NCS000202_MONITORING INFO_20181207

------ISTORMWATER-DIVISION-CODING-SHEET - -
PERMIT NO.
N t,5 orx� 1,ua
DOC TYPE
❑ FINAL PERMIT
[�,MONITORING INFO
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ Q� aD6 I2-57
YYYYMMDD

STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000202 or SAMPLES COLLECTED DURING CALENDAR YEAR:20 i g NOV
Certificate o"Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
RECEIVf-1lle-date the facility receives the sampling results from the laboratory.)
FACILITY NAME United States Gypsum Co. muitchell
PERSONCOLLECTINGSAMPLE(S) AVIS cKIA/Nc�r 2019
CERTIFIED LABORATORY(S) PAI-E /iNAcY n(a L Lab # it r)
Lab #_ENTRAL FILES
DWR SECTION
Part A: Specific Monitoring Requirements
14,P-0
828 ) 765 - 9481
S n'A"E OF PERMITTEE OR DESIGNEE)
By this sigriature, I certify that this report is accurate
complete to the best of my knowledge.
Outfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
ai•��/n,.ve+
t^•tJ` / L
MaSnLliti.+
,,",,� f t_
mo/dd/vr
MG
inches
m
m
m
Units
3\
v,00a
-'L
Z, z
Z
3ti"
44S
5
-7,3
6,(.
Z.
3
°
'7, 3
7.
l21
O•o!(, (o
%,
�,3
2,
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ ves 1/ no
(if yes, complete Part B)
Pgrf It- Whirlp Maintennnre Avtivity Monitoring Renniremenls
Outfall
No.
Date
Sample
Collected
50050
00556
100530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ yr
MG
inches
m
m
Units
galtmo
Form SWU-246-112608
Paee I of 2

STORM EVENT CHARACTERISTICS:
Date 1k/t2/tq '3/y1%
Total Event Precipitation (inches):
Event Duration (hours): S '1Z (only if applicable — sec permit.)
(if more than one storm event was sampled)
Dale
Total Event Precipitation (inches):
Event Duration (homy): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 marAge the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge a¢dlbelief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
ikc1h�iV&theVossi iIty of fines and imprisonment for knowing violations."
or
�Z l b H
(Date)
Form SWU-246-112608
Page 2 of 2

•t
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000202 or SAMPLES COLLECTED DURING CALENDAR YEAR: Zo 1 g oC.To♦ iz,
Certificate of Coverage Number: NCG (This monitoring report shall he received by the Division no later than 30 daps from
the dale the facility receives the sampling results from the laboratory.)
FACILITYNAME United States Gypsum Co. IRECEj\/Fr_nHN
itchell
PERSON COLLECTING SAMPLE S) iS McVtn t_ NOV 0 9 . ( aza ass -saes
CERTIFIED LABORATORY(S) a rawly h'uk I Lab # �
Lab # ( E MITTEE OR DESIGNEE)
By th nature, [ certify [hat this re or[ is accurate
p�rv-� cc I�Y P
comple the best of my knowledge.
Part A: Specific Monitoring Requirements
Outfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil &Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
Ium`^w^'t
Maoas:v,„
mo/dd/yr
MG
inches
mgfl
m
m
Units
- /o I
�o
o.oi.
3
i2
33
2
a Io 19
55..
Al
.0
1,b
0,57
ro ro Q
21
ND
(1918
/o t8
l
3 I
O,ol
S,i F?G;viIC�I
AI
11/ n
Does this facility perform Vehicle Maintenance Activities using- more than 55 gallons of new motor oil per month? _ yes Vno
(if yes- complete Part B)
Part R: Vehicle Maintenance Activitv Monito ing Requirement
Outfall
No.
Date
Sample
Collected
500511
100556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH -
New Motor Oil
Usage
mo/dd/vr
MG
inches
mgfl
m
Units
gallmo
CENTRAL FILES
DWR SECTION
Form SWU-246-112605
Pape I of 2

r STORM EVENT CHARACTERISTICS:
<; Date /0 t) / I u
Total Event recipitation (inches):
Event Duration (hours): 3 hf5• (only if applicable — see permit.)
(if more than one storm event was sampled)
Dale
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable— see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleieh. North Carolina 27699-1617
"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 sys , or those persons directly responsible for gathering the information, the information submitted is, to the best
of nowledge and belief, ue, ccurate, and complete. I am aware that there are significant penalties for submitting false information,
i cludi QTft-j ossibil^of jTnes d imprisonment for knowing violations."
r
(Signature or
/0 z, /5
(Dat
Form SWU-246-112608
Page 2 of 2

1 STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000'. O Z or SAMPLES COLLECTED DURING CALENDAR YEAR: V list AL)OUS I
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITYNAME k)IJ 1T V-D SATES Wle'SJM CO, COUNTY I' e- H GL-f--
PERSON COLLECTING SAMPLE(S) c K rJNE ._. PH 'E i ) 7(uri - pNSI
CERTIFIEDLABORATORY(S) PACE ,ANAW'TleA Lab,1 � � Eivt±�
Lab # (SIGNAI U� OF ITTEE OR DESIGNEE)
OCT 15 2018 By this sign Lure, I certify that this report is accurate
complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
CENTRAL FILES
PIAIR �Fr..TfnN
Outfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
MLtM"dtAM
M�/L-
ga,<'(tGsilnm
�J
M /L
mo/dd/vr
MG
inches
m
m
m
Units
t z`
2-20
0. 00
%
D,RZq
Z
1 1$
S,5
N
,2.
O.
3
S t 1
`2
G•w
A/
O,�IZ
O 2N
/
O'M 2
6 1 ; .
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes 1/11)
(if ycs. complete Part B)
Pnrt Re VPhirIP \faimvnanrc Activitv Monitoring Requiremenls
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/vr
MG
inches
m
m
Units
al/mo
Form SWU-246-112608
Page I of 2

11
STORM EVENT CHARACTERISTICS:
Date/2 tr
Total Event precipitation (inches):
Event Duration (hours): t 2 hC (only if applicable— see permit.)
(if more than one storm event was sampled)
Date
Total Event precipitation (inches):
Event Duration (hours): (only it applicahle — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh. North Carolina 27699-1617
"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 nijkauwledge andNliefe, accurate, and complete. I am aware that there are significant penalties for submitting false information,
it t ding ssibil ty of m., and imprisonment for knowing violations."
of
%o /0/S
(Date)
Form SWU-246-112608
Paee 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS OD0 2 02 or SAMPLES COLLECTED DURING CALENDAR YEAR: 2 0 18 JU L.Y
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME 084 %TED S'%MS G1?!S'J ✓t Co .
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
tt / I
Part A: Specific Monitoring Requirements /\/0 0
XNATI�,�f � ( —
(SIGN ERMITTEE OR DESIGNEE)
By this ature, I certify that this report is accurate
complete t the best of my knowledge.
Total
Solids JSS)
-----------
-----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes v_no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monito ine Recruirements
Outfall
No.
Date
Sample
Collected
50050
00556,
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total !
Suspended!
Solids
pH
New Motor -Oil
Usage
mo/dd/ r
MG
inches
m
m
Units
gavmo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date JUIL 2.019
Total Event Precipitation (inches): IJ A
Event Duration (hours): A/AA (only if applicable — see pernvt.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
kk No I=L ow fl
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 beli , true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
in m *e,possib(f{ty if flues and imprisonment for knowing violations."
(Signature of
a/,%g
(Date)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
-or.
Permit Number: NCS O Z or
Certificate of Coverage Number: NCG
FACILITY NAME U.V IT6b S'74IES (�y PSvM W .
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
U
Part A: Specific Monitoring Requirements o rL_ d Uj
SAMPLES COLLECTED DURING CALENDAR YEAR: 2U I g
(This monito eport shall be received by the Division no later than 30 days from
�[Ih_e�daYe ��ig �y receives the sampling results from the laboratory.)
JUL 0 8 2A STY
u n wr
6-WRG I IVtNN�ERlIITTEE OR DESIGNEE)
By this ature, I certify that this report is accurate
complete the best of my knowledge.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
mo/dd/ r
MG
inches
m
m
m
Units
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes V no
(il yes; complete Part B)
Part B: Vehicle Maintenance Activitv MonitorinL Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/yr
MG
inches
m
m
Units
gallmo
Form SWU-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
Date J'U415 2clg
Total Event Precipitation (inches): N /A
Event Duration (hours): N /A (only if applicable — see permit.)
(iI more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
F1,
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 be?f, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
grtcltlding the pos.,Abilitl/ Of fines and imprisonment for knowing violations."
3 l�
(Da e)
Form S W U-246-1 12608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS tr)0 6 zo 2 or SAMPLES COLLECTED DURING CALENDAR YEAR: 20 (S M AY
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME L) -J i TOD STHTrj C2 M LO I'TLNa_`LI_
PERSON COLLECTINGSAMPLX(S) Do��wt- c Ef�25 P
CERTIFIIiDLABORATORY(S),A(C A.NA"yre(gt, Lab '!-` ���®
Lab # t ��'v ( AE�6F'PER'MITTEE OR DESIGNEE)
JUN
8 2018 By [ feto
nalure, I certify that [his report is accurate
• compl the best of my knowledge.
Part A: Specific Monitoring Requirements CENTRAL FILES
Outfall
Date
50050
y
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
�wM tN J M
jsAAGNESt Jt�t
mo/dd/vr
MG
inches
m
m
mg1I
Units
,OD
—7.1
3.2(P
2530
OAS"
0. 3
N
O.
l Z
3
1( I
1
2Z
r O
Z,000 O
(o
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Yno
(if yes. complete Part B)
Pprt Re Vrhirlr Maintenanre Activity Mnnitorinp Renuirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New. Motor Oil
Usage
mo/dd/ r
SIG
inches
m
m
Units
al/mo
Form SWU-246-112608
Pace I of 2

STORM EVENT CHARACTERISTICS:
Date S �� ��
Total Event reeipitation (inches):
Event Duration (hours): _114— (only if applicable— see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 t system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of v knowledge and b i , true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
inc u 'ng he ossRAlit� f fines and imprisonment for knowing violations."
(Signature
61�LI(2)
(Date)
Form SWU-246-I12608
Page 2 of 2

STORIMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 0©n zn z or
Certificate of Coverage Number: NCG
FACILITY NAME r C 0.
PERSON COLLECTING SAMPLES) v i
CERTIFIED LABORATORY(' 0<• c ab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
/ C
at (y�re.Aa..t P E
(SIGNA E OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes tzno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitorina Requirements
Outlall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Now
Of applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
molddlyr
MG
inches
nWA
man
Units
Raymo
Form SWU-246-112608
Page I of 2

STORM EVENT
� /CHAR JJACTERISTICS:
Date Yet 3lI g
Total E ent Pr ipitation (inches): — Z • 9
Event Duration (hours): 33 , 6 7 (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Piles
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 be 'ef; true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
in�fading�`t posgbilit� fines and imprisonment for knowing violations."
!s
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: ;NCS 6 D O z© z or
Certificate of Coverage Number: NCG
FACILITY NAME _ VS r11 / e G - IA /e 5 lT /DSukt Co
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: Z / 8 / -1 a r c rt
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
UNTY
(SI NA E OF PERMIiTEE OR DESIGNEE)
By this si nature, I certify that this report is accurate
complete to the best of my knowledge.
-----------
-----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes Ino
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Olt
Usage
moldd/ r
MG
inches
mWI
mgA
Units
al/mo
Form SWU-246-112608
Page 1 or2

STORM EVENT CHARACTERISTICS:
Date / larch Z 61 e
Total Event Precipitation (inches):
Event Duration (hours): A/ _ (only it' applicable — sec permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): - (only if applicable—sce permit.)
Mall Original and one copy to:
Division of Water Quality
Aare Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 managoe system, or those persons directly responsible for gathering the information, the information submitted is, to the best
pf-kay wledge an b ief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
t Cl i the pKsi i of fines and imprisonment for knowing violations."
(Signature
l3 /g
(D c)
Form S W U-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
permit Number: NCS D D d Z O Z or SAMPLES COLLECTED DURING CALENDAR YEAR: Z 0 / S /' e- b) R ry
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from /
the date the facility receives tie sampling results from the laboratory.)
FACILnY NAME an t e v( �d s u n t i !� EcEl {p � �
PERSON COLLECTING SAMPLE(S) l
CERTIFIED LABORATORY(S) Lab # MAR 26 2018 (sI
Lab #
r CWRSEIf c;r
Part A: Specific Monitoring Requirements ��N r 4 w � EC7101\1
b
ature, I certify that this report is accurate
the best of my knowledge.
DateSample
I I I
--------
Collected
-----------
-----------
-----------
-----------
-----------
Does 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 Activity Afonitorina Renuirements
Outfall
No.
Date
Sample
Collected
50050
-
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m
Units
al/mo
Form S W U-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
DatereArustY V z (5 / O
Total Event Precipitation (�fqchh"es): _
Event Duration (hours): =F- (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
'r
'` No /ot�
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh. North Carolina 27699-1617
"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 syste r those persons directly responsible for gathering the information, the information submitted is, to the best
of my kno �g n elief, tru , a curate, and complete. Into aware that there are significant penalties for submitting false information,
including he ibtitt of e a imprisonment for knowing violations."
3ZZ
(Signature ofPermitte) (Dat
Form SWU-246-112608
Page 2 of 2

STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS /) bh Z 6 z or
Certificate of Coverage Number: NCG
FACILITY NAME Z1 h l d S - fN 5 +/Lt5 W W' CO,
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements \ NO 1. Ia.l
SAMPLES COLLECTED DURING CALENDAR YEAR: z o 1 S Uti n K 0.r
(This monitoring report shall be received by the. Division no later than 30 days from/
the date the facility receives the sampling results from the laboratory.)
REC&Bx
\P ]G� -
F E R 1
(SIGN RE OF PERMITTEE OR DESIGNEE)
CENTRARY,:thissi nature, I certify that this report is accurate
DWR SE�TP�,e, to the best of my knowledge.
-----------
-----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes 5/no
(if yes, complete Part B)
Part B. Vehicle Maintenance Activity Monito Ing Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil At Grease
Total
Suspended
Solids
PH
New Motor Oil
Usage
mo/d r
MG
inches
Unitr
gafto
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date VANLIp 20/8
Total Event Preation (1 cjtes): /VY
Event Duration (hours): = (only if applicable — see permit.)
(if more than one stonn event was sampled)
Date
Total Event Precipitation (Inches):
Event Duration (hours): (only if applicable — see permit.)
a
-10w
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 t system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and b true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
JnP7dd�ttg.�he posiibilit o Ines and imprisonment for knowing violations."
(Signature
(Date)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000 2.0Q- or SAMPLES COLLECTED DURING CALENDAR YEAR: Z O A SasE�
Certificate of Coverage Number: NCG Q ]r(-This monitoring report shall be received by the Division no later than 30 days from
IV v t&h.te the facility receives the sampling results from the laboratory.)
FACILITYNANIE Ot,,-rf�'i) 5 A1-!Es 64PSUM CD , nr.T 15 Z018
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORV(S) Lab CENIRAL FILES
Lab #5NJR SECTION
Part A: Specific Dlonitoring Requirements �l c) FL- c) . ,. 1
P .) 765-yvSl
(SIGNAT TTEE OR DESIGNEE)
By thi mature, I certify that this report is accurate
complete to the best of my knowledge.
Outfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids(TSS)
Total Lead
pH
mo/dd/vr
MG
inches
m
mgfl
m
Units
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Vno
(if yes, complete Part B)
Parl B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease -
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/yr•
MG
inches
m
m
Units
al/mo
Form SWU-246-112605
Page I of 2

