NCG060308_MONITORING INFO_20181110

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV Cc, p to Q 30 (
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ JOI9)4 /O
YYYYMMDD

STORMWATER DIVISION CODING'SHEET
NCG PERMITS .
-PERMIT NO,
IVD 3 ° 403
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ �w ` �� ol�
YYYYM M DD

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
CERTIFICATE OF COVERAGE NO. NCGO60 3 0 S
FACILITY NAME Alltech - Eden Facility
COUNTY Rockingham
PERSON COLLECTING SAMPLES MiMi Fleming
LABORATORY Pace ! ESC Lab Sciences Lab Cert. # 375
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted 1112012018
SAMPLE COLLECTION YEAR 2018
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES F9
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 20.3 or ❑ No discharge this per1od3
Outfall No.
001
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform 2,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
1000
500
W0612018
7.23
6.45
58.2
<6.02
�_ fir°► �.
Ain 1,
`Only applies to facilities that use/process meats. 640k:4 f -p�
IThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge ate outfalls. You must still submit this discharge monitoring report with a checkmark here` -T/0t r
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [ano
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
oil.and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ice complete Part B)
SWU-249 Last Revised; October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
* A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
* 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
* TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an 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 eriod in the case o "No Discharge" reports to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Per-Iiittee)
19 NOV 2018
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org%web/wg/ws/su/nr)dessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 or 2

aceAnalXical • ANALYTICAL REPORT
National Center for resting & t November 14, 2018
Hall Environmental Consultants, LLC
Sample Delivery Group:
L1042052
Samples Received:
11/07/2018
Project Number:
Alltech SW
Description:
Eden NC
Site:
NCG060000
Report To: Randy Shelley
1376 Danville Road Loop 1
Nicholasville, KY 40356
Entire Report Reviewed By: Q
Linda Cashman
Project Manager
Resuits relate only to the items tested or calibrated and are reported as rounded values. This lest report shall not be
reproduced, except in full, wl;hout written approval of the laboratory. Where applicable, sampling conducted by Pace National
is performed per guidance provided in laboratory standard operating procedures:060302. 060303. and 066304.
12065 Lebanon Rd Mount Juliet, TN 37122 615-758-5858 800-767-5859 www.pacenational.com

1f-
SAMPLE SUMMARY ONE LAEr NATIONWIDE.
Collected by Collected date/time Received date/time
OUTFALL 001 L1042052-01 WW Mimi Fleming 11/06/1811:00 11/07/1808:45
Method Batch Dilution Preparation Analysis Analyst
date/time dateltime
Gfavimetric Analysis by Method 2540 D-2011
Wet Chemistry by Method 16646
Wet Chemistry by Method 410.4
ACCOUNT:
Hall Environmental Consultants, LLC
WGi19462i i 1V1311816:09 11113/1917:23 AJS
WGI195765 1 1111311810108 1111311815:20 ALA
WG1194862 1 11/11/18 09:47 11/11/18 13:08 TH
PROJECT: SDG: DATEMME: PAGE:
Alltech SW L1042052 11/14118 1613 2 of 6

CASE NARRATIVE
ONE LAB. NATIONWIDE.
All sample aliquots were received at the correct temperature, in the proper containers, with the
appropriate preservatives, and within method specified holding times, unless qualified or notated within
the report. Where applicable, all MDL (LOD) and RDL (LOO) values reported for environmental samples
have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control
are within established criteria except where addressed in this case narrative, a non-conformance form
or properly qualified within the sample results. By my digital signature below, I affirm to the best of my
knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the
quality of the data have been identified by the laboratory, and no information or data have been
knowingly withheld that would affect the quality of the data.
Linda Cashman
Project Manager
ACCOUNT: PROJECT: SDG: DATEITIME: PAGE:
Hall Environmental Consultants, LLC Alltech SW L1042052 IU14/18 16:13 3 of 6

OUTFALL 001
SAMPLE
RESULTS - 01
ONE LAB'NATIONWIDE.
Collected datellime: 11106118 11:00
L1042052
Additional Information
Result
Units
Analyte
PH (On Site( 645
su
Temperature (on -site) 52
Deg- F
Gravimetric Analysis by Method 2540 D-2011
Result
Qualifier
RDL
Dilution
Analysis
Batch
Analyte mgll
mgll
date! time
Suspended Solids 1.23
3.85
1
11/13/201817:23
WGI194621
Wet Chemistry by Method 1664B
Result
Qualifier
RDL
Dilution
Analysis
Batch
Analyte mg/l
mgli
date 1 time
Oil &Grease (Hexane Extr) NO
6.02
1
11/13/201815:20
WG1195165
Wet Chemistry by Method 410,4
Result
Qualifier
RDL
Dilution
Analysis
Batch
Analyte mgll
mgl
date 1 time
COD 58.2
10.0
1
11/111201313:08
WG1194862
ACCOUNT: PROJECT: SDG: DATE1T ME: PAGE:
Hall Environmental Consultants. LLC Alltech SW 1-1042052 1111411$ 16.13 4 of 6

GLOSSARY OF TERMS
ONE LAB. NATIONWIDE. AV
Guide to Reading and Understanding Your Laboratory Report
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
intended as a comprehensive explanation, and if you have additional questions please contact your project representative.
Abbreviations and Definitions
ND
Not detected at the Reporting Limit (or N1DL where applicable).
RDL
Reported Detection Limit
SDG
Sample Delivery Group.
Analyte
The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple anaytes
reported.
If the sample matrix contains an interfering material, the sample preparation volume or weight values differ from the
Dilution
standard. or if concentrations of analytes in the sample are higher than the highest limit of concentration that the
laboratory can accurately report, the sample may be diluted for analysis. If a value different than 1 is used in this field, the
result reported has already been corrected for this factor.
This column provides a letter and/or number designation that corresponds to additional information concerning the result
Qualifier
reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable. "
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. If there was
no measurable result returned for a specific analyte, the result in this column may state "ND' (Not Detected) er "BDL"
Result
(Below Detectable Levels). The information in the results column should always be accompanied by either an it1DL
(Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect
or report for this analyte.
A brief discussion about the included sample results, including a discussion of any non -conformances to protocol
Case Narrative (Cn)
observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report.
This is the document created in the field when your samples were initially collected. This is used to verify the time and
Sample Chain of
date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This
Custody (Sc)
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession of the
samples from the time of collection until delivery to the laboratory for analysis.
This section of your report will provide the results of all testing performed on your samples. These results are provided
Sample Results (Sr)
by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for
each sample will provide the name and method number for the analysis reported.
Sample Summary (Ss)
This section of the Analytical Report defines the specific analyses performed for each sample ID, including the dates and
times of preparation and/or analysis.
Qualifier
Description
The remainder of this page intentionally left blank, there are no qualifiers applied to this SDG
ACCOUNT: PROJECT: SDG: DATEMME: PAGE:
Hall Environmental Consultants, LLC Alltech SW L1042052 1V14/18 16:13 5 of 6

