NCG140255_MONITORING INFO_20170314

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
/v
DOC TYPE
El HISTORICAL FILE
L� MONITORING REPORTS
DOC DATE
❑ c2c) I % D 3 �
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
II SUBMIT TO CENTRAL OFFICE' II
General Permit No. NCG140000
Calendar Year 2017
*Report ALL WASTEWATER monitoring data on this form (include "No Flow"1"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG 140255
Facility Name: Southern Concrete Materials - Concord
County: Cabarrus
Phone Number: ( 828 } 253-6421 Total no. of outfalls monitored 1
Certified Laboratory ETS Lab # 600
Lab #
Wastewater (WW) Discharge Outfall No. 1
Does this outfall discharge WW to SA waters? Yes ❑ No
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No
Were there any limit violations in the calendar year? Yes ❑ No
------------------
Outfall No.
1
Daily Flow Rate,
cfs
pH,
SU
TSS,
mgll,
SS,
m111
if applicable
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mg/1
Ft
Effluent
Limitations
Daily Maximum
Date
Sample
Collected,
molddl r
HQW or ORW
50% of 7Q10
lndlcafe NO FLOW If
applicable
-
freshwater
6.0-9.0
saltwater
. -
68.
v 5
EME
Standard
30
HOW
20
HOW 7 ORW and Tr, or
PNA
10
HOW, ORW, SA,
SB,PNA, orany
Trout
5
No Limit
Samples above Benchmark
subject to Tiered Responses
15
3/14/17
8.8
25
0.4
6/30117
No flow
08/15/17
8.6
27
<0.1
12/31/17
No flow
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2017

.. 1 =+
Certificate of Coverage No. NCG14 ❑❑❑❑
CERTIFICATION
"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."
(Required by 40 CFR §122.221
Signature
Date 2r�
x
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
- [phone]
Permit Date 811 /2017 — 6/30/2022
_ Last Revised 8-22-2017

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2016
Individual NPDES Permit No. NCSUUUf _JLJ" or
Certificate of Coverage (COC) No. NCG140225
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: Carolina Sunrock LLC — Butner Concrete
County: Granville
Phone Number: [phone] Total no. of SDOs monitored 1
JAN 2 0 20V
Outfall No. 1 4'4%.0 `"'.'"•' NII
Is this outfali currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No Z N
If this outfall was In Tier 2 last year, why was monthly monitoring discontinued? ,
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWO to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
.:
inches—==
ter,
Date . _ a �a^-+s
■ :. ��7� P£�{ac K�F 99 :. �[�:. a „�, � �.F fix _ a ., 1,�e1� .'�mt�yi t, y�.'
No Sampling Events/Discharge occurred in 2016.
SW U-264-Generic-13Dec2012

I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Signature
Date 01-13-2016
For questions, contact your local Regional Office:
PWOlRegional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
FAYETTEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
_(919) 807-6300
MOORESVMLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
'To preserve, protec!
and enhance
North Carolina's water._."
SW U-264-Generic-1 3Dec201 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140225
FACILITY NAME: Carolina Sunrock LLC — Butner Concrete
PERSON COLLECTING SAMPLES Scott Martino
CERTIFIED LABORATORY Contest Lab # 652
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2016
SAMPLING PERIOD: ® July -December ❑ January -June
COUNTY Granville
PHONE NO. [phone])
ADD TO LISTSERVE? ®YES [:]NO EMAIL: [e-mail]
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
Rainfall`
(in)
In Tier 2
Monthly
Monitoring?
(Y/n)
# of Months in Tier
2 Sampling'
1002-3
-
-
-
-
1
Now Flow
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.
a TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are SO mg/I.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month -- averaged over a calendar year.
Outfail
No.
Date Sample
Collected
(mo/dd/yr)2
pH
(Standard
Units)
TPH using method
16S4ASG7-HEAR
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
RainfalM
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
sampling'
6-92
is,
1002.3
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (includine all "No Flow" & "No Discharee" 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 CERnFIG4 TION 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 away_4hat_ftre are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:7/1/2011-60/30/2015
1/20/2017
(Date)
Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SOO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2016
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCG140445
This monitoring report summary of the calendar year should be kept on role on -site with the facility SPPP.
Facility Name: Carolina Sunrock LLC - MDC Facility
County: Durham
Phone Number: [phone] Total no. of SDOs monitored: 1
Outfall No. 1
Is this outfall currently In Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfail was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
SW U-264-Generic- 1313ec2012