STORM EVENT CHARACTERISTICS:
Nate SEftemma- 2-o 19
Total Event Precipitation (inches): WA
Event Duration (hours): f f IA (only if applicable — sce permit.)
(if more than one storm event was sampled)
Dale
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
N0 [7,�-ow il
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penally 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 belietrue, accurate, and complete. I am aware that there are significant penalties for submitting false information,
tc t ing�possihiliti ' fines and imprisonment for knowing violations."
`D , v
(Date
Form SWU-246-112608
Paec 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS n 6 D z 0 z or SAMPLES COLLECTED DURING CALENDAR YEAR: z 617 D e, c e of 6 e, r
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME s�rl�l�.WAE-C"ERMITFEE
7C%rr:�I
PERSON COLLECTING SAMPLE(S) CERTIFIEDLABORATORY(S) Lab# BAN 19'201g
Lab # OR DESIGNEE)
Part A: Specific Monitoring Requirements
0V4R SECTION By this ' +.tlure, I certify that this report is accurate
NFORMAATION PROCESSING;*lete to ehe best of my knowledge
Does this facility perform Vehicle Maintenance Activities acing more than 55 gallons of new motor oil per month? —yes �t/no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requrements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
molddJvr
MG
inches
MRA
Units
Rallmo
Form SWU-246-112608
Page I oft

STORM EVEN�T.,,CH�AARACTERISTICS:
Date f L/ L ��/ % �, zJr.
Total Eve t Preci nation (inches):
Event Duration (hours): 4. /% (only if applicable - see permit.)
(if more than one storm event was sampled)
Dale
Total Event Precipitation (Inches):
Event Duration (hours): (only if applicable - see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision is 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 k wi and bell e, accurate, and complete. I am aware that there are significant penalties for submitting false ird'ornu tion,
Includin os h ty t es and imprisonment for knowing violations." 1 //0 // s,
(Signature of Pe t[ (Dat
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 0 D 0 Z.6 Z or
Certifcate of Coverage Number: NCG
FACILITY NAME LSL n ! e 6Ai .t
PERSON COLLECTING SAMPLE S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Port A: Specific Monitoring Requirements p )C� / 6 W li
SAMPLES COLLECTED DURING CALENDAR YEAR:.Zed L ,V DYC/I7O _#
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
�ilt 1 d��i�OW-4 - FI'iff,
(SIGNtWRE OF PERMITTEE OR DESIGNEE)
By this Ygnalure, I certify that this report is accurate
completfi to the best of my knowledge.
_------�
ratrf•-r.r--
-----------
-----------
-----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes V_no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorine Requirements
Outfull
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mold&yr
MG
inches
Units
aUmo
Fonn SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date Alnve Le-r zb 1 %
Total Event Precipitation (i es): dA
Event Duration (hours): �_ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (Inches):
Event Duration (hours): (only if applicable — see permit.)
`'% A/ /I
D % /G W
Mail Original and one copy to:
Division of Water Quality
Ann: Central files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 mjAno edge and Yief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
htclu PB th iu4jof fines and imprisonment for knowing violations."
12 /8 / —
(Date)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS Q d D Z ©z or
Certificate of Coverage Number: NCG
FACILITY NAME G n
PERSON COLLECTING SAMPLE(S) y'6 t
CERTIFIED LABORATORY(S) tab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR; .4Q / 7 O ti -o b r-e—
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.) FC UP(R 1 c.
P N N
RECEIVE NA )OFPERMITTEEORDESIGNEE)
By this sign um, I certify that this report is accurate
NOV 08 2017complete to the best of my knowledge.
CENT -EH-Fs
Date
Sample
Collected
II.7/177MA
MMW�Wjfiffl
•
�
URIZ011M
WAbjg"%N
a
s
�
���DR7/j7�[•��3i■�/1>R•��1•�i�l•�t�
r�i+7[f]�il��
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes t[no
(if yes, complete Pan B)
Part B: Vehicle Maintenance Activity Monitorine Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/ddl r
MG
inches
-94
Units
gwmo
Form SWU-246-I12608
Page l of 2

STORM EVENT CHARACTERISTICS:
Date / b 2 ri
TotalEv tPr tpitation inches): 6, 25
Event Duration (hours): s (only if applicable - see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit.)
Mail Original and one copy to:
Division of Water Quality
Ann: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who Wage the system, or those persons directly responsible for gathering the information, the Information submitted is, to the best
o owledge nd belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false Information,
in ndikt�toss bi►ity of fines and imprisonment for knowing violations."
MNY1-�- i i i I
(Signature of Pe 'ttee) (Dat
Form SWU-246-112608
Page 2 of 2

Permit Number: or
Certificate of Coverage Number: NCG
FACILITY NAME VH 1 TI
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: Z 0 1 % Se,O / � of ie:
p (This monitoring report shall be received by the Division no later than 30 days from
R Echeteakheti�eility receives the sampling results from the laboratory.)
� VCCLJ
i 2 0 2017
`''v r NAL FILES
# ^WR SECTION
+` D Flo tJ
(SIGMA"RE OF PERMITTEE OR DESIGNEE)
By this Mnature, I certify that this report is accurate
complete to the best of my knowledge.
Does this facility perform Vehicle Maintenance Activities using. more than 55 gallons of new motor oil per month? —yes y/no
(if yes, complete Pat B)
Part B: Vehicle Maintenance Activity Mnnitnri..o
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
nWddl r
MG
inches
MRA
m
Units
allmo
Form SWU-246-112608
Page 1 of 2

&ORM. EVENT CIIARACTERISTICS;
1 �-��.�/-
Date.�e e,•'ier Z� 7
Total Eve�t{{t Precipitation (inches);
Event Duration (hours): "_ (only if applicable -see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches);
Event Duration (hours): (only if applicable - see permit.)
/N n
Mail Original and one copy to;
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 re that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who ma the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of ledge an b lief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
incl poNb it j of fines and imprisonment for knowing violations."
(Signature
l0 7 1
(Date)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS D O O Z O Z or SAMPLES COLLECTED DURING CALENDAR YEAR: AM 4.1i4.5 I z101
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no latelv[han 30 days from
the date the facility receives the sam/plin)g results from the laboratory.)
FACILITY NAME p, COUN 11 ! c h
PERSON COLLECTING SAMPLES) �� . 2 7 5—
CERTIFIED LABORATORY(S) a Lab # i V ����I`f
Lab # (STGNAtTAB OF PERMITTEE OR DESIGNEE)
Part A: Specific Monitoring Requirements
AUG 3 0 2011 By this sign ture, I certify that this report is accurate
complete to the best of my knowledge.
CENTRAL FILES
CWR SECTION
Does 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 Activitv Monftorine Remdrements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor OB
Usage
mo/dd! r
MG
inches
m
mgA
Units
aUmo
Form SWU-246-112608
Page l of 2

STORM EVENT /C^HA/ RACTERISTICS:
Date
�.� Total E ent recipitation (inches): Q. ,ZS
Event Duration (hours): X.6 (only if applicable -see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 an lef, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
*Iudkug`the Rossi 1' y of fines and imprisonment for knowing violations."
Z `f l?
(Date}
Form SWU-246.112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number. NCS O U 2 4 Z, or
Certificate of Coverage Number: NCG
FACILITY NAME U h+ 1 ca ! e .5 t�i v tl6 N Co
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
�t
Part A: Specific Monitoring Requirements A/O r1C W
SAMPLES COLLECTED DURING CALENDAR YEAR: Z b 1 %� I �/
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
MV '
E
(SIGNA" OF PERMITTEE OR DESIGNEE)
By this "ure, I certify that this report is accurate
complete to the best of my knowledge.
Does this facility perform Vehicle Maintenance Activities rising more than 55 gallons of new motor oil per month? —yes 60
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monito 'ng R uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m
Units
Raltmo
Forth S W U-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Datc Z 0 1 %
Total Event ecipitation (i,�hgs): IVA
Event Duration (hours): Nift (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable— see permit.)
Flo W /r
Mail Original and one copy to:
Division of Water Quality
Atim Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 mimayA the system, or those persons directly responsible for gathering the information, the Information submitted is, to the best
of my knowledge any b Ifef, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
iRctu4ipg4be pogsitlilifh of fines and imprisonment for knowing violations."
JD,
Form SWU-246-112608
Page 2of2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number., NCS D O b Z b .Z. or
Certificate of Coverage Number: NCG
FACILITY NAME UN; 1"ecl' StA/�5 CTV/J561W( Cn.
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
�
Part A: Specific Monitoring Requirements N C rj0 w //
SAMPLES COLLECTED DURING CALENDAR YEAR: Z O ! % Tu n e—
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
T �G
P O
(SIGN OF PERMITTEE OR DESIGNEE)
By this sigbature, I certify that this report is accurate
complete to the best of my knowledge -
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes t[no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitorine Reouirements
Outfall
No.
Date
Sample
Collected
0
00556
00530
00400
Flow
plicabie)
P(a
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
M911
units
galtmo
Form SWU-246-112608
Page I of 2

�d
STORM EVENT CHARACTERISTICS:
Date Twme— Z 6 1
Total Event PrecipitationZr�—
Event Duration (hours): dam_ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 manag he system, or those persons direeth, responsible for gathering the Information, the Information submitted is, to the best
of my knowledge an ef, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
Mt aoi�the goo i of Imes and imprisonment for knowing violations."
7 s7 1-7
(Date)
Form SWU-246-112608
Page 2 of 2

STORM W ATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
'Permit Number: NCS O d D 2 Z or
or
Certificate of Coverage Number: NCG
FACILITY NAME U n i 7, ,
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: T O / 7
(This monitoring report shall be received by the Division no later n 30 days from
the date the facility receives the sampling results from the laboratory.)
/ " LINTY he / r tc
H 1��J
R�CE�f�Cn(SIGNA REOFPERMITTEEORDESFGNEE)
CC 6D y this s' natare, I certify that this report is accurate
MAY 19 PO �, complete to the best of my knowledge.
r'=ALme.
Date
,
:I . !
�•�Ly/1T��
+ �
��,���L•���I�rtL•L�f-_'i�ilFs;'Ff�7�
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes 1Lno
(if yes, complete Pan S)
Part B: Vehicle Maintenance Activity Monitoring Rrnnimmnnfc
Outfall
No.
Date
Sample
collected
50050
00556
00530
00400
Total Flow
c1rapplicable)
Total Rainfall
Oil & Grease
. Total
Suspended
Solids
pH
New Motor Oil
Usage
mold r
MG
inches
nwA
mwl
Units
al/mo
Form SWU-246-112608
Page 1 of 2

STORM EVENT fCH�ARACTERISTICS:
+ Date t' 7
Total Even Precipitation inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 kn ledge and lief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
h u g� poslibi h of flnes and imprisonment for knowing violations."
, - l6 /7
(D. te)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS o 6 o Z Q Z or
Certificate of Coverage Number. NCG
FACILITY NAME _ LA Hi ! & cl S f e, to j Cs JM 5 km Ca
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements N `
No. rf o w
SAMPLES COLLECTED DURING CALENDAR YEAR: iZ 4017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
U � �
E Y
(SIGN E OF PERMITTEE OR DESIGNEE)
By this sillilature, I certify that this report is accurate
complete to the best of my knowledge.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes 5[no
(if yes, complete Pan B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
Cif applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
PH
New Motor Oil
Usage
mo/dd/yr
MG
inches
rw
Units
Raltmo
Form SWU-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
Date /' ! 70 1 ?
Total E ent Precipitation Qn es): _ VA
Event Duratloo (hours): jytli (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
IV43 r10 W
Mail Original and one copy to:
Division of Water Quality
Attn: Central Fles
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my Inquiry of the person
or persons who maft$ge the system, or those persons directly responsible for gathering the Information, the information submitted is, to the best
of knowledge;aWd belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false Information,
Mp g tb4 p;c4611ity of fines and imprisonment for knowing violations."
S 4 i7
(Date
Form SWU-246-112608
Page 2 of 2

STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NC S 0 C 0 Z 0 L or SAMPLES COLLECTED DURING CALENDAR YEAR: j1e e e A Z O 7 7
rertiiicate of Coverage Number. NCG (This monitoring report shalt be received by the Division no later than 30 days from
y l the date the facility receives the sampling results from the laboratory.)
FACILITY NAME 7 cl S y
PERSON COLLECTING SAMPLE(S) o
CERTIFIED LABORATORY(S) f' Lab # E C E I V E
Lab # (SI NA OF PERMITTEE OR DESIGNEE)
APR 2 5 2017 By this sigibature, I certify that this report is accurate
Part A: Specific Monitoring Requirements CENTRAL FILES complete to the best of my knowledge.
DWR SECTION
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes ino
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease.
Total
Suspended
Solids
pH
New Motor Oil
Usage
moldd/ r
MG
inches
moll
MRA
Units
aUmo
Form SWU-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 17
Total E ent recipitation (inches): 6 . 16
t. Event Duration (hours): d O (only if applicable - see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): ('only if applicable - see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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
o knowledge an ref, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
]n l dit he pest Ii y of fines and imprisonment for knowing violations."
Zo / 7
(Date)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS_ d��---) or SAMPLES COLLECTED DURING CALENDAR YEAR: ,2 -0 / % /'L � r tt0. y t�
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from /
1. 1 f� r+ the date the facility receives the sampling results from the laboratory.)
FACILITY NAME _L (y / ! P. S t- ft -s L-rV s0 t k vet l o OUNTY
PERSON COLLECTING SAMPLE(S) _ �7 RECEIVE ®� o.
CERTIFIED LABORATORY(S) Lab #
Lab # MAR 2 1 2011 (SIGNAT OF PERMITTEE OR DESIGNEE)
this/� j CENTRAL FILES By st afore, I certify that this report is accurate
` J V. 0 �/ OLt7 complete to the best of my knowledge.
Part A: Specific Monitoring Requirements D W R SECTION
�=
it NJ
Dues this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes ino
(if yes, complete P:ut B)
Part B: Vehicle Maintenance Activity Maul n2 Requirements
Ontfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
m d/yr
MG
inches
nWfi
Units
Umo
Pomt SWU-246.112608
Page I of 2