.L1
BJlUng Information:
Anal
Si; f
Con,.alarr
J Preserrative
Chain nl Custody Paec L nt
Hall Environmental Consultants, LLC
Ms. Cynthia M. Leasor I'res
l
S
i
LU
1376 Danville Road L64np 1 Ci:k
!1
-
dCBQllr JJd CB1 *
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1376 Danville Roaii:Loo 1
p
Nichalosviile; KY 403Sb
Nicholasville;,KY 40356
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Randy 5heiley
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Phane:859.885.3331
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Alltech SW
HALLKY-SW-ALLT EDEN
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rax: 859-885.4613
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comp,(Grsb
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�QcR _ 0. 3 in{;IrLS pH 6y; 15 Temp. 1f� �
n
eQC �e�' tiFrason.l3ssiac i ! f!x= 4 h fit,
GW= Groundwater n • 6ioassaY
1d1w • 1VasfC' afar
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5amp esieiurned via - -flog
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Date: Time:
Received by: (Slgna:tire►
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Date: Time:
RCC42�40rlab' isgnatuteji:
fJ<te:; 1limet•t
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Conditlbn. v
NCF-- t ;

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
Date submitted ,5 - y - 1 q
CERTIFICATE OF COVERAGE NO. NCG06L a(Z7
FACILITY NAME 2 Gk-
COUNTY f n hc_w
PERSON COLLECTING SAMPLES
LABORATORY A- Lab Cert. ##
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
MAY 14 Z018
SAMPLE COLLECTION YEAR 9AC( 114 ,2Z I 1 CENTRAL FILES
FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SECTION
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES ONO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
1000
50o
Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 504
6.0-9.0
-
1 only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge,
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SN'U-249 last Revised: October 19, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO-0"
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail_ an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
- ig-hs
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/webLwq/­ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
Date submitted 5 ­ R - i T?
CERTIFICATE OF COVERAGE NO. NCG06 SAMPLE COLLECTION YEAR R0181 �1�� �1_0
FACILITY NAME A I (}QCt �_r Je FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY c ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLEC NG AMPLES ( DISCHARGING TO SALTWATERS? ❑YES j�4NO
LABORATORY Lab Cer37733 Dr,,2k�, t�afe�>Jc)
(o2-- W0-T�e way 0'• ) PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall 2 02,55 or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Cntare�ocdlr
Colonies per 1C0 ml
Benchmark
100 or 504
Within 6.0 - 9.0
120
30
100p
Go
i
0
$,5
.D
1119
_
1 Only applies to facilities that use/process meats. MAY 14 ZU i6
2The total precipitation must be recorded using data from an on -site rain gauge.
3 C�1= 1� P.ail .ZII r-c:
For sampling periods with no discharge at a� outfalls. You must still submit this discharg �rutor,In repport with a checkmark here.
a I 't r'( I Ql l
See General Permit text, Table 3, identifying the especially sensitive receiving water clas�ifi diswh re the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ,fno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall'No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or SO
6.0 - 9.0
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge,
3 Fnr sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(i_�P.s, complete Part B)
SWU-249 bast Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT" PART I: SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (brat L�1i
monitoring period in the case of "No Discharge" reports) to:
Division of Water Resources -
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision jr, accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or -persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Illerm
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
..h. �„ ..... ...... ...
SW U-249
Last Revised: October 18, 2012
Page 2 of 2

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: deny, eb es -stQ an water/
Permit No.: N/C//�/�/�/�/ (�/l�/ or Certificate of Coverage No.:
Facility Na e:
County: r 1'nC Ctm Phone No. --�, 3(r - 635 - a1 G/O
Inspector: , - �-{�m r r1� � oct---
Date of Inspection: 15�APW{
Time of Inspection:
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event mitst have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
[Signature of PerfnitteEor--[�signee)
Pagel of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description: n
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: ,ZA
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: bda,�)n
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _ [Iw odw
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:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 LJ 3 4 5
7. Is there any foam in the stormwater discharge? Yes 1 0
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe l' l Ct e ndq-e -i' MJ. j-0J 0 ffS in p-o-. 1 +/I Y�� in
dil
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 7/31/2013

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06.0,_j Q Y SAMPLE COLLECTION YEAR 17
FACILITYNAME �/ a P c� _ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY 0 r(Cr ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTIN SAMPLES DISCHARGING TO SALTWATERS? DYES '�AO
LABORATORY Ce qAa/4h'rcV Lab Cert. (,,?.3 3
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall 1 Q' .7-5 or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,i
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
100 or 50'
Within 6.0 - 9.0
120
30
1000
500
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Ono
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 - 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NOX
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
1W
SWU-249 Last Revised: October 18.2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted a AW
CERTIFICATE OF COVERAGE NO. NCG06_0,_� 0 E SAMPLE COLLECTION YEAR W/7_
FACILITY NAME (/-A, [h _ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY__. 90Ckj.A Lrs❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTIN SAG MPLES DISCHARGING TO SALTWATERS? DYES '�gNO
LABORATORY A Lab Cert.-- ('�,3
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall z D. )-5 or ❑ No discharge this period3
a `OutfaillNo:,f`
r .7' „_ri. '�
s `€, `s:K
nSam le`.Collected :�
P •,`"+ z,,.: ;:5:rr+r-K3F%�
mo/c[d/,yr$'°ar,
x'"'T55f 4..,.
-rn�''`,-'..p
e,4�rtm L¢ '.
f t
rStandardz_units,
COU'.� 4
7..' �t
"gym Ly'`'� ,.
a p Oii aridiGrease
Yob ,.7"�:ii
�ti,.,;rei L.,t zL
? Fecal Colifor.'rnl. F.
rT , �^.�,r�,-
;,:Colonies, er;100 mlh`r
?=Enterococci h `s
zsColonies; 'eru100 m1`;
Bm enchark
Y f3'J 1
k 'i :..
-+,100,or50,`.
�.
G,Within16:0=.9 0:,
Y• `1
,:_w?.,,,12©�;.. .c:r:.
J" �' :.J+
i �`30=.�
F .U}.'4.".� ^ F
e.:lOQO:'y m .:„
l
n 500
4LL
L
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Ono
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
OiitfalliNb:, t
1 A., 44 b"ri`1 Y t •Z"E._ -Y
•:SamOWColle'cted
tiai�i�ag' yitll'li `'3 F �,',
; ,i'' Oil�and Grease" °^may
�,YS1y 'I.
:.f j
}y", , . �,ZjSS; "?� tt r°{t
x3''d:� 0"' 73��`'_.�4.
,,Y img/Lg� �r f ;>
H i�:, �1pH "` 3
"i;••�`�
,.�".Standard nits t
" New Motor Oil Usage,F a
�:. �.-1
:} rAnnual,average gal/mo ,r;
iBenchmark
ilk " �sv.� r �arh.
szrrr��
y_i 30i+ .
"
# �DoTor $O.s, ? s
`0 „ 9:0,•
r� u aT;:,
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies,
(ifyes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART 8 MONITORING RESULTS:
C A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this D_MR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports] to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my Knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
re of Permittee)
3-(-0-(
2
(Date)
Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this forrn, please visit: httpm//portal.ncdenr.o[g/web/Ir/npdes-stormwater/
Permit No.: N/C/h/ 0/!0/_0/.2/j 1-()1 or Certificate of Coverage No.: N/C/G/ V/&/ D/Z/ qz/
Facility Name: _
County: kOt
inspector: r
Date of Inspection: F 5 r- .Ul 7
Time of Inspection: h-Ak
Event Precipitation (inches): �, 2-5
Phone No. 33(0 -015L5/GO_
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Per/hItcee or D
Page 1 of 2
SWU:242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. —/ Structure (pipe, ditch, etc.) JQLCI7 _
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 11411t hr-o! y
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _Iva S}YDy1 �% r doy— _
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:
ii 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes eo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe A/'
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/ZO13

MCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: htLp:/lportaI.ncdenr.org/web/1r/npdes-stormwater/
Permit No.: H/C[
Facility Name:
County: ROl
Inspector:
-&L/-0/12/fi/-0/ or Certificate of Coverage No.:
Date of Inspection: 15 FC-T9 ,-�1017
Time of Inspection: L L1,5
Total Event Precipitation (inches): , 2,5
Phone No. 3.3rp, S .51gO
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
' Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pert nittee or D
Page 1 of 2
Swb-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.) 6Le- 11
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:�I/x-
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: bl-ny
3. Odor: Describe any
weak chlorine odor, etc.): _
tinct odors that the discharge may have (i.e., smells strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 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:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 Q 3 4. 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes (no
10. Other Obvious
/Indicators of Stormwater Pollution:
List and describe
(Vote: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO6,I 1,2S,�
FACILITY NAME
COUNTY Ckr',1 irlin T
PERSON COLLE' NG SAMPLES
LABORATORY Pfirp Aja cal Lab Ce . # 6.3 3
W
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR ZOffQ
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES KNO
PLEASE REMEMBER TO SIGN ON THE REVERSE
Total event roinfali 2/,6/� or ❑ No discharge this period'
Outfall No:
,.
Sample Collected„pH,
mo/dd/yr.. • ' 'mg/L
,:.
;'hStandard units .
COD,
r g
M /L
O!I and Grease,
mg/L :.
Fecal Coliform ;
:Col onies:per 100 m1 :..
Enterococcii,
,_,,Colonies per_100 mI
Benchmark
='
100or:54a'=
'.Withrn'6.4..=`9 4J:
�`120:
`'1000
•'''-"'"�544.
A11D
4-
1 Only appiies to facilities that use/process meats. FILES2The total precipitation must be recorded using data from an on -site rain gauge. CENTRAL
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. DWR SECTION
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes "n
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
DutfallNo:
Sample -;Collected,
mo
_'. ' Oil'and Grease,
e mg/L_;
rTSS,
;
mg/C __
,pH,
„Standard.units
New Mntor O�! Usage,
:Annual;ave�age?gal/mo:;'
Benchmark
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 for sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS-
* A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
O 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
® TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO-�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an od final and one copy of this DMR, including "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitorinq period in the case o "No Discharge" reports) to: -
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"l 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."
re of Permittee)
(Date)
Additional copies of this form may be downloaded at: http:ZZpor-tal.ncdenr.org/web/-wq/wsLsuLnpdessw#tab-4
S W U-249
!'
Last Revised: October 18, 2012
Page 2, of 2

K
, SEp S
NCDENR �EN��Er ►°"
Stormwater Discharge Outfall (SDO) owR
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: httR„//portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No.: N/C/[a
Facility Name: j
County: koctm
Inspector:
Date of Inspection:
Time of Inspection:
/f2/-0/Q/0/�}' or Certificate of Coverage No.: N/C/G/Q/k/�/ /1�/&/
Total Event Precipitation (inches):
Phone No. A;b) /n 3-5--
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature} I c� that this report is accurate and complete to the best of my knowledge:
(Signature of Pl~rnlikfee or Desiknee)
Pagel of 2
SWU-242, bast modified 10/25/2012

V �•
1. Outfall Description:
Outfall No. / Structure (pipe, ditch, etc.) yr�C h
Receiving Stream: Oru Crack
Describe the industrial activities that occur within the outfall drainage area: A11A
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any dis inct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): C) .S'Orta fir'
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 (D 3 4 S
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
U 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. is there any foam in the stormwater discharge? Yes No
8. is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
WMf receinid 8ZIAwar Kor
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.
5WU-242, Last modified 10/25/2012
Page 2 of 2

, T=w
MCDEN
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://partal.ncdenr.org/web/wq/ws/su/nndessw#tab-4
Permit No.: X/C/ -Q/-(Q/Q/0/0/O or Certificate of Coverage No.:
Facility Name: \-
County: Phone No.
Inspector: '�
Date of Inspection: 101 yov 15
Time of Inspection: _ _K. _
Total Event Precipitation (inches): �� l
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
RECEIVED
DEC 10 Z-015
Please verify whether Qualitative Monitoring must be perfortmed'duriClo jjaresentative storm
event" or "measureable storm event" (requirements vary,. depend�glofYtte 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
l permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
_ P kk��jl,"-K—,
of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. ti Structure (pipe ditch, etc.)
Receiving Stream:
Describe the industrial activi e that occur within the outfall drainage area:
2. Color: Describe the color of the dis
(light, medium, dark) as descriptors: _DLII=
3. Odor: Describe any d
weak chlorine -odor, —etc..): -/A
nct odors that the discharge may have (i.e., smells strongly of oil,
n
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
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:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes 3No-
9. Is there evidence of erosion or deposition at the outfall? 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.
Page 2 of 2
5W[i-242, East modified 10/25/2012

aceAnalytical
www.Decelabs.com.
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
December 01, 2015
Colby Meador
Alltech Inc.
11761 Hwy 770 East
Eden, NC 27288
RE: Project: STORM WATER TESTING
Pace Project No.: 92276770
Dear Colby Meador:
Enclosed are the analytical results for sample(s) received by the laboratory on November 19, 2015.
The results relate only to the samples included in this report. Results reported herein conform to the
most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Brittany Gibson
[e-mail]
Project Coordinator
Enclosures
pCCR
e a�'
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..

u. 3"

_^ aceAnalXical'
wwwyecelabs.00m_
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
CERTIFICATIONS
Project: STORM WATER TESTING
Pace Project No.: 92276770
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342 West Virginia Certification #: 357
North Carolina Wastewater Certification #: 12 VirginiaNELAP Certification #: 460221
South Carolina Certification #: 99006001
Asheville Certification ids
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030 West Virginia Certification #: 356
North Carolina Drinking Water Certification #: 37712 VirginiaNELAP Certification #: 460222
Eden Certification IDs.
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification M 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..

