NCG140035_MONITORING INFO_20190130

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv 0o 3-1
DOC TYPE
El HISTORICAL FILE
C9(MONITORING REPORTS
DOC DATE
❑ � 1 o) '3 v
YYYYMMDD

409 Rogers View Court
g
29916
o d
Atlantic
office 9950.10
ffic 1.2
Engineering & Environmental Solutions
facsimile 919.250,9950
MAAONLINE.COM
January 22, 2019
NC Department of Environmental Quality
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: ANNUAL SUMMARY DISCHARGE MONITORING REPORT
NOTIFICATION OF NON -SAMPLING
CONCRETE SERVICE COMPANY PLANT NO. 8
320 MARKET STREET
SANFO
RPENO N G 400
, LEE COUNTY, RM T 35H CAROLINA REC�� jVe
NPD S
MID-ATLANTIC JOB NO. 00OR1944.10 JAN 3 0 2019
CENTRAL pON P
To Whom It May Concern: DWR SE
On behalf of Concrete Service Company, Inc., this letter serves as notification that a stormwater
sample was not collected during the previous calendar year (2018). During this timeframe, it is
our understanding that a stormwater discharge did not occur from the designated site outfalls
during a measurable storm event at a time when a stormwater sample could be safely collected
(i.e. during business hours when the facility was occupied, and preceded by 72 hours with no
measurable storm event). Stormwater flow will continue to be monitored during the upcoming
monitoring period (January -March, April -June, July -September and October -December 2019)
and, in the event of a discharge, stormwater samples will be collected per the permit requirements.
If you have any questions or need additional information, please contact me at 919-250-9918.
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
Charles B. Hoffman, P.G.
Principal Geologist
Attachment: Annual Summary Discharge Monitoring Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE

ANNUAL SUMMARY DISCHARGE MONITORING REPORT
(DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
"Report ALL STORMWATER monitoring data on this form (include "No Flow"/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG 14
Facility Name:
Service Company Plant #8
County:
Phone Number: ( )
SDOs monitored 2
Certified Laboratory
Lee
910237-1791
Lab #
Lab #
Concrete
Pace Analytical Services, Inc. 12
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes 1 ❑ No Q
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No 0
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency
Yes, received approval from DEMLR to reduce monitoring frequency
0
Other
Total no. of I
Non -polar O&G
Total
pH,
(EPA Method
New Motor Oil
Outfall No.
Total Rainfall,
Suspended
SU
1664 (SGT-HEM)),
Usage (gallmo.)
inches
Solids (TSS),
mgll (VMA)
mg ifl
flapplicable
Napplicable
Stormwater
Circle Benchmao*
Benchmarks
indicate NO FLOW it
100150
A
6.0-9.0
15
>65 gallmo. average requires TSS and
applicable
Non -polar 08G monitoring
Date Sample
Collected,
molddlyr
03/30/2018
No Discharge
No Discharge
No Discharge
No Discharge
NIA (<55 gaVmo average)
06/30/2018
No Discharge
No Discharge
No Discharge
No Discharge
NIA (<55 gallmo average)
Permit Date 811/2017 — 6/30/2022
Last Revised 8-22-2015

09730/2018
No Discharge
No Discharge
No Discharge
No Discharge
N/A (<55 gallmo average)
12/31/2018
No Discharge
No Discharge
No Discharge
No Discharge
NIA (<55 gallmo average)
Certificate of Coverage No. NCG 14 10 0 3 5
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. I 2VMA Outfall? Yes ❑ No r
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No !✓
Was this outfall ever in Tier 2 during the past year? Yes ❑ No tJ
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency Qther
El
Outfall No.
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
m gll
pH,
SU
Non -polar O&G
(EPA Method
1664 (SGT-HEM)),
mgll (VMA)
If applicable
New Motor Oil
Usage (gallmo.)
It applicable
Stormwater
Benchmarks
lndicare NO FLOW it
applicable
Circle Benchmark
100150
6.0-9.0
15
>55 gallmo. average requires TSS and
Non polar O&G monitorin
Date Sample
Collected,==M
molddlyr
03/30/2018
No Discharge
No Discharge
No Discharge
No Discharge
NIA (<55 gallmo average)
06130/2018
No Discharge
No Discharge
No Discharge
No Discharge
N/A (<55 gallmo average)
09/30/2018
No Discharge
No Discharge
No Discharge
No Discharge
NIA (<55 gallmo average)
12/31/2018
No Discharge
No Discharge
No Discharge
No Discharge
NIA (<55 gallmo average)
Permit Date 811/2017 - 6/30/2022
Last Revised 8-22-2015

Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919)
707-9220
Permit Date 811/2017 — 6/3012022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 0 0 351
CERTIFICATION
" 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system,
or those persons directly responsible for gathering the information, the information submitted is, to the best of
my knowledge and belief, true, accuratel and complete. I am aware that there are significant penalties for
submitting false information, including jle possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §722.22]
Signature
Date Ilag 119
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center Raleigh,
NC 27699-1617
Permit Date 811/2017 - 6/30/2022
Last Revised 8-22-2015

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
Mr. Richard R. Allen
Concrete Service Company, Inc.
P.O. Box 1867
Fayetteville, N.C. 28302
Dear Mr. Allen:
ROY COOPER
Governnr
MICHAEL S. REGAN
Secrelnry
WILLIAM E. TOBY VINSON, JR.
Interim Director
February 22, 2018
RECEIVED
FES 2 7 2018
CENTRAL FILES
DWR SECTION
Subject: NPDES Stormwater Permit NCG 140035
Concrete Service Company, Inc.
Formerly Southern Equipment Company
Lee County
Division personnel received your request to revise your stormwater permit Certificate of Coverage to accurately
reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General
Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the
requirements of North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between
North Carolina and the U.S. Environmental Protection Agency.
If you have any questions or need further information, please contact the Stormwater Permitting Program
at [phone].
State of North Carolina J Environmental Quality I Energy, Mineral, and Land Resources
Central Office 1 1612 Mail Service Center j Raleigh, NC 27609
919 707 9200

