NCG140136_MONITORING INFO_20190125

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
yo13�
DOC TYPE
❑HISTORICAL FILE
pL MONITORING REPORTS
DOC DATE
❑ blc� 5
YYYYMMDD

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:/ideq.nc.gov/aboutJdivisions/energy -mineral-land-
resources/energy-mineral-landpermits/stormwater-permits/npdes-industrial-sw#tab-4
Permit No.: N/CI l_I_I_hl�l I or Certificate of Coverage No.: N/C/G/
Facility Name: A f= I
County: W e- Phone No. 914 ~ 36A - 85 z 3
Inspector: e .t e- Li
Date of Inspection
Z� I Z,,i$
VED
Time of Inspection:
Total Event Precipitation (inches):
r;�NT 4AL FILE:
L)WR S �TI�Ji 1
All permits require qualitative monitoring to be performed during a "measurable storm event."
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 DEMLR
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Outfall Description:
Outfall No. 1:.
Receiving Stream:
Structure (pipe, ditch, etc.): ell fe- l
Describe the industrial activities that occur withinthethe outfall drainage area:
C- o c r t+ <- Pt' o u t
Pagel of 2

0
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light; medium, dark) as descriptors: i,I e kt
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): NO P G
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
V 2 3 4 5
7. Is there any foam in the stormwater discharge? Q 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? O 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

Environmental
Quaury
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit hMs:l/decinc.pov/about/divisions/energy,mineral-land-
resources/energy-mineral-land hermits/stomiwater-permits/nodes-industrial-sw!#tab-4
Permit No.: NICI_I_I_I I_I_I_I or Certificate of Coverage No.: N/C/G/Ll yl ,O / 11 3/ 61
Facility Name: a P X 1 85-
County: GJ C, (( e-- Phone No. _ Q )'- 36 A- 8 S Z- 3
Inspector: Ta, ( e C-- ( - -
Date of Inspection: 417-11 Zo ► _ _
Time of Inspection: 1 Z o d
Total Event Precipitation (inches): 75
All permits require qualitative monitoring to be performed during a "measurable storm event."
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 DEMLR
Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. Z- Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activi
CG)jar
that occur wlwithin the outfall drainage area:
Pet, [ wc� +wl
Paget of 2

2. Color: Describe the color of the discharge us
(light, medium, dark) as descriptors: _ laic 44
basic colors (red, brown, blue, etc.) and tint
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:
1 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:
0 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 0 No.
S. Is there an oil sheen in the stormwater discharge? QYes ® No.
9. Is there evidence of erosion or deposition at the outfall? O Yes • No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe f1 b ,j C
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

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT N0. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 1 3 iP
FACILITY NAME: * �
PERSON COLLECTING SAMPLES T
CERTIFIED LABORATORY ��� Lab i# Qom_
Lab s#
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: ZD! g
SAMPLING PERIOD: ❑ July -December January -June
COUNTY n.
PHONE NO. { 4_t_) 90— /-SQ
ADD TO LISTSERVE? []YES aNO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ❑Other
Outfall Na.
Date Sample
Collected
(mo/dd/yrOR
NO FLOW)'
pH
{Standard
Units]
TSS
(mg/L)
Event
Duration
(minutes]
Total o
Rainfall
(in)
In Tier 2
Monthly
�
Monitoring,
(y/n)
a of Months in Tier
2Samplingz
-
6-9
100 '
-
-
-
7, d
Qw><7Z, i Z
Z7 Z01 R
qq, S
i
' 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 shaft be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 T5S benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
4 For each sampled measurable storm event the total precipitation must be recorded using data from an cn-site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Date of last pH meter calibration: ai J Z Z01 Last Revised 7/13/11
Page 1 of 2

Part B: Vehide 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
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 Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Ter 2
2
2'
Sampling
15
100-
A
I
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN E5 AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO Q�
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copv of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of recent of_samplelor at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Rafeigh, 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 ine and imprisonment for knowing violations."
(Signs ure of Permittee) ! (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

aceAnaljftal
1 www.pacelabs.wm
f
April 30, 2018
Jay Watkins
Ready Mix Concrete
3610 Bush Street
Raleigh, NC 27609
RE: Project: Plant 6 Apex
Pace Project No.: 92382334
PaceAna"cal Services, LLC
9600 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Jay Watkins:
Enclosed are the analytical results for sample(s) received by the laboratory on April 25, 2018. The
results relate only to the samples included in this report. Results reported herein conform to the most
current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual, where
applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Angela Baioni
[e-mail]
[phone]
Project Manager
Enclosures
i►«R 0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page i of 10

aceAnalytical
wwwpspalab&Com
i
1
i
Project: Plant 6 Apex
Pace Project No.: 92382334
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
North Carolina Wastewater Certification #; 633
VirginiaNELAP Certification #: 460025
ICJ REPORT OF LABORATORY ANALYSIS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersvitle, NC 28078
[phone]
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 2 of 10

aceAnalytical
"www.AacelaGs.mm
I
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 KinceyAve, Suite 100
Huntersville, NC 28078
[phone]
Project: Plant 6 Apex
Pace Project No.: 92382334
Sample: Outfall #1 Plant 6 Lab ID: 92382334001 Collected: 04/24/18 11:55 Received: 04/25/18 16:20 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2640D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 10.9 mg/L 2.6 1 04/27/18 11:29
Sample: Outfall 02 Plant 6 Lab II7: 92382334002 Collected: 04/24/18 12:00 Received: 04/25/18 16:20 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 49.8 mglL 4.9 1 04/27/18 11:29
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/30/2018 02:13 PM without the written consent of Pace Analytical Services, LLC.
Page 4 of 10

aceAnalyficalto
f www.pacelabs.com
i
QUALITY CONTROL DATA
Project. Plant 6 Apex
Pace Project No.: 92382334
QC Batch: 408249 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92382334001, 92382334002
Pace Analyticai Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
METHOD BLANK: 2265174
Matrix:
Water
Associated Lab Samples: 92382334001, 92382334002
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Total Suspended Solids
mglL
ND
2.5
04/27/16 11:28
LABORATORY CONTROL SAMPLE:
2265175
Spike
LCS
LCS % Rec
Parameter
Units
Conc.
Result
% Rec Limits Qualifiers
Total Suspended Solids
mglL
250
228
91 90-110
SAMPLE DUPLICATE: 2265176
92382423002
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg1L
26.4
31A
17 D6
f
SAMPLE DUPLICATE: 2265177
92382426001
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mglL
155
160
3
Results presented on this page are in the units indicated by the `Units" column except whore to alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/30/2018 02:13 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 10

e
1!2ce Analytical
[� www.pacWabs.WM
QUALIFIERS
Project: Plant 6Apex
Pace Project No.: 92382334
DEFINITIONS
Pace Analyticaf Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704�V5-9092
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NO - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not'detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter for the analysis of Acrolein and Acrylonilrile by EPA
Method 8260,
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
LABORATORIES
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
Date: 04/30/2018 02:13 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, LLC.
Page 6 of 10

./5aC6Analytical
1wWw.pacWabs.CW
l
Project: Plant 6 Apex
Pace Project No.: 92382334
Lab ID
92382334001
92382334002
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Sample ID
Outfall #1 Plant 6
Outfall #2 Plant 6
Date: 04/30/2018 02:13 PM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QC Batch Method QC Batch Analytical Method
SM 2540D 408249
SM 2540D 408249
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in fuil,
without the written consent of Pace Analytical Services, LLC.
Analytical
Batch
Page 7 of 10

Document Name: Document Revised: February 7, 2018
Sample Condition Upon Recelpt(SCUR) Page 1 of 2
r _ Ct �RdlyllCr3/ Document No.: Issuing Authority:
F•CAR-CS-033-Rev.06 Pace Carolinas Quality Office
laboratory receiving samples:
Asheville Eden❑ Greenwood 0 Huntersville ❑ Ralelg5Mechanicsville[]
Client Name: V ] /i t - f WO# : 92382334
1C i* f j `( Project #
Courfer: ❑Fed Ex ❑UPS ❑USPS
❑ Corn mercial ❑Pace ❑Other:_/92382334
Custody Seal Present? ❑Yes Seals Intact? ❑Yes
Packing Material: ❑Bubble wrap ❑nubble Bags None ❑ Other
Thermome er: J
L, R Gun ID:L,Type of Ice: Wet ❑Blue
1R Gun fl:}: %s
Cooler Temp ('C): Correction Factor. Add uhtrsc Vc) a
Cooler Temp Corrected ('C): _�2•,1_ -
USDA Regulated Soil,lp N/A, water sample)
DId Samples nrlgi r• in quaranflne zone within the United States: CA, NY, or SC (check mans)?
r" y— 14v�
©ate/InitlaIs Pe rso n Examining Contents;A _4/'Q
Biological Tissue F an?
❑Yes ❑No N/A
Orrpne
Temp should he above freezing to 6'C
[]Samples out of temp c6teria. Samples en Ice, cooling process
has begun
Did samples Originate from a foreign source (inter nati ,
indUdinv Hawaii and Puerto Rienl7 11Yes n
Comments/Dlstre anC :
lChain ot Custody Present7
a es �]xo
ON/A
I I.
Sal mplesArrived within Hold Time?
i.dees E1Nn
N/A
2.
Short Hold Time Analysis (<72 hr.)?
Yes o
/A
3.
Rus h Turn Ann und Time Requested?
Sufficient Volume?
yes o
es t+4
N/A
N/A
4.
5,
Correct Containers Used?
No
©N/A
S.
-Pace Containers Used?
I
��
Containers Intact?
yes No
ON/A•
7.
Dissolved anal s(s. Samples =1erd Filtered?
a ua
, /A
_�_
a.
Sample Labels Match C00
-Includes Date/T1me/]0jAnalysis Ngatrlx:
es [,ra
F
©y/A
9.
Headspace in VOA Vials In3-6mm)?
DYas Olga
I IN(A
10.
Trip Blank Present?
OYcs ©No
N/A
11.
Trip Blank Custody SeatsPremnt?
_ ©Yes On
N!A—:=
_{
COMMENTS/SAMPLE DISCREPANCY
Lot iU of splil containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted: Date/Time:
Field Data Required? ❑yes ONO
Project Manager SCURF Review: ��� j�
Date:
Project Manager SRF Review: Date:
Page 8 of 10