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Pace Analytical Services, Inc.
a 205 East Meadow Road - Suite A
aceAnalytieal Eden, NC 27288
www.pacerabs.com [phone]
SAMPLE -SUMMARY
Project: STORM WATER TESTING
Pace Project No.: 92276770
Lab ID Sample ID Matrix Date Collected Date Received
92276770001 STORM WATER #3-2015 Water 11/19/15 08:55 11/19/15 08:55
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..

aoeAnalXical
www.peaelabs.c=
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
(336 )623-8921
SAMPLE ANALYTE COUNT
Project: STORM WATER TESTING
Pace Project No.: 92276770
Analytes
Lab ID Sample ID Method Analysts Reported
92276770001 STORM WATER #3-2015 SM 2540D
EPA 1664E
SM 5220D
REPORT OF LABORATORY ANALYSIS
CHM 1
JMS 1
W RC 1
This report shall not he reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..

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Pace Analytical Services, Inc.
® 205 East Meadow Road - Suite A
aCEAnalytical Eden, NC 27288
www.pacelabs.com [phone]
ANALYTICAL RESULTS
Project: STORM WATER TESTING
Pace Project No.: 92276770
Sample: STORM WATER #3-2015 Lab ID: 92276770001 Collected: 11/19/15 08:55 Received: 11/19/15 08:55 Matrix: Water
Parameters
Results Units
Report Limit DF
Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
18.7 mg/L
2.5 1
11/20/15 12:49
HEM, Oil and Grease
Analytical Method: EPA 1664E
Oil and Grease
ND mg/L
5.0 1
12/01/15 08:05
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
33.0 mglL
25.0 1
11/24/15 15:40
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/01/2015 0417 PM without the written consent of Pace AnaEytical Services, Inc.. r

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apAnalytical
www.pecolabs.com
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
QUALITY CONTROL DATA
Project: STORM WATER TESTING
Pace Project No.: 92276770
QC Batch: EDEN120845 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92276770001
METHOD BLANK: 1611988
Associated Lab Samples: 92276770001
Parameter Units
Total Suspended Solids mg/L
LABORATORY CONTROL SAMPLE: 1611989
Parameter Units
Total Suspended Solids mg/L
SAMPLE DUPLICATE: 1611990
Parameter
Total Suspended Solids
SAMPLE DUPLICATE: 1611991
Parameter
Total Suspended Solids
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 11120/1512:45
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 238 95 90-110
Units
92276670001
Result
Dup
Result,
Max
RPD RPD Qualifiers
mg/L
94.7
95.7
1 5
Units
92276865001
Result
Dup
Result
Max
RPD RPD Qualifiers
mg/L
280
280
0 5
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/01/2015 04:17 PM without the written consent of Pace Analytical Services, Inc..

el.

aceAnalytica!
wwwAacalabs.cam:
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Project: STORM WATER TESTING
Pace Project No.: 92276770
QC Batch: GCSV123375
QC Batch Method: EPA 1664B
Associated Lab Samples: 92276770001
METHOD BLANK: 1616776
Associated Lab Samples: 92276770001
Parameter Units
Oil and Grease mglL
QUALITY CONTROL DATA
Analysis Method: EPA 1664B
Analysis Description: 1664 HEM, Oil and Grease
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 5.0 12/01/15 07:57
LABORATORY CONTROL SAMPLE & LCSD: 1616777 1616778
Spike LCS LCSD LCS LCSD % Rec Max
Parameter Units Conc. Result Result % Rec % Rec Limits RPD RPD Qualifiers
Oil and Grease mg/L 40 35.8 35.5 90 89 78-114 1 30
Results presented on this page are In the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/01 /2015 0417 PM without the written consent of Pace Analytical Services, Inc..

�.. v; �•_.. .. � .. 1 .-. ....
•�.',

aceAnalytica!
www.pecefabs mnr
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
QUALITY CONTROL DATA
Project: STORM WATER TESTING
Pace Project No.: 92276770
QC Batch: WETA125528 Analysis Method: SM 5220D
QC Batch Method: SM 5220D Analysis Description: 5220D COD
Associated Lab Samples: 92276770001
METHOD BLANK: 1614043 Matrix: Water
Associated Lab Samples: 92276770001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg1L ND 25.0 11/24/15 15:40
LABORATORY CONTROL SAMPLE: 1614044
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Chemical Oxygen Demand mg/L 750 749 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1614045 1614046
MS MSD
92276946001 Spike Spike MS MSD MS MSD % Rec Max
Parameter Units Result Conc, Conc. Result Result % Rec % Rec Limits RPD RPD Qual
Chemical Oxygen Demand mg1L ND 750 750 801 801 104 104 90-110 0 3
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1614047
MS
92277263001 Spike
Parameter Units Result Conc.
Chemical Oxygen Demand mg/L ND 750
1614048
MSD
Spike MS MSD MS MSD % Rec Max
Conc. Result Result % Rec % Rec Limits RPD RPD Qua]
750 712 712 93 93 90-110 0 3
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/01/2015 0417 PM without the written consent of Pace Analytical Services, Inc..

.'ii7x;��,/''

arMnalytical'
www.pacerabs.com.
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
QUALIFIERS
Project: STORM WATER TESTING
Pace Project No.: 92276770
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL - Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported:for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 12/01/2015 04:17 PM without the written consent of Pace Analytical Services, Inc..

n

a�eAnalytical.
. wmrpecafabs.com
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: STORM WATER TESTING
Pace Project No.: 92276770
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method Batch
92276770001
STORM WATER #3-2015
SM 2540D
EDENI20845
92276770001
STORM WATER #3-2015
EPA 1664E
GCSV123375
92276770001
STORM WATER #3-2015
SM 5220D
WETA125528
Date: 12/01/2015 04:17 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 1-1
_ 15 al"
CERTIFICATE OF COV RAGE NO. NCG060 3 O SAMPLE COLLECTION YEAR
FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/process meats ❑ use animal fat /byproducts
PERSON COLLECTING SAS PLES DISCHARGING TO SALTWATERS? OYES
IQ
LABORATORY c a.P L Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results 'Total event rainfall' or ❑ No discharge this perioc?
Outfall=No:.
°Sample,Collected;
ma/dd/yr='> ` x
TSS;` , f;;
•.mg/L =.: t
, y;pH,
:5ta'ndard•,iinEts
GOB,'..
.Oil and Grease,
mg/t ^
=Fecal Coliform,
' Colon�esper.lDD m1...
.;.Enterococci;,
..Colonies;per 10D m1
,Benchmark
''
100`or:50
:WitFiin:b:0';" 9 0`*
i% _ s120
30."
'">10do
3
Only appiies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no (if y. sS complete Part B)
Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > Sa gal of new motor oil/month
outfallMo;
:Sample'Cnllected,
Oil and Grease,
L
. TSS,
.. m L-.: +, , •
pt
Sta s :,
sage,
Annual`avera e , al m0::.A
Benchmark
CO-
--"'Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
e 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 FORTH AME PARAMETER AT ANYONE OUTFALL? YES ❑ NO e-
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Jl
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."
M—el- Is
(Signat4r4of Permittee)- (Date)
Additional copies of this form may be downloaded at: htti2://portal.ncdenr.org/web/wq/ws/su"(nr)dessw#tab-_4
SWU-249 Last Revised: October 18, 2012
Page 2, of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG060--3'-6
FACILITY NAME
COUNTY
PERSON COLLECTING MP S
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
R rej\JE)
0 19 Z015
SAMPLE COLLECTION YEAR 001 S_ CENTRAL FILES
FACILITY ACTIVITIES INCLUDE (check all that apply): D R SECTION
❑ use/process meats ❑ use animal fa s/byproducts
DISCHARGING TO SALTWATERS? [:]YES[v10
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Total event rainfall 1 /' Jl• or n No discharge this period3
.Outfall No.
Sample, Collected,.;
and/dd/yr
. TSS,
mg/L
;pH,
Standard units
-COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,;
Colonies.per 100 ml
Enterococci ,
Colonies per100 ml
Benchmark
-
100 or 50 -
Within,6.0 — 9.0
120
30
1000
500
i10
i*;Vr
Only appiies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anx outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes �n`o�(es complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall"No.
Sample"Collected,
mo/dd/yr
oil and Grease,
mg/L "
Tss,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or so"
6.0 -- 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249
Last Revised: Octoh
At

