NCG210290_MONITORING INFO_20190430

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V cl& a V i D
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ C90) 9 o 3
YYYYM M D D

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance onfilling out thisform, please visit: htm;//nortalncdenrorg/webAr/npdes-stormwater/
Permit No.: or Certificate of Coverage No.:
Facility Name: -SCUJ is jd,XV.Ar& a-inai 'WC.
County: -SO",jfi J Phone No. OVA - 0t1 -k- tAwC r,rrur�eaC
Inspector: "\v,o W11\:A AC RECEIVED
Date of Inspection: "-7n1at APR 30 2019
Time of Inspection: 5('36 M
CENTRAL FILES
Total Event Precipitation (inches):yW
OWR SECTION
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.) RECEIVED
dYes ❑ No
APR 3 0 2019
Please verify whether Qualitative Monitoring must beperformed durin a "rq �o iFe4tE&
fY Q 9 9 �_CTION
event" or "measureable storm event" (requirements vary, depending on the permit .
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
;
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, L=modified 10/25/2012

1. Outfall Description:
Outfall No. 03s Structure (pipe, ditch, etc.) U T QrSLM 41C
Receiving Stream: oyx�& f---alR
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Um— I kEowk
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, .
weak chlorine odor, etc.): NONE
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 6 4 5
S. Floating Solids: Choose the number which best describes the amount of Floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 ) 3 4 5'
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 U 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 00)z -_
map be indicative of pollutant exposure. These conditions warrant further investigation.
Pnrtn 7 2. ?
5W"IY242, Last modified 10/25/2012

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted N -lot
CERTIFICATE OF COVERAGE NO. NCG21 0 H L
FACILITY NAME �ER.R.a 6. 'W'.t\'.jh cl (OAS
COUNTY-$oaa�cnsl
PERSON COLLECTING SAMPLES Ug',,l V:\\ARMS
LABORATORY QkV-, Lab Cert. q
Comments on sample collection or analysis:
00N)re—
SAMPLE COLLECTIO YEAR -?J)z
SAMPLE PERIOD [V�Jan-June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period.
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =_>
-
-
120 mg/L
100 mg/L or So mg/L
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
" See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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 ma/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

laceAnalytilical"
~vpecela6sanm
Laboratory Report
Jerry G. Williams
Jerry G. Williams & Sons
P.O. Box 2430
Smithfield, NC 27577
Project: Stormwater
Pace Project No.: 92424038
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)8344984
Page 1 of 1
Report Dale: 04/11/2019
Date Received: 04/04/2019
Sample: Stormwater Lab ID: 92424038001 Collected: 04/04/1908:45 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
SM 254OD-2011 Total Suspended Solids 22.6 mg/L 3.3 04/09/19 08:55
SM 5220D-2011 Chemical Oxygen Demand 38.2 mg/L 25.0 04/08/19 12:44
Reviewed by: v� jj—
Terri Page
[phone]
terri. page@ pacela bs. com
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648
South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030
Virginia/VELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738
VirginialVELAP Certification #: 460025
Page 1 of 4

FRUNR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidanceon filling out thisfornt,please visit.- http://nortal.ncdencorp/webAr/npdes-stornovater /
Permit No.: or Certificate of Coverage No.:
Facility Name: -TE¢A6. tail\:ASS x San1S yte.
County: Phone No. OW) - q3.1_ ysK
Inspector: U%f:J 1Jt\4AAk
Date of Inspection:In-NI"o\ r-
Time of Inspection: 40I'46 ArA
Total Event Precipitation (inches): 6 .12. NOV Y 12018
CENTRAL FILES
Was this a "Representative Storm Event" or "Measureable'Sto1 i1i Evefi�' as defined by the permit?
(See information below.)
iYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable.storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWn-242, Last modified 10/25/2012

