NCG160072_MONITORING INFO_20190524

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
/v C� �� (Jp
DOC TYPE
El HISTORICAL FILE
COY MONITORING REPORTS
DOC DATE
Q :�
YYYYMMDD
L

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General PevmitNo. NCG160000 - Asphalt
Date submitted a -2y a?o/
CERTIFICATE OF COVERAGE NO. NCG16 0 ,Q Z ?—
FACILITY NAME * -AK
COUNTY d14 G
PERSON COLLECTING SAMPLES vim'
LABORATORY 2 ! tab Cert. #
Comments on sampie collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR APA
SAMPLE PERIOD PDJan-tune ❑ iuly-Uec
REC � m or [3 monthly' (month)
ARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
MAY 31 2019 ❑Zero -flow ❑Water Supply ❑SA
CENTRAL FILES []Other
OM SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
0 No discharge this period?"
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
inches;
Total Suspended Solids
Benchmarks ===>
-
100 rng/L or 50 mg/L
0,141
IdArY14
6,/0
t
' 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
sThe 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 melL",, where XX is the numerical value of the,
detection limit, reporting limit, quantitation limit, etc in mg/L
Note: if you report a sample value In excess of the benchmark, you must Implement Tier 1, Tier 2, or Pier 3 responses. See General Permit text.
Permit Date 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period ;�'
Qutfali No.
Date Sample
Collected"
Imo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ==_>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: if you report a sample value In excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3. HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mall an original and one copy of this DMR Including all "No Dl ch r e" re oils within ,30 da o revel t o the lab results or at end o monitoring
-period
In the case of "No Dischume" reports:
Division of Water Resources
Attn DWR Central Files
1617 Mai} 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 vrolatiors "
(Signature 6f Permittee)
Permit Date 10/1/2014-9/31/2019
(Date)
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted
CERTIFICATE OF COVERAGE NO. NCG160072
FACILITY NAME Blythe Construction Inc - Pit #1
COUNTY Guilford
PERSON COLLECTING SAMPLES Russ Taggart
LABORATORY ALS Laboratories Lab Cert. # 527
Comments on sample collection or analysis: Testing laboratory lost samples
collected by permittee on 11/15/2018. Permittee was unable to obtain
another make-up sample by the end of the monitoring period 12 31 2018 .
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ®Water Supply [:]SA
®Other NSW
JAN 2 8 2019
CENTRAL F'ii., S PLEASE REMEMBER TO SIGN ON THE REVERSE4
DV'JR SE: -T10N
❑ No discharge this period ;2
Outfall1+14
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches}
Total Suspended Solids
Benchmarks ===>
-
-
100 mg/L or 50 mg/L
001
11/15/2018
2"
Testing laboratory lost sample collected by facility Permittee was unable to collect
another make-up sample by the end of the monitoring period (12/31/2018).
002
11/15/2018
2"
Testing laboratory lost sample collected by facility Permittee was unable to collect
another make-up sample by the end of the monitoring period (12/31/2018).
' 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
3 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 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, quantitation limit, etc in mg/L
Note- if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit bate 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period 22
Outfalt Na
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks -_->
_
-
15 mg/L
100 mg/L or 50 mg/L
NA
Footnotes from Part A also apply to this Part B
Note. If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO
REGIONAL OFFICE CONTACT NAME
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, 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 10/1/2014-9/31/2019
/' // %
(bate)
SWU-252, last revised 9/17/2014
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) E �o mint Qualfty
ANNUAL SUMMARY DATA MONITORING REPORT,(DMR) Received
Calendar Year 2018 OCT 2 6 2018
Revised 9/1712014
Winston-Salem
General Permit No NCG160000
Certificate of Coverage No NCG160072
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name Blythe Construction, Inc — Pit # 1
County Guilford
Phone Number (iO4) 375-8474 Total no of SDOs monitored 2
Part A Outfall No. 001 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ED
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
01 -
�.---
N'#o
tnfallOutfaft
inches
TSS inglL
Benchmark
N/A
501100
leCaliected,
Eate SdmRE
4'
^�04116/2018
1 00 Inches
21 0 mg1L
NIA
NIA
No discharge
occurred during
sampling period
Will attempt to
collect a sample
by the end of this
year
a
i
Page

Part B. On -Site Vehicle Maintenance Outfall No 001
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 [monitored monthly] during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
�00530� �0055&,�
Total Rainfall, M
ll00�1 inches TSS, mglL
Benchmark N/A 501100 15
Date Sample Collected,
m olddlyr
NIA
Yes ❑ No ❑
Yes ❑ No ❑
Page 12

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, din a ssibil i9es and imprisonment for knowing violations „
Signature
Date
Mail Annual DMR Summary Reports to:
DEMLR Regional office Contact Information
Asheville Office
Fayetteville Office
Mooresville Office
Raleigh Office
Washington Office
Wilmington Office
Winston-Salem
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
Page 13

