NCG020012 DMR SW (3)

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GENERAL PERMIT NO. NC6140000
CERT8FICATE OF COVERAGE No. NCGG . +��_ � SAMPLE COLLECTION YEAR: 6 V
FACILITY NAME: ci h1ill, t' C� -t SAMPLE QUART R. ❑Jul -Sept ❑®tt-Dec I a�-RAarch []April -June
PERSON COLLECTING SA E �' ►' !' I c COUNTY:
CERTIFIED LABORATORY: / �. r' �= Lab L C—` PHONE NO. Q % — )n L
Lab # ADD TO LISTSERVE? ❑YES []NO EMAIL:
LIMIT VIOLATIONS? YES ,❑ NO E3--' DISCHARGING TO CLASS: OSA ❑HQW ❑PINA ❑Trout ❑Other
OPTIONAL INFO:
Part A: Wastewater Monitoring Req irements
Date Sample
outfall No. Collected
(rmvt/dd/yr)
Type of Wastewater
(VE, RM, MD) i
pig
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
methor11664,4
dig/LB SGT NE�
Discharge
Total Flow
Duration
(minutes) (gab@ons/dagf)
6-93'"
303,5
53
(15)6
L
P
F
1
if.. tewater cvctemc have not disrharaed in this quarter — report
"No Flow" or "No
Discharge" here. Please make sure to mark the sample quarter above.
ii ry vim.•-r.ui...� .sT...._.�.... .....—..�.-
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste-streao is commingled.
3 I an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring. �t
° pH limits are 6-9 5 U. for wastewater discharges to freshwafbrs, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PEVA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part N, Section A, including the Tiered P jonse Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges .o HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summe 7Q l0 flow and report this information to DWQ. if the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee, nall iotify DWQ, and the DWQ Regional Office may require an annual flow
report on a case-by-case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLO%h ", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "IVO FLOW-) TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU hl U5TSlGN THIS CERT6F[QT1QN FOR ANYWFOlfMATlOIN REPORTED.
"I certify, under penalty of law, that this docigment 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 "
(Signa u e of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted�1(p
CERTIFICATE OF COVERAGE NO GG 3. 4f
FACILITY NAME
COUNTY
PERSON COLL
LABORATORY _Jaf_,e Al)n IA/ �, ( Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR p _
SAMPLE PERIOD E] Jan -June' July -Dec
or ❑ Monthly'_ (month)
DISCHARGING TO CLASS []ORW []HQW []Trout []PNA
t �p 6 []Z ro-flow []Water supply []SA
C- "' Mother--- %61r- � If
MAR 3 1 2016
CENTRAL PILES
Part A: Stormwater Benchmarks and Monitoring Results SWR SECTION
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
I7
-
Outfall No.
Date Sample
1
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Sus ended Solids
p
p H
Standard units
Copper
L I /VV
Lead
UlJL/!U(ye Lflib perrvar-
Non -Polar O&G/
Total Toxic
Zinc Total Petroleum s
Hydrocarbons Organics
Benchmarks ==_>
_
-
?
100 mg/L or 50 mg/0
NV maj L
6.0-9.0
. 5
0.007 mg/L
N rn Z
0.033 mg/L
—
0.067 mg/L 15 mg/L 1 mg/L
MD mak
1
Monthlvsamnlina(inctaarinfccmi_nnnn�,11....,,�+1......:.....aVit___________
..
.
z - I•.....�.�..w -� 1Wav 111UaL ue_gIn W1L11 gyne seconu consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Fatalities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
UOrda�yi (a
Name (Print name)
e-i�-
Title (P�"le)
f�Q
(Si ature) Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BD -L, <PQL, Non -detect, ND, or other similar non-numet'ical
format. When results are below the applicable limits, they must be reported in the format "<XX me/L" where.XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT -HEM)
u JVV u,al-nur
Total Suspended Solids
ye uus Nerruur
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

