NCG080716_MONITORING INFO_20191216

r�U
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C 6 O 6 u -77
DOC TYPE
❑ HISTORICAL FILE
CVMONITORING REPORTS
DOC DATE
❑ I J a I
YYYYMMDD

u
%`
APEX
December 10, 2019
R ECEIV�7F
DEC 16 2019
:;;_NTRAL FiLE'>
0WR SECTIOt
NC DEQ/Division of Water Resources
Attention: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Discharge Monitoring Report — July -December 2019
Pilot #6978
801 NC Hwy 211 E
Candor, North Carolina
Permit NCG080716
Dear Sir/Madam:
Attached is the July -December 2019 Discharge Monitoring Report (DMR) prepared for the above
referenced site. The laboratory analytical data for this round of sampling is also attached. If you
have any questions, please feel free to contact me at [phone].
Sincerely,
Robert S. Wagner
Program Manager
Attachments
cc: Melody Mayville, Pilot Flying J
WATER RESOURCES • ENV IRON MENTAL SERVICES • INDUSTRIAL HVG I ENE • SAFETY -AIR QUALITY • SUSTAINABILITY AND CLIMATE CHANGE
Apex Companies, LLC • 7724 Garland Circle • Roanoke, VA 24019
T 540.563.4920 • F 540.563.4921 • apexcos.com

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCGO80000
Date submitted 12/10/19
CERTIFICATE OF COVERAGE NO. NCGO8 0 7 1 6
FACILITY NAME PFJ Southeast LLC #6978
COUNTY Montgomery
PERSON COLLECTING SAMPLES John McGuire
LABORATORY Pace National Lab Cert. # 375
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑■ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
❑Zero -flow [_]Watersupply ❑SA
RECEIVE® Notherws-Ill
DEC 16 2019 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new(gillper month? es
L)Vvt�.D=v" ❑y ❑■ no (if yes, complete Part A)
Part A: Vehicle & Equipment Maintenance Areas Monitoring Requirements (If applicable) ❑ No discharge this period2
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
Non -Polar Oil & Grease
mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage,
gal/mon
Benchmarks
_
-
15
100 or 504
Parameter Code
-
46529
00552
C0530
NCOIL
' 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 1, 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".
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2

Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) 0 No discharge this perfod2
Outfall
No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Sample Collected'
mo/dd/yr
Total Suspended
Solids,
mg/L
pH,
Standard units
Non -Polar Oil &
Grease,
mg/L
Permit Limit
_
-
-
100 or 504
6.0 — 9.0
15
Pammeter.Cade ".j
-
46529
-
CO530
00400
00552
001
11/23119
0.37
11/23119
27.6
7.8
�6.67
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit 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 Q
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original coov of this OMR, including all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitorina period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Date
Permit Date: 11/i/2018-5/31/2021
SWU-248, last revised 11/1/2018
Page 2 of 2

ATTACHMENT II
Laboratory Certificates of Analysis
and Chain -of -Custody Documentation

Mewcweyl•AncaANALYTICAL REPORT
axroerm December 03, 2019
Pilot Apex Environmental
Sample Delivery Group:
L1165114
Samples Received:
11/26/2019
Project Number:
768490-044
Description:
Pilot 6978
Site:
PILOT 6978
Report To: Robert Wagner
7724 Garland Circle
Roanoke, VA 24019
rip]•
rTc
aSS
4Cn
6Sr
Qc
7 VVG1
aAl
9Sc
Entire Report Reviewed By: � V
Christl M Wagner
Project Manager
M
Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be
reproduced, except In full, without written approval of the laboratory. Where applicable, sampling conducted by Pace
Analytical National is performed per guidance provided In laboratory standard operating procedures ENV-SOP-MTJL-0067 and i
INV SOP.MTJL-0068. Where sampling conducted by the customer, results relate to the accuracy of the Information provided
and as the samples are received.
I
p.
{ t
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pilot Apex Environmental 768490-044 L1166114 R/03M913:42 1 of 10

TABLE OF CONTENTS
ONE LAB. NATIONWIDE.
Cp: Cover Page
1
RP
Tc: Table of Contents
2
Ss: Sample Summary
3
Cn: Case Narrative
4
Sr: Sample Results
5
3SS
CANDOR L1165114-01
5
4Cn
Qc: Quality Control Summary
6
Gravimetric Analysis by Method 2540 D-2011
6
Sr
Wet Chemistry by Method 1664A
7
GI: Glossary of Terms
8
6QC
Al: Accreditations & Locations
9
rGl
Sc: Sample Chain of Custody
10
BAI
9Sc
ACCOUNT: PROJECT: SDG: DATE[TIME: PAGE:
Pilot Apex Environmental 768490-044 L1165114 12/03/1913:42 2 of 10