Sincerely,
f?rWi'lkliam E. Toby Vinson, Jr., PE, CPESC, CPM
Interim Director
Division of Energy, Mineral and Land Resources
cc. Raleigh Regional Office
I Central Files

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140035
STORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Concrete Service Company, Inc.
is hereby authorized to operate a process wastewater treatment system, and is hereby authorized
to discharge process wastewater and stormwater from a facility located at:
Concrete Service - Sanford
320 Market Street
Sanford
Lee County
to receiving waters designated as Little Buffalo Creek, in the Cape Fear River Basin; in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, 11, III, and 1V of General Permit No. NCG 140000 as attached.
This certificate of coverage shall become effective February 22, 2018.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 22, 2018.
for William E. Vinson, Jr., P.E.,rnterim Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

FWA
NCDENR
N— �
[�..w — N,atwi R�
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
National Pollutant Discharge Elimination System
PERMIT NAMEIOWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Mnnth
Da
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
1 14 10 1 0 3 1 5
I1. Permit status prior to requested change.
a. Permit issued to (company name): Southern Equipment Com an
b. Person legally responsible for permit: Steve Simonsen
RECEIVED
JAN292013
DENR-LAND QUALITY
STORMWATER PERMITTING
c. Facility name (discharge):
d. Facility address:
e. Facility contact person:
First Ml Last
Environmental Manager
Title
3015 Windward Plaza Suite 300
Permit Holder Mailing Address
Alpharetta GA 30005
City State Zip
_ [phone] ( )
Phone Fax
Ready_ Mixed Concrete Company - Sanford, Plant 7
320 Market Street
Address
Sanford NC 27330
City State Zip
[phone] Ext.
Andy Stan!LN tch 10290
First / MI / Last Phone
Ill. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
d. Facility name (discharge):
e. Facility address:
f. Facility contact person:
Concrete Service Co. Inc.
Richard
R Allen ✓
First
MI Last
President
Title
PO Box 1867
Permit Holder Mailing Address
Fayetteville
NC 28302
._._ City
State Zip
[phone]
[e-mail]
Phone
E-mail Address
Concrete Service - Sanford
320 Market Street
Address /
Sanford
NC 27330 V/
City
State Zip
Winnie
Jenkins
First
MI Last
[phone]
313 _
Phone
E-mail Address
Revised Jan. 27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
W. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
MI Last
Title
Mailing Address
City State Zip
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, ' attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature de_&4,e.� C.c•.ffst ­J �r �-� Date
APPLICANT CERTIFICATION
I, Richard R. Allen, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
etn-�& e ALL
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan, 27, 2014

BK 01480 PG 0905
NORTH CAROLINA SPECIAL WARRANTY DEED
Excisc Tax: $686.00
FILED ELECTRONICALLY
LEE COUNTY NC
PAMELA G. BRITT
REGISTER OF DEEDS,
FILED Dec 18,-2017
AT 10.;13:21.AM
HOOK 01480
START PAGE 0905
END PAGE 0913
INSTRMaNT 07549
EXCISE, TAX '$686.00
Parcel Identifier No, 964289137200
Mai Boxto: Grantee
This instrument was prepared by: lUpatricic:Tovmsend & Stockton LLP (KR):(withotrt title examination)
Brief description for the Indox: 320 Market Street
THIS DEED -made this day'of December, 2017, by and.between
GRANTOR
ARGOS USA LLC,
a Delaware limiteddiability company, successor
by merger with S outhern. Equipment Company,
Inc.
3015 Windward Plaza;.'Suite.300,
Alpharetta, GA 30005
GRANTEE
Allen of Fayetteville VII; LLC, a North Carolina
limited liability company
.103: Builders'Blvd,
Fayetteville; NC' 28301
Enter in appropriate block for.vach party:, name, address, and, if appropriate, character of entity, e,g. corporatior. .or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall
include singular, plural, masculine, feminine or neuter as required by context.
The Grantor, Argos USA LLC, is the successor by operation of merger to Southern Equipment Company, Inc, as a
result of the following; (1) effective as of September 3, 2014, Southern Equipment Company, Inc., a North Carolina
corporation, changed its corporate name to Argos Ready Mix (Carolinas). Corp,, and (B) effective as of July 1, 2016, (x)
Argos Ready Mix (Carolinas) Corp. merged with and into Argos Ready Mix-LLC, a,DelawaTe limited liability
company; (y) Argos Ready MIx'LLC merged with and into Argos Cement LLC, a,Delaware limited liability company,
,and (z) in connection with the iinmediatelyfaregoing merger, Argos Cement'.LLC changed,its corporate name to Argos.
'USA LLC, as shown on Exhibit e.ttached' hereto and incorporated herein by reference,
WITNESSETH, that the Grantor, for a valuable consideration paid'byAhe Grantee; the receipt of which is hereby
97 --Lee Co.
Submitted electronica+lly by' "Wyatt Early Harris wheeler LLP"
U52008 Kin compliance, with North carol!;na statutes governing' recordable documents
and the terms of the submi'tterlagreemen't:with the- Lee. County 'Register 'of Deeds.