�.a A TeXVOn COMPafly
VIA CERTIFIED MAIL
April 1 "� 2016
Division of Water Quality
Water Quality Section
ATTENTION: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
To Whom It May Concern:
Attached are a completed original and one (1) copy of Jacobsen's Stormwater Discharge Outfall (SDO)
Monitoring Report form for the Month of March 2016. Stormwater samples from a measurable storm event
were not collected this monthly period due to precipitation events occurring after business hours or on
weekends.
Sincerely,
Jacobs , A Textron Company
Chris Wissinger
Facility/Environmental Manager
Attachments

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted q -I Al
CERTIFICATE OF COVERAGE NO. NCG030306 SAMPLE COLLECTION YEAR 2016
FACILITY NAME Jacobsen A Textron Company SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Mecklenburg or ® Monthly' April (month)
PERSON COLLECTING SAMPLES: NA ❑HQW [:]Trout
DISCHARGING TO CLASS ❑ORW
LABORATORY: NA Lab Cert. #NA ❑Zero -flow ❑Water Supply ❑SA
®Other C
Comments on sample collection or analysis:
None PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
I Date Sample 124 -hour rainfall I Total Suspended Solids
Outfall No. collected amount,
fmo/dd/vrl Inche2
Benchmarks =__> - - 100 mg/L or 50 mg/C
cwnni I NA T NA NA
pH, I Copper I Lead
Standard units
No discharge this period?`
Non -Polar O&G/ Total Toxic
Zinc Total Petroleum Organics5
Hydrocarbons
6.0-9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L
NA NA NA NA NA
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date. ii/l/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
CHRIS WISSINGER
Name (Print name)
FACILITIES MANAGER
Title (Print itle)
(Si ature) (Date)
Note* Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mQ/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
1-1 Na rifsr_harae this neriod?Z
Date Sample
Outfall No. Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by Total Suspended Solids
EPA 1664 (SGT -HEM)
pH
Benchmarks =__> -
-
15 mg/L 100 mg/L or 50 mg/L*
6.0 — 9.0 SU
NA NA
NA
NA NA
NA
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

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

Semi-annualStormwaterDischarge MonitoringReport
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 3 - 3 ►-/ 6 4(
CERTIFICATE OF COVE RAGE N
FACILITY NAME: Newton Instruments
COUNTY: Granville
PERSON COLLECTING SAMPLES: Jonathan Murphrey
LABORATORY: Pace Analytical Lab Cert. #: 40
Comments on sample collection or analysis: Monthly sampling
Part A: Stormwater Benchmarks and Monitoring Results
❑ No discharge this period?'
SAMPLE COLLECTIONYEAR: 2016
SAMPLE PERIOD[:] Jan -June[] July -Dec
or®Monthly' February 2016
DISCHARGING TO CLASS❑ORW®HQW❑Trout❑PNA
❑Zero-flow❑Water Supply❑SA
❑Other
PLE0FE, IE A,E� GN ON PAGES 2 AND/OR 34
APR 0 4 2016
CENTRAL FILES
M%A L.
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan mayso certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the 4TO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3
ION
Non -Polar
Outfall No.
Date Sample
24-hour rainfall
Total Suspended
pH'
Standard
Copper
Lead
Zinc
O&G/ Total
Total Toxic
Collected'
amount,
Solids
units
Petroleum
Organics-'
(mo/dd/yr)
Inches3
Hydrocarbons
Benchmarks =__>
-
-
100 mg/L
6.0-9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
001
2/03/16
0.86
14.1 mg/L
7.9
0.0089 mg/L
<0.005 mg/L
0.0857 mg/L
<5.0 mg/L
0.015 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan mayso certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the 4TO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

