NCG140398_MONITORING INFO_20190306

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
�] MONITORING REPORTS
DOC DATE
❑ � b� / (� 3
YYYYMMDD

STO.RMWATER DISCHARGE OUTFALL,(SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM
Calendar Year. 201& RECF'N/ED
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or MAR 0 6 2019
Certificate of Coverage (COC) No. NCGQ®©Q❑9 ® CENTRAL r-IL.ES
This monitoring report'summary of the calendar year should be kept on file on -site -with the facility SPPP: DWR SECTIOi !
,Facility Name: CAROLINA READY MIX AND BUILDERS SUPPLY, LLC
County: Madison
Phone Number: 8 B 646_304Q Total no, of SDOs monitored. 1__________
Outfall No, 001 - - - Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No El
Was.this outfall ever in Tier 2 (monitored monthly) during thepast year? Yes ❑ No E]
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease'frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
' "parameter' units ''
Total '
PH TSS
rr _ 4
Rainfall;'
Ei/ENT E
ii►ches-n (STPiIVDARC))(mgll N''"
S
DURATIO
Benchmark N/A 6-9 <100 ---
Date Sample
Collected,
mmlddiyy.,
05/15/18 1.50 g 1 54.8 180 min
1?/0111a 1.20 7.5 1 15.6 lAn min
SWU-264 - Generic.Annual.DM
Last revised 5102/2018

Additional Outfall.Attachment
Outfall'No. N/A
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑
Was this outfail ever in Tier Z (monitored monthly) during the past year? Yes ❑. No El
If this outfall was in Tier 2 last year, why was monthly mohitoring.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 ❑
P.arametei�;: units
Total,
Rainfall, s r
i inCheB
Benchmark I NIA
Date Sample
Collected,
mmlddlyy
`1
SWU-264` Generic Annual DMR
Last revised 5V212018

I certify, under penalty of law, that this document and all attachments Were prepared under my direction or supervisionin accordance with a
system designed to assureAhat 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.forgathering 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."
Sign
Date
For questions, contact,your local Regional Office:
DWQ Regional Office Contact Information:
2090 US Highway 70
225 Green Street
610 last Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville. NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
�
(910}.433-3300
943 Washington Square Mall
127. C ardinal-Drive, Extension
3800.Barrett Drive
Raleigh, NC 27609
Washington, NC 27989
Wilmington, NC 28405-2845
[phone]
[phone]
[phone].
450 Hanes Mill Rd, Suite'300
Winston-Salem. NC 27105
3361776-9800
1617 Mail Service Center
Raleigh, NC 27699-1617
919 807-6300
/`"1 . "'TO prsseNet fJirllECl
�;)UQ; and'enhanc
north carrta's water_.: `
SWU-2K- Generic. Annual DMR
Last. revised.5✓02120i 8

•l`
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
*Report ALL STORMWATER monitoring data on this form (include "No Flow"rNo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 ®3❑ 90®
Facility Name: Marshall
County: Madison
Phone Number: 8( Z8 ) 254-7176 Total no. of SDOs monitored
Certified Laboratory Pace Analytical Lab #
Lab #
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No [j✓
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑ RECEI 1�AEI
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? ram
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ MAR 0 4 2019
Yes, received approval from DEMLR to reduce monitoring frequency ❑ CENTRAL FILEz
Other ❑ DWR SECTI01S1.1
Outfall No.
Total Rainfall,
inches
Total
Suspended
Solids { },
mg/1
pH,
SU
Non -polar O&G
(EPA Method
SGT-HEM
1664TSS { }),
mgll (VMA)
ltapplicable
New Motor Oil
Usage (gallmo.)
if applicable
Stormwater
Benchmarks
Indicate NO FLOW it
applicable
Circle69enchmark
10/50
6.0-9.0
1 5
Non-p >65 gaverage requires TSS and
Non•pe[ar08Gmonitoring
Date Sample
Collected
r malddl
y
,
3:'
� �,
'T4 Yii
�-,��E-~ � ;•
a
5/15118
001
54.8
9.0
913012018
NO FLOW
1211/2018
001
15.6
7.5
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 . OIL37�
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 informatiorl, including the possibility of fines and imprisonment for knowing violations."
(Required by 40 CInR §122.22]
Signature
Date
ij
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct -- Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/112017 -- 6/30/2022
Last Revised 8-22-2015