STORMWATER DISCHARGE OUTFALL (SDO) NC Depa, are,,. o:
ANNUAL SUMMARY DATA MONITORING REPORT (DMyironmental gU';Ilty
Calendar Year 2018 f�TReceived s�
Revised 9/17/2014 0 C i 2 6 2,3j 13
General Permit No NCG160000
Certificate of Coverage No NCG 160072
P:,ricnal Chic, -
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year,
Facility Name Blythe Construction, Inc — Pit # 1
County Guilford
Phone Number [phone] Total no of SDOs monitored 2
Part A. Outfall No. 002 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Page I l

Part B On -Site Vehicle Maintenance Outfall No. 002
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
�Q053Q� QQ55fi
Total Rainfall Non -polar Oil 8►
Outfall Q02 inches TSS, mglL Grease, mgll_
Benchmark N/A 501100 15
Date Sample Collected,
moltltltyr
N/A
Yes ❑ No ❑
Yes ❑ No ❑
Page 12

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,c!u th possib f fines and imprisonment for knowing violations „
Signature
Date
Mail Annual DMR Summary Reports to,
DEMLR Regional Office Contact Information:
Asheville Office
[phone]
Fayetteville Office
[phone]
Mooresville Office
[phone]
Raleigh Office
[phone]
Washington Office
[phone]
Wilmington Office
[phone]
Winston-Salem
[phone]
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem. NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville. NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
Page 13

� Semi-annual Stormwater Discharge Monitoring Report (DMRI
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted 2
CERTIFICATE OF COVERAGE NO. NCG160072
FACILITY NAME Blythe Construction_ Inc. - Pit #1
COUNTY Guilford
PERSON COLLECTING SAMPLES Russ Taeeart
LABORATORY ALS Laboratories Lab Cert. # 527
on sample collection or analysis- NA
Comments
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' _ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ®Water Supply [:]SA
,FCENED ®Other NSW
�a I 1 ZQI� PLEASE REMEMBER TO SIGN ON THE REVERSE4
CC1�7�RfEL FiL.1rS
DWG SECTiON
No discharge this period ;12
putfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks ===>
-
-
100 mg/L or 50 mg/L
001
4/16/2018
1"
21 mg/L
002
N/A
N/A
No discharge
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
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 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, quantitation limit, etc in mg/L
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date 10/1/2014-9/31/2019 SWII-252, last revised 9/17/2014
Page 1 of 2

Part B Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period ;12
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
lnches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or So mg/0
NA
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO
REGIONAL OFFICE CONTACT NAME
Mail an oriainal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results (or at end of monitoring period
in the case of "No Discharge" reports) to•
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
(Signature of Perm
Permit Date 10/1/2014-9/31/2019
( te)
SWU-252, last revised 9/17/2014
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2017 N Department of
Environmental Quality
Revised 911712014 Received
General Permit No NCG160000 - ` ""'
Certificate of Coverage No NCG160072 Winston-Salem
Regional Office
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name Blythe Construction, Inc — Pit #_ 1
County Guilford
Phone Number (LO4) 375-8474
Total no of SDOs monitored 2
Part A. Outfall No. 001 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Ej
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes [] No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall 001
Total Rainfall
inches
1911UO0530�
TSS, mglL
Benchmark
NIA
50/!00
Date Sample Collected,
moltldlyr
03/02/2017
0.76 Inches
78.7 mg1L
08/08/2017
1 00 inches
12 0 mg1L (Out of
Temp)
t
Page I 1

Part B. On -Site Vehicle Maintenance Outfall No 001
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
outfall 001
Total Rainfall,
inches
US, rng1L
Non-polat Oil &
Grease, mglL-
Benchmark
N/A
501100
15
Date Sample Collected,
mold dty r
NIA
Yes El No El
Yes ❑ No ❑
Page j 2

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 "
/2 . ,I
Signature
Date 1
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office
[phone]
Fayetteville Office
[phone]
Mooresville Office
[phone]
Raleigh Office
[phone]
Washington Office
[phone]
Wilmington Office
[phone]
Winston-Salem
[phone]
SAEYILLE REGIONAI, OFFIC►D
FAY TT;EYILLE REGIONAL OFFICE
�QORE9,YILLE GIONAL OFFICI3
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 2830I-5043
(704) 663-I699
(9I0) 433-3300
]EIGII REGIQN�L U)FFIC
WTA'$HINGiTiONTREGI.OI!1AL�OFFIC)E3_V4RL�MLNCTON�REGION�AL(OEF,CC�3
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Waslungton, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTQN-SALEM 1[tEGIONr
FFiC
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Page j 3

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2017
Revised 9/1V2014
General Permit No NCG160000
Certificate of Coverage No NCG160072
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name Blythe Construction, Inc — Pit # 1
County Guilford
Phone Number 704) 375-8474 Total no of SDOs monitored 2
Part A. Outfall No. 002 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall 002
00530
Total Rainfall
inches Tom+ mglL
Benchmark
NIA 501100
Date Sample Collected,
malddlyr
03/02/2017
0 75 Inches 510 m9 IL
08/08/2017
1 00 inches
5.0 mg1L (Out of
Tem )
Page 11

Part B. On -Site Vehicle Maintenance Outfall No. 002
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Page 12

