NCG060344_MONITORING INFO_20181218

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
❑HISTORICAL FILE
L� MONITORING REPORTS
DOC DATE
❑ Qt)N)
YYYYMMDD

1f L�, Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No. N G200000 — Scrap Metal Recycling
Date submitted /Of A ;W
Q6
CERTIFICATE OF COVERAGE NO. rN,C�G�,�/
FACILITY NAME, 6/1/!? ge! � l�. ��
COUNTY TI �P/7 RECf: /
PERSON COLLECTING SAMPLE
LABORATORY,�71//I2ii7 —2 Lab Cert. #
Comments on sample collection or analysis: � g 2018
CEN-rRAL i`iLES
old SECTION,
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 0?41e
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly'_ _(month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Saltwater ❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
No discharge this period?'
Outfall Na.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended
Solids
Chemical Oxygen
Demand
Non -polar oil & grease
EPA Method 1664
(SGT-HEM)
Copper,
Total
Lead,
Total
Zinc,
Total
Benchmarks =_>
_
-
100 mg/L or
50 mg/ L4
120 mg/L
15 mg/L
0.010 mg/L or
0.005 mg/L5
0.075 mg/L or
0.210 mg/LS
0.126 mg/L or
0,090 mg/L5
��
as /8'
/•�
.Q
35
.c �
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfali.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge, Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3 or Table 4, identifying protected receiving water classifications where the more protective TSS benchmark applies.
' Stormwater discharges into receiving waters classified as saltwater are subject to the second listed benchmark.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they_must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of benchmark, you -must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit.
Permit Date: 02/02/2015-12/31/2019 SWU-256, last revised 1/28/2015
Page 1 of 2

^� PdJ7t B-. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period:
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (5GT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1 _or Tier 3 responses._ See General Permit.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of rece- gr 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, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
// Dg-Gi8
(Date)
Permit Date:02/02/2015-12/31/2019
SWU-256, last revised 1/28/2015
Page 2 of 2

��s
12
114 OAKMONT DRIVE PHONE [phone]
GREENVILLE, N.C. 27858 FAX [phone]
ID## ; 418
OLAM EDIBLE NUTS
*** EMAIL RESULTS & COC ***
NO MAILED COPY NEEDED! DATE COLLECTED: 10/26/18
ATTN: HATTIE HARRIS DATE REPORTED : 11/05/18
REVIEWED BY:
Stormwater Stormwater Stormwater Stormwater Stormwater Analysis Method
PARAMETERS (Ill, Grab) (#2, Grab) (#3, Grab) (#4, Grab) (N5, Grab) dale Analyst Code
PH (not to be used For reporting) 5.9 6.1 6.1 5.9 5.9 10/30/18 JMS 4500HB-11
COD, mg/l. 37 35 28 26 246 11/O1/18 SEJ HSOOO-79
Total Suspended Residue, mg/l 26 6.0 16 6.7 232 10/31/18 JTH 254OD-II
Oil & Grease (HEM), mgll <5 <5 <6 <5 <5 11/02/18 SET 1664B

114 OAKMONT DRIVE
OLAM EDIBLE NUTS
*** EMAIL RESULTS & COC ***
NO MAILED COPY NEEDED!
ATTN: HATTIE HARRIS
PARAMETERS
PH (not to be used For reporting)
COD, mg/l
Total Suspended Residue, mg11
Oil & Grease (HEM), mgtl
Stormwaler
Analysis
Method
(#6. Grab)
Date Analyst
Code
6.4
10/30/18
JMS
4500HB-11
96
11/01/18
SEJ
H8000-79
433
10/31/18
JTH
2544D-11
14
11/02/18
SEJ
1664E
z PHONE
ID#: 418
DATE COLLECTED: 10/26/18
DATE REPORTED : 11/05/18
REVIEWED BY:
756-6208

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qualityl Permit No.
Date submitted
CERTIFICATE OF COV AGE JIZ516
FACILITYNAI�f 024.p2
COUNTY
PERSON COLLECTING SAMPLESLABORATORY— Lab Cert. #
--�
Part A:Stormm/aterBenchmarks and Monitoring Results
RECEIVED
SAMPLE COLLECTION YEAR
FACILITY ACTIVITIES INCLUDE (checkall that app|y):
[�
�� use/proceusmneats F� �� use animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES [�160
PLEASE REMEMBER T8SIGN [yNTHE REVERSE 4
CENTRAL FILES
DWR SECTION
Total event rainfall z orFlNwdischooJethis period
`only applies mfacilities that use/process meats.
`The total precipitation must berecorded using data from aoon-site rain gauge,
^rorsampUngpo/indswithnndischorgautanyvudaUs.YommustxdUxubmitthisdiohargemonitnringrpportwithacheckmarkhem.
" See General Permit text, Table ], identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 5E gallons ofnew motor oil per month? [:]yes 0 no
Part 13: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 5Sgal oYnew motor oil/month
Stan ard units,
a
130,
^ Only applies mfacilities that use/pmce55meats.
' The total precipitation must berecorded using data from vnon-site rain gauge.
` For sampling periods with nodischarge otany nudaUs,you must still submit this discharge monitoring report with ochcckmarkhere.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
�������������
��K���&�V���L
(jLKSI�cmnoete PartB)
k~c(v/KALFILES
[]VVR8ECT1[}W
SWU'249 LnmKx°ised�October 19,2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO R
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end 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 MUSTSIGN 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 accordarice 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)
/7 o-T Jo/g,
(Date)
Additional copies of this form may be downloaded at: htt�:j/portal.ncdenr.o�web/wq/ws/su/npdessw#tab-4
SW U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water rIllality General Permit No. NCG060000
Date submitted al4v/
CERTIFICATE OF COV RAGE NOO../N G06D SAMPLE COLLECTION YEAR �O/
FACILITY NAM 4�4 .CM Id, .� FACILITY ACTIVITIES INCLUDE [check all that apply):
COUNTY W r xc:ut1VEM use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES 1. k. , DISCHARGING TO SALTWATERS? ❑YES FNO
LABORATORY Lab Cert. # JMIY f' a Juld
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
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.
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,
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 Dny 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 19, 2012
Page 1 of 2

