CFILES TION ®filow []Water Supply [:][:]SA`
PLEASE-REMEMBER TO SIGN ON PAGES 2 AND/0111.3 4
® No discharge this period?'
outfall No.
Date Sample
Collected
24fiour rainfallpH,
amount,
Inches
Total Suspended Solids
T
Standard units
Copper
Lead
Zinc
Non-Polar O&G/
Total Petroleum
Hydrocarbons
Total TOXIC
Organks s
BenrhnwrAs =>
-
-
100 mg/L or So mg/L`
"— 9.0
OA07 mg/L
OM mg/L
DA67 mg/L
15 mg/L
i mg/L
S1130-1
02/15/17
.82
40 mg/L
7.5
.025 mg/L
AN mg/L
.323 mg/L
<5.0 mg/L
n/a
SDO-2
02/iS/17
.82
73 mg/L
7.1
.119 mg/L
.008 mg/L
.245 mg/L
<S.O mg/L
n/a
i 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 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
stomnwater runoff has occurred since filing the last discliarge monitoring report. I further certify that this Witty is implementing the all the provisions of the
solvent management plan included in the 5totmwater Pollution Prevention Plan."
Name (Print name)
Title (Pri title)
�A
'3 _ao_�j
NIX
(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, then must be reported in the format, "<0 m V where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L
Now. # you report a sample value In exam of the bem*mark, you must Implement Tier 1, T1er 2, or 71er 3 responses. See General Permit text
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new all per month.
No discharge this period?z
Outfan No.
Date Sample
Collected'
(mo/dd/yr)
24 mur rainfall
amount,
Inches
Non -polar OSGPW by
EPA 16" (SGT-HEM)
Total Suspended Solids
PH
Berr *nwrh --a
_
-
1s mg/L
100 mg/L or 50 aWV
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: il/i/2012-10/3112017 SWU-245, last revised 10/25/2012 �
Page 2 of 3

NOW. 1f You report a sample value In excess of the benchmark you arrest implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
FOR PART A AND PART B MONITORING RESULTS:
+ A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION S.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK D(CEEDENCES 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 orfainal and one corny of this DMR lndudlna all '9Yo pLuh rrae" reports. within 30 days of recelpt of the lob results for at end of monitorina period
In the case of "No Dischome"' neporisl 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."
[Signature of
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

AkT,,.FWV
NCDE I�R
Stormwater Discharge Dutfall (SDO)
Qualitative Monitoring Report
Forguldonce on fllling out thisform, please visit: http: / IpOEMl.ncdennore jweb11r/Opdes-stormwater/
Permit No.: �/i/Q/,/Q/Q/�/Q/ or Certificate of Coverage No.: X/.C/jj/Q/3/Q/2/,l/1/
Facility Name: Moen
County: Craven Phone No. 252-638-3300
Inspector: Jack Taylor
Date of Inspection. 2/15/17
Time of Inspection:1145
Total Event Precipitation (inches): 0.82
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.
By this signature, ce jit t�at tju-kirepyrt i,�accurate and complete to the best of my knowledge:
(SignaturepfPerrhittee or
Pagel of 2
SWU•242. Last modified 7/31/2013

ti
1. Outfall Description:
Outfall No. SDO-1 Structure (pipe, ditch, etc.): Overland flow
Receiving Stream: Quarry Pond
Describe the industrial activities that occur within the outfall drainage area: Parking
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light tan. clayish
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): none
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 Q 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 Q 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
B. Is there an oil sheen in the stormwater discharge? Yes
No
9. Is there evidence of erosion or deposition at the outfall?
Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe: None Observed
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 7/31/2013
Page 2 of 2

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguldance on fllling out this form, please visit: http:j j rtil.nc enr.org/web/web jlrjnpdcs-stormwater!
Permit No.: or Certificate of Coverage No.:
Facility Name: Moen
County: Craven Phone No. 252-638-3300
Inspector: Jack Taylor
Date of Inspection: 2/15/17
Time of Inspection:1155
Total Event Precipitation (inches): 0.82
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 per 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
of
is accurate and complete to the best of my knowledge:
SWU-242, Last modified 7/31/2013
Page) of 2

s
I. OudWI Description:
Outfall No. SDO-2 Structure (pipe, ditch, etc.): Overland flow to drainage grate
Receiving Stream: Absorb into earth, run off towards US 70
Describe the industrial activities that occur within the outfall drainage area: Parking
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light gray
3. Odor: Describe any distinct odors that the discharge may have (Le., smells strongly of oil,
weak chlorine odor, etc.): none
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 Is very cloudy:
1 2 O 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 03 , 4 5
G. 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 a3 4 5
7. is there any foam In the stormwater discharge? Yes Y�o
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe: None Observed
Note: Low clarity, high solids, and/or the presence of foam, nil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
SM-242, last modified 7/31/2013
Page 2 of 2

Egowghmsm 1, hmmmUdo
ID#1 537
XOBB STORKNATBR (BRAMROCK)
ATTN i JACK TAYLOR
C/O BRIMROCK-HEN BBRN DATE COLLECTED$ 02/15/17
3205 HOUSE BLVD. DATE RBPORTBD 1 03/14/17
MEN BSRK .NC 20560
y
REVtBNED BY1
Stormrrater
Stormwater
Analysis
Method
PARAMETERS
(#I, Grab)
(#2, Grab)
Date
Analyst
Code
Total Suspended Residue, mgn
40
73
02/16/17
MAR
2540D-97
Copper, ugA
25
119
03W17
LFJ
EPA200.7
Lead, ugll
3
8
03/09/17
MTM
3113E-04
Zinc, ugA
323
245
03/(W17
LFJ
EPA200.7
TPH (1664B), RO
<S
<S
02/21/17
SEd
EPA1664B

Eiaviro►unent 1, xne.. CHAIN OF C: USTOD Y 'REC:ORD
--t-
0SAIC& PRESERVATION
m�ec
DWWW
SOUIDWASTESEaJON
CHAIN 01"CU'STODY (SEAL) MAINTAINED
DURING SHIPMENTMELIVERY
,
Nat B.",
vrr -
W
W/921M.&Wwal
PLEASE READ Instructions for completing tfiis torm on the "erne sine. Sampler must place a `C" for composite sample or a:'T for N° 331803
,
Forik .; -- -- - - Grab sample in the bk,(Is above for each parameter requested.

Semi-annual Stormwater Discharge Monitoring Report
l for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 12/29/2016
CERTIFICATE OF COVERAGE NO. NCG030061 pC��++ I
FACILITY NAME Moen RECEIVED
COUNTY Craven n �,
PERSON COLLECTING SAMPLES Jack H Taylor Jr JAN {
LABORATORY No Discharge Lab Cert. # WA Comments on sampf3ENTRAL FILES
collection or analysis: DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' November
DISCHARGING TO CLASS []ORW ❑HQW []Trout ❑PNA
[]Zero -flow ❑Water Supply ❑SA
®Other C
PkEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
F14A,Oa4ischarge this period:
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
nc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organlcss
Benchmarks ==>
_
-
200 mg/L or 50 mg/O
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
NA
j
SDO-2
NA
1 Monthly sampling (instead of semi-annual) must begin witli 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 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)
s
Title (Print ti
-�a-1
1�&_
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, cPQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "clot mg/LA, 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 all per. month:
❑ No discharge this period?'
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 Ge*ral 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
.1� -..i-
FOR PAR-fA AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case o "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 toat ther"re 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
o-
(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 11/9/2016
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr
LABORATORY No Discharge Lab Cert. # N/A Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
NOV 21 Z016
CENTRAL FILES
SAMPLE COLLECTION YEAR 2016 DWR SECTION
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' October
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow []Water Supply ❑SA
®Other C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
® No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Total Suspended Solids
pH,
Standard units
Copper
'
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks =__>
_
- ,
100 mg/L or 50 mg/L'
6.0 — 9.0
0.607 mg/L
0..03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
SDO-2
' 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.
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 (vent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
maybe waged. The solvent anagemeni plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities a ecting to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Backed upon my inquir
(TrQ), I certify that to 1
sto6water runoff has
5oh ent management E
Note: Results must be repot
format. Wen results are be
limit, reporting limit, etc. in i
Nate: If yqu report a
Part B:
f the persoI or persons directly responsible for managing compliance with the permit monitoring requdrement for total toxic organics
best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
�urred smcfiling the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
included is the Stormwater Pollution Prevention Plan."
Name (Print name)
5azi
Title (Print 'de)
okkp
-
(Signatur (Date)
in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
the applicable limits, they must be reported in the format, "<)X mell", where XX is the numerical value of the detection
value in excess of the benchmark, you must implement Tier 1, Trer 2, or Tier 3 responses. See General Permit text.
ce Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
I� No discharge this veriod?z
.�
�`s` f".i43
Outfa[t'IM
•'S
P p
i
mil. lY".A.JtA
e Sample' I
Collectedl
!!•��, i - _i
24-#Our ra�nfaii�l
;amoUrit, . IF,a i
SFr IAI F 1 i ';
nd�es3i : e, s •
- '1�41
} ,� s r1j i
MOn-polarrOBrG/1PH brl
1r� Pi�U : L'".. I -- U .r.r
is' EPA fG4`(Sfai-HEM)"
j'
c�������� n J,
rt k" 16tal 5uspend�-Solids;:
i ' 75 1� t,. _ _ . �i [ aE m
�. pH.
Mir
Benchmaiks
i
_. .
6.0-9:0 SU
f
Footnotes �om Part A also
` See General Permit text, Tab
to this Part B
the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date 11/1/2012-10/31/0017 { SWU-245, last revised 10/25/2012
•- ` i I j I Page 2 of 3