" 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
Date 1 �f 2
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information
Asheville Office [phone]
Fayetteville Office
[phone]
Mooresville Office
[phone]
Raleigh Office
[phone]
Washington Office
[phone]
Wilmington Office
[phone]
Winston-Salem
[phone]
VS_ REViLI.E REGIONAL [)FI4ICD
FAYETTEVILLE REGIONAL OFFICE
MOQRES.ViILLEAEGIO pN L dFFIG)N]
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
IFEIGH�REGIONAL Q1FFI'Cb
W7Ar5HINGTONLEC_ION CIFFICn
►WI lftj G3T rq REGI'Q:XdL0F.FIC_ fB
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Dnve Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WIlVSTON-s& REGION
OFFICFl
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Page 13

E:
Semi-annual Stormwat_er Discharge Monitoring Report (DMR]
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted &✓/z
CERTIFICATE OF COVERAGE NO NCG160072"
FACILITY NAME Blythe Construction Inc. - Pit #1
COUNTY Guilford
PERSON COLLECTING SAMPLES Russ Taman
LABORATORY ALS Environmental Lab Cert. # 527
Comments on sample collection or analysis: NA
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow Water Supply [:]SA
®Other NSW
PLEASE REMEMBER TO SIGN ON THE REVERSE4
❑ No discharge this period ;12
- Outfall.No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3 -
�
Total Suspended Solids
Benchmarks = =>
-
' -
100 mg/L or 50 mg/L
001
8/8/2017
1.001,
12 0 mg/L (Out of Temp — 20.7'C)
002
8/8/2017
1.001'
5 0 mg/L (Out of Temp — 20.7'C)
"n
cn
I f
r�
vy�
�
G7
G'
-1
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
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 text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier, , or Tier 3 responses. See General Permit text.
Permit Date 10/1/2014-9/31/2019
SWU-252, last revised 9/17/2014
Page 1 of 2

t
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period ;12
Outfali No.
pate Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inche53
Nan -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/L
NA
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 Z or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
TIER 3' HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT-) YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an oriainal and one copv of this DMR, includina all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitorma period
in the case of "No Discharae" reports) to:
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATI N 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 10/1/2014-9/31/2019
( te)
SWU-252, last revised 9/17/2014
Page 2 of 2

"W
' Semi-annualStormwater Discharge Monitoring Report (DMR]
for North Carolina DEMLR General Per it No. NCG160000 -Asphalt
Date submitted ---47z/Z,
CERTIFICATE OF COVERAGE NO. NCG160072
FACILITY NAME Blythe Construction Inc. - Pit #1
COUNTY Guilford RECEIVED
PERSON COLLECTING SAMPLES Russ Taggart
LABORATORY Xenco Laboratories Lab Cert. # NA APR 19 ����
Comments on sample collection or analysis: NA CENTRAL FILES
DXIVR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ®Water Supply ❑SA
®Other NSW
Outfall No.
is
Date -Sample
:Collected
(ino/dd/yr)
24-hour rainfall
amount,
Inches
Total Suspended Solids
Benchmarks ===>
I _
-
100 mg/L or 50 mg/L
001
3/2/2017
0.75"
78 7 mg/L
002
3/2/2017
0.75"
510 mg/L
PLEASE REMEMBER TO SIGN ON THE REVERSE4
No dischorge this period ?2
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
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, quantitation limit, etc in mg/L
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date 10/1/2014-9/31/2019 5WU-252, last revised 9/17/2014
Page 1 of 2

Y+
Pert B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period ;2
No.
Date Sample
aCollectedamount
24.our rainfalltfall
� �
Non- olar0&Gb EPAp
Ya
(SGT,;HEM} '
"s�'d
Total(mo/,dd/,yr}inches1664
rBenchmarks = _=
-
15 mg
MR i00 mg/L or 50 mg/I:
NA
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 Z or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3• HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL7 YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Marl an original and one copy of this DMR, includigg all "No Discharge" reports! within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge"' reports) to:
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MAST SIGN THIS CERTIFICATION FOR ANY INFORMATIQN REPORTED
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete 1
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
(Signature of Perm
Permit Date 10/1/2014-9/31/2019
Z11711,7
{Date}
SWU-252, last revised 9/17/2014
Page 2 of 2

NC Department of
Environmental Quality10
STORMWATER DISCHARGE OUTFALL (SDO) Received
s
ANNUAL SUMMARY DATA MONITORING REPORT (DMOC 0 5 2016
Calendar Year 2016 Winston-Salem
Revised 9/17/2014 Regional OffiCe
Genera[ Permit No NCG160000
Certificate of Coverage No NCG160072
This monitoring report summary is due to the DEMLR Regional Office no later than November 9 of
each year.
Facility Name Blythe Construction, Inc — Pit # 1
County Guilford
Phone Number [phone] Total no of SDOs monitored 2
Part A. Outfall No. 001 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitonng frequency ❑
Other ❑
tiutfaH 001
Total Rainfall,
inches
00530
TSS, mglL
Benchmark
N/A
5Q/9Q0
Date Sample Collected,
molddlyr
=
M1
912712016
1.5 Inches
18 mglL
Page I 1