WV ,
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
�e f 1.1Ylt��llawt�e�,zR� (�+�•�b•�Lr�
Title (Print title)
(Signa/(Date)
Note: Results must be reported in numerical for at.Do not reportBelow Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format.
When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection limit,
reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No. Date Sample 24-hour rainfall
Collected' amount,
(mo/dd/yr) Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT -HEM)
Total Suspended Solids pH
Benchmarks =__> - -
15 mg/L
100 mg/L or 50 mg/L* 6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

40"` • -
E2
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL?YES ® NO ❑
IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE?YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: John Ho
Mail an original and one copy of this DMR,including all "No Discharge" reports, within 30 days of receiptof'the lab results (or at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Date: 11/1/2012-10/31/2017
4-1
3.3o -1b
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

nr
Semi-annualStormwaterDischarge MonitoringReport
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 3 - 3 H 6
CERTIFICATE OF COVERAGENO. NCG030145 SAMPLE COLLECTIONYEAR: 2016
FACILITY NAME: Newton Instruments SAMPLE PERIOD[] Jan -June[] July -Dec
COUNTY: Granville or®Monthlyl February 2016
PERSON COLLECTING SAMPLES: Jonathan Murphrey DISCHARGING TO CLASS❑0RW®HQW❑Trout❑PNA
LABORATORY: Pace Analytical Lab Cert. #: 40 []Zero-flow❑Water Supply❑SA
Comments on sample collection or analysis: Monthly sampling ❑Other
Part A: Stormwater Benchmarks and Monitoring Results
❑ No discharge this period?'
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 34
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan mayso certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3
Non -Polar
Outfall No.
Date Sample
24-hour rainfall
Total Suspended
pH'
Standard
Copper
Lead
Zinc
O&G/ Total
Total Toxic
Collected'
amount,
Solids
units
Petroleum
Organics5
(mo/dd/yr)
Inches3
Hydrocarbons
Benchmarks ===>
-
-
100 mg/L
6.0-9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
001
2/03/16
0.86
14.1 mg/L
7.9
0.0089 mg/L
<0.005 mg/L
0.0857 mg/L
<5.0 mg/L
0.015 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan mayso certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

'IT
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
MYIRO�awst�i�/i� IVIv1% v..tW_ti
Title (Print title)
3-s 1- /b
(Signature (Date)
Note: Results must be reported in numerical for at.Do not reportBelow Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format.
When results are below the applicable limits, they must be reported in the format, "<XX mg/L" where XX is the numerical value of the detection limit,
reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new oil per month.
❑ No discharge this period?Z
Outfall No.
Date Sample 24-hour rainfall
Collected' amount,
(mo/dd/yr) Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT -HEM)
Total Suspended Solids
pH
Benchmarks =__>
- -
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 2 of 3

FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL?YES ® NO ❑
IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE?YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: John Holley
Mail an original and one copy of this DWincluding all "No Discharge" reports,within 30 days of receiptofthe lab results (or at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
3-31-1-L
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annualStormwaterDischarge MonitoringReport
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 3 -2 Pj—► 6 X
CERTIFICATE OF COVERAGENO. NCXr
FACILITY NAME: Newton Instruments
COUNTY: Granville
PERSON COLLECTING SAMPLES: Geoffrey Murphrey
LABORATORY: Pace Analytical Lab Cert. #: 40
Comments on sample collection or analysis: Monthly sampling
SAMPLE COLLECTIONYEAR: 2016
SAMPLE PERIOD[] Jan -June[:] July -Dec
or®Monthly' January 2016
DISCHARGING TO CLASS❑ORW®HQW❑Trout❑PNA
❑Zero-flow❑Water Supply❑SA
❑Other
KEUCE REMEMBER TO SIGN ON PAGES 2 AND/OR 34
Part A: Stormwater Benchmarks and Monitoring ResulfPR
S d 4 2096
No discharge this period 2z CENTRAL FILES
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
sTotal Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in•40,CFR 469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan mayso certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3
SECTIONDVVR
pH'
Non -Polar
Outfall No.
Date Sample
24-hour rainfall
Total Suspended
Standard
Copper
Lead
Zinc
O&G/ Total
Total Toxic
Collected'
amount,
Solids
units
Petroleum
Organics'
(mo/dd/yr)
Inches3
Hydrocarbons
Benchmarks ===>
-
-
100 mg/L
6.0-9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
001
1/15/16
0.32
47.7 mg/L
8.0
0.0088 mg/L
<0.005 mg/L
0.0617 mg/L
<5.0 mg/L
0.017 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
sTotal Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in•40,CFR 469.31).
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan mayso certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
C3tJ'i �3jZ®dlC4
Name (Print name)
`' A1�it13Owv►� N1rs` 1�4a�-c. P la
Title (Print title)
(Signature
(Date)
Note: Results must be reported in numerical format.Do not reportBelow Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format.
When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit,
reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No. Date Sample 24-hour rainfall
Collected' amount, Non -polar O&G/TPH by
(mo/dd/yr) Inches' EPA 1664 (SGT -HEM) Total Suspended Solids
pH
Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B
• 2 EXCEEDANCES INA ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL?YES ®NO ❑
IF YES,HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE?YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: John Holley
Mail an original and one copy of this DMR,including all "No Discharge" reports,within 30 days of receiptof the lab results (or at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
Permit Date: 11/1/2012-10/31/2017
3c ?16— l%
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS jr2,,o 0-00a— Oa— or
Certificate of Coverage Number- T�
FACII.ITY NAME i I ke Solid
PERSON COLLECTING SAMP (S) XCILE h C413 42 13
CERTIFIED LABORATORY(S) + ab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:1A/ OA41, 26 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 e5
PHQNE N .
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my lmowledge.
Outfall Date 50050
No. Sample Total Total
Collected Flow (if app.) Rainfall RECEIVE[)
mo/dMG inches
W
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 Monitoring Requirements
i
Outfall Date
No. Sample
Collected
150050 100556
Total Flow Total Rainfall Oil & Grease
(if applicable) (if appl.)
1
Nonpolar
O&G/TPH
(Method 1664
SGT•HCM), if
O 1.
1 uuaav I uUnuu
Total pH New Motor Oil
Suspended Usage
Solids
mo/dd/ r
MG inches
Units al/kno
Form SWU-246-062310
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 24aid zo 1
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
Attn: Central Files
1617 NIA ,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 possibility -of fines and imprisonment for knowing violations."
C 1,6
(Slgidtdre of Permittee) (Date)
Form SWU-246-062310
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted _3/17/2016
CERTIFICATE OF COVERAGE NO.G1.M-
FACILITY NAME—Stanadyne
COUNTY Onslow
PERSON COLLECTING SAMPLES William Brinkley
LABORATORY Charlotte, Asheville Lab Cert. # —12, 40
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' March
DISCHARGING TO CLASS ❑ORW ®HQW ❑Trout ❑PNA
RECEIVED V ❑Zero -flow ❑Water Supply [:]SAA
❑Other
APR 0 4 2016
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
SWR SECTION
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar
O&G/ Total
Petroleum
Hydrocarbons
Total Toxic
5
Organics
Benchmarks ===>
-
-
100 mg/L or 50 mg/L4
6.0-9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SDO-2
3/3/16
.18"
<5.0 mg/L
7.9
0.0056 mg/L
<0.0050mg/L
0.10 mg/L
<5.0 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
A7J Fr- 9 -f -Y
Name (Print name)
� err-�-v� L�s.�. Ms�.....�.•f,......
le (Print title)
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT -HEM)
Total Suspended Solids
pH
Benchmarks ===>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