STORM EVENT CHARACTERISTICS:
Date �bruq.rZ0/ %
Total Event PrecipitaL I es):
Event Duration (hours): (only if applicable— see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
F—IDW ,/
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 manag a system, or those persons directly responsible for gathering the information, tire information submitted is, to the best
o xknowledge and ief, true, accurate; and complete. I am aware that there are significant penalties for submitting false information,
ikGudiq�t�ie polsst-bi1 of fines and Imprisonment for knowing violations."
3l
(Date)
Form SWU-246-112609
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number. NCS L) D C) Z O Z or
Certificate of Coverage Number: NCG
FACILITY NAME 11 il j I e 1A leb f,-
%_
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements + �0 r/o tJ
SAMPLES COLLECTED. DURING CALENDAR YEAR: o 17 Ta y L4a' Y
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
gA)NNTY 7c
PH ) -
(SI NA OP PERMITTEE OR DESIGNEE)
By this si sture, I certify that this report is accurate
complete to the best of my knowledge.
-----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes Zoo
(if yes, complete Part B)
Port R- Vehirte Maintenance Activity Monitoring Reoulrements
Outfalf
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total. Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/yr
MG
inches
M94
MYA
Units
Form SWU-246-112608
Page I of 2

` STORM EVENT CHARACTERISTICS:
t Date L P1 Ld a r Z D / -!
Total Event Pred tation 0 c es): AIA
Event Duration (hours): PJ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event.Duration (hours): (only if applicable— see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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
zf my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting. false Information,
inclgding the possibility of fines and imprisomnent for knowing violations."
412o117
( te)
Forth SWU-246-112608
Page 2 of 2

Permit Number: NCS D ti Q Z ,� or
Certificate of Coverage Number: NCG
FACILITY NAME 64 n
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Part A: Specific Monitoring Requirements
No. Sample Total
I Collected Flow, (if app )
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
s
,-% No rl0 t-j
SAMPLES COLLECTED DURING CALENDAR YEAR: ' A e L d M 6 e r
(This monitoring report sbtill be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
T
�F q. •r
(SIGN T E OF PERMITTER OR DESIGNEE)
By this si nature, I certify that this report is accurate
complete to the best of my knowledge.
Suspended
Solids(TSt
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes �no
(if yes, complete Part B )
f
Form SWU-246-112609
Page I of 2

STORM EVENT CHARACTERISTICS:
Date _ir I;_Ce m b e—r ,Z b 16
Total Event Precipitation (in es): V _
Event Duration (hours): jy!r (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
)%/o >-10 w
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and ail attachments were prepared under my direction or supervision in accordance with e
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry d the with 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 belje�"true, accurate, and complete. I am aware that there are significant penalties for Submitting false information,
incladI e I --\ iR. oPHbes and Imprisonment for knowing violations,"
/(Pj 17
(Dat )
Form SWU-246-l12608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number. NCS 10 2 D Z or SAMPLES COLLECTED D, RING CALENDAR YEAR: Z014 Q G tO 6 a rr
Certificate of Coverage Number: NCG (This monitoring report sh be received by the Division no later than 30 days from
�� �y / �^ the date the facility receives a sampling results from the laboratory.)
PERSON FACILITYNAMF
COLLECTING SAMPLE(S) ! A / P3 I Yyy su m C J . 4(SIGNA
f<
// ( —
CERTIFIED LABORATORY(S) Lab # ��
Lab # W OF PERMITTEE OR DESIGNEE)
Part A: Specific Monitoring Requirements A/C /'- /p lJ
By this s"iture, I certify that this report is accurate
complete to Pe best of my knowledge.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —ye: 1/—no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Mordto ham Requirements
Ontfafi
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mofddtyr
MG
inches
nWA
MRA
Units
mo
Fomt SWU-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
Date tJGtober zor6�_
Total Event Precipitation (igcbps):
Event Duration (hours): N A (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see pennit.)
M Original and one copy to:
Div sion of Water Quality
Attn: Central Files
161Mail Service Center
ital igh, North Carolina 27699-1617
%, NO O f 1U 0 I/
"I certify, under penalty of taw, that this document and all attachments were prepare
system designed to assure that qualified personnel properly gather and evaluate the i
or persons who manage system, or those persons directly responsible for gatherir
of kno ledge and, W ef, true, accurate, and complete. I am aware that there are
hr tndi( t iiNpoodbilhy Af fines and Imprisonment for knowing violations."
under my
the information,
or supervision 10 accordance with a
. Eased on my inquiry of the person
Information submitted ts, to the best
or submitting false information,
Form SWU-246-112608 -
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS O Q 7— or
Certificate of Coverage Number: NCG
FACILITY NAME U H r l e 4 S" -' s % Inc r `y 0,
PERSON COLLECTING SAMPLES)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring.Requlrements " it
SAMPLES COLLECTED DURING CALENDAR YEAR: Z616 SGP ]cm be r
(This monitoring report shall be received by the Dlvf slon no later than 30 days from
the date the facility recelvelithe sampling results from the laboratory.)
cezz
EOF PERMITTEE OR DESIGNEE)RBy this ure,1 this certify that this report is accurate
complete to the best of my knowledge.
ws m,s tacutty pertortn 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 Activit I Mo 't rtn R
Outfau Date
No. Sample
Collected
mo/dd! r
m o c wrements
50050
Total Flow Total Rainfall
(if applicable)
MG Inches
00556 00530
OII& Grease Total
Suspended
Solids
00400
pH New Motor.Oil
Usage
Units mo
Form.SWU-246-I12608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date,wt�eY, zQ/�-
Total Eve Precipitation (Irt es): _
Event Duration (hours): � (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
..No Fl43 Gs
Mail Original and one copy to:
Division of Wafer Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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, t e, accurate, and complete. I am aware that there are significant penalties for submitting false information,
Including the Aossibiii�y oT$ o and imprisonment for knowing violations."
10�l0I /(w
(Date)
Form SWU-246.112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) FILE COPY
rr
n
MONITORING REPORT ,t
Permit Number. NCS Q D O Z Q 2 or SAMPLES COLLECTED DURING CALENDAR YEAR: Z LD /
Certificate of Coverage Number: NCG (Ibis monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME 1U ki ' t d S-fa ! r S &V Y3 .rj Li iyj C A
PERSON COLLECTING SAMPLE(S) _
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
By this sign4jure, I certify that this report is
complete to toe best of my knowledge. (\ /
M::ow
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes J—no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monito 'no Re uiremenfs
Ontlall
No.
Date
Sample
Collected
100556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dilt r
MG
inches
mgJq
m
Units
gaymo
Form SWU-246-112608
Page 1 of 2

STURM EVENT CHARACTERISTICS:
Datc � 7- 6 16 � /
Total E ent Precipitation (h'c1�es): /_�4_
Event Duration (hours): = (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
�t
NO
Flo W
Mail Original and one copy to. -
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 em, or those persons directly responsible for gathering the information, the Information submitted is, to the best
of my kn ledge and be of true, accurate, and complete. I am aware that there are significant penalties for submitting false Information,
iuc utlit'ng possi lity of mes and imprisonment for knowing violations,"
of
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OU77ALL (SDO) FRE V (op
MONITORING REPORT t
Permit Number: NCS 6 6 6 Z 0 z or SAMPLES COLLECT DURING CALENDAR YEAR: 2 0/ 6 1 I ct V
Certificate of Coverage Number: NCG (This monitoring report shall he received by the Division no later than 30 dais from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME 'tJS c. "Y >
PERSON COLLECTING SAMPLFE(S) %i RECEIVE
t )
CERTIFIED LABORATORY(S) -Lab ti R EC, E 6 V E (SICNAT E OF RMTTTEE OR DESIGNEE)
By this sig ature, I certify that this report is accurate
JU N 07 2016 complete t the best of my knowledge.
Part A: Specific Monitoring Requirements
CENT -Ell ES
WMVJfZfflj
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes 2no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
Outthll
No.
Date
Sample
Collected
50050.
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor 00
Usage
molddlyr
MG
Inches
M94
VWA
Units
ltalhno
rorm SWU-246-112608
Page 1 of 2

s'oRM EVENT CHARACTERISTICS:
Date 5 / / (o
TotalEnt Precipitation (inches): .110
Event Duration (hours): 1. 5 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 assur that qualified personnel properly gather and evaluate the information submitted. (lased on my inquiry of the person
or persons who managea system, or those persons directly responsible for gathering the information, the information submitted ls, to the but
Of kno dge and ef, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
Inel g e os4bill y of fines and imprisonment for knowing violations."
S l /
(Da e)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Perrmt Nnmber..NCS 10 O 0-7 O Z. or SAMPLES COLLECTED DURING CALENDAR YEAR: Z Q 1 N't r C
Certificate of Coverage Number. NCG (This monitoring report shall received by the Division no later than 30 days from
11 �+ the date the facility receives a sampling results from the laboratory.)
FACILITY NAME � l P_ s�a� fe s G) a02 ,6 wt C o P� 1-l� � I � . . . .
PERSON COLLECTING SAMPLE(S) !� C l� Z -
CERTWIEDLABORATORY(S) Lab # APR 2 6
Lab # I NA RE OF PE WEE OR DESIGNEE)
D4'iR SECTIBy this r tare I certify that this report is accurate
complete t the best of my knowledge.
Part A: Spec Monitoring Requirements /Vo r/c ��h'=ORii1ATION PROCEMiriti UN1 i
w
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes 4/10
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitori Requirements
Oatfall
No.
Date
Sample
Collected
50050
100556 . .
00530
00400
Total Flow
(if applicable)
Total Rainfall
OR & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/
MG
inches
Units
mo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date Nls~CA IZO/(O
Total Event Precipitation (' es): A/A
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable— see pemut.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh. North Carolina 27699-1617
"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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the stem, or those persons directly responfible for gathering the information, the information submitted is, to the best
of m ow a beli true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
inclu ing h po 'bil ty oVfines and imprisonment for knowing violations."
of
L-I -1 (P
(D e)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number. NCS U 0 D 2 11 2 or
Certificate of Coverage Number: NCG
FACILITY NAME U Yl t i e d Sb5 W 01 1. d
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Leb #
Part A. Specific Monitoring Requirements ` /tlO e/d W r/
SAMPLES COLLECTED DURING CALENDAR YEAR: z o r ,.-
(This monitoring report shall be received by the Division no later than 30 days ftom
the date the facility receives the sampling results from the laboratory.)
C r 1
pIf ly TS i CM=2=
$ A E ERMITTEE OR DESIGNEE)
fly this ture, I certify that this report is accurate
complete to the best of my knowledge.
DWI
®�®
��
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per ntomh? —yes ino
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Morthorintz Requirements
Outfall
No.
Date
Sample
Collected
5005o
00556
00S30
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pq
New Motor OR
Usage
nwlddfyr
MG
inches
Units
al/mo
Form SWU-246-112609
Page 1 of 2

STORM EVENT CHARACTERISTICS- Mail Original and one copy to:
'-' ` Division of Water Quality
Date 7-d 1 Ann: Central Files
Total Event ipitation (in ): 1617 Mail Service Center
Event Duration (hours): Nft (only if applicable —see permit.) Raleigh, North Carolina 27699-1617
(if more Than one storm event was sampled)
Date
Total Event Precipitation (Inches):
Event Duration (hours): (only if applicable — see permit.)
/J v/
"I % /YD r/0 LA)
"[certify, under penalty of law, t this document and all attachments were prepared undermy direction or supervision is accordance with a
system designed to assure that alilied personnel property gather and evaluate the information submitted, Based on my inquiry of the person
or persons who manage the em, or those persons directly responsible for gathering the Information, the information submitted Is, to the best
of m owled a and ief, accurate, and complete. I am aware that there are significant penalties for submitting false Information,
inclu the Mill of and imprisonment for knowing violations."
(Signatu f E'crmil (Dale) _
Form S W U-246-1 12608
Page 2 of 2

STORM WATER DISCHARGE OUTFALL (SDO) FILE CMONITORING REPORT
'r . Pelt Number: NCS D Z or
Certificate of Coverage Number. NCG
FACILITY NAME Uni to d Sta7es GybSu!.-�. Ce"
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab#
Part A: Specific Monitoring Requirements t-, �V A / O r/a Pi
r
SAMPLES COLLECTED DURING CALENDAR YEAR: 2 O Ili J u✓i e--
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
C --tC- C.l
H Z
(SIG RE OF PERMITTRE OR DESIGNEE)
By this signature, I certify that this report is accurate
ii complete to the best of my knowledge.
Does this facility perform Vehicle Maintenance Activities, using more than 55 gallons of new motor oil per month? _ yes im
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorint Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
0"M
Total Flow
(ifapplicahte)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mold r
MG
Inches
Units
98VMD
Fort SWU-246-112008
Page I of 2

STORM EVENT CHARACTERISTICS:
+,c bete gu� �Z O / to
Total Event Precipitation (in h s): -At
Event Duration (hours): X11 (only if applicable— see permit.)
(if more than one storm cvcnt was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours); (only if applicable— see permit.)
,t A/C
/6LA)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 k ledge and let, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
KZ]lnttir poMib' ity of fines and imprisonment for knowing violations."
'7 1, 1c.
(D le)
Form SWU-246-112608
Page 2 of 2

84
STORMWATER DISCHARGE OUTFALL (SDO) COPY
MONITORING REPORT
Permit Number. NCS1S!) O 2 O Z or SAMPLES, COLLECTED DURING CALENDAR YEAR:C 0 / F-r: t r pLaY y
Certificate of Coverage Number. NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives t1nsampling results from the laboratory.)
1'
FACILITY NAME UM; /
PERSON COLLECTING SAMPLE S) v 1 _ n" #��
CERTIFIED LABORATORY(S) �l
Lab # (SIGN OF PERMITTEE OR DESIGNEE)
By this Vgnature, I certify that this report is accurate
complete to the best of my Imowledge.
Part A: Specific Monitoring Requirements
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes 110
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monito ine R uirements
Outfall
No.
Date
Sample
Collected
100556
00530
00400
Total Flow
(d'applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/yr
MG
inches
m
Units
gavrao
Form SWU-246-112608
Page I of 2
)z
;O
t-
LU
a
N

STORM[ EVENT CHARACTERISTICS:
Date y[J�
Total Evb t l?retipitation (inches): O..56
Event Duration (hours): (e . 97— (only if applicable — see permit)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617.
"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
9X persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
(cbgwl ge belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
m u e b' ty of fines and imprisonment for knowing violations."
Z
(Date)
Form SWU-246-112609
Page 2 of 2