h
1. Outfall Description:
Outfall No. Om- Structure (pipe, ditch, etc.) WE= bLK OQPAW ceaC. ,
Receiving Stream: NU6.t� e;, WJ2
Describe the industrial activities that occur within the outfall drainage area: 1,06 WktW,¢ 46
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: LwAl'sA 62if,J I Ate l l.�iAQ. ,b
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Moj2
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
5. Floating Solids: Choose the number which best describes the amount of Floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids:
1 B2 3 4 5
6. Susoended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 21 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe ---WojIF
a-- _ ni in..... ..:I nt. nn..
Page 2 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/L4
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 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PARTII 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 DEMUR 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: DWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document.and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
,- _ , 0--1-1�
(Date)
Permit Date: 8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 2 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-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 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE.TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART11 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 DEMUR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality - -
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I. certify, under penalty of law, that this document.and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:8/1/2013-7/31/2018
- _ 01-i�
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

fit4
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit., h=t //oortalncdennorg/web/h-/updes-stormwater/
Permit No.: or Certificate of Coverage No.:
Facility Name: TA
County: 311t WO-J Phone No. - U
Inspector: kEv'd Vt14w,nS
Date of Inspection: ZO19 ��` l�at.l�
Time of Inspection: 01%oo I\A
APR 17 2018
Total Event Precipitation (inches): 0,70
ccN T l«i_ s=its
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by thelpermit7l
(See information below.)
[U(yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall .i
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
I
I
A "measurable storm event' is a storm event that results in an actual discharge from the j
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
j obtains approval from the local DWQ Regional Office__
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 6Z7 Structure (pipe, ditch, etc.) WS DkV ORMaZ041
Receiving Stream: NulaF Lim%?
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: iLe"m bus &2, ti laC
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Porn
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 �3 4 S
S. Floating Solids: Choose the number which best describes the amount of Floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
20 3 4 5'
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 Q) 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
may be indicative of pollutant exposure. These conditions warrant further investigation.
SWU-242, Last modified 10/25/2012

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted LA—ll-19
CERTIFICATE OF COVERAGE NO. NCG21 O Z. 010
FACILITY NAME �6QP!+. �111:AnC SOds
COUNTY 3dA.lkaa
PERSON COLLECTING SAMPLES Xk%A l 1JWAAAAA
LABORATORY UtF_ Lab Cert. B
Comments on sample collection or analysis:
SAMPLE COLLECTIGY YEAR
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
n No discharge this period?'
Outfall No.
Date Sample
Collected'
mo/dd/yr)
24hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/L
-L - 0
1. la5
It
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfail, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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 mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

[3'.
. _ _ A r. c. — FY �. ..
Y,� �B.
i_ i� ,
'� 1
V I .�f :, � �v
(.q��. 1.� �i" `
- �l�-•��
• ' �
l }1 '
•�'
�,�

,3 Analytical e
. A...,.wxw.,aacHaoxwm
Jerry G. Williams
Jerry G. Williams & Sons
P.O. Box 2430
Smithfield, NC 27577
Project: WW Testing
Pace Project No.: 92378121
Sample: WW Testing
Laboratory Report
Pace Analytical Services, LI,�C
6701 Conferec nve
Raleigh, NC,27407
(919)83
a
Page 1 of 1
Report Date: 04/05/2018
Date Received: 03/23/2018
Lab ID: 92378121001 Collected: 03/23/18 08:00 Matrix: Water
of
N
Method Parameters
Results Units
Report Limit
Analyzed Qualifiers
EPA 1664E
Oil and Grease
NO mg/L
5.0
04/05/18 03:17
SM 2540D
Total Suspended Solids
11.4 mg/L
2.5
03/29/18 11:17
SM 5220D
Chemical Oxygen Demand
80.0 mg/L
25.0
04/02/1814:30
�0
Reviewed by:
Terri Page
_
[phone]
[e-mail]
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Louisiana/NELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
Page i of 4