Note: If you report a sample valve in excess of the benchmark, you must implement Tier 1, Trer 2, or Ter 3 responses. See General Permit text.
FOR PART AAND PART 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.
r TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ®NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and one copy of this DMR, including all "No Discha e" reports, within 30 days of receipt of the lab results for at end of monitoring dod
in the case o "No Discha 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:
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 properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Signature of
(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 11/9/2016
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr
LABORATORY No Discharge Lab Cert. # NJA Comments on sample
collection or analysis:
Part A. Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Z016
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' September
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flaw ❑Water Supply ❑SA
R eEIVED ®OtherC
NOV 2 1 2016 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWR SECTION
® No discharge this period?'
Outfall No.
Date Sample
Collected,
(mo/dd/yrj
24fiour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non-Polar O&G/
Total Petroleum
Hydrocarbons
Tots! Toxic
Organics
Benchmarks
100 mg/L or SO mg/O
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 nWL
IS mg/L
1 mg/L
SDO-1
SDO-2
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)
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 mglV, 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.
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 ing/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
s Page 2 of 3

Note: If you report a sample value in excess of the benchmarly you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
FOR PART A AND PART B MONITORING RESULTS: I .
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports within 30 days of receipt of the lob 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
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
(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 11/9/2016
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Jack H Taylor Jr REC E f VEO
LABORATORY No Discharge Lab Cert. # NLA Comments on sample
collection or analysis: NOV 2 1 2016
rgh : RAL FILES
DWR SECTION!
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly; August
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
❑Zero -flaw ❑Water Supply ❑SA
®Other C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
® No discharge this period?'
Outfall No.
Date Sample
Collected1
(mo/dd/yr)
24-hour rainfall
amount,
Inchee
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
s
Organic
Benchmarks =__>
-
-
1W mg/L or 50 mg/V
6.0 — 9.0
OA07 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
SOO-2
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
x 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

Facilities that incorporate a solvent management plant 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. 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)
4A l-koAQ
(Signature _6 (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.'<U 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 Perm it text
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O✓IiG/TPH by
EPA 1fi64 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
fi.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 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 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
* TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports. within 30 dabs 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:
"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 sigTifica/It penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
{Signature of
l_ —
(Date)
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3of3

Semi-annual Stormwater Dis::.rarge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG(
Date submitted
CERTIFICATE OF COVERAGE NO. NCG03 d o (. 3
FACILITY NAME (E _ M boLyw=,
COUNTY
PERSON COLLECTING SAMPLES '14A
LABORATORYMewiiec -Elsa Lab Cert. # 1(.,5- ^�
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 6'1 'I
SAMPLE PERIOD ❑ Jan -June❑ July-5eOft
or® Montlilyl � onth
DISCHARGING TO CLASS%❑ORW FIHQW r ❑PNA
❑Zero -flow ❑Water u 5A
❑Other - -
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period:?
Outfall No.
Date Sample
1
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
�
Total Suspended Solids
� pH,
Standard units
:;
Copper
� �
Lead
Zinc
Non -Polar O&G/
Total Petroleum
HydracarEions
Total Toxic
Organics
Benchmarks = =>
_
-
100 mg/L or 50 mg/0
6.0 - 9.0
0.007. mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
�o
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 anon -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 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may bq 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 filingthe last discharge monitoring report. i further certify that this facili l g g p fy ty is implementing the a!1 the provisions of the
solvent management plan included in the 5tormwater Pollution Prevention Plan." j
i
Name (Print name)
Title (Print title)
lie 1
(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 I '
format. When.results are below the applicable limits, they must be reported in the format, "_<XX me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier-2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?2
Date'Sample 24-hour rainfall _
Outfall No i tNon-poarO&G/TPH by:Cllectedamoun
pH'
. . "HMTotal.-Suspended Solids:: 3::(mo/dd/yr) 'nches EPA 1664 (SGE) `
Benchmarks'==-� -. - ' 15�mg/L ;100. mg/L.or 50 mg/L*: , � � 6.0 --.9.0.5U
i
,i
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,.M41-1/2012-10/31/2017 5WU-245, last revised 10/2012
Page 2 of 3.

Note: If yoi...-_part a sample value in excess of the benchmark, you must implei.... it 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 it 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 ATANY ONE OUTFALL? YES © NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑
REGIONAL OFFICE CONTACT NAME: T)WO_C nbml Fit"
Mail an original and one copy o fthis DMR, including all "'No Discharge" reports, within 30 days of receipt of the tab results for at end of monitoring period
in the case of "No Dischar e" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant pen (ties for suKnitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) { at
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Daily Weather History & Observations
2016 Temp. VFi Dew Point I'M Humidity I%) sea Level Press. lin) Viisihility (mi) Wmd {mph) Precip. [in) Events
Aug high avg low high avg low high avg low high avg law high avg low high avg high star
1 89 80 71 74 72 69 94 82 55 3011 30.06 29.99 10 10 10 13 5 - 02.2 Raiff . Thunderstorm
2
89
80
73
75
73
71
96
84
65
30.07
30.02
29.95
10
10
10
12
4
- 0.10 Rain . Thunderstorm
3
82
77
73
72
71
68
96
86
69
30.09
30.04
29.99
10
10
10
10
4
16 0.00 Rain
4
84
78
71
71
69
66
87
76
61
30.12
30.07
30.03
10
10
10
9
6
- 0.00
5
86
78
73
76
73
72
100
90
67
30.06
30.00
29.92
10
9
2
9
3
0.91
Rain. Thunderstorm
6
91
82
73
75
73
69
100
83
48
29.95
29.89
29.81
10
10
10
10
3
0.00
7
86
80
73
73
71
66
97
81
58
29.98
29.92
29.84
10
10
10
14
7
22
0.11
Rain. Thunderstorm
8
82
76
71
74
71
68
94
83
74
30.09
30.02
29.97
10
10
2
14
4
21
0.06
Rain
9
88
80
73
75
73
71
97
84
59
30.18
30.12
30.07
10
10
4
9
3
-
0.09
Rain
10
90
80
69
75
72
69
100
83
53
30.25
30.20
30.15
10
9
2
9
2
-
0.00
11
75
72
70
74
71
69
100
95
90
30.18
3037
30.16
10
9
2
4
O
-
0.00
12
91
82
73
75
74
72
96
75
55
30.09
30.03
29.95
10
10
10
12
3
-
0.00
13
91
83
75
75
74
73
94
74
54
30.04
30.01
29.97
10
10
10
12
5
0.00
14
95
84
75
76
74
71
91
71
47
30.15
30.08
30.04
10
10
10
12
5
16
0.00
Thunderstorm
15
95
83
73
75
73
70
94
73
46
30.19
30-16
3012
10
10
10
10
3
-
0.00
Thunderstorm
16
93
84
75
74
73
71
94
72
49
3023
30.18
3051
10
10
10
10
4
-
0.00
17
95
84
75
75
72
68
90
71
49
30.17
30.12
30.05
10
10
10
12
6
22
0.00
Thunderstorm
18
91
82
73
74
71
67
100
72
47
30.10
30.06
30.00
10
10
10
12
3
-
0.00
19
89
82
75
75
72
70
100
78
55
30.02
29.97
29.91
10
10
10
9
5
-
0.01
Rain