r1
i
Stormwater Discharge Outfall (SDO)
(qualitative Monitoring Report
For,quidance on filling otr! this forru, please visil: htl ya/h't>.cnr.slatc.nc.tlSlsltll'ol't�15 IlloCtlnlc'nts.ht�n��nlisCl'ttr�l�s
Permit No.: N/CI_I^l`I I_l_I_I or Certificate of
Facility Name:
Comity: M q
Inspector: SA P
Mule of inspection:
Time of Inspection:
: &O
Total Event Precipitation (inches): i, a 5
No.: NlC/GI i 1_YJ O/ 31 `% l(l
Was this a ltcproscnlativc Storm Event'? (Sec information below) © Yes ❑ No
Please check vour hermit to vert'13i r/'Qwrlita ive Monitoring must be petfornzed during a representative
Vtornr vveirt (t-equiremerrt.v vary).
A "Rcpre.nenfa ive Storm Even!" 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. I inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify That (his report is accurate and complete to the best of my knowledge:
(Signature ofl?'ermittee or Designee)
1. Outl'all Dcscrilition: /
Outfall No. � Srruclure (pipe, ditch, etc.) Q
ReceivingStreaiz): C 'q -.hCAYoed i6u 40 LectLA
Describe the industrial activities that occur within the out all drainage area:
CO ri c,ec7 F— -PLA PI T
2. Color. Describe the color ofthe discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ��,�2.-
3. Odor: Describe any dislincl odors that the discharge may have (i.e., smells strongly of oil, weak
Chlorine odor, etc.): n o o of U tZ
Pagc I of 2
SWO-2,12-1 11608

4: Clarity. Choose the numhcr which best describes the eltlrity Of the Miele; r Iti t r�u►
and 5 is very cloudy:
C, ) 2 3 4 5
S. Floating Solids: Choose the nuinber which befit describes the smount or floating solids in the
stormwatcr discharge, where 1 is no solids and 5 is the surface covered with floating solftls:
C2 3 4 5
6. Suspended Solids: Choose the number which best describes the: amount or suspended solids in
Lite stormwatcr discharge, where I is no solids and 5 is extremety muddy:
C, -) 2 3 4 5
7, is there any roain in tlrc stormwatcr discharge? Yes
8. Is there an oil sheen in tho ,stormwater discharge? Yes Cg)
9. Is there evidence of erosion or deposition at the outfall? Yes No
1p. Other Obvious 1 titucat(ors or stormwater Pollution:
List and deseribe -.-DO Y) e_ ©LA-r rA %PC} PP t' q
,14
Note: Low clarity, high solids, andlor the presence ol't'vam, oil sheen, or erosionldeposition maybe
indicative of pollutant exposure. These conditions warrmit Further investigation.
Pate 2 ot' 2
5 W U-242-1 12608

STORMWATER DISCHARGE DUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 D
FACILITY NAME: PCf sPS?. _ nAjEi,q t L
PERSON COLLECTING SAMPLES 64A _Lfi_L<&�
CERTIFIED LABORATORY PA-C t Lab # &%O
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: ea,�4 `r'J
SAMPLING PERIOD: E] July -December ❑ January -June
COUNTY
PHONE NO. Cje-4,j._!n E/ - .301/
ADD TO LISTSERVE? AYES 2]NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA UTrout Other
Outfall No.
Date Sample
Collected
[mo/dd/yr OR
NO FLOW)'
pH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
total a
Rainfall
(in)
In Tier 2
Monitoring? 2 Sampling Monthly # of Months in Tier
2
(yJn)
-
-
6-9
100
-
-
-
1 :1 . 01. t rb
'7.
Is: '
Jac
�. a
O Ad,*
i
' 1 f "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or " NO DISCHARGE" for each cutfall here. Please make sure to mark the samcie period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement tl�e Tier 1 or Tier 2 respcn,es 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 10D mg,/I, except when discharging to ORW, HCLW, 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
Pa;e l of 2