Pact B. Ora -Site Vehicle Maintenance Outfall No. NIA
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall
Total Rainfall,
inches
00530
00556
TSS mglL
Non -polar Oil &
Grease, mglL
Benchmark
N/A
501100
15
Date Sample Collected,
molddlyr
NIA
Yes ❑ No ❑
Yes ❑ No ❑
Page 12

"I cQrtify, 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 "
SignE
Date
Mail Annual DMR Summary Reports to:
DEMI_R Regional Office Contact Information
Asheville Office
(828) 2964500
Fayetteville Office
[phone]
Mooresville Office
[phone]
Raleigh Office
[phone]
Washington Office
[phone]
Wilmington Office
[phone]
Winston-Salem
[phone]
ASHEV` L-L"I EGION°AL OFFICE
FAYETTEVILL E�REGIONAL�0FFICE;
MOORESVIL`LE'REGIONAL;OFFICE '
2090 US Highway 70
225 Green Street{
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714 1
Mooresville, NC 28115 ;
i [phone]
Fayetteville, NC 28301-5043
[phone]
If
[phone]
i RALEIG$jREGIONAI. 0YF_,ICE
lvWASHINGTONtREGIONAI,�OF,FICI•} i
WILMINGTON REGIONAL<OFFICE
f 3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
E [phone]
[phone]
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Page 13

Semi-annual Stormwater Discharge Monitoring Report (DMRi
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted _ Loh-"
CERTIFICATE OF COVERAGE NO. NCG160072
FACILITY NAME Blythe Construction Inc. - Pit #1
COUNTY Guilford
PERSON COLLECTING SAMPLES Russ Tapga�rt
LABORATORY ALS Group USA, Cora Lab Cert. # 624-2015
Comments on sample collection or analysis: NA
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® July -Dec
Q cc ii or ❑ Monthly' (month)
� `ECCIVEDDISCHARGINGTOCLASS ❑ORW ❑HQW ❑Trout ❑PNA
NOV 0 4 2016 ❑Zero -flaw ®Water Supply ❑SA
®Other NSW
CENTRAL FILES
OWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE-)
❑ No discharge this period?'
Outfall No.
Date Sample
collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks =__>
-
-
100 mg/L or 50 mg/L
001
9/27/2016
1.5"
18 mg/L
002
9/27/2016
1.5"
32 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
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
3 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 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 ms/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part 8- Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
'-Wft-
❑ No discharge this period P2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or S0 mg/L
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT7 YES []NOD
REGIONAL OFFICE CONTACT NAME
Mail an oriainal 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 Resources
Attn DWR Central Files
1617 Mad 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 "
/ 012 6 ,6
(Date
Permit Date 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted S
CERTIFICATE OF COVERAGE NO. NCG160072
FACILITY NAME Blythe Construction Inc. - Pit #1
COUNTY Guilford
PERSON COLLECTING SAMPLES Russ TaRgart
LABORATORY ALS Group USA, Corry Lab Cert. # 624-2015
Comments on sample collection or analysis: NA
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ® Jan -June ❑ July -Dec
II or El Monthly' month
REC E 1VE D DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
5 2016 ❑Zero -flow ®Water Supply ❑SA
®Other NSW
CENTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE4
❑ No discharge this period?z
Outfal# No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks ===>
_
-
100 mg/L or 50 mg/1.
002
N/A
N/A
Was Not Present At Time of
Discharge
003
N/A
N/A
Was Not Present At Time of
Discharge
/1
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 ram 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 me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period ;2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===>
_
-
15 mg/L
100 mg/L or 50 mg/0
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3. HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT} YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports)to:
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
(Date)
Permit Date 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

Reatonal Offices.
Los Angeles, CA
(2 13) 553-9309
Washington, DC
[phone]
Jacksonville, FL
[phone]
Miami. FL
[phone]
i allahassee, FL
[phone]
Atlanta GA
[phone]
Macon GA
[phone]
Savannah GA
[phone]
New Orleans, LA
[phone]
Boston, MA
[phone]
Charlotte NC
[phone]
Albuquerque, NM
[phone]
New York NY
[phone]
Dallas, TX
[phone]
Houston, TX
[phone]
Richmond VA
[phone]
JW6%M­
C' RECEIVED
N C Dept of ENR
Environmental - Southeast. LLC ,2 JAN 15 20%
E-.. a *.-tag o.cn•rre...t H..r n a s3terttot..r a..•
W NSTON-SAi-Em
REGIONAL Qf:HCE
December 4, 2015
Transmitted via Certified Mail# 7015 0920 0001 4130 8238
North Carolina Department of Environmental Quality
Division of Water Resources
Attn Water Quality Permitting Section (Winston-Salem Regional Office)
585 Waughtown Street
Winston-Salem, NC 27107
Re: Blythe Construction, Inc.- Pit. #1, 2083 Bishop Rd., Greensboro, NC,
27404, NCG 160072
Stormwater Permitttng Staff Representative,
Please update records for Industrial MSGP NCG 160072 to reflect recent changes in
physical property and SDO locations The facility has created a berm at Outfall 001
which redirects stormwater runoff to discharge at Outfall 002 Outfall 001 is no
longer active, please see the attached facility map for reference Moving forward,
the facility will have two SDOs at 001 and 002
Please update Notice of Intent record and any other relevant records for the above
referenced facility to reflect this change
If you have any questions and/or concerns, please feel free to contact us at
855-892-2272
P;w VAJ
Rajiv Villait
Environmental Specialist
12/04/2015
Date
t
Allen Findncks Date/w
Vice President Asphalt Operations
Corporate Office
400 N Ashley Dr Ste 1775
Tampa FL 33602
Tel (855) 892-AARC • Fax (866) 326-AARC

