NCG030373_MONITORING INFO_20181212

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
/v 030 3
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ c� njq I a 1 a
YYYYMMDD

Environnrrnlal
Qucftil y
Stormwater Discharge Outfail (SDO)
Quanta lve Mofi torYffg Report
Forguidance on [tin out thisform, please visit btt s://de .nc, about divisions energy -rrn nt fz erraait andr-"�D
� fr 9 � I�..�--tl g2Y�—/ 1 g3'-
resourges/energy-mineral-land-permits/stormwater-permi nodes-industrial-sw#t b-4 2 2018
Permit lVo.: or Certificate of Coverage No.: a-�
Facility Name: A 0 4 c(-112 :-4 DWR SECTION
r
County: �14,t- 2 LL / / _ Phone No. (p � 9, fLf .
Inspector:
Date of Inspection: I[) ` a � ,�
Time of Inspection: (
Total Event Precipitation (inches):. +
All permits require qualitative monitoring to be performed during a "measurable storm event"
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document, that a shorter
interval is representative for local storm events duringihe' sampling period, and the pe'rmittee
obtains approval from the local DEMLR Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
gnee)
1. Outfall Description:
OutfaIt No. `11
R+/e!/lceiving Stream: Ll%(a .
(pipe, ditch, etc.): L/i /G!7 C9 "ii L'A:�j 4e)A�MJ^ u��y
Page 1 of 2
SWU-242, Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint .f
(light, medium, dark) as descriptors: _ n �l jf
3. Odor: Describe any distinct odors that the discharge may havc (i.e., smells strongly of oil, weak
chlorine odor, etc.): k, - ' -
4. Clarity: Choose the number which best describes the clarity of the discharge, where-1 is clear
and 5 is very cloudy:
1 ( 3 4 5
5. Floating Solids: Choose the. number which 'best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
3- 4 5'
b. Suspended Solids: Choose the number which best describes the amount of susperided''solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy.-
3 4 5 '
7. Is there any foam in the stormwater discharge? O Yes 0 No.
8. Is there an oil sheen in the stormwater discharge? OYes A# No.
9. is there evidence of erosion or deposition at the outfall? O Yes f .No.
10. Other Obvious Indicators of Stormwater Pollution:
I.
ti
i
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 O128I2017

Semi-annual Stormwater Discharge Monitonnx Report
for'North Carolina Division of Water Quality Gene I Permit No. NCG030000
Date submitted ll— _ l .
CERTIFICATE OF COVERAGE NO. NCG03�
FACILITY NAME
COUNTY S4/- A O
PERSON COLLECT G SpWPLES
LABORATORYXI Lab Cert. 6
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR aCl F _
SAMPLE PERIOD OJan-June [KJuly-Der
or , ❑ Monthly, (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]Watersupply [:]SA
❑Other e,Z &C'S C
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
•❑ No discharge this period:
Outfall No.
Date Sample
Collected 1
(mo/dd/yr)
24-hour rainfall
! amount
,3
Inches
Total Suspended Solids
,.
pH,
Standard
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrounits
carbons
Total Toxic
Organ.. 5
Benchmarks
100 mg/L OFSO ing/0
6.Q — 9.0
f 0.007 mg/L
0.03 mg/L
0.067 mg/L
1S mg/L
1 mg/L
e
� f
40,M)3
-4 01 Q I
Z-
, 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 out#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.
See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicablConly 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 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 Tier3, Tier 2, or Tier3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?z
Outfall No..:
Date Sample
i
Collected
(mo/dd/yr)
24-hour rainfall
t
amount,
Inches3
Non -polar O&G/TAH by
EPA 1664 (5GT-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/i/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 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES JZNO ❑
IF YES, HAVE YOU CONTACTED THE PWQREGIONAL OFFICE? YES NO ❑
REGIONAL OFFICE CON ACT NAME: '! L� cry oZ�
e-o L I-4S�cy6?�'o�/ f'+,/�4�''
Mail an original and one copy of this DMR, includina 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 27644-1617
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."
/ t
(G�l
(Date)
Permit Date: 11/1/2D12-10/31/2017 SW U-245, last revised 10/25/2012
Page 3 of 3

r
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG03 31:f)
FACILITY NAME A CCr, , CD���-.
COUNTYSf4— t,
PERSON COLLE ING SAMPLES l 2aZ& f��l `/G� ✓�
LABORATORY /77c"L121),'jh c _ __ _ Lab Cert.
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR C" v
SAMPLE PERIOD [] Jan -June IM July -Dec
or ❑ Monthly) _ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA
❑zero -flow ❑Water Supply ❑SA
❑Other��s� ��.5 C e S (J
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR; 3 4
❑ No discharge this period?-7
Outfail No.
Date Sample
p
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 rng/0
6.0 - 9.0 J
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 ing/L
-
.
r!
•
G r
C
�J r
C S1
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for, the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition.found.in 40 CFR 469.31). - -
Permit Date: 11/1/2012-10/31/2017
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 Tf0 monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements fisted 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 namel
Title (Print title)
(Signature) ( Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L!' , where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, -you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only forfacilities averaging > 55-gal of new oil per month,
n No discharge this period?2
Outfall No.
Date Sample
Collected"
(mo/dd/yr)
24-h6ur rainfall
amount,
Inches;
loon -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 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, 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 it SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FORTHE SAME PARAMETER ATANY ONE OUTFALL? YES 54NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL ,O'FFICE? YES ,M NO ❑
REGIONAL OFFICE CONTACT NAME: MCk � YI A, A-J) ry v— r
G pL, 2, �{S �J�z� l i � v� �-3 � 7`i ��^ 02 9'� ��L `� �9 �"�s��� +✓ `r �7%�rl�ra��'� �%'1i9� b �� �b J
Mail an ariainal and one copy of this DMR, including all "No Discharge" C orts, within 30 day, s oireceip_t of the lob results (or at end of monitorhm period
in the case of "No Dischar-le" renor_t_ss to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SKIN THISTHIS qM IFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Signature of.
Permit Date: 11/1/2012-10/31/2017
{Date}
SWU-245, last revised 10/25J2012
Page 3 of 3