PlAA
NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidanceonfllingout thisform,please visit htm://oortalncdencorg/webQ1/nndes-stormwate
Permit No.: or Certificate of Coverage No.: N/li/N/3/4-011/Si/
Facility Name: PI
County: "Y*J%TrLA Phone No. OwP-ftA^LI\\i ( .
Inspector: Y.Era VtV'.Pt k.
Date of Inspection: to"S"Zci\'l C�� l
Time of Inspection: ratr[pt,i TILLS
D1NR SECTION
Total Event Precipitation (inches): OX
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
O/Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
! some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
i and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
5WU-242, Last modified 10/25/2012

1. Outfall Description:
Dutfall No. 6.13 Structure (pipe, ditch, etc.) V8C t6t'4 OQP. WW4S
Receiving Stream: NUtSE KJF.P
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: lit 6Q.E, w 1 (t26b1:S)� -T10
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, .
weak chlorine odor, etc.): Aw:
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 02 3 4 S
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 OZ 3 4 5'
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
7
91
1 02 3
Is there any foam in the stormwater discharge?
4 5
Yes
Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Nogf .
No
No
Yes No
x;...... ..0. ..i: d.. ....d �..� ♦6e Pr .37 oi---
may be indicative of pollutant exposure. These conditions warrant further investigation.
SSWU-242. Last modified 10/25/2012

Semi-annual Stormwater Discharae Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted xn-ZA-1011
CERTIFICATE OF COVERAGE NO. NCG21.Q 'L g Q
FACILITY NAME 7WAZA G-W. ,jKt S a- S0,1C
COUNTY -COLASsuj
PERSON COLLECTING SAMPLES U'.MhA
LABORATORY 1 i" . Lab Cert. k
Comments on sample collection or analysis:
Noon
SAMPLE COLLECTION YEAR W-7
SAMPLE PERIOD ❑ Jan -June Ej 'luly-Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
n No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =s=>
_
-
120 mg/L
100 mg/L or 50 mg/L
O-S-VNQ
ftIL
-
$ft
IL
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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 mg/L". where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

V �� .:� L
`J.
.��: :.
` _� ;:.�
.s "���

�•PaceAnalytical
wvw.pecelaba=
Laboratory Report
Jerry G. Williams
Jerry G. Williams & Sons
P.O. Box 2430
Smithfield, NC 27577
Project: WW TESTING
Pace Project No.: 92357972
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page i of 1
Report Date: 10/17/2017
Date Received: 10/05/2017
Sample: WW TESTING Lab ID:
Method Parameters
92357972001 Collected: 10/05/17 09:15 Matrix:
Results Units Report Limit
Water
Analyzed Qualifiers
SM 2540D Total Suspended Solids
8.4 mg/L
2.5
10/10/17 15:24
EPA 16648 Oil and Grease
ND mg/L
5.0
10/17/17 05:40
SM 5220D Chemical Oxygen Demand
43.0 mg/L
25.0
10/12/17 18:17
Reviewed by:
Terri Page
[phone]
[e-mail]
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Louisiana/NELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NCO30
North Carolina Drinking Water Certification #: 37712
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certificafion #: 37738
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification*: 460222
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
Page 1 of 7

LTXWA
NC® NR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidonceonfillingout thisform,please visit• httpT//portalncdenrorg/web/`­li-/npdes-stQrmwater/
Permit No.: or Certificate of Coverage No.:
Facility Name: -Sfc¢Y 1 6 W;kv h t x S641 NC.
County: +Stoll Phone No. AA- A%-9K
Inspector: W&:.l wtU A,nC
Date of Inspection:
Time of Inspection: T30 PA
Total Event Precipitation (inches): 030k—
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.) RECEIVED
9 Yes ❑ No C
MAY 31 ZGtI
C� TP
Please verify whether Qualitative Monitoring must he performed during a e res�'ntatibe-storm
Grvv `FCTION
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no j
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, l certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

J
1. Outfall Description:
outfall No. 6-M Structure (pipe, ditch, etc.) W% DAY. QMA+ 04a
Receiving Stream: fin"fr,—Q•urn2
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc) and tint
(light, medium, dark) as descriptors: Ufi%W ILA wl Sgao4ZA114C a Sll*s (Qttaks\�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): ?404
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: �
1 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 V 3 4 5'
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 Q) 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes \ Np
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
may be indicative of pollutant exposure. These conditions warrant further investigation.
0222 1: f9
SVVU-242. Last modified LO/25/2012