r Aggregate
Storage
MY559-134.fi9"GI _ w
�'�iz w I y _
Msq
_...'� r AgSr09ele� .._•,'_.� _. _ `-..._.. ,_'�`• _q _.yr. R R + b
Storage �y� .._
111 Conti 1 Tower /I w
1 R R R R
Eolri-
Plant Diesel
Empty Tank
Asphalt R
Cold Feed Bins r
3) 200 Tan chEmulsion 0 rAggregate
Tank 000 Storage
` R R
(3) LAC f ph £,crc--: 41 x
R R R
1,83AS.re:;
x
A x a
Office
Q `
Shop
t
Lab �•y-"- .� w - �„�„ t
10 K OHroad Diesel HazardousWaste
Double Well Storage ,Y -"*" „ " * „
d`'' •• •'� R * MS4 Runcn
w * R R
R x
x R
R 1 .Oy Acres
35059'30.38" N
79°50'36.33"W
YYi! W
eTo•
LEGEND
Q0
Facility's Storm Water Sampidng Outtalls 001,002
�j
storm water Runoff
MS4 Runon
----•
Underground Piping
Berm
Property, Line
OivaWn of Storm Water hercenlage Flow
JConcrete
_
FhlI
Grass
tees
Blythe Construction, Inc. # 9 Greensboro 613A Prepared by: Date: 0511112015 Revisorbt YS
2083 Bishop Rd. Drawn By: AV
Greensboro, NC 27404 °"i ", � s°'n ;mac Dwg. Type: Storm Water Map Sheet: 9 of I

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2015
Revised 911712014
General Permit No NCG160000
Certificate of Coverage No NCG160072
This monitoring report summary is due to the DEMLR Regional Office no later than November I of
each year.
Facility Name Blythe Constructions Inc — Pit # 1
County Guilford
Phone Number [phone] Total no of SDOs monitored 2
Part A. Outfall No 001 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall 001
Total Rainfall,
inches
00530
TSS, mglL
Benchmark
N/A
501100
Date Sample Collected,
molddlyr
NIA
NIA
Outfall No Longer
Active
See Attached
Letter
Page I 1

Part B. On -Site Vehicle Maintenance Outfall No NIA
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
00530
00556
Oetfall
Total Rainfall,
TSS, mglL
Non-polar Oil &
inches
Grease, mg/L
Benchmark
N/A
501100
15
Date Sample Collected,
moldd/yr
s
NIA
Yes❑ No
Yes ❑ No ❑
Page 12

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 ��
Date /l /�%
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office
Fayetteville Office
Mooresville Office
Raleigh Office
Washington Office
Wilmington Office
Winston-Salem
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115
[phone] Fayetteville, NC 28301-5043 [phone]
[phone]
i
3800 Barrett Drive 943 Washington Square Mall
Raleigh, NC 27609 Washington, NC 27889
[phone] ! [phone]
EM REGION
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
Page 13

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2015
Revised 911712014
General Permit No NCG160000
Certificate of Coverage No NCG160072
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name Blythe Construction, Inc — Pit # 1
County Guilford
Phone Number [phone] Total no of SDOs monitored 2
Part A Outfall No. 002 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Page 11

Part B On -Site Vehicle Maintenance Outfali No NIA
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency []
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall
Total Rainfall,
inches
00530
00556
TSS, mg1L
Non-polar Oil &
Grease, mg1L
Benchmark
NIA
501100
15
Date Sample Collected,
molddlyr
N/A
Page 12

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 Enquiry 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 "
Signe
Date
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information. -
Asheville Office
Fayetteville Office
Mooresville Office
Raleigh Office
Washington Office
Wilmington Office
Winston-Salem
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27I07
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
Page 13

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2015
Revised 911712014
General Permit No NCG160000
Certificate of Coverage No NCG 160072
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name _ Blythe Construction, Inc — Pit # 1
County Guilford
Phone Number [phone]
Total no of SDOs monitored 2
Part A. Outfall No. 003 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No E
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No E
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
00530
Outfall 003 Total Rainfall, TSS, mglL
inches
Benchmark N/A 501100
Date Sample Collected,
molddlyr
08119/2015 1.25 in. 13 2 mg/L
Page I l

Part B. On -Site Vehicle Maintenance Outfall No. NIA
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall
Total Rainfall
inches
00530
00556
TSS, mglL
Non-polar Oil &
Grease, mglL
Benchmark
N/A
501100
15
Date Sample Collected,
molddlyr
NIA
Yes❑ No❑
Yes ❑ No ❑
Page12