Environmental
Quality
Stormwater Discharge Outfall (SDO)
QuAltAtIve Mmit6ring Rgpott
Forguidance on filling out this form, please visit hU,,Ildc,q llcgov/about,Divisions/enemamineral-land-land-
t d b-
Permit No.: ����/,.'�//�/ �_/ or Certificate of Coverage No.:
Facility Name: Cr" G' ` r- I�LIC � --7-W -�--
County: Phone No.
Inspector:
Date of Inspection:%
Time -of Inspection: rs— Eel
I �<
Total Event Precipitation (inches): 1.1
All permits require qualitative monitoring to be performed during a "measurable storm event"
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DEMLR Regional Office.
By this signature, I certify thaf this report is accurate and complete to the best of my knowledge:
(Signaturgjdf Permittee orlbesignee)
1. Outfall Description:
Outfall No. _�- Structure (pipe, ditch, etc.): ?G n
Receiving Stream:
Page 1 of 2
SWU-242, Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: & 0 w2 JV' z6 -Ti -;,T-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _ , �%C 12
• t
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy: ,
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
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:
] 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes No.
8. Is there an oil sheen in the stormwater discharge? OYes No.
9: Is there evidence of erosion or deposition at the outfall? o Yes WNo.
10. Other Obvious Indicators of Stormwater Pollution:
1.
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
5WU-242, Last modified 07129=17

,I V.3012U.8 Zimbra
Zimbra [e-mail]
amended report
From :Jeanne Overstreet<[e-mail]> Fri, Nov 30, 2018 02:56 PM
Subject :amended report1 affiacllmertt
To : [e-mail]
Mr. Naylor,
I am_sorry it looks as_though_when_I_reported -in the M_DLs_I did not change_the_res.ults for the
copper=l=have_corrected -that:for_you,and_have-attached_the_amertded_report.:Al1-the-li mits!�_—_J
are within your reporting limits you have given us for y u business. If uyoHave any
additional questions or concerns please let me know
Jeanne Overstreet
Customer Relationship Specialist, Environmental
Fayetteville Division
jeanne.overstre ,t@jLrobac,
910.864.1920 p
910-864-8774 f
CONFIDENTIALITY NOTICE: This e-mail transmission, and any documents, files or previous e-mail messages attached to it may
contain confidential information. If you are not the intended recipient, or a person responsible for delivering it to the intended
recipient, you are hereby notified that any disclosure, copying, distribution or use of any of the information contained in or attached
to this transmission is STRICTLY PROHIBITED. If you have received this transmission in error, please immediately notify the sender.
Please destroy the original transmission and its attachments without reading or saving in any manner. Thank you, Microbac
Laboratories, Inc.*
•. K830563 M13_Level_1_simple FINAL 1130 2018 1454.pdf
401 KB
https:llvmx.intrstar.neUh/printmessage?+d=42405&tz=America/New_York 1I1

Miller Control & Mfg. Co.
Mr. Wayne Naylor
Post Office Box 1065
Clinton, NC 28329
0MICROBAC"
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8J0563
Project Name: Stormwater sample - Biannual
Pro}ect 1 PO Number: NIA
Received: 10)3012018
Reported: 11/30/2018
Case Narrative
Field pH (by client): 7.2
11/08/2018: Client required reporting limit to MDL
(1113012018:-MDL report.from 11108-did.not,have-the,correced_reporting limit.for_Copper,
Analytical Testing Parameters
Client Sample ID: Stormwater, grab
Sample Matrix: Aqueous Collected By: Naylor
Lab Sample ID: K8.10563-01 Collection Date: 10/26/2016 16:35
Wet Chemistry
Method: EPA 1664 Rev. B
Oil & Grease (SGT-HEM)
Method: SM 2540 D-2011
Tolal Suspended Solids
Metals
Method: EPA 200.7 Rev 4.4 1994
Copper
Lead
Zinc
Result
RL
Units
Note Prepared Analyzed
Analyst
<5.00
5.00
mglL
11/01/18 1003
TAB
5.17 2.50 mglL
Analyses Subcontracted to: ECI
Result RL Units
. <0.005 0.005 mgiL
<0.003 0,003 mglL
�- <0.0100.01 mglL
10/31118 1110 MT
Note Prepared Analyzed Analyst
Definitions
RL: Reporting Limit
Project Requested Certification(s)
Microbac Laboratories, Inc. - Fayetteville
11 North Carolina DE~NR NPDES
Report Comments
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted.
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated
in the footnote are present and an authorized signature is included.
11105118 0000 MO
11/05)18 0000 MO
11i05118 0000 MO
Reviewed and Approved By: ,
Jeanne Overstreet
Client Relationship Specialist, Environmental
Reported: 11 /30/2018 14:54
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page i o 22

OMICROBAC
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
KBJ0563
Miller Control & Mfg. Co. Project Name: Stormwater sample - Biannual
Mr. Wayne Naylor Project 1 PO Number: NIA
Post Office Box 1065 Received: 10130/2018
Clinton, NC 28329 Reported: 11/08/2018
Case Narrative
Field pH (by client):7.2 t-
11/08/2018: Client required reporting limit to MDL (��0 e✓
Analytical Testing Parameters
Ctlent Sample ID: Stormwater, grate
Sample Matrix: Aqueous Collected By: Naylor
Lab Sample ID: K8J0563-01 Collection Date: 10/26/2018 16.35
Wet Chemistry
Result
RL
Units
Note Prepared Analyzed
Analyst
Method: EPA 1664 Rev. B
Oil & Grease (SGT--HEM)
<5,00
5.00
mg1L
11/01/18 1003
TAB
Method: SM 2540 D-2011
Total Suspended Solids
5.17
2.50
mglL
10131/18 1119
MT
Analyses Subcontracted
to: ECI
Metals
Result
RL
Units
Note Prepared Analyzed
Analyst
Method. EPA 200.7 Rev 4.4 1994
Copper
0.005
mglL
11105118 0000
MO
Lead
<0.003
0.003
mglL
1110511e 0001)
MO
Zinc
<0.01--
0.01
mglL
11/05118 0000
MO
Definitions
RL: Reporting Limit
Project Requested Certification(s)
Microbac Laboratories, Inc. - Fayetteville
11 North Carolina DENR NPOES
Report Comments
Samples were received in proper conditlon and the reported results conform to
applicable accreditation standard unless otherwise noted.
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is Incomplete unless all pages indicated
in the footnole are present and an authorized signature is included.
Reviewed and Approved By-.
Jeanne Overstreet
Client Relationship Specialist, Environmental
Reported: 111081201816:13
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 Df 2