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21_A. Z a1 0
FACILITY NAME 13!!rJ V. \J;W" e X yaS tAL-
COUNTY�V%X4 aJ
PERSON COLLECTING SAMPLES Y.r r g V;Nkh et
LABORATORY PAM _ Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR ZO\7
SAMPLE PERIOD [aJan-June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Watersupply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE —>
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
n No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/L
Ali If
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for,the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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 mg/L". where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 1 of 2

laceAnalyficalo
- arw.pawlabs.com
Jerry G. Williams
Jerry G. Williams & Sons
P.O. Box 2430
Smithfield, NC 27577
Project: Weekly Wastewater Monitoring
Pace Project No.: 92340176
Sample: Effluent
Laboratory Report
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date: 05/24/2017
Date Received: 05/10/2017
Lab ID: 92340176001 Collected: 05/10/17 08:15 Matrix: Water
Method Parameters
Results Units
Report Limit
Analyzed Qualifiers
SM 25400
Total Suspended Solids
15.2 mg/L
3.6
05/12/17 09:31
EPA 1664B
Oil and Grease
NO mg/L
5.0
05/17/17 07:38
SM 5220D
Chemical Oxygen Demand
67.0 mg/L
25.0
05/23/17 07:00
Reviewed by:
�A �('�
Terri Page
[phone]
[e-mail]
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 377D6
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Cedification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginialVELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
Page 1 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted V_ g-1b
CERTIFICATE OF COVERAGE NO. NCG21__0. Z CQ_
FACILITY NAME ZSIEW (t- Vdx�RnS k �,uS
COUNTY $0"9to.i
PERSON COLLECTING SAMPLES M4 V:d: P^8.
LABORATORY I�P" Lab Cert. If
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑Jan-June�JulyD�ec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA
[]zero -flow ❑Water Supply ❑SA
RECEIVED ❑other
DEC 12 2016 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is req�4rnooel�jLthe facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.) DWR SECTION
❑ No discharge this periodlZ
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
-
-
120 mg/L
100 mg/L or 50 ntg/L
LZ.S0 A7bFLt
A IL
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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 mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

`aceAnalytical a
mva.Paoews.o
Laboratory Report
Jerry G. Williams
Jerry G. Williams & Sons
P.O. Box 2430
Smithfield, NC 27577
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)834A984
Page 1 of 1
Report Date: 12/06/2016
Date Received: 11/23/2016
Project: Weekly Wastewater
Pace Project No.: 92320809
Sample: Wastewater Lebo: 92320809001 Collected: 11/23/16 09:35 Maldx: Water
Method Parameters
Results Units
Report Limit
Analyzed Qualifiers
SM 2540D
Total Suspended Solids
4.5 mg/L
2.5
11/29/16 11:09
EPA 16648
Oil and Grease
ND mg/L
5.0
12/06/16 08:30
SM 5220D
Chemical Oxygen Demand
ND mg/L
25.0
11/29/16 14:45
Reviewed by:X'-
Terri Page
[e-mail]
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
Page 1 of 4

�F�
�' RECEIVED
NCDENR
Stormwater Discharge Outfall (SDO) DEC 12 1U16
Qualitative Monitoring Report CENTRAL FILES
DWR SECTION
Forguidance an filling out this form, please visit. htm: / /portal.ncdenr.ororg/web/I /nodes-stormwater/
Permit No.: or Certificate of Coverage No lV
Facility Name: 7j Qy (t U: kJk6 x Sees 1AL,
County: 701\ 116 Phone No. N%k- LAK
Inspector: %gayamt'.AS
Date of Inspection: a-6\10
Time of Inspection: _Z•ad ASA
Total Event Precipitation (inches): OSI
Was this a 'Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
[dyes ❑ No
Please verify whether Qualitative Monitoring mustbe performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event' or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
j permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 6.SI Structure (pipe, ditch, etc.) WfC MY O g-Md,lS
Receiving Stream: n VSk1- W Q.
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red,
(light, medium, dark) as descriptors: (: s. .%Q - I"I v I 21.J6 TT
blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 001%
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 03 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 \2 I 3 4 5'
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Noot.
u_ - ru ..a --x.,en, ., ia..
map be indicative of pollutant exposure. These conditions warrant further investigation.
SVv11-242, Last modified 10/25/2012