20
90
80
71
74
72
68
100
79
50
29.96
29.99
29.82
10
10
2
8
2
21
0.16
Rain. Thunderstorm
21
93
82
73
76
73
69
100
89
52
29.97
29-87
29.81
10
8
2
15
4
32
0.17
Rain . Thunderstorm
22
84
74
63
66
61
54
100
67
35
3020
30.10
29.99
10
10
10
14
5
-
0,00
23
88
74
62
65
62
59
100
69
39
3030
3026
3020
m
10
10
9
2
-
0.00
24
84
74
63
67
65
63
100
77
48
30.32-
30.25
30.18
10
10
9
8
1
0.00
25
93
78
66
73
69
65
97
73
48
30.19
30-12
30.06
10
10
10
9
2
0.00
26
97
84
71
75
71
68
97
69
40
30.09
30-06
30.02
10
10
10
9
3
0.00
27
97
84
73
75
T3
71
100
81
44
30.14
30JO
30.06
10
8
2
17
4
24
0.22
Rain, Thunderstorm
28
89
79
70
73
68
64
97
73
45
30-22
30.15
30.10
10
10
9
13
4
18
0.00
29
88
78
68
70
66
61
100
71
44
30.16
30.12
30.08
10
10
9
10
4
0.00
30
91
78
66
70
67
64
100
72
42
30.13
30.07
29.99
10
10
10
10
2
0.00
31
93
80
68
71
69
66
100
73
44
30,02
29.96
29.88
10
10
8
8
2
OAO

CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Nicholas W. Murphrey
LABORATORY Pace Analytical Lab Cert. q 12 Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality Genera! Permit No. NCG0300qp47
Date submitted 7 29 16
R - 2015
11
une ❑ July -Dec
thly July (month)
SAMPLE COLLECTIOP
SAMPLE PERIOD ❑
l or
'DISCHARGING Tdb
RECEIVED
AUG 19 2m
❑ORW ❑HQW ❑Trout ❑PNK
❑2ero-flow ❑Water Supply ❑SA
®Other -C
CENTRAL, FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH'
Standard
units
Copper
Lead
Zinc
Non -Polar
OAGJ 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
0.061 mg/L
15 mg/L
i mg/L
SDO-1
7/19/16
Est 0.90
348 mg/L
7.5
0.313 mg/L
0.0268 mg/L
0.362 mg/L
<5.0 mg/L
n/a
SDO-2
7/19/16
Est 0.90
10.8 mg/L
7.0
0.0354 mg/L
0.0055 mg/L
ND
<5.0 mg/L
n/a
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
x 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 identifyingthe 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 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."
[L
Name (Print name)
Title (Print title) Q
(signatu ) (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, Ter 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of newoil per month.
❑ No discharge -this period?z
Outfall No.
Date Sample
Collected
(mo/dd/yr) -
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by.
EPA 16" (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.
r
f Pesmit 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 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 It 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 EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this, DMR, including all "No Discharge" reports, within 30 days of receipt of the lab 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:
"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
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 7 9 16
CERTIFICATE OF COVERAGE NO. NCG030061 SAMPLE COLLECTION YEAR - 2016
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Craven or ® Monthly' June (month]
PERSON COLLECTING SAMPLES NA RECEO 420GING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY NA Lab Cert. NA Comments on sample collection or r,,, ®Zero-flo❑Ow [:]Water Supply ❑SA
analysis: AUG 02 1c:,n the4�
-
Part A., Stormwater Benchmarks and Monitoring Results
CENTRAL FILES
DV1R SECTION PLEAkE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No discharge this period?2
Outfall No.
Date Sample
Collected"amount,
(mo/dd/yr)
24-hour rainfall
inches3
Total Suspended Solids
pH'
Standard
units
Copper
Lead
Zinc
No
08cn- Total
Petroleum
Hydrocarbons
Total Toxic
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
-SD0-1
No Flow
n/a
SDO-2
No Flow
n/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 ouilfall, 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 EP10
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 ra
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
maybe 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
(770), 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."
Name (Print name)
Title (Print t' le l [
(Signatur (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format,*<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period??
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total'Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L'
6.0 — 9.0 Su
Footnotes from Part A also apply to this Part B
' See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2.EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy otthis DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results jor of end of monitoring period_
in the case of "No Discharge"_re-ortsl 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 tj ere are�signijicant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Signature of
1' ZS • l�v
(Date)
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

... .....wa.v.. .. u.u...u... wu...0 ....uu.� .... Nv.. �.w .. ..�.avu..f uu.0 .vu.v.m
Station: KEWN - Craven County Airport Date of first observation: October 1, 1997
Station type: ASOS - Standard
City, State: New Bern, NC County: Craven County
Latitude: 35.07297220 Longitude:-77.04294440
Elevation: 18 feet above sea level
Climate division: NC07 - Central.Coastal Plain -
River basin: Lower Nauss
Supported by: NOAA National Weather Service
This page is created dynamically and should not be bookmarked. Instead, bookmark the DAW preceeding this.
Retrieving hourly data from Craven County Airport for past 9 day(s)
31 observations for this period of record (93.9% data available; 2 missing records)
If you need more historical data from a larger period of record, please contact us for assistance
Q Date/Time of ob
Hourly Precipitation
(Eastern Standard Time)
at Zm (in)
06/15/2016 00:54 H
06/15/2016 01:54 H
06/15/2016 02:54 H
O6/15/2016 03:54 H
0.0001QCO
06/15/2016 04:54 H
06/15/2016 05:54
06/15/2016 06:54 H
06/15/2016 07:54 H
06/15/2016 08:54 H
06/15/2016 09:54 H
06/15/2016 10:54 H
06/15/2016 11:54 H
06/15/2016 12:54 H
06/15/2016 13:54 H
06/15/2016 14:54 H
06/15/2016 15:54 H
06/15/2016 16:54 H
06/15/2016 17:54 H
06/15/2016 18:54 H
06/15/2016 19:54 H
06/15/2016.20:54 H
06/15/2016 21:54 H
06/15/2016 22:54 H
06/15/2016 23:54 H
0.0001QC°
06/16/2016 00:54 H
06/16/2016 01:54 H

.. ............� a�u.uvu..v..,. u. vu ..s uuy .... �.v.. �. �.. .. ..� ..vw.� ..uw .v.........
06/16/2016 02:54 H
0.0001QCO
06/16/2016 03:54K
0.124C°
06/16/2016 04:54 "
0.02Qca
06/16/2016 05:54 "
06/16/2016 06:54 "
!Sum
0.14
Average llh.F a� , ; 1'
0
Mean (max+m(n)/z
0.1
'High
0.1
Low
0 .
Quality
Control flags
that may appear above
QCTBD
0
Not yet quality checked
QCO
5
QC Score indicates good data
QC1
0
QC Score indicates likely good data
QC2
0
QC Score indicates likely bad data .
QC3
0
QC Score indicates bad data
NC CRONOS Database ye_oion 2.7.2
Query script last modified Apr 07, 2014 13:01:47
Page expelled in 0.061 secs.

Station: KEWN - Craven County Airport Date of first observation: October 1, 1997
Station type: ASOS - Standard
City, State: New Bern, NC County: Craven County
Latitude: 35,0729722° Longitude:-77.04294440
Elevation: 18 feet above sea level
Climate division: NC07 - Central Coastal Plain
River basin: Lower Neuse
Supported by: NOAA National Weather Service
This page is created dynamically and should not be bookmarked. Instead, bookmark the p= proceeding this.
Retrieving hourly data from Craven County Airport for past 1 day(s)
31 observations for this period of record (93.9% data available; 2 missing records)
If you need more historical data from a larger period of record, please contact us for assistance
oLJ
© Date/Time of ob
Hourly Precipitation
(Eastern Standard Time)
at Zm (in)
06/28/2016 00:54 "
06/28/2016 01:54 "
06/28/2016 02:54 "
06/28/2016 03:54 "
06/28/2016 04:54 "
06/28/2016 05:54 "
06/28/2016 06:54 "
06/28/2016 07:54 "
06/28/2016 08:54 "
06/28/2016 09:54 "
06/28/2016 10:54 "
06/28/2016 11:54 "
06/28/2016 12:54 "
06/28/2016 13:54 H
0,0001QCo
06/28/2016 14:54 "
0.0001QC°
06/28/2016 15:54 "
0.0001QCO
06/28/2016 16:54 "
0.08QC0 .
06/28/2016 17:54 "
0.03QC°
06/28/2016 18:54 "
0.0001QC°
06/28/2016 19:54 "
0.0001QC°
06/28/2016 20:54 "
0.0001QCa
06/28/2016 21:54 "
06/28/2016 22:54 "
06/28/2016 23:54 "
06/29/2016 00:54 "
0.02QC°
06/29/2016 01:54 "
0.0001QCO

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06/29/2016 02:54 H
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06/29/2016 04:54 "
06/29/2016 05:54 H
06/29/2016 06:54. H
Sum
0.13
Average i/n,F aj_
0
Mean (maxfmrn)/z
0
High s
0.1
.
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0
Quality Control flags that may appear above
QCTBD
0
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QC0
10
QC Score indicates good data
QC1
0
QC Score indicates likely good data
QC2
0
QC Score indicates likely bad data
QC3
0
QC Score Indicates bad data
NC CRONOS Database version 2.7.2
Query script last modified Apr 07, 2014 13:01:47
Page expelled in 0.060 secs.