*M1CR0BAC`1
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8JO563
Miller Control & Mfg. Co. Project Name: Stormwater sample - Biannual
Mr. Wayne Naylor Project I PO Number: NIA
Post Office Box 1065 Received: 10130/2018
Clinton, NC 28329 Reported: 11/08/2018
Case Narrative
t.
Field pH (by client): 7.2� Jt
Analytical Testing Parameters
Client Sample 1D: Stormwater, grab
Sample Matrix: Aqueous Collected By: Naylor
Lab Sample ID: K8JOS63-01 Collection Date: 10126/2018 16:35
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: EPA 1664 Rev. 9
Oil 8 Grease (SGT-HEM) <5.00 5.00 mg1L 11101118 1003 TAB
Method: SM 2540 D-2011
Total Suspended Solids 5.17 2.50 mglL 10/31/18 1110 MT
Metals
Method: EPA 200.7 Rev 4.4 1994
Copper
Lead
Zinc
Definitions
RL, Reporting Limit
Analyses Suhcontrocted to: F-CI
Result RL Units
<0.050 �� 0.005 mglL
<0.003 0.003 mg1L
<L0] 0.01 mg1L
Note^mm Prepared _Analyzed Analyst
Project Requested Certification(s)
Microbac Laboratories, Inc. - Fayetteville
11 North Carolina DENR NPDES
Report Comments
Samplos were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted.
r.� The dolo and inf*l-rnafian Gn thia, and afhor aaaornpanyfng ciucurricnta, fepf eouwa
only the sample(s) analyzed. This report is incomplete unless all pages indicated
in the footnote are present and an authorized signature is included.
11105118 0000 MO
11/05/18 0000 M0
11105118 0000 MO
Reviewed and Approved By-.
q-le A-e— C/U PiLd 3 z
Jeanne Overstreet
Client Relationship Specialist, Environmental
Reported: 11108/2018 14:04
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864,1920 p I www.microbac.com Page 1 of 2

REVISED SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
THIS REPORT REFLECTS CHANGED ANALYSIS RESULTS REPORTED 11-30-2018. ATTACHED
ARE COPIES OF RESULTS INCLUDED IN 11-26-2018 SUBMITTED REPORT AS WELL AS THOSE
IN THE 12-01-2018 SUBMITTED REPORT. PLEASE USE THE 12-01-2018 SUBMITTED REPORT
TO REPLACE 11-26-2018 REPORT.
THANKS,
WAYNE NAYLOR

r,
!I> 7t r:
Semi-annual_Stormwater_ Discharge Monitoring Report
for North Carolina Division of Water 0uality Generar
rmit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG03� _ RECE f E,�WPLE COLLECTION YEAR O(
FACILITY NAME k P1L0?T;W4 � C �C, SAMPLE PERIOD ]A Jan -June ❑July -Dec
COUNTY __..._— SEA' 1.1 201E or ❑ Monthly'. —Imonth)
PERSON COLLE IN24J,*C_
AMPLES _ �G� DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORYAM, lab Cert. # t,ENTi�A FILES ❑Zero -flow ❑Water supply SA
Comments on sample collection or analysis: DWR SEA iON ❑Others C a
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
❑ No discharge this period?'
Outfall No.
DateSample
i
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pFi,
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/L
0.067 mg/L
15. mg/L
1 mg/L
r -
.
-c9
b -
rp D
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX me/C 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-ITEM)
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 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 1N 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 EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTEQ,T�HE DWQ REGIONAL FICE? YES NO ❑
REGIONAL OFFICE CONTACT NAME: Irl old f i1
4L4.5 C��C�N �•�� o�- eke c1G1�7p�'��`z ��Hs4c✓��C[/l
Moil an oriainal and one coon of this DMR. includina all "No Discharae" resorts. within 30 days of recefat of the lob results tor at end of monitoring period
in the case of "No Discharae" resorts) 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 ar9 sjgnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
�'- 2 �
Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

--------------
VMICROBAC"'
Microbac Laboratories, Inc. - Fayetteville
Revised Report: Amended - See CERTIFICATE OF ANALYSIS
Case Narrative. K81F0559
Miller Control & Mfg. Co. Project Name: Stormwater sample - Biannual
Mr. Wayne Naylor Project / PO Number: NIA
Post Office Box 1065 Received: 06/28/2018
Clinton, NC 28329 Reported: 08/14/2018mcm-
Case Narrative
Report amended on August 14, 2010 for work order KBF0559 that was originally reported on 3uly 12, 2018; Client requested a rerun to reported lower detection
limits.
Analytical Testing Parameters
Client Sample ID: Stormwater, grab
Sample Matrix: Aqueous Collected By: Naylor
Lab Sample ID: K8F0559-01 Collection Date: 06/26/2018 16:50
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: EPA 1664 Rev. B
Oil 8 Grease (SGT-HEM) <5.00 5.00 mg/L 06128/18 1434 TAB
Method: SM 2540 0-2011
Total Suspended Solids 4.33 2.50 mg/L 07/0211B 0906 MT
Metals
Method: EPA 200.7 Rev 4.4 1994
Zinc
Method: EPA 200.8 Rev 4.4 1994
Lead
Method: EPA 8 Rev 4.41994
Copper
Definitions
RL: Reporting Limit
Analyses Subcontracted to: ECI
Result RL Units
0.051 0.01 mg/L
<0.005 0,005 mg/L
<0.005 0.005 mg/L
Note Al Prepared
Project Requested Certification(s)
Microbac Laboratories, Inc. - Fayetteville
11 North Carolina DENR NPDES
07108/18 0000 TO
07108/18 0000 TO
07/08/18 0000 TO
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 283061910.864.1920 p I www.microbac.com Page 1 of 3

J
OMICROBAC"k
. Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8FO559
Miller Control & Mfg. Co. Project Name: Stormwater sample - Biannual
Mr. Wayne Naylor Project 1 PO Number: NIA
Post Office Box 1065 Received: 06128/2018
Clinton, NC 28329 Reported: 0711212018 iC
Analytical Testing Parameters
Client Sample ID: Stormwater, grab
Sample Matrix: Aqueous Collected By: Naylor
Lab Sample ID: KBF0559-01 Collectlon'Date: 06/26=18 16:50
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: EPA 1664 Rev. B
Oil & Grease (SGT-HEM) <5.00 5.00 mglL 06128/18 1434 TAB
Method: SM 2640 D-2011
Total Suspended Solids 4.33 2.50 mglL 07/02/18 0906 MT
Analyses Subcontracted to: ECI
Metals Result RL Units Note Prepared Analyzed Analyst
sthod: t A 100.7 Rev-
u Copper �":�' 1, <0.01 0.005 mg/L 07108/1a 00W MO
Lead CD� <0A1 [:�D0.0D3 mglL 4 07108118 0000 MO
1 Zinc 0.051 0.01 mglL 1 07106/16 0000 MQ
Definitions
RL: Reporting Limit
Project Requested Certification(s)
Microbac Laboratories, Inc. - Fayetteville
11 North Carolina DENR NPOES
Report Comments Reviewed and Approved By:
Samples were received in proper condition and the reported results conform to �[y
applicable accreditation standard unless otherwise noted. �t2x C1
The data and information on this, and other accompanying documents, represents Jeannie Overstreet
• only the sample(s) analyzed. This report is incomplete unless all pages indicated Client Relationship Specialist, Environmental
the footnote are present and an authorized signature is included.
Jeanne.overstreat®mlcrobae.00m
07/12/201810:42
• Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 283061910.864.1920 p I www.microbac.com Page 1 of 2