` STORM WATER DISCHARGE
MONITORING RE
Permit Number: NC.S 0O 6 2� ? or
SAMPLES COLLECTED DURING CALENDAR YEAR: Zd
A- S7`
a yqq
Certificate of Coverage Number: NCG
(This munitoring.report shall be received by the Division no later than
30;d s7rom
the date the facility receives th sampling results from the laboratory.)
U
FACILITY NAME n
PERSON COLLECTING SAMPLE ) <t
P Z
CERTIFIED LABORATORY(Sj
Lab #� ,- v I " D (SIGMA O EF P RMITTEE OR DESIGNEE)
l�
S E P 6 S Z 016 BY ttus , ature, I certify that. this report is accurate
complete the best of my knowledge.
Part A: Specific Monitoring Requirements
! ENTRAL FILES
Does this facility perform Vehicle Maintenance Activities using nore than 55 gallons of new motor oil per month?._ yes Jno
(ifyes, complete Part B)
PartB: Vehicle Maintenance Activity Monitorin Re uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
OW00
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor OR
Usage
moldd/ r
MG
inches
m
Units
gavino
- - - - - - - Form 5 W U-246-112608
Page 1 of 2

STORM ENTWT CHARACTERISTICS:
Date % /la O. �Q
Total E nt pltation (inches):
Event Duration (hours): H. 83 (only if applicable --see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — sex: permit.)
Mail Original and one copy to:
Division of Water Quality
Atn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 th
manat alified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person
or persons who age the st m, or those persons directly responsible.for gathering the information, the information submitted is, to the best
of my kfod It e accurate, and complete. I am aware that there are significant penalties for submitting false Information,
inciudin the Wit of and imprisonment for knowing violations."
31 /&
(Signature a Perrin{ t (Date)
Forth SWU-246-112608
Page 2 of 2

Environmental Services.
Perdue Farms Inc.
416 SOuth I.Qllb StICCL
RoCl:inNC 28379
ugust_8,2016
Central Files Pike
Division of Water Resources co
Mail Service Center Raleigh,
Raleigh, NC 27699-1617
Subject: Storm Water Monthly Monitoring Report f(EGOVED
Permit No. NCS000130 AUG 12 C016
Perdue Farms, Rockingham Facility CENTRAL
g 1. FILES
SECTION
To Whom It May Concern,
As specified under the Tier Two Storm Water permit requirements, monthly storm
water monitoring is required for the Perdue Foods LLC facility located at
Rockingham, North Carolina. '
For the month of .July, there was not a qualifying rain event where a storm water
sample could be collected. As required in statement 3 of the Tier Two requirements,
please find attached the monthly monitoring report indicating "No Flow".
There was a qualifying storm event for the first week of August and a storm water
sample was collected.
If you need any additional information, please do not hesitate to contact me on my
cell phone at [phone].
Sincerely yours,
Pct..« S . V U vv ,,
Paul Bruce Roberts
Regional Environmental Manager
[e-mail]
cc: Fayetteville Regional Office
Division of Water Resources
215 Green Street, Suite 714
Fayetteville, NC 28301

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS © 0 0 1 3 0
FACILITY NAME -erS--VkL 20
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY
PHONE NO. 10
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
mo/dd/ r
MG
inches
O
0 F 00
Does 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 Activity Monitorinp Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
-
'mo/dd/ r
MG
inches
m /I
mg/1
unit
al/mo
o
NO 0
c!
+ Form SWU-247, last revised 21212012
Page] of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
•• Division of Water Quality
tJ Date /A 1 /n Attn: Central Files
Total Event Precipitation (inches): 1617 Mail Service Center
Event Duration (hours): (only if applicable —see permit.) Raleigh, North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable —see permit.)
"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)
Y'
Form SWU-247, last revised 2/2/2012
Page 2 of 2

STORMWATER DISCHARGE OUTFAL91E Copy
MONITORING REPORT
Permit Number- NCS 0 Q Q Z 0 Z or SAMPLES COLLECTED DURING CALENDAR YEAR: -Z�/ � Q Az "L 0.,-
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receiveAtbe sampling results from the laboratory.)
FACELrrY NAME LA jq i / e. e( ---) I 6L -eS L--!r �g.,; Lz M V -6 r
PERSON.COLLECTING SAMPLE(S) P
CERTIFIED LABORATORY(S) ----Lab k--
------ Lab k— (SIG RE OF PERMTITEE OR DESIGNEE)
By big ature, I certify that this report is accurate
af
ore
complete
�t
Part A: Specific Monitoring Requirements NO )Iete to e best of my Imowledge.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes 2no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfan.
Date
.... ..00556
0030
00400.,:1;.-.
jSample
Total Flow ::
Total Rainfall...:'
Oil ;& Grease ;;s.
Total:
-10W.,'..
...
'New Motor Oil:
Collectedapplicable
Suspended
Usage
Soti
mold
MG
m'&es%
mg/l
Units :
gal/mo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Datet0.Yy
Total Event Ptecipt{ration Nges):
Event Duration (hours): N/+ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
A/o o r/O Pi , /
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 peWns w managthe s�, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my wle and ef, accurate, and complete. I am aware that there are significant penalties for submitting false information,
inclu g e ili f d imprisonment for knowing violations."
O
/6
(Da
Form SWU-246-112609
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number.. NCS h n�z or
Certificate of Coverage Number. NCG
FACILITYNAME O cat I -11 S�G� / L' S C �/z'5Uwt Co.
PERSON COLLECTING SAMPLE(S) I ab
CERTIFIED LABORATORY(S)
c �!
Part A: Scecitic Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: Z C' I S b e t err 6c r
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
NTY /'/i fc G
RECEIV r>�
(SIGMA OF PERMITTEE OR DESIGNEE)
A�; 1 Z Z��y t}tis sie lure, I certify that this report is accurate
complete to the best of my knowledge. U
CENTRAL FILES o
uGt]�a.�A7t
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Vno
(if yes. complete Part B)
Part B: Vehicle
Outfall
No.
Maintenance
Date
Sample .
Collected
ACEYVKY 1V1Um[Vn
50050
Total Flow
(if applicable)
Total Rainfall
00556
OR & Grease
00530
Total
Suspended
Solids
00400
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
Units
mo
Form SWU-246-112605
Page I of 2

STORM EVENT CHARACTERISTICS:
Date ecGm6er ZalS
Total Event Precipitation in h ):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
10 No F!O too il
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh. North Carolina 27699-1617
"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 tiAsystem, or those persons directly responsible for gathering the information, the information submitted is, to the best
oImo edge a d true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
idcludiug�r i of nes and imprisonment for knowing violations." /
^� 7 l P
(Signatttre of P ) (D?te)
Form SWU-246-112605
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS O D Q 2. A Z or SAMPLES COLLECTED DURING CALENDAR YEAR: Z b /S No J ✓L an d a'19
Certificate of Coverage Number. NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives 11I1`e ssampppling results from the laboratory.) U
FACIIdTYNAME JAsum (-�(��L'f'"�® C /•1r7��el� tr-ir
PERSON COLLECTING SAMPLE S) C V e !RZ 7!_ 5—
CERTIFIED LABORATORY(S) Lab # r }�
Lab #` 8 Z I5 (SI / PURE OF PERMITTEE OR DESIGNEE)
CENTRA By signature, I certify that this report is accurate
L FILES comp to to the best of my lmowledge.
Part A: Specific Monitoring Requirements D WR SECTION
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes Zoo
(if yes, complete Part B)
T'. f R- Vehielo Maintenanre Activity Manitnrino Renuirementt
Outfall
No.
Date
Sample
Collected
I S0050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/d&yr
I MG
inches
Units
90mo
Form SWU-246-112605
Page 1 of 2

-STORM EVENT CHARACTERISTICS:
Date �S Q • 3
Total E t "pitation (inches):
Event Duration (hours): 'q. 0 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (howl): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attu; Central Files
1617 Mail Service Center
Raleigh. North Carolina 27699-1617
"I certify, under penalty of law, that this document and a0 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 manajea system, or those persons directly responsible for gathering the information, the information submitted is, to the best
o ledge and f,trueaccurate, and complete. I am aware that there are significant penalties for submitting false inf rmation,
mcl g p*b" fines and imprisonment for kmowing violations."
lz 1s
(Date) L 11
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS D D n % D 7 or SAMPLES COLLECTED DURING CALENDAR YEAR: 2 n -T Ocro b G r
Certificate of Coverage Number. NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME S ! P S Cs ✓D 5 tt lvf C C,
PERSON COLLECTING SAMPLES)
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements A// —r-7 //
(S N RE OF PERM[T`1EE OR DESIGNEE)
By this sr ture, I certify that this report is accurate
complete to the best of my lmowledge. �u
��®�
r't71•
„•{"'Tim
„1'TS��—��
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes }ono
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitorins Reauirements
Outfail
No.
I Date
Sample
Collected
50050 ....
00556
00530
00400
Total Flow
(Napplicable)
Total Rainfall
OR & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/vr
MG
inches
Units
gaymo
Form SWU-246-112603
Page 1 of 2

STO➢.M EVENT C
--H
AR
ACTERISTICS:
•Date ���er z0�5
Total Event Precipitation (inches): A[A_
Event Duration (hours): AfA (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
D C- I o L j
Matz Original and one copy to:
Division of Water Quality
Attn: Central Files
I617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 anAbelief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
"dinA,the poss ty of fines and imprisonment for knowing violations."
! SO 5
(D e)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDI
MONITORING REPORT PY
j
Permit Number. NCS Q D D Z Q 2 or SAMPLES COLLECTED DURING CALENDAR YEAR:
Certificate of Coverage Number. NCG (This monitoring report shall be received by the Division no later than 30 days from
{_ / /' the date the facility receives the sampling/ results/from the laboratory.)
FACILITY NAME� / c %a G su 1 Cr _ R EC E l
PERSON COLLECTING SAMPLES)
CERTIFIED LABORATORY(S) .l r Lab # NOV 10
Lab # (SIGNA OF PERMITTEE OR DESIGNEE)
CENTRAL Fs ture, I certify that this report is accurate
DWR SECTOTete to the best of my knowledge.
Part A: Specific Monitoring Requirements
Collected
i_•�i7i3iiLcy�t�rF�f��/1L',•/.�/i�i
c�i#i7•,�tt'ie
ri��
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes Zno
(if yes. complete Part B)
Part B: Vehicle Maintenance Activity Monitorine Reouirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor OR
Usage
mo/ddlyr
MG
inches
Units
gallmo
Form SWU-246-112603
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date / s
Total Event Precipitation (inches
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Arm: Central Files
1617 Mail Service Center
Raleigh. North Carolina 27699-1617
"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 the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
p�my I �wledgee an true accurate, and complete. I am aware that there are significant penalties for submitting false information,
,m dig a p�1�sr of fines and imprisonment for knowing violations."
It 17IS
Matt)
Form SWU-246-112608
Page 2 of 2

Permit Number- NCS 6 O 0 2 b 2- or
Certificate of Coverage Number: NCG
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: e- C e M 6 z r
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives sampling results from the laboratory.) —in
FACIIITYNAME UM /�y ed StAlte ls/OSc(Nt Co P O ! UGH
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab # rni
Lab # AJURE OF PERMITTEE OR DESIGNEE)
By tare, I certify that this report is accurate]
complet to the best of my knowledge.
Outfall Date ::. 50050
No.: Sample : :'::Total Total Oil &Grease Total Total Lead :.. pH
Collected Flow (ff aPP Y: Rainfall
sauas tT�s i D
inches i mJf; me/I". .. mvi Units:.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _�/no
(if yes, complete Part B)
Outfall
Date
b0050 .....:,
00556
00530
00400
._;;
Total Flow, ;., ...Total
Rainfall >.
Oil &Grease
::Total
-;::pH
New:Motor Oil ;
Collected
_
(fapplicable)
Suspended
Usage
Solids
mo/d
c:;MG
......_
inches
maA-.
_.
Units ..:.:
Umo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date bje�rtAar ZQ
Total Event Precipitation (iyFfles):
Event Duration (hours): (only if applicable — see permit.)
(if more than one stone event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit)
/D
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 manWqpthe system, or those persons directly responsible for gathering the information, the information submitted is, to the best
my knowledge 'ef, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
in th ili of fines and imprisonment for knowing violations."
IIZ l5--
(Signature of 'ttee) te)
Fort SWU-246-112605
Page 2 of 2

STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS d 61) z 0 z or
Certificate of Coverage Number: NCG
FACILITY NAME vl i 1 Q C( w t V 0.
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements N ri O 0 In.)
SAMPLES COLLECTED DURING CALENDAR YEAR: Ape" i
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY M r h'G 4 c_
PHONF, NO.
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Date
MIS
—a
p�
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Vno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monito ing Requirements
Otitfall
No.
'iDate`-.
'Sample_.
Collected
.-. _
50050-1,
1--00556
00530
00400
36GUlow
(if applica¢le)
Total -Rainfall
"`
Oil,'& Grease
-
T66i
Su spended
_�.
pH "'
New Motor Oil
.Usage
-mo/dd/yr
NIG -'
inches
mg1l
ing/l -
Units-
al/mo
Form SWU-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
Dale Y 1 Z o l q
Total Evtnt Precipitation (i c es): IVA-
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable— see permit.)
11
\ /Vp 1DW
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
5 /—
(Date)
Form SWU-246-112608
Page 2 of 2