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BP41.1-125 mL Plastic UnprEserved (N/A) (Cl.)
BP3U-2bd mL Plastic Unpre5erven (N/A)
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BP2U-500 mL Plastit Unpreserved (N/A)
$PIU-I liter PlasticUnpreserved
Z4—
-7---
(N/A)
BP4S-125 mL Plastic H2SO4 (pH c 2);CI_)
BP3N-250 mL plastic HNO3 (pH < 2)
_
OP42.125 mL Plastic 7N Acetate & NapH (�9)
I
BP4C-125 mL Plastic NaOH (pil > 12) (CI-)
'
I
-GFU-Wide-mouthed Glass Jar Unpreserved
AG1U-1 titer Amber Unpreserved (N/A) (CI•)
I
AG1H-1 liter Amtmr HCI (pH < 2)
I
AG3U-250 rnL Amber Unpreserved (N/A) (C1-)
0-17
AG1S-1 liter Amber HZS04 (pH < 2)
AG35-250 mL Amber H2SO4 (pH <2)
I
!
AG3A(r)G3A)-250 mLAmber NI14CI (N/A)(C'1-)
DG9H-4G mL VOA HC! (N/A)
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VG97-40 mL VOA Nn2S203 (N/A)
'
VG9U-40 nrL VOA Unp (N/A)
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069P-40 mL VOA HAP04 (N/A) '
VOAK (6 vials per kit)-5035 kit (N/A)
V/GK (3 vials per klt)-VPH/Gas kit (N/A)
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SP27.2S0 mL Sterile Plastic (N/A- lab)
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BP3A-250 mL Plastic INH2)7SO4 (9-3-9,7)
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AGOU-100 ML Amber Unpreserved vials (NIA(
MLT-2O mLSclntlllatlan viais [Nr'A)
[
DCOU-40 mL Arnbet-Unpreserveci vials (NIA)

CHAIN -OF -CUSTODY / Analytical Request Document
the CK r ain-of-Cuslody Is a LF-GAL DOCUMENT. All relevant fields must be completed accurately-
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R.tei R NC 27610
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Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit https://deg.nc.gov/about/divisions/energy-mineral-lan_d-
resources/energy-miners l -1 and-permits/stormwater-permits/npdes-industrial-sw#tab-4
Permit No.: NICI_I_I_I I 1_I_l or Certificate of Coverage No.: N/C/GI 115l / p I / 1.31 & I
Facility Name:
K I F5,
County: (,Ja��- Phone No. 9 t j
�II
Inspector: +c- l
Date of Inspection: Iv 1 c 11 7-0 f
Time of Inspection: Z : 7- n PA
Total Event Precipitation (inches):
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual disebarge 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 DEMLR
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)
1. Outfall Description:
Outfall No. l
Receiving Stream:
Structure (pipe, ditch, etc.):
Describe the industrial activities that occur within the .outfall drainage area:
C.,Ar,j, P/'o (u4j-
Page 1 of 2

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light; medium, dark) as descriptors: 1 �q �f brlawvn
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ,a a t3 t
4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
I 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
t9 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes ® No.
8. Is there an oil sheen in the stormwater discharge? OYes 40 No.
9. Is there evidence of erosion or deposition at the outfall? O Yes 0 No,
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 10o d G
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may he
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2

fnrirpnmenla!
Quality
Storrnwater Discharge ®utfall (SD®)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deg.ne.gov/about/divisions/energy-mineral-land-
resources/energy-m i nera 1-1 and-permi ts/stormwater-permits/npdes-industri a I `sw#ta b4
Permit No.: N/C/ hl_lil^l_hl or Certificate of Coverage No.: N/C/G/ / l Vl a / I / 3 / 6 /
Facility Name: _ _ A p -t_ x Is-5-
County: It e- Phone No.
Inspector: _ Jc,,
Date of Inspection: _ _I D �rr' Zo t R
Time of inspection: 2. ZO ,A
i
,t
Total Event Precipitation (inches): l VY
All permits require qualitative monitoring to be performed during a "measurable storm event."
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 DEMLR
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)
1. Outfall Description:
OutfaIl No. 2-- Structure (pipe, ditch, etc.): d r ��
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
rG %cr��c (�'roJ.�c.V14
Page 1 of 2

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Lf,
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _ _ jj *'i 4
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy-
1 2O 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormWater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge.. where I is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes ® No.
S. Is there an oil sheen in the stonnwater discharge? OYes ® No.
9. Is there evidence of erosion or deposition at the outfall? o Yes • No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe � a ,y cr— _
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.
Pate 2 of 2

TABLE 9.1
ANALYTICAL MONITORING REQUIREMENTS-STORMWATER
READY MIXED CONCRETE COMPANY -- PLANT #
DISCHARGE
UNITS
BENCHMARK
SAMPLE
SAMPLING
CHARACTERISTIC
VALUES
LOCATION
SCHEDULE
pH
Standard
Within range
6.0 to 9.0
Each Outfall'
Semi -Annually
Total Suspended Solids (TSS)
mg/L
100 mg/Lz
Each Outfall'
Semi -Annually
Total Petroleum Hydrocarbons3
mg/L
15 mg/L
Each Outfall'
Semi -Annually
Event Duration
Minutes
Not applicable
Each Outfall'
Semi -Annually
Total Rainfall
Inches
Not applicable
Each Outfall'
Semi -Annually
New Motor Oil Usage
Gallons/ Month
Not applicable
Not applicable
Semi -Annually
Notes:
1. Samples shall be collected at each stormwater discharge outfall unless representative outfall status
has been granted and documented by the Division of Water Quality. A copy of the letter granting
representative outfall status shall be kept on site.
2. TSS benchmark for ORW, HWQ, Trout or PNA waters is 50 mg/L.
3. Only required for sites where vehicle maintenance activities occur.
4. All samples must be grab samples. Grab samples shall be collected within the first 30 minutes of
discharge from a stormwater discharge outfall (SDO).
5. All samples must be collected during a measurable storm event. A measurable storm event is an
event that results in an actual discharge from the permitted site outfalls. The previous measurable
storm event must have been at least 72 hours prior. If no discharge occurs during a sampling period,
a monitoring report indicating "No Flow" must be submitted within 30-days of the sampling period.
6. For each sampled measurable storm event the total precipitation must be recorded using an on -site
rain gauge.
7. The permittee shall complete the analytical samplings in accordance with the schedule specified
above, unless adverse weather conditions prevent sample collection. Inability to sample due to
adverse weather conditions must be documented in the SPPP and reported on the appropriate DMR
form (Appendix A).
8. A minimum of 60 days must separate each monitoring event unless monthly monitoring has been
instituted under a Tier Two response
9. The permittee shall compare monitoring results to the above -referenced benchmark values for each
discharge characteristic. Exceedances of benchmark values require the permittee to increase
monitoring, increase management actions, increase record keeping, and/or install stormwater Best
Management Practices (BMPs) in a tiered program, as specified by the general permit.
10. Failure to monitor semi-annually per permit terms immediately institutes monthly monitoring for all
stormwater parameters. After six months of monthly monitoring, the permitee may make a request in
writing to the Division of Water Quality to return to a semi-annual monitoring schedule.

i
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14_
FACILITY NAME. A �x
PERSON COLLECTING SAMPLES�,
CERTIFIED LABORATORY , e lab it
Lab p
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: Z O / 97
SAMPLING PERIOD: uiy-December ❑ January -June
COUNTY <—
PHONE NO. 9 r 9 j ? 7,1
�sz�
ADD TO LISTSERVE? ❑YES [r <O EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout []Other
Dutfall No.
Date Sample
Collected
Imo/dd/yr OR
NO FLOW)'
pH
{Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes]
Total 4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
t# of Months in Tier
2 Samplingz
300 ,
fis-•*
-
6
(Q
Z
(a
b'D�N�s
L/L'`
t 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/l, 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 en -site rain gauge.
Permit Date: 7/1/2011-60/30/2015
/..- r/_ . ,(7
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/yrj'
pH
(standard
Units}
TPH using method
I664,4 SGT-HEM
jmg/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
1002,1
-
-
-
-
I
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC S AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES []NO
REGIONAL OFFICE CONTACT NAME:
Mail Orieinal and one cow of this DMR (including all "No Flow" & "No Discharge" 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 p rsonneI properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
thosjar.1thepe
ns direct esponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am a0
pe ies re o false information, including the possibility of fines a d imprisonment for knowing violations."
�,
(Sig#fa re 9f ElErmittee) (Date)
Permit Date: 7/1/2011-60/3D/2D15 Last Revised 7/13/11
Page 2 of 2

TABLE 9.2
ANALYTICAL MONITORING REQUIREMENTS -PROCESS WASTEWATER
READY MIXED CONCRETE COMPANY - PLANT #
DISCHARGE
EFFLUENT
SAMPLE
SAMPLING
CHARACTERISTIC
UNITS
LIMITATIONS
LOCATION
SCHEDULE
pH
Standard
6.0 — 9.0'
Each Outfal12
Quarterly
Total Suspended Solids (TSS)
mg/L
30 mg/L3
Each Outfa112
Quarterly
Settleable Solids
mUL
5 mUL
Each Outfall2
Quarterly
Total Petroleum Hydrocarbons°
mg/L
15 mg/L
Each Outfali2
Quarterly
Event Duration
Minutes
Not applicable
Each Outfai12
Quarterly
Flow'
Gallons/Day
Not applicable
Each Outfal12
Quarterly
New Motor Oil Usage
Gallons/ Month
Not applicable
Not applicable
Quarterly
Total Volume of Wastewater
Not applicable
50% of summer
Not Applicable
Quarterly
Discharged (HQW)
7Q10 Flow
Notes:
1.' pH range for saltwaters is 6.8 — 8.5.
2. Samples shall be collected at each process wastewater outfall during a discharge event.
3. TSS effluent limitation HOW is 20 mg/L and 10 mg1L for Trout or PNA waters.
4_ Only required for sites where vehicle maintenance activities occur and process wastewater
commingles with stormwater.
5. Flow may be measured continuously or calculated.
6. See 15A NCAC 02B .0224 and general permit for explanation.
7. All samples must be grab samples. Grab samples shall be collected within the first 30 minutes of
discharge from a process wastewater outfall.
8. If no discharge occurs during a sampling period, record "No Flow" or "No Discharge" within 30-days
of the end of the sampling period and file with SPPP.
9. Commingled discharges must be collected during a measurable storm event. A measurable storm
event is an event that results in an actual discharge from the permitted site outfalls. The previous
measurable storm event must have been at least 72 hours prior.
10. For each sampled measurable storm event the total precipitation must be recorded using an on -site
rain gauge.
11. The permittee shall complete the analytical samplings in accordance with the schedule specified
above, unless adverse weather conditions prevent sample collection. Inability to sample due to
adverse weather conditions must be documented in the SPPP and reported on the appropriate DMR
form (Appendix A).
12. For commingled discharges, a minimum of 60 days must separate each monitoring event unless
monthly monitoring has been instituted under a Tier Two response
13. The permittee shall compare monitoring results to the above -referenced effluent limitations for each
discharge characteristic. Exceedances of effluent limitations will result in a violation of permit
conditions and may be subject to enforcement.
14. Failure to monitor process wastewater quarterly per permit terms immediately institutes monthly
monitoring for all parameters. After six months of monthly monitoring, the permitee may make a
request in writing to the Division of Water Quality to return to a quarterly monitoring schedule.