Part 13: 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/ddlyr)
PH
(Standard
Units)
TPH using methodTotal
I664A SGT-HEM
jmg/L)
Suspended
Solids
(mg/L)
Event
Duration
(rninutes)
Total
Rainfall`
(in)
New Motor Oil
Usage
(gat/month)
in Tier Z
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sainpline
fi-9
i5
100
-
-
-
-
-
aN �
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCESAT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ N04R]
HAVE YOU CONTAC ED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mai I Original and one coot/ of this DMR [includine all "No Flow" & "No Discharge" reoorts7 within 30 days of receipt of samole {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 lair, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assurethat qualified personnel properly gather and evaluate the information svbmit.ed. 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 avyare that :here erg signific_gnt4nalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(5ignaturejoy'Permittee)
P e unit Date: 7/1/2011-60/30/20? 5
/=.?.i,$. J8
(Date)
Last Revised 7/13/11
Page 2 cf 7

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000 RECEIVED
CERTIFICATE OF COVERAGE No. NCG140398 AUG 17 2018
CENTRAL. FILES
STORMWATER AND PROCESS WASTEWATER DISCHARGES DWR SECTION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended.
Carolina Ready Mix & Builders Supply, LLC
is hereby authorized to operate a process wastewater treatment system, and is hereby authorized
to discharge process wastewater and stormwater from a facility located at:
North Asheville Plant
3807 U.S. H-,vy 25/70
Marshall
Madison County
to receiving waters designated as the French Broad River, a class B water; in the French Broad
River Basin; in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III, and IV of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective May 21, 2010.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 15, 2018.
for WilKam E. Vinson; Jr/15—E., Interim Director
Division of Energy; Mineral, and Land Resources
By the Authority of the- Environmental Management Commission

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000 RECEIVED
CERTIFICATE OF COVERAGE No. NCG.140453 AUG 17 2018
CENTkAL FILES
STORM WATER AND PROCESS WASTEWATER DISCHARGES DWR SECTION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Carolina Ready Mix & Builders Supply, LLC
is hereby authorized to operate a process wastewater treatment system, and is hereby authorized
to discharge process wastewater and stormwater from a facility located at:
South Asheville Plant
264 Mills Gap Road
Fletcher
Henderson County
to receiving waters designated as Hoopers Creek, a class C; Tr water, in the French Broad River
Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, 1I, 11I, and IV of General Permit No. NCG 140000 as attached.
This certificate of coverage shall become effective May 3, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 15, 2018.
for Williari'i E. Vinson; Jr., P.E.,Tnterim Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140382
STORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Carolina Ready Mix & Builders Supply, LLC
is hereby authorized to operate a process wastewater treatment system, and is hereby authorized
to discharge process wastewater and stormwater from a facility located at:
East Asheville Plant RECEIVED
608 Old U.S. Highway 70
Swannanoa AUG 17 2018
Buncombe County
CE[V i i-�Al. FILES
DWR SECTION
to receiving waters designated as Swannanoa River, a class C water, in the French Broad River
Basin. in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, I1, III, and IV of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective August 22, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 15, 2018.
for William 1 . Vinson, Jr., P.E�nterim Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