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisfor n, please visit. hUp;//portal ncdenr org/web/i /nodes-ctormwater/
Permit No.: or Certificate of Coverage No.: N/(</a/Z/--N-A/?-/V.
Facility Name: 3'c¢w 6 W'OLP.nS a- Seas tad
County:-nlAtsa.J Phone No. o1W1 - d%\A-40S
Inspector: lcsm U:\\(n,nS
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): nn2 ZAL%c
Was this a "Representative Storm Event" or "Measureable Storm Event"defined by the permit?
(See information below.) ;0, v
j5
[Yes ❑ No
Please verify whether Qualitative Monitoring must be performed duringrepresentative storm
event" or "measureable storm event" (requirements vary, dependi on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
i
I
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
j
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
i obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/ZS/2012

1. Outfall Description:
Outfall No. 0•li Structure (pipe, ditch, etc.) WQC o&IA aVAWSto4
Receiving Stream: tiMy. VC14%
Describe the industrial activities that occur within the outfall drainage area:
Z. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L i6*T Bt-vF_►,fj W20.w -1iWr
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): ► mr'
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 O 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 62 3 4 5'
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 Q3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe NONE
maY be indicative of pollutant exposure. These conditions warrant further investigation.
SWU-242, Last modified 10/25/2012

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG220000
Date submitted A-IVA
CERTIFICATE OF COVERAGE No. NCG21Q 2 A0_
FACILITY NAME «+aaJ N- V 1V w4 tr Sods, V1(..
COUNTY -Tellasm.J
PERSON COLLECTING SAMPLES X64:.) w.lknrn5
LABORATORY QA(-f-._____ Lab Cert. N
Comments on sample collection or analysis:
SAMPLE COLLECTID YEAR 7016
SAMPLE PERIOD Ltd Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero flow ❑Water Supply _]SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
(-1 No discharge this period?
Outfall No.
Date Sample
Collected'
mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks
120 mg/L
100 mg/t or 50 mg/L
nit13M
Whil-
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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 mit/L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21 0 Z 01 p
FACILITY NAME 1%9(j. 4r;XV.A e, A: Cy.li
COUNTY 10\\ ty(0j
PERSON COLLECTING SAMPLES U ra W. VNws
LABORATORY QAtVF Lab Cert. q
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR ZaW'
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' onth)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
[]Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
00
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring Is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
n No discharge this oeriod?z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===s
_
-
120 mg/L
100 mg/L or 50 mg/0
0130 - of
-0
a1.
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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 mg/L where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value In excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hourrrainfall
amount,
Inches3
Non -polar O&G by EPA
1664.(SGT7HEM)
Total Suspended Solids
Benchmarks ===>
_
-
15: mg/L
100 mg/L or 50 mg/L4
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 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mails orlaLnal and one copy of this OMR, Includina all "No Dlscharae" reports, within 30 days of receipt of the lab results for at end of monitorina period
In the case of "No Dlscharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing violations."
9-. Uw�'
(Signature of Permittee)
Permit Date: 8/1/2013-7/31/2018
10-X6-1%
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