5acieAnalyfical
WWW..paC&63.c=
i r .
October 19, 2018
Jay Watkins
Ready Mix Concrete
3610 Bush Street
Raleigh, NC 27609
RE: Project: Apex Plant 6
Pace Project No.: 92403351
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Jay Watkins:
Enclosed are the analytical results for sample(s) received by the laboratory on October 12, 2018.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
4
Angela Baioni
[e-mail]
[phone]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC,
Page 1 of 9

aceAnalytica!
—pacelabscom
f
Project: Apex Plant 6
Pace Project No.: 92403351
Eden Certification iDs
205 East Meadow Road Suite A. Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
Pace Analytical Services, LLC
9600 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 2 of 9

aceAnalytical
xww.Pacelabs.rAm
SAMPLE ANALYTE COUNT
Project: Apex Plant 6
Pace Project No.: 92403351
Pace Analytical Services, LLC
9800 Kincey Ave, Suite 100
Huntersville, NC 28078
[phone]
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92403351001 Plant 6 Apex Outfall 1 SM 2540D-2011 SOB 1 PASI-E
92403351002 Plant 6 Apex Outfail 2 SM 254OD-2011 SOB 1 PASI-E
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except 'in full,
without the written consent of Pace Analytical Services, t_LC. Page 3 of 9

n
aceAnalj tical o
wwwpacelaLs.cwm
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Project: Apex Plant 6
Pace Project No.: 92403351
Sample: Plant 6 Apex Qutfall 1 Lab ID: 92403351001 Collected: 10/11118 14:30 Received: 10/12/18 16:06 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 6.8 mg1L 2.5 1 10/15/18 13:23
Sample: Plant 6 Apex Outfall 2 Lab ID: 92403351002 Collected: 10/11/18 14:20 Received: 10/12/18 16:06 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 13.1 mglL 2.6 1 10/15/18 13:23
Date: 10/19/2018 08:41 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 9

aceAnalXical
www.pac"bs.com
4 ,
QUALITY CONTROL DATA
Project: Apex Plant 6
Pace Project No.: 92403351
Pace AnalyttCal Services, LLC
9800 Kincey Ave, Suite 100
Huntersville, NC 2807B
[phone]
OC Batch: 436237
Analysis Method:
SM 254OD-2011
QC Batch Method: SM 254OD-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92403351001,
92403351002
METHOD BLANK: 2400381
Matrix: Water
Associated Lab Samples: 92403351001,
92403351002
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg1L
ND 2.5
10/15/18 13:15
LABORATORY CONTROL SAMPLE:
2400382
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg1L
250 242
97 90-110
SAMPLE. DUPLICATE: 2400383
92403352001
Dup
Parameter
Units
Result
Result RPD Qualifiers
Total Suspended Solids
I
mg1L
5.6
6.7 18 D6
SAMPLE DUPLICATE: 2400384
92403353001
Dup
Parameter
Units
Result
Result RPD Qualifiers
Total Suspended Solids
mg/L
NO
ND
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/19/2018 08A1 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 9

;�;acieAnalytical"
Iw www.pace1s65.com
QUALIFIERS
Project: Apex Plant 6
Pace Project No.: 92403351
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
POL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyse in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited anatytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/19/2018 08:41 AM without the written consent of Pace Analyticai Services, LLC.
Page 6 of 9

_ aoAnafytical
www.pac8labs.com
i
{
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Apex Plant 6
Pace Project No.: 92403351
Lab 0 Sample 10
92403351001 Plant 6 Apex 0utfaI1 1
92403351002 Plant 6 Apex Outfall 2
Date: 10/19/2018 08:41 AM
QC Batch Method QC Batch
SM 254OD-2011 436237
SM 2540D-2011 436237
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
9800KinceyAve. SOe100
Huntersville, NC 28078
[phone]
Analytical
Analytical Method Batch
Page 7 of 9

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tabotatory recelving samples:
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r-
CHAIN-OF-CUSTODY I Analytical Request Document
lLCAt rX)CUMEN F. Wd, —t
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STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG140 L 5 6
FACILITY NAME: pleA
PERSON COLLECTING SAMPLES A �'� er
CERTIFIED LABORATORY p,F� — _ Lab to '
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLING PERIOD: t�'3uly-December ❑ ]anuary-ltsne
COUNTY
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 FLOW)
PH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes]
Total o
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling
-
-
6-9
100-
.UE'IVE
1 U L i
�,
o a
C
;1TRAL FILES
v
i
t 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/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.
Permit Date; 7/1/2011-60/3D/2015 I Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor ail/month -- averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yrf
pH
(Standard
units)
TPH using method
1664A SGT HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfalla
(in)
New Motor Oil
Usage
(gal/month)
MonthIn Tier 2 ly
Monitoring?
Wifn)
# of Months
in Tier 2
Sampling'
6-9
1s
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 Original and one coov of this DMR (including all "No Flow" & "No Discharge" 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
1627 Mail Service Center
Raleigh, North Carolina 27599-1617
YOU MUST SIGN THIS CER77FICA TION FQANY 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 a d imprisonment for knowing violations.
(Signature of Permittee) (Date)
Permit Date: 7/l/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

MODE IR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling outthis/brm, please visit: httn://portal.ncdennorg/web/I[/npdC5-,,SjQr[II a� tern
Permit No.: k[/C f —/_/_/,
Facility Name., p� ti
County: W 4Ik-
J_/_/ or Certificate of Coverage No.:
Phone No. g11a ~ -6to,z " Y 5Z3
Inspector. U *
Date of Inspection: II (41 E1
Time of Inspection: 1 l 41 per► _
Total Event Precipitation (inches): + VS
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
B 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:
Permittee or Designee)
Page 1 of 2
SWU-Z42, Last modified 7/31/2D13

1. Outfall Description:
Outfall No. 2-- Structure (pipe, itc 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: CIxu►^
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 1 jb &W,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 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:
Jl� 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 S is extremely muddy:
V 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 G
9. Is there evidence of erosion or deposition at the outfall? Yes 6
10. Other Obvious indicators of stormwater Pollution:
List and describe M i}PV—
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, I minodified 7/31/2013

r�eftlXical
wwN,pacsla ,=n
November 20, 2017
Jay Watkins
Ready Mix Concrete
3610 Bush Street
Raleigh, NC 27609
RE: Project: Plant 6
Pace Project No.: 92362962
Dear Jay Watkins:
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntarsvllte. NC 28078
(7041875-9092
Enclosed are the analytical results for sample(s) received by the laboratory on November 10, 2017.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
0,".
Angela Baioni
[e-mail]
[phone]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
Ttds report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 10

ceAnalytical
rwapKalabs com
Pace Anatyltcal Servlccs, LLC
9800 Kircay Ave. Suite 100
HuntersAlle, NC 28078
[phone]
CERTIFICATIONS
Project: Plant 6
Pace Project No.: 92362962
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Cerdflcation #: 633
North Carolina Drinking Water Certification #: 37738 VirginialVELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report stall not he reproduced, except In full,
without the written consent of Pace Analytical Servioes, LLC, Page 2 of 10

lveAnalyticala
WWW40callsbamm
SAMPLE ANALYTE COUNT
Project Plant 6
Pace Project No.: 92362962
PaceAnatytical Services, LLC
9800 Kincey Ave. Suits 100
Huntersvllle, NC 28078
(704)8759092
Analyses
Lab ID Sample ID Method Analysts Reported Laboratory
92362962001 Plant 6 62 SM 2640D CT6 1 PASI-E
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
without the written consent of Pace Analytical Services. LLC. Page 3 of 10

CBS/ICt3�
wagrp�aMebacvrn
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 1 DD
Hunterevllle, NC 28078
[phone]
Project: Plant 6
Pace Project No.: 92362962
Sample- Plant 6 02 Lab ID: 92362962001 Collected: 11109/17 11:46 Received: 1111W17 12:55 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solds 26.8 mg/L
Date: 11/2012017 08:33 AM
3.4 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, LLC.
11/16117 10:38
Page 4 of 10

aceAMIJ cal
W WWP&Cshft mm
QUALITY CONTROL DATA
Project: Plant 6
Pace Project No.: 92362962
QC Batch: 387083 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92362962001
METHOD BLANK: 2147064 Matrix: Water
Associated Lab Samples: 92362962001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg1L ND 2.5 11/16/17 10:32
Pace Analytical Services, LLC
8800 KlnceyAve. Suite 100
Huntersville, NC 28078
(704)875.9M2
LABORATORY CONTROL SAMPLE: 2147065
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rae Limits Qualifiers
Total Suspended Solids mg/L 250 234 94 90.110
SAMPLE DUPLICATE: 2147066
Parameter
Total Suspended Solids
SAMPLE DUPLICATE: 2147067
Parameter
Total Suspended Solids
92362803001 Dup
Units Result result
mg/L 13.7 534
92363262001
Units Result
mg/L 174
Dup
Result
186
RPD Qualifiers
190 D6
RP❑ Qualifiers
7 D6
Results presemsd on teas page are in the units lnclicated by ft 'Unitt' Column eacapt where an attemata unit in presermed to the rW of 1he rewtt.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 1112OV2017 08:33 AM without the written wrtsent of Pace Analydcal Services. LLC. Page 5 of 10

ac"Analytical
wrw:peawaftmm
QUALIFIERS
Project Plant 6
Pace Project No.: 92362962
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical QuantitaJon Limit.
RL - Reporting Limit.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Nurdersville, NC 28078
[phone]
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPAquidellnes, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 6260.
N-Nitrosodiphenylsmine decomposes and cannot be separated from Diphenylamine using Method 8270_ The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/20/2017 08:33 AM wlthout the written consent of Pace Analytical Services, LLC. Page 6 of 10

aceAnaliftal
WwKP5Mtabswm
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Plant 6
Pace Project No.: 92362962
Lab ID Sample ID QC Batch Method
92362962001 Plant 6 #2 SM 2540D
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 2807E
[phone]
QC Batch Analytical Method
367063
REPORT OF LABORATORY ANALYSIS
Analytical
Batch
Ttds report shall not be reproduced, except in full,
Date: 1112012097 08:33 AM without the written consent of Pace Analytical Services, LLC. Page 7 of 10