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

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 3 — �- 1 �0 r
CERTIFICATE OF COVERAGE N0,11ICG06, SAMPLE COLLECTION YEAR Z -b b
FACILITY NAME FACILITY A'iIVITIES INCLUDE (check all that apply):
COUNTYpC`tr,cllt./ �use/process meats ❑ use animal fats products
PERSON COLLECTING SAMPLES 1_',�,�, �; .C�� Il�IERAGING TO SALTWATERS? []YES ®,N6
LABORATORY � ; ��.k_.� Lab cert. # , 1 l05 � � � n 3 l 2 ,
PLEASE REMEMBER TO SIGN ON THE REVERSE �
CENTRAL FILES,
Part A: Stormwater Benchmarks and Monitoring Results DWR SF-CTION'1 Total event rainfall z o i' _ or n No discharge this period?
Outfall No. Sample Collected,
ma/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform", Enterococci ,
Colonies per 100 ml Colonies per 100 ml
Benchmark -
100 or 504
Within 6.0-9,.0
120
30
1000 500
L 4 212q
(o, 2
L(3
L
3(e �-
L 9'
"Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [] yes g no (if M complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No. Sample Collected, Oil and Grease, TSS, pH, New Motor oil Usage,
mo/dd/yr mg/L mg/L Standard units Annual average gal/mo
Benchmark - 30 100 or 504 6.0-9.0 -
,' Only applies to facilities that use/process meats.
2The`rotal precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must stili submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO Q/
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 dais of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
3 -IS -16
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: Oc -r 18, 2012
acre 2 of 2

PROCESS WASTEWATER —Quarterly Discharge
Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NOEM01
G- ._
FACILITY NAME: D 4 ea / X
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
r Lab #
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 'A0 lb
SAMPLE QUARTER:u -Sept ❑Oct -Dec Jan -March April -June
COUNTY: "Aarbo P10 6
PHONE NO. j ;(o) 6 JA
ADD TO LISTSERVE? AYES []NO EMAIL:
DISCHARGING TO CLASS: OSA QHQW [jPNA OTrout ❑Other
OPTIjONA//L� INF�O: !fS �F ,i:%P� law
Outfall No.
_
th'
Z
Date Sample
2
Collected) Type of Wa(VE, RM, MD)
(mm/dd/yr)
SC E -
- pH
(standard)
6-9%4
Total Suspended
Solids
(mg/L)
303.5
Settleable
Solids
(MLA)
53
TPH using Dischar-
ge
method 1664A - Total: Flow
SGT-HEstewater
Duration
11�
(mg/L) (minutes) (gallons/day)
(15)6
u -
r
,L FIL
NR
If tt
t h t d' h d'
was ewa er sys ems ave no isc arge m is quarter — report No Flow' or No Discharge here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff:
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PMA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

Proce�
ssif only be
wastewate�..diis6gj�s
monitored for TPH when commingled with stormwater discharges from VIVA areas. TPH does not have a limit for w
but instead is subject,to:behchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
�OL j&,-Vf wastewater,
7
-
Flow rate can
be measured continuously or calculate discharges d. Flow limits for wastewater to HQW waters shall be set 50 -
to % t e Summer 7Q10 Flow ii§ per 13A
NCAC 0211.0224. Permittees who aiscfiarge wastewater to HQW waters shall obt)ain'a SuMffi6r 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a sbmmer_7_416'ho;�� fog the receiving waters at the discharge location, the permittee shall notify DWO, and the DWQ Regional Office may require an annual flow
report -on a case -by -,case basis.
If S
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY 'INCLUDING ALL :'NO FLOW" "NO DISCHARGE I WITHIN 30DAYS OF RECEIPT
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: F SAMPLE OR
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh; North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATIONFOiR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a designed 'to
assure that qualified perionnel properly gather and evaluate the information submitted. Based on my inquiry of the per -son or persons who managege 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 theme are sig
violation, pificant�enialties for submitting false information, including the possibility of fines and imprisonment for knowing
-- ----------
Signature of Permittee) �1
(Date)
Permit Date: 7/l/2010 -06/30/201S
Last Revised 07/13/11
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted Al2,,'t -41 20 r e,.
CERTIFICATE OF COVERAGE N494NNI&G��2 -
FACILITYNAME I-e1et1
COUNTY -Le-t-at t1
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR AID I b
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' tAa -,h (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply RSA
�_ ZOther c I �, s 5 c—
t c, v
APR 0,5 PLEASE REMEMBER TO SIGN ON THE REVERSE a
CC -N 7 Z,.
VO/R sp,, _.L�s
'I ND discharna thic narinrl?2
Outfall No.
Date Sample 24-hour rainfall
Collected' amount,
(mo/dd/yr) Inches Chemical Oxygen Demand Fecal Coliform Total Suspended Solids
Benchmarks =__>
_ - 120 mg/L 1000 count per 100 mL 100 mg/L or 50 mg/L°
cpo-S-1
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
" See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the nurnerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2