1 N OT ES
CUE
Sill"Vil"O'llaRY

f:nvlronmenral
Qualify
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit haps:Ildeq.nc.gov/about/divisions/energy-mineral-land-
resources/energy -mineral-land- Permits /storinwater-permits /npdes-in dustria l-sw#tab -4
Permit No.: N/C/EV,3/ D/2/Q,/CL/�/ or Certificate of Coverage No.: N/c/G/�/,�/
FacilityName:
County: Phone No.
Inspector: / a�
Date of Inspection: C
Time of inspection:
<r
Total Event Precipitation (inches); 140
Y
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DEMLR Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
/a,
(Signatur,cl//of Permittei�/rDesignee)
1. Outfall Description:
Outfall No.. =,- Str5cture
Receiving Strea W :aZ�us0
,ditch, etc.):
sr�i
SWU-242, East modified 07/28/2017
Page 1 of 2

2. Color: Describe the color of th;e� ischarge using basic colors Cred, brown blue, end tint
(light, medium, dark) as descriptors: V %zC��
3. Odor: Describe any distinct odors
weak chlorine odor, etc.): 9% Pe
the discharge may have (i.e., smells strongly of oil,
i C"
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
S. Floating Solids:. Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and S is the surface covered with floating solids:
1 6 3 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 C0 3 4 5
7. Is there any foam in the stormwater dischargC9 Yes AV No.
8. Is there an oil sheen in the stormwater discharp? O Yes
9. Is there evi ence of erosion or deposition at the outfaU o Yes
No.
10. Other Obvious Indicators of Stormwater Pollution:
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.
0
Page 2 of 2
5WU-242, Last modified 07/28/2017

w
Miller Control 8r Mfg. Co.
Mr. Wayne:Naylor
Post Office Box 1065
Clinton, NC 26329
Analytical Testing Parameters
OMICRQBACI'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8F0559
Project Name- Stormwater sample - Biannual
Project I'PO Number: NIA
Received: 06/28/2018
Reported: 07/1212018 C>
'Client Sample,ID:Storrnwater, grab
Sample.Matriz: Aqueous
Lab Sample:ID: K8F0559-01
Collected By: Naylor
Collection Date: '_. ,0612612018 96:50
Wet Chemistry: "" " ""' '
" " ' Result`"-'" - R UnitsNote Prepared Analyzed An,alysl
Method: EPA 1664'Rev. B
Oil & Grease (SGT-HEM)
<5.00 5:00 mg/L 06/28/18 1434 TAB
Method: SM 2540 D-2011
Total Suspended' Solids
4.33 2;50 mg1L 071021i8 0806 MT
Analyses Subcontracted to: ECI
Metals
Result RL Units Note Prepared Analyzed Analyst
EPA 200.7 Rev 4.4.1994
✓1,Method:
t� copper %:>
<0.01 0.005 mg/L _ 07/08118 0000 M0
• `� Lead Q
/�, <0.01 C� 0.003 ing/i_ 07/08/1.8 0000 MO
4�
Zinc
0.051 0.01 mg/L 07108/18 0000 M0
Definitions
RL: Reporting Limit
Project Requested.Certification[s]
Microbac Laboratories, Inc. - Fayetteville
11
North Carolina DENR NPDES -.
! � /mac j �i �� �l Zl✓� I � ""'v � t`T d l(J!/1/
l
Report Comments Reviewed and Approved By:
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted,212J[X
The data and, information onY_his, and other accompanying,documents, represents Joann
overstreat
only the sample(s) analyzed. This report is incomplete unless all pages indicated
in the footnote are present and an authorized signature is included. Client Relationship Specialist, Environmental
[e-mail]
0711212018 10:42
Microbac Laboratories, Inc.
2592 Hope Mills Rd Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com Page 1 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted ©a - O 7 —/
CERTIFICATE OF COVERAGE NO. NCGO�
FACILITY NAME t . G,L �vn l• �a Z�l. Lf�li/
COUNTY 2---
PERSON COLLECTIr4G SAMPLES .61` W4; i'1/4 W)11:e-
LABORATORY {'v/ IC_` U M-2v_ s _ / Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR d
SAMPLE PERIOD JrJan-June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No discharge this period?z
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
Organics5
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
—%—
i
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
" See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/l/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the 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 (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX me/L". where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
(Vote: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?z
Outfall No.
Date Sample
collected'
(mo/dd/yr)
24-hour rainfall
amount,
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 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, 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 REGION L OFFICE? YES J@ NO ❑
REGIONAL OFFICE CONTACT NAVE:
�Gl�'�.�7������✓1�`� �t���/�
y ,y
in the case of "No Discharae" 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 responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there arje significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
224L,,�. L2LZ�
(Signa re of Permute (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

i
t
f:n vironmen: Ri
Quality
Stormwater Discharge Outfall (SD4)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit httlLL eg.nc.gov/about/divisions/energy-mineral-iapd-
re c s i-i d- er 't t r wat r d d l w t -4
Permit No.: N/C /_L/3�/L/L)ILIL%; or Certificate of Coverage No.: �W/�G/
Facility Name: ��is , Lti�,
County: �S44 Phone No.
Inspector:
Date of Inspection: U�
Time of Inspection Z G
Total Event Precipitation (inches): ,
4t,
R���,o��4�'Ti, <'O,B
All permits require qualitative monitoring to be performed during a "measurable stormceynt."
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DEMLR Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signatur>{Jof Permittee VDesignee)
1. Outfall Description: s� _
Outfall No. _ _ _ St ucture (pi e, ditch, etc.): /)/ l �
Receiving Stream: / �✓ i✓ e5c �i Q� j1/ E
Describe the indu trial activities that occur within the outfall drainage area: S1Dt4-e 1�
SWU-242, Last modified 07/28/2017
Page 1 of 2

2. Color: Describe the color of th
(light, medium, dark) as descriptors: �
3. Odor: Describe any distinct odors
weak chlorine odor, etc.):
arge using bisic colors (red, brown, blue, etc.) and tint
at the discharge may have (i.e., smells strongly of oil,
) ✓'
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: �--�
.,„. 1 �. 2 j 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 'C- 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 G2 3 4 5
7. Is there any foam in the stormwater dischargC9 Yes 0 No.
8. Is there an oil sheen in the stormwater discharp? o Yes GD
9. Is there evidence of erosion or deposition at the outfaCP o Yes
No.
10. Other Obvious Indicators of Stormwater Pollution:
List and escribe —S l� it's;
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, last modified 07/28/2017