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 6 3 16
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES NA
LABORATORY NA Lab Cert. NA Comments on sample collection or
analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR - 2016
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
CC� ��aa _ �/ or ® Monthly' May (month)
RECEI VE@ARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
JUN 3 0 Z016 ®Zero -flow ❑Water Supply ❑SA
❑Other -C
CENTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches;
Total Suspended Solids
pH'
Standard
units
Copper
Lead
Zinc
Non -Polar
O&G/ Total
Petroleum
Hydrocarbons
Total Toxic
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
SDO-1
No Flow
n/a
SDO-2
No Flow
n/a
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfali.
z For sampling periods with no discharge at any single outfali, 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
(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."
Name (Print name)
Title (Print ti le
(Signature) (Date)
Note: Results must be reported in numerical format. Do not resort Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX ma/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?
Outfaq 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
1S mg/L
100 mg/L or SO mg/L*
6.0 — 9.0 SU
4
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
10

u
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.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT 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 coon of this DMR. includina all "No Dischorae" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of 'No Discharge" reports)
Division of Water Quality t a
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 thgre are sigpificA penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(0
( 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 S 11 16
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Nicholas Murphrey_
LABORATORY Pace Analytical Lab Cert. ## 12 Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR - 2016
SAMPLE PERIOD ❑ Jan June ❑ July -Dec
or ® Monthly) April (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
flc ❑Water supply ❑sA
RECEIVED Mother
JUN a 8 Z010 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWR SECTION
❑ No discharge this period?'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Total Suspended Solids
pH'
Standard
units
Copper
Lead
Zinc
Non -Polar
O&G/ Total
Petroleum
Hydrocarbons
Total Toxic
Organics$
Benchmarks =>
-
-
100 mg/L or 50 mg/O
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
4/28/16
Est. 0.30
151 mg/L
7.8
0.138 mg/L
0.0109 mg/L
0.227 mg/L
<5.0 mg/L
N/A
SDO-2
4/28/16
Est. 0.30
106 mg/L
6.6
0.0626 mg/L
0.0136 mg/L
0.116 mg/L
<5.0 mg/L
N/A
ZMonthly sampling (instead of semi-annual) must begin with the secon&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 withla(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.
5 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 samptl6 for,inetal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.i2; 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
(TrO), 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)
,q
&� L� i CkSL I
C�
��—r��
Title (Print t' to
(Signatur
(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, a<XX mpjC where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or rer 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?1
Dutfall 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 Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• &BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge reportss within 30 days ofreceipt a the lab results (or at end of monitoring period
in the case o "No Discharge reQortsl 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 *nifKant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Date: 11/1/2012-10/31/2017
S-NI-�o
(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 4 13 16
2�t6
CERTIFICATE OF COVERAGE NO. 30001 SAMPLE OLLE"12�0
AN 2 U
FACILITY NAME Moen SAMPLE PERIOD '.July -Dec DN1R SECTION
COUNTY Craven . or ® Monthly' fi11nk-liiTION PROCESS?�`at�)
PERSON COLLECTING SAMPLES Nicholas Murphrev DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
LABORATORY Pace Analytical Lab Cert. # 12 Comments on sample ®Zero -flow ❑Water Supply [:]SA
collection or analysis: []Other -C
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH'
Standard
units
Copper
Lead
Zinc
Non -Polar
O&G/ Total
Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks
_
-
100 mg/L or 50 mg/O
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
N/A
No flow
N/A
N/A
N/A
N/A
N/A
N/A
N/A
SDO-2
N/A
No flow
N/A
N/A
N/A
N/A
N/A
N/A
N/A
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2For 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 requirerYient 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), 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."
Name (Print name)
Title (Prir}rtitle)
+Iq4V
(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 mz1V 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, Tier 2, or Tier 3 responses. See General Permit text
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar OSG/TPH by
EPA 1664 (SGT HEM)
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.
Pernfic-Datgi 1/1/2012-10/31/2017
7
SWU-245, last revised 10/25/2012
Page 2 of 3

Note. - If yQx;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 EXCE£DANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS_ SEE PERMIT PART 11 SECTION B_
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an a ainal and one coov of this DMR. includina all "No Discharae" reoorts. within 30 days of receipt of the lab results for at end of monitorina oeriod
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 person irectly respo sible fo athering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware jh#toere are signicant Ife alties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
_t
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

1W
Semi-annual Sto_rmwater Discharge Monitoring Report
` for North Carolina Division of Water Quality General Permit No. NCG030000�
Date submitted 3 3 16
CERTIFICATE OF COVERAGE NO. NCG030061
SAMPLE COLLECTION YEAR - 2016
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Craven or ® Monthlyl February (monfff}�"
PERSON COLLECTING SAMPLES Nicholas W. Murphrev DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
LABORATORY Pace Analytical Lab Cert. # 12 Comments on sample RECEIVED ❑Zero -flow ❑Water Supply ❑SA
collection or analysis: ®Other -C
MAR 2 8 2016
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION
❑ No discharge this period?z
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
s
Organics
Benchmarks ===>
-
-
200 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
1S mg/L
i mg/L
SDO-1
No Flow
n/a
SD0-2
No Flow
n/a
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."
Na erint name)
Title (Pr' t title) C
[Si (Date)
Note: Results must be reported in numerical format. Do not r"ort Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/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 Trer 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.
El No discharge this period?z
Outfall No.
Date Sample
Collected"
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ==>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
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-A/1/2012-10/31/2017
SWU-245, last revised-10/25/2012
Page 2 of 3
i

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 It SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coov of this DMR. incdudina all 'No Dischame" 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 perso s 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 tat there are,,signjl icant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
�1
(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
l'for North Carolina Division of Water Quality General Permit No. NCG030000
ate.
Date submitted 12 30 15
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Nicholas W. Murphrey
LABORATORY Pace Ana"cal Lab Cert. # 12 Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR - 2015
SAMPLE PERIOD ❑ Jan June ❑ July -Dec
or ® Monthlyl December (month
I tIGING TO CLASS ❑ORW ❑HQW [-]Trout�PNA
RECE❑Zero-flow ❑Water Supply ❑SA
JAN 2 0 Z016 ®Other -C
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
❑ No discharge this period?z
Outfall No.
Date Sample
1
Collected
(mo/dd/yr)
24hour rainfall
amount,
Inches3
Total -Suspended Solids
H'
5tandardr =
units
. . eCapper f
:Lead .°
w
a,Zinc;.
Nan -Polar
0&G/Total
Petroleum
;Hydrocarbons
Total Toxic
Organics;
Benchmarks ==>
_
-
l00 mgJ! or 50'mg/L .
6:0;— 9 0 `.
0: 7 mgJL .
0.0 mg/L
A067'mg/L.
15 mg/L
i mg/L
SDO-1
12/22/25
Est 0.20
894 mg/L
7.5
0.819 mg/L
0.05" mg/L
1.93 mg/L
<5.0 mg/L
n/a
SDO-2
12/22/15
Est 0.20
83 mg/L
7.3
0.0414 mg/L
0.0055 mg/L
0.343 mg/L
<5.0 mg/L
n/a
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived_ The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
sc �Q<<
Title (Print tile) N
(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 rer.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?-7
Date Sample 24-hour rainfall'
OutfaEl No. Collectedi amount, Non -polar o&G/TPH by
3 Total Suspended solids pH
(mo/dd/yr) Inches #rPA 1554 (5GT ITEM) .
Benchmarks 15".mg/L" IDO mg/L or 50 mg/!6:0 - 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 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 original and one copy ofthis DMlly induding 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" reportsl 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 therg4are sig*lcan4penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Date:11/1/2012-10/31/2017
)"S-[1V
(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 12 11 15
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Nicholas W._Murphrey
LABORATORY Pace Anal3dical Lab Cert. # 12 Comments oWse ei VEC)
collection or analysis: G _ .
DwsEcnoN rat FILZS
R
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR - 2015
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' November (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other -C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?z
Outfall N°'
Date Sample
Collected'
(mo/dd/yr)
24-four rainfall
amount,
Inches'
Total Suspended Solids
pH'
Standard
units
Copper
Lead
Zinc
Non -Polar
O&G/ Total
Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
5DO-1
11/19/15
Est 0.35
38.4 mg/L
7.9
0.282 mg/L
<0.0025
mg/L
0.0912 mg/L
<5.0 mg/L
n/a
SDO-2
11/19/15
Est 0.35
6.6 mg/L
6.5
0.0228 mg/L
0.0149 mg/L
0.185 mg/L
<S.0 mg/L
n/a
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 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. Foi 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."
At, EcLA-:jk_C
Name (Print name) c
V
Title (Print ti e}
(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, a<XX mg/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 I, Tier 2, or rer 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,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM}
Total suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2of3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copy of DMR including all "No Discharge" resorts within 30 doys of receipt of the lab results Lor at end of monitorina period
in the case of "No Dischome"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 tha}Rhere arq sig4ficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
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 11 6 15
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES NA
LABORATORY NA Lab Cert. NA Comments on sample collection or
analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR - Z62S
SAMPLE PERIOD ❑ Jan June ❑ July -Dec r�
or ® Monthly' October (montJh �7
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PN
EZero-flow ❑Water Supply ❑S
RECEIVED ❑Other-C
NOV 12 2015 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 VC
CENTRAL FILES
DWR SECTION
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
OAG/ Total
Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks =>
_
-
100 mg/L or 50 mg/O
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
No Flow
n/a
SD0-2
No Flow
n/a
' Monthly sampling (instead of semi-annual) must begin with the -second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be -waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certificatio n. 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)
m tab SDe ct �4�-s's
Title (Pri t title)
(Si pat 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, theV 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 1, 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?z
Outfall Na.
Date Sample
collected"
(mo/dd/yr)
2"ourrainfall
amount,
3
Inches
Non -polar O&G/TPH by
IPA 1664 (SGT-HEM)
'Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 5o mg/L'
6.0 — 9.0SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all No Discharge" re-Orts, within 30 days of receipt of the lob results jar at end of period
in the case of No Dischme" 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 Viere are signifigant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
i (gr
(Date) ��!! iii
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