i
NC®ENR
Cw�nwur,« ♦+P NgRu .i[.lMf+c Y�
VIeG��0382�''� �fo3F8
hcG-lyv V673,�
AGENCY US-6 ONLY A:G_
Division of Encrg��, 1linera! & Land Resources FOR �_�. ,
Date Received
Land Quality Section/Stormwater Permitting Year I Month I o y- �
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
1. Please enter the permit number for which the change is requested.
NPDES Permit (Or) C[ertiFcate of Coverage
II- Permit status prior to requested change.
a. Permit issued to (company name): G tzQL;n 6 I� t a e� , C & low � f��- ZX/c
b, Pcrson legally responsibly: fijr permit.: J�LAjr—T �� 1U —IV t:_s
RECEIVED
JUL 02 2018
MIR-LAND QUALITY
*5TORMWATER PERMITTING
e. Facility name (discharge):
d. Facility address:
e. Facility contact person:
Firs; M1 Last _..,.._ .
TiFte
4-0
Permit Holder Mailing Address
ywa „ban a --- /V C .1S '7 -7
City State zip tI
(8al 11&-3Fs)�.4—D/
Phone Fax
lP U h u Z4) YA s 7 v
--� Address-
SWj:-'-A&Mb 0L 0 r— QA� � �(
City State Zip
-Pt 3,�
First ' &f I . Last Phone
[ll. Please provide the following for the requested change (revisrd permit).
a. Request for change is a result of: Change in wxnership of the facility
Name chiingerof the fac 'ty or o)a•ner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for penuit: C'
'Firs; mt Last
r..,pun/ C�nwSC
i'itle
Permit Hoider110ailing Address
C G �..(0 L-b-
_ - AIL- _ City state Zip
Pho:tc U-mail Address
Facility name (discharge):[-t�i�y�r
Facility address: � —
/` T-rL Ck nc d es
Ciry State zip
f. Facility contact petsan: SO l^ri t ��� sttcndcr
First -- - E Last
Phone L-mail Address
IV. Permit contact information (if different from the person legally responsible for [he permit)
Revised Jan. 27, 2011

NPDES PERMIT NAMEIOWNERSHIP CHANGE FORM
Page 2 of 2
Permit Contact: I L. ___ i �'��-�__L[�✓
First IMcr Last
CK�1ai3ir.,• address y [�
<r&
l - utv Z,ir? y
Phone E-mail Address CO •
V.
Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change!
9 Yes
❑ No (please explain)
Vl Required Items: THIS APPLICATION WILL BE RL:TURNED UNPROCESSED III ITEMS
ARE INCOMPLETE OR MISSING:
This completed application is required for both name chattgc and/or ownership change
requests.
Q Legal documentation of the transfer of ownership (such as r;.71evant pages ofa contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below: must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of ant ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PFILNIITTU—CERTIFICATION (Permit holder prior to ownership change):
I, 73A [ JtteJgr afA application fora neme/ownership change has be -on rcviewcd and is accurate and
complete to the best ofmy knowledge. i understand that if all required p.trts of this application are not
completed and that if all required supporting information is not included, this application package will be
retuned as inco ' pletc. J/
Signature Date
AP LIC¢�NT,�ER'I'IFI -ATION
1, A7, ie th tt this application for a nanieiownership change has b cn reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required ;tarts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Hate
PLEASE SEND THE COtNIPLI;:'ITE APPLICATION PACh'AGF.. TO: 4
Division of lsnergy, Makeral and Land Resources
Stormwater Permitting Program
1612 Mail Scrvice Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27,201,41

EaGG l o3X;
st Asheville Plant:
606 Old US 70
Swannanoa, NC 28718
18281686-3040
www.carolinarea
rcG r got-1 S3
th Asheville Plant
264 Mills Gap Rd.
Fletcher, NC 28732
(8281684-1920
ixinc.com
IUCGl-to)SYV/
North Asheville Plant
3809 US Highway 25110
Marshall, NC 28753
18281649-1016
RECEIVED
JUL 42 2018
QENR-LAN[ QUALI7Y STORMAJATER PERMITTING