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 2���
CERTIFICATE OF COVERAGE NO. N0003 O
FACILITY NAME rv`�4Lk ,�GL, r,6, C,c-, Z�f/r�
COUNTY
PERSON COLLECT NG SAMPLES v� �2*
LABORATORYI�I/l'e r4,q ( L L # .�'7 �(� Li
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR s-E) 1 T _
SAMPLE PERIOD ❑ Jan -June ,July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [—]SA
[—]Other L'L �a .�_; S C,,J
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
Total Petroleum
Hydrocarbons
Toxic
Organics$
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
Ano,51
/—oxo
o, up2l
Z_ =Lz
' 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 Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, -the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
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 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 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES E. NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 2�N0 ❑
REGIONAL OFFICE CONTACT NAME:CDC-( 4;--% ✓ 1�%e r `,� y�r� �i Y1/� r� ll��/ f c
Mail an oriainol and one cony of this DMR, includina all "No Dischorae" 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 sigfificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ature
(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 QualiP Ge era Permit No. N00030000
Date subm> ked d
CERTIFICATE OF COVERAGE NO. NCG03_� ,
FACILITY NAME `►'�[ C �y'��`�4�_ [��� -
COUNTY,..,
PERSON COLLECTI G SAMPLES
LABORATORY /' i'n & C . Lab Cert. #
Comments on sample collection or analysis:
Part A. Stormwater Benchmarks and Monitoring results
SAMPLE COLLECTION YEAR o cY_ :l, --
SAMPLE PERIOD X Jan -June ❑ July -Dec
or ❑ Monthile month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RE� 1E® OZero-flow ❑Water Supply ❑5A
V ❑Other C'�_ C w _.�
JUL 07 2017
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWR SECTION
❑ No discharge this period ?2
Outfall No.
Date Sam le
p
Collected'
(mo/ddJyr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Tonic
Organics'
rga nits
Benchmarks =_
_
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
05 L7
LO 3
O c6a
IL
' 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.
"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 rnetai 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 '' f1/2012-10/31/2017 SWU-245, last revised 100"-/2012
Page 1 of 3

Fad Iit4es th6_ ,corporate a solvent management plan into the Stormwater Pollu. .1 Prevention Plan may so certify, and the requirement for TfO rri%_,coring
may be waived. The solvent management plan shall include a fist of the total toxic organic compounds used and the other elements fisted 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 responslble 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 stor►nwater 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."
Blame (Print narne)
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, tihe m st ke re a ed In the format. "<XX L" where XX is the numerical value of the detection
limit, report ing.limit, etc, in mg/L.
Mote: if you report a sample value in excess of the benchmark, you must implement Tier T, Tier 2, or Tier 3 responses. See General permit text,
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil Per month.
IVo 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 8
* See General Permit text, Table S, identifying the especially sensitive receiving water classifications where the more protective benchmark applies,
Permit Da' 'A/1/2012-10/31/2017 SWU-245, last revised 10/25_/2012
' Page 2of3

f
Note: if you report a sample value in excess of the benchmark, you must implement Tier .1, Tier 2, or ►ler 3 responses. See General Permit text. .
FOR PART A AND PART B MONITORING RESULTS:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER i REQUIREMENTS. SEE PERMIT PART It SECTION B.
e 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B_
a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE: BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES P3*0 rl
IF YES, HAVE YOU CONTACTED THE DWQ REGIONA OFFICE? YES Sg-NO ❑
REGIONAL OFFICE CONTACT NAME: i a - --��
Mail an on lna! and one c9Ry ot this DMR including Il "No Dischar a re orts within 30 days of receipt of the lab results tor at end of monitoringeriod
In the case g"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 property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are signifjcant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing violations."
(Signaturefif Perrnittee)
:21—'-- ��
(Date)
Permit DatF — `1/ 2012-10/31/2017
SWU-245, last revised 10/7S/2012
Page 3 of 3

Sto rmwater Discharge Outf all (SDO)
ua4Rftati -- M "- t,O 5ng Repo
For guidance on filling out this fvrni, please visit. bttn-/1pL)rtai.ncdesr,orgg j ienf {vQ jwS, su npdessevA tat -4
Permit No.: NXIQ1�/042IL/-bi_I or Certificate of Coverage No.: N/C/L/
Facitity Nam-e= `Z.c-2iL '[�
r-
Inspector: 1.21A446ar4 r�
Date of Inspection.
Time of Inspection:
1C01 Event Precip-ji 2i4on j inc`f'kes): J-13-- .
Was this a "Representative Storm Event" or "IAVsurea le Storm Fusin" as defined by the permit?
(See information below:)
"e= No
Please verib, whether Qualitative Aaniwr tnq must lk perjOr.-aed during a -rc-p -EseataLive swu-iiei
event" or "rmeasuveable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be �--
performed dus ing a `represE'i:t:iPve a i8Y' .. `i`i !;i or during 8 ev;?1yC, iri
:i- h3vethi5 n-!ft-i-mthese
v:,'`.`3r"�_
A "representative slorrm 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. f 'riches has occurred. A single storm evens may contain up to 10 consecutive hours of no
Precru,ita _m".
A "measurable storms event" is a storm event that results in an actual discharge fi-om 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
e4l !• ii `: cnz ,,.rp CcrT 7l s-�ii- �i F ;�= �• ��r] �} M In n i r{ �l� r
i 1tery is a _ t 30Cc l J w i__ _v,7: . .Fy1: tng li, sampl aye _ern_., _ rd he permittee
t`3 t cif;'. , ci-Ci n�. �:•'�f'�. Y'. r]St�'. rl-?rC1 i 5-fit:. id.G�jY,''•[::4i:yi
By this signature, ! certjythat this report is accurate and complete to the best of my knowledge:
'Signatu� o Permi�ee
Page 3 of 2
SM-242. Last modified 10/25/2012

g. Outf'all Description-
Outfall No. _ Structure [pipe, ditch, etcjl�[MI-L &)
Receiving Streartt: �r+��cG. %iG C % G'rr J cLxE ,
De,icribe the uidush i, I activities thatoccur within •lie ()Kfall drainage area 4�L
2. Color: Describe the color of the discharge using basic c
(light, medium, dark) as des criptarsrr
[,red, brawn, blue, etc.) and tint
a. Odor: uesrr1,9e any diSTirci ^i that Lire discharge inn— Y have {;-e., smelts strongly of oil"
11
weak chlorine odor, etc.): &j2 `lam ✓' _ _
4. Clarity: Choose the number which Best describes the clarity of the discharge, where 1 is
S. Floating Solids: Choose the number which nest describes the ar3ount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 ��✓ 4 5
6. .0fispended Solids: Choose d-se aamber which best describes me amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is ertrerneiv Muddy:
1 � 3 4 5
7. 4s there any foam iii the yt! L.-Q.
5—
a. is there an oil sheen in the stormwater discharge? Yes N '
9. Is there evidence of erosion or deposition at uic outfa6l7 Yes �•
1.0. CkUkt-- - Obvious Indicators of Storww aaer PoillaflG.ion:
List and describe
Note. Le%%v clas , high so ids, and/or the pre-sence of foram, oi! sheer., cw
may be Indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
YvVU-242, bast mod if! r^d C-.1 253/2 is [