Part 13: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?`'
Date Sample 24-hour rainfall Collected, amount, Non -polar O&G/TPH by
Outfall No.
(mo/dd/yr) Inches3 EPA 1664 (SGT -HEM) Total Suspended Solids
pH
Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L"
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS -
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
© TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 11/1/2012-10/31/2017
Q,Q'It I� 2mr,6
(Date)
SWU-248, last revised 10/25/2012
Page 2of2

Semi-annual Stormwater Discharge Monitoring Deport
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted March 29, 2016
CERTIFICATE OF COVERAGE No JG -10106=1 RECEIVED
FACILITY NAME Rex Oil APR 0 5 2016
COUNTY Davidson
PERSON COLLECTING SAMPLES Lynne Hays CENTRAL FILES
LABORATORY R&A Lab Cert. # 34 Comments on sampleQMfi?cf&CcTt0N
analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 2013
SAMPLE PERIOD xJan-June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
RECEIVED
❑Other
APR 0.3 j PLEASE REMEMBER TO SIGN ON THE REVERSE 4
,CENTRAL FILES
DWR SECT 161
❑ No discharge this period'
-rrto%dd%yrs
rr, _ :00556 : r
°00400.�,4
U0400
�Nori=Polar Oil grid Grease TPH-fPAaMethod Vit..
/,-
SGT!�HEM , rn %L -
I ) g
Suspended,.
�Solids,�riig/L
pH; �, `-
,St_andard unit' s�'�a,��'
Non=Polar Oil` andFGrease/TPH EP,A
z
;IVlethod 1664, -(SGT -HEMS, mg/L-•Annualavera
New Motor Oil Usage;,w�
a al o,
g gall,
Benchmark-
50,or,-100;"see,` ermit
p
Withi+h 6.0:.-„s9.0;
x,' '° 15,.
NA/No Flow
NA/No Flow
SDO #2 03/19/16
<5
796
7.7
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
'Outfall_= _ Date';`.
le=Collected -_'
,,
Y
rr, _ :00556 : r
r `, 00530
U0400
�Nori=Polar Oil grid Grease TPH-fPAaMethod Vit..
/,-
SGT!�HEM , rn %L -
I ) g
° `. T I`
ota S,uspetided,Solids,
w . ain C: :;.., � . -
e`� e
,d�'.,:�,,Standard`u' h
�°
P,ermit.Limit°.`,`
,15 ,
_g/
50.0 00 see permit,u
6:0--ti9.0>>: ;
SDO #1 3'
NA/No Flow
NA/No Flow
NA/No Flow
SDO #2 03/19/16
<5
796
7.7
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 03/19/16 (first event sampled)
Total Event Precipitation (inches): .10
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES x NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES x NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Ag—
Lynne Hays for Rex Oil Company
(Signature of Permittee)
March 29, 2016
(Date)
. Additional copies of this form may be downloaded at: http:Hportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250
last revised October 25, 2012
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
ft CERTIFICATE OF COVERAGE NO. NCGO9098 8
FACILITY NAME Superior Carriers High Point
COUNTY Randolph
PERSON COLLECTING SAMPLES Lynne Hays
LABORATORY R&A Lab Cert. # 34 Commentsa@jQIJec- U or
analysis: VV ����
APR 0 5 2019
t
CENTRAL FILES
Part A: Vehicle Maintenance Areas Monitori�[�WjR%t Fe'WQhks
Date submitted:
03/31/16
1
Y i
kv,', �r
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD X Jan -June July -Dec
or Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout
❑Zero -flow xWater Supply
❑Other
❑PNA
[—]SA
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period'
Date
Samphe Collected;
�_ / /Y.
:' Ob530 _
" 00400
00556'`
N'on=PolarAOilaan'd"G'rea's'e%TPH°'EPA IVlethodt"''
°16G4 (SGT=HEM) :mg/4°,z �.
Total Sus"pended'=_,
Soliis,nig
, -
;'pH;
°
Standardunts t
-
'No'n"=Pola_r, 6iLan"d'�Gr�ease/TPH� EPA's
_g/L-Method�1664`(SGT=HEM);m
�'Ne`SirMotorOilaUsage,,-
Annual�average;gal/iron
`Benchrnark��-50or-lOUsee.'perrnit
�� �.6.D,= 9'
�.1Nithin'6:0-"`9.0;
<5.0
198
8.6
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall _Date
;;-
No_: Sain`` IerCollected;
rico%dil�yr. �
00530
='
N'on=PolarAOilaan'd"G'rea's'e%TPH°'EPA IVlethodt"''
°16G4 (SGT=HEM) :mg/4°,z �.
'Notal°Suspended Sohids;
a 4 " rr� L
g/ -
pH;
:Stan ard,units
_ d
�¢: �, _°,�
PerrnitrL"1mit;
� � � : ; ;=
- 15•
SO orti100usee � errnit"
p
�� �.6.D,= 9'
SDO #1 03/19/2016
<5.0
198
8.6
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 03/19/16 (first event sampled)
Total Event Precipitation (inches): .10
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES INA ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO x
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Lynne Hays for Superior Carriers Inc 03/31/16
vy p
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised October 25, 2012
Page 2 of 2