SAMPLE SUMMARY ONE LAB. NATIONWIDE.
CANDOR L1165114-01 GW
Collected by Collected date/time Received date/time
John M. 11/2311914:00 11/26/19 08:30
Method
Batch Dilution Preparation
Analysis
Analyst
Location
date/time
date/time
Gtavinnend Analysis by Method 2540 D-2011
WG1388984 1 11/30/19 00:49
11/30/1903:03
TH
Mt. Juliet, TN
Wet Chemistry by Method 1664A
WG1389777 1 12/0211907:00
12/03/1908:50
AMC
Mt. Juliet, TN
ACCOUNT: PROJECT: SDG: DATEITIME: PAGE:
Pilot Apex Environmental 766490-044 L1165114 12/03n913:42 3 of 10

CASE NARRATIVE ONE LAB, NATIONWIDE.
1Cp
All sample aliquots were received at the correct temperature, in the proper containers, with the
appropriate preservatives, and within method specified holding times, unless qualified or notated within
the report. Where applicable, all MDL (LOD) and RDL (LOO) values reported for environmental samples �Tc
have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control
are within established criteria except where addressed in this case narrative, a non-conformance form
or properly qualified within the sample results. By my digital signature below, I affirm to the best of my Ss
knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the
quality of the data have been identified by the laboratory, and no information or data have been
knowingly withheld that would affect the quality of the data.
SSr
- aQC
7GI
Christl M Wagner v aAl
Project Manager
9Sc
ACCOUNT: PROJECT: sDG: DATE/TIME: PAGE:
Pilot Apex Environmental 768490-044 L1165114 12/03/1913:42 4 of 10

CANDOR SAMPLE RESULTS - 01 ONE LAB. NATIONWIDE.
Collected date/time: 11/23/19 14:00 L1165114
Additional Information
Result Units
(On Site) 7.8 su
nperature (on-slte) 11.2 Deg C
w Measure 1 gpm
Gravimetric Analysis by Method 2540 D-2011
Result Qualifier RDL Dilution Analysis Batch
Analyte mgn mgll date/time
Suspended Solids 27.6 Pt 10.0 1 11/30/201903:03 WG1388984
Wet Chemistry by Method 1664A
Result Qualifier RDL Dilution Analysis Batch
Ahatyte mgA mgn date/lime
TPH -Oil&Grease ND 6.67 1 12/03/201908:50 WG1389777
ACCOUNT: PROJECT: SOG: DATE7TIME: PAGE:
Pilot Apex Environmental 768490-044 L1165114 12/03/1913:42 5 of 10

WG1388984 QUALITY CONTROL SUMMARY_ _ _ _-_ - ONE LAB. NATIONWIDE.
- - - -- =
=GravlmetriC An51y515 by Methotl 2540-D 2011- -- - � - L7165114-01
Method Blank (MB) C
(MB) R34777B9-1 11/30/19 0303
MB Result MB Qualifier MB MOIL
MB RDL
Analyte mgA mgA
mgll
Suspended Solids U 0.350
2.50
L1164652-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1164652-01 1V30/19 03:03 • (DUP) R3477789-3 M0119 03:03
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Anatyte mgA mgn %
%
Suspended Solids 27.5 27.0 1 1.83
5
L1165114-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1165114-01 11/30/19 03:03 • (DUP) R3477789A 11/30/19 03:03
Original Result OUR Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte mg/I mg4 %
%
Suspended Solids 27.6 31.6 1 13.5
P1 5
Laboratory Control Sample (LCS)
(LCS) R3477789-2 100/19 03:03
Spike Amount LCS Result LCS Rec.
Rec. Limits LCS Qualifier
Anatyte mgA mg4 %
%
Suspended Solids 773 840 109
85.0-115
ACCOUNT:
Pilot Apex Environmental
PROJECT:
768490-044
SDG: DATE/TIME:
L1165114 12/03/19 1342
PAGE:
6of10