Dauuttem blame;
Dparment Revised: July 25, 2027
8C6/ td is
-s—ple CondltsM Upon t(SCUR)
Me 2 of 2
Document ND.:
IssuingAuthorlty:
F-CAR-C$-p33•RBv.03
Pace Qualftv Office
.-Uboratoryr
iving samples:---
-- - ....._. — - -
-------
.
AsbevilleD
Ede,l❑
Gmeenwoad ❑
Huntanville ❑ Ralelgbg Maclsanircvllh&M
. Client NO =
Wp# : 92362962
r
PtvJers p: I
Coulter:
Fed Fx
UPS LISPS
giant
❑Commerciat
Opace
❑other:
I 111
92352962
Custody Send Pre
t? ❑Yes �m
Seals lnfae ? ❑Yes
(L No
i
DataJlAplillPtXaOme%AralPlktgCemtentlr
Packing Material:
❑Bubble Wrap
❑Bubble Bags (Hone
❑ Outer 8lplegical Tiasue Fmen?
Thefntetn r:
�'3y
'`` Das ONO kWA
*rt ❑BhM CINW.
tR
W:
*Yva of tee:
ae.SMgoteasdnd-l!Ll-- `^'-
L TnmischAl�ld • _
eAr
USDA P.egdated
Did sampbu orlplr
is W
❑Ssmpin out of temp Oteft Samples on lee, cooltog proexss
has begun
(NIA, water sample)
In a uarantirte zone within the United States: [A, NY, or SC (check maps)? D!d samples orlglmte !earn a foreign source (IntrrnatlonaAt,
lnchAhm Hman and Puarto Rim]? RYes 0140
mmmtetta/�eAanq/:
Chaht otCustoc
f Present? ea ON. ❑WA
I.
Sempieiwi
withlnHaWTt me? !S ma NJA
2.
ShonMOWTbn
Analysis Q2flf. ? r1yes CW. 13AUA
3.
Rush Tum A?*L
W Time Re nested? ove, N A
t,
Sufficient Volur
ea E Yes [:IN. DWA
S.
CorrectQnta!
-Pace eontal
rs Used? DNc ❑wA
ers Used? Yes era N A
S.
Cantalmrs Inca
171NO NI
7.
lttssahred an2ht
Is: Samples Held Riteredi Yff No ie%A
a.
Semple labels
-Inch*$ Psi
etch CDCi ee ❑ND ❑NIA
eMMWID/AnOA13 ameba
Y.
heads inV
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Trip 6tant Pres
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? DYes Otto
Seslspresent? Oyes )"a*1A
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GUMMUDWA FPUMIRMWTION t• Rase Rate Fxgatredr IJtes LjNe
Person CData Date/Tlme:
Cemment rnr le Disaepanar:
Project Ma sag r SCURF Review; ' �{1 f✓ Date: 1 H V -1 r
Project Mamali r 5RF Review: C . 1 DaltL. o `I s -) T
Nob: whanwarth a IsmdbsreRaney affecting Narth Carolina oompoanoe samples, a wWof this two will he rent to theNwtN Carollea DIHHR rArttfaadon Office O.e.
Dut al hail lacorre prgssrvat[ve, Qatar IemA IArorrect tntrtauters)
Page 8 of 10

Is verified and
preservation s
"Bottom hall
L
2
DRcuauent Name: Dotum2M RevLsed; July 25, 2017
ZA*W • Sarn le Caad$losl Upoll Ri!cdpq 9=1 pa a 2 of 2
Document No.: Fssuin8 AUthGAty' J
half of how ItpKand/ar-dechlorinaUca— ev.0.iProjecttl ��� �+9�3s2Js� E
ithlnthe atteptanreran8efor PM: pNg Due Date: 11/28/17
tplea
r box Is to list number of bottles CLIENT: 82—Ready M i x
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Los for Preserved Samples
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CRAINAF-CUSTODY! Analytical Request Document o
The ChaYwr•Cua" is a LEGAL D=Ukm 1'. All mWwaM SRtde MUM be OMPW. d S=raWv. I n
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RECEIVED
NCDENR MAY 0 4 2017
Stormwater Discharge Outfall (SDO) CENTRAL FILES
Qualitative Monitoring Report
DWR SECTION
l:orguidance on filling put this form, please visit: liltp://portal.iicdenr�rg/weta/lr/ni2des•stormwater/
Permit No.: N/�/_/_/_/_J_/�/ _/ or Certificate of Coverage No.: N JC/G/ / J-q/d 1-L1 3J.kJ
Facility Name: x Ql'
County: Phone No, Y1ai- 36z— 4352?,
Inspector: AMR Upe�1101
Date of Inspection: A/7Xq jf'7
Time of Inspection: 2:30 Ar%
Total Event Precipitation (inches): ? 16
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
&'Y'es ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representotive storm
event" or "rneysureahle storrn event" (requirements vary, depending on the hermit).
Qualitative rnonitor.ing requirernents vary, Most permits require qualitative monitoring to be
performed during a "representative storm event" or duriiig'a "riieasureable storib event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storin 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 1.0 consecutive hours of no
precipitation.
A "measurable storm event is a storm event that results in an actual discharge from the
permitted site otttfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour stomp interval does not apply if the perniittee 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 olvPermittee or Designee)
I'aga 1 of 2
SWIJ-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. 2 Structure (pipe(g tc.) Clamy- ..-
Receiving Stream:
Describe the industrial activities qiat occur within the outfall drainage area:
l ebAu ONYA &11MAW
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, daric) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): hib13i,
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:
0 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:
it 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
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious indicators of Stormwater Pollution:
List and describe _Un'.s -e-
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 7/31/2013

SEMI-ANNUAL STORMWATER DISCHARGE. MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 4 o
CERTIFICATE OF COVERAGE NO. NCGO6�21 I l! SAMPLE COLLECTION YEAR Zo 12
FACILITY NAME M" Qi aYl} to FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY W AV& _ ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES A9Rr4 U. iW DISCHARGING TO SALTWATERS? DYES [5NO
LABORATORY P Qom. Lab eert. # Olt
PLEASE REMEMBER TO'S1GN'ON'THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 3.1 & or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD;
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100or.507
Within 6.0 — 9.0
120
30
1000
Soo
44 R4
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at any out€ails. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes M no (± yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55,gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/ r
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 5046.0
— 9.0
Ohly applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring repbrt.with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18. 2012
Pape 1 of 2

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

PacaAnaly�rca! °
CHAIN -OF -CUSTODY I Analytical Request Document
Tho Chain -of -Custody is A LEGAL DOCUMENT. All r"ard fmlds muse be complaton nu ura".
Page of
Section SoctlonB sect"C
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www.pacelabs,com
i
ANALYTICAL RESULTS
Project: PLANT 6 APEX
Pace Project No.: 92338344
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huniersville, NC 28078
[phone]
Sample: OUTFALL 92 PLANT 6 Lab ID: 92338344001 Collected: 04/24/17 08:30 Received: 04/25/17 14:55 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua]
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 6.5 mg1L 2.5 1 04/26/17 13:38
Date: 04/27/2017 0103 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 10

Document Name: E51 Tech Spec Document Revised: Sept. 21, 2015
f d' CeAM[j timl , 5am le Condition Upon Recei t(SCUR) Page 1 of 2
Document No.: Issuing Authority:
F-CAR-GA-003-Rev.02 Pace Quality Office
Laboratory receiving samples:
Asheville ❑ Eden[]
Greenwood ❑ Hunterswille ❑ Raleigh® Mechanicsville
Client Name:
Receipt Project #:
as
Courier: ❑ clEx ❑UPS ❑U5P5 lien
❑ Commercial ❑Pace ❑other.
1344
WOii:92338344
Custody Seal Present? ❑Yes Mo Seals Intact? []yes�No
iT� pate/Initfals Person FurarniningGontertts
Packing Material: ❑Bubble Wrap ❑Bubble Bags None ❑Other.
Thermometer:
,)
® IR Gun ID: 15-3492 ^ Type of Ice: let ❑ 11ue ❑Ilona ❑SamQEes on ice, cooling process has begun
Correction Factor. Add 0.6 Cooler Temp Corrected (•C): % t Biological Tissue Froien? []Yes []No /A
Temp should be above fr ing to 6'C r/rC���
USDA Regulated Soil ( /A, water sample)
Did sam pies originate in a uarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a fnrelgn source (m mn lionally,
❑Yes gfNo Including Hawaii and Puerto Rico)? []Yes XNG
commems/Discrepancy-
Chain of Custody Present?
❑
1.
tasmples Ahived Qt(Siri 061.dTtme?-...,.....
2'.
Short Mold Time Analysis (02 hr.)7
0
3.
Rush Turn Around Time Requested?
❑
4.
Sufficient Volume?
Ur
❑
❑
5,
Correct Containers Used?
-Pace Containers Used?
FF
©
❑
6.
_
Containers Intact?
❑
7.
Samples Field Filtered?
0
8, Note if sediment is visible in the dissolved Container
Sample Labels Klatch COC?
-Includes Date/Time/lfi/Analysis
9.
Headspace in VOA Vials (>5-6mm)?
Yes
El
No
NA
1 10.
Trip Ulan k Pres ent?
Trip Blank Custody Seats Present?
Yes
❑
Yes
No
❑
No
NIA
11.
Q IENT NOTIFICATION/RESOLUTION
Person Contacted:
Comments/Sample Discrepancy:
Datem me:
Field Data Required? LJYes UNO
Project Manager SCURF \\��
Revlew:.�...-.. ��L Date: ( Z('9--'
Project Manager SRF N -
Review: I' Date: L•��'f
Note. Whenever there is a discrepancy affecting North Carolna compliance samples, a copy of this form wil be sent to the North Carolina DEHNit Certificallon Office (i.e.
Out of hotel, Incorrect preservative, out oftemp, incorrect contalners}