11,
MEMORANDUM OF LEASE
THIS MEMORANDUM OF LEASE ("Memorandum")-i's. signed as of December 15;
2017, by ALLEN OF FAYETTEVILLE. VH, LLC, a North Carolina limited liability
company; with its principal offices in Cumberland County;. North Carolina, (."Landlord"), and
CONCRETE SERVICE CO:,.INC.,. a North Carolina corporation, with its principal offices in
Cumberland County, North Carolina ("Tenant").
Landlord and Tenant' have entered- into a lease ("Lease") 'dated as 'of the date of this
Memorandum for -valuable consideration. with .respect to certain "premises" in the Town of
Sanford, Lee County, North Carolina, more fully described and/or depicted on attached`Exhibit
A.
The term of the Lease is scheduled to commence -.on December 15; 2017, and expire -on
December 14, 2022, utiless sooner terminated as provided in the Lease. Tenant shall have the
flye .(5) options to extend the-ter7n,of the. Lease for periods of five (5.) years each. as; specified.in
the. Lease:
This Memorandum is executed for the purpose of giving -record notice. of the existence o£
the Lease for the term provided above. All terms and conditions of the Lease are incorporated
into this.Ivlemorandurn by reference:
72147753
[SIGNATURES' APPEAR ON THE FOLLOWING PAGES.)

t'
Landlord and Tenant have executed this Memorandum as of the date: sef forth above.
Land d• FAT =TEVILLE VII, LLC
Name: Richard R. AlIen, Jr.
Title: Manager
Tenan`r. CONCRETEGSF�RVICE CO., INC.
Name: 1 C, ►'1
Title: Corp ,e
STATE'OF NORT .C%Ve
COUNTY OF
1, the :undersi ned, a Notary'Pub]ic of the County and State -aforesaid, certify that the following person(s)
personally ppeared.before me`this day, and
l: have personal knowledge of the identity of the principal's).
❑ i have seen satisfactoiyevidence:of.the prii}cipal's.identity, by a current stateor-federal
identification with the principal's photograph'in the form of a
❑ A oredible-witrfess has sworn to the identity. of the principal('};
each=knowledging to me -that he or she voluntarily signed the. foregoing ;doculnent.for'the -purpose stated.
thereinand in the. capacity indicated; Richard R. Allen, Jr., Manager of &ien-ofFayetteyille VH,
LLC. ,
Date: �2_ l� "17
t���its�iltlae� �] �
R 11 �/}
(f irerPo f f i 11 l)tary Public-
``[V�
� (print Ilallle)
�AQjAO�icial s(ll) My commission expires: / L
STA ( � NOR CARD
®erljC&f Y Off'
s�"Ilij I ediit�'���`'undersigned, a Notary Public of the County and State aforesaid, certify that the following person(s).
personally Woeared before me this day, and
I .have personal, knowledge of the identity -of the principals)
❑ I have seen.aatisfactory evidence of -the principal's identity, by`a current state or federal
identification with the'principal's photograph .in the form of'a
❑ A credible:witness has.sworn to` he:identiV..of the principal(s);
each-deknowledging to me that he.or.she voluntarily signed the:foregoing document for the purpose
stated.thereih and in the capacity indicated:". �%iei�l� GL( y,2••� (natne)�as
— ! rA
name)
My commission.expires
2
y public'.
/1-25 -,IP-

EXHIBIT A
UF,UM 43 at a :1/2 inch pipe set a the 14astexa nic�tt-icj--Way Urvi at Ml kdt StrFx F,, !Lrim.-i
} dtng 5.05 fWt South of t: oo PPLnt :r3»sro tb:i :art:jc:> r► right: of wl,%Y l., no �oE
(40 foot. right -ref -wry). intarsWt= t 4 Skr ;tam. right -of -%my of Kt 'rkot "utted1r, aold ntnkc
also teing des<ribod ar. 2.25 fcct outside of a. oonurew viu, rtz:s thcna3 frm said
BMIN-Mt point South 12. dogrc,-rr., F'Ast:. 405 fret 4rith ttk? 1-;�5tarn right -of -wry line o1:
"tirket: Stx-e (63 foot to n w;o»la'lf irr-h pir-�! sit in zZid.
swre l--t.-9 54.20 feet tarth of. &l e point w1va--a tho -wi stern rlg L-of-',hay I"Inz- or !txket
,street intersects Ue cchtcY right-mof-way lirN 4I li4c--"�ry 7v�,%Ue {a 60 °(xt ricjht�: --Way) 7
runs therjoe South 78 de,fLm-es 0 tr1L utee West 115 feet cussing tltia railm5�3 Cr ,'r,, taa Cite -
half ins, pipe. set 0.95 fcct South.+est of tt;e lbrUi rail o.f tie trazk of -rhe 1% t, i,1Liz)
nrLs eence ?aa-rdh 55 doffed 0 minows W,bst 219.2D feet: to a cr�a_-!laif in&. saw 1o3in
in the ]ir* of p=perty of Atlantic. wA westn_rn Pailm-ad; r�L" L.mm north -r-;3 c3ixreer.
0 minute-s West 242.20 foot with rmid Fm:l x&& .property, and crossing Lit.Lie DylLtlo C1:C—%A,
to a "T" iron; samo marking lh-* .LIhd beintj ocrmtn.'idI rtnn L'ha cr3 lir�rtli. 3: clr: jc �vri
50 mint:tes Pas1r 153 feet pmniriq an i-cm Set 23,22 f6et r:mrn 't? : $Ovvlam riy}llint-
of w*1o. AwLn ua, g4 =I t-i. td r5g acts !'IZP 3.0 Av:; Ln w W mr) .RR . � � i.kra :,fir~ t end 'x i n ue x1,; mm
enoa thNorth 79 -3�ny s .05 minv3 C4-!s almt 253.50 fook withLn thci ric;ht-o --my of nz.ple lovcv.m
to a paint mrkol by an M ;,ptko a'ut an3 paintodi rims up -moo South 23 50 minutes
Wash. 4S615 feet; crossing ,the4Ourhe= right -of- zy Una- of Nagle iiv nue to 'm). pit spi=:e
sct arrii plintaed' .nrs t.tajnC,' Borth 78 d&c0rces. F&qti 85.77 feot to a one--,1W- f Lni,-h .pirQ.
roet, the- poirit:.and phase of Mrn%MC, ccntainLng 2.94 tvcz:es mre or .ln-ss. acwrding .to.
,a plat-ent_it im "surw-y .Igr Sorqt1vabrn Pquip mnt O:xijAr y, inc.' .pry ' . - l ' r �7ehn ?'c? �ic1. ,r
'11s iat&:3, Sure yoric, 'E. m : beL-v,1 datod July 5, 1.9774 bedmg: f3sini ,QitiZ. -ty Csmvc-c try
(',ilde r & iil3.�'if►tC9i 1ilC: LA Il_] OC1Cr; t l l'It�d[if lYf t3tx t1 i 7 L1 i x3ri Y ?�', 157?,
remitvkr in Wok 233, Pays 119, Lae 0:,tnity Axj'L:itry. Sea Map Tiaok 2,'� page t19.
72147753