ti
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 10 16 15
CERTIFICATE OF COVERAGE NO. NC6030061 SAMPLE COLLECTION YEAR - 2015
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Craven or ® Monthly' September (month
PERSON COLLECTING SAMPLES Nicholas W. Murphrey � I DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
LABORATORY Pace_ Analytical Lab Cert. # 12 Comments on sam�``i v® ❑Zero -flow ❑Water Supply [:]SA
collection or analysis: NOV 12 2015 ®Other -C
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
❑ No discharge this period?'
OutFaIl No.
Date Sample
1
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
•Total 5uspended,Solids
PH'. .
Standard
' =
units
Copper •
:._ Lead
Zinc
Non -Polar
O&G/ Total
Petroleum
Hydrocarbons
Total Toxic
s
Organics
Benchmarks =�
_
_
; 100, mg/L or 51) mg/L`
6 0 — 9.0 `
_0.007 ing/L
0.03 mg/L
0.067' mg/L
15 mg/L
1 mg/L
SDO-1
9/25/15
Est OAS
38.S mg/L
7.7
0.144 mg/L
<0.0025
mg/L
0.246 mg/L
<5.0 mg/L
n/a
SDO-2
9/25115
Est 0.45
4.6 mg/L
6.2
0.0391 mg/L
0.0136 mg/L
0.107 mg/L
<S.0 mg/L
n/a
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 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.
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
NY,

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
Inay b�t-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)
bf iL_\t?
K
(Pr' t title}
a zo- s
( ign 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, "<XX mKIC where XX is the numerical value of the detection
limit, reporting limif, etc. in mg/L.
Note. If you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Ogtfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
a
Inches
Nort-polarO&G/TPH.by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH.
Benchmarks ==-->
_
-
15 mg/L
100 mg/L or 50 mg/L"
6.0 - 9.0 SU.
Footnotes from Part A also apply to this Part B
' See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Trer 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 Il SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case o "No Discha e" reits 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
thote 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 thereXre significAr t pebalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
(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 9 9 15
CERTIFICATE OF COVERAGE NO. NCG030061 SAMPLE COLLECTION YEAR - 2015 COD
FACILITY NAME Moen ®fzf'+i���i ��UMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Craven RECEIVE V or ® Monthly' August (month) "a
PERSON COLLECTING SAMPLES Nicholas W. Mur hr OCT 15 2015 DISCHARGING TO CLASS ❑ORW ❑HCtW []Trout ❑PNA w4
LABORATORY Pace Analytical Lab Cert. # 12 Comments on sampe❑Ze►o-flow ❑Water Supply ❑SA
ENT�� FILES ®Other -C
collection or analysis: DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3
❑ 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
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
SDO-1
8/25/15
Est 0.10
Not sampled
Not Sampled
Not Sampled
Not Sampled
Not Sampled
Not Sampled
Not
Sampled_
S130-2
8/25/1S
Est 0.10
238 mg/L
8.55
0.0417 mg/L
0.006 mg/L
0.162 mg/L
<5.0 mg/L
n/a
' 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 (far 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
r.•
maybe 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 (Pri
(5ignatu
9,22- ' 15
(Date)
Note: Results must be reported in numerical format. Do not report Belo*petection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L". where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal. of new oil per month.
❑ No discharge this period?'
outfall No.
Date Sample
Collected)
Imo/dd/yr)
24-hour rainfall
amount,
Inches.'
Non -polar OBEG/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks -- =s
-
-
15 mg/L
100 mgf L or SO mg/t"
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 Z or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IZI
IF YES, HAVE YOU CONTACTED THE D. Q REGIONAL OFFICE? YES I NO ❑
REGIONAL OFFICE CONTACT NAME:1)6-410
Mail an orirlinal and one copy of this DMR�includin all "'No DischaMe" resorts, within 30 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:
"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 4mre are signific4nt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
-22-LI
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/2S/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report RMC ivr=o
for North Carolina Division of Water Quality General Permit No. NCG030000 AUG 10 2015
Date submitted 7 13 15
CENTRAL FILES
CERTIFICATE OF COVERAGE NO. NCG030061
SAMPLE COLLECTION YEAR - 2015 DWR SECTION
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan -June ❑ July -Dec :11110-
COUNTY Craven or ® Monthly' July (month l a.
PERSON COLLECTING SAMPLES Joseph C. Hollinger DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA C=
LABORATORY Pace_ Analytical Lab Cert. # 12 Comments on sample ❑Zero -flaw ❑Water Supply ❑SA C.2
collection or analysis: ®Other -C Li.J
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
11�..
Part A: Stormwater Benchmarks and Monitoring Results
No discharge this period?z
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 =_>
_
-
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
SDO-1
7/13/15
0.7
42.5 mg/L
7.5
0.130 mg/L
0.0074 mg/L
0.635 mg/L
<5.0 mg/L
n/a
SOO-2
7/13/15
0.7
19.0 mg/L
7.8
0.0205 mg/L
<5.0 mg/L
0.028 mg/L
<5.0 mg/L
n/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.
3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for. total toxic organics
(TrO), 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)
r
Title i i9G_ft. i
g_&ds
(Date)
Note: Results must be reported in numerical format. Do not repoK 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 rier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected' .
(mo/dd/yr)
24=hour rainfall
amount,
Inches3
Non -polar O&G/TPH.by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =_>
_
-
15,;mg/L
IM ff g/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 I, 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 EXCEE DANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
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:
"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 arepignififjant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
-I-S
(Date)
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

w Semi-annual Stormwater Discharge Monitoring, Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 7 7 15
CERTIFICATE OF COVERAGE NO. NCG030061 SAMPLE COLLECTION YEAR - 2015
FACILITY NAME Moen SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Craven
or ® Monthly' June (month)
PERSON COLLECTING SAMPLES NA DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY NA Lab Cert. NA Comments on sample collection ECEI " ED ®Zero -flow ❑Water Supply [:]SA
analysis: JUL 2 4 2015 ❑Other -C
CENTRAL FILE$ PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SeCTION
Part A: Stormwater Benchmarks and Monitoring Results
❑ No discharge this period?'
Outfall No.
Date Sample
1
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
s
Organics
Benchmorks
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/1
0.067 mg/L
15 mg/L
1 mg/L
SDO-1
No Flaw
n/a
S130-2
No Flow
n/a
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture .
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Fatalities 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."
"L V_ �) z
Name (Print name)
Title [lint
Note: Results must be reported in numerical format. Do not report
format. When results are below the applicable limits, they must be i
limit, reporting limit, etc. in mg/L.
l` 5
(Date)
Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
d in the format, "<XX me/L", where XX is the numerical value of the detection
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 all per month.
❑ No discharge this period?
Outfal! No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G/TPFI by
EPA 1664 (SGT41EM)
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: 11/1/2012-1013112017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample valve 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 EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inol and one copy of this MR, including all "No Discharge" reports within 30 days of receipt of the lob results or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, 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 Oat there arq significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
o"
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