--W-G1389777 - - _ONE LAB. NATIONWIDE._
______ - _ _ _ QUALITY CONTROL -SUMMARY ,- - - _
Wet Chemistry by Method 1664A L1165114-01
Method Blank (MB)
(MB) R3478389-1 12/03/19 08:50
MB Result
MB Qualifier MB MOIL
MB ROL
Analyte mgA
mgA
ri
TPH - Oil B Grease U
0.725
5.00
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3478389-2 12/03/19 08:50 • (LCSD) R3478389-3 12/03/19 08:50
Spike Amount LCS Result LCSD Result LCS Rec.
LCSD Rec. Rec. Limits
LCS Qualifier LCSD Qualifier RPD
RPD Limits
Analyte mgA mgA mgA %
% %
%
%
TPH -Oil & Grease 20.0 22.4 22.1 112
ill 64.0-132
1,35
34
ACCOUNT: PROJECT: SDG:
Pilot Apex Environmental 768490-044 L1165114
DATEITIME: PAGE:
12/0311913:42 7 of 10

GLOSSARY OF TERMS ONE LAB. NATIONWIDE.
Guide to Reading and Understanding Your Laboratory Report
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
Cp
intended as a comprehensive explanation, and if you have additional questions please contact your project representative.
Results Disclaimer -Information
that may be provided by the customer, and contained within this report, include Permit Limits, Project Name,
TC
Sample ID, Sample Matrix,
Sample Preservation, Field Blanks, Field Spikes, Field Duplicates, On -Site Data, Sampling Collection Dates/Times, and
Sampling Location. Results relate to the accuracy of this information provided, and as the samples are received.
Abbreviations and Definitions
3
Ss
MDL
ND
Method Detection Limit.
Not detected at the Reporting Limit (or MDL where applicable).
a
Cn
ROL
Reported Detection LiMIL
Rec.
Recovery.
s
Sr
RPD
Relative Percent Difference.
SDG
U
Sample Delivery Group.
Not detected at the Reporting Limit (or MDL where applicable).
6
QC
❑
Analyte
The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported.
If the sample matrix contains an interfering material, the sample preparation volume or weight values differ from the
Dilution
standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the
laboratory can accurately report, the sample may be diluted for analysis. If a value different than t is used in this field, the
result reported has already been corrected for this factor.
°AI
These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal
Limits
for the method and analyte being reported. Successful OC Sample analysis will target all analyses recovered or
duplicated within these ranges.
s
SC
Original Sample
The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
sample. The Original Sample may not be included within the reported SDG.
This column provides a letter and/or number designation that corresponds to additional information concerning the result
Qualifier
reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable.
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. If there was
no measurable result returned for a specific analyte, the result in this column may state "No" (Not Detected) or'BDL'
Result
(Below Detectable Levels). The information in the results column should always be accompanied by either an MDL
(Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect
or report for this analyte.
Uncertainty
(Radiochemistry)
Confidence level of 2 sigma.
A brief discussion about the included sample results, including a discussion of any non -conformances to protocol
Case Narrative (Cn)
observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report.
Quality Control
This section of the report includes the results of the laboratory quality control analyses required by procedure or
Summary (Qc)
analytical methods to assist in evaluating the validity of the results reported for your samples. These analyses are not
being performed on your samples typically, but on laboratory generated material.
This is the document created in the field when your samples were initially collected. This is used to verify the time and
Sample Chain of
date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This
Custody (Sc)
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession of the
samples from the time of collection until delivery to the laboratory for analysis.
This section of your report will provide the results of all testing performed on your samples. These results are provided
Sample Results (Sr)
by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for
each sample will provide the name and method number for the analysis reported.
Sample Summary (Ss)
This section of the Analytical Report defines the specific analyses performed for each sample ID, including the dates and
times of preparation and/or analysis.
Qualifier Description
RPD value not applicable for sample concentrations less than 5 times the reporting limit.
ACCOUNT: PROJECT: SDG: DATE/TIME' PAGE:
Pilot Apex Environmental 768490-044 L1165114 12/03/1913:42 8 of 10