Semi-annual StormWater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 3/31/16
CERTIFICATE OF COVERAGE NO, NCG�B0• `�3
FACILITY NAME Winston Salem Transit Authority
COUNTY Forsyth
PERSON COLLECTING SAMPLES Lynne Hays
SAMPLE COLLECTION YEAR 201
SAMPLE PERIOD X Jan -June July -Dec
or Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout
LABORATORY R&A Lab Cert. # 34 Comments on sample collection
analysis: RECEIVED
APR 0 5 LOi'a
CENTRAL FILES
Part A: Vehicle Maintenance Areas Monitoring Requirements i7WR SECTION
❑Zero -flow ❑Water Suppl
[—]Other
❑PNA
y
[]SA
PLEASE REMEMBER TO SIGN ON THE REVERSE —>
❑ No discharge this period1
Outfall . _ Date
"No: ="Sam"pI6Co11ected,,
-° mo/dd/yr
66530,--
00,460,
, 00556='
Non=Polar Oil and Grease/TPH EPA Moth'od
(SGT-HEIVI);'mg/L`'"°`� �,
Total'Suspended`""
; -Solids;,mg/L `
�,;°, �.: °,.:�
pH
:. Standard units`-
-'N'ori-Polar;Oilrand:G:rease/TPH-EPA
� Method"1664 (SGT -HEM); mg/L
'New;fVl"oto,i dil'Usa i
g ,
Annual average gal/mo
uBerichrriark _
50",or`°100 see�,permit,
Within '6.0 - 9.0,
s' a
SDO #19/16 ON
109
7.5
<5
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? x yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
O_ ut61l—, � 'Daae" r
No. Sample ,Collected;.
- �� � � -. 00556 = - �" � ''� �
� � �00530 " " �
; � �. _ 00400' -
Non=Polar Oil and Grease/TPH EPA Moth'od
(SGT-HEIVI);'mg/L`'"°`� �,
,Total Suspended Solids, -
�mg/L
pH,Tf ry
"St andardti,units''
�Permit.Li►iiit `
a " x`15 . _ "
�50 or.,,1d0 see permit
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date (first event sampled): 3/19/16
Total Event Precipitation (inches): .11
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXC.EEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? x YES NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? xYES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250
last revised October 25, 2012
Page 2 of 2