ace AnaiXicale
www.paL9/a6s.com
Jerry G. Williams
Jerry G. Williams & Sons
P.O. Box 2430
Smithfield, NC 27577
Project: WEEKLY WASTEWATER 09/30/2015
Pace Project No.: 92269873
Sample: WASTEWATER
Laboratory Report
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
(919)834A9B4
Page 1 of 1
Report Date: 10/15/2015
Date Received: 09/30/2015
Lab ID: 92269873001 Collected: 09/30/15 09:45 Matrix: Water
Method
Parameters
Results
Units
Report Limit
Analyzed Qualifiers
EPA 1664B
Oil and Grease
mg/L
5.0
10/12/15 09:08
SM 2540D
Total Suspended Solids
19.7
No
mg/L
3.6
10/01115 09:07
TKN+NO3+NO2
Total Nitrogen
2.2
mg/L
0.12
10/15/15 10:51
Calculation
EPA 351.2
Nitrogen, Neldahl, Total
2.1
mg/L
0.50
10/07/15 17:53
EPA 353.2
Nitrogen, NO2 plus NO3
0.035
mg/L
0.020
10/08/15 14:39
EPA 365.1
Phosphorus
2.8
mg/L
0.050
10/07/15 11:47
SM 5220D
Chemical Oxygen Demand
83.0
mg/L
25.0
10/02/15 14:00
Reviewed by: v'r' X`-
Terri Page
[e-mail]
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Certification #: 99006001
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification #: 37731
Flodda/NELAP Certification #: E87627
Kentucky UST Certification #: 84
West Virginia Certification #: 357
Virginia/VELAP Certification #: 460221
North Carolina Wastewater Certification If: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
Virginia/VELAP Certification #: 460222
Page 1 of 3

RECEIVED
WCDENR OCT 2 0 2015
Stormwater Discharge Outfall (SDO) CENTRAL FILES
Qualitative Monitoring Report DWR SECTION
Forguidanceonfillingout thisform,please visit. htto://oortalncdenr.ororg/web/Ir/nndes-stormwater/
PermitNo.: or Certificate of Coverage No.:
Facility Name: -ISMA. L. ymhdw , Suc1S Tw.. y
County: _-Ne
Inspector: U141 V:\\'wrnC
Date of Inspection: a1-jp -tC
Time of Inspection: OPW RrA.
Total Event Precipitation (inches): 0AL
Phone No.
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
iYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representat ve storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
jpermitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office_
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/2S/2012

1. Outfall Description:
Outfall No. 0-q7 Structure (pipe, ditch, etc.) W6< U-M oe A&% 1
Receiving Stream: 9UWr- Q+-Jf2.
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: I�t�RK (q,f jI Igag ( l.BA2 %15M
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): OwE
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 (D 3 4 5
5. Floating Solids: Choose the number which best describes the amount of Floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids:
1 V 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3) 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes rIV�
10. Other Obvious Indicators of Stormwater Pollution: \\JJ
List and describe lJo
nn nnno:n «n n
may be indicative of pollutant exposure. These conditions warrant further investigation.
5WT-242. Last modified 10/25/2012

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21__Q 2� g �a
FACILITY NAME A.
COUNTY 'S(n\wMki I
PERSON COLLECTING SAMPLES _ �(.S\t 4 uA4,
LABORATORY_ P#Lt Lab Cert. q
Comments on sample collection or analysis:
SAMPLE COLLECTIOIJ YEAR tow
SAMPLE PERIOD ❑\Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.) F�_
No discharge this period?' E 11
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===>
_
-
120 mg/L
100 mg/L or So mg/L
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
" See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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 mg/L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value In excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2
4

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No dischorae this oerind ?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664(SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L4
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 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR 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, 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 passibility of fines and imprisonment for knowing violations."
-/K 9 - �"--, N-0t-6'
(Signature of Permittee) (Date)
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

aceAnalytical e
waw.pace/aAccwn
Jerry G. Williams
Jerry G. Williams & Sons
P.O. Box 2430
Smithfield, NC 27577
Project: STORMWATER 04/01/2015
Pace Project No.: 92243560
Sample: TSS & COD
Laboratory Report
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
(919)e34-4964
Page 1 of 1
Report Date: 04/08/2015
Date Received: 03/31/2015
Lab ID: 92243560001 Collected: 03/3111508:30 Matrix: Water
Parameters Results
Total Suspended Solids 26.9
Chemical Oxygen Demand 92.0
Reviewed by:�'—^'�ycPjLsc,n_,
Shelia M McGlown
[e-mail]
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87W
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Units Report Limit Analyzed Qualifiers
mg/L 7.1 04/02/15 08:52
mg/L 25.0 04/07/15 09:15
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification #: 37731
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
VirginiaAfELAP Certification #: 460222
Page 1 of 3