•.c r
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART If SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT 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 (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."
6,xw a�
(Signature of Permittee)
/D I g/
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/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 CQ ality General Permit No. NCGO60000 RECE ED
G 0v o3q Date submitted z W/- 4/%,
CERTIFICATE OF COM GE NO. NC 6Q Q©� 7 SAMPLE COLLECTION YEAR c7a/� JUL 10 2017
FACILITY N (S//i`�177 /�f� ffJLL%� — _ FACILITY ACTIVITIES INCLUDE (check all that apply): CENTRAL FILES
COUNTY _ �ekjA 7 _ _ ❑ use/process meats ❑ use animal fats/byprodtPiSIR SECTION
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? DYES ❑NO
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -3
Total event rainfall or FIR No discharge this period3
Outfall No. "
Sample Collected,
mo/dd/yr ,
TSS;
mg/L
pH;
Standard units
COD,
mg/L ..
Oil and Grease,
Fecal Coliform -,
Colonies per,100.m1..,
: Enterococci ,
.; ..Colonies:per.100•ml ..
Benchmark
-
1001or So
Withih,6.0-=9.0
iz0
30
1000
500
--
v
zi r
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 a�yr 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 Q 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,
Annual average gal/ma
Benchmark
-
30
100 or50
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.
(ffyes, complete Part B)
SWU-249 Last Revised: October IS, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
u A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail_ an original and one copy of this DAM, 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 Perrnittee)
/7
(Da e)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/weblwgZwsZsu/npde_ss_w#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

l
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
d �P Date submitted )
CERTIFICATE OF CORAGE NO. NCG06 4 �� SAMPLE COLLECTION YEAR ;M1111
FACILITY NA E dC)1ZW .G S FACILITY ACTIVITIES INCLUDE ( a apply):
that all check a I :
COUNTY %DEiJP/� p ❑ use/process meats ❑ use anim7"s
/byproducts
PERSON COLLECTING SAMPLES _ —"fT_��L 11 r I CHARGING TO SALTWATERS? ❑YES O
LABORATORY Lab Cert. # 1=01 1 En
"ER 06 2017 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results �tAl— — L FILES Total event rainfall Z or _ No discharge this period;
Outfall:No.
Sample C611ecf6d,
mo/dd/yr
TS5;
mg/L t
pH, ''
Standard units
"�� d l) N
mg/L
Oil grid Grease,
mg/L
Fecal Colifrarm ,
Colonies per.100;m1
Enteratotci
Colonies per.i00 ml '
Benchmark
-
100 or 50
Within 6.0--9.0
120
30.._
1000
Soo,
All P
.
' sA
W14479r,
1 Only applies facilities that use/process meats. 31k
��ZThe total precici pitation must be reecorded using data from an on -site rain gauge.
3For sampling periods with no discharge at awn y outfalls. You must still submit this discharge monitoring report with a ;ark1here
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,
Annual average gal/mo
'Benchmark
30
100 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 a_ M outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes, complete Part S?
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
C A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
C 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION 8.
Y 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: _ ti
Mail an original and one copy of this DMA, 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 t
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 arid 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)
3D j 9 ✓ a-o/ 7
(Date)
Additional copies of this form may be downloaded at: http://portal,ncdenr.org/web/wq/ws/su/npdessw4tab-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
In �n n 2 ate submitted
� , r
CERTIFICATE OF CO AGE NO. NCGOG D �� SAMPLE COLLECTION YEAR /1
FACILITY NAM �4.�" S FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY , / ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES pi l�iC.GJ -a f .— LpISCHARGING TO SALTWATERS? DYES 290
LABORATORY v Lab Cert. #
LJ
JUL 2 9 2016
Part A: Stormwater Benchmarks and Monitoring Results
CENTRAL FILES
PLEASE REMEMBER TO SIGN ON THE REVERSE
;4
Total event rainfall z,1. //i or ❑ No discharge this period;
Odtfall;No:
Sample.Collected,•
mo/dd/yr.
JSS,',
mg/L ' : ,
pH,
Standard units ,
10N
mg/L . ,.,
: Oilland Grease,
'.. mg/L
Fecal C61if6rm ,".
Colonies Per:100 m1 .,
Enterocacci�,
, . Colanies:per100 ml.'/.
Bencinnark
-
100:or 50
Within 6.0 --.9A
120
30
1000
500
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.
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 no (ifyes. 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'or50-
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.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5WU-249 Last Revised: October 18, 2012
Page 1 of 2

m
*FOR PART A AND PART B MONITORING RESULTS: `
h
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES []NO[-]
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ ,
REGIONAL OFFICE CONTACT NAME: ,
Mail an original
and one copy of
this DMR, including
all
"No Discharge" reports, within 30 days of receipt of the !ab results far at end of
monitoring
mriod 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 MUSTSIGN 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)
(pate)
Additional copies of this form may be downloaded at: ham://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

rA
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water qquality General Permit'No. NCGO60000
Date submitted
CERTIFICATE OF COYEJtAGE NO. NCCGGOG 64 O O _� SAMPLE COLLECTION YEAR
FACILITY NA VZ40 , FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY '' // ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLE G �Y S DISCHARGING TO SALTWATERS? []YES E 0
LABORATORY,o J /j/jt /,01 � _Z Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or ❑ No discharge this period'
Outf_all;No.
'Sample Collected,
mo/dd/yr
TSS;
mg/L .
pH;
Standard units ...,.
COD,
mg/L.
Oil and Grease,
.,mg/L.
Fecal Coliform ;
Colonies. per100.mi.
�Enterococci ,
,..Colonies:per l00 ml
Benchmark
-
I00 or 50
Within 6.0— 9.0
120
30
1000
'Sao
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,
Annual average gal]mo
Benchmark
-
30
100 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.
(if es complete Part B)
SWU-249 Last Revised: October 18, 20I2
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
C A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 days of receipt of the Jab results (or at end of
monitoring period in the case o "No Discharge" re orts)jo:
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).
,;? 7 L i�
(gat
Additional copies of this form may be downloaded at: http://portal.ncdenr.grgl-web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October IS, 2012
Page 2 of 2

; �' c�c
1�_41 (12
I'L^G06 b 3y'�
OLAM EDIBLE NUTS
*** EMAIL RESULTS & COC
NO MAILED COPY NEEDED! CENTRAL FILES
ATTN: KATTIE HARRIS DWR SECTION
DATE COLLECTED3 06/23/16
DATE REPORTED a 06/30/16
REVIEWED BY:
Storntrvater Stornmater Stormwater Stormwater Storm►eater Analysis Method
PARAMETERS (#1, Gram) (#2, Grab) (0, Grab) (#4, Grab) (#5, Grab) Date Analyst Code
PH (not to he used for reporting) 6.1 5.3 4.9 4.5 4.9 06/24/16 KKF 45001IB-00
COD, nig/l 23 24 28 23 <20 06/29/16 SEJ H8000-79
Total Suspended Residue, mg/l <3.0 <2.9 <2.9 4.6 2.9 06/27/16 KDS 254OD-97
Oil & Grease (HEM), mg/l <5 <5 <5 <5 <5 06/17/16 SEJ 1664B

� ff,, r
"—fL 7 J�ou-1il llj C1:� i t pccrkorJv�``J�' r � r c}
a
+��-� ..�s.. - I���r'�'�, t �` ';i h������ ;` � .:-�..s.-.��..�i�'-�' r �•. � � ��+ '+� sa.» - WANE
a��
....,..
� c i�ll/ILLE, {V.�_ 75 5 7085 F�K:
OLAM EDIBLE NUTS
*** EMAIL RESULTS & COG
NO MAILED COPY NEEDED!
ATTNt HATTIE HARRIS
PARAAIGTERS
PH (nat to be used for reporting)
COI?, mg/l
Total Suspended Residue, mg/l
OR & Grease (HENO, mg/1
Stornrivater
Analysis
Method
(#/6. Grab)
Date
Analyst
Code
6.5
06/24116
KKF
4500HB-00
45
06/29/16
SEJ
HS000-79
113
06/27/16
KDS
2540D-97
6
06/27/16
SEJ
1664B
ID#: 418
DATE COLLECTEDt 06/23/16
DATE REPORTED t 06/30/16
REVIEWED BY: l