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Qua ity G neral Permit No. NCG030000
Date submitted d
CERTIFICATE OF COVERAGE NO. NCG03n- a 1,�5
FACILITY NAME &-iL.0 G'act�.^bi���l[ � ,Cam_ C•✓4� _
COUNTY uz
PERSON COLLECTING SAMPLES L.t511y4
LABORATORY �c r o ee2__ Lab Cert. # �'771 �=4
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR,3 O ( Q0
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' 'month)
EMU
G TO CLASS ❑ORW ❑wH [:]WaterSupply PNA
❑2�a-floSA
FEB 02�2/017 ❑Other e�s,5' C�S�
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,
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/L'
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
�.
/ f
a
-CQAD
GO.tlD
E7. (
c7D
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedaA`sgfo��h� a parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring repR it c ckmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible f vaty fdf the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective bVichmark 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: y
"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_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 a 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 rftg/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 Il 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 REGION�L OFFICE? YES �fiNO ❑
REGIONAL
OFFICE
OFFICE CONTACT NAME: Mc C,k A uj \/e -j
�al
��T34j� l,ter- x-7 �zv�
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, 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
C - 3�--/
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

ar
04,
` J s.a
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: h ortal.ncdeiir.or web w Nvs su tt dessw#tali-4
Permit No.: hL/-Q/
Facility Name: %)?c
County:
Inspector: 04
Date of inspection:
Time of Inspection:
or Certificate of Coverage No.: NJ-C/W_6 /&& 713
ip r (' 0i 11OL 41M#;"l,.. /11A Zw1/-1
Total Event Precipitation (inches): -
Phone No. Yl0'
ED
17
CENTRAL FILES
DWR SECTION
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
It 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 01 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 cejlfy that this report is accurate and complete to the best of my knowledge:
(Signatuo of Permittee o,;s Designee)
Page 1 of 2
5W J-242, Lastmoditied 10/25/2012

41. Outfall Description:
Outfall No. — Structure (pipe, ditch, etc.) �TcV 1 , C� Y'S ��� ✓ w�4 `�
Receiving Stream-14T r ' wok Ga s e n
T C
Describe the industrial activities that occur within the outfall drainage areas i o ie�2 IWIDL�
r1x�44;'AK Vq5:45 .7vts r11 04le 01X2 / %6rsrati -4,-
2. Color: Describe the color of the charge using basic colors red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _� Off✓
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 V 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:
I � 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 39 4 5
7. Is there any foam in the stormwater discharge? Yes 4 0
B. Is there an oil sheen in the stormwater discharge? Yes rN0
9. is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe lv�D1,+'/�, �p f^'` �— �'�SS C�!` r y✓��
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
5wU-242, Last modifted 10/25/2012

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality neral Permit No. NCG030000
Date submitted l
CERTIFICATE OF COVERAGE NO. NCG03D
FACILITY NAME
COUNTY (�G�yt2i�lu-�,. Cry• �W L—
COUNTY
PERSON COLLECAG SAMPLES
LABORATORY_ C i- aEjQ:!�, Lab Cert. # Q 77/'Q
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR D t; L
SAMPLE PERIOD 2LJan-June ❑ July -Dec
or ❑ Monthly) (month)
DISCHARGING TO CLASS ❑ORW ❑HCtW ❑Trout ❑RNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
❑Other C4_. ,�_ ,. C
JUN 2 4 2016
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
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks
100 mg/L or 50 mg/L
6.0 — 9.0
00,07 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
G5
c -.0GJ ' ]�
Z&
�q r CfC
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
(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 title)
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
(Vote. if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS 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 ===y
_
-
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 R NO
REGIONAL OFFICE CONTACT NAME: cGh Lr —V— , 2`D(-`�`f
Mail an orlainal and one copv of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitorina Period
in the case of "No Discharge" reports) ta:
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
Cs✓ %
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

_
�CC�-o3 o 3 � 3
RECEIVED
JUN 2 4 2016
`�--lA: L, r TRAL FILES
DWR SECTION
r_T�
f � �
r

I '
i
1
l 5
f • , , . 1 i
ti r�
Ii � � \ f ' • \ _ -ii Ili?.• �. !� sic,
F " •I` -I.

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit. http://portal.ncdennorg/web jwy/ws/su jtjpdessw#tab-4
Permit No.: �f/C//Qi3//Q/ O/�/ or Certificate of Coverage a/
Facility Name: �r��-�E^ C'.t,r17`NrL fii,, r�j�4,
County: Phone No.
I nsp ector 12 ) — /
REeEIVED
Date of Inspecti n:
Time of Inspection: i1
Total Event Precipitation (inches): t CENTRAL FILES
DWR SECTION
Was this a "Representative Storm Event" or "Meas " as defined by the permit?
(See information below.)
X ' 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, l certify that this report is accurate and complete to the best of my knowledge:
of PermitOe or
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfali Description:
Outfall No. -41— Structure (pipe, ditch, etc.) [ITC GVWS'.-'
Receiving Stream: Lpi?ntrlgh!
Describe the industrial activities that occur within the outfall drainage area:-57&e '6•t
Cyr cC�S , i�lpT sh +�As rc�T5,3�Syv_�2 &- — F— ` Vic-
L
2. Color: Describe the color of the discharge using basic colorred, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: -BHiL,0j1 N
3. . Odor: Describe any distinct
weak chlorine odor, etc.): _LUa
ors that the discharge may have (i.e., smells strongly of oil,
D � -
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 V 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 V 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 V 3 4 S
7. Is there any foam in the stormwater discharge? Yes <11�)_
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stor Jm� water Pollution:
List and describe
i
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 10/25/2012