1
• STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14_D Q 3 5
FACILITY NAME: (�-ee.S t Can[!`n�'
PERSON COLLECTING SAMPIES iL
CERTIFIED LABORATORY Lab # ✓�''�
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
RECEIVED
SAMPLE COLLECTION YEAR:
SAMPLING PERIOD, ❑ July -December ❑ January -June
COUNTY Lee.
PHONE NO. (q1R) 7-76. S!,Sa -
ADD TO LISTSERVE? DYES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [-]Trout ❑Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
PH
(standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total a
Rainfall
{in)
In Tler 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2
2 Sampling
- 2I
2='
0
-
-
nn t�
`rn
ryry� 1
(i M try
v ..
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
7 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tler 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TS5 benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 5O mg/l.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
JAN 2 0 2017
CENTRAL FILES
DWR SECTION
Permit Date: 7/1/2011-60/30/2015 Date of last pH meter Calibration: I Last Revised 7/13/11
Page 1 of 2

Part S:1ehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
•
Outfall
No.
Date Sample
Collected
(mo/dd/yr}�
pH
(Standard
Units)
TPH using method
1664A 5GT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
o
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
!n Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling2
6-9
15
1
-
-
-
-
i
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample for at end of monitorine period
in case of "No Flow" to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATI91V 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."
nature of Permittee}
1-1,27-17
(Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

XjPWAN
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidonce on filling out this form, please visit: htt oi-La .ncdenr.or r weir we ws su n dessw-#tob-4
Perm it No.: N/c/—I—/ _/—/—/—/—/ or Certificate of Coverage No.: N/C/W 1 / ` 10/ 01m /
Facility Name: Art oS Ig N1 XJ—
County: _ j�� Phone No.
1 nspector: M ; r"1l Cox
Date of Inspection: �t- a0'Ib
Time of Inspection: k 1 : 3D a
Total Event -Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
IxYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfali. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains aDDroval from the local DWO Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Perm ittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. I Structure (pipe, ditch, etc.) � •`�SC)\r,
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C-\u-f
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): N0n!!Ce
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
' solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
6) 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Dote: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description: 1
Outfall No. Structure (pipe, ditch, etc.) �CJIr�
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: iec,,-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): -0-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
6) 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
r1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes �a
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes '1 i
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

Cameron Testing Services, Inc. Laboratory Report
NCDSNR#654
NC PHHS #37799
US SPA #NC0191 S
Client:
Argos Ready Mixed Concrete i' `.CTS PrOj .1
162049
- Project: • ,
2016 Semi -Annual #2 Regulatory w
Yes
Sample Information
Sampled
M. Cox Date 12/20/16 Received" M. Sims
'Date-'' 12/20116
Analyses and Results
ij
Lab ID
Sam le lE iO ° Result '
p '°' orAc7 AnaEyatel �,, - �u p
�
T w 'Std Nlsthods
ruk© m,
µ at
a Reference•
162049 01
Plant #1 WW cr pH 6.60 S. U. 0
12120116
4500 H 8 - pH
TSS 5.70 mere. 2.5
12/22116
2540 D - TSS
02
Road #2 ww cr pH 6.60 s U. 0
12120/16
4500 H l3 - pH
TSS 5.70 mg)L 2.5
12/22/16
2540 D - TSS
Report /
Review
Lab Director
219 S. Steele Sir,
Sanford NC 27330
0� lin _
Date
919-208-4240
Chris a carncrnntesting,coil�

219 S. Steele Str.
Sanford, NC 27330
Phone: 919-20B-4240
Cameron Testing Services, Inc.
NC WVUIGW Cert. #654 NC PHHS Cert # 37799 US EPA NC0191 B
Chain of Custody
Page of
",Company:Email:
CTS lab use onl x '
Contact. .- I
Phone.
�z t Is 3 0 5
Sample
TeFno (C)
Proj. /COOS T
G i - f �7 �f - �I V `7
Fax:'
Address(City,-1
'S
_
T BlanEc ,
Arrive:``
State, Jpj,r
7�4
s Notes '
11
! Due:
'
..�
n
Regulatoi 1
Rush
;Project
.+
s:
.
(Y!N) !
{YIN}I
Collected:
Name: f
Signature:
1
/
=� x M `�
'Sample Inf&mation
---
-
':Regil'ested'Analysts
-
Sample ID
Q
E
,
z
bother-(X} ;
n-rF t `
`Reliiigiaished
W ,. Y_
Receitiet »
F �
'.DatelTiR
19
37)
Rush work will require prior approval_ Additional charges will apply