r...:; ....................... ---------- .
RECEIVED
JUL 02 2018
GENR_LAND Ol_1ALITy
STORMIATER PERMITTING
BILL OF SALE, ASSIGNMENT AND ASSUMPTION AGREEMENT
This BILL OF SALE, ASSIGNMENT AND ASSUMPTION AGREEMENT is made and
given as of 2018 by Carolina Ready Mix and Builders Supply, Inc. (the
"Seller") to CRM cq tsition Holdings, LLC (the `'Purchaser").
WHEREAS, pursuant to a Contribution and Purchase Agreement of even date by and
among Seller, Purchaser, Concrete Supply Co., LLC, and Bart Jones (the "Contribution
Agreement"), Seller has agreed to contribute, transfer, and assign, and Purchaser has agreed to
acquire, accept, and assume, certain assets and certain obligations of Seller relating to the
Business (terms not defined herein shall have the same meaning as in the Contribution
Agreement).
NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which is hereby expressly acknowledged, the parties hereto do hereby agree as follows:
1. Contributed Assets. Seller does hereby contribute, sell, assign, convey and
deliver to Purchaser the entire right, title and interest of Seller in and to all of the Contributed
Assets.
2. Effective Time. The effective time of the transfer of the Contributed Assets and
assumption of the Contributed Liabilities shall be 12:01 a.m. `A , 2018.
3. No Liens, Title. Seller hereby conveys the Contributed Assets to Purchaser free
and clear of all mortgages, security interests, liens, claims, charges or encumbrances of any
nature whatsoever except as otherwise provided in the Contribution Agreement,
4. Assignment. Seller does hereby assign and transfer to the Purchaser to the extent
legally assignable, all of its right, title and interest in and to the Contributed Liabilities, and
Purchaser hereby accepts and assumes all of the Contributed Liabilities and agrees to pay,
perforin, and discharge when due, the obligations thereunder.
S. Benefit. This Agreement is made for the benefit of Purchaser and Seller and their
respective shareholders and members and the provisions of this Agreement may be enforced by
any of them. This Agreement shall not be assigned by operation of law or otherwise.
6. Executed Counterparts. Each executed copy of this Agreement shall be deemed
to be an original. Different copies may be executed by Purchaser and Seller, and all executed
copies shall be treated as one and the same Agreement.
7. Headings. Headings at the beginning of the various sections of this Agreement
are for convenience of reference only and shall not affect the terms of this Agreement.
8. ' Governing Law. This Agreement shall be governed by the laws of the State of

North Carolina, without regard to the conflicts of laws provisions thereof.
9. Amendment. No amendment or modification of this Agreement shall be effective
unless it is set forth in writing and signed by all parties hereto.
10. Post Closing Matters. Each party agrees to cooperate with the other with regard
to taking any action reasonably necessary to implement the terms of this Agreement.
IN WITNESS 'WHEREOF, the parties have caused this Agreement to be executed by
their duly authorized officers, on this the date first above written.
SELLER:
CAROLINA READY MIX AND BUILDERS SUPPLY,
INC.
By: SZ==
Na
Title: Prey; 7—
PURCHASER:
CRM ACQUISTION HOLDINGS, LLC
By:
Henry R. Batten, Manager
2

S. Governing Law. This Agreement shall be governed by the laws of the State of
North Carolina, without regard to the conflicts of laws provisions thereof. i
9. Amendment. No amendment or modification of this Agreement shall be effective
unless it is set forth in writing and signed. by all parties hereto.
10. Post Closing Matters. Each party agrees to cooperate with the other with.regard
to taking any action reasonably necessary to implement the terms of this Agreement.
IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by
their duly authorized officers, on this the date first above written.
SELLER:
CAROLINA READY MIX AND BUILDERS SUPPLY,
INC.
By:
Name:
Title:
PURCHASER:
CRM ACQUISTION HOLDINGS, LLC
By:
enr R. Batten, Manager
2

NORTH CAROLINA
NQ\�
Department of the Secretary of State
To all whom these presents shall come, Greetings:
I, Elaine F. Marshall, Secretary of State of the State of North Carolina, do hereby certify
the following.and hereto attached to be a true copy of
ARTICLES OF AMENDMENT
OF
CRM ACQUISITION HOLDINGS, LLC
WHICH CHANGED ITS NAME TO
CAROLINA READY MIX & BUILDERS SUPPLY, LLC
the original of which was filed in this office on the 7th day of June, 2018.
Scan to verify online.
Document Id: C201815800880
Verify this certificate online at http://www.sosnc.govtverification
IN WITNESS WHEREOF, I have hereunto set
my hand and affixed my official seal at the City
of Raleigh, this 7th day of June, 2018.
fAW'-',.
Secretary of State