:Z_
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted WAS
1S
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES NA
LABORATORY NA Lab Cert. NA Comments on sample collection or
analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR - 201S
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly May Imonth)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
Zero -flow ❑Water Supply ❑SA
❑Other -C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?'
W"
C=3
MIMIC
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
inches .3
Total Suspended Solids
pH,
Standard
units
Copper
Lead
Zinc
Non -Polar
O&G/ Total
Petroleum
Hydrocarbons
Total Toxic
s
Organics
Benchmarks =_>
_
- .
100 mg/L or 50 mg/L
6.0 — 9.6
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
l mg/L
SDO-1
No Flow
n/a
SDO-2
No Flow
n/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.
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).
RFOR EED
JUN 0 b 2015
Permit Date: 11/1/2012-10/31/2017 DWR SECTION SWU-245, last revised 10/25/2012
INFORMATION PROCESSING UNIT Page 1 of 3

r 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), l 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."
�e 7�ZZ
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, 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, 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 22
Qutfall No. ,
- _
Rate Sample
-Collectedi -
(mo/dd/yr)
24-hour rainfall
amount;_
Inches 3
(ion-pplarO&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
s 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-24S, last revised 10/25/2012
Page 2 of 3

Ndte: 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 AAND PART MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case o "No Discharge" re orts 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 responsibfor 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 �gnific } t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations-"
(Signature of Permittee)
jDatej
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

400 Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 5 13 15
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Joseph C. Hollinger
LABORATORY Pace Analytical Lab Cert. # 12 Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR - 2015
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' April (month)
l��l VI�4RGING TO CLASS ❑ORW ❑HQW [:)Trout❑PNA
1 ❑zero -flow ❑Water supply ❑SA
JUN 0 5 2015 ®Other -C
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
WORMATiON PROCESSING UNIT
❑ No discharge this period?z
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
s
Organics
Benchmarks ==a
_
-
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
5DO-1
4/30/15
Est 0.25
Not sampled
Not Sampled i
Not Sampled
Not Sampled
Not Sampled
Not Sampled
Not
Sampled
SDO-2
4/30/15
Est 0.15
29 mg/L
7.14
0.0424 mg/L
<0.0025
mg/L
0.259 mg/L
<5.0 mg/L
n/a
' 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 5WU-245, last revised 10/25/2012
Page 1 of 3

Fa.rilitie:;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."
Nana (Print name)
5-
(Date)
Note: Results must be reported in numerical format. Do not report'R@jIw Detection Limit, BDL, <PQL, Non -detect, N D, or other similar non -numerical
format. When results are below the applicable limits, they must be resorted 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, Ter 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;
Non -polar O&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 SU
Footnotes from Part A also apply to this Part B
* See General Permit.text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012
Page 2 of 3

Note: it 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 AAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 fXCEE DANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cony of this MR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitorinaeerlod
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 Q%at there_are flgnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
-u—�5
(Date)
Permit Date:1111/2012-10/31/2017
SWU-245, last revised 10/2S/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 2 10 15
CERTIFICATE OF COVERAGE NO. NCG030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES NA
LABORATORY NA Lab Cert. NA Comments on sample collection or
analysis:
Part A: Stormwater Benchmarks and Monitoring Results
FIL't COP y
SAMPLE COLLECTION YEAR - 2016
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® MonthW January (monthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
®Zero -flaw ❑Water supply ❑sA
RECEIVED ❑Other-_C
FE8.1 6 2g (6 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWR SECTION
❑ No discharge this period?'
Outfall No.
Date Sample
1
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
-
Total Suspended Solids
pN,µ
Standard ..
units
Copper
Lead
Y,:
Y
-Zinc
Non -Polar
08G/ Total
Petroleum
Hydrocarbons
rocarbons
Total Tojdc
s
Organics
Benchmarks -->
_
=
1..00 Mg/L or 50 mg/L
z6.0 - 9.0
0'A07 mg/L
0:03 mg/L
` 0 067= mg/L
ISM
mg/L
1 mg/L
SDO-1
No Flow
n/a
SDO-2
No Flow
n/a
f 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

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)
Title (Prin title)
(Signs ure) (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 mpJL", 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, 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.
LJ No discharge this period?`
Footnotes from Part A also apply to this Part B
' See General Permit text, Table 5, identifyingthe 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: !f you report a sample value in excess of the benchmark, you mast implement Tier 1, Tier 2, or rer 3 responses See General Permit text.
FOR PARTAJ AIVD PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orfainal and one copv of this DMR, including all "Na Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period
in the case of "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.docurnent 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 that1here pre ggnificarit 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

C
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 12 30 14
CERTIFICATE OF COVERAGE NO. N00030061
FACILITY NAME Moen
COUNTY Craven
PERSON COLLECTING SAMPLES Michael Burns
LABORATORY Pace Analytical Lab Cert. if 12 Comments on sample
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR - 2014
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
` []Zero -flow ❑Water supply ❑sA
RECEIVE® ®Other-c
,BAN 2 $ 2015 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWR SECTION
❑ No discharge this period?2
C7
.. 0
=44
Outfall No.
Date Sample .
Collected i
(mo/dd/1►r)
24-houvrainfall
•.amount,
Inches;
Total�Suspe.rided Sbtids
pH,
5tandar
units
Coppery a
Lead
tnc
s
Non -Polar
G&G/Total '
,�
= F Petroleum.
Tt 61'Toxlc
' Organics s .
BL*nL*marks =>
-
-
100 mgJL or 50 mg/E.
6.0 — 9.0
0 00fmg/L
0A3 mg/L
0.067 mg,/E_
15 mg/L
1 mg/L
SDO-1
W16/14
0.29 inches
Not sampled
Not Sampled
Not Sampled
Not Sampled
Not Sampled
Not Sampled
Not
Sampled
SDO-2.
12/16/14
0.29 inches
332 mg/L
6.53
0.162 mg/L
0.0299 mg/L
1.91 mg/L
c5.0 mg/L
n/a
' Monthly sampling (instead of semi-annual) must begin with'the second consecutive benchmark exceedance f6 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 anon -'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 wafer cfassifi6aitions 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. Tor 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). 1 -
Permit Date: 11/1/2012-1D/31/2017
SWU-24S, last revised 10/2S/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
(1TO), 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 oc6tred 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)
IIS -[S
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, NO, or other similar non -numerical
format. When results are below the applicable limits, thM must be reported in the format, "<XX mg/L" where XX is the numerical value of the detection
limit, reportinglimit, etc. in mg/,L.
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:
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
❑ No dischaj
Outfail No. ate Sa� .: _j 24-haur rah fatl _
Collected' amount, No"obr•O&GMH by, Tatat'Stespended Solids
(mo/dd/yr) Mdhes3 IEPA 1b64;(SGT-H1"
aenchmarla JAIiII l 1M�mi±/1.YoIr 50 n iz/V
this period'
pH
6.0 - 9A Su
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5jdentifying the especially sensitive receiving water classifications where the more protective benchmark applies.
IWO
Permit Date: 11/1/2012-10/31/2ov
SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchman% you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
FOR PARTA AND PART B MONITORING RESULTS:
• 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 REQUIREMENTS. SEE PERMIT PART 11 SECTIONS.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK E(CEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orlainal and one coov of this DMR, indudina all Aft Discharge" reports, within 30 days of receipt of the lob results for at end of monitorina Period
in the case of "No Dlscharige" 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 pre sijj nificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Date) ff
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/2S/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Re ort
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 4 24 14
CERTIFICATE OF COVERAGE NO. NCG030061 SAMPLE COLLECTION YEAR - 2014
FACILITY NAME Moen SAMPLE PERIOD ® Jan -June ❑ July -Dec
COUNTY Craven or ❑ Monthly' month
PERSON COLLECTING SAMPLES Chris Hollinger DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Pace Analytical Lab Cert. # 12 Comments on sample � ���v�� ❑Zero -flow [:]Water Supply [:]SA
collection or analysis: ®Other -C
MAY052014
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results DWQIBOG
❑ No discharge this period?2
Outfall No.
Date>5aritple`
1
Collected .
(mo/dd/Yr)'.
24-hour rainfa[1
amount,.
Inches ;
-
Total Suspended Solids
PR' :
Standard
units
Copper
Lead '
Zinc
Non -Polar O —
Total Petroleum
rocarbons
Total Toxic
s
Organics .
Benchmarks = >
_
-'
100 rrlg/L.or W md1l
6A .- 9.0
0.007 mg/L
:.' 0.03 Ing/L
0:067 mg/L
15 mg/L
11°hidl.
S130-1
4/15/14
1.33 inches
131 mg/L
7.49
0.168 mg/L
0.0177 mg/L
0.144 mg/L
[5.0 mg/L
n/a
SDO-2
4/15/14
1.33 inches
5.8 mg/L
6.53
0.0738 mg/L
0.0211 mg/L
0.128 mg/L
<5.0 mg/L
n/a
1 Monthly samoline (instead of semi-annual) must
beein 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