0 0 0
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
SAMPLING PERIOD: ❑ July -December LN January -June
COUNTY e
PHONE
ADD TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout []Other
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14& ) cS
FACILITY NAME: 12 �N �C
PERSON COLLECT IN AMP ES ?
CERTIFIED LABORATORY r Lab #
_ Lab # — — —
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: cP
Outfall No.
Date Sample
Collected
[mo/dd/yr OR
NO FLOW)t
pH
(Standard
Units)
TSS
[mg/L)
Event
Duration
(minutes)
Total
4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
h of Months in Tier
2
2 Sampling
3 -4
i
2 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is In excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 T55 benchmark values are 100 mg/I, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/l,
`For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 i Last Revised 7/13/11
Page 1 of 2

Part B: Vesicle Maintenance Activity Monitoring Requirements for facilities using a 55 gat of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
collected
(mo/dd/yr]5
pH
(Standard
Units)
TPH using method
1664,4 SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Fier 2
Monthly
Monitoring?
` (y/n)
i
# of Months
in Tier 2
2
5arnpiing
6-9
is
100
-
-
-
I
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Oripinal and one coov of this DMR [including all "No Flow" & "No Discharge" reoorts) within 30 days of receint of sample for at end of monitoring aeriod
in case of "No Flow") 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 REPORTEO:
"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 awgett there a Sig ificant penalties for submitting False information, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

•
A v 5A
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httl2://portal.ncdenr.01-g/web/wq/ws/su /nVdessw#tab-4
Permit No.: N/C/_
Facility Name:
County:
Inspector:
Date of Inspection:
Time of Inspection:
a s' I'm
Certificate of Coverage No.:
Phone No.
Total Event Precipitation (inches): 1�)—� CENTRAL FILES
DWR SECTION
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." Hoi
some permits do not have this requirement. Please refer to these definitions, if applicable.
o A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative For local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee`dr Designee)
SWU-242, Last modified 10/25/20 t2
Page 1 of 2

Cameron Testing Services, Inc. Laboratory Report
Client: Ready Mixed Concrete CTS Proj.
Project: Stormwater Regulatory
Sample Information
Sampled M. SetZer Date 02/03/15 Received
Analyses and Results
NC DENR #654
NC PHHS #37799
US EPA #NC0191 B
160157
Yes
J. Cameron Date 02/03/16
a
d 'E
N
�, �?
N
w Std. Methods
Lab ID Sample ID
U
Analyte
Result
J
= o
Reference
a
r1
160157 01 Plant 1
SW
Gr
PH
5.42
S U
0
02/03/16
4500 H B - PH
TSS
21
mGVL
417
02109/16
2540 0 - TSS
02 Road 2
SW
G,
pH
6.54
S U
0
02/03/16
4500 H B - PH
TSS
97.5
m9rL
4 Bs
02/09/16
2540 D - TSS
Report � , i f • _.....
Review
Lab Director
219 .S Sleep Sir
Sanlnrd NIC 273+0
Date
919-20R-42411
chrisliilcameronlc5l inP.com

1. Outfall Description:
�. Outfall No. Structure (pipe, ditch, etc.) G�
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ` O
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.}: /t%0,4
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where�I its no solids and 5 is the surface covered with floating solids:
U 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10, Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. _j Structure (pipe, ditch, etc.) 2,V"---A
Receiving Stream:
Describe the industrial activities that occur within the outfali drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Am
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): —1 U011 t'
4.
Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear
and 5 is very cloudy:
U 2 3 4 5
S.
Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where is no solids and 5 is the surface covered with floating solids:
/1
/lj 2 3 4 5
• 6.
Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7.
Is there any foam in the stormwater discharge? Yes 60)
8.
is there an oil sheen in the stormwater discharge? Yes 6
9.
is there evidence of erosion or deposition at the outfall? Yes No
10.
Other Obvious Indicators of Stormwater Pollution:
List and describe
is may
Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

219 S. Steele Str.
Sanford, NC 27330
Ph-- nin_7nA-A''2en
Cameron Testing Services, Inc.
NC WWIGW Cert. #654 NC PHHS Cert # 37799 US EPA NC01918
Chain of Custody
Page of
Company �� V� `,cry
� "ail
r CTS lab use
only;
Phone:
—
Sample Tem �,i-
Prot
Contact
,
VFaz
Address Ci
State .Zip} o
_.._ ..........
Arnve:;
t'
Protect �.
`,
Re�rtrta•c f '
:R�sh � —
�'
Name:
Signature:
,Collected`-,
T =i
�Sa,r..
Tm le Irifarmation T, ,_
P
_? Number'of,bottles
Re nested Anal sts
q Y
,..
_
x
Z
F
O t y " y
{
>�
Preservatives W Un reserved B=iiCl
C7S Lab
v. 5ample ID
_�... w
a, 3
.p��.. }_ o �, ; ».Qy.
`�'"
»vo ?
_ ors
1 m
j)
f [7 Q 0
1
1 o i
=
Y=H2SQ R-HNO3Na=NaThiasuifate
G=NaOiii X Other, inaicate
l�
U
t
e
—
1 Q ;
t
1 i
'
i
a
i
l
I
i
{
J 1 r
I i
i
I �
Relin uishe
Received
�.. D tte/Ti
... ....... ,..._._
,new."
/
'' Rust' work will require prior approval. Additional charges will apply