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
.4, �j Date submitted
CERTIFICATE OF CO AGE NO. _
FACILITY NA��� - G
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY,9f't/✓/i�7i'ir?t!_^ Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats
byproducts
DISCHARGING TO SALTWATERS? []YES LTV
#' SAug -- _
SE RE4[Ell BER TO SIGN ON THE REVERSE 3
JAYoIIt v7egj�oinfal! 2 • %S or ❑ No discharge this period3
Qutfall,Nv.
Sample Collected,
mo/dd/yr.
TSS, _
mg1L .
pH,
Standard units
COD;
mg/.L ,
COii+an�Greas
DWP
Fecal Colifiorml,
Colonies per 100,ml'
Enterococci ,
Colonies per,100 ml
Benchmark.,
-
100 or'50
Within 6.0— 9,0 .
120
30 ..
1000
:500
i
iR -a?-a i
.f/
G
r
6.2
�s
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor oil Usage,
Annual average gal/mo
Benchmark
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anv 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.
S W U-249
Last Revised, October 18, 2012
Page 1 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted mil- &U- &-W14
CERTIFICATE OF C00 E GE NO CG06 SAMPLE COLLECTION YEAR COI."
FACILITY N E Q/!Ww FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY aW7 ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLE DISCHARGING TO SALTWATERS? []YES IO
LABORATORY I/NLab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z �or ❑ No discharge this period'
Outfall*.
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 mi.,
Benchmark. '._
100 or 50
Within 6:0 - 9.0
120
30
1000
500:
-d - avi
.4
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.
°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 np (if yes, 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,l
rng/L'
pH,
Standard units
New Motor Oil usage,
Annual average gal/mo
Benchmark
-
30.
100 or 50
6.0 — 9.0
1 Only applies to facilities that use/process meats.
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.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
S W U-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.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
Y 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 36 days of receipt oLthe lab results (or at end of
monitoring period in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, 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. 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
6— T4¢i✓. �o�l
(Date)
Additional copies of this form may be downloaded at: http://portal,ncdenr.org/web/wq/ws/su/npdessw4tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Emwokomum(pM % kg@
M6
OLAM EDIBLE NUTS
*** EMAIL RESULTS & COC ***
NO NAILED COPY NEEDED*
ATTN., HATTIE HARRIS
ID#t 418
DATE COLLECTEDt 12/07/15
DATE REPORTED t 12/11/15
REVIEWBD BY:
Startnwater Slormwater Stormwater Stormwater Stornmater Analysis Method
PARAMETERS (#I, Grab) (#2, Grab) (#3, Grab) (#4, Grab) (#5, Grab) Date Analyst Code
PH (not to be used for reportvtg) 6.2 6.0 6.0 6.2 6.0 12/08/15 CHIC 4500HB-00
COD, mg/l 38 47 26 21 26 12/10/15 SEJ H8000-79
Total Suspended Residue, mg/l 31 35 28 23 18 12/09/15 KDS 254OD-97
OR & Grease (HEM), ing/l <5 <6 <5 <5 <5 12109/15 SEJ 1664D

ENROADEVA % him
m. �' (p d
OLAM EDIBLE NUTS
*** EMAIL RESULTS & COC ***
NO MAILED COPY NEEDED[
ATTN: HATTIE HARRIS
Stortnivater
Analysis
Method
PARA6iETERS
(#6, Grab)
Date
Analyst
Code
PH (not to be used for reporting)
7.5
12/08/15
CMC
4500HB-00
COD, mg/l
87
12/10/15
SEJ
HS00o-79
Total Suspended Residue, ntg/l
40
12/09/15
KDS
254OD-97
Oil & Grease (HENI), mg/1
C 5
12/09/15
SEJ
1664B
ID#: 418
DATE COLLECTED: 12/07/15
DATE REPORTED : 12/11./15
REVIEWED BY:

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000 RECEIVED
n6 63q, ate submitted AV- Of— 0c7 19 2015
CERTIFICATE OF COVE AGE NO. NC ! 6 0 a 1 SAMPLE COLLECTION YEAR CgNTRAL FILES
FACILITY NAII�I !i FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SECTION
COUNTY ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? ❑YES [t10
LABORATORY Lab Ce . #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or ❑ No discharge this period?
OutNRNn. "
Sample Collected,
mo/dd/yr
TSS;
mg/L is ;,
pH,
Standard units
COD' "
mg/L . .
Oil and Grease,
mg/L.
Fecal Ca[iform , "
Col"ies per, 100,m1 -
Enterococci ,
, ;Colonles,per,100 ml
eenetimark ;
, - .
100 or50,
Withih�6.0.—,9 0.
120.
30 .
1000
5
!.�/
%
Ld
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.
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 ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
sample Collected,
mD/dd/yr
Oil and Grease,
mg/L
TSS,
mg/1
0
Standard units
New Motor Oil Usage, -
Annual average gal/mo
Benchmark
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249
T1
Last Revised: October 18, 2012
Page 1 of 2
V

V
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT 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 OMR, 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 T141S 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)
% OGT / S
(Date)
Additional copies of this form may be downloaded at: hittp://portal.ncdenr.org/web/wq/ws/su/­npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2
1