Permit Number: NCS QV 6 Z CFZ �)or
Certificate or Coverage Number: NCG
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: ZO/ /��a Ve�t6Gr
(This monitoring report shall be received by the Division no later than 30 days from
ff rr � )J r� y / /� the date the facility receivet the sampling results from the laboratory.)
FACILITY NAME 1dnLt� ct S / G- 1 c3 5 &)112 S U K CA — ``'' pp�-�
PERSON COLLECTING SAMPLE(S) C E I �/ ED
CERTIFIED LABORATORY(S) Lab #
----.Lab
DEC 2016
Part A: Specific Monitoring Requirements
CENTRAL FILES
DWR SECTION
(SIGNA'�2E OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Total
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes /ono
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outran
No.
Date
Sample
Collected
50050 J
00556
00530
00400
Total Flow
Of applicable}
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mold r
MG
inches
nWA
M94
Units
90111110
Form SWU-246-112608
Page I of 2

rw
STORM EVENT CHARACTERISTICS:
Date �IG
Total E nt P edpitaUon (inches): o. z o
Event Duration (hours): Z, Z a, (only if applicable - see permit-)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit.)
Mail Original and one copy to:
Division of Water Quality
ABn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 ntformathm 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,
inclgdiog the possIllility yf 9nes and imprisonment for knowing violations."
12 ly /b
(Dale)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE. OUTFALL (SDO)
MONITORING REPORT
Pe: mit Number: NCS 0 0 0 z 0 Z
or SAMPLES COLLECTED DURING CALENDAR YEAR:�`
Certificate of Coverage Number: NCG
(This monitoring report shall be received by the Division no later than 36
days ffom
the date the facility receives the sampling results from the laboratory.)
Ll
cc..
FACILITY NAME vi0
PERSON COLLECTING SAMPLES)
< U kyt T
+`, I-� P (XZR)
CERTIFIED LABORATORY(S)
Lab I V ED
Lab ## (SIGN T RE OF PERMITTEE OR DESIGNEE)
JUL 3 0 2015
By this i nature, 1 certify that this report is accurate
C,
Part A: Specific Monitoring Requirements
complete to the best of my knowledge.
CENTRAL FILES
DWR SECTION
�101
-`%/
D�
• _ •
Does this this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes -y/no
(if yes, complete Pan B)
Part B: Vehicle Maintenance Activity Monito ing Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/yr
MG
inches
m
m
Units
al/mo
Form SWU-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
PAite ]//WlJr
Total E enI recipitation inches): 0, Zt7
Event Duration (hours): � (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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, trvql accurate, and complete. I am aware that there are significant penalties for submitting false information,
including tli�,RosykQity of tins and imprisonment for knowing violations."
(Signature of
7 Lh iS
( te)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number. NCS 6 6 6 Z O Z or SAMPLES COLLECTED DURING CALENDAR YEAR: Z Q /_S A K1
iAS-r
Certificate of Coverage Number- NCG (This monitoring report shall be received by the Division no later than 30 days from
y the date the facility receives the sampling results from the laboratory.)
PERSOFAciLN COLLECTINGSAMPI, n) iPa n7 vt kL�CEI V E® -'$�S� 7lnS-9iJ87
CERTH� IED LABORATORY(S) AmaAg1trr,1j Lab #_
Lab # � P 2 4 2 015 (SIGNA OF ERMITTEE OR DESIGNEE)
By this SIM tare, I certify that this report is accurate
CENTRAL FILES complete to ebestofmyknowledge.
Part A: Specific Monitoring Requirements DWR SECTION
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes ino
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monito . Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
molddfyr
MG
inches
Units
al/no
Form SWU-246-112605
Page I of 2

iw
��{ `�.1 :� � g
L L.�` !�:� u t cs4.
M
�i

STORM EVENT CHARACTERISTICS:
Date 1 � S
Total E ent dpitation (inches):
Event Duration (hours): Q. $$ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 perso who man a th system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of w ge and true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
in udia the�p -bili o roes and imprisonment for knowing violations."
�— /7 s
(Signature of a ee) (Dat
Form SWU-246-112608
Paee 2 of 2

Permit Number: NCS 0 4 or
Certificate of Coverage Number. NCG
FACILITY NAME U ✓1 /
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR ZD /5 .l -kt -L t
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
J01 O's 2015 "( IGJ OF PERMITTEE OR DESIGNEE)
By t gnature, I certify that this report is accurate
CENTRAL FILES comple to the best of my knowledge.
CWR SECTION
sum
WeiW-1
r��■r�r.
z•�rr���
r• ���
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes Ino
(if yes, complete Part B)
rxra o' ,twat
Outfall
No.
i•avu
Date
Sample
Collected
50050
-
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Off
Usage
mo/ddlyr
MG
inches
-Units
gaymo
Form SWU-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
Date % 5
Total Ev t mipitation (inches : 6.9t)
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 a the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge #nq belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
�nfinding the lJo*bgity of fines and imprisonment for knowing violations."
fS lS
(Date)
Form SWU-246-112603
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number. NCS 0 C O Z 61z- or
Certificate of Coverage Number. NCG
PERSON COLLECTING SAMPLE(S)
�) S a %P G✓� M Cc
CERTIFIED LABORATORY(S) Lab #
„
Part A: Specific Monitoring Requirements \\ NO r/a W
SAMPLES COLLECTED DURING CALENDAR YEAR: Z 0 IS Ala
�
(This monitoring report shall be received by the Division no later than 30 days m
the date the facility receives the sampling results from the laboratory.)
Q�P
(SIG A OF PERMITTEE OR DESIGNEE)
By this ignature I certify that this report is accurate
complete So the best of my knowledge —f
RECEIVEL-`�
-----------
-----------
-----------
-----------
-----------
-----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes Jno
(if yes. complete Part B)
Part R- Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/yr
MG
inches
m9A
Units
l/mo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date Z O l5
Total Even ipitation (in IVA
Event Duration (hours): (only if applicable — see permit)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit)
MIO W
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 mauabr the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
gfmy knowledge d I eUcf, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
do the iliof fines and imprisonment for knowing violations."
/S i
(Efate)
Form SWU-246-112608
Page 2 of 2

1
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS n O 4 2 0 Z or
Certificate of Coverage Number: NCG
FACILITY NAME �S-&te s z vA 5.i t m Co
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements i, NO r16 to "
SAMPLES COLLECTED DURING CALENDAR YEAR: � LS 4, r1 /
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receivesAe sampling results from the laboratory.)
i
/crC}UA TAF flTi DFRMiTTFF (1R 71FCTAIVF.F.1
By this signature, I certify that this report is accurate
complete toy the best of my knowledge.
u M
-----------
-----------
-----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes /no
(if yes, complete Part B)
Dn.w R• Vo6:�Io Me:..fnnunrw Arfivifv Mnnifnrino Rnnniwmenfc
Outfall
No.
ADate
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor OR
Usage
mto/dd/ r
MG
inches
mzA
M911
Units
al/mo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date A elj z �`
Total Event Precipitation (inches):
.. [r Event Duration (hours): _ A (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
ri
No Fld
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 t t qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person
or persons who manage th stem, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my kn a and bel ef, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
inclu ' go ity of nes and imprisonment for knowing violations."
s is
(Sienatm•e of Permi a (Date)
Form SWU-246.112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS Oa D 240 2 or
Certificate of Coverage Number. NCG
FACILITY NAME UH; te- &t STa fes G,�L7SKYvt C n
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements ` /O /^ / ijOW — //
/V
SAMPLES COLLECTED DURING CALENDAR YEAR Z % S /'f cIYG 4
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
P� t l
(SIGNA r, OF PERMITTEE OR DESIGNEE)
By this sign u•e, I certify that this report is accurate
complete to the best of my laowledge.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes Zno
(if yes. complete Pan B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date .
Sample
Collected
50050: ..
_..:-.. ...::
00556 . . .
00530
00400
Total Flow
(ifapplicablej
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor 07
Usage
mo/d
MG
inches
TDOA
MZ4
Units
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 214.e� Z O 16
Total Event Precipitation (inches): .A
Event Duration (hours): IVA (only if applicable — see permit)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
``//o / DW
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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
o rsons who manag system, or those persons directly responsible for gathering the information, the information submitted is, to the best
o y.lm wledge and true, accurate, and complete- I am aware that there are significant penalties for submitting false information,
in din posgibiG,ty of fines and imprisonment for latowing violations."
(DatE)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS O n LO 2 0 Z. or
Certificate of Coverage Number. NCG
FACILITY NAME iJp / j p d S* t <ti/ p 5 K m 1. o.
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements %A& rl"O//
SAMPLES COLLECTED DURING CALENDAR YEAR: 7-6 %S rCc rad rj�
(This monitoring report shall be received by the Division no later than 30 days from /
the date the facility receives the sampling results from the laboratory.)
a �
P O,
(SIGNAL OF PERMITTEE OR DESIGNEE)
By this sl ture, I certify that this report is accurate 4"
complete t the best of my knowledge. c4
®®®
1
ME
-----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes 1Lno
(if yes, complete Part B)
r,ar� r: • cwuc
Outfall
No.
iauua,cunu..c
Date
Sample
Collected
�a�.,...
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
MAR
1119A
Units
gavino,
Form SWU-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
DateYK4Yy� Z Q%
Total Event Precipitati6n (i�nfpL�,es)• A IA
Event Duration (hours): AI A (only if applicable —see permit)
(if more than one storm event was sampled)
Date
Total Event Precipitation (-inches):
Event Duration (hours): (only if applicable — see permit.)
` No Fla "i
w
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 dwrilualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage th em, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my o 1 g fand e, accurate, and complete. I am aware that there are significant penalties for submitting false information,
inclu - g th b' es and imprisonment for knowing violations_"
fSienatnre of P 1 (Date
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit NUmbePNCS 000209 SAMPLES COLLECTED DURING CALENDAR YEAR: I
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME _Haynes Wire Company
PERSON COLLECTING SAMPLE(S) Angela Beck and Harrison Lawrence
CERTIFIED LABORATORY(S) James and James Lab #_482_
Research and Analytical Labs Lab 1_34_
Part A: Specific Monitoring Requirements
�a
COUNTY Henderson �m
.REcjE'VEuP HONE NO. L828,393-1258
MAR 20Z - C..P
CENT SIGNATURE OF PERM ITTEE OR DESIGNEE
�r F/l S REQUIRED ON PAGE 2.
�wR SFCTt,
Outfall
No.
Date
Sample
Collected
50050
Total
Flow ifa
Total
Rainfall
pH
TSS
Nickel
mo/dd/yr
MG
inches
mg/L
/L
1
2/27/2015
NA
.53 snowfall
7.89
15.6
14.2
2
2/27/2015
NA
.53 snowfall
No flow at
outfall #2
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _X_no
(if yes, complete Part B) ' '
P t B V hi le Maintenance Activity Monitoring Requirements Not applicable to Haynes Wire Com any
ar ec
Outfall
Date
50050
00556
00530
00400
_
Total Flow
Total
Oil & Grease..
Non -polar
Total
pH _ _ '
`New Motor
No. -
Sample
Collected
(if applicable)
Rainfall
(if appl.)
O&G/TPH
Suspended '
Oil Usage
(Method 1664 -
'Solids
SGT-HEM), if
appl.
mo/dd/ r.
MG-`"-
inches
m /I
m /I
unit
al/mo
Form SWU-247, lust reused 21212012
Page I of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date 2/25/15 Attn: Central Files
Total Event Precipitation (inches): _.53 1617 Mail Service Center
Event Duration (hours): (only if applicable —see permit.) Raleigh, North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
"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."
G�i- && 3/16. aols
(Signatuk, of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

James & James Environmental Management
380lAskeville Hwy., Hendersonville, NC 28791
OFFICE: [phone] FAX: [phone]
NC Certified Laboratory NC wastewater #482 NC Drinking Water #37763
March 16, 2015
Haynes Wire Co.
Attn: Angela Beck
P. O. Box 677
Mountain'Home, N. C. 28758
Dear Ms. Beck,
Enclosed are the results of the analysis performed by our staff on your samples
dated February 27, 2015 from Outfall #1. The analysis performed conform to Standard
Methods 201h Edition.
Sample Analysis Method Result Units MDL Units Date Run Analyst
HWC B2715 TSS 2540D 15.6 mg/L
PH : 7.89
HWC B2715 NICKEL 200.7 14.2 ug/L,
(R & A Labs see attached results)
1.0 mg/L 3-15-15 DJ
2-27-15 DJ
3-10-15 AA
If you have any questions regarding these results please feel free to contact me at the lab.
Thank you,
� j
Juanita Ja es
Lab Manager
[e-mail]

�1
JJEM AQUEOUS SAMPLE COLLECTION/LAB REPORT FORM (NC CERT 482)
Regulated by NCDENRIDWQ-Groundwater section
To assign test, label shaded area with sample type (C=composite; G=grab)
CHAIN OF CUSTODY
LOCATION HAYNES WIRE COUNTY HENDERSON
SPECIAL INFORMATIONS
OUTFALL # 1
OUTFALL #
UTFALL # OUTFALL
ID NO.
HWC 3�r7
INITIAL TEMP
0
GRAB
sam le time
`t
`t
l
COMP start
sam le time
COMP end
date/ time
TEMP @RECEIPT: °C
NOTE: THE ABOVE TEMP INDICATES THE TEMP. TEMP @RECEIPT: °C
FOR ALL CONTAINER(S) WITHIN. NOTE: THE ABOVE TEMP INDICATES THE TEMP.
AMMONIA SAMPLES PRESERVED WITH H2SO1, pH=<2.0 YES NO_
AMMONIA SAMPLES NEUTRALIZED WITH Na2SO3, Cl=<0.1 —YES NO —
FECAL SAMPLES PRESERVED WITH Na2SO3, CI=< 0.1 YES NO_
COLLECTED BY: hmelp, eG
ALL SAMPLES COLLECTED AND PRESERVED
AT TIME OF COLLECTION IN PLASTIC CONTAINERS UNLESS NOTED OTHERMSEBY:
RELINQUISHED BY
11 13 TE I TIME
RECEIVED BY
SPLIT SAMPLE(S) INFO
e
/
ANALYSES"
RESULT
RESULT-
RESULT
RESULT
DATE,
-, INITL .
PH
G �.
2I2}Ili
TSS ppm
G 15. V
3
3 IS
By the above signature I certify that all information is accurate to the best of my knowledge.
COMMENTS O
means QC not met.