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."
�Ak� e- FO7klr
Name (Print name)
Title
(Sign
5` 6-
(Date)
Note: Results must be reported in numerical format. Do not repor"elow Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format: When results are below the applicable limits, they must be reported in the format. "<XX me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark you must implement Tier I, 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.
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: kf 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 II SECTION B.
• TIER 3. HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one ropy of this OMR, including all "No Dischar4etl ffAorts� within 30 days of receipt of the lob results for at end of monitoring period
in the case of '"No Discharne® 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 th4 there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
W
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

aceAnalytrcal
www,psoele6s.car+r
April 23, 2014
Mr. Michael Burns
Environmental Services
524 S. New Hope Rd
Raleigh, NC 27610
RE: Project: MOEN SW
Pace Project No.: 92197764
Dear Mr. Burns:
Paco Analytical Services, Inc.
98001CInceyAve. Suite 100
Huntensvllle, NC 28070
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on April 16, 2014. The
results relate only to the samples included in this report. Results reported herein conform to the
most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
aroo, UNI , `f a`,ar,.i
Angela Baioni
angela. [e-mail]
Project Manager
Enclosures
cc: Christopher Hollinger, Environmental Services
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services. Inc..
Page 1 of 13

acMnalytical e
www.petalabaoom
Paco Analytical Services, Inc.
9800 KinreyAve. Suite 100
Huntersville, NC 28078
(704)B75.9092
CERTIFICATIONS
Project: MOEN SW
Pace Project No.: 92197764
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification M 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification M 5342
West Virginia Certification #: 357
North Carolina Wastewater Certification M 12
VirginiwVELAP Certification M 460221
South Carolina Certification #: 99006001
Asheville Certification IDS
2225 Riverside Dr., Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification M 37712
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification M 356
VirginiaNELAP Certification M 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, Inc.. Page 2 of 13

aceAnalytical
www.pacelabacom
Paco Analytical Services, Inc.
980D Kincay Ave. Suite 100
Huntersvllle, NC 28078
[phone]
SAMPLE SUMMARY
Project: MOEN SW
Pace Project No.: 92197764
Lab ID
Sample ID
Matrix
Date Collected
Date Received
92197754001
92197764002
SDO.2
SDO-1
Water
Water
04/1511410:30
04/1511413:40
04/1611417:25
0411611417:25
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, Inc.. Page 3 of 13

aceAnalyticale
www.pwalabs.com
Pace Analytical Servlces, Inc.
9800 KlneeyAve. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project: MOEN SW
Pace Project No.: 92197764
Analytes
Lab ID Sample ID Method
Analysts
Reported
Laboratory
92197764001 SDO-2 EPA 1664B
CLW
1
PASI-C
EPA 6010
JMW
3
PASI-A
SM 25400
WRC
1
PASI-A
92197754002 SDOA EPA 1664E
CLW
1
PASI-C
EPA6010
JMW
3
PASI-A
SM 25400
WRC
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 4 of 13

aceAnalytical'
www.pBodab&COM
Pace Analytical Services, Inc.
9800 Kincey Ava. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: MOEN SW
Pace Project No.: 92197764
Sample: SDO-2
Lab ID: 92197704001 Collected:
04/15/14 10:30
Received: 04/16/14 17:26 Matrix: Water
Report
Parameters
Results Units Limit
MDL
DF
Prepared
Analyzed
CAS No. Qual
1694 SGT-HEM, TPH
Analytical Method: EPA 1664B
Total Petroleum Hydrocarbons
ND mg/L 5.0
&0
1
04/17/14 12:57
6010 MET ICP
Analytical Method: EPA 6010 Preparation Method: EPA 3010
Copper
73.8 uglL 5.0
2.0
1
04/17/14 16:20
04/18/14 18:54
7440-50-8
Lead
21.1 ug/L 5.0
4.0
1
0411711416:20
04118/1418:54
7439-92-1
Zinc
128 ug/L 10.0
5.0
1
04/17/14 16:20
04/18/14 18:54
7440-66-6
26400 Total Suspended Solids
Analytical Method: SM 25400
Total Suspended Solids
5.8 mg/L 2.6
2.6
1
04/22/14 20:55
Date: 04/23/2014 02:17 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, Inc -
Page 5 of 19

Pace Analytical Services, Inc.
aceAnalytical a 9800 KlnceyAve. Suite 100
Huntersvltle, NC 28078
WWW.PW&Ms.com [phone]
ANALYTICAL RESULTS
Project: MOEN SW
Pace Project No.: 92197764
Sample: $00-1
Parameters
Lab ID: 92197754002 Collected:
Report
Results Units Limit
04/15/14 13:40
MDL DF
Received: 04/16/14 17:25 Matrix: Water
Prepared Analyzed CAS No. Qual
1084 SGT-HEM, TPH
Analytical Method: EPA 1664B
Total Petroleum Hydrocarbons
ND mg/L 5,0
5.0
1
04117/14 12:57
6010 MET ICP
Analytical Method: EPA 6010 Preparation Method: EPA
3010
Copper
168 ug/L 5.0
2.0
1
04/17/14 16:20
04/18/14 18:57
7440-50-8
Lead
17.7 ug/L 5.0
4.0
1
04/17/14 16:20
04/18/14 18:57
7439-92-1
Zinc
144 ug/L 10.0
5.0
1
04/17/14 16:20
04/18/14 18:57
7440-06-6
2640D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
131 mg/L 10.0
10.0
1
04/22114 20:56
I
REPORT OF LABORATORY ANALYSIS
ihls report shall not be reproduced, except in full,
Date: 04/23/2014 02:17 PM without the written consent of Pace Analytical Services, Inc- Page 6 of 13

aceAnalytical `
www,pecdabs.com
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite100
Huntereville, NC 28078
(704)87&9092
QUALITY CONTROL DATA
Project: MOEN SW
Pace Project No.: 92197764
QC Batch: GCSV117283
Analysis Method:
EPA 1664B ,
OC Batch Method: EPA 1664B
Analysis Description:
1664 SGT HEM, TPH
Associated Lab Samples: 92197764001, 92197764002
METHOD BLANK: 1180277
Matrix: Water
Associated Lab Samples: 92197764001, 92197764002
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Petroleum Hydrocarbons
mglL
ND 5.0 04/17/14 12:52
LABORATORY CONTROL SAMPLE:
1180278
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec 'Limits Qualifiers
Total Petroleum Hydrocarbons
mglL
20 17.1
86 64-132
MATRIX SPIKE SAMPLE:
1180279
92197738002 Spike
MS MS % Rec
Parameter
Units
Result Conc.
Result % Rec Limits Qualifiers
Total Petroleum Hydrocarbons
mglL
ND 20
16.4 82 64-132
Date: 04/23/2014 02:17 PM
REPORT OF LABORATORY ANALYSIS
Thle report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, Inc -
Page 7 of 13

aceAnalytical
*".pscelal)4wm
pace Analytical Services, Inc.
9800 Klncey Ave, Suite 100
Huntersvllle, NC 28078
[phone]
QUALITY CONTROL DATA
Project: MOEN SW
Pace Project No.: 92197764
QC Balch: MPRP115727 Analysis Method: EPA 6010
QC Balch Method: EPA 3010 Analysis Description: 6010 MET
Associated Lab Samples: 92197764001, 92197764002
METHOD BLANK: 1180431
Matrix: Water
Associated Lab Samples:
92197764001, 92197764002
Blank Reporting
Parameter
Unite
Result Limit
Analyzed Qualifiers
Copper
ug/L
ND 5.0
0411811417:33
Lead
ug/L
ND 5.0
04118/1417:33
Zinc
ug1L
ND 10.0
04/18/1417:33
LABORATORY CONTROL SAMPLE:
1180432
Spike
LCS LCS % Rec
Parameter
Units
Conc.
Result % Rec Limits Qualifiers
Capper
ug/L
500
463 93 80-120
Lead
uglL
500
451 90 80-120
Zinc
ug1L
500
434 87 80-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
1180433
1180434
MS
MSD
92197397011
Spike
Spike
MS
MSD
MS
MSD
% Rec
Max
Parameter Units
Result
Conc.
Conc.
Result
Result
% Rec
% Rec
Limits
RPD RPD Qual
Copper uglL
ND
500
500
466
463
93
93
75-125
1 20
Lead uglL
ND
500
500
446
443
89
89
75-125
1 20
Zinc ug/L
194
500
500
622
612
86
84
75-125
2 20
Dale: 04/23/2014 02:17 PM
REPORT OF LABORATORY ANALYSIS
This report shell not be reproduced, except In full,
without the written consent of Pace Analytical Services, Inc..
Page 8 of 13