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
n J !+ G_ 0 � 0 3 Date submitted 0 :
CERTIFICATE OF COVERAGE NO. NCGOG OO�1 I- SAMPLE COLLECTION YEAR
FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY �� ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES �TIJaPR/-S _ P1 s RGING TO SALTWATERS? ❑YES [ NO
LABORATORY .d// Xab Cert.
SEp 17 2o15 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results CENTRAL fill cc, Total event rainfall Z . / or ❑ No discharge this period'
Outfall;No..'
Sample.Callected;
mo/dd/yr_..
T55;
mg/L
pH;Tiory
Standard,units
mg/L...
Oil and Grease,:
...mg/L.
Fecal Cplifdrm
Colonies per.100.m1...:.:Colonies
l,; nterococci ,
per.10G ml
Benchmark
-
100'or50
Within'6.0=9.0
120`
30
1000
500
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 outfails. 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 ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Qutfall No.
5ample:[bQected;
•mo/dd/yr
Oil and Grease,
mg/L
T55;
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
I 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.
0
�C
(ifyes' complete Part B)
5WU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
C A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
c 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ 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."
(Signature of Permittee)•
t
(Date)
Additional copies of this form may be downloaded at: http://portal,ncdenr.org/web/vvq/ws/suZnpdessw, 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 Q ality General Permit No. NCG060000
`Cn. �b3 Date submitted a_'r'W1r 005n
CERTIFICATE OF CO YRAGE NO 06 D Q A!!� SAMPLE COLLECTION YEAR
FACILITY NA G FACILITY ACTIVITIES INCLUDE (cl4eck all that apply):
COUNTY 6!/ C i;; ` ' use/process meats ❑ use animal flats/byproducts
PERSON COLLECTING SAMPLE & f!AWJ V ARGING TO SALTWATERS? []YES [ 0
LABORATORY Lab Cert. # ^ 3 , —0 2015
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CRFILES Total event roin al12 or No dischar �t Part A: Starmwater Benchmarks and Monitoring ResultsSECTION f � ge hrs period?
;:. Outfall No:
Sample"C611ectH,
mo/dd/yr ,•-
TSS; "
mg/L
:
Standard'.units :
COD;
,. ,. mg/L
Oil and Grease,"
,mg/L
Fecal Colifdrm , '
Colonies per,100.m1
'Enter ca occi1';:•
Cafanies per 100'ml
7Benih nark
-
100',or'S0
Within-6.0 —,9.0
120
30'
. 1000
5dov -
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
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfail No.
5ample.Collected;.'
mo/dd/yr
OiLand Grease;
mg/L
TSS,`
mg/L
pH_
Standard units
Ww'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.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yej , complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO [�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, 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)
l
(Date) V
Additional copies of this form may be downloaded at:.http://portal.ncdenr.org/web/wq/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 Q ality General Permit No. NCGOfs0000
SEP 3 0 20i�
PIC&OOD3
Date submitted e - O,/-,rO1-r
CERTIFICATE OF COV�EBAGE NO.)MC,yG96 SAMPLE COLLECTION YEAR �7 — V F1�
zmZ 749� SECTIQ
FACILITY NA il/!
COUNTY
PERSON COLLECTING SAMPLE 1i
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
FACILITY ACTIVITIES INCLUDE (check all that apply): gy
pp Y)�
❑ use/process meats ❑ use animFN
is/byproducts
DISCHARGING TO SALTWATERS? ❑YES O
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Total event rainfall 2.
or LE No discharge this period
orm Enterococci,
100,in1 Colonies per, 100 ml �
Outfall�:No.
Sample,Coilected,
mo/dd/yr
T55,
mg/L
pH;
Standard"units
COD,
mg/L:
Oil and Grease,.
mg/L.
Fecal Colif
Colonies per.
Benchmark.
100'or'S0•
Within•6.0-9.0 '
120
30
"'1000
500.'
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.
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 es complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No. "
Sam_*'.Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS;
mg/L
pH;
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark'
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
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.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS,
O A BENCHMARK EXCEEDANCE TRIGGERSTIER 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.
Y 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 Dischar eg "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 MUSTSIGN 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 an 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."
IBM
(Signature of Permittee)
(bate)
Additional copies of this form may be downloaded at'. http://portal.ncdenr_.orR/we_b/wg/ws/su/npdessw#ta_b-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

YAOIAM
September 22, 2015
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject — Olam Edible Nuts — Edenton, NC
Stormwater Discharge Monitoring Reports
Dear Sir or Madam,
The Olam Edible Nuts plant in Edenton, NC recently reviewed their stormwater permit (NCG060000).
Upon review, the facility realized they were required to submit Discharge Monitoring Reports (DMRs)
for all reporting periods, even if no qualifying discharge occurs during the reporting period.
Accordingly, we are submitting the DMRs for January to June, 2014 and July to December, 2014,
during which no qualifying discharge occurred.
If you have any additional questions or concerns regarding the information provided in the attached
reports, please feel free to contact Dr. Kate Hem at 404-751-0254, or via email at
[e-mail].
Sincerely,
Anne Craig
Plant Manager
cc: Larry Hughes --- Olam Edible Nuts
Hattie Hams — Olam Edible Nuts
Kate Hem, Ph.D. — Smith Aldridge/Trinity Consultants
Matthew Page — Smith Aldridge/Trinity Consultants
Attachments: Discharge Monitoring Report for January — June 2014
Discharge Monitoring Report for July — December 2014
Olarn Edible Nuts
PO Box 609 115 Peanut Drive Edenton, NC 27932
1 Tel [phone] Fax [phone] www.olamonline.com

CERTIFICATE OF
FACILITY NAiI�
COUNTY
PERSON COLLEC
LABORATORY.2
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qualit General Permit No. NCG060000
Date submitted
]. or,3 SAMPLE COLLECTION YEAR
�G FACILITY ACTIVITIES INCLUDE (check ali'that apply):
'/ ❑ use/process meatE use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES FNO
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVE-0
jUL 2 0 20W5
CENTRAL FILES
DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE ->
Tota/ event rainfall a . % /h or ❑ No discharge this period'
OatfalE No
Samp]e,Calle"cted;'
mo/dd/yr
'TSS"-`
mg/L
pH,..
Standard units.
COD,
mg/L
Oil and Grease,
mg/,L .
, - Fecal Colifa'rm ,
; Colonies per---100 ml
Enterococci., -
Colonies pp 100 mis`
�.
Benchmark.
-
100 of,50
Within'6A—:9.0•
v 120
30 _
, 1600
too"
4a 41?Y IS
1129.
/I
•� S.O
� '� / /,
/10 1
111"3
-
/
1,zz
s'
t9
/- OS
Ir $
- a�
,3
/. p1
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? El yes ' no (if rLes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No..
SampleXollected,
mo/ddlyr,;
- Oil and Crease,
mg/L
TSS;
mg/L
pH,"
Standard units
New Motor Oil Usage,
Annual average gai%mo
.Benchmark
-
30
100'6r'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.
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.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" 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) - v
/V /S✓
(D e)
Additional copies of this form may be downloaded at: http://portal,ncdenr_org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 7 W. w/S-
CERTIFICATE OF COVERAGE N``O....N//C''G06_ SAMPLE COLLECTION YEAR We%5_
FACILITY NAME !f/lAIW e4,&Z, /i/tZ;� FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY } ❑ use/process meats ❑ use animal fa s/byproducts
PERSON COLLECTING SAMPLES db2iiS DISCHARGING TO SALTWATERS? []YES L"JNO
LABORATORY i . Lab Cert, #
PLEASE REMEMBER TO SIGN ON THE REVERSE -i
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall Z. 7 ih or ❑ No discharge this period'
06tfall;.No.
5arriple,Colle'cted,
mo/dd/yr
T. T55; `
mg/L
pH;
Standard units
COD,
mg/L
Ciil and Grease;
mg/L
Fecal Colifcrm , `, ,
Colonies per,100.ml
Enterocacci-,
Colonies per-100 mF
Sendimark' , .
-.
100 or 50
Within 6,0 -,9,0
. _ 120
30
.1000..
so,J
+C.r
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
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 Q o (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
flutfall•Na.
Sample'Collected, '".
mo/dd/yr -
OiI and•Gre'ase,
mg/L
TSS,'
mg/L
pM;;
Standard units
New Mator flil'Usage,
Annua6verage gal/mo .
.Benchmark
-
30
100"0r.'5o
6,0, 9.0.
I 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.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
C A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
P 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
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, INC 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) v' 1 1
(Da
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/WsZ5igInpdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Caroli a Division of Water Quality General Permit No. NCG060000
Y ` G-o / 0 2 Date submittednn��
CERTIFICATE OF COV�j�GE NO. NC 6 O SAMPLE COLLECTION YEAR acG�,(�
FACILITY NA E L,6'!%/yJ � lki _ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY jkao ❑ use/process meats ❑ use animal fat /byproduct
PERSON COLLECTING SAMPLES 0 DISCHARGING TO SALTWATERS? [:]YES[ 10
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
RECF_1VED
NOV 17 z015
CENTRAL FILES
DWR SECTION
Total event rainfall 2 or ❑ No discharge this period3
Odtfali.No.
5ample.C6lleded, :
mo/dd/yr_.
-TSS -
mg/L
pH, ;
Standard units
COD,
mg/L.
Oil and'G�ease,
mg/L
Fecal colifdrrn
Colon iesper100.ml
Enteracacci ,
Colonies.per100:m1."
Benchmark
100.or 50
Withih 6.0-9.0.
120
39
1000
50
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
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 aM 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 k HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO ❑
4 YES, -HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: .
Mail an original and one copy of this DMR including all "No Discharge" re ons within 30 days of receipt of the lab results or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(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

SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water quality/General Permit No. NCG060000
CQ hate submitted /-Df_ae&�
CERTIFICATE OF COVA
AGE NO. 16_D Lo SAMPLE COLLECTION YEAR o&�
FACILITY NA 1/%� ��G AgA FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ��__ // use/process meats ❑ use animal fats byproducts
PERSON COLLECTING SAMPLES C t Ei�9rRIGING TO SALTWATERS? ❑YES [i 1 O
LABORATORY La Cert, #
DEC 14 2M PLEASE REMEMBER TO SIGN ON THE REVERSE �
Part A: Stormwater Benchmarks and MonitoringCENTRAL_ FILES
Results nrr+rt^K1 Torol event rainfall z or ❑ No discharge this periad3
outfall,Na.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH;
Standard units
�[);—.
mg/L
Qil and Grease,
mg/L
Fecal Colifarm ;
Colonies per 100_ml
Enteroeatci ;
Colanies.p.er.100 ml
Benchmark
100 r50
Wit 'n 6.0-9,
120
30.
1000
500
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.
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.N6.
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.5o
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.
(if ge i, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER Z REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
Y 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME-OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ 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 1
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."
i
(Signature of Permittee)
�C ati/5
(Date)
Additional copies of this form may be downloaded at: http://portal,ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

3,
October 10, 2014
Division of Water Quality
ATTN: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: October 2014 Stormwater Discharge Monitoring Report
La Providencia
7010 Reames Road, Suite I
Charlotte, NC 28216
Permit Number: NCG060340
To Whom It May Concern:
RECEIVED
NOV x 8 2014
CENTRAL FILES
DWR SECTION
Please find enclosed the completed Stormwater Discharge Monitoring Report for La Providencia
located at the address listed above. La Providencia did not receive a measurable discharge
during the month of October while a trained SWPPP member was available to take a sample.
If you have any questions regarding this report I can be reached at [phone] or by email
at [e-mail] please contact me at your convenience.
Sincerely,
Myles Peterson
Environmental Specialist
Encl.
Cc: Manuel Galves — La Providencia
U.S. Compliance Corporation
520 Third Street • Suite 100 . Excelsior, MN 55331 • Phone [phone] . Fax [phone]
www.uscompliance.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quali y General Permit No. NCG060000
Date submitted 1 2 I q
CERTIFICATE OF COVERAGE NO. NCG06 0340
FACILITY NAME La Providencia
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES Manuel Galvez
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES ❑X NO
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Total event rainfall z or © No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS, IpH,
mg/L
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
Within 6.0 — 9.0
120
30
1000
500
001
l 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.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X 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,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
'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.
(ifyes, complete Part B)
_�
S W U-249
sr
Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑X NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X❑ NO ❑
REGIONAL OFFICE CONTACT NAME: Donna Hood
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 Perm(t*e)
1( 'Z 1z
(Date)
-Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/npdesswfttab-4
S W U-249
.w,
,}.
Last Revised: October 18, 2012
Page 2 of 2

COMP't
�o
October 10, 2014
Division of Water Quality
ATTN: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: September 2014 Stormwater Discharge Monitoring Report
La Providencia
7010 Reames Road, Suite I
Charlotte, NC 28216
Permit Number: NCG060340
To Whom It May Concern:
RECEIVED
OCT 16 20 iL
CENTRAL FILES
DWR SECTION
Please find enclosed the completed Stormwater Discharge Monitoring Report for La Providencia
located at the address listed above. La Providencia did not receive a measurable discharge
during the month of September.
If you have any questions regarding this report I can be reached at [phone] or by email
at [e-mail] please contact me at your convenience.
Sincerely,
Myles Peterson I
Environmental Specialist
Encl.
i
Cc: Manuel Galves — La Providencia
U.S. Compliance Corporation
520 Third Street • Suite 100 •{Excelsior, MN 55331 • Phone [phone] • Fax [phone]
www.uscompliance.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 10/10/2014
CERTIFICATE OF COVERAGE NO. NCG06 0340 _
FACILITY NAME La Providencia
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES Manuel Galvez
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ❑X NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 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 10D ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
1000
S00
001
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 SS gallons of new motor oil per month? ❑ yes ❑X 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,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(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 ❑X NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES �X NO
REGIONAL OFFICE CONTACT NAME: Donna Hood
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 oL"No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws[su/npdessw##tab-4
SWU-249
Last Revised: October 19, 2012
Page 2 of 2

� J �
G0rnP f
Cz �
•�O
0-'P0rati
August 14, 2014
Division of Water Quality
ATTN: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
FkECEN EO
,\UG i g IN
CEN-TRAL FILES
mosOG
Re: August 2014 Stormwater Discharge Monitoring Report
La Providencia
7010 Reames Road, Suite I
Charlotte, NC 28216
Permit Number: NCG060340
To Whom It May Concern:
Please find enclosed the completed Stormwater Discharge Monitoring Report for La Providencia
located at the address listed above. La Providencia received the sample results from the
laboratory on August 13, 2014.
If you have any questions regarding this report I can be reached at [phone] or by email
at [e-mail] please contact me at your convenience.
Sincerely,
Myles Peterson
Environmental Specialist
Encl.
Cc: Manuel Galves — La Providencia
U.S. Compliance Corporation
520 Third Street a 5uile 100 • Excelsior, MN 55331 a Phone [phone] . Fax [phone]
www.uscompliance.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 8/14/2014
CERTIFICATE OF COVERAGE NO. NCG06 0340_
FACILITY NAME La Providencia
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES Manuel_Galvez
LABORATORY Great Plains Analytical Lab, Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ❑X NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z 2. 3 9 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
Within 6.0 — 9.0
120
30
1000
Soo
001
8I112014
10
6.68
19
<5.2
NIA
NIA
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 outfails. 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 ❑X 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,
Annual average gal/mo
Benchmark
-
30
100 or 50
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 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 Kes• 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 ANYONE OUTFALL? YES Q NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 0 NO ❑
REGIONAL OFFICE CONTACT NAME: Donna Hood
Marl an original and „one cote of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitorina period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, 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
Myb�
( ate)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orpjWeb/wq/ws/su/­npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