rr; -� I - -_-
7
TYSOn, Tyson Foods, Inc.
April 6, 2016
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit No. NCG060000
,;on arms c.NCG060020
Dear Madam or Sir:
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk -
02 for the parameter of fecal coliform.
Tyson Farms Inc. Did not meet storm water sampling criteria for the month of March 2016
Due to mostly dry weather for the month.
Monthly (analytical and qualitative monitoring) will continue for this,parameter until three
consecutive sample results are below the benchmark values or within benchmark range.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253 should you have any questions.
Sincerely,
�- aDI'13)
Raymond E. Johnson (Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext. 3476 Fax: [phone] www.tyson.com

for North CaroHna Division of Water QuafltSy enera0 Parfait No. MCGI20000
Date submitted 4 L.
CERTIFICATE OF COVERAGE NO. NrI;2;,7
FACILITY NAME
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY -. co Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Zo t �
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or [�C] Monthly'_ (month)
DISCHARGING TO CLASS ❑ORVV ❑HQW ❑Trout ❑PNA
,IV ❑Zero -flow ❑Water Supply ❑SA
. APR 11 1016 ❑Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DV'IR SECTION �-
IVU urawJur ye encs penop -
Outfall No. Date Sample 24-hour rainfall
Collected' amount,
(mo/dd/yr) lnches3 Chemical Oxygen Demand Fecal Coliform Total Suspended Solids
Benchmarks ===> _ - 120 mg/L 1000 count per 100 mL 100 mg/L or 50 mg/L4
z Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
4The total precipitation must be recorded using data from an on-site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2

Part RD Vehicle Maintenance Area Monitoring Resu ts: only for facilities averaging > 55 gal of new oil per month.
0 No discharge this period?Z
Outfall No.
Date Sample
Collected"
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT -MEM) Total Suspended Solids
pM
Benchmarks ===>
_
-
15 mg/L 100 mg/L or 50 mg/0
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part M
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring Period
in the case of "No Discharge"' reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are sig aifnt'pe (ties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Date)
Permit Date: 11/1/2012-10/31/2017 r SWU-248, last revised 10/25/2012
Page 2 of 2

Orange County Solid Waste Management
P.O. Box 17177 Chapel Hill, NC 27516-7177 [phone] FAX [phone] www.co.orange.nc.us/recycling
Orange County Landfill 932-2989
April 6, 2016
Orange Community Recycling 968-278
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Attn: DWQ Central File
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Orange County MSW & C&D Landfills, NCG120065
Storinwater Monitoring .
�a
8
Enclosed is the monthly Stormwater Discharge Monitoring Report for March 2016. Orange
County is currently in Tier II monitoring for the facility due to high TSS. The report indicates no
discharge for this month.'
There were two qualifying rain events during the month. The events occurred during a time
period that the first flush discharge could not be captured in time to be collected or started too
late to be delivered to the testing laboratory within the hold time requirements for the testing
laboratory (maximum 6 hrs for E.Coli.).
Orange County continues to monitor the installed BMP's that help to control the amount of
onsite erosion and subsequent discharge of contaminated water; this includes the monitoring the
growth of our vegetative cover and minimizing the amount of disturbed land.
If you have any questions, please contact me at gdivelygoran eg countync.gov or 919-968-2788.
Sincerely,
(k4
Gordon Dively, PE
cc: Gayle Wilson, Director, OCSWM
Paul Spire, Operations Manager, OCSWM