O RESEARCh & ANA1yTiCA[
Op©p� LABORATORIES, INC.
For: James & James Env. Mgmt.
3801 Asheville Highway
Hendersonville, NC 28791
Attn: Terry Storey -
Client Sample ID: Haynes Wire Stormwater outfall #1
Site: James & James
Parameter Method
Nickel, Total EPA 200.7
Report of Analysis
t:.
3/10/207°
aanu►p��
b!
�y..
Q1. C1� �•. ��i
'CC NC#34 Z•
t NC#37701
..,i O/AE . f y
�''FD nNS��
Lab Sample ID: 1606-01
Collection Date: 2/27/2015 2:19 PN
fi2aull Units HOLimit Analyst Ahalyeis'Datellime
14.2 ug/L 5 AA '3/10/2015
NA = not onotyzec
P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 336-996-2841 Fax [phone] wJnv.randalabs.com Page 1 of 1
ral coa basic vlb

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 1640 d Z Q Z or SAMPLES COLLECTED DURING CALENDAR YEAR: Z O) 5 7 t j4 uzL r /
Certificate of Coverage Number. NCG (This monitoring report shall be received by the Division no later than 30 days from /
the date the facility receives the sampling results from the laboratory.)
FACILITYNAME Ua fr.d S/ii O,
PERS.911
CER ON COLLECTING TIFIED LABORATORY(S)
A (SL S) PYeALI Lab 4#9_: � DIVED
Lab #
JAN 2 6 Z015
Part A: Specific Monitoring Requirements
nwR RGCT_rF1,LES
ON
C TY t �
O 2j —
(SIGNAT ' OF PERMITTEE OR DESIGNEE)
By this sioiture, I certify that this report is accurate
rnmplete tothe best of my Imowledge•
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes I/no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorine Requirements
OutfaB
No.
Date
Sample
Collected
50050 .....
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
OR & Grease
Total
Suspended
Solids
pH
New Motor OR
Usage
mo/ddlyr
MG
inches
Units
limo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date / s
Total ent ipitation (inches).• O. i D
Event Duration (hours): 2- . 3 S (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Fles
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 or those persons directly responsible for gathering the information, the information submitted is, to the best
of my owledge and belie e, accurate, and complete. I am aware that there are sigoilicant penalties for submitting false information,
includ n�g thp-Rossibigty oVHVes and imprisonment for knowing violations."
(Date)
Form SWU-246-112608
Page 2 of 2

Permit Number: NCS t3 0Q Z !D Z or
Certificate of Coverage Number. NCG
i
,TER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2 Q j
(This monitoring report shall be received by the Division no later than
the date the facility receives the sampling results from the laboratory.)
FACT ITY NAME l� vt i i �. S tc� fe c G7-7ps Izu� CO.
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Spec Monitoring Requirements �(�f
► /o F/0 k 3
COUNTY
(SIGNATURE OF PFRtt ITTEF OR DESIG
By this signature, I certify that this report is
complete to the best of my knowledge.
Ala vew /Size -
days from
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes -3[no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monito 'ng Re uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/ddlyr
MG
inches
DWA
nwA
Units
al/no
Form
Page I of 2

n
STORM EVENT CHARACTERISTICS:
Date / V fi}[e ** b e r Z015,
Total Event Precipitation (tnFfaes): NA
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
" No /` 18 W '/
Mail Original and one copy to:
Division of Water Quality
Atm: Central files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 anlief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
ia�e p?qAWtp of fines and imprisonment for knowing violations."
IZ/ �1
(Date)
112609
2of2

fw
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 460 .ZD.Z or SAMPLES COLLECTED DURING CALENDAR YEAR: IJ Z O / Y
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
y /� the date the facility receives the sampling/ results from the laboratory.)
FACILITY NAME U H i t e S rix e_ S &LI VStt Hq C D � � � ��r YAMI
PERSON COLLECTING SAMPLE(S) ��� L )leLT
CERTIFIED LABORATORY(S) Lab # 15 2014
Lab # CENT SIG A E OF PERMITTEE OR DESIGNEE)
CENTRAL FILES By this si ature, I certify that this report is accurate
/ IV QwQ/B0G complete to the best of my knowledge.
Part A: Specific Monitoring Requirements O / O W
Oulfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
mo/dd/ r
NIG
inches
m
m
m
Units
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Vno
(if yes, complete Part B)
Part B: Vehiele Maintenance Activity Monitorine Retouiremenls
Outfall
No.
Dale
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
NIG
inches
m
mgA
Units
al/mo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date ZO/�
Total Eve Precipitation (inches):
Event Duration (hours): A (only if applicable — see permit.)
(if more than one storm event was sampled)
Dale
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
No r14 w „
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 Vd belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
i#c7LdpMg lhp pos bility of tines and imprisonment for knowing violations."
(Da e)
Form SWU-246-112608
Page 2of2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS c 6 8 Z 0 2 or
Certificate of Coverage Number. NCG
FACILITY NAME U M, +e A 's 1L&t S a 5"M CA
PERSON COLLECTING SAMPLE S) r. vo �
CERTIFIED LABORATORY(S) 7 Lab #14L
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: z 6 t O c.t b e r
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
O C T 2 7 Z O 14(SIGNA OF PERMITTEE OR DESIGNEE)
By this si ature, I certify that this report is accurate
CENTRAL FILESomplete to the best of my knowledge.
DWR SECTION
Does [his 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 Activity Monitorine Reauirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
moldd/yr
MG
inches
Units
gallmo
Form SWU-246-112608
Page 1 of 2

'w
STORM EVENT CHARACTERISTICS:
Date I
1 �f
Total E nt pitation (inches): �.
Event Duration (hours): y. 9 z (only if applicable— see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh. North Carolina 27699-1617
"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
ofP, lmowledge and 4ef, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
in(judt'h, tw qE "ibt"lk/of fines and imprisonment for knowing violations."
%o 20 q(
(Dat )
Form SWU-236-112608
Page 2 of 2

( STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS (' 6 O Z d .Z or SAMPLES COLLECTED DURING CALENDAR YEAR: J e w/ y CY Z 6 1
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no late than 30 days from
the dale the facility receives the sampling results from the laboratory.)
FACILITY NAME u n; 1 e S -! a 1 r s [ rVp S N wt C D
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements s h)p / ) D aJ
(SIGNARE OF PERNIITTEE OR DESIGNEE)
By thiss alure, I certify that this report is accurate
complete t the best of my knowledge.
bit & Grease
Total
Suspended
Solids (TSS)-
-------
JIM
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes Zno
(if yes, complete Part B)
Part R_ Vehicle Maintenance Activitv Nlonilorine Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
NIG
inches
me
m
Units
gal/mo
Form SWU-246-112608
Page I of 2

-'Alt
r STORM EVENT CHARACTERISTICS:
Date e :+7 6 e i- Z 61
Total Eve t Precipitation (inch s):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 manag the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of nowledge and ief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
incl ding posstil�ty of fines and imprisonment for knowing violations."
/D (9 Iq
(Dale)
Form SWU-246-112608
Page 2 of 2

STORINIWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS Q 0 Q Z Q Z' or
Certificate of Coverage Number: NCG
FACILITY NANIE LIrl r !e 4 St 1 S GY 92 A UMa,
PERSON COLLECTING SANIPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements f
nln f /v w
SANIPLES COLLECTED DURING CALENDAR YEAR: .5t z 017
(This monitoring report shall be received by the Division no lat&4 than 30 days from
the dale the facility receives the sampling results from the laboratory.)
MO,(Sze) 7 5- 8/
(SIGNA�IE OF PERMITTEE OR DESIGNEE)
By this s nature, 1 certify that this report is accurate
complete to the best of my knowledge.
Outfall
Dale
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids(TSS)
Total Lead
pH
mo/dd/ r
MG
inches
mg/I
m
m
Units
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes /no
(if yes, complete Part B)
P t B• V h' I Maintenance Aclivit Monitorin * Requirements
ar a hi
Outfall
No.
Date
Sample
Collected
50050
00556
00530
OO400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
N4G
inches
m
m
Units
al/mo
Form SWU-246-112609
Page I of 2

STORM EVENT CHARACTERISTICS:
Date -T 20 /
Total Evecipilation (infhys): �/.i}_
Event Duration (hours): /Y/1 (only if applicable — see permit.)
(if more than one storm event was sampled)
Dale
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
"NO r/0kl7 1/
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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
or my knowledge and belief', true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
inc udt he posjjbili�%ft 'tines and imprisonment for knowing violations."
of
q ;o iL/
(Dale
Form SWU-246-112608
Page 2 of 2

STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS On O z 0 Z_ or SAMPLES COLLECTED DURING CALENDAR YEAR: zU /" (AV
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 day from
the date the facility receives the sampling results from the labora(ory.)
FACILITY NAME 7 1A7,f,_r
PERSON COLLECTING SAMPLES)
&,j)06WPK Co.
%-t
COUNTY Ili.
NO. (
i / e- / e. //
Z
CERTIFIED LABORATORY(S)
gyf Lab #--q�
Lab# inr ��rEL
(SIGNATU E
FPERMITTEEORDESIGNEE)
By this signal
re, I certify that this report is accurate
Part A: Specific Monitoring Requirements
JUN G 4 2014
complete to the
best of my knowledge.
Date
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Ino
(if yes, complete Part B)
Part B: Vehicle Nlainlenance Activity IvIonito ing Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m
m
Units
al/mo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Tote J ecip
Total Ll
E enl recipitalion (inches):
Event Duration (hours): 3.33 (only if applicable — see permit.)
(if more than one storm event was sampled)
Dale
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 andjtelief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
nciudh gthe RossibAitp of fines and imprisonment for knowing violations."
I'7
(Date)
Form SWU-246-112608
Page 2of2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS n n 0 Z t7.Z or
Certificate of Coverage Number: NCG
FACILITY NAYIE S % e- " jr5am C
PERSON COLLECTING SAMPLE S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: z 6 j 4% /" 14 ✓• G k
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY
PHONE NO.fsz�, tb
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
©Wj"JWAI�
I I
W. ♦
..
�
�/•��L��
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes ino
(if yes, complete Part B)
P.�rf Re Vrhiele M9imvnNnrO Artivitv Mnnitorinp Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil R Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m
m fl
Units
al/mo
RECEIVE®
MAY 0 5 2014
CEDW IO BOGEv
Form SWU-246-112608
Page] of 2

STORM EVENT CHARACTERISTICS:
Date /l O
Total Ev nt Pte!tT ation (inches): O,
Event Duration (hours): 3, 50 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable —.see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 of fines and imprisonment for knowing violations."
(Signature of Per (Date)
M,9-,- - ,/ 13.
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS or
Certificate of Coverage Number: NCG
FACILITY NAME UA t f e. S k M CO.
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) c e_ Aria 'f � tik Lab d
Lab N
� ' fV /O
Par[ A: Specific Monitoring Requirements %r/O k1 //
SAMPLES COLLECTED DURING CALENDAR YEAR: Z0/7 fe4raetrj!
(This monitoring report shall be received by the Division no later than 30 days from /
the date the facility receives the sampling results from the laboratory.)
COUNTY CAW
PHt�'E I)1,Q 1 z8 6 —
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Outfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
mo/dd/ r
MG
inches
m
m
m
Units
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes ti/no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorine Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
.Total
Suspended
Solids
pH
New Motor OF
Usage
mo/dd/ r
MG
inches
mg/1
mgA
Units
al/mo
Form S W U-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date Parxar� z40 /y
Total Event Precipitation ices): 1✓
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
,- �\L2Q-,Dqa�)
(Signature of Permittee)
A-
(D e)
FormSWU-246-112608
Page 2 of 2

1:
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
i
Permit Number: NCS 0 n d Z 0 Z or
Certificate of Coverage Number: NCG
FACILITY NAME U;1 iIte- d 5t. 5 G vvs u M CO.
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements '." No r/O W
SAMPLES COLLECTED DURING CALENDAR YEAR: Z a /4/ Tet H w 4 +y-
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
fif • 1[I '
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Outfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
mo/dd/ r
MG
inches
m
m
m
Units
MAR 10 Zul
uvvul6VV
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes -v/no
(if yes, complete Part B)
Part R- Vehicle Maintenance Activitv Monitoring Renuirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/vr
MG
inches
m
m
Units
al/mo
Form SWU-246-112608
Page 1 of 2

i•
STORM EVENT CHARACTERISTICS:
Date Ta rt uplt' Z 0 l /
Total Event Precipi�ion (i es): N
Event Duration (hours): NA (only if applicable — sec permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
%" A/
a
/ / "
ow
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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,Qk 2 zn /
(Signature of Per ittee) (Dat
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 0 0 0 Z 0 Z.. or SAMPLES COLLECTED DURING CALENDAR YEAR:L
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME / / 5 -r sup ° RECEIViVTY / / G 8
PERSON COLLECTING SAMPL�E S) AO NO ( Z
CFRTIFIED LABORATORY(S) P� K c Lab # O G
Lab # .JAN 3 O ZOIGSIGNATUR' O ^ PERM T 1'EE OR DESIGNEE)
By this signature, I certify that this report is accurate
CENTRAL FILE-Emplete to the best of my knowledge.
Part A: Specific Monitoring Requirements DWQ/80G
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ ves ' no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monito ing Requirement
Outfall
No.
Date
Sample
Collected
50050
100556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/vr
MG
inches
m
m
Units
al/mo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date lL>e Z0 Z--
Total Even[ Precipitation (inches): S •
Event Duration (hours): 7,46 -7 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable— see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 possisibillity�of fines and imprisonment for knowing violations."
:L
t /1' &
(Signature of Permittee) (Date)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS OQ 17 Z 6Z or SAMPLES COLLECTED DURING CALENDAR YEAR: ZQ l Z NO V e-m 6 e r
Certificate of Coverage Number: NCG ("Phis monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITYNAME Leh, AP4 StoJe's Gvnsam Cd.KE EIV 0 NTN M,,
PERSON COLLECTING SAMPLF(S)
CERTIFIED LABORATORY(S) Lab # JAN 10 2013
Lab If (SIGNATUR I F PERK ITTEE OR DESIGNEE)
CENTRAL FILESBy this signature, I certify that this report is accurate
DWQ/BOG complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
Outfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
mo/dd/ r
MG
inches
m
m
m
Units
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes ino
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monito ing Requirement
Outfall
No.
Date
Sample
Collected
50050
100556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m
m
Units
al/mo
Form SWU-246-112608
Page 1 of 2

r
i \
STORM EVENT CHARACTERISTICS:
Datc A&ye t e r Z 61 z
Total Event Precipitation (in s):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
No Flo w
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh. North Carolina 27699-1617
"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. (lased 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."
�a yam` , 4UQ t tz_t ► v
(Signature of Permitfee) (Date)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 6 06 z. m z or
Certificate of Coverage Number: NCG
FACILITY NAME rt t - d Sfa fe< C ✓/� S ll WI �. C
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: Z D Z J a 17 btd YY
(This monitoring report shall be received by the Division no later than 30 days from /
the date the facility receives the sampling results from the laboratory.)
COUNTY / " ( t tG N &� //
PHj*ENQ (azt,) 76s,- 94'
I /.._ tI '—r7_ . C' n b f/1b f/17
(SIGNATURgO>r PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
M ME
M
-----------
-----------
-----------
-----------
-----------
-----------
-----------
-----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes /
(if yes, complete Part B)
Pnrt R• Vehirle Maintenanre Artivitv Monitoring Reouirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m /1
m A
Units
aVmo
RECEIVE®
FEB 1 72012
CENTR4L FILES
DWO/BOG
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date � .;; Pi t k key z C z—
Total Event Precipitation ' es): MA
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 impr' nment for knowing violations."
i
—�, /� C�) I z.--
(Signature of Permiltee) (Date)
Form SWU-246-112608
Page 2 of 2
IN

Permit Number: NCS d 0 07 0 - or
Certificate of Coverage Number: NCG
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: Z a1 Z M a y-':-
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME U Nt 1 e.4 s tt
i1 tf 41 C
COUNTY I e
PERSON COLLECTING SAMPLE(S)
PHONE NO. (B Z . — r/
CERTIFIEDLABORATORY(S)
Lab #
CEIVED
Z Z "ILab
#
(SIGNATURE OF PERMIT' E E OR DESIGNEE)
APR 2 6 2012
By this signature, I certify that this report is accurate
b p / "/ t'4
No f" /O
CENTRAL
complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
t.V
FIBS
DWQ/B
Outfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
mo/dd/yr
MG
inches
m
m /l
m
Units
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Vno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m A
Mgt]
Units
gallmo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
DateArre4 Z N Z.
Total Event Precipitation (ine es):_
Event Duration (hours): ilk (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
No rA,
"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."
`e-76--W
(Signature of Permittee)
1-7�1Z
(Date)
Form SWU-246-112608
Page 2 of 2