ACCREDITATIONS & LOCATIONS ONE LAB, NATIONWIDE.
Pace National Is the only enAranmental laboratory accre luterikeRi9ed to support your work nationwide from one location. One phone call, one point of contact, one laboratory. No other lab Is as
accessible or prepared to handle your needs throughout the country. Our capacity and capability from our single location laboratory Is comparable to the collective totals of the network
laboratories In our Industry. The most significant benefit to our one location design Is the design of our laboratory campus. The model Is conducive to accelerated productivity, decreasing
turnaround time, and preventing cross contamination, thus pmtetting sample Integrity. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE.
' Not all certifications held by the laboratory are applicable to the results reported In the attached report.
' Accreditation Is only applicable to the test methods specified on each scope of accreditation held by Pace National.
State Accreditations
Alabama
40660
Alaska
17-026
Arizona
AZ0612
Arkansas
88-0469
California
2932
Connecticut PH-0197
Georgia923
Idaho TN00003
Indiana
C-TN-01
Iowa
364
Kansas
E-10277
Kentucky '0
90010
Kentucky'
16
Louisiana
A130792
Louisiana'
LA180010
Maine
TN0002
Maryland
324
Massachusetts
M-TNO03
Michigan
9958
Minnesota
047-999-395
Mississippi
TN00003
Missouri
340
Montana
CERT0086
Third Party Federal Accreditations
A2LA — ISO 17025
1461.01
AKA — ISO 17025s
1461.02
Canada
1461.01
EPA—Crypto
TN00003
Nebraska
NEOS-15-05
Nevada
TN-03-2002-34
New Hampshire
2975
New Jersey—NELAP
TNO02
New Mexico'
Na
New York
11742
North Carolina
EIw375
North Carolina'
DW21704
North Carolina'
41
Noah Dakota
R-140
Oklahoma
9915
Oregon
TN200002
Pennsylvania
58-02979
Rhode Island
LA000356
South Carolina
84004
South Dakota
Na
Tennessee "
2006
Texas
TUM704245.18.15
Texas'
LA80152
Utah
TN00003
Vermont
VT2006
Washington
C847
West Virginia
233
Wisconsin
9980939910
Wyoming
AKA
AIHA-AP,LLC EMLAP 100789
DOD 1461.01
USDA P330.15-00234
'Drinking Water ° Underground Storage Tanks 3 Aquatic Toxicity 4ChemlcaVMicroblological 'Mold "Wanewater No Accreditation not applicable
Our Locations
Pace National has sixty-four client support centers that provide sample pickup and/or the delivery of sampling supplies. If you would like assistance from one of our support offices, please contact
our main office. Pace National performs all testing at our central laboratory.
a
AK
4 •O
ND
MN
sD T m
MI T
IA T PA
NE ON T
• Irk
T �
VA
KS MO IL T I
• T -N ICYp T
OK AR • T T
Ms AL GA
T TX T LA
T
NY
ME
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
Pilot Apex Environmental 768490-044 L1165114 12/03/1913:42 9 of 10

Chain .1 Custdy Page Of
Pilot Apex Environifiental
Accounts Payable/ Gary Douglas
5508 nas'Road Chk
7724 Garland Circle
.1 . I .
Kri . N , 3 1 7993 Mgt
Roanoke, VA 24019
trout N U
T. 3712i.
Report to:
Email To;"nerVapexcxxs.w.
ikol�er! Wagner
61
1
Project
city/state
Description: Pilot 6978
collectedf.
L#
Client Project #
Projects
Phone: [phone]
_7'
41,
PlL0TAPEXENV-PlL678
Fax:
'00
3
U
M
M
M
Table 41oll �41
I d by (print):
Site/Facility JR#
P.O.
<
APEXENV
U�Ileqte
--lLats MUST ep
Jitush� ST Be Notified)
A�s4mtur!e
I
Same Day
z
--a
Prelogin: P710325
_HerrDay Date Results Needed
X
0.
TSR! 633 - Pam Langford
inigediately
_T" Zy IDDay(Rid Only)
_9
Pit:
Pack�d on 4
Ice
< y
Three Day
0
i.
Shippedviat FedEX Standard
'ab
"
a Sample ID
,Camp/Grab
Matrix •
Depth
a
Date
Time
tr
M
0! r lia?,_
14W
f3-
X
w
Tc_
-A
Matrix:
in -ki' 7
r
S.rpl. R.�� Checklirr-
CDC sea', Present/Intact: lip A N
SS fSqil AIR-Icr- F-Filter
�qar
pH Temp
7'y _H
GW . Groundwiter "Y
a .4,
CDC Signed/Accurate:
Bottled arrive irtaaL: ::n
WW - WasteWater
V, r�
Correct
DW - Drinking Water
01 -Other
; I
Samples returned via:
U PS jedf:x'�,,�.Cou'rler
........... . olune sent:
If'A ylie,blai,
Trick ng N (1-1
N
i.
jr I
VOA Zero adspace: —Y
PteserVaLi&on Correct/Checked: y —N
Relinqu, Ignature)
Date: Time:
Received by: (Signafturp) 0
Trip Blank Received;
MeoH
7M I
PAT) AGREM �n
TB
Klig0ruished by: (Signature)
Date.- Time:
Received by: (Slgnaturi)
Temp: ­r ftiue,Peceimdl
Preservation required by Login: Date/Time
73
fH
Relinquished by: (Signature)
Date: Time:
Receive5jan-M)lry: (Signature)
Dale: Uric
Hold:
Condition:
NCF