;I-
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14�� 6
FACILITY NAME; r ,r O �C /.
PERSON COLLECTING 4MPLES
CERTIFIED LABORATORY CP ,2 ,,� Lab #
Lab #
OPTIONAL INFO:
Part A. Stormwater Monitoring Requirements
RECEIVED
SAMPLE COLLECTION YEAR -
SAMPLING PERIOD: V1 July -December El January -Jun e OCT 2 6 2015
COUNTY e z' CENTRAL FILES
PHONE NO. I47W1 - °WR SECTION
ADD TO LISTSERVE7 ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
Outfafl No.
Date Sample
Collected
(mo/dd/yr OR
NO flow)t
pH
(Standard
Units)
TSS
{mg/L)
Event
Duration
(minutes)
Total 4
Rainfafl
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling=
3
-
-
x If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is In excess of the benchmark, or outside the benchmark range I f o r pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
`For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 ; Last Revised 7/13/11
Page 1 of 2

-. 0 0 0
Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month - averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)
pH
(Standard
Units)
TPH using method
1664A 5GT--HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
n
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling"
I
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE5 AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [-]NOR
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Orieinal and one coDv of this DMR fincluding all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIHCAT{ON 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 away tha there ar ignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2of2

Cameron Testing Services, Inc. Laboratory Report
NC DENR #654
NC PHHS #37799
US EPA #NCO1918
Client:
Ready Mixed Concrete CTS Proj.
151366
Project:.
2015 Semi -Annual SW #2 Regulatory
Yes
Sample Information
Sampled:.
M. Setzer ..pate. 10/02/15 Received C.
Cameron
Date 10/02/15
Analyses and Results
Lab ID
Sample ID L° Analyte Result
_
E
D
y
Std. Methods
ra o
U t? Z)
ly
c O
s Reference
¢
t7
151366 01
Road #2 sw G, TSS 36.3 mg&
77
10/07/15
2540 D - TSS
PH 648 s u
0
10J02115
4500 H 3- phi
02
Plant #1 sw Gr TSS 39 0 nsn.
, 2s
10/07/15
2540 D - TSS
pH 634 c U
0
10/0211 5
4500 H Q- pH
Report
Review
Lab Director
1
219 S. Sleele Sir.
Sanford 'IN'C 27330
Date
chris (! CBn II'r1�E71t'tillny_'.Clllll

-�� 1
®®AA— J®
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: htttL:portal.ncdcor.org/tvcb/tiv ws/su/npdess",4t ib-4
Permit No.: N/C/ / /_/�/ I_/_/ or Certificate of Coverage No
Facility Name: "�
County: ��� _ Phone No.
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
NlCl�i1,41S1-0141-31-1'1-
Was this a 'Representative Storm Event" or "Measureable Storm ent" as defined by the permit?
(See information below.) 4ECEIVED
Yes ❑ No
OCT 2 6 nf.-,
CENT RAL FILES
Please verify whether Qualitative Monitoring must be performed dprr�rg a Sap gqAtative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event' or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
! obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Gast modified 10/25/2012

A
J`
1, Outfall Description: 1
Outfall No. Structure (pipe, ditch, etc.) �lY"- _
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: t
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): AtIyo _
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: ��
/1J 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
d) 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
6 2. 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
SWU-242, Last modified 10/25/2012
Page 2 of 2

1. Outfall Description: �
Outfall No. a— Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of th discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: tz
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
l9 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
a 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes oNo
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

V
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF CO ERAGE NO. NCG 4 / b 3
FACILITY NAME: Cf tc� '
PERSON COLLECTING SA40PLES L,-
CERTIFIED LABORATORY : J7?5�, ) Lab # L5
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: d
SAMPLING Pf RIOD: ❑ July -December January -June
COUNTY ee_
PHONE NO.
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: [_]SA❑HQW ❑PNA ❑Trout —]Other
Outfall No.
Date Sample
Collected
{mo/dd/yr OR
1
NO FLOW)
PH
}Standard
Units)
TSS
{mg/L}
Event
Duration
{minutes)
Total a
Rainfall
{in)
In Tier 2
Monthly .
Monitoring?
(y/n)
# of Months in Tier
2 Samplingz
EC
_"Na)
h1A1
ENTRE
L FILES
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
a If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
s TSS benchmark values are 100 mg/i, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
"For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)'
PH
(Standard
Units)
TPH using method
I664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
2
Sampling
6-9
15
100 '
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES []NO
❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flaw" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files a
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 rnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
3 �M-
(Signature of Permittee)" (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2
W

Cameron Testing Services, Inc. Laboratory Report
Client: Ready Mixed Concrete CTS Proj. i 150171
J
Project: February 2015 Regulatory. Yes
Sample Information
Sampled M. Setzer Date 02/10/15 # Received' A. Miller
Analyses and Results
NC DENR #654
NC PHHS #37799
US EPA #NC01918
Date 02/10/15
x -aa _
Lab ID Sample ID a `�° Analyte Result c CL
E m Std. Methoc
n U C7 r ❑ :3 Reference
a CY
50171 01 Plant 1 WW Gr TSS
40.0
mgIL 556
02/10/15
2540 D - TSS
pH
6.48
S. U 0
02i1oil 5
4500 H i3 - pH
02 Road vvw Gr TSS
41.3
mgrL 533
02/10/15
2540 D • TSS
pH
6.37
S. U D
02/10/15
4500 H 8 - pH
Report / Review Q2 41 -- — --
Lab Director Date
219 S. Stecic Str.
Samford NC 27330
919-208-3240
citric a camerontesting.com