" - _S
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 0 d Q 7— 0 Z or SAMPLES COLLECTED DURING CALENDAR YEAR: tn z o/ Z
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later ha30 days from
'// the date the facility receives the sampling results from the laboratory.)
FACILITYNAME PERSON COLLECTINGitS �LES)r e_7 C✓to6um C�t^ _if<l ,rl� /ca COUNTY � �e�I_ y
CERTIFIED LABORATORY(S) Lab # C V G
Lab # 111N 2 12012 (SIGNATURV OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
if;ENTRAL FILES complete to the best of my knowledge.
Part A: Specific Monitoring Requirements a to r`o DWOIBOG
Outfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
mo/dd/ r
MG
inches
m A
m A
MgA
Units
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Zno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monito ing Re uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m A
m /l
Units
gaumo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date u Z© f 2—
Total Even Precipitation (inches): AM
Event Duration (hours): yI_ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
A /E—/o W
"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."
A> �z-
(Signature of Permiftee) (Da e)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS Q 0 0 Z 0 ,Z or
Certificate of Coverage Number: NCG
FACILITY NAME L( n I fC A Stn_te 5 G v✓�s i4 M Utz.
PERSON COLLECTING SAMPLE(S) 7t
CERTIFIED LABORATORY(S) Lab #
Lab #
V
t\ Dl e) r/,© W
Part A: Specific Monitoring Requirements /
SAMPLES COLLECTED DURING CALENDAR YEAR: Z61 Z Ta yl e.
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY //
PHONE NO_i9Z8l• w 6; _5^ q-97--
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Outfall -"Date
'50050
4
?
No `''
+.
Sample.
Collected
vTotal , ,;1
Flow(i app )
Tota14 "
as
OW&Grease
To�la -`' }
'Suspended.
(-' S)
Toti
'
pH ,-
-
< .- : - • ..iito/dd/
-
;MG:. _::'.
hnches:--
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Lo
(if yes, complete Pan B)
Part R- Veh=rle Maintenanre Avtivity Mnnitorinv Reuuirements
'OutfW
Noi "-?
i~,ti
c �,
f! ,'M'. �; -5
Dater^��k'M.a.
(Sample'.% � !
Callected� r
ws ,h
.��
f50050t2 ._ xa&
rTo`tallFlowy
rka li ble
P(„_DPP ).as
�'•
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_ :tr' A`Y`
;'t- fY �.(F`. rt`:?ia. 3;
: `fX`�{LYo"kbrti
M5304s "F„,�i +
Total
Sus ended "�'"
- P . ,.w `9
{S�Itd$+si�.Y=:+'
!00400te.
�pH
r �� s Z+ 7thtr
'`Y i.��`} P 1'��j,
F�A'?'..�v."'.
New'MotorhO�lt-
-usage—
n `
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fi� _ •-,:
tm - !'1'�i. tri
1Untts_��::_ z; �
aUmo�.,., s
JUL 2 3 2012
C DWQ6FILEs
0G
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date -Tja�' z o i z
Total Event Precipitation (inf es):
Event Duration (hours): rV (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see pennit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
/ Y I /�/cW /t
"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."
-7 lb 1Z
(Date)
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 0 0 0 z 10 z or
Certificate of Coverage Number: NCG
FACILITYNAME Uqt' &J -SIt-tes &VA05am l.-
PERSON COLLECTING SAMPLE(S) / r
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
O ) C 16 tJ
SAMPLES COLLECTED DURING CALENDAR YEAR: 7-O 1 Z �% a �Y
(This monitoring report shall be received by the Division no later than 30 days Prom
the date the facility receives the sampling results from the laboratory.)
COUNTY
PHMNO. 7 S-
(SIGNATURE UYPERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
-----------
-----------
-----------
-----------
-----------
-----------
-----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes jjno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorin¢ Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total -Flow -
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m /I -
m
Units
al/mo
RECEIVED
AUG 2 1 '012
WATER QUALITY SECTION
INFORMATION PROCESSING UNIT
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date z o i z
Total Event ITrecipitation (in h� ):
Event Duration (hours): �A _ (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 Pe�tee) (Date)
Form SWU-246-112608
Page 2 of 2

e
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS O 010 Z t7 Z or SAMPLES COLLECTED DURING CALENDAR YEAR: z o l z ALt K-5y
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days roll
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME U N I 7 et el J 1 a/ e 5 t.S 5 u t! IkjIt8 9 ®.
PERSON COLLECTING SAMPLE(S) V
CERTIFIED LABORATORY(S) Lab # SEP 2 6 2012
Lab #
CENTRALL,�F1�LES
lgpC
Part A: Specific Monitoring Requirements NO Ir—(6 W t CwQ
COUNTY Mr 4Ll2e-/t
PHONE NO. (92 8) 76 5 - `7 41, 8
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Total
Suspended
Solids (TSS)
-----------
-----------
-----------
-----------
-----------
-----------
-----------
-----------
-----------
-----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Zno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m /t
m /l
Units
galluto
Form SWU-246-112608
Page 1 of 2

r I ;,
STORM EVENT CHARACTERISTICS:
Date %7 uou.5` Z0 1 Z �/
Total Eve Precipitation (i ches): �f_A
Event Duration (hours): � (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
q I Z�
(Signature of Per tee) (Date
Form SWU-246-112608
Page 2 of 2

Permit Number: NCS LI) o O Z o Z- or
Certificate of Coverage Number: NCG
FACILITY NAME Uai led %D
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S)
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: z o / Z. SG1 /e'0"1 CGr
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
4 G
���IVf OUN'CY
NE O.
NOV U 12012 (SI ATU OF PER rTEE OR DESIGNEE)
S By this signature, I certify that this report is accurate
CENTRAL FILE
complete to the best of my knowledge.
DWQIBOG
Outfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
mo/dd/vr
MG
inches
mg1I
m
m
Units
Does 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 Activity Monito ing Requirements
Outfall
No.
Date
Sample
Collected
50050
100556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m
m
Units
al/mo
Form S W U-246-1 12608
Page I of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date �� �+^M9� G r Z Attn: Central Files
Total Event Precipitation (inches): A/A 1617 Mail Service Center
Event Duration (hours): MA (only if applicable —see permit.) Raleigh. North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
,'No
"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 Pern ttee) (DateJ
Form SWU-246-112608
Page 2 of 2

T ..�
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
1—Permit Number:.NCS (J 0 0 Z 277 or
Certificate of Coverage Number: NCG
FACILITY NAME •/ �sd z ' (;' ' U
PERSON COLLECTING SAMPLE(S) c
CERTIFIED LABORATORY(S) 1AILab
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: Z 6 /Z.
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling )results jfrom the laboratory.)
fc Gr COUNTY 4i & //
P ENO.( 5-
�..A '
(SlGkAwr& OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes y/no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monito ing Requirements
Outfall.
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
-Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
'm /I
m /l
Units -
al/mo
I'%GlrL I V GU
MAY 2 5 2012
CENTRAL FILE:
DWO/BOG
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date � ` / Z 't
Total Eilent 11recipitation S^che,s,�: 0 . 5S
Event Duration (hours): /. Z.J (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 P�mittee) (Date
Form SWU-246-112608
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS d6O ZD.Z, or SAMPLES COLLECTED DURING CALENDAR YEAR: 2 o /Z Q C./O6 e r
Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME I oiled S%cc/e.S G sum Cc CEIVF UN'CY i
PERSON COLLECTING SAMPLE(S)HOp O.
CERTIFIED LABORATORY(S) Lab # DEC 0 5 2012
Lab # (SIGNATURE OF PERMI' fEE OR DESIGNEE)
CENTRAL FILES By this signature, I certify that this report is accurate
/ V
Part A: Specific Monitoring Requirements
i� DWQIBOG complete to the best of my knowledge.
�� A /
D ` O (J
Outfall
Date
50050
No.
Sample
Collected
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
mo/dd/yr
MG
inches
m
m
m
Units
Does 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 Activitv Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/yr
MG
inches
m
m /l
Units
gaumo
Form SWU-246-112608
Page I of 2

STORM EVENT CHARACTERISTICS:
Date-&-C cber- ZQ/z
Total Event Precipitation (in s): —NA—
Event Duration (hours): (only if applicable - sec permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit.)
1Vo rl 4 to
.i
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
N C/""7'1 1 L- � t 1� I Z�
(Signature of Permittee (Date)
Form SWU-246-112608
Page 2 of 2

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l/'
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
December 4. 2008
Coleco H. Sullins, Director
Division of Water Quality
Individual NPDES Stormwater Permit Renewal Transmittal Cover Page
To: Asheville Regional Office, Roger Edwards
Subject: NPDES Stormwater Permit No. NCS000202
United States Gypsum Co.
Spruce Pines, NC (Mitchell County):
Attachment Description
® Staff Report
® Draft Permit
® Renewal Application
Please sign Staff Report and provide comments
Return to Brian Lowther at the Central Office by January 5, 20010
Brian Lowther
Division of Water Quality
Stormwater Permitting Unit
Post -Construction Application
1617 Mail Service Center
Raleigh, NC 27699-1617
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone]
Customer Service
Internet: wcaw ncwaungualitv.ore Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
1-877-623-6748
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NorthCaroli
rXalllrtli�'
An Equal Opportunity/Affirmative Action Employer— 50% Recycledl10% Post Consumer Paper

NCS000202
ArFR
'1;4G r
Michael P. Easley, Governor
William G. Ross Jr., secretary
North Carolina Department of Environment and Natural Resources
STAFF REVIEW AND EVALUATION
NPDES Stormwater Permit
Coleco H. Sullins Director
Division of Water Quality
Facility Name:
United States Gypsum Co.
NPDES Permit Number:
NCS000202
Facility Location:
Spruce Pines, NC (Mitchell County)
Type of Activity:
Mica Processing
SIC Code:
3295
Receiving Streams:
See Figure I
River Basin:
French Broad River Basin, Sub -basin 03-04-06
Stream Classification:
C; Tr
Proposed Permit Requirements:
See attached draft permit.
Monitoring Data:
See Table I
Facility Location:
See Figure 1
Response Requested by (Date):
0I/05(a9
Central Office Staff Contact:
Brian Lowther, [phone]
Special Issues:
Issue
Rating Scale: 1 east/ to 10 hard
Corn fiance history
3
Benchmark exceedance
7
Location (TMDL, T&E
5
species, etc
Other Challenges:
7
• Trying to figure
out the
monitoring
Difficult y Rating:
22/40
Special Issuer Explanation:
• fhe analytical monitoring showed very high TSS values. The perntittee said that the adjacent site was
the source of the TSS. Also, they are wetting down some of the piles and roads for dust suppression.
Runoff from this could produce waste water.
Description of Onsite Activities:
The plant processes mica. They get mined ore trucked in from different sources. Then it goes to an open pit to a
loader to a hopper and then to a dryer. From there is goes through the mill and put into 50 lbs. bags and bulk
systems for transport. Two sumps on site collect stormwater to prevent mica from exiting the site.
Page I of 8

INCS000202
Documents Reviewed:
• SPU File
• 2005 French Broad Basinwide Plan
• 2008 draft 303(d) list
• National Heritage Program's T&E database
• EPA draft 2006 Sector -Specific permit, "Sector E
Glass, Clay, Cement, Concrete, and Gypsum Products."
History:
• 10/01/1994: Date Permit first issued. Analytical monitoring included TSS
annually.
• 09/01/2001: Date Permit re -issued. Analytical monitoring included TSS.
annually the first 3 years and quarterly during the 4'h year.
• 06/19/06: Penuittee submitted renewal application:
Samples were to be taken
Samples were to be taken
Page 2 of 8

NCS000202
Figure l: Map of Facility
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�Lhited States Gypsum Co
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,
NCS000202
United States Gypsum Co
Lad rude: 350 53' 12" N
Longitude: 820 4' 40" W
County: Vitchell
Receiving Stream: North Toe River
Stream Class: C; Tr
Sub -basin: 04-03-06 (French Broad River Basin)
Facility Location
WScale 1.20,000
Page 3 of 8

NCS000202
Central Office Review Summary:
I. Owner's Other Permits: Air Quality Permit 04314T07
2. General Observations: This facility is the former Diamond Mica plant purchased in 1981. The facility dries and
grinds mica for use in sheet rockjoint compound. Raw mica is purchased from the adjacent Feldspar Corporation
facility and other local sources at approximately 25% moisture.
From the air quality permit application review: Purchased mica is delivered on site by dump truck and placed
in the mica storage pit/truck dump. Water sprays on the storage pile are used to keep the material wet to prevent
fugitive dust emissions. Haul roads are also watered to suppress dust.
Using loaders, the wet mica is put into the mica dryer feed hopper. The hopper feeds mica into the natural gas
direct -Fred rotary dryer. PM emissions from the mica dryer are controlled by a bagfilter. The dried mica (now
8% moisture) is either stored in three dry storage bins or fed thru the dry feed distribution system into the three
jet grinding mills. Heated air from a No. 2 fuel oil -fired indirect pre -heater is introduced into the grinding mills,
resulting in a final product moisture content of 0%. The screened mica is then sent via the finished product
elevator to four (4) bulk loading bins for loading into railcars or the two baggers.
The raw mica has had No. 2 fuel oil added as a flotation agent during mining. Volatilization of this oil residue
during drying and processing of the mica results in volatile organic compound emissions sufficient to require a
PSD avoidance limit of less than 39,000 tons of dried mica produced per consecutive 12 month period. Strong
diesel fuel oil odors are evident on the plant site, but not off -site.
httf)://dau.state.nc.us/permits/permit reviews/USG rev 02162005.pdf
Impairment: North Toe River 7-2-(27.7)b is on the 303(d) for turbidity. The river is impaired upstream of the
site. According to the basinwide plan the river is impaired for aquatic life. This site receives runoff from the
Town of Spruce Pine and several dischargers in the watershed, which may have impacted the benthic
community. The North Toe River may also be impacted by road construction activities associated with the
expansion of NC 19 from Burnsville to Spruce Pine. Narrow riparian zones were also noted. It is
recommended that local agencies work with landowners to install BMPs to improve riparian zones and the
overall water quality in the river.
4. Threatened and Endangered: There are no species that are federally endangered or threatened located within a
two mile radius based on the Natural Heritage Virtual Workroom.
5. Location: The outfall goes to a C; Tr River.
6. Industrial Changes Since Previous Permit: There have been no significant changes since the application was
filed:
7. Analytical Monitoring Notes: Analytical monitoring was done 7 times from 8/19/02 to 8/30/05. TSS was the
only monitoring required. All but one of the recordings was over the current benchmark.
Sector E in the EPA Multi -Sector Permits recommends monitoring for TSS (Flat Glass; Glass and Glassware,
Pressed or Blown; Glass Products Made of Purchased Glass; Hydraulic Cement; Cut Stone and Slone Products;
and Abrasive, Asbestos, and Miscellaneous Nonmetallic Mineral Products (SIC 3211, 3221, 3229, 3231,3241,
3281, 3291-3299). The primary operation at the site is processing Mica. Therefore, the metals AI, Mg and Pb
will be added to the analytical monitoring.
8. Qualitative Monitoring Notes: The monitoring was all the same with no signs of pollutants.
Page 4 of 8