*FOR PART A AND PART B MONITORING RESULTS:
* A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO L
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30_days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false M1
information, including the possibility of fines and imprisonment for knowing violations." -
re of Permitteej
1(- ►3 -lS
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/­wq/ws/su/npdessw#tab-4
i
•V
S W U-249
Last Revised: October 18, 2412
Page,', of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted 1&,A'�ajJ ahI57
CERTIFICATE OF COVERAGE NO. NCG060 -3 SAMPLE COLLECTION YEAR
FACILITY NAME Z FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/process meats ❑ use animal If s/byproducts
PERSON COLLECTING P S DISCHARGING TO SALTWATERS? ❑YE5
LABORATORY__ _ _ Lab Cert. ## l a (4O Cn33
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event roinfaN 1I. 5 or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
-mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
Soo
a
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes �no�(es complete Part S)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or SO
6.0 — 9.0
r
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 20I2
Page 1 of 2

"FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION S. ,
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES FIN 0
0�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an or! inal and one copy of this DMR includln al! "No Dischar e" reports within 30 da s o recei t o the !ab results or at end o
monitoring period _in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility -of fines and imprisonment for knowing violations."
of Permittee)
(Date)
Additional copies of this form may be downloaded at:.http://por-tal.ncdenr.org/web/wq/wslsu/npAessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2, of 2

MCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http_//portal.ncdenr.orglweblwq/ws/su/npdessw#tab-4
Permit No.: N/C/W
Facility Name: ,A
County: Reffil
Inspector: _
Date of Inspection:
Time of Inspection:
f)/O/Li/ or Certificate of Coverage No.:
Total Event Precipitation (inches): 1
Phone No. 410 —(v,liJ —
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Z"Yes ❑ No
Please verify whether Qualitative Monitoring must- be performed during a "representative storm
event"or "measureablestorm event"(requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
re of Permittee or Designee)
` Page 1 of 2
SWU-242, Last modified 10/25/2012

r
1. Outfall Description:
Outfall No. I _ Structure
Receiving Stream:
L
e, ditch, etc.]
Describe the industrial activi 3es that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using h,� -c color . (red, brown, blu , etc.) and tint
(light, medium, dark) as descriptors: ! t'
3. Odor: Describe any distinct o
weak chlorine odor, etc.):
t the discharge may have (i.e., smells strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 (2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 @ 3 4 5
7. Is there any foam in the stormwater discharge? Yes 8No
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

aceAnalytical.
waw.pace,Wbs.cam
November 06, 2015
Colby Meador
Alltech Inc.
11761 Hwy 770 East
Eden, NC 27288
RE: Project: STORMWATER TESTING
Pace Project No.: 92273622
Dear Colby Meador:
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on October 28, 2015.
The results relate only to the samples included in this report. Results reported herein conform to the
most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
,&dhl nt. I d
Brittany Gibson
[e-mail]
Project Coordinator
Enclosufes
Q P,C
TNI
9e0RAN
REPORT OF LABORATORY ANALYSIS
. This report shall not be repredueed, except in full,
without the written consent of Pace Analytical Services, inc..
Page 1 of 12

aceAnalytical
www.pac&Aftcom
Project: STORMWATER TESTING
Pace Project No.: 92273622
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina prinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Certification #: 99006001
Asheville Certification fl]s
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NCO30
North Carolina Drinking Water Certification #: 37712
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
West Virginia Certification #: 357
Virginia[VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
Virginia(VELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
Virginia/VELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
r.-
1 This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
t-
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Page 2 of 12

aceAnalytrcal
..pacelaftcvrn
Project: STORMWATER TESTING
Pace Project No.: 92273622
Lab ID Sample ID
92273622001 SW #2 2015
SAMPLE SUMMARY
Matrix Date Collected Date Received
Water 10/28/15 08:53 10/28/15 09:55
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Page 3 of 12

Pace Analytical Services, Inc.
aceAllalytical 205 East Meadow Road - Suite A
Eden, NC 27288
Kww.pacffBbS'ocM [phone]
SAMPLE ANALYTE COUNT
Project:
Pace Project No.:
STORMWATER TESTING
92273622
Analytes
Lab ID
Sample ID
Method
Analysts
Reported
92273622001
SW #2 2015
SM 2540D
KCE
1
EPA 1664E
JMS
1
SM 5220D
WRC
i
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
? without the written consent of Pace Analytical Services, Inc.. Page 4 of 12
1

aceAnalytical o
www.paeelebs aom
ANALYTICAL RESULTS
Project: STORMWATER TESTING
Pace Project No.: 92273622
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Sample: SW #2 2015
Lab ID: 92273622001 Collected: 10/28/15 08:53
Received: 10/28/15 09:55 Matrix: Water
Parameters
Results Units
Report Limit Di=
Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
289 mg/L
7.8 1
11/02/15 09:34
HEM, oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
ND mglL
5.0 1
11/06/15 09:11
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
70.0 mg/L
25.0 1
11/02/15 15:00
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in fuc
i
Date: 11/06/2015 02:59 PM without the written consent of Pace Analytical Services, Inc..
Page 5 of 12

aceAnalytical
www.pacelabsmm
Project: STORMWATER TESTING
Pace Project No.: 92273622
QC Batch: EDEN120586
QC Batch Method: SM 2540D
Associated Lab Samples: 92273622001
METHOD BLANK: 1596473
Associated Lab Samples: 92273622001
Parameter
Units
Total Suspended Solids
mg1L
LABORATORY CONTROL SAMPLE: 1596474
Parameter
Units
Total Suspended Solids
mg1L
Pace Analytical Services, Inc.
205 East Meadow Road -Suite A
Eden, NC 27288
[phone]
QUALITY CONTROL DATA
Analysis Method: SM 2540D
Analysis Description; 2540D Total Suspended Solids
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 2.5 11/02/15 09:30
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 256 102 90-110
SAMPLE DUPLICATE: 1596475
92273622001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 289 300
SAMPLE DUPLICATE: 1596476
92273733001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 450 447
Max
RPD RPD Qualifiers
4 5
Max
RPD RPD Qualifiers
1 5
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
1 Date: 1110612015 02:59 PM without the written consent of Pace Analytical Services, Inc..
1
t
Page 6 of 12