NCDENR
Stormwater Discharge OutfalI (SDO)
Qualitative Monitoring Report
For guidance on filling out th is form, please visit; e w w w u w# a
Permit No.:
Facility Name:
County: e
Inspector:. I71 /1 /—z!
Date of Inspection: 1dl' 4
Time of Inspection: — FSD
.Am
Total Event Precipitation (inches),-- J7
Certificate of Coverage No..
P4n-e No,
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below,)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event"(requirements vary, depending on the permit).
Qualitative monitoring requirements vary, Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event," However,
some permits do not have -this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event maycontain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior, The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for Iocai storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of permitteL51or Designee)
Page f of 2
�f SWU•242, Last modified 10/25/2012
u

I. . Outfall,Description:
Outfall No. - -- Structure (pipe, ditch, etc,)
Receiving Stream: "-
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, Clark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.); r'
4. Clarity; Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 S
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids;
a 2 ' 3' 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy;
2 3 4. 5
7. is there any foam in the stormwater discharge? Yes oNo
8. is there an oil sheen in the stormwater discharge? Yes N
9. is there evidence of erosion or deposition at the outfall? Yes No
10, Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation..
Page 2 of 2
5WU•242, Last modified 10/25/2012 a

NCDENR
Stormwater Discharge Outfall (SD 0)
Qualitative Monitoring Report
For guidance on filling out thisforrm, please visit, _.y_1 __a..L r.,r.VebZwQ/w /sL/npde5sw9ta�.1
Permit No.: N/�/`/_/—/_/ I_l_I o,; Certificate of Coverage No.:
Facility Name: '
County: e
Inspector: -z A
Date of Inspection: _,;L_A� _
Time of Inspection:—1,11.)-Z) f3'm
Total Event Precipitation (inches):
No. 9 % `-1K
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
CSee information below.)
9 Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "rmeasureabl e storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event,° However,
some permits do not have -this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at feast 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, i certify that this report is accurate and.complete to the best of my knowledge:
(Signature of Permittee-Z� Designee)
SwU.242, Last modSfied ID/25/2012
Page i of 2
E

,.,
1. Outfall Description:
Outfall No. -,A Structure (pipe, ditch, etc,)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:_____
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and dnr
(light, medium, dark) as descriptors;
3. Odor: Describe any distinct odors that the discharge may have (i,e,, smells strongly of oil,
weak chlorine odor, etc.): r'
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which. best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy-,
V 2 3 4 5
7. is there any foam in the stormwater discharge? Yes fNq)
8. Is there an oil sheen in the stormwater discharge? Yes CNq)
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation..
Page 2 of 2 i
SWU-242, Last modified 10/25/2012

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF CO ERAGE NO. NCG -2 J`J
FACILITY NAME: +° r K
PERSON COLLECTING SAS PLES AUle
CERTIFIED LABORATORY LG/nA&II) Lab #
.1/1-Lab #
OPTIONAL INFO:
Part A, Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 'y
SAMPLING PERIOD: M July -December ❑ January -June
COUNTY If
PHONE NO.
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ❑Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FL0W]1
pH
(Standard
Units)
TSS
(mg/L]
Event
Duration
(minutes)
Total
A
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(Y/n)
# of Months in Tier
z
2 Sampling
7
3ti '
iy
REG
SEP 92 2
DWR SECT]
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
ED
114
_ES
DN
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
date Sample
Collected
(mo/dd/yr)'
pH
(Standard
Units )
TPH using method
1664A SGT-HEM
m L
g/)
Total Suspended
Solids
m L
g/)
Event
Duration
(minutes)
minutes
Total
Rainfalla
n
(i)
New Motor Oil
Usage
al month
(g / )
2 Tier
In InTierMonthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sam lin
p j2
6-9
15
100 '
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]NO
❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Orieinal and one coov of this DMR (including all "No Flow" & "No Discharee" reports) within 30 days of receipt of sample for at end of monitoring period
in case of "No Flow" to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aw re that the are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
AZ4
(Signature of Permittee (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

Cameron Testing Services. Inc. Laboratory Report
Client: Ready € fixed Concreta CTS Prof.
Project: September 2014 Stormwater Reguiptory
Sample Information
Sampled M Setzer Date+o$! zi Received
Analyses anc# Resuits
NC DENR #654
NC PHHS #37799
US EPA JtNC01918
141093
Yes
Ca rneron Date 09/08/14
Lab ID Sample ID o
Analyte
Resuli
N d ='
ro c
N
R m
d
Std. Methods
;�
[3
s]
Reference
d
141093 01 'iaot #1
TSS
34.5
mcIL t15
09/09/14
2540 D - TSS
Field P
%.?
s u
09108r14
4500 H B pH
02 Road wq c TSS
Field pH
r=ield Tern;
Data
Review
Lan Technician
Repon '
Review
La ector
2 N S. '�trrle �Ir
'2.S (;91091 is
7.d s u 09/08/14
23. 1 Lc 09/38114
Cate
�1t8
;?6A0 L. -TSS
4500 H B - pH
�11rii ii �:r.ncrnit[c,iin�.c�un

4 70A
�— Ewa
NCDENR
Stormwater Discharge Outfall (SDO)
. Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: b=l/Yportal.ncdenr.orv-/wgd/wq/ws/su/qpdeSSw#tab-4
- . I . W- A. . , S , .-,
Permit No.: N,
Facility Name:
County: Z. e-�- - PlYone No. VIL /' C-
Inspector: ,- z Ie
Date of Inspection: -±--/FY/ .
Time of Inspection:
Total Event Precipitation (inches): l _.
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below,)
2 Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event"(requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is Preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
M
(Signature of Permittee or Designee)
Pagel of 2
5wU-242, Last mod4fied 10/25/2012

N
1. Outfall.Description:
Outfall No. / Structure (pipe, ditch, etc.)I/
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the nd�'sch _arge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:. l f?M
3. Odor: Describe any distinct odors that the discharge may have Ci.e., smells strongly of oil,
weak chlorine odor, etc.): _Abl rl
4. Clarity. Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
01 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
61 2 ' 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes r
4. is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: .Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU•242, Last modified 10/25/2012