NCSO00202
Table 1: Analytical Monitoring
Required
Sample
Total Flow
Precipitation
Duration
TSS-
Benchmark:
Sampling
Date
(MGD)
(in)
(hours)
I
Range
I
I
100 mg/L
Outfall 1
09/01/01 to
8/19/2002
14.2
0.6
2.3
NEW9.0m
08/31 /02
09/01/02 to
7/29/2003
6
0.37
2.2
1!40
08/31 /03
09/01/03 to
8/11/2004
6.1
0.35
1.9
530
08/31 /04
09/01/04 to
11/23/2004
10.7
0.18
3.7
620
11 /30/04
12/1 /04 to
2/24/2005
5.8
0.11
5.2
90
2/28/05
3/1/05 to
5/10/2005
136.8
0.81
2.2
1600 '.
5/31 /05
6/1/05 to
8/30/2005
121.3
0.75
3.2
120
8/31 /05
+ _ Over Current Benchmark
Data Not Collected
Page 5 of 8

NCS000202
Revised Permit Recommendations: Analytical Monitoring:
I. Maintain monitoring for TSS but on quarterly sampling. Al, Mg and Pb have been added to the monitoring.
2. pH has been added to the analytical monitoring requirements.
3. All analytical monitoring has been set to semi-annually during a representative storm event as defined in Part 11
Section B. The permittee must also document the total precipitation for each event. If no discharge occurs
during the sampling period, the permittee must submit a monitoring report indicating "No Flow" within 30 days
of the end of the six-month sampling period. Additionally, samples must be taken a minimum of 60 days apart,
as specified in Table 2.
4. Benchmarks for analytical monitoring have been added to this draft permit. Exceedances of benchmark values
require the permittee to increase monitoring, increase management actions, increase record keeping, and/or
install stormwater Best.Management Practices (BMPs) in a tiered program. If the sampling results are above a
benchmark value, or outside of the benchmark range, for any parameter at any outfall then the facility shall
follow the Tier I guidelines which require a facility inspection within two weeks and implementation of a
mitigation plan within two months. If during the term of this permit, the sampling results are above the
benchmark values, or outside of the benchmark range, for any specific parameter at a specific discharge outfall
two times in a row (consecutive), then the facility shall follow the Tier 2 guidelines which require a repetition
of the steps listed for Tier I and also immediately institute monthly monitoring for all parameters at every
outfall where a sampling result exceeded the benchmark value for two consecutive samples.
5. The permittee is required to collect all of the analytical and qualitative monitoring samples during
representative storm events as defined in Part 11 Section B. Qualitative monitoring is required regardless of
representative outfall status.
6. The permittee is responsible for all monitoring until the renewal permit is issued. See Footnote 1 of Tables 1,
4, and 5.
7. The flow reporting requirement has been removed per DWQ revised strategy. (The total rainfall parameter is in
this permit, however.)
8. Vehicle maintenance monitoring has been revised to semi-annually in order to coincide with analytical and
qualitative monitoring.
Other Proposed Changes to the Previous Permit:
l . Additional guidance is provided about the Site Plan requirements. The site map must now identify if the
receiving stream is impaired and if it has a TMDL established. It must also describe potential pollutants in each
outfall. The map requirements are stated more explicitly. And, the site plan must contain a list of significant
spills that have occurred in the past three years and also must certify that the outfalls have been inspected to
ensure that they do not contain non-stormwater discharges. Additional information is provided in Part 11
Section A.
2. Additional requirements for the Stormwater Management Plan have been specified in Part II Section A. More
details regarding secondary containment are provided.
3. Additional requirements for the Stormwater Pollution Prevention Plan have been specified in Part II Section A.
The plan must also be updated annually to include a list of significant spills and to certify that the outfalls do
not contain non-stormwater discharges.
4. The facility must now implement a semi-annual Facility Inspection Program of the site's stormwater
management controls as specified in Part 11 Section A.
5. Information regarding the No Exposure Exclusion has been added to this draft permit. If industrial materials
and activities are not exposed to precipitation or runoff as described in 40 CFR § 122.26(g), the facility may
qualify for a No Exposure Exclusion from NPDES stormwater discharge permit requirements. Additional
information is provided in Part I Section A.
Page 6 of 8

NCS000202
Discussions with permittee: Randy Kenyon, [phone], 9/22/08
General description of industrial activities? The plant processes mica. They get mined ore trucked in from
different sources. Then it goes to an open pit to a loader to a hopper and then to a drver. From there is goes
through the mill and put into 50 lbs. bags and bulk systems for transport. Two sumps on site collect
stornnvater to prevent mica front exiting the site.
2. Have there been any changes since filing the application? No
3. Why was all the visual monitoring exactly the same? On their site the storm water is clear but they have to
sample across the railroad tracks on their neighbor's property where the water has more sediment in it.
4. The analytical monitoring for TSS was very high. Any reason for that? Their neighbors have sand and
sediment on the road from their operation and it gets washed into the storm water.
5. Do you have vehicle maintenance onsite? No
6. What is you SIC code? 3295
Follow up Questions: Randy Kenyon, [phone], 1 1/24/08
1. The Air Quality Permit showed that piles and haul roads were sprayed for dust suppression. How much water is
this and where does it go? Only during the spring and summer. No run off from piles but there is some from the
haul roads. This water runs to the sumps onsite.
Page 7 of 8

NCS000202
Recommendaiions: Based on the documents reviewed, the application information submitted on 06/16/06
sufficient to issue an Individual Stormwater Permit.
Prepared by (Signature) �^ (_ �^T Date I�f o$
Stormwater Permitting Unit Supervisor Date /2 9 16g
for Brad enne %
Concurrence by Regional Office / Date
Water Quality Supervisor
Regional Office Staff Comments
Are they sampling in the correct location?
What are the sumps like on site?
Date
IUD Veto((C DAI-.siR". 4a, d�Hicc�
&I/V7-. 60444 Cq0 t olf Sit- ,V&4
A/0 duTSrpr CQuIP lWpVl
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5"Lo �WAC
4+7- xCAW(ob fa
&UGI-S .
OwT F?u or
Avow N10i✓,
Page 8 of 8

JUN-7-2006 02:44P FROM:USG OPERRTIORS 7704540494 T0:1e2e765062e P.3 Ut �l/nS
4, PE IT COVERAGE
RENEWAL APPLICATION FORM Permit Number
National Pollutant Discharge Elimination System NCS000202
Stognowatcr Discharge Permit
THIS APPLICATION MUST RE SIGNED AND RETURNED ALONG WITH THE REQUESTED SUPPLEMENTAL
INFORMATION TU THE DIY. UN WATER QUALITY IN ORDER FOR YOUR FACILITY TO QUALIFY FOR
RENEWAL OF YOUR S7'ORMWATER PERMIT NC$000202
The following is the information currently in our database for your facility. Please review this information carefully
and make all eortcetions as necessary in the space provided to the right of the current information.
OWNER INFORMATION
s p�—
Ownar/Org. Name: UNt7ED 57A713s GVPSWm O
c_
Owner Contact:
i ,
z
Muiling Address:
re '
Phone Number:
:j m
Fax Nuubcr
E-mail address:
c
CD
a
o>
FACILITY INFORMATION ., h
Facility Name: UNITED STATES GYPSUM CO
Facility Contact:
Facility Address: ALTAPASS RD
SPRUCE PME. NC 28777
Phone Number:
Fax Number
E-mail address:
PERMIT INFORMATION
Permit Contact: 6NG
Mailing Address: 4959 NEW PEACHTREL• RD
CFIAMBLEE. GA 30341
Phone Number: 7704571545
Fax Number:
Entail address:
DISCHARGE INFORMATION
Discharge Receiving Water: TOE RIVER
Stream Class: CTR
Basin:
Sub -Basin N: 040306
Number of outfalls:
CERTIFICATION
1EM!;1I%
jam
WMAM
K�A
iiiiii�Ael�l u
I certify that I a1n familiar with the information contained in the application and that to the best of my knowledge And
belief such information its true. complete and accurate.
Signolurc _ _ 1-a`^^�'t QQ1 �-�.�CD(XtC�( Date f 1, 4
�L1 ✓1 /�V' /e Lid d e i/ L / L r
Print or t name of person signing above Title
Plmtsc retun this wuiplelcd renewal application form to:
Individual Permit Renewal
Attn: Bill Mills
Stormwater and General Permits Unit
1617 Mail Service Center
Raleigh. North Carolina 27699-1617

SUN-7-2006 02:94P FROM:USG OPERATIONS 7704540494 T0:18287650628 P.5
i -.
SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL NPDES
STORM WATER PERMIT
I_wg copies of each of the following shall accompany this submittal in order for the application to be
considered complete:
(Do not submit the site Stormwater Pollution Prevention Plan)
Initials
1. A current Site Mop from the Stormwater Pollution Prevention Plan. The location of
industrial activities (including storage of materials, disposal after, process areas and
lending and unloading areas). drainage structures, drainage areas for each outfull, building
locations and impervious surfaces should be clearly noted.
p_ p_ 2. A summary of Analytical Monitoring results during the term of the existing permit (if your
_ ------ - permierequimd-analytical-mmpling} Donotaubmit-individual.labseparts.. Tha summary
an consist of a table including such items as outfull number, parameters sampled, lob
results, date sampled, and storm event data. *
3. A summary of the Visual Monitoring results. Do not submit individual monitoring reports.
The summary can consist of a table including such items as outfull number, parameters
survcyod, observations, and date monitoring conducted.
E� 4. A summary of the Best Management Practices utilized at the permitted facility. Summary
should consist of a short narrative description of each BMP's in place at the facility. If the
implementation of any BMP's is planned, please include information on these BMP's.
to />
A A S. A short narrative describing any significant changes in industrial activities at the permitted
facility. Significant changes could include the addition or deletion of work processes,
changes in matcriul bundling practices, changes in material storage practices, and/or
changes in the raw materials used by the facility.
A6. Certification of the development and implementation of a Stormwater Pollution Prevention
Plan for the permiucd facility (Sign and return attached form).
* if the final year onalyticul monitoring of the existing permit term has not been completed
prior to filing the renewal submittal, then rho lust years monitoring results should be
submitted within 30 days of receipt of the laboratory reports. (i.e. do not withhold rcncw;d
.submittal waiting on lab results)
Representative storm sampling may now be conducted anytime during the year (the April to
November window has been climinnied) and the representative rainfall event Is now
defined as a storm event that measures greater than 0.1 inches and is preceded by at least 72
hours in which no storm event measuring greater than 0.1 inches has occurred.

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Stormwater Analytical Monitoring Results NPDES No. NCS000202
Outfall Number ` ,
,ParametersSampled
Lab;Result§= .
;Date Sampled '
'Total Rainfall W'
Ev"ent Duia`tion
Total!
1
Total Suspended Solids
490 mg/1
8/19/02
0.6 in.
2.3 Hrs.
14.2 MG
1
1
Total Suspended Solids
Total Suspended Solids
140 mg/l
530 mg./1
7/29/03
8/11/04
0.37 in.
0.35 in.
2.2 Hrs.
1.9 Hrs.
6.0 MG
6.1 MG
I
Total Suspended Solids
620 m /I
11/23/04
0.18 in.
3.7 Hrs.
10.7 MG
1
Total Suspended Solids
9Q m /1
2/24/05
0.11 in.
5.2 Hrs.
5.8 MG
1
1
Total Suspended Solids
Total Suspended Solids
1600 mg/1
120 mg/1
5/10 ,1
8/30/05
0.81 in.
1 0.75 in.
2.2 Hrs.
3.2 Hrs.
136.8 MG
121.3 MG

Stormwater Visual Monitoring Results NPDES No. NCS000202
_Outfall .:
Number
Date '�.
� _
Color
OdorClant}
_ ;,.
9
Floating
:Solids
Suspended"
Solids
Foam
`Oil
.Sheem
Other Obvious
Indicators of
'Stormwater Pollutioh°
1
10/18/01
Clear
None
Clear
None
None
None
None
None
1
4/5/02
Clear
None
Clear
None
None
None
None
None
1
10/8/02
Clear
None
Clear
None
None
None
None
None
1
3/4/03
Clear
one
Clear
None
None
None
None
None
1
9/5/03
Clear
None
Clear
None
None
None
None
None
1
4/21/04
Clear
None
Clear
NoneffNone
None
None
None
1
11/28/04
Clear
None
Clear
NoneNone
None
None "
1
4/22/05
Clear
None
Clear
NoneNone
None
None
NoneNone
I None
None

Changes in Industrial Activities
There have been no significant changes in the industrial activities at
this facility.

JUF-7-2006 02:44P FROM:USG OPERRT- Is 7704540494 T0:1P`7G5062e P.4
STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND TMPLEMENTATIO,N
CERTIFICATION
N.C. Division of Water Quality, Storinwaier and General Permits Unit
Facility Name:
UNITED STATES GYPSUM CO
Permit Number:
MCS000202
Location Address:
ALTAPASS RD
SPRUCE PINE, NC 28777
County:
MITCHELL
"I certify, under penahy of taw, that the Storniwater Pollution Prevention Plan (SPPP) document and all attachments
were developed and implemented tinder my direction or supervision in accordance with o system designed to ossurc
that qualified personnel properly gather and evaluate the information required by the SPPP. Based on my inquiry of
the person or persons who manage the system, or those persons directly responsible for gathering the information,
the information gathered is, to the best of my knowledge and belief, we, accurate, and complete"
"1 certify that the SPPP has heen developed, signed and retained at the facility location and the SPPP has been fully
implemented at the named facility locution in accordance with the terms and conditions of the stormwater general
permit."
"I am aware that there are significant penalties for falsifying information, including the possibility of fines and
Imprisonment for knowing violations" '
Sign (according to Permit signatory requirementa) and return this Certification. DO NOT SEND THE
STORM WATER POLLUTION PREVENTION PLAN WITH THE CERTIFICATION.
Signatum-
c 4 T iL1H! 4 C✓•
Prim or type 9daic of person signing above Title
SPPP Certification 2199