"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 "
SIgn2
Date
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information
Asheville Office
Fayetteville Office
Mooresville Office
Raleigh Office
Washington Office
Wilmington Office
Winston-Salem
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
liLSHINGTON REGIONAL OFF[
943 Wasiungton Square Mall
Washington, NC 27889
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
IMINGTON REGIONAL OFFII
127 Cardinal Dave Extension
Wilmington, NC 28405-2845
[phone]
Page 13

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted
CERTIFICATE OF COVERAGE NO. NCG160072
FACILITY NAME Blythe Construction Inc. - Pit #1
COUNTY Guilford
PERSON COLLECTING SAMPLES Russ Taesart
LABORATORY ALS Group USA, Corp Lab Cert. # 624-2015
Comments on sample collection or analysis: NA
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly) (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flaw ®Water Supply []SA
®Other NSW
PLEASE REMEMBER TO SIGN ON THE REVERSE4
Part A. Stormwater Benchmarks and Monitoring Results
No discharge this period?2
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
total Suspended Solids
Benchmarks =__>
-
-
100 mg/L or 50 mg/L4
001
-
-
Outfall No Longer Active
002
08/19/2015
1.25
62.7
003
08/19/2015
1.25
13.2
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
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 mgL" where XX is the numerical value of the
detection limit, reporting limit, quantitatfon 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.
Permit Date 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

❑ No discharge this period ?2
Outfall No.
Bate Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
200 mg/L or 50 mg/0
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER Z REQUIREMENTS
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMITS YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Marl an original and one copy of this DMR, incly ling all "Na Discharge"' report within 30 da s o recei t o the lab results or at end o monitorin period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
/ / 2 !S
(Dat )
Permit Date 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring; Report (DMR]
for North Carolina DEMLR General Per it No. NCG160000 - Asphalt
Date submitted X 3 /5-
CERTIFICATE OF COVERAGE NO. NCG160072
FACILITY NAME Blythe Construction Inc -Pit #1
COUNTY Guilford
PERSON COLLECTING SAMPLES NA
LABORATORY NA Lab Cert. # NA
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
IMO ED ®OtherC
AUG a 7 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
DWR SECTION ® No discharge this period ?2
Outfail No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks ==_>
_
-
100 mg/L or 50 mg/L
001
NA
NA
No Discharge
002
NA
NA
No Discharge
003
NA
NA
No Discharge
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 mgjL", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note: if you report a sample value in excess of 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.
Permit Date 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

❑ No discharge this period 22
putfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
a
Inches
Non -polar O&G by EPA
1664 (SGT-HEM]
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/L
NA
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3. HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an orrainal and one coon of this DMR. includrna all "No Drschorae" reports. within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharae" reports) to:
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
k 3 /S'
(Da()
Permit Date 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater_Discharee Monitoring Report (DMR1
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted r5
CERTIFICATE OF COVERAGE NO. NCG16 0072
FACILITY NAME Blythe Construction, Inc.- N. Plant
COUNTY Guilford
PERSON COLLECTING SAMPLES NA
LABORATORY NA Lab Cert. # NA
Comments on sample collection or analysis: NA
Part A. Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
SAMPLE PERIOD ❑ Jan -June ® Oct -Dec
or ❑ Monthly' (month)
Rec DISCHARGING TO CLASS ❑ORW [—]HOW []Trout ❑PNA
V96 ❑Zero -flow ❑Water Supply [:]SA
"Es 0 g "", ®Other WS-IV
wR S , -rjoPILES PLEASE REMEMBER TO SIGN ON THE REVERSE4
N
No discharge this period a2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Total Suspended Solids
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
001
NA
NA
No flow
002
NA
NA
No flow
003
NA
NA
No flow
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
3The total precipitation must be recorded using data from an on -site rain gauge Unattended sites maybe 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 me/L where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this perrod72
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/L
NA
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 6 MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3. HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO
REGIONAL OFFICE CONTACT NAME
Mail an original and one copy of this DMA includin all "No Dischar e" re arts within 30 days of receipt of the lab results or at end of monitorina period
in the case of "No Discharge" =ortsl ta:
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
l„S
(Date)
Permit Date 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