Semi-annual Stormwater Discharge Monitoring Resort
for North Carolina Division of Water Quality General Permit No. NCG030000
Date.submitted
CERTIFICATE OF COVERAGE NO. NCG03 a 3 -1 a
FACILITY NAME VAi QtE'er ;C - ?u>c:_,
COUNTY
PERSON COLLECTING AMPLES %/
LABORATORY L LA Cert. i# /
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED
❑Zero-flow ❑Water Supply [:]SA1,/ ❑Other C _ -P
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CE,N `RAL- i=ILE§
No discharge this period?"
Outfall No,
Date Sample-
Collected'
(mo/dd/yrl
•24-hour`rainfall,
amount,
Inches'
l'
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
nz_/
1
1 Monthly sampling (instead of semi-annual) must begin'with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
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."
Name (Print name)
Title (Print title)
~ (Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable_ limits, they must be reported in the format,"<XX me/i1_", 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.
PartB: Vehicle Maintenance Area Monitoring Results: only for facilities averaging >-55 gal of new oil per month.
n No dischorae this oeriod?z _
Outfall No:
-Date Sample- •
Collected'
(mo/dd/yr)
24=hour rainfall
amount,
3
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEMI
Total Suspended Solids
. _
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012
Page 2 of 3

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

947r-A
NCDENR ,
orlmw all SDO St ater Discharge Outf ( )
Qualitative Monitoring Report
For guidance on filling out this form, please visit. http://portal,ncdenr.orgf web/wgfws/su/npdessw#tab-4
Permit No.:
Facility Name: /n i L L �Dwt rp
County: n/
Inspector: Lo K,
Date of Inspectio :
Time of Inspection:
or Certificate of
Total Event Precipitation (inches):
No.://�/Q//4/�/
Was this a "Represntatiye Storm" or "Measureable Storm Event" as defined by the permit?
(See information below.)
lWYes ❑ 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 maycontain 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
E 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 certi that this report is accurate and complete to the best of my knowledge:
wa*u L,::— P < ��
(Signature Permittee or))signee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. � Structure (pipe, ditch, etc.) c f.
Receivi ng Stream: a I+- CL �5G
Describe the industrial activities that occur within the outfall drainage area:
)�05iv�
Ulf
2. Color: Describe the color of the discharge usin basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 'Et-c u � V ��e-le4 L icr 12,L?`� vt��
3. _ Odor: Describe any distinct odors
weak chlorine odor, etc.):_
it the may have (i.e., smells strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
t� 1 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and S 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 rnuddy:
1 �2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
a
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of stormwater Pollution:
List and describe - I`Dio— v �.Ic / W
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, Lastmodifie:d 1(1/25/2012

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted L-ao -/�5'
CERTIFICATE OF COVERAGE NO. NCG03„Q
FACILITY NAME&L./*!-G7 a�-71'ad+
COUNTY
PERSON COLLE NG SAMPLES
LABORATORY rkO� Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIOD CgJan-June []July -Dec
for ❑ Monthly' (month}
RECEI V pE PHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
JUN 2 4 2015 ❑Zero -flow ❑Water Supply ❑SA
Other C44_-4 � ski _ --
CENTRAL. FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 �
❑ No discharge this period?z
Outfall No.
Date Sam ie
p
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
p H,
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
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
/ /
G1�
L O
t 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: ? ' /1/2012-10/31/2017 5WU-245, last revised 10/25/2012
Page 1 of 3 "

Facilities tha. corporate a solvent management plan Into the Stormwater,Pollu. .i Prevention Plan may so certify, and the requirement for TTO m'L....coring
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 rna/V where XX is the numerical value of the detection
limit, reporting limit, etc, in mg/L,
Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outiall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inche53
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 filer 1, Tier 2, or Tier 3 responses. See General Permit text.
FDR_PARTA AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li SECTION B.
O 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION S.
a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE5 FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES O'NO ❑
REGIONAL OFFICE CONTACT NAME: jzi e- rr' ,� I,- �n r�4-g-�
0-0L1.14��
Mail an orl Ina! ond one coov of this DMft including all "Na Discha e" re its w'thi 0 a i t o th lab results r at d a monitorin a od
In the case of Me Discharge" me—odsl_to:
Division of Water Quality
Attn: DWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY _INF_Q_RIM TION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsibie 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 Permltteej
6 -,� -1�5'
( Date)
Permit Date: '-'1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

e
MCDENR 1
Starmwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this furni, please visit: htt :! )oil.n - e ' v I e ,,v b-4
Permit No.: Lvl�l �_IQI. l�l/�l��l or Certificate of Coverage No.: L/ill fll`Q1J1
Facility Name: h17j <f -1 r
County: 44 Phone No.
I nspector: _
Date of Inspection: -5 — /D � `7
Time of Inspection: Ll d 0V PAI
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or'Weasureable Storm Event" as defined by the permit?
(See information below.)
s ❑ No
Please verify whether Qualitative Monitoring muse be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
__...._ .--- - - 1---1
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 fours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge frorn 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.
13y this signature, l rtify tit this report is accurate and copplete to the best of my knowledge:
(Signa4re of Permitt�or Designee)
Page i of 2
5WU-242, Last modified 10/25/2012

f 1. Outfall Description: ,
Qutfall No. �_ Structure (pipe, ditch, etc.)
Receiving Stream: kT Th 4li1ai,'rhvc% 144 �Y , v C'
Describe the industrial activities tpt occur wit�e outfall drainage are .. -'gs
Z. Color: Describe the color of
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct
wear chlorine odor, etc.): %1" L
u/k
discharge using basic colors d, brown, blue, etc.) and tint
that the discharge may have (i.e., smeils strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
S. Floating Solids: Choose the Number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 D 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7
8.
9
Is there any foam in the stormwater discharge? Yes No
Is there an oil sheen in the stormwater discharge? Yes
Is there evidence of erosion or deposition at the outfali? Yes
10. Other Obvious indicators of Stormwater Pollution:
r
List and describe _ Il A 1 /L'
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may he Indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
l/
swu-242, Last modified 10/25/2012

Semi-annual Storrymwater Discharge Monitoring ReRort
for North Carolina Division of Water Qu lity Genera! Permit No. NCG030000
Date submitted / / a U )` / 5—
CERTIFICATE OF COVERAGE NO. NCG03 SAMPLE COLLECTION YEAR �7
FACILITY NAME 4w '!(2 RECEi� j��PLE PERIOD (:]Jan -June ®July -Dec
COUNTY cc)i V or []'Monthly" (month)
PERSON COLLECTI G SAMPLES JAB! 2 6 20RISCHARGING TO CLASS []ORW QHQW []Trout ❑PNA
LABORATORY RIJ C_r ' C: lab Cert. `7'� LPL_ ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: �— CENTRAL FILES 00ther(21-U���
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
No discharge this period?'
- J
Outfall No.
Date Sample
1
Collected
(mo/dd/yr)
24-!tour rainfall
amourt3,
Inches
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 — 9.0
0.W7 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
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 outfail, 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 pate: ?' 11/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities thp_ corporate a solvent management plan into the Stormwater PollL , i Prevention Plan may so certify, and the requirement for TTO m,-...coring
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 melt". 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.
n No discharge this oeriod?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH b
EPA 1664 (SGT-HEM)y
Total Suspended Solids
pW
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 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 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 [LrNO ❑
REGIONAL OFFICE CONTACT NAME: k2c ,�
G � �. �. [����5 � C:(%�i �✓' ,� - T �1� 3 I" � � � �- �7�r r� L,.! £'-�� G �� ra �T><�% l w � �� <r 1�(��;O %f/I�Y�� �' C f
h
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 nerie
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."
c(Dyelp-�11l5—
Permit Date:.'-'1/2012-10/31/2017
SWU-245, last revised 10/2S/2012
Page 3 of 3