aceAnaljdical
%%w.pacefabs.com
QUALITY CONTROL DATA
Project: STORMWATER TESTING
Pace Project No.: 92273622
QC Batch: GCSV123128 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease
Associated Lab Samples: 92273622001
METHOD BLANK: 1600450 Matrix: Water
Associated Lab Samples: 92273622001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Oil and Grease mg/L ND 5.0 11/06/15 09:04
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
LABORATORY CONTROL SAMPLE:
1600451
Spike LCS LCS
% Rec
Parameter
Units
Conic. Result % Rec
Limits
Qualifiers
Oil and Grease
mg/L
40 35.8 90
78-114
MATRIX SPIKE SAMPLE:
1600452
92273615004 Spike MS
MS
% Rec
Parameter
Units
Result Conc. Result
% Rec
Limits Qualifiers
Oil and Grease
mg1L
ND 40 36.3
91
78-114
Results presented on thispage
are in the units indicated by the "Units" column except where an alternate unit is presented to the
right of the result
REPORT OF LABORATORY ANALYSIS
T
This report shall not be reproduced, except in full,
Date: 11/06/2015 02:59 PM
without the written consent cf Pace Analytical Services, Inc..
Page 7 of 12

aceAnalXical
www.p&ceiabs.com
Project: STORMWATER TESTING
Pace Project No.: 92273622
QC Batch: WETA/25224
QC Batch Method: SM 5220D
Associated Lab Samples: 92273622001
METHOD BLANK: 1596954
Associated Lab Samples: 92273622001
Parameter Units
Chemical Oxygen Demand mg1L
LABORATORY CONTROL SAMPLE: 1596955
Parameter Units
Chemical Oxygen Demand mg/L
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27268
(336)623-B921
QUALITY CONTROL DATA
Analysis Method: SM 5220D
Analysis Description: 5220D COD
Matrix: Water
Blank Reporting
Resu3 Limit Analyzed Qualifiers
ND 25.0 11102/15 15:00
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
750 724 97 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1596956 1596957
MS MSD
92274180006 Spike Spike MS MSD MS MSD % Rec Max
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual
Chemical Oxygen Demand mg/L 125 3000 3000 2980 2980 95 95 90-110 0 3
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1596958 1596959
MS MSD
92274180007 Spike Spike MS MSD MS MSD % Rec Max
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual
Chemical Oxygen Demand mg1L 305 1500 1500 1700 1700 93 93 90-110 0 3
Results presented on this page are In the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
V-
', This report shall not be reproduced, except in full,
i Date: 11/0612015 02:59 PM without the written consent of Pace Analytical Services, Inc..
Page 8 of 12

aceAnalytical.
~..paceh3b&c=
QUALIFIERS
Project: STORMWATER TESTING
Pace Project No.: 92273622
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
d - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit.
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride.
Aseparate vial preserved to a pH of 4-5 is recommended in SVV846 Chapter 4 for the analysis ofAcrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each anatyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11106/2015 02:59 PM without the written consent of Pace Analytical Services, tnc.. Page 9 of 12

aceAnalytical
www.pacewmw n
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: STORMWATER TESTING
Pace Project No.: 92273622
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method
92273622001
SW #2 2015
SM 2540D
EDEN120586
92273622001
SW #2 2015
EPA 1664B
GCSV123128
92273622001
SW #2 2015
SM 5220D
WETAJ25224
Date: 11/06/2015 02:59 PM
REPORT OF LABORATORY ANALYSIS
This report Shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Analytical
Batch
Page 10 of 12

7aceAnalXl-cal-
a .nactta6s.com
CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
Suction A Section B Section C
Page: of @
Raquirnd Client Inrormation: Required Project Information: invoice Information: -
Company: Roport To: Attention:
1 94 2884
I I
Address: ^
�/ IU
Copy To:
Company Name:
REGUGA70R_ YAGENCY - - -
Address:
F NPDES F GROUND WATER DRINKING WATER
UST i RCRA r OTHER
Email To:
purchase Order No.: f1 1.l /, 7/* P�
i Ouota
l i lG b
RaFerencn:
P• r F : /
Project Name:
Pace Project
Site Location
- -
Manager:
' 7- "'
srd rE::
+ -
s
Requested Quo DatefTAT:
Project Number.
Pace Prot]le #:
ROuested`Analysis
Filtered'(YINj."
-
Section D Matrix Codes
a::
RequfredClienllnlormatipn - MATRIX I CODE
s
COLLECTED
Preservatives
}
_ -
Drinking Water DW
$
Water WT
Waste Water WW
U
COnrPO$i
COMPOSITE
O
U
-
Product P
SuffSoiid SL
U
START
ENDIGRA6
_
.y
SAMPLE ID oil oL
Wipe WP
(A-Z. 0-91 r} Air AR
w
z
, y
[1-7
Sample IDs MUST BE UNIQUE Tissue TS
Other OT
C3
O
X
w"
a
w
a
w
W
p
v
a
O
T
m
ft
W
17
LL
��
O
O�
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N
dal
N
O
0
_
_
=
Z
Z
M
O
`y
lY
Pace Project No.! Lab I.D.
\D
DATE
TIME
DATE=
TIME
-
33-
r4:
-
^`r
-
9-
10
�- ADDITIONAtCOMMENTS',• }'
-.LIIATI-
i 4RELIN{]UISHED BY7AFFILIATION
6ATE-
TIMEt
�' -- ACCEPTED BYIAFFILIATION
err
rDATE i
_ TIME -
SAMPLE CONDITIONS -
ni. - : h� it. .,. „': •�:-x+. -- -.:,,, .,,- 3
�;
L Li
n
o�
, AMPLER _ w
,
ORIGINAL
PRINT Name of SAMPLER:
"
m
~
ffi=
v m
rn
E
51GNATLIRE of SAMPLER:
DATE Signed )
(MMIDDfYY): / 0 /� ��
v
'Important Nolo: By signing this fomt you are accepting Pace's NET 30 day payment terms and agrea'rng to tale charges of 1.5% per month for any invoices not paid within 30 days.
F-ALL-0.020rev.07, 15-May-2007