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SP1U-1 liter Plastic Unpreserved (N/A)
0P35-M mL Plastic H2504 (pH < 2) (CI-)
BP3N-250 mL plastic HNO3 (pH < 2)
BP3Z-250 mL Plastic ZN Acetate & NaOH (>9)
ZZBP3C-2S0
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WGFU-Wide-mouthed Glass jar Unpreserved
AG2U•1llter Amber Unpreserved (N/AI (Cl-)
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AGSH-1 liter Amber HCI (pH < 2)
AM-250 mL Amber Unpreserved (N/A) (CI-1
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OG9P-40 mL VOA 11-13PO4 (N/A)
VOAN (6 vials per kit)•5035 Wt (N/A)
V/GR (3 vials per U*VPH/Gas kit (N/A)
SPST-125 ml. 5terile Plastic (N/A - tab)
SP2T-250 mL Sterile Plastic (N/A - lab)
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NC DENR
Stormwater Discharge Outiall (SDO)
Qualitative Monitoring Report
Forguidance on fillir{c1 writ thisform, please visit: �it�U aci�t.�.ntcteot'.oref webllr /roCdes sturnrtiva[er/
Permit No.: NIC/_/-/-/_/-/_/_ I or Certificate of Coverage No.: N/Q/G/ //
Facility Name: IX 0 0 f I V+-
Comity: - W AU -- Phone No, 91q- 36�� �3523
Inspector: NDAri L1De1-
Date of Inspection: i17
Time of 1rlspectiom - "a -r
Total Event Precipitation (inches): J?#/L
Was this a "Representative Stornl Event" or "Measur'eahle Storm Event" as defined by the permit?
(See information below.)
L-!�Ys ❑No
Pleose verify whether Ounlitntive Marritorin,q rnus-I be performed drlrh q a "rep resell tative stoma
event "or "meusareable Storm event" (requirements vug, depending ou the per•rniL).
Qualitative monitoring r•eduiretlents vary. Most permits require qualitative monimi-ing to be
performed dur'irlg a "representative storm event" or during a "nleasureable storm event." However,
some pervtiits (IO not Ilave tllis reytrirernerrt. Please refer to these definitions, if applicable.
A "representative storttr event" is a stot'nl event that nle�tsro•es greater than O.1 inches of rainfall
and that is preceded by al least 72 hours (3 clays) in which no star'111 event illeasrrr'irtg gl-eater• [parr
0.1 inches Isas occurred. A single storm event way contain np to 10 c:onsecubvL hours (if' no
precipitation.
A "measurable storm event" is a storm event that resoltS in all actual discharge from the
permitted site ntttfall. ` hO previous measurable storm event must have been at least 72 hours
I�rior. The 72-11Ot11'stnl'411 intervol sloes not apply if the perinittee is able to dorunrent that a shorter
interval is representative for local storrtt events clu1-big the sampling period,and the permittee
obtains approval fi•oni the local DWQ Regional Office.
By Ibis signattrr-e, I certit:y That Phis 1-01-1011 is at:Cur•aie flnd complete to the best of illy knowledge:
(Signatt.lde oPIPermittee or Designee)
Page 1 of 2
SWO-2,12, Last tnnciifierl 7/31 J2013

I. Outfall Description:
Outfall No. —_ 7— _ Structure (pipe ditcl tc.j C
Receiving Stream:
Describe the industrial activities t,hat occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(Eight, medium, dark) as descriptors: cL�-,A -
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): MdN�P__
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 I is no solids and 5 is the surface covered with floating solids:
0 2 3 1� 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:
U 2 3 4 5
i. is there any foam in the stormwater discharge? Yes V�
8. is there an oil sheen in the stormwater discharge? Yes (I
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of 5tormwater Pollution:
List and describe h: n "4-
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 7/31/2013

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water quality General Permit No. NCG060000
Date submitted 412$ 11-1
CERTIFICATE OF COVERAGE NO. NCG06.0I 3. 10 SAMPLE COLLECTION YEAR Zo I7 ^_
FACILITY NAME RW ., 91mil, 14 _ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY _ wfl k _ ❑ use/process meats 1:1 use animal fats/byproducts
PERSON COLLECTING SAMPLES Mhfk la DISCHARGING TO SALTWATERS? E]YES [INO
LABORATORY _p lam _ Lab eert. # q
PLEASE REMEMBER TO SIGN ON THE REVERSE -�
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall' 3 • l U or Ej No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 MI
Enterococci',
Colonies per 100 ml
Benchmark
100 or 50`
Within 6.0 — 9.0
f 120
30
1000
500
Z 1
r
f
i
!
A Only applies to facilities that use/process meats.
zThe total precipitation must be recorded using data from an an -site rain gauge.
a For sampling periods with no discharge at anv out -falls. You must sti€I submit this discharge monitoring report with a checkmark here.
`See General Permit text. Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [E yes g no (if yes, complete Hart B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
30
100 or 50
6.0 — 9.0
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See Genera( Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWtf-249 Last Revised: October 18. 2012
Page I of—'?

"FOR PART A AND PART B MONfTORINC RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 14 SECTION $_
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
G TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUT FALL? YES ❑ NO Sr
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab resufls (or at end of
monitoring period in the case of "No Discharge" repo ta:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/webLwcllws/`sulnpdesswlltab-4
Sti'U-21g
L.c»[ Revised, October IS, ?(}]?
Page 2 ol'?

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CHAIN -OF -CUSTODY I Analytical Request Document
Thu CKaln-of-Cuslody is a LEGAL DOCUMENT. All relovant fields muse be mnipWacs awuratny.
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ANALYTICAL RESULTS
Project: PLANT 6 APEX
Pace Project No.: 92338344
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: OUTFALL #2 PLANT 6 Lab ID: 92338344001 Collected: 04/24/17 08:30 Received: 04/25/17 14:55 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 6.5 mg/L 2.5 1 04/26/17 13:38
Date: 04/27/2017 03:03 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 10

z�'IaceAnafyticai'
Document Name. ESI Tech Spec
iple Condition Upon Receipt(SC
Document No.:
F-CAR-QA-003-Rev02
Document Revi!iud; Sept. 21, 2015
page 'i of 2
Issuing Authority:
Pace Quality Office
Laboratory receiving samples:
Asheville ❑ Eden[] Greenwood ❑ Huntersville ❑ Raleigh® Mechanicsville[]
Client Name: WO : 92338344
Project 4:
Courier: ❑ d I;x []UPS ❑USPs
❑ Commercial ❑Pace ❑Other. 92338344
Custody Seal Present? ❑Yes A_ 0 Seals Intact? ❑Yes kNo
t7� DatellnlHats Person Fxamining Cantents:,.-
Parting Material: ❑Bubble Wrap ❑Bubble Bags None ❑Other. U} S �-
Thermometer:
9111Gun ID: ^ IS-3492 _ Type of Ice: Wet QBlue ❑done ❑Samples onice, coaling process has begun
Correction factor: Add0.s Cooler Temp Corrected (°C): % t Biological Tissue Frozen? ❑Yes []No V/A
Temp should beabove _f-rrez-rig to 6°C
USDA Regulated Soil ( N/A, water samplel
Did sampies originate in a uarantine zone within the United States: CA, NY, or SC (check maps)? Did sampiesoriginate from a foreign source (int rnationally,
❑Yes No including Hawaii and Puerto Rico(? []Yes No
CommerrtsJDEsrrepartcy:
Chain of Custody Present?
❑
❑
1.
5aitip(es derived iili`f �iri Floid iiit e7 .......... ` :
[j
❑_
2.
Short Hold Time Analysis (<72 hr.)?
❑
3.
Rush Turn Around Time Requested?
❑
4.
Sufficient Volume?
❑
❑
5.
Correct Containers Used?
-Pace Containers Used?
❑
❑
❑
6.
Containers Intact?
©
❑
7.
_Samples Field Filtered?
❑
❑
1
8. Note if sediment is visible In the dissolved container
Sample Labels Match COC?
-Includes Date/Time/1D/Analysis
❑
❑
9,
Headspace in VOA Vials (75.6mm)?
Yes
No
N
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10.
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Trip Blank Custody Seats Present?
Yes
Ye
No
N❑o
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11,
MENT NOTIRCATIONJRE50tUT10N
Person Contacted: 1
Comments/Sample Discrepancy:
Date/Time:
Field Data Required? VYes L-1No
Project Manager SCURF
Review. i7'Yl , — - Date:
Project Manager SRF ,
' t�-
Review: L-'{� ` � Date: (
Note: Whenever there is a discrepancy affecting North Carolina compliance sampies, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e.
Out of hold, Incorrect preservative, out of temp, Incorrect wntalners)
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BPIU-1 liter Plastic Unpreserved (N/AJ
BP35-250 m l. Plastic H2SO4 (pH < 2) (C�-)
BP3N-250mL plastic HNO3 (pH <2)
8P3Z-250 mL Plastic ZN Acetate & NaO H {>9)
MC•250 mL Plastic NaOH (prt > 12) (CI-)
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AG1U-1liter Amber Unpreserved {N/A) (CI-)
AGSH-L firer Amber HCI (pH < 2)
AG3U-250 mL Amber Unpreserved (N/A) (CI-)
AG15.1 liter Amber H2SN (pH c 2)
AG35-250 mL Amber H 2SO4 (pH < 2)
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DG9P-40 mL VOA H3PO4 (N/A)
VOAIC {5 vials per sari-5035 kit (N/A)
V/GK (3 vials per kit)•VPH/Gas kit (N/A)
SP5T-125 ml-Sterile Piastic (N/A -lab( I'
SP2T-250 mi-SterilePlastic(N/A-lab)
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NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
ror guidance on filling out this form, please visit: hU://portal.ncdenr.org/we lr/nodes-stormwater/
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.:
Facility Name:
County: WKV.Q _ Phone No.
Inspector: TA-'; V11PA n — T
Date of Inspection: 5119,1 16
Time of Inspection: _ 1 :#-A o Pr*
Total Event Precipitation (inches): 1 3
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
['ryes ❑ No \'
Please verify whether Qualitative Monitoring must be performed during a "representative storm�$� O V�
event"or "measureable storm event" (requirements vary, depending on the permit).
.polo 6'
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, 1 certify that this report is accurate and complete to the best of my knowledge:
re of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. _ I Structure (pipe, itch c.)
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: Clegg_.
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Wook
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
dear and 5 is very cloudy:
(1 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:
1 L 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where I is no solids and 5 is extremely muddy:
D1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes N&
B. 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 None
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 7/31/2013