�DMICROBA;C
Fayetteville Division
Certificate of Analysis
Miller Control & Mfg. Co. Date Repotted: 12/31/14
Mt. Wayne Naylor Project: Stormwater sample - Biannual Date Received: 12/22/14
Post Office Box 1065 Date Sampled: 12/22/14
Clinton NC, 28329 Sampled By: W. Naylor
Stormwater, grab
K 4L0734-01
Anal to Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH
7.2
pH Units
12/22/14 06:35
W. Naylor
pH
AnaWed by: Microbac wborationes, Inc.
- FayetteAle
Copper
<0.00700
mg/L
12/31 /14 14:16
JAW
EPA 200.7 Rev 4.4 1994
Lead
<0.00300
mg/L,
12/31114 14:16
JAW
EPA 200.7 Rev 4.4 1994
Zinc
0.0930
mg/L
12/31/14 14:16
JAW
EPA 200.7 Rev 4.4 1994
Oil & Grease (SGT-HEM)
1.02
mg/L
12/23/14 08.53
NCH
EPA 1664 B
Total Suspended Solids
28.7
mg/L
12/23/14 09:10
JAO
SM 2540 D-1997
QC Batch Run - (Microbur Laboratories, Inc - Fayedevitk)
L Analyte
Result
Units
Source
RPD
Litnit
Lead
0.00200
mg/L
K41-0782
200
Total Suspended Solids
21.2
mg/L
K4L0759
16
5
Total Suspended Solids
36.0
mg/L
K4L0771
8
5
Copper
0.0440
mg/L
K4L0779
2
200
Copper
0.00800
mg/L
K4L0782
0
200
Lead
0.00200
tng/L
K41-0779
200
Zinc
0.0880
mg/L
K4L0779
3
15
Zinc
0.0490
mg/L
K41-0782
2
15
Notes and DeCnitions
B Detected in the asweiatcd Method Blank
StatL Certifications: Respectfully Submitted
NCDNR # l l
NCDOH #37714
Bonnie K. Sanders, Senior Project Manager
I I'Oge 1 0? 3
2502 Hope Mills Road I Fayetteville, NC 20300 1010.694.1020 01910.664.877411 WWW.M10010419.00hn
Microbac Laboratories. Inc. _ . _
u

I
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted - G ( L
CERTIFICATE OF COVERAGE NO. NCG03-03— SAMPLE COLLECTION YEAR Ot
FACILITY NAME tyt L. firw7rlral 4 P441, 7w Cr SAMPLE PERIOD a Jan -June ❑ July- ec
COUNTY or ❑ Monthly' (month)
PERSON COLLECTI SAMPLES 14 L a S CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY �IYi� }r n 17b (° Lab Cert. # RE M�f []Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: ©Other AUG 12 2014
Part A: Stormwater Benchmarks and Monitoring Results
CENTRAL FILIftEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWO/BOG
❑ 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/L
6.0 — 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
_aI- f
300
Otis
'D
, ' 11)
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
` See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date:,,!' 11/2012-10/31/2017 5WU-245, last revised 10/25/2012
Page 1 of 3

Facilities tha_ 'corporate a solvent management plan into the Stormwater Poll_ i Prevention Plan may so certify, and the requirement for TTO rriu—coring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of,the
solvent management plan included in the Stormwater.Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not -report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note. If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period:
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total.SuspendedSolids
-
pH
Benchmarks ===y
-
-
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.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
Y TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDE�NC�ES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACT THE WQ REGIONAL OFFICE? YES L� �0 El
REGIONAL OFFICE CONTACT NAME: C �14 &
ea
4-f0 �a7�e- �c ��► �:tPK.
i'��, lJc_[c»�'' ��k�rL✓"CAi�ir_c ��L7p``c-���i ��i~6r�(lr
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 responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there are significant enalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
�Tbi- �
(Signature of Perm
(Date)
Permit Date::' . '1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

Miller Conlrol & Mfg. Co.
Mr. Wavne Navlor
Post Office Box 1065
Clinton NC, 29329
Favetteville Division
Certificate of Analysis
Project: Stor-ril ater sample - Biannual
Date Rcportal: 07/23/14
Date Received: 67/01/14
Date Sampled: 00/27/14
Sampled By: W. Naylor
Stornawater, grab
_ K4GOO1 5-01
Analyte _ RCStdt Units Analyzed Analvzed 13v Method Qualifier
Field Data
PH 6.35
PH Units
06/27/14
17:35
W. Navlor
pH
Analyzed by: Microbac Laboratories, Inc. - Chicagoland
-
Copper 0,0048
mg/L
07/11/14
17:26
SA
EPA 200.8 Rev 5.4
I -cad 0.0056
mg/L
07/14/14
14:28
SA
I -IPA 200.8 Rev 5A
Zinc 0.095
mg/L
07/ 1 1 / 14
1726
SA
LPA 200.8 Rev 5.4
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Oil & Grease (SGT-HEM) 4.40
111glL
07/15/14
10:30
MSL
EPA 1664 B
Total Suspended Solids 27.0
mg/L
07/03/14
07:25
JAO
SM 2540 D-1997
QC Match Run - (,1licrohuc l.uhurufurir ,lac. - Chico rrfunrl)
l Analyte
Result
Units _
_ Source
RPD
limit
Zinc
0.190
mg/I-
14GO433
1.58
20
Zinc
fl.187
mg/1-
14G0348
2.81
20
Copper
0.0217
nlg/L
14G(1433
0,272
20
Lead
0.186
me/L
14GO348
1.48
20
Copper
0.0189
mg/L
14GO348
2.36
20
Lead
0.183
111;/L
14GO433
2.39
20
QC Batch Run - (,llicrnhur Lahorarnrics. Ine. - FaYellrrrlle)
I Analyte
Result
Units T
Source
RPD
Limit
Total Suspended Solids
26,8
mg/L
K4G0035
09
5
Total Suspended Solids
41.0
mg/L
MG0102
26
5
Total Suspended Solids
l S.3
mg/L
K4150098
13
5
Notes and Definitions
B Detected in the assucidncd W1110d Blank
Microbac Laboratories, Inc. Page 1 of 271
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com