�r 9503 N Congress Ave, Kansas City, MO 64153
6-891-7450
Great Plains Phone: l@gp lab.co . www,gpalab.com
gpal®gpalab.com . www,gpalab.cam
Analytical Laboratory LAB REPORT
Customer: Carmen Olson
Mission Foods Batch: 124591
1159 Cottonwood Lane Report Date: 8/1312014
Suite #200 Received: 8/2/2014
Irving, TX 75038
e-mail: carmen—[e-mail]
Lab ID Sample Identification
Analysis
Detecdon Limit
Result
Test Date
140802KO01 Charlotte -La Providencla- Storm Water
Oil & Grease (mg1L)
5.2
< 5.2
81132014
811114 10:00 am
COD (mg1L)
8
19.00
8113/2014
Total Suspended Solids (mg/L)
5
10.0
802014
pH
1
6.68
8i212014
_Methods:. --Oil & Grease.(mg1L) _
EPA_1664A
COD (mg1L)
SM 5220D
Total Suspended Solids (mg1L)
Hach 8006
PH
SM 450a14+113
Approved b±
Environmental conditions are controlled at Great Plains Analytical Laboratory. Tha analytical results pertain only to the submitted sample and may not be
construed as an endorsement of the sampling method employed. This report may not be distributed or reproduced except In full.
Page 1 of 1

^~ SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 08/06/2014
CERTIFICATE OF COVERAGE NO. NCG06 0340 _
FACILITY NAME La Providencia
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES Manuel Galvez__
LABORATORY Great Plains Analytical Lab. Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ❑X NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 0.87 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 504Within
6.0-9.0
120
30
1000
500
001
7/15/2014
58.0
5.58
180
<5.3
NIA
NIA
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑X 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,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
' Only applies to facilities that use/process meats.
7The 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)
RECEIVED
AUG 0 8 2014
CENTRAL. FILES
DWQ180G
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 ❑X NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X❑ NO ❑
REGIONAL OFFICE CONTACT NAME: Left voicemail for Donna Hood (704-235-2193) at 2:OOPM EST on 8/G/14
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab_ results for at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUSTSIGN 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
N1 /,
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq//ws/su/npdessw#Itab-4
S W U-249
Last Revised: October 19, 2012
Page 2 of 2

5 9503 N Congress Ave, Kansas City, MO 64153
Great Plains Phone: l@gp lab.co . w wQpai1b.com
• gPal�gpaleb.com • www.gpelab.com
Analytical Laboratory LAB REPORT
Customer. Carman Olson
Mission Foods Batch: 123895
1159 Cottonwood lane Report Date: 7/30/2014
Suite #200 Rec:elved: 7/1612014
Irving, TX 75038
e-mail: carmen olson@missionfoods.00m
Lab ID Sample Identification Analysis Detection Limit Result Test Data
140716KOl1 Charlotte- CHJULYSTORM15 7/15114 Oil 8 Grease (mg1L) < 6.3 71301Y014
COD (mglL) 180 71X=14
Total suspended sonds (mglL) 58.0 7116=4
pH t 5,58 711 ti11014
Methods:
-PH-
SM 450041+B
Approved by
JOP6 F na hnical Services
Environmental conditions are controlled at Great Plains Analytical Laboratory. The analytical results pertain only to the submitted sample and may not ba
construed as an endorsement of the sampling method employed. This report may not be distributed or reproduced except In full.
cc manuel_qaivez@misslo .com
belindayarceteQmissiontoods.com
Page 1 of 1

CO P/
C�
�o
0rP o r a�
August 6, 2014
Division of Water Quality
ATTN: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: July 2014 Stormwater Discharge Monitoring Report
La Providencia
7010 Reames Road, Suite I
Charlotte, NC 28216
Permit Number: NCG060340
To Whom It May Concern
Please find enclosed the completed Stormwater Discharge Monitoring Report for La Providencia
located at the address listed above. La Providencia received the sample results from the
laboratory on July 30, 2014.
If you have any questions regarding this report I can be reached at [phone] or by email
at [e-mail] please contact me at your convenience.
Sincerely,
Myles Peterson
Environmental Specialist
Encl.
Cc: Manuel Galves — La Providencia
II U.S. Compliance Corporation
520 Third Street* Suite 100 • Excelsior, MN 55331 • Phone [phone] • Fax [phone]
11 www.uscompliance.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 0340
FACILITY NAME La Providencia
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES Manuel Galvez
LABORATORY Great Plains Analytical Lab, Lab Cert. #
Part A. Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
RECEIVED
JUL 2 3 2014
CENTRAL FILES
DWQ/B0G
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES ❑X NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z 0 .34 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
Within 6.0-9.0
120
30
1000
500
001
6/25/2014
<5.0
5.62
24.0
<5.2
NIA
N/A
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.
°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 ❑X 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,
Annual average gal/mo
Benchmark
-
30
100 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 a, nA outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(ifyes, complete Part B)
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 II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART If SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑X NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 0 NO ❑
REGIONAL OFFICE CONTACT NAME: Donna Hood at 9:41 EST on 7/18/14
Mail an original and one copy of this DMR, including all "No Discharge" reports within 30 days of receipt of the Jab 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 Per
!vl'ekv
Date
Additional copies of this form may be downloaded at: http:/112ortal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Great Plains
Analytical Laboratory
Customer: Carmen Olson
LAB REPORT
9503 N Congress Ave, Kansas Clty, MO 64153
Phone: [phone] a Fax: [phone]
[e-mail] a www.gpatab.com
Mission Foods
Batch:
123173
1159 Cottonwood Lane
Report Date:
7/WO14
Suite #200
Received:
6/21312014
Irving, TX 75038
e-mail: [e-mail]
Lab ID Sample Identification Analysis
Detection Umit
Result
Test Date
140526LO29 Charlotte -Storm water 25 &25-14 Oii & Greaso (mg/L)
5.2
< 5.2
7/812014
4:36pm COD (rng1L)
6
24.00
702014
'total Suspended Sollds (mglL)
5
< 5.0
7/1/2014
PH
1
5.62
7/112014
Methods: Od & Grease (mg/L)
COD (mg1L)
Total Suspended Solids (mg1L)
PH
EPA 1684A
SM 5220D
Hach 8006
SM 4500-H+B
Approved by .,
,Wnf,or5pd, VR Technical Services
Environmental conditions are controlled at Great Plains Analytical Laboratory. The analytical results pertain only to the submitted sample and may not be
construed as an endorsement of the sampling method employed. This report may not be distributed or reproduced except in full.
cc: [e-mail]
belinda_garcete@missio nfoods. com
Page 1 of 1