SOSID: 1688483
Date Filed: 6/7/2018 11:36:00 AM
Elaine F. Marshall
State of North Carolina North Carolina Secretary of State
Department of the Secretary of State C2018 158 00880
Limited Liability Company
AMENDMENT OF ARTICLES OF ORGANIZATION
Pursuant to §57D-2-22 of the General Statutes of North Carolina, the undersigned limited liability company hereby submits the
following Articles of Amendment for the purpose of amending its Articles of Organization.
The name of the limited liability company is:
CRM Acquisition Holdings, LLC
The text of each amendment adopted is as follows (attach additional pages if necessary):
Paragraph 1 shall be deleted in its entirety and the following shall be inserted therefore:
"The name of the limited liability company is: Carolina Ready Mix & Builders Supply, LLC"
3. (Check either a or b, whichever is applicable)
A.nThe amendment(s) was (were) duly adopted by the majority vote of the organizers of the limited liability company
prior to the identification of initial members of the limited liability company.
B.nThe amendment(s) was (were) duly adopted by the unanimous vote of the members of the limited liability company
or was (were) adopted as otherwise provided in the limited liability company's Articles of Organization or a written operating
agreement.
4. These articles will be effective upon filing, unless a date and/or time is specified:
This theA' day off 20 18 ,_ _
CRM Acquisition Holdings, LLC
Nam of Limited Liability Company
71naturi
Henry R. Batten, Manager , Company Official
Type or Print Name and Title
NOTES:
1. Filing fee is S50. This document must be filed with the Secretary of State.
BUSINESS REGISTRATION DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622
(Revised July 2017) (Form L-17)

East Asheville Plant:
606 Old us 70
Swannanoa, NC 28778
18281686-3040
South Asheville Plant:
264 Mills Gap Rd.
Fletcher, NC 28732
(8281684-1920
www.carolinareadymixinc.com
June 15L, 2018
Attn: Central Files
North Carolina Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Storm Water Qualitative Monitoring
Carolina Ready Mix and Building Supply, Inc.
Marshall Concrete Plant, NCG140398
Dear Sir or Madam,
North Asheville Plant:
3809 US Highway 25/70
Marshall, KC 28153
18281649-1016
JUN 0 5 2018
CENTIRAL ALES
OWR SECTI()�j
Please find the attached Stormwater Discharge Outfall Qualitative Monitoring Report (SDO) and
Stormwater Discharge Semi -Annual Report for first period 2018 reporting.
Sincerely,
Carolina Ready Mix and
Builders Supply, Inc.
Gary Killer
Environmental Compliance Manager

0
elrruli! r
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forgrrielance onfilling Oil/ lhisjorin, please ;4.vi1 incral-land-
resourccs/cncrey-mincral-1and- permitslstol-III water-licrmitshipdcs-industrial-swtitab-A
Permit No.: NICI_I_I_I 1_I_I 1 or Certificate of Coverage No.: NICIGILI yl OQ I1 /&
Facility Name:
CC) P r S C, 5\ Phone No. d r�- L oI *0
Inspector:
Date of Inspection: -I r; -C I
Time of, inspection: l+r -06
Total Event Precipitation (inches): 6 Vj 'r
All permits require qualitative monitoring to be peribrmed during a"ueasurable stone 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 i f the pennnitice is able to document that a shorter interval is representative for
local storm events during the sampling period, and the perinittee obtains approval from the local DE:MLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best ol'my knowledge:
(Signature �IWrnnittee or Designee)
1. Outfall Description:
Outfall No.py 1 Structure (pipe, ditch, etc.):
Receiving Stream:
k P_ t- AX.
Describe the industrial activities that occur within the Outfall drainage area:
Page I of 2
swU-242, i.asl modified 0712812017

V
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: -&
3. Odor: Describe any distinct odors that the discharge may have (i.e., smelts strongly of oil, weak
chlorine odor, etc.): _ 40 oel eyz
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
2 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) 2 3 4 5
G. 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:
01) 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes 0 No.
S. Is there an oil sheen in the storin water discharge? OYes 0 No.
9. Is there evidence of erosion or deposition at the outlall? O Yes 0 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
SWtj-242, Last modified 07l2312017

STORMIMATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 0 3 9
FACILITY NAME: C +Z M M A-R o tvLL
PERSON COLLECTING SAMPLES r<kZ 4 KiL`k.t_1z_-
CERTIFIED LABORATORY PAC' L:r Lab # `f �
r ACL Lab# &7"7ti-
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: a 01 U
SAMPLING PERIOD: n July -December ® January -June
COUNTY
PHONENO.
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA 4Trout ❑Other
Outfall No.
Date Sample
Collected
(mo/dd/yrOR
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
2Sampling�
v�r
6-9
100 '
54.
-
190
['ram„
-
fw
'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.
2If 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/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 1
(mo/dd/yr)
pH
(Standard
Units)
TPH using method
1664A5GT-NEM
(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)
4 of Months
in Tier 2
Sampling2
6-9
15
100 '
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (including all "No Flow" & "No Dischame" 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 ANYINFORMATION REPORTED:
"I certify, under penalty of law, that this document and ali 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 avqre that there arognificant pe
(slgnatur o ermittee)
Permit Date: 7/1/2011-64/30/2015
for submitting false information, including the possibility of fines and imprisonment for knowing violations."
7_
(Date)
Last Revised 7113/11
Page 2 of 2

r-
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
*Report ALL WASTEWATER monitoring data on this form (include "No FlovVT'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 0❑ 3❑
Facility Name: Marshall
County: Madison
Phone Number: (336 ) 983-2181
Certified Laboratory Prism Lab
Lab # 402
Lab #
Total no, of outfalls monitored 1
Wastewater (WW) Discharge Outfall No. 001
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 0
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.
001
Daily Flow Rate,
cfs
pH,
SU
TSS,
mgll
SS,
mill
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mgll
if applicable
Standard
Effluent
Limitations
Daily Maalmum
HQW or ORW
50% of 7Q10
Indicate NO FLOW i/
applicable
freshwater
6.0-9.0
saltwater
p p
6.8-8.5
30
HQW
20
HOW ! ORW and Tr, or
PNA
10
NOW, ORW, SA,
SB,PNA,orany
Trout
L
5
No Limit
Samples above Benchmark
subject to Tiered Responses
15
Date
Sample
Collected,
molddlyr7
t
5/15/2018
001
9.0
54.8
AK
� c ns' 4iN1� F 10--
913012018
NO FLOW
nWR SE i
12/1/2018
001
7.5
15.6
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2017

I '
Certificate of Coverage No. NCG14 ®C $
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 §122.22]
Signature
Date G
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in D WR (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 8/1/2017 — 6/30/2022
Last Revised 8-22-2017

East Asheville Plant
606 Old US 10
Swannanoa, NC 28778
18281686-3040
South Asheville Plant:
264 Mills Gap Rd.
Fletcher, NC 28732
(8281684-1920
www.carolinareadymixinc.com
November 14, 2017
Attn: Central Files
North Carolina Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Storm Water Qualitative Monitoring
Carolina Ready Mix and Building Supply, Inc.
Marshall Concrete Plant, NCG140398
Dear Sir or Madam,
North Asheville Plant
3809 US Hi9hwaY 25170
Marshall, NC 28153
(8281649-1016
RECEIVE
NOV 17 2017
CENTRAL FILES
DWR SECTION
Please find the attached Stormwater Discharge Outfall Qualitative Monitoring Report (SDO) and
Stormwater Discharge Semi -Annual Report for second period 2017 reporting.
Sincerely,
Carolina Ready Mix and
Builders Supply, Inc.
Gary Kilker
Environmental Compliance Manager

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 S G �
FACILITY NAME:
PERSON COLLECTING SAMPLES Ca i+ r a E< I
CERTIFIED LABORATORY PNCtw A,_A�4 4l;rr. I_ Lab # 3.7 -7
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLING PERIOD: ❑ July -December
COUNTY
PHONE NO. (�}
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: USA ❑HQW
❑ January -June
❑PNA ❑Trout ❑Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pHEvent
(standard
Units)
TSS
(mg/L)
Duration
(minutes}
Total
4
Rainfall
(in}
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
�
2 Sampling
-
6-9
100 '
-
-
-
-
NCiv� ,p�
' 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/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 6: 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 1
(mo/dd/yr)
PH
(Standard
units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
New Motor oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling
6-9
152
1002,3
-
-
-
-
A)
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO 2
HAVE YOU CONTACTED THE REGION? YES ❑ N04!1
REGIONAL OFFICE CONTACT NAME: A)IA -
Mail OriRlnal and one conv of this DMR (including all "No Flow" & "No Discharge" renortsi within 30 days of receipt of samole (or at end of monitoring period
incase of "No Flow") o:
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 a are that there are signiUaant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signa1654 of Permittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2 1