K��
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidonce on filling out this form, please visit: httl2:j/nortal.ncdenr..ore/web/ir/nodes-stormwater/
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.:
Facility Name: NAtr}{ca—Ap"- PC -
County:
WAKW! _ Phone No.
Inspector: !fi-R Ke;kh
Date of Inspection: 5 1 1 S I U,
Time of Inspection: J ; 3o f!n
Total Event Precipitation (inches): —3
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
H<s ❑ 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, }
i 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
i
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
i
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
3
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:
(Sig//ure of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description.
Outfall No. Z Structure (pipelGDetc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
n _ J. dA..._J w--.-__-1_ D, _ .L
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C Leaic
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): OW 1? _
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
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:
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
9. Is there evidence of erosion or deposition at the outfall? Yes G
10. Other Obvious Indicators of Stormwater Pollution:
List and describe .__,Nc ..)@
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 7/31/2013

aceAnalylical e
wwwpam1abs mm
ANALYTICAL RESULTS
Project: APEX PLANT 8
Pace Project No.: 92298594
Pace Analytical Services, Inc,
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)8759092
Sample: OUTFALL 91 APEX Lab ID: 92298594001 Collected: 05/18/16 13:30 Received: 05/20116 14:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 22.6 mg/L 2.6 1 05/24/16 11:36
Sample: OUTFALL #2 APEX Lab ID: 92298594002 Collected: 05/18/16 13:30 Received: 05/20/16 14:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids
Total Suspended Solids
Date: 06/20/2016 02:29 PM
Analytical Method: SM 2540D
27.0 mg1L 2.8 1
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
05/24/16 11:36
Page 4 of 9

CHAIN -OF -CUSTODY 1 Analytical Request Document
-Face Rrralytical
The Chain-af-Custody iS a LEGAL DOCUMENT. All relevant fields must be r�mpletnd accurately.
d
w'+r patelatn-co!n
Pa9e7
of
Section A Section R
Section C
Rogaircd CI!enf Inlp,,X n: Required Project Informafion: Imoico Information;
^Orr. r� w
'LJ
-Company n y"�{+`eA✓ f
/]
K>�2G' I
Rcoon To:
fatendon'.
.!-J� .t'`i < 1 O
vl�crr7L
Address
Copy To
Gampany Name:
REGULATORY AGENCY
�7
r NPOES i GROUND WATER DRINKING WATER
E!�all T9: ,r
w-fnj/Ii+•..i C /MCC ,
Puiei�aaE OfdC(Np,;
PxeO P'�9�4
UST RCRA
OTI'IF.R
Phone.tS= L� �l
Pax:
P--Dject Name,
Pf f fo
Pori Pr".t
_
site Location
r5`-
c K
n:,nrm=
� ucsted One DotufFAT:
Rra _C Numeer.
�`
1
-
Pas_ fro as+;
�. �.%-
wars:
Requested Analysis Filtered (YIN)
scciian O Matrix Codes
_
a
�•
5
Required Client lrtu�nkrrcr, MATMX 1 COOF,
_
COLLECTED
Preservatives
i
JI��n, 'r�nKr L`1h'
°
z
I
.::er WT
8
6
g
I
VY_5le 'h'F]F�I 'N"lr
Y[cxfvn o
b
-F
CpY
COMP,S.�
STAR
[ouPavrE
E1:A'C:L>,r3
LJ
SAMPLE ID
'A-Z. as .a zr AR
Sample 105 tAUiT 8_ UNIO UF; i i•;s�w TS
O
y
y
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rn
.Ip
x
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~
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TIME
N
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Q
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sY
Pace Project No./ Lab I.D.
z
3
s
------
T 1 j I I •rT I �, - t
L
� E I
ADDITIONAL CQhfME S ! RFUNOI:ISHED SY i AFFILIATION DATE i TIMS �, 1, '. �P'Li- Y AF='yl TIOfiI ! DA Ti17c .^.7Ni1!"•^ S - s
i I
I :
—
!
! I i
ISAMPLL.z' NA'dE AND SIGN.A-,ux_ .__. .,.»„„,__..._.. _..-.._..s.._...-- _ ..
PRINT Na— at SAZ'Ip°

� , r � �ainpre �onalxton +Jpvn CSeeelp (,t,)} t .•.- 1•dbe,i ui
Document No ISsuing AilftT
�_- —_ .--__—_ ____.__ F•RAt-CS-001 revAS , Pace Raleigh Quality Off[
.nlwnal Use QfVI v
s «1C?ir 3 Client Narne: 1W998594
r•. �t•
ProjeCt k:
r� [ `�
!6mrnercial ❑Pace J ❑Other: 12298594
Custody Sail Present? CYes I/IN0 Seals#ntact? [:]YesI/1N0 ���
177"""" !_ Data/lnitiais Person FxamintngContents; U
Packing Material- ❑bubble Nlrap ❑Bubble Bags None ❑other:
Therincinieter: rp IR SN:: 122065387 QIR S14: 122065371 Type of Ice: 0Wet ❑gio ❑r:one []Samples on Ice, cooling process has begun
Correctiun Factor: 0VC Cooler Temp Corrected (`C): � _- Biological7issue Frozen? ❑Yes ❑No �N/A,
`1:%'�•t:alE} i�e;r :;vf? fr7.`eGing to 6°C 1
OSDA Hal;ulnted soil 1 ti NIA,%vater Sample)
;raa;ai ri a ;.:.ti,tr thre zone :: 'hi : r. e l,n :Lad States: CA, NY, ur SC (Cheers maps)? Uidsamples originate from a foreign saurce Iinte ationally,
In r'-i— Ha:va ii and Puerto Ricof? 1—IYe3- J No
.
..-----
2.
t.es Elo
❑N/A
3,
tnI r �iun-+trc ull OC?---------
-
Yes
El NIA
4. _
u;i f f+tiin Hoid Tr a
�ElNo
f777�/Yes ON.
❑NIA
5, —
Short Hold Time Analysis (<72 hr)?
-
[]Yes No '
❑N/A
6.
7.
_
Rush Turn Around Time Requested? ©Yes No ❑N/A
S;+FficientVaiume? --�
_____YYes ©Na
ON/A
8.
Correct Containers Used? �
Yes EJNo
❑N/A
9•
I
-Pace Containers Used?
es []No
❑N/A
1.x1tiin--rslntatr?
Yes ❑No
©N/A
10,
!_dtered `lulu me Keceived for Dissolved bests?
❑Yes []No
N/A
11. Note if sediment is visible in the dissolved container
s3x'rle Lacuis N:atcfs COC? _ OYcs []No
❑N/A'
12.
Inrloci�ts Datrj`'imejlD/Analysts Erlatrix; r
_
Aii r nrta;;ors needi q,. acid/base preservation have been
❑140
Vy
❑NJA
13es
;ti` ci„zta�r;�rs nc:alirEy p�resetrvalion are toured T6 bQ iu
:::r:��:=arce e:€=,Is ch°i, re:c+i�rrrendation?
2.; HaCR! >-i Sulfide, NaOH�12 Cyanida)
�]t'es ❑No
❑,u/A
._ . ..'A, .,"`ift,1er, V)C, Oil Ind Grcase,
,rr, -OCC. LI I
!
_J—Yes QNo
©N/A
fit #Hr, alti"
ies ❑r•:o
❑sJJ1!
14.
--
I .
.;
- I .�,'i,-,i`-�,S�S:zrom)?
V,`__.----._.._.-...__
❑Y1so
N/A
16.05es
❑tvo !/A
it, n:1 r 5ts,l, Pr'esint?
Dyes ❑lac
NIA
E'3_'a;!gs,j;a^'nf3t4_11tpurcta52(5]: _-------
_
_— -
CLIENT NOTIFICATI ONIRE SOLUTION Field Data Required? ❑Yes ❑No
°ersnn Contacted: Date]llme:
Co m n vents/Resolut! on:
Project Manager SCURF Review: —�;� Vats:
Project Manager SRF Review: j_-A-\ Date,
`tote: ':jhenever there is o discrepancy affecting North Carolina Compliance samples, a copy of this form -,,ill be sent tothe North Carolina CI HNRCertiliciitlon Office (I.e.
�);-t of ho+a, incorrect paeseryative, out of temp, incorrect containers)
Page 8 of 9

STL��r';! '"',�7Ef� l►?ISCI-r.R�i�'GE �UrF,�t� �SDo} - S��Iz�i-l� �►�� ..! n 'ITGi;1 'G f=�i�';
GENERAL PERMIT NO. NOG140000
CERTIFICATE OF COVERAGE NO. NCG14 b 1 SAMPLE COLLECTION YEAR: 701 y
FACILITY NAME:. _ E( ar14- A m,Q3ch = SAMPLING PERIOD: July -December [] January -June
PERSON COLLECTING SAMPLES fb COUNTY K
CERTIFIED LABORATORY 11JALffLab # PHONE NO. (_q) 36 2 — 8 5 z 3
_ Lab # ADD TO LISTS€RVE? AYES F_�NO EMAIL:
OPTIONAL INFO: DISCHARGING TO CLASS: []SA DHQW ❑PNA Trout QOther.
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
{Standard
Units}
TSS
(mg/L)
event
Duration
[minutes)
Total
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling2
-
-
6-92
1&`
-
-
-
o
z 3• z
. xs
RECEIVEE
joll5lig
7, 16
3&0
N
CE
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 mgJl.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/]/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 ne►+3r motor oil/month -- averaged over a calendar year
Outfall
No.
Date Sample
collected 1
(mo/dd/Vr)
pH
(Standard
units)
TPH using method
.1664A 5Gi-l-IFM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
a
iiainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(V/n)
# of Months
in Tier 2
5ampling2
6-92
152
1002,3
-
-
-
-
-
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 fincludine all "No Flow" & "No Dischame" reports) within 30 days of receipt of sample (or at end of monitorine Deriod
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUSTSIGN THIS CERTIFICATION FOR ANYWFORMATIOIV 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 tha there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
D 114
(Signatu of mittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