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Signature
Date 01-20-2017
For questions, contact your focal Regional Office:
DM Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE —�
FAYETTEVILLE REGIONAL OFFICE
M_ OORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
(919) 7914200
[phone]
[phone]
WINSTON-SALEM REGIONAL OFFICE
CENTRAL OFFICE
585 Waughtown Street
1617 Mail Service Center
�v ed
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
use har
[phone]
_ [phone]
Ab1h Ca► rials waler. "
SW U-264-Generic-13Dec2012

STORMIMATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140445
FACILITY NAME: North Raleigh Concrete
PERSON COLLECTING SAMPLES Scott Martino
CERTIFIED LABORATORY ConTest Lab # 652
Lab #
OPTIONAL INFO: _Dicharging To Class SW -IV - No FLOW 2016
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2016
SAMPLING PERIOD: ® July -December ❑ January -June
COUNTY Durham
PHONE NO. (919)688-Ml
ADD TO LISTSERVE? ®YES ❑NO EMAIL: [e-mail]
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other
Outfal! No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
PH
(Standard
Units)
TSS
(mg/L)
u
Duration
ration
(minutes]
Total
Rainfall'
[in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampliing�
-
-
6-91
10V
-
-
-
-
1
NO FLOW
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 i 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.
a TSS benchmark values are 100 mg/i, except when discharging to ORW, HQW, Trout, and PNA waters where they are SO mg/l.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)l
pH
(Standard
Units)
TPH using method
1664A SGT HEN!
(mg/L)
Total suspended
Solids
(mg/0
Event
Duration
(minutes)
Total
Rainfall4
(in)
New MotOil
Usage
(gal/month)
In Tier 2or
Monthly
Monitoring?
(y/n)
R of Months
in Tier 2
Sampiinge
6-V
152
100'-3
-
-
-
-
-
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 (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date: 7/1/2011-60/30/201S
1/20/2017
( Date)
Last Revised 7/13/11
Page 2 of 2

JISUNROCK 0
CAROLINA SUNROCK LLC
Scott Martino
Environmental Compliance Manager
200 Horizon Drive, Suite 100
Raleigh, NC 27615, NC 27615
January 20, 2017
Raleigh Regional Office
Z>>
3800 Barrett Drive
Cl)
Raleigh, NC 27609
Z
X
�-
Re: NPDES Storm Water DMR 2016
Z
Carolina Sunrock LLC - Butner Concrete, MDC, North Raleigh, and RDU
Permit No: NCG140225, NCG140445 NCG160161, NCG140328, NCG140251,
Durham, Granville, and Wake Counties
+B
CERTIFIED MAIL No. 7015 640 0007 8085 0089
$
Retum receipt Requested
'
Dear Sir/Madam:
In accordance with the above referenced NPDES Permits, please find the attached Annual Data Monitoring Reports
(DMRs), for the references facilities.
Please contact us if you need further information or if this does not meet your requirements.
Sincerely,
Carolina Sunrock, L
Scott Martino
Environmental Compliance Manager
[e-mail]
Phone: [phone]
Fax: [phone]

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140255 SAMPLE COLLECTION YEAR: _2016
FACILITY NAME: _Southern Concrete Materials -Concord SAMPLING PERIOD: ® July -December ❑ January -June
PERSON COLLECTING SAMPLES _Jeff Lamm COUNTY Cabarrus
CERTIFIED LABORATORY ETS Lab # 600 PHONE NO. ( .ad
Lab # ADD TO LISTSERVE? [—]YES ❑NO EMAIL:
OPTIONAL INFO: DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
{mo/dd/yr OR
NO FLOW)'
pH
(Standard
Units)
TSS
{mg/L)
Event
Duration
(minutes)
Total
Rainfall'
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling'
-
-
6-92
1002,1
_
-
1
8-11-16
7.1
33
60
0.35
N
N/A
-U
,fi-h r,.
RECEIV
UtI
d I RAIL I-ILtb
1!
r�
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfal! here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
"For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1' of 2