C,omP/
� -o
0rP0rat�
July 18, 2014
Division of Water Quality
ATTN: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: June 2014 Stormwater Discharge Monitoring Report
La Providencia
7010 Reames Road, Suite I
Charlotte, NC 28216
Permit Number: NCG060340
To Whom It May Concern:
Please find enclosed the completed Stormwater Discharge Monitoring Report for La Providencia
located at the address listed above. La Providencia received the sample results from the
laboratory on July 8, 2014.
If you have any questions regarding this report I can be reached at [phone] or by email
at [e-mail] please contact me at your convenience.
Sincerely,
Myles Peterson
Environmental Specialist
Encl.
Cc: Manuel Galves -- La Providencia
Belinda Garcete -- La Providencia
U.S. Compliance Corporation
520 Third Street a Suite 100 • Excelsior, MN 55331 + Phone [phone] • Fax [phone]
www.uscorr pliance.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 0340
FACILITY NAME La Providencia
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES Manuel Galvez
LABORATORY Great Plains Analytical Lab. Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES ❑X NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 1 2 -11 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
Within 6.0— 9.0
120
30
1000
500
001
5115/2014
21.0
6.05
29.0
<5.2
NIA
N/A
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.
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 ❑X 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,
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)
RFCEIVED
JUN 2 0 2014
CA QUALl l r SECTON
^OkIATtnni °gOCESSING UNIT
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 ANYONE OUTFALL? YES ❑ NO X❑
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 Perm
&-- 13 - J q
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wgiwslsulnpdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2 -

t, 9503 N Congress Ave, Kansas City, MO 64153
Great Plains Phone: l@gp 1-7337 . Fax: $1 www.gpa50
tab.com
gpal�gpalab.corn r www.gpalab.com
Analytical Laboratory UW REPORT
Customer. Carmen Olson
Mission Foods Batch: 121608
1159 Cottonwood Lane Report Date: 5/30/2014
Suite #200
Irving, TX 75038 Received: 5/1$12074
Fax:
e-mall: [e-mail]
Lab ID Sample Identification Analysis Detection Limit Result Test Date
140516K011 Charlotte - CLT Storm .1 COD (mg/L) 29.00 5i3=014
Total Suspended Solids (mglL) 5 21.0 5/16/2014
pH 1 6.05 W1612014
Oil 8 Grease (mg1L) < 5.2 5130/2014
Methods:
Approved by
Total Suspended Solids (mg/L) Hach 8006
pH SM 450D-H+B
, Technical Services
Environmental conditions are controlled at Great Plains Analytical Laboratory. The anatyttcal results pertain only to the submitted sample and may not be
construed as an endorsement of the sampling method employed. This report may not be distributed or reproduced except in Tull.
cc: [e-mail]
Belinda_garoete@missionfoods.00m
Page 1 of 1

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted x 04 zar-
CERTIFICATE OF COVERAGE NO. NCGO6 0340__
FACILITY NAME La Providencia
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES Manuel Galvez
LABORATORY Great Plains Analytical Lab. Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
RECEIVED
MAY 0 2 NA
CEDE t00 DOGES
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES ONO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 0•D"I 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 or50
Within 6.0-9.0
120
30
1000
Soo
001
04/08/2014
<5.0
5.50
11.00
<5.1
N/A
N/A
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 X❑ 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,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0-9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W LJ-249
(ifyes. complete Part B)
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.
• T1ER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO X❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail on original and one copy of this DMR, includina all "No Discharge" reports, within 30 days of receipt of the lab results (or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
0-
(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

Great Plains
Analytical Laboratory
Customer. Carmen Olson
Mission Foods
1159 Cottonwood Lane
Suite #200
Irving, TX 75038
e-mail: [e-mail]
LAB REPORT
9503 N Congress Ave, Kansas City, MO 64153
Phone: $16-891-7337 a Fax: [phone]
gpal@gpaJab,com • www.goalab.com
Batch: 120139
Report Cate: 4/18/2014
Received: 4/912014
Lab ID Sample Identification Analysts Detection Limit Result Test Date
140409K001 Charlotte -UT Storm 1 COD (MWL) 11.00 4/18/2014
Total Suspended Solids (mgk) 5 < 5.0 4/9/2014
Oil & Grease (mg/L) < 5.1 4/1812014
pH 1 5.50 4f9=14
Methods: Total Suspended Solids (rrg1L) Hach 8006
pH SM 45004f+8
Approved by
hn F ana, P, Technical Services
Environmental conditions are controlled at Great Plains Analytical Laboratory. The analytical results pertain only to the submitted sample and may not be
construed as an endorsement of the sampling method employed. This report may not be distributed or reproduced except in full.
cc: [e-mail]
bellnda—garcete_@m issionfoods,com
Page 1 of 1

ry
G°mpj
� •
0"P0ra�%o
April 30, 2014
Division of Water Quality
ATTN: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: April 2014 Stormwater Discharge Monitoring Report
La Providencia
7010 Reames Road, Suite I
Charlotte, NC 28216
Permit Number: NCG060340
To Whom It May Concern:
Please find enclosed the completed Stormwater Discharge Monitoring Report for La Providencia
located at the address listed above. La Providecia received the sample results from the
laboratory on April 22, 2014.
If you have any questions regarding this report I can be reached at [phone] or by email
at [e-mail] please contact me at your convenience.
Sincerely,
Myles Peterson
Environmental Specialist
Encl.
Cc: Manuel Galves — La Providencia
U.S. Compliance Corporation
520 Third Street . Suite 100 . Excelsior, MN 55331 . Phone [phone] • Fax [phone]
www.uscompliance.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted RECEIVED
CERTIFICATE OF COVERAGE NO. NCG06 0340__
FACILITY NAME La Providencia
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES Manuel Galvez
LABORATORY
Lab Cert. #i
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014 APR 16 Z014
FACILITY ACTIVITIES INCLUDE (check all that apply): T FILES
❑ use/process meats El use animal fats/b 1 %bG
DISCHARGING TO SALTWATERS? ❑YES ❑X NO
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event rainfall z or ❑ No discharge this period'
Outfall No.. •:
'Sample Collected, '
mo/dd/yr.
TSS; .'
mg/L
pH;
Standard unEts -'
COD,
mg/L, .. ,
-:Oil and Grease,
mg/L
Fecal Colifoim , _
Colonies per S00 ml
` Enterococci.,
C61onies_per 100 ml
Benchmark
_.
100 or 50 .,
`,.Withi6.6.0= 9.0 `
:,' ' 120;
30
:" :1000
- 500
001
Samples were taken, tutwere
not anal
zed by the lab becau
a the sam les were
Dutof ternupon receipt.
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
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes XZ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
C+utfall'-No
Sample Collected;.
`` Ina/dd/yr
Oil and Gr'ease,,-
mg/l ?
,t( :TSS; d�'
,trig/L
-. pH, .
Standard units ^
New Motor Oil Usage,.
Annual atierage gal/rno.
Benclirriark100
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 19, 2012
Page 1 of 2

`FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME QUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE QUTFALL? YES ❑ NO X❑
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 tab 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:
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
q-ly-r Lf
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/spa/npdessw#tab-44
S W U-249
1,ast Revised: October 18, 2012
Page 2 of 2