��A
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: littp://port,-il,ncdonr.orglwcb/wg/ws/su/n]2dQssw#tcib-
Permit No.: or Certificate of Coverage No.: N/C/G/1/_q
Facility Name: Plant f Ape4 Nt
County: _ W0Ce _ Phone No. 914= 34 SZ 3
Inspector: NI 1N kTKi "
Date of Inspection: !0115Iig
Time of Inspection: -a ;46 Pyv%
Total Event Precipitation (inches): - 7 5
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
YY�es ❑ 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:
(Signature 8f Permittee or Designee)
Pagel of 2
SM-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 1 Structure (pipe di tc.)
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: C1'eA r
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): N01 e
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 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:
1 2 l'/ 4 5
5. 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 6P
8. Is there an oil sheen in the stormwater discharge? Yes 49)
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
Dist and describe !uy !j
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
SW❑-242, Last modified 10/25/2012

PIMA
...._._'fir
nCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this farm, please visit: http;J/Ugrtal,ncdennore/web/wcl/ws/su Jnodessw#tale
Permit No.: N/C/^/,/_/_/_/_/�/ or Certificate of Coverage No.:
Facility Name: ej-Ar 4 G jTX- -Ks L
County: W Alke Phone No. RI - 3 (.,2 - 52 3
Inspector: JAI VVIkTKsA-s
Date of Inspection:
Time of Inspection: a 14 5 PeA
Total Event Precipitation (inches): 1 26
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:
(Sign2 re c(/Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 14/25/2012

1. Outfall Description:
Outfall No. Z. Structure (pip ditc c.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
12y- 041 w hkiyj to n tire 4,,e An
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C j-erA r
3. Odor. Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): tiV"-e-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
V 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:
0 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 01
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe A)z2A.
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

aceAnalXical
waw.pacela8s.c=
Laboratory Report
Jay Watkins
Ready Mix Concrete
PO Box 27326
Raleigh, NC 27611
Projecl: PLANT #6 APEX, NC
Pace Project No.: 92221765
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite100
Huntersville, NC 28078
[phone]
Page 1 of 1
Report Date: 10/31/2014
Date Received: 10/16/2014
Sample: OUTFALL #11PLANT 6
Lab ID: 92221766001 Collected:
10115114 15:40
Matrix: Water
Parameters
Results Units Report Limit
Analyzed
Qualifiers
Total Suspended Solids
23.2 mglL 5.6
10/22/14 09:59
Sample: OUTFALL #2/PLANT 6
Lab ID: 92221765002 Collected:
10/15/14 15:45
Matrix: Water
Parameters
Results Units Report Limit
Analyzed
Qualifiers
Total Suspended Solids
19.8 mglL 6.2
10/22/14 09:59
Reviewed by:
Laura J Cooper
[e-mail]
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification M 37731
Page 1 of 3

t
'CUSTODY/
Analyftal ReqUest. D6cumient
. ..... -A 104;.-an" T� U--AL 3c:'� C-p: ut TAC-Crdir�-castodyis a
-e c
LEGAL 00 UMENT,'AFI. I�vant fietft must bi
T" '0"111�113-4m
Pays'".
ag2:
CUT .4r
Company
REGULATORY AGEki---
Ad*=*:
NPUES GRJDUN0 WATER r DPJNiQNG WATER
RCRA-
UST OTHER
ffed TO;
&rmcc.f4ift
Purch2w 0.� No-
P*M Owt a
M ,
_ It
4T IS
Lovatkm
SrATE-
Reqiw%W D4m MUR
Nurriborq 7,19
Ft64UGgt(kd
An2lyj&ls
Filtered
(YIN)
RaqubudOwd V*mstbn f
2
WLLECTED
PMwrvatives
D&kft Wzw DW,
(a
•wal4n WT
vva.tm waw'CHJIB
cco6ipmrE
ci
u
•promwt P
S*WUSd SL
SAMPLE 10 on C'L
w,pe, �mlp
ir
Au
(AZ, " I Air R:
a
Swn* IDV MLIST at uNtoug 'Tistue TS
0
41
ovw OT
Li
of
8:
0
LL
t
DATE
TRAE
DATE
Tlyz
T-
zzl
x
z
z
1
5
Pace Projoa No./ Lab I.D.
2
4
7
-
—
—
9
—
—
—
—
—
—
—
44
72
I
I
A
ADOMONAL COMMENTS
RELOQUISHEO BY I AFFUATION
DATE
TIME
ACCEPTED BY i AFFa
DATE
TIME
SAMPLE COND(MMS
..aw
-6 iotrr
SAMPLXR NAME AND SFGNATURE
U�-'GINAL PRWT "s of SAMPLER: LIS
Signed
PATE
h;/ 1
,S:GMTURE bfSAMPLER:
old —I VAMA
i

i '
1 10cument Name: Sample Condition Upon Document Revised: April 04, 2013
A17g1&ICal" Recel t 3CiJR Ps e 1 oft
Document No.: Issuing:Authorities:
F-RAL-CS-OD1-rev,02 Pace AshevilleQuality Office
Client Name:. l�r�
} Where:,0 i6slved: ❑ Huhtersville, 0 Asheville [) Eden.. Raleigh.
Courlor(Circle): Fed Ex LIPS LISPS II Commercial Pace Other
CustodySeal on.Coolorlsox Present: 0 yes no Seals intact: eyes Ej no
Packing Material: Nubble Wrap Subbl agsNone: 01her_
Circle Thermometor Used; IR Gun SN:122EIB�,) Type of Ice: W Blue Nona 0 Samples on pn011ng process has t spun
IR Gun Back Up 814c1122066371
Tsmp' CorrecUon Factor: Add / Su tr ct _ 0.6 C
• " '-
Date snd 1n1.11als of parson exarnlning.
Corrected Cooler Temp.: 2 C
81ologleal Tissue
Is Frozen: Yea t;o WA
cnnte I rase atlo
ri It
'Campr should be above freezing to 6*4 _
Comments:
chaetc •%SI
Cho In of Cdatogy Present:
Yes ONo
OWA
1-.
Chain of.Custod Filled Out:
Yea Ow❑WA
2. '
Chain orCtistod Relinquished:
0yes ONo
©wA
3.
Sampler, Nsrnq.A Signature on COG:
Yea ONO
❑WA
4.
Sam les Arrived within Hold T€me:
Yes ON-
OWA
6,
Short- Hold Mmo Anal sls c72hr I
OYea No
ONIA
6,
Rus. TUGp.Around Time Requested:
OYae o
I7twA
7.
SuFftct!ettt; ol�rrti :
lw—yee ONO
❑NIA
8,
Gorr$ct Cpntalows Used:
.eyit bNO
awA
9.
Paeo-Contalnems Used:
rH es ONO
❑NIA
Container§ Pubact:.'
J2%r ONo
ONIA
10.
Fiiter6d.6lutna: received for Oissolved tests
ea ONO
Oa
11,
Sarnpffj•L!ehbismatch WC.
Mee Quo
ON1A
V.
-tnc(udes dateltimeADJAnal sis Matrix:
W
All oontejnar needing preservatlon WO bean cheCMd.
Mes 'QNo
©WA
13.
All containers rraading preservation are found to be In
es ONO
©N!A
compliance vrith EPA recommendation, .
exceptl.' a i�tpp t: callj."joc, o&G, Wi-DRQ (water
40,Y99 ONo
Sam l s.`cheaked foTdeohlorination:
OYee ONO
OWA
14.
Head 'er beJn,VOA Vials >Brnni):
Oyes ONo
YWA
15.
irlp BlaYit'F i3sont ..
C1Yas ONo
&A
16.
Trlp''F1fan( lbdy Seals Present
[]Ye; ONo.,lt'NA
face:•`friAiB ' nk Lot #' it purchased),
• — 6 y,, i Mon inn�,��r.�n i...r r - - — - --, -- - - .®..,,, . _- m
0tie tlt•NojIf( atlonl Resolulton: Field Data Reyulred? Y I N
',:I &6.gn_Contented-. Date/Time,
Compikel. Resoltilion:
SCt1RF`lSrtF bate:
Note::.Whenever there is a discrepancy affecting North CaroR.Aa.- mPllance
Samples a copy of this form YAl be sent to tho North Carolina DEHNR l ; t
Qii �t4 d 3 Qn,Qffice ( 1.0 out of hold: incorrect preseniativs, out of tamp, ^
Inoorrect containers} 11111V�xxZlTBgz
i:ad Page 2 ot3

41 T
NCDENR
Sto r>rr water Discharge Outf ll (SDO)
Qualitative Monitoring Repolrt
Forguulance on filling out this form, pleose visit:
Permit No.: IV/C/�/`/ /_/_/_/J/ or Certificate of Coverage No.:
FicilityNam e: la,4 G 4Ar1jt-
CounLy: fiJoic_c Phone No. 914-
Inspector: on b
Date of lnspecdon;
Time of Inspection: i I ; ro Am _
Total Evert Precipitation Cinches): .14
Was this a "RepresemaCive Storm Event" or 1Aeastrreable Storm Event" as defined by the permit?
(See information below.)
[(i'es ❑ No
Please verify whether Qualitative Monitoring MusD be jeer formed dUJ-i)7g a "representative storm
event" or "measui-eable storm event" var3l, clepending on the uermi j
Qualitative monitorin cr rcquirements vary. Most perniits require quaiitadve monitoring Lo be
Pei -Formed during a "representative storm event" or during a "measureable storm event," However,
some permits clo not have this requiremenL. Please f-efe_l- to these defialitions, if applicable.
A "representative sLorm event" is a storm event that imeass_rres greaser than 6.1 inches of rainfall
and that is preceded b�7 a+: leasL 72 hours (3 days) in which rio storm event measuring greater- than
0.1 inches has occurred. F, single store» eveni may contain u17 to In consetLItive hours of no
precipitodon.
A "measurable storm event" is n storm event t17c t results in an actual discharge from the
perrnitLecl site outfall. The previcus measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not aplily if the pernaittee is able to document that a shorter
interval is representaLive for local storm events during Lhe sampling period, and the per.mittee
obtains approval from Lbe local DWQ Regional Office.
By this signature, 1 certify 01at this report. is accurate and complete to Lhe hest of my knowledge:
W12,-_z RECEIVED
(Signatur e�of Pel,mittce or Designee)
SWU-242, Lase modified 10/25/20 !2
MAR 13 L014
CENTRAL FILES
DWal30G
Page 1 of 2
CENTRAL FILES
DWO/BOG