S I'ORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERM17 NO NCG160(K)g
DISCI#ARCS MON1 I OR1NG REPOR'1 (DMR)
CI R l 1 FICA 1 E OF COVERAGE NO NCG 160072 SAMPLES COLLECTED DURING CALENDAR YEAR Mar-Aue 2014
(I his monitoring icport is due at the Division no later than 3{1 days hom the date
the facility iocewts the sampling iesults Itoin the laboratory)
FACim f Y NAME Blythe Construction, Inc
PERSON COLLECTING SAMPLES
CER11171ED LABORATORY
Monitoring Requirements
Lab #E_
Lab ##
COUNTY Guilford
PHONE NO [phone]
FZECEIV,ED
OCT 0 7 2014
CENTRAL FILES
DWR SECTION
= Oti tfall •is
xy �
'<,; ,ifVo`''•,, 1
i
lJate ; ' „ '
4 1 i,d
�Sampk',61le&d,,
; ' k11 '
a li
; Totif''Raintall,
1il i
t1
k 00530 y i„ , , Fin° '�„
'
t
fa=, ; . _�; t� 11R 00400 f 3 ' '4 °
�i
'`_�. `'t I ; ,i ; s1; a00556 =� i
� {9'x� 11"i�x
' ' Tdtal Stus`peiided'Sohds, ing/l x
iF ��" II 1
'd
t< r t ,; jl��f,r'�1011; '^i' t v� `,' �
<i 1, • I�
� �.k�t l �
i,1' �, Standard units<t I:;x�I,'
;�=�1' `` � Total,Peti�oleum ti "dfiicitrbans in' 11
r 1u >•; s, Y � 1; 5
i;r i
�r 1�,. EPA=Method 1564 SCT=IIEM
13enclimiirk'
-X '_ ,'
i rt� 100 ; ,' I i ,�i�i;, .1
'rF.,' `, Within 6.0'-=9.0' L,1,, Et.
i k� F'i, �F€'�, ;; , 15 r' � ,•, �, :
No Flow During Monitoring Period
1 If a value is in emxss o1 the benchmulk, or outside the hens imark range (lor p1 I), you must Implement the I iai I or l'ier 2 responscs in the General Permit
Mad original and one copy to
Division of Water Quality
Attn Central 1711es
1617 Mail St rvi" Centei
Raleigh, Noith Cdiolind 27699-1617
YOU MUSI SIGN THIS CERTIFICAI ION FOR ANY (NFORMA"1ION 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 anti 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 infornation, the information submitted Is, to the best of my knowledge and belier, 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 "
0/;Z/ �z
(!Signature of Permi cc) (Date)
S W U-252-051409

E
BW
Construction, Inc.
A Hubbard Group Company
August 11, 2008 --
s Jenny Graznak
Division Of W Quality
town Street
Winston-Salem, NC 27107
FIRIECEIVED
Deot of ENR
12 20
Wsns�on Sawr
f{ecs3pnat �'"�ce
Subject Notice Of Deficiency
General Stormwater Permit Inspection — NPDES Permit No NCG 160072
Blythe Construction Company, Inc.
Guilford County
Dear Ms Graznak
In reference to your letter dated May 16, 2008 we are writing to inform you that we have
corrected the Notice of Deficiency Attached to this letter you will find completed reports
from Trigon Engineering that details the sampling of the stormwater from our plant that
you had requested
Please review the attached documentation and let me know if you have any additional
questions or comments You may reach me at 704-622-3994 at any time
Sincerely,
Richard S Owens
Project Manager
Cc Allen Hendricks
Bill Capehart
Peter Bolton
Enc Tngon Stormwater Monitoring Reports
Analytical Test Results
110 Box 31635 • Charlotte. \C 28231 • [phone] • Fax [phone]

I ORN111 A I P R UIS(_11 %1((.1 OII I [.,%[ 1 ("iUO)
NIONI IORIM. RP.PORI
C7I NLRA1, 11L14\131 NO NC 61601HH)
PC R I I I, R -A I P 011 ( 0% I IR X(.P NO N(_(:I6
I ACC l l V tN INu. -Kk.� ��w i -W,
III RSOt\ COI Lp( II INC AiN11'LP{4)
Cl R III I I'1) l AHORA I ORY(ti) — Lab H µ
Lail Ir
E'Isrt A �pl.l.11ie \]o111tlsrin�, Itl.11urirulcnl�
OL111e11
No
Dale
satisple
Lollected
5111154)
00530
101111
Pins
1 Will
Suspended
Solids
mol-dr
INI(7 nk
nl'1l
Is \\II'I P % (01 1 1 ( I 1 1) DURIM, CAI LND %R 1 P AR Z CC6
( I lets motutoring repuil shall lit rceenl.d bs till. Onnlun till later than 311 days
Irum the ilmt Ihr. laeilll♦ rlclIli t% III ill IIInE results f1u1111hr lahurateso% I
(OI'NIl''�/-� ----------
(tiI(,N,I I URP OP I'1, Rf111 1 I P P OR I11'MCNP I-)
R% 1111s 41};ndlulr, I l.l.rllh Thal this lepnrl 1%.H1,111.04.
culullh It'll) Ihl 110-1 01 m% LOAM ICEIgL
- l
1)ue% Ilnti laulgy pl.rti,tm V0111.11. MLnnlul.ulea Aeu+ d1t. uvng 1110rI. lh.ul Si,,I1u11% ill nt,u nu.lnl lai pi'1 nunllh' st \ nu
11f ye" ( ollipll.11. Parl It)
I'm IIt \'rhuIt, hi.mitre.vurAttn11%N1111tltlii1111-Itrt.uiriAlit n1.
Otillall
No
h.11e
IS Imple
(.ollect�d
50050
0055E
00531)
00400
lotnl Plory
O11 and
Creme
lotul
Suspetidell
Sulld►
pll
New fllolnr
()Illlspl�e
rncr/ciclhr
'Mt.
n1 I
In I
u1111
'lrl/lnu
ti I ORhI I, \ I NJ ( IIAR V 1 11 RIS 11( ti
Da it `Z Lin
Iota] P%Vlit IPIccIpIIAtIon (asehe�)
haeut 0111.1111111 (hours)
(11 111011. lhanune %111r111 L.s4n1 l.ta, %MI'liLdl
Dale
Iulal I Will 1'reetill l.I10FI (11101t%)
Islrnl 1)uraluln (hauls)
111 111 01$gm 11 ails] one u1pi Io
D1%V-301i(11 \i'dlert)r1.1111)
Alen ( e11111 1 III%
1617 Mall "ILMLc C uuu
ltsl�l�h Null)1Car1FIn1a27h')'1-1617
lomyawlI 2%.' I1714DI