Document Name: Sample: Condition. Upon
Document Revised. May 15, 20i5
aceAnalyti�al
Recei o f SCUk -
Page i of 2*
Document Na,.
Issuing Authon ies'
F-EDN-CS-003-rev.i 1
Pace Eden {�uali Office
*Page 2 of•2 is, for internal Use Oni ''-
Client Name. -
Courier (circle): Fed Ex UPS LISPS Genk Commercial Pace Other
Custody Seal on Cooler/Box Present: ❑yes no Seals intact: ❑ . yes ❑ no '
Packing Material: bubble Wrap ❑Bubble Bags - /None Other
Thermometer Used: IR Gun ED007 ., TVDA of InA. M6fue ' e�l Nnne, F-1 Samnies on ice- conlino nmcass has beaun
Temp Correction Factor: Add 1 btrack
C/
Corrected Cooler Temp.: 3 C
Temp should be above fteezing to 6°C ..
.
C
Biological Tissue is Frozen Yes .No NIA
Comments: . ,. •. .
:Date and Initials'of person examining
can4ents_1 res a"on
check.. 1"
Chain of Custody Present: '
­1 Yes: ❑No,
. • 0N'1A
1. , .:.-. ,..
Chain of Custody Filled Out
Yes: ❑No ..Olv1a
2.: -
Chain of Custody Relinquished:
Yes'. ONO
, ON1A
3r.... ..... .... .... ... .
Sampler Name & Signature on.COC: -
Yes ONo
; ❑NIA
g:. ..
Samples Arrived within Hold Time:
Yes, CINa
. ❑NIA
5..__...
Shock Hold Time Analysis (<72hr):
. 3Yes ytgN
❑NIA
6:..
!lush Turn Around Time Requested:
Oyes:, o ...❑NIA
7.: ._
Sufficient Volume:
RlYes ❑No ..
❑NIA
8.
Correct Containers Used:
-Pace. Containers Used:ea
Yes ©No
❑No
_0141A
_©Nrq
9:,..•,
Containers Intact:
es,ONO
❑NIA
�fl.
Filtered volume recelved for Dissohied tests
DYes ❑No
�iGiA
-
11.
Sample labels match COC: IETYes ©No ❑NIA
-Includes date/timeAD/Analysis Matrix:
12
All containers needing preservation have been checked.
All containers needing preservation are found.to be In
compliance with EPA recommendaticr�.
exceptions: VOA, celiform, TOO, O&G, WI -SRO (%vater)
r. [].No
Y' ❑No
❑Yes []No
❑NIA
❑NIA
13.
Samples Checked for dechlorination:
❑Yes..❑No
14,1
Headspace in VOA Vials { >6mmj:
Oyes ❑No
NIA
15:
Trip Blank Present:
Trip Blank Custody Seals Present- -
Pace Trip Blank Lot # (if purchased):
❑Yes El No
❑Yes OWC5tl1a.
N11
16.
.. ,
Client Notification/ Resolution: Field Data Required? Y 1 N
Person Contacted: DatefTitne:
Comments/ Resolution:
SCURF I SRF ,Date: 7T��LL7q�, a ��
Review: �. 10 15..
Nofe: Whenever there is a discrepancy affectin North Caro ina com !lanes r r i l II II
P copy g p
samples, a co of this form will be sent #o the North Carolina DEFiNR-
Certification Office { I.e out of hold, incorrect preservative, out of temp; 3+92273622 E'� :
incorrect containers}
Page 12 of 12

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO, NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR;
CERTIFICATE OF COVERAGE NO, NCG06. ur 3/a_ _ (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sam am the laboratory,) suFACILITY NAME _
ECEIVED
PERSON COLLECTING SA V ES AFL c!Yr�it. PHONE NO, JO
CERTHUD LABORATORY i+►�/i c�f�/ /YI Lab # / W AUG7 ZatS
^Lab # PLEASE SIGN ON THE REVERSE
CENTRAL FILES
Part A., Specific Monitoring Requirements DWR SECTION
Outfall
No,
Date
Sample
Collected,
moldd/ r
00530
00400
00340
00556
31616
Total Suspended
Solids,
m g&
pH,
Standard units
Chemical Oxygen
Demabd,'
ingli
Oil and Grease,
mg/L
Fecal Collform,
Colonies per 100 ml
Benchmark 1
100
Within 6.0 — 9.0
120
30
1000
a
Note: If you report a sampled value in excess of the. benchmark vafe, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text, ,
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfail
No,
Date
Sample Collected,
mo/dd/ r
00556
00530
00400
OR and Grease,
m
Total Suspended Solids,
m
pH,
Standard units
New Motor Oil Usage,
Annual averse al/mo
Benchmark
30
100
6.0-9,0
Note: If you reporl a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
Sea General Permit text.
STORM EVENT CHARACTERISTICS:
Date �- (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mall Original and one copy to;
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
S WU-249-102107
Page 1 of 2

1
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance, with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
fea Ii � �, 4 Our n urn
�� ui- �n r� F rC-'P � he/lp
o� u� +v 1 y+�s aIJ 4-rr P
pop
SWU-249-102107
Page 2 of 2

Environmental Chemists, Inc.
1 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS [e-mail]
House of Raeford Date of Report: Aug 13, 2015
Post Office Sox 40 Customer PO #:
Rose Hill NC 28458 Customer ID, 08100079
Attention: Report #: 2015-09592
Project ID: Big Ed Feed Mill (Rose Hill)
Lab ID Sample ID: House of Raeford -Big Ed Collect Date/Time Matrix Sampled by
15-22656 Site: stormwater outfall #1 7/23/2015 3:15 PM Water Client
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1604 <5 mg/L 08/09/2015
Residue Suspended (TSS) SM2540 D 3.2 mg/L 07/27/2015
COD SM 5220D 56 mg/L 08/04/2015
Lab ID Sample ID: House of Raeford -Big Ed Collect DateITime Matrix Sampled by
15-22657 Site: stormwater outfall #2 7/23/2015 3:20 PM ' Water Client
Test
Method
Oil & Grease (O&G) EPA 1664
Residue Suspended (TSS) SM254a D
COD sM 5220D
Comment: I
Reviewed by: ,�, ��% WHy
Results Date Analyzed
<5 mg/L 08/0412015
122 mg/1_ 07/27/2015
148 mg/L 08/04/2015
Report #:: 2015-09592 Page 1 of 1

- ENVIRONMENTAL CHEMISTS, INC
Analytical & Consulting Chemists NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX 910-3@2.4424
infoa_environmentalchemists.com
Client: House of Raeford Johnson Breeders
PROJECT NAME: Big Ed Feed Mill -Rose Hill
REPORT NO:
ADDRESS: 3 z gwV 117
CONTACT NAME: Michael Newton
PO NO:
s G GG
REPORT TO:
PHONEIFAX:
COPY TO:Chrls Murrayemali:
Mi Naw�-on hog. .
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent W = Well, ST = Stream, SO = Soil, SL = Sludge, Other.
Sample Identificatlon
Collection
^
:9
is a
8
a
t E
"
a
m
g x
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
z
z
_
g
o
Outfall: j
t3 5
3.15 r
C
P
yy�S
X
X
COD,TSS,O&G
G
1
7 Z3 5
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G
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G
Meter reading (start): Meter reading (end):
Transfer
Relinquished By:
Datei'Time
Received By:
4 DatefTime
1.
LY -;
2.
t
Temperature when Received:_ V S Accepted: Rejected: Resample Re a ed:
Delivered By: <Er4 Received By:�- Date: M ur Time:
Comments: TLJftNj ROUND:

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted Z 3''G�` l CJ
CERTIFICATE OF COVERAGE NO. NCG06o 3Q Q SAMPLE COLLECTION YEAR Zvi
FACILITY NAME tl+zah._ _Toc- _ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ��ri�C;,�,;h.�„�. _ ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES old T DISCHARGING TO SALTWATERS? ❑YES 2160
LABORATORY e- km 1 4,'U Lab Cert. # 12- Z 1,43,j__
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall /.), 3 or ❑ No discharge this period' �✓
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L-
pH,
Standard units
COD,
mg/L
Oil.and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
.Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
WitFiin 6.0- 9.0 .:
, 120
30
1000
500
1 Only appiies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [D-Ko (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gat of new motor oil/month.
Outfall No.
Sample Collected,
.mo/dd/yr
Oil and Grease,
mg/L
TSS,
,mg/L .
pH,
Standard units.
New Motor Oi[Usage,
Annual;average,gal/mb
Benchmark
-
30
l00 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
RECEIVE®
FEB 2 7 2015
CENTRAL RLES
DVJR SECTiON
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART 8 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 ❑ NO Q�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" retorts, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reportsi to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617It
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 Permittee)
a.2.3-l5
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenrr.org/web/wg/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2, of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED for North Carolina Division of Water Quality General Permit No. NCG060000 C�
Date submitted „ S / I cl `I LI _ AUG 2 0 2014
CERTIFICATE OF COVERAGE NO. NCG06 0 3 __Ot3 SAMPLE COLLECTION YEAR Z 0/! CENTRAL FILES
FACILITY NAME J�Q �I��c�cf �G. - -_ FACILITY ACTIVITIES INCLUDE (check all that apply): DWQIBQG
COUNTY n k01— Cow,V� ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? [_]YES [910
LABORATORYLab Cert. # 12 l o 6 3
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall 2 .3�,;g or ❑ No discharge this period3
,Outfall No.
Sample Collected,,
and/dd/yr
. TSS,
mg/L-
.pH, ..
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform
Colonies per 100 ml
Enteroc&d ,
Colonies per 100 ml
Benchmark
-
100 or 50 -
Within 6.0 — 9.0 .:
120
.30
1000
506'
1
ovo,71
N
--
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease;
mg/L
TSS,
mg/L
pH,
Standard units
New: Motor Oil Usage,
Annuall"average gal/mo. -
Benchmark
-
30
100 or 504
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if ygS complete Part B)
S W U-249
Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
* A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 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.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my -inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(�ign.+ure of Permittee)
9_10, 4
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/webZwct/ws/su/ni2dessw#tab-4
r
SWU-249 Last Revised: October 18, 2012
M" . Page 2, of 2

��
NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httl2;//portal,ncdenr.org/web/­wq/ws/sulnpdessw#tab-4
Permit No.: N/C/j�/V/Z/,2/-A/ U/Q/ or Certificate of Coverage No.:
Facility Name: �s 11t T�►r .
County: PS..vck;welk4,,, _ Phone No. :236 -635- 51 D0
Inspector: F'
Date of Inspection:
Time of Inspection: {' q l 5
Total Event Precipitation (inches): e 3 5
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below,)
10/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 sloes not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify�t this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
Pagel of 2
5WU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. i Structure (pipe, ditch, etc.) _
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: VIA
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): A14'Vw
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
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:
3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 C2 ) 3 4 5
7. is there any foam in the stormwater discharge? Yes No
8. is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe P/A+
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 10/25/2012

!r
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http_//nortal.ncdpnr.org/web/wqf ws/su/npdesSw# a -4
Permit No.: N/C/Z/�
Facility Name:
County:1
Inspector:p
Date of Inspection: _
Time of Inspection:
, /51J/2/C'/2/ or Certificate of Coverage No.: N/C/G/P/v / 2/. /C1/_O/
1
Phone No. 33X - 6 i5 - 5'd,12 U u
ti,
Total Event Precipitation (inches): -
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the perm- :t?'
(See information below.)
Yes ❑ No sox
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, i certify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. t Structure
Receiving Stream:
ipe, ditch, etc.) ,
Describe the industrial acti ities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: w4d""'- b/-0 —A, _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Hart
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloddy: ��
1 / 2/ 3 4 5
5. Floating Solids: Choose the number which best describes the arnount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 / L/ 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
7.
B.
1 2 03
Is there any foam in the stormwater discharge?
4 5
Yes
Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe "/
o'
No
Yes No
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _ / it ! H
CERTIFICATE OF COVERAGE NO. NCGO61 3 0 19 SAMPLE COLLECTION YEAR
FACILITY NAME 11hc , FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Koc_t ." Le N+ _ ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Co&� Utt&ja/" DISCHARGING TO SALTWATERS? ❑YES ZNO
LABORATORY A,41 ,`<k ��� 1 :,,f� Lab Cert. # d 33 oa !Z
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event rainfall z or ❑ No discharge this period3
Outfall No.
Sample Collected;.'
mo/dd/yr
, TSS,
mg/L
pH,
Standard'units
COD,
mg/L
Oil,and Grease,- -•
mg/L
Fecal Coliform.,
Colonies per l00 ml
Enterococc! ,
Colonie's per 100 ml
Benchmark
"160 or 5o
Withim6.0 - 9.0
120
30
1000
Soo
1
02 ZI I y
6.
6. 7:9'-
No-
N 0—�
�---
Only appiies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gat of new motor oil/month.
Outfall No.
Sample Collected,
,mo/dd/yr
Oil and Grease,
mg/L-
TSS,
mg/L
pH,
Standard units
New'Motor Oil Usage,
Annuai;average.gal/ino '
Benchmark
-
30
100,orS '
6.0-9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if ygS complete Part B)
RECEIVED
MAR 12 2014
CENTRAL FILES
DWQ/80G
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an ordinal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge" reports] to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the .
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
-L? L
(Signs urejof Permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/webZwq/wslsu/npdessw#tab-4
S W U-249
Last Revised: Octobenj
Page 2 0

f ! �
� AVA
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: hitp://i)ortal.ne(tc[)r.orL,/web/wq/ws/sti/npdcssw#tab-4
Permit No.: NIC/Gl�l�l V/D ICI or Certificate of Coverage No.: NICIGI_,!�IL16131015sl
Facility Name: A- l 1 h� , 1�K 6 .
County: g ock -e. Phone No.
Inspector:
Date of inspection: 02- Z 11l
Time of Inspection: 1 i;3 S
33b-�33 -5
Total Event Precipitation (inches): ('?. f
Was this a Representative Storm Event? (See information below) [2Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature
fy that this r o is accurate and complete to the best of my knowledge:
�m
(Signature of Pe*tt e or Designee)
1. Outfall Description:
Outfall No. i Structure (pipe, ditch, etc.)
Receiving Stream: 1
Describe the industrial activities
occur within the outfall drainage area: P114
2. Color: Describe the color of the disc
(light, medium, dark) as descriptors: I:
using basic colors (red, brown, blue, etc.) and tint
br,9—h
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): l _ f� an a D y jg,- S _
Page 1 of 2
SNN't1-242-20120613

D
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
2 03 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
I 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 � 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe ► " /
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
S WU-242-201206 ! 3