Part P: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)
pH
(Standard
Units)
TPH using method
1664ASGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall'
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Samplingz
6-92
152
1001.3
-
-
-
-
-
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 oeriod
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files `f
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant per)alties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 7/1/2011-60/30/2015
8/24/2016
(Date)
Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140255
FACILITY NAME: _Southern Concrete Materials
PERSON COLLECTING SAMPLES Bill Jory
CERTIFIED LABORATORY ETS Lab # _600
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: _2016
SAMPLING PERIOD: ® July -December ❑ January -June
COUNTY Cabarrus
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)
TS5
(mg/L)
Event
Duration
(minutes)
Total
Rainfall'
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling2
-
-
6-92
1001"
-
-
-
-
1
No Flow
-
-
-
N
�iL`Pn
u 0i;
CENTRAL
uv"< SL:C
1`10N
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, HQW, Trout, and PNA waters where they are 50 mg/l.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yrjl
pH
(Standard
Units}
TPH using method
1664A SGT-HEM
(mg/i }
Total Suspended
Solids
(mg/L}
Event
Duration
(minutest
Total
Rainfall a
(in}
New Motor Oil
Usage
(gal/month}
In Tier 2
Monthly
Monitoring?
(y/n}
# of Months
in Tier 2
Sampling'
6-91
15'
1002.3
-
-
-
-
-
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
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUSTSIGN 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 signi ' ant penaIt'es for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) ( toy
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG140255
FACILITY NAME: _Southern Concrete Materials -Concord
T PERSON COLLECTING SAMPLES _Bill Jory
CERTIFIED LABORATORY Prism Lab # _402
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: _2016 czzln
SAMPLING PERIOD: ❑ July -December ® January -June
COUNTY Rowan 1
PHONE NO. ( )
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trou�MOther
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 Sampling 2
-
-
6-92
1002.3
_
-
1
6-15-16
7.6
77
60
0.1
yes-
i
N/A
Vffu
XL 05
O
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, 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.
0--
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
—�
Outfall
No.
Date Sample
Collected
(mo/dd/yr)r
pH
(Standard
Units)
TPH using method
1664ASGT--HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall a
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2 1
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling'
6-92
152
10()2.1
-
-
-
-
-
N/A
N/A
N/A
N/A
N/A
N/A
N/A
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR_(including all "No Flaw" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are signific4pt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 7/1/2011-60/30/2015
6/28/2016
(Date)
Last Revised 7/13/11
Page 2 of 2

-- STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG14 0
FACILITY NAME: '4 le "T
PERSON COLLECTING SAMPgS 13, 6'-'+; _
CERTIFIED LABORATORY f �, . n-, Lab # L/ 4 -1—
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: �, 3 I J
SAMPLING P RIOD: ❑ July -December January -June
COUNTY c 5 j_
PHONE NO. ) i
ADD TO LISTSERVE? ❑YES 2hO 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
Rainfall a
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling2
-
-
6_92
.1002.1
cA G4r ..r'i
aP C Y G iTi�
CV�IV�
015
eE,t ; ,
in P .
,AE ,LES
;>=rs;n
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
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: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month —averaged over a calendar year.
"
Outfall -
No.
Date Sample
Collected
(mo/dd/yr)l
pH
(standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall'
(in)
New Motor oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling2
6-92
152
1002,3
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days -of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware thAthere are�ignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ittee}
Permit Date: 7/1/2011-60/30/2015
2 /1
(D te)
Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAG NO. NCG14 0 S
FACILITY NAME: .ss� G{� _1�•,G2� ��,�•�/s--
PERSON COLLECTING SAMPLES 941 Q"1,14
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: � Q / /
SAMPLING PERIOD: ❑ July -December January -June
COUNTY G4orvi
PHONE NO. ( 9�S ]
ADD TO LISTSERVE? []YES O EMAIL:
DISCHARGING TO CLASS: IS ❑HOW ❑PNA []Trout Elother.
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
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
1001,3
.s- 6 y
7, 1
t
vVIV
�� TRA
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfaii 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.
I VED
9 2014
- FILES
30G
Permit Date: 7/l/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

;r
Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gat of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr}1
PH -
(Standard
Units)
TPH using method
I664A SGT--HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall a
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
#f of Months
in Tier 2
P g Sam lin 2
6-92
is2
1002.3
-
-
-
-
-
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 (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that ther re signifi t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
� ZL
(Signature of Per it (Date)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2