NCDENR
StormwaCer Discharge Outtall (SDO)
Qualitative Monitoring Report
a,
Forguidance on filling out this form, please visit: c e w /wa/ws/su/npde5sw#tab-4
s�
Permit No,:
Facility Name:
County: z� ��
Inspector: z
Date of lnspection: C/-R_
Time of Inspection: — /d,' 3o.4A1
o,; Certificate of Coverage No.:
Total Event Precipitation (inches): _ 1 -
Phne No.
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
fZ Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0A inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permit -tee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office,
By this signature, I certify that this report is accurate and.complete to the best of my knowledge:
(Signature of Permi
Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

I., Outfall Description:
Outfall No. —,A Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. CoIor: Describe the color of the discharge using basic colors (red, brown, blue, etc,) and tint
(light, medium, dark) as descriptors;
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.), 4Xr°
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
6) 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
�1 2 3 4 ' 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
01 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes oNo
8. is there an oil sheen in the stormwater discharge? Yes CN9)
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, Last modified 10/25/2012

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000 I RECEIVED
CERTIFICATE OF COVERAGE NO. NCG14 U Q '3 ,5
FACILITY NAME:
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY g M era. Teai,,,c Lab # 6 S-q
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
�7 FEB 2 4 2014
SAMPLE COLLECTION YEAR: U CENTRAL FILES
SAMPLING PERIOD: ❑July -December LNianuary-June DWQ/BOG
COUNTY e
PHONE NO. ca19 835�
ADD TO LISTSERVE? []YES ]NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout []Other
Outfall No.
Date Sample Collected
(mo/dd/yr OR
NO FLOW)'
PH
{standard
Units}
TS5
(mg/L)
Event
Duration
(minutes]
Total
4
Rainfall
(in]
In Tier 2
Monthly
Monitoring?
n
(y/ )
# of Months in Tier
2 Samplingz
lG114
3---
Ro'4--
` If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
4 TS5 benchmark values are 100 mg/l, except when discharging to ORW,.HQW, Trout, and PNA waters where they are 50 mg/l.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
❑armit mats+• 7/1 /7f111-Fn/::tn/7n1S 1 Aa RPvicarl 7/1q/11

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year
Outfall
No,
Date Sample
collected
(mo/dd/yrJl
pH
(Standard
Units]
TPH using method
1664A SGT-HEM
(mg/L)
Iota! Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfalla
(in)
New Motor Oil
Usage
(gal/month)
Monthl 1n Tier 2
y
Monitoring?
{Y/n1
� of Months
in Tier 2
Sampling2
6-9
15
104 ,
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCFS AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Orieinal and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30.dys of receipt of sample (or at end of monitoring period
in case of "No Flow")_to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
/ L.c/4Sel Z2 -z-1
(Signature of Permittee
Permit Date: 7/1/2011-60/30/2015
(Date)
Last Revised 7/13/11
Page 2 of 2

jfj;wA
NCDENR
Stormwater Discharge OutfalI (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://portal,ncdenr.org/web/wq/­`ws/su/­npdessw#tab-4
Permit No.: N/C/_/w/_/_/^/_/_ / or Certificate of Coverage No.:
Facility Name: e d d cd, fe4e Co"" Or
County: _ e e _ Phone No. I S 776- 93 s 5
Inspector: M, kP je fz�r
Date of Inspection:
Time of Inspection: 3.' f/a ice, �
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However, .
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1'inc6s has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office,
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
w
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

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

I
Affij,;A
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit: http://portal.ncdenr.or2/web/­wg/ws/sum pdessw#tab-4
Permit No.: N/C/_
Facility Name: A
County: I ee
or Certificate of Coverage No.:
eaA Ini,Ked eog0-,'-(e Cd,. ?aag y
Inspector: In, ),& Se fz-e,
Date of Inspection: _ ,? - `l % V
Time of Inspection: 3.Vo ?ram
Total Event Precipitation (inches): SC
Phone No. 9M- 7-744- 83S-
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
© Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local -storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
P,
(Signature of Permittee or Designee)
SWU-242, Last modified 10/25/2012
Pagel of 2

1. Outfall Description. Z2.' !
Outfall No. / Structure (pipe, ditch, etc.) h
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Clef'-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): -P—
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
6) 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
@ 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. is there any foam in the stormwater discharge? Yes 0
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Iiidicatdrs of Storinwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

Cameron Testing Services, Inc. Laboratory Report
NC Dr-NR 4654
NC PHHS #37799
US CPA RNC01918
Client:
Ready Mixed Concrete cTS Prof.
140105
Project:
2014 SW #1 Regulatory
Yes
Sample Information
Saii ialed
M. Setzer Date;. ? 02/04/14-Rccalvcd'
B. Gordon
' Date
02104/14
Analyses and Results
N
Lab !D
Sample !D o L° Analytc Result
"r
,
51d. rtetllods
v
0 o
—.
Reference
140105 01
Plant SW G• Field pH 6.64 a
n
02/04/14
BG
4500 H B - pH
TSS B,3 nwl.
e a
02JO7114
OPK
254017 - TSS
02
Road SW G' Field pH 6.d5 u
u
02104t14
aG
4500 H 8 - pH
TSS 50.0 Roll
1(1
02/07114
DAK
2540 0 • TSS
r
DataReview
Lab Technician
Report
Review
Lab Director i r
211} ti. Stctic Sir.
. [011161J.NC 27.311
a-�7�1y
Date
Date
4'llrl�'r1'�,:It11 L'fi}Ili4�llil �;, l'l Nil '