April 9, 2014
Division of Water Quality
ATTN: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: March 2014 Storn7water Discharge Monitoring Report
La Providencia
7010 Reames Road, Suite I
Charlotte, NC 28216
Permit Number: NCGO60340
To Whom It May Concern:
Please find enclosed the completed Stormwater Discharge Monitoring Report for La Providencia
located at the address listed above.
La Providencia took a sample on March 28, 2014 and shipped the samples to Great Plains
Analytical Lab for analysis. The samples were out of temp by the time the lab received them,
and were not analyzed. La Providencia will continue to conduct monthly stormwater samples
until three consecutive sampling events are below or within the benchmark limits set by the
permit.
If you have any questions regarding this report I can be reached at [phone] or by email
at [e-mail] please contact me at your convenience.
Sincerely,
Myles Peterson
Environmental Specialist
Encl.
Cc: Manuel Galves — La Providencia
U.S. Compliance Corporation
520 Third Street • Suite 100 • Excelsior, MN 55331 • Phone [phone] . Fax [phone]
www.uscompliance.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 0340
FACILITY NAME La Providencia
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES Manuel Galvez
LABORATORY Great Plains Analytical Lab Lab Cert. #f
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
RECEIVED
MAR 2 7 Z014
FACILITY ACTIVITIES INCLUDE (check all that apply): CENTRAL FILES
❑ use/process meats ❑ use animal fats/by products DV4 Q/$CG
DISCHARGING TO SALTWATERS? ❑YES ❑X NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z 0 . 2 6 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
Within 6.0 — 9.0
120
30
1000
Soo
001
02/21/14
8.0
6,35
19.0
<5.4
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 X❑ 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,
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.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes, 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 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 X❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cry 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."
Signature of
12-
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 1_ast Revised: October 18, 2012
Page 2 of 2

9503 N Congress Ave, Kansas City, MO 64153
Great Plains Phone: 16-88t b.co . Fax 81� 91-7450
.com
[e-mail] ab•com • wow. alab.00m
Analytical Laboratory LAB REPORT
Customer: Carmen Olson
Mission Foods Batch: 118412
1159 Cottonwood Lana Report Date: 3/10/2014
Suite #200 Received: 2/24/2014
Irving, TX 76038
e-mail: carman—[e-mail]
Lab ID Sample Identlficatlon Analysis Detection Limit Result Test Date
140224L001 Charlotte - CLT Storm 1 COD (mg/L) 19.00 3/10/2014
Total Suspended Solids (mglL) 5 8.0 2/24/2014
pH 1 6.35 2/24/2014
Oil 8 Grease (mg1L) c 5.4 3/10/2014
Methods: Total Suspended Solids (mgfL) Hach 8006
pH SM 4500-1-1+8
Approved by
A&ont�jnKVP.,chnical Services
Environmental conditions are controlled at Great Plains Analytical Laboratory. The analytical results pertain only to the submitted sample and may not be
construed as an endorsement of the sampling method employed. This report may not be distributed or reproduced except in full.
cc: [e-mail]
Page 1 of 1

G°rn�f
o
DPP o r a��
March 13, 2014
Division of Water Quality
ATTN: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: February 2014 Stormwater Discharge Monitoring Report
La Providencia
7010 Reames Road, Suite I
Charlotte, NC 28216
Permit Number: NCG060340
To Whom It May Concern:
Please find enclosed the completed Stormwater Discharge Monitoring Report for La Providencia
located at the address listed above.
If you have any questions regarding this report I can be reached at [phone] or by email
at [e-mail] please contact me at your convenience.
Sincerely,
1*7��
Myles Peterson
Environmental Specialist
Encl.
Cc: Manuel Galves — La Providencia
U.S. Compliance Corporation
520 Third Street • Suite 100 • Excelsior, MN 55331 • Phone [phone] • Fax [phone]
www.uscompl iance.corn

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 02- 0,3 - �0I y
CERTIFICATE OF COVERAGE NO. NCG06 0340
FACILITY NAME La Providencia
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES Manuel Galvez
LABORATORY N/A Lab Cert. # N/A
Part A. Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ❑X NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall or X❑ 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 pef .100 m1.
Benchmark
100or'S0
Within.6.0-9.0
120"
30
1000
500
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.
°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 X❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No. ,
Sample Collected,',
rio/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
-
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.
(if yes, complete Part B)
RECEIVE]
FEB 0 6 2014
CENTRAL FILES
DWQIBOG
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 ANYONE OUTFALL? YES ❑ NO X❑
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 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:
"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
(?-a- 03-��`�
(Date)
Additional copies of this form may be downloaded at: http://portalncdenr.org/weblwq/ws/`­su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

February 3, 2014
Division of Water Quality
ATTN: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: January 2014 Stormwater Discharge Monitoring Report
La Providencia
7010 Reames Road, Suite I
Charlotte, NC 28216
Permit Number: NCG060340
To Whom It May Concern:
Please find enclosed the completed Stormwater Discharge Monitoring Report for La Providencia
located at the address listed above.
If you have any questions regarding this report I can be reached at [phone] or by email
at [e-mail] please contact me at your convenience.
Sincerely,
Myles Peterson
Environmental Specialist
Encl.
Cc: Manuel Galves — La Providencia
U.S. Compliance Corporation
520 Third Street • Suite 100 . Excelsior, MN 55331 . Phone[phone] • Fax [phone]
www.uscompliance.com

CERTIFICATE OF
FACILITY N E
COUNTY
PERSON COLLEC
LABORATORY,,
SEMI-ANNILIAL STORMWATER DISCHARGE MONITORING REPORT
for No -Carotin Division of Water Quality General Permit No. NCG060000
f�fiDate submitted D/- Of
RAGE NO NiG664/3 L11* SAMPLE COLLECTION YEAR oc.P//9
RECEIVED
JAN 0 8 2014
CENTRAL FILES
FACILITY ACTIVITIES INCLUDE (check all that apply): DWQIBOG
❑ use/process meats ❑ use animal fats/byproducts
SAMPLES _Z/ DISCHARGING TO SALTWATERS? ❑YES [�NO
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE'REMEMBER TO SIGN ON THE REVERSE --)
Total event roinfall 2. 7_1//1or ❑ 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 Coliforrne,
Colonies per 100 ml
"Ente'rococci ,'
Colonies per 100 nil
8 nchmark
100 or 50 ,
Within 6.0 — 9.0
IN
30
1000
500
,r(I/-.z
- 3
_W
S4
O
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes PI -no {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 Oil Usage,
Annual average gal/mo
Benchmark
30
100 or 50
6.0 — 9.0
' Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO [►
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" repo rts,within 30 days of receipt of the lob results for at end of
monitoring period in the case of "No Discharge" reports] to:
Division of Water:FFiles
ity
Attn: DWQ Centr1617 Mail ServiceterRaleigh, NC 276917
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)
(Datej/
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/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 Qualitx General Permit No. NCG060000
Date submitted `-p?01
CERTIFICATE OF CO�F� E NO. N�06�� — SAMPLE COLLECTION YEAR IMV
FACILITY N �// �Y �, FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLEC G SAMPLES - DISCHARGING TO SALTWATERS? []YES [JNO
LABORATORY -;(,XLab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
i
Part A: Stormwater Benchmarks and Monitoring Results
Total event roinfall 2. %3i,�ror ❑ 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,m1. ,
Benchmark
-"
100 or s0
Within 6.0`-9.0
120
30
1000
Soo. .
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 an,y 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 SS gallons of new motor oil per month? ❑ yes [v] 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':'Annual
New Motor'Oil Usage,
average gal/mo
Benchmark
-
30
100 or S0
6.0-9.0
-
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.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes, complete Part B)
5 W U-249
Last Revised: October I$, 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 ANYONE OUTFALL? YES ❑ NO [9-"
1F 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 quaiiffed personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations." t . I
(Signature of Permittee) U
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2