PIA
APR 1
GENTK-
NCDENR DWR s...
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visic- httnT/,12ortal n cd enr.org/webwnndes-stormwatei
Permit No.: Il/ or Certificate of Coverage No.: Na Z,-1/-0/Z
Facility Name: ' 9,94 6, wt\\;1PAMti W, SO4S
County: 10\4%d� Phone No. (A\N) 011-A- IAW
Inspector: Unw W:\ti R✓sS
Date of Inspection: 3- SV W
Time of Inspection: 9'.30 P4A
Total Event Precipitation (inches): . SL -rA
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
UQ Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement Please refer to these definitions, if applicable.
i
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
ipermitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter j
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SN'U-242, Last modified 10/25/2012

1. Outfall Description
Outfall No. • SZ Structure (pipe, ditch, etc.) VS1 bSbi. 0"IZ kM40
Receiving Stream: t Vt At W%,Jfk.
Describe the industrial activities that occur within the outfall drainage area:
Lob uwca,¢&At,
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: u6V 6o.�.r
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, .
weak chlorine odor, etc.): rid.ft
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 0 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5'
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 (5 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe pops.
xr..:... ..3:.3.. ....A /.... tit.... F F..�... �«...... .. .. /.i......c: r:....
may be indicative of pollutant exposure. These conditions warrant further investigation.
a.,.... 1 „r 1
�-VYU-242. Last modified ! 0/25/2012

NC®ENR RECEIVED
Stormwater Discharge Outfall (SDO) DEC 2 9 2014
Qualitative Monitoring Report CENTRAL FILES
DWR SECTION
Forguidanceanfilling out thisform,please visit.- hap�//oortalncdcar.org/web h- nudes-stormwater/
PermitNo.: or Certificate of Coverage No.:
Facility Name: 'Sfgt�A. G. u;1KnrK �r Sa05
County: '3MNWA04 Phone No. 011H" 06A-N\\5'
Inspector: YfsYZW
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): .44 0 F '194
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
dYes ❑ No
Please verify whether Qualitative Monitoring mustbe performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
I A "measurable storm event' is a storm event that results in an actual discharge from the
jpermitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office. I
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-24Z, Lai MDdlfled 10/25/2012

1. Outfail Description:
Outfall No. • 'A Structure (pipe, ditch, etc.) VOTe DEM ACO- V0
Receiving Stream: NJESE P v%
Describe the industrial activities that occur within the outfall drainage area:
Lob wAtSzm{, oKea rim
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: (t6tr'. i L7diM but I JAIJL r a -6PK
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): od11E,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 OZ 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
d
NM
1 02 3
Is there any foam in the stormwater discharge?
4 5
Yes
Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 00ME_.
it]
Yes No
a,,, .. ss,,...., ,.a ems,...,.. ,. ., ia,,....�:r;....
may be indicative of pollutant exposure. These conditions warrant further investigation.
D...!.. 2 2f O
SW O-242. Last modified 10/25/2012

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted (2-Z3144
CERTIFICATE OF COVERAGE NO. NCG21 d Z gQ
FACILITY NAME j6QP1 (i.U:\\Su�N k Sails
COUNTY
PERSON COLLECTING SAMPLES YSJ�Q \XW AMS
LABORATORY Qac�_. Lab Cert. q
Comments on sample collection or analysis
SAMPLE COLLECTION YEAR ZOVA
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Watersupply ❑SA
❑Other -
PLEASE REMEMBER TO SIGN ON THE REVERSE a
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
n Ain nicvhnrnn *hic
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===>
tLA-It
*k -
120 mg/L
100 mg/L or 50 mg/L
Ti-0
L
$-2
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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, etc, in mg/L,
Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period:
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT.-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 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orlainal and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period
In the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations."
f1/
(Signature of Permittee)
Permit Date: 8/1/2013-7/31/2018
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