w I OR13NI%%A I ER DIti( IIAR(.l4 (111 I MAl 1 ('110)
MONI I ORIIM. R1 1'M I
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Compliance Inspection Report
Permit. NCG160072 Effective 10/02/14 Expiration 09/30/19 Owner Blythe Construction Inc
SOC Effective Expiration Facility Blythe Constructionlnc-Plt#1
County Guilford 2083 Bishop Rd
Region Winston-Salem
Greensboro NC 27402
Contact Person Steve Nearhood Title Phone [phone]
Directions to Facility
System Classifications
Primary ORC Certification Phone
Secondary ORC(s)
On -Site Representative(s)
Related Permits
Inspection Date 07/20/2017 EntryTime 10 00AM Exit Time 11 30AM
Primary Inspector Glen White Phone [phone]
Secondary Inspector(s)
Reason for Inspection Routine Inspection Type Compliance Evaluation
Permit Inspection Type Asphalt Paving Mixture Stormwater Discharge COC
Facility Status Compliant ❑ Not Compliant
Question Areas
Storm Water
(See attachment summary)
Page 1

Peninit NCG160072 Owner - Facility Blythe Construchon Inc
Inspection Date 07/20/2017 Inspection Type Compliance Evaluation Reason for Visit Routine
Inspection Summary
Glen White, multimedia inspector with NCDEQ - DEMtR, met with Russ Taggart (Plant Foreman) and George Bennett
(Equipment Engineer) at the Blythe Asphalt plant located at 2083 Bishop Rd in Greensboro on 7/20/2017 to conduct an
inspection that included compliance review of the facilities air and stormwater permits
The facilities new SPPP (Stormwater Pollution Prevention Plan) was developed by AARC Environmental and was signed off
by them on 9/22/2016 Blythe certification was signed off on 10/17/2016 Their SPPP is reviewed annually Training is
conducted at the corpoarte office in Charlotte on January 2nd of each year and includes all employees Qualitative and
Analytical Monitoring is conducted twice annually in accordance with the permit The last two analytical samples were
taken on 312/17 and 9129116 The sample location is the outfall below the settling pond at the rear of property The outfall is
very near the creek Creek was clear at the time of inspection '
Stormwater from this facility drains to recieving waters of Hickory Creek, class WS-IV protected waters of the Cape Fear
River Basin
Page 2

Permit NCG160072 Owner- Facility Blythe Construction Inc
Inspectlon Date 07/20/2017 Inspection Type Compliance Evaluation Reason for Vlsit Routine
Stornwater Pollubon Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
■ ❑ ❑ ❑
# Does the Plan Include a General Location (USGS) map?
0 ❑ ❑ ❑
# Does the Plan Include a "Narrative Description of Practices"?
0❑ ❑ ❑
# Does the Plan Include a detailed site map including outfall locations and drainage areas?
0 ❑ ❑ ❑
# Does the Plan include a list of significant spills occumng during the past 3 years?
E ❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
N ❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
0 ❑ ❑ ❑
# Does the Plan include a BMP summary?
0 ❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
N ❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
0 ❑ ❑ ❑
# Does the facility provide and document Employee Training?
M ❑ ❑ ❑
# Does the Plan Include a list of Responsible Party(s)?
■ ❑ ❑ ❑
# Is the Plan reviewed and updated annually?
❑ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
0 ❑ ❑ ❑
Comment New SPPP developed by AARC Environmental and was signed off by AARC on 9/22/2016 Plan
well developed and maintained with certifications signed off on 10/17/16 Training is conducted
annually on January 2nd and all employees attend the training classes held in Charlotte at the
corporate office
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? 0 ❑ ❑ ❑
Comment No deficiency
Analytical Monitoring
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Comment Analytical monitorinq is conducted semi-annuallv as required at outfall below pond at orope
Yes No NA NE
E ❑ ❑ ❑
❑ ❑ E ❑
rear _ Last sampled collected on 312117 and 9/27/16 Results are within parameters No
deficiency
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? E 1111 ❑
# Were all outfalls observed during the inspection? N ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? 1:10 ❑ ❑
# Has the facility evaluated all illicit (non stormwater) discharges? ❑ ❑ 0 ❑
Page 3

Permit NCGI60072 Owner- Facility Blythe Construction Inc
Inspection Date 0712012017 inspection Type CompUance Evaluation Reason for Visit. Routine
Comment This facility has a sediment pond with riser at the rear of the facility that acts to contain sediment
and other pollutants from production at the facility There is also a large sediment basin near the
front of the site This basin was dry at the time of inspection but it captures a large area of offsite
stormwater from Bishop Road and adjoining properties Samples at the outfall below this basin
would not be representative of thews halt plant as most of water is coming from offsite
Page 4