1. Outfall Description:
Outfall No. I Structure (pipe, itc , 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 r
3. ®derv{: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weals chlorine odor, etc,): NU.--
4. Clarity: Choose the number which nest describes the clarity of the discharge, where 1 is
clear and 5 is very cioudy:
1 3 4 5
S. )F➢dating 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:
f 2 Q 4 5
C, 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:
Q 2 3 4. 5
i. Is there any foam in the stormwater discharge? Yes N
3. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition, at the outfall? Yes 14)
10, ®theF 43isv ous l dirators of St:armwater 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 exposu- e. These conditions warrant further investigatAoBn.
Page z of 2 `
SWU-242, L=mc&fiied 10/25/2012

A';'A'
la CDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
rorgUiclanceonfilliagout thisforin,Please visit: lit i :�� r�rt:�l,is_sl i�i.:.r�i., S _I;IwStL!ti`f- u.t-si�cJ�-
Permit No.: I�1/c/_/_/ /_I I I- I or Certificate of Coverage No.: N/C/Gfil�I�I!I3I�I
Facility Name: PI-04 G i6 L
County: kIn (C-t— Pbone No.
Inspector: mn <-fipn5
Date of Inspection: 2111,4
Time of Inspection: i r:1 K
Total Event Precipitation (inches): - Y
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
[See information below.)
QIYes ❑ No
Please verify ivhether Quolltoti»e Monitoring musc be performed during a "representative storm
er,elat" OF "measureable .storm eivert" (requirements var); depending on the permit),
_...... ------------ -
Qualitative rnonitorinU 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 ii:least 72 hoUrS (3 clays) in which no storm event measuring greater than
0.1 inches has occurred. A single stoma event may contain up to 10 consecutive hours of no
precipitation.
It "measurable storm event" is a storm event that results in an actual discharge from Me
permitted site oi.rtfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply ifthe pernaittee 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.
2y this signatiir-e, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWO-242, Last modified10/25/20:12

1. Outfall lDescriptieo:
Outfall No. —_C?�—_ __ Structure (pipe, itc , 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
(fight, medium, dark) as descriptors: Cry _
1 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
wear chlorine odor, etc.): AJ6,
4. Clarky: Choose the number which best describes the clarity of O-Le discharge, where 1 is
clear and 5 is very cloudy:
2 3 4 5
5. Peasting Solids: Choose the number which vest describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
d5 2 3 4 5
6 Simencled 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 Q
8. is there an oil sheen, in the stormwater discharge? Yes a
9. Is there evidence of erosion or deposidon. at the outfall? Yes I rJ
10Other, Obvious >lpdicators of Stormwater Pollution:
List and describe
Note, Low clarity, high solids, ands/or tape preseiice of foam, oil sheen, or erosion /deposition
wAay be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SwU-242, Last modified 10/26/2012

STORRAPIV TES 095CHs RGE DU1TFAU QSDO� a semen-AnnuaQ MOo NTOo RNG FORNq
GENERAL PERMT NO. 1� CGI4®®®®
CERTIFICATE OF COVERAGE NO. NCGIL4 l .I
FACILITY NAME: A[o,..b (Q 11 f&MC-
PERSON COLLECTING SAMPLES t"n(afp
CERTIFIED LABORATORY_
Lab #
OPTIONAL INFO:
Part A: Stormvvater Monitoring Requirements
SAMPLE COLLECTION YEAR: aOt
SAMPLING PERIOD: ❑ July -December v�JanuarV-June
COUNTV Vj:),k�
PHONE NO• Q'-'LL b_��2-?.�-La3
ADD TO LISTSERVE? F-]YIES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HCtVV E]PNA Trout ❑Other
Outfall No.
Date Sample
Collected
(mo/dd/yrOR
NO FLOW)1
PIA
(Standard
Units}
T 5S
(mg/0
Event
Duration
(minutes}
Total 4
Rainfall
(in}
In Fier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2
2Sampling
-
-
6-9
1002,3
-
-
-
-
S.
3
"7. 5
-
300
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.
s TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/l/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 vear
Outfall
No.
Date Sample
Collected
(mo/dd/yr)1
PH TPH using method
(Standard 1664A SGi'-HEM
Units] (mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainiralf
(in)
New Motor oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
Wri)
# of Months
in Tier 2
z
Sampling
6-92 152
1002,
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES ATANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (including 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 CERTIFICATIOIV FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature 6 ermittee) - —
-313LtEt
t
(Date)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2

`e
;.__ �aceAna1j6cal
wwwpacelabs cam
I
Laboratory Report
MD Capps
Ready Mix Concrete
PO Box 27326
Raleigh, NC 27611
Project: PLANTS #6
Pace Project No.: 92192356
Sample: OUTFALL 1 Lab 11): 92192356001 Collected: 03/03/14 11:11
Parameters Results Units Report Limit Analyzed
Total Suspended Solids 5.6 mg1L 2.5 03/10/14 20:00
Sample: OUTFALI_ 2 Lab ID: 92192356002 Collected: 03/03/14 11A6
Parameters Results Units Report Limit Analyzed
Total Suspended Solids 5.5 mg/L 2.6 03/10/14 20:00
Reviewed by:�
Nikitia Jones -Jackson
[e-mail]
Asheville Certification IDs
2225 Riverside Dr„ Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 1 of 1
Report Date: 03/11 /2014
Date Received: 03/07/2014
Matrix: Water
Qualifiers
Matrix: Water
Qualifiers
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
VirginiaNELAP Certification #: 460222
Page 1 of 3

Report Results to:
Ready Mixed Concrete
p.O.8oxZ73Z6
Raleigh, NCJ761I
ATTN:
Phone: 919'790-1I20
�
Chain - -- - Custody (m
Bill Results to: Erstmndand Report Delivery
Ready Mixed Concrete K-� Rush Report Delivery (w/surcharge)
P.C>.8ouZ7]Z6 Requested Due Date�
Raleigh, NC27G11
Project Reference: Plants #6
AJTN: k*h+Hm&O*w Purchase Order #-
SampledQy'
Mai-
VS acm
(13
e
me
Temperature at receipt:
lefinquished by (signature)
Received by (signature)
Date
"ri rn e

Document Name: Sample Condition Upon Docu' ment Revised: April 04, 2013
���aceAnaly?ical� receipt SCUR Page 1 oft
r`v.onc�rnee,cnm Document No.: issuing Authorities:
F-RAL-CS-001-rev.02 face Asheville Quality Office
Client Narme:VVI II A{
Where deceived; Huntersville Ej Asheville El Edeh Raleigh.
Courier (Circle): • Fed Ex UPS USPS Cllen Commercial Pace Other
Custody Seal on CoolerlSax Present: yes . no Seats intact. yes no
Packing Material: Bubble Wrap s None Other
Circle Thermometer Used: iR Gun�M.�65387Typ Ice: Wet Blue None. (lSamples on ice, cooling process has begunIR Gun B
Temp Correction Factor: Add 1 ubtract'
C
Date and Initials of person examining
Corrected Cooler Temp.:' r C ...
co to Pre ry o
.BiolodicalTissue is Frozen:. Yes .N 'NIA check;
ramp should be above freezing to 6°C
Comments::
C'h7dln Of CUStO{l PfCSetlt:.` _ :
Yes 'DNo 17NIA
Chain of Custody -Filled Out:
Yes ❑No
❑NIA
2.
Chbiri'bf. C'ustod - Relinqulshed:
vas ©No
❑NIA
3.
Sam ler Name& Signature on COC:
vas ONO
❑WA
4.
Sam le§ Arrived Within Hold Time:..
.Yea .❑No
❑N)A
J..
Short Hold Time.Analysis (<72hr).
❑Yes o'
ONlA
6.
r kush;.Turn:Arour(d.Ttme Requested:
❑Yes No
❑N/A
7.
Sufficient.Volume:
Yes ❑No
❑NIA
8.-- _
Correct Containers Used:
Yes ❑No'
l❑NIA
19. '
-Pacb'Cbritainers Used;
Yes ❑No
❑N1P-
Coniainers Intact:
Yes ONo
❑NIA
10.
Filtered volume -received for Dissolved tests
Dyer ❑No
L&A
11.
Sample Labels match COO:
Yes ONo
©NIA
12.
-Includes dateltimellDlAnalysis Matrix:
All•contalners needing'preservatioh have been chocked.
es ❑No
El NIA
.13.
All containers needing, preservation are found to be in
ea ❑No
❑NIA
compHance with EPA recommendation. -
exceptions: VOA, colirorm,.TOC, 0&G, lNl-DRO (water)
Yes ON.'
Samples checked ford ech lori nation:
0Yes 0No
❑NIA
14,
Fieadspace in VOA Vials ( >.6mm):
Dyes ©No
ON1A
15.
Trip Blank Present:
❑Yes ❑No NIA
16.
Trip Blank Custody Seals Present
Dyes ❑No
�N1A
Pace Trip Slank Lot # Lpurchased);
Client Notits.catio.n7 Resolution: Field Data Required? Y 1 N
Person Contacted: Date/Time:
Comments! Resolution:
SG ISRF � Dato: /0 '
Revievi ew::
Note: Whenever there is a discrepancy affecting North Carolina compliance
samples, a copy of this form wilt be sent to the North Carolina DEHNR
Certiffcation-Offire (i.e out of hold, incorrect preservative, out of temp,
incorrect containers)
192356
02!
Page 3of3