aceAnalyticale
wuwpecalabe.ow
Pace Analytical Services, Inc.
9800 KlnceyAve. Suite 100
Huntereville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: MOEN SW
Pace Project No.: 92197764
QC Batch: WET/30655 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92197764001, 92197764002
METHOD BLANK: 1183321 Matrix: Water
Associated Lab Samples: 92197764001, 92197764002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L NO 2.5 04/22114 20:44
LABORATORY CONTROL SAMPLE: 1183322
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg1L 250 252 101 80-120
SAMPLE DUPLICATE: 1183323
92197561001
Dup
Max
Parameter Units
Result
Result
RPD RPD Qualifiers
Total Suspended Solids mg/L
ND
ND
10
SAMPLE DUPLICATE: 1183324
92197643001
Dup
Max
Parameter Units
Result
Result
RPD RPD Qualifiers
Total Suspended Solids mg1L
10.0
12.6
23 10 D6
r
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Date: 04/23/2014 02:17 PM without the written consent of Pace Analytical Services, Inc..
Page 9 of 13'

aceAnalytical e
wrrw.pecebb&COM
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersvllie, NC 28078
[phone]
QUALIFIERS
Project: MOEN SW
Pace Project No.: 92197764
DEFINITIONS
OF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
NO - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PRL - Pace Reporting Limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine (8270 listed analyte) decomposes toAzobenzene.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Rotative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylemine using Method 8270. The result reported for
each anslyte is a combined concentration.
Acid preservation may not be appropriate for 2-Chloroathylvinyl ether, Styrene, and Vinyl chloride.
Pace Analytical is TN accredited. Contact your Pace PM for the current list of accredited analytes.
TN -The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
DS The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Date: 04/23/2014 02:17 PM without the written consent of Pace Analytical Services, Inc.. Page 10 of 13

aceARalyticale
WWW.p90*fab&oDM
Pace Analytical Services, Inc.
9800KInceyAva. Suite 100
Huntereville, NC 28078
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: MOEN SW
Pace Project No.: 92197764
Analytical
Lob ID
Sample ID
QC Batch Method
QC Batch Analytical Method
Batch
92197764001
SDO.2
EPA 1664B
GCSW17283
92197764002
SDO-1
EPA 1664E
GCSW17283
92197764001
SDO-2
EPA3010
MPRP115727 EPA6010
ICP/14243
92197764002
800.1
EPA 3010
MPRP/15727 EPA S010
ICP114243
92197764001
SDO-2
SM 2540D
WET130655
92197784002
800-1
SM 2540D
WET130655
Date: 04/23/2014 02:17 PM
REPORT OF LABORATORY ANALYSIS
This report shell not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 11 of 13

uocurnent rvame: uocumam moviotru: nlirn vi.
cQAmloical" Sample
Condition Upon Racal ! (SCUR) Page 1 of 2
Document Number: Issuing Authority:
F-CHR-CS-003-rev:14 Pace hluntersville Quality Office
Client Name: `
Courier. ❑ Fed Ex ❑ UPS[:] USPS❑ Cllent❑ merclal� Pace Other
Custody Seal on Cooler/Box Present: (t] yes--�C no Seals intact: ❑ yes ❑ no
Packing Material: ❑ Bubble Wrap4��
s ❑ None Other
Thermometer Used: IR Gun T1102 Type of Ice: Wei Blue None isamples on ice, cooling process has begun
Temp Correction Factor T1102: No Correction T1301: No Correction
I.
Corrected Cooler Temp. 'C
Temp should be above freezing to WC
Biological Tissue Is Frozen: Yea No NIA
Date and Initials of person examining g contents: C..+iJJ �If tElf�t
Comments:
Chain of CustodyPresent:
Y s ❑No
❑NIA
1.
Chain of Custody Filled Out:
s4es ❑No
❑NIA
2.
Chain of Custody Relinquished:
bPY s ❑No
❑NIA
3.
Sampler Name & Si nature on COC:
Yes ❑No
❑NIA
4,
Samples Arrived within Hold Time:
es ❑ No
DIVA
5,
Short Hold Time Analysis 4-72hr :
❑Yea qo
❑NIA
8,
Rush Turn Around Time Requested:
❑ es No
❑NIA
7.
Sufficient Volume:
lZY88 ❑No
❑NIA
8. �"�� P '��`� o•. C°�'
Correct'Contalners'Usod: —
-Pace Containers Used:
-_[1Nd'-❑Wq
Xs❑No
❑NIA
Containers Intact:
des ❑No
❑ WA
10,
Filtered volume received for Dissolved teats
❑ ea ❑No
NIA
11.
Sample Labels match COC:
-includes dateltime/ID/Anal sis Matrix:
jyyes ❑No
❑NIA
12.
All containers needing preservation have been checked.
All containers needing preservation are found to be In
compliance with EPA recommendstlon.
exceptions: VOA, -coliform, TOC, O&G, WI-DRO water)
s ❑No
Ys ❑No
Yes ❑No
❑NIA
❑NIA
13,
Samples checked for dechlorination:
Dyes ❑No
I
14.
Heads ace In VOA Vials ?Bmm :
Dyes ❑No
A
15.
Trip Blank Present:
Trip Blank Custody Seals Present
Pace Trip Blank Lot # If purchased):
❑Yes ❑NoIN
. ❑Yes ❑No/A
IA
18.
Client Notification/ Resolution: Field Data Required? Y 1 N
Person Contacted: Datw Time:
Comments/ Resolution:
SCURF Review: Date: l ' L_
SRF Review: Darer
Note: Whenever there I discrepancy affecting North Carolina compliance
samples, a copy of this form will be sent to the North Carolina DEHNR
Certification Office ( Le out of hold, incorrect preservative, out of temp,
Incorrect containers)
11WOg92197764
AIM •,
Page 12 of 13

CHAIN -OF -CUSTODY 1 Analytical Request Document M
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^^ r . The Chain ;f-- dy is !ECA! DOCUMENT- M relevant fields must be completed acaemb*. 0
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Date: 4115114
Analyst: Joseph C. I1o11inaer
_NCG030061 _
Reference Method:
Certification #
Facility Name: Moen, Inc.
Permit #:
pH Analysis
(include edition e.a.. SM IWki
Cal. Time
Calibration Buffer 4.0
Calibration Huffer 10.0
*Check Buffer 7.0
Comments
10:00
4.0
10.0
TO
*pll buffer checks are to be within t 0.1 pH units of The standards true value
4 buffer Lotfllidentifier: 1 7 buffer Lot#!identifier: 10 buffer LGO/identifier:
Facility/Sample location
Time Snm 1
TimeArtatyzeds
pH Result
► Buffer Check value
Comment
Moen lncJSDO.1
13:40
7.49
7.0
Moen Inc1SDO-2
10:30
6.53
7.0
♦ If sample Is measured in directly In the stream only time analyzed would be recorded.
► Indicates a recomWndEd drift check. (Use Buller 7.0) Should be within * 0.1 units of the buffer's true value)
Calibration drift check is recommended when performing analysis at multiple sampling locations,
*All pH results in pH units (i.e., s.u.).
Annual Temperature Sensor Check Date:
Total Residual Chlorine (TRC)
Reference Method: (include edition)
Facility/Sample Location
Time Sampled
Time Analyzed
TRC Result
u L or rn
Daily check standard
obtained value u L or m L
Comment
TRC check standard obtained true value (acceptance range mg/L) (Should recover within *10% of the
check standard's obtained true value) Check/Gel Standard Lotillldenllffer:
Annual Verification curve analyzed on
Conductivity
Reference Method: Ilnclude edition)
Cal. Time
Calibration
Std
Verification
Std
Optional
Sid
►Check std
Continents
1lndicates a recommended drin check.. Note all units are in pmhos/cm
Calibration Standard Lotlllidentifier; Verification Standard Lotfilidentitier:
Facility
Temperature°C
Cell Constant
Result
mhoslcm
Adjusted
mhoslcm•
Comment
• Enter NA (not applicable) irautomalic lemperalurecompensalion and cell constant are used.
ATC annual check date:
Dissolved Oxygen (DO)
Reference Method: (include edition)
Temperature
°C
Adjusted Air
Calibration♦
%orm
Calibration
Time
Facility/Sample Location
DO reading
mglL
*Time
Analyzed/Time
Sampled
Comments
♦ Based on appropriate altitude adjustment
♦ When performing analysis at multiple sampling locations, re -calibrations) should be performed every four hours.
*Analysis time and sampling time the same. (Ideally the sample should be analyzed in -situ).
Temperature Sensor Annual Check Date:

Temperature
Reference Method: (include edition)
Facility/Sample Location Tem nature°C *Time Ana]yzedll'ime Sampled Comments
'Analysis time and sampling time the same. {Ideally the sample should be analyzed in -situ).
Annual Verification date
Settleable Solids
Reference Method: finclude edition)
Facility/location
Time
Sam 1cd
Analysis
Time
Sample volume
anal zed in mis
Start
time
45 minute
stir time
F.nd
time
Result
mill.
Comments
Note: Samples must be gently agitated after 45 minutes and allowed to settle for an additional 15 min.
Field Personnel Notes
04/04/2011