aceAnalytical e
w ..Pwa'abscan
Jerry G. Williams
Jerry G. Williams & Sons
P.O. Box 2430
Smithfield, NC 27577
Project: WEEKLY WASTEWATER
Pace Project No.: 92225652
Sample: EFFLUENT
Laboratory Report
Pace Analytical services, Inc.
6701 Conference Ddve
Raleigh, NC 27607
(919)8344984
Page 1 of 1
Report Date:12/04/2014
Date Received:11/14/2014
Lab ID: 92225652001 Collected: 11/14114 10:00 Matrix: Water
Parameters Results Units Report Limit
Oil and Grease ND mg/L 5.0
Total Suspended Solids 8.2 mg/L 5.6
Chemical Oxygen Demand 74.0 mg/L 25.0
Reviewed by:—E�"c'•"-^'-' ���`�`''
Shelia M McGlown
Shelia. mcglown@pacelabs.00m
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Camlina Wastewater Certification #: 67
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Certification #: 99ODS001
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Analyzed Qualifiers
11/18/14 08:59
11/20/14 12:49
11 /20114 15:30
North Carolina Bioassay Certification M 16
North Carolina Drinking Water Certification #: 37731
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
West Virginia Certification M 357
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
VirginiaNELAP Certification #: 460222
Page 1 of 3

w
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative monitoring Report
Forguidance on filling out thisform, please visit: htto: //portal ncdennorg/web/Ir/npdes-stormwater/
Permit No.: or Certificate of Coverage No.:
Facility Name: 2" O- W\\VAA a- 5dus
County: SOUSN6A Phone No. 01\0� -a\3W- N\\S
Inspector: KEv:u uil6AMt
Date of Inspection: -1-7.3-N
Time of Inspection: 01'.00 ArA
Total Event Precipitation (inches): .37- OF WLR
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined b'RECEIVED
er1
(See information below.) GCE[ V E D
1 Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative" oNTOQB FILES
DWQIBOG
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the j
Ipermitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events duringthe sampling period, and the permittee .
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWll-242, Last modified 10/25/2012

1. Outfall Description
Outfall No. •114 Structure (pipe, ditch, etc.) WE( tS(,V- p TWN)
Receiving Stream: Pu65E etv6Q.
Describe the industrial activities that occur within the outfall drainage area:
- - Lot, WMW"16 A(6¢AaioKl
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 6ufAv � �S�-02r6j -ro
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): euE
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 O 3 4 5
S. Floating Solids: Choose the number which best describes the amount of Floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids:
1 20 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
7
1 02 3 4 5
Is there any foam in the stormwater discharge?
Is there an oil sheen in the stormwater discharge?
Yes
Yes
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
No
Yes
may be indicative of pollutant exposure. These conditions warrant further investigation.
0-.n.. 2 f:F 2
5wll-242. Last modified 10/25/2012

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted $rl M
CERTIFICATE OF COVERAGE NO. NCG21 0 ? g• n SAMPLE COLLECTION YEAR 7 o1%{
FACILITY NAME lu&A (,. W1A;Pj-& X c,j,aS. SAMPLE PERIOD ❑ Jan -June [oJuly-Dec
COUNTY-70A,1s-1CW or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES _VGj v:t\cArK DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY PACE Lab Cert. # ❑Zero -flow ❑Water Supply RSA
Comments on sample collection or analysis: []Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
n No discharge this period?'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =_>
1-T]- to
120 mg/L
100 mg/L or 50 mg/L
•0
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
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, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part 8: 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 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part 8
Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
FOR PART A AND PART 8 MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION 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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orlainal and one covv of this DMR. Includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitorina period
In the case of "No Discharge" reports! to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 8/1/2013-7/31/2018
Q-1-(ut
(Date(
SWU-245, last revised 7/31/2013
Page 2 of 2