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out This form, please visit: 17ttpalh?o.cru'.statc.nc.us/sulf arms QOCLIMCI] ts,fit In##nlisC tornis
Permit No.: NICI_I_I_I_I_I_I_I or Certificate of Coverage No.: NIC/GILI�IQII�I�I
Facility Name: (lAzaI ng _Rego_ /)7;k MA"14ALt- P1- 4.N
County: d. i S o rV Phone No. to 1 1,
Inspector: ATZL- G . 1C i Liy'z-
Date of Inspection: I I - `7 - 1 -1 _
Time of Inspection: & to Pt- AA,
Total Event Precipitation (inches): 1, 15'0
Was this a Representative Storrs Event? (See inf'onnation below) ,1 Yes ❑ No
Please check your permit to verifv if Qualitative Monitoring mast be perfr)r'nred during a representative
Storm ei;ent (requ remenis vai.v).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches ol- 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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature OU"Crrnittee or Designee)
1. Outfall Description: f
Outfall No. I Structure (pipe, ditch, etc.)
Receiving Stream: LA SS G Fr -en
Describe the industrial activities that occur wiihin the outtall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 01 POt R- f
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly o17 oil, weak
chlorine odor, etc.): 11"a YLt?
Pace I of 2
swu-242-112008

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
(2) 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where l is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the arnourit ol'suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
(12) 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 No
y. Is there evidence of erosion or deposition at the outiall? Yes(!D
No
10. Other Obvious Indicators of Storinwater Pollution:
List and describe N 0to
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
S W U-242-1 12608

East Asheville Plant
606 Old US 70
Swannanoa, NC 28778
1828) 686-3040
South Asheville Plant
264 Mills Gap Rd.
Fletcher, HC 28732
(8281684-1920
www.carolinareadVmixinc.com
May 2, 2017
Attn: Central Files
North Carolina Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Storm Water Qualitative Monitoring
Carolina Ready Mix and Building Supply, Inc.
Marshall Concrete Plant, NCG140398
Dear Sir or Madam,
North Asheville Plant
3809 US Highway 25no
Marshall, HC 28753
18281649-1016
RECEIVED
MAY 0 4 2017
CENTRAL FILES
DWR SECTION
Please find the attached Stormwater Discharge Outfall Qualitative Monitoring Report (SDO) and
Stormwater Discharge Semi -Annual Report for first period 2017 reporting.
Sincerely,
Carolina Ready Mix and
Builders Supply, Inc.
Gary Kilker
Environmental Compliance Manager

A-, j A .
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit. http//portal.ncdenr.org/web/lr/npdes-stormwater/
Permit No.: �C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: NC/G/, /-L1/D-13J
Facility Name: 0 Qy-y(', rya- '2eo. d u (n :k T, [ i�rs Sk„p to 'tN G
County: M A�.'� y d n _ _ _ Phone No. 1S ZA - do4 11 - 10 16
Inspector: a r-2\� 1, \ L- 1z
Date of Inspection: 0 q 10 S 1 ;.) a 1" i
Time of Inspection: , _ QL', o� WX
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
[Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event_" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
f 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 &Permittee or Designee)
Pagel of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. 601 Structure (pipe, ditch, etc.)
Receiving Stream: C'LR 9 S 0- I" re t% �- & re a d v g rt
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: -'S( ; �,h `F --ct +, 4- 1 r.1 f
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): N O O'aLdx
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
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 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
10. Other Obvious Indicators of stormwater Pollution:
List and describe N v 1J
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

STORMWATER DISCHARGE OUTFALL (SDO) — Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 C3 3
FACILITY NAME: (ZCA lea
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY f o, E A rj Aj' 4;g_A L, Lab # _ _1 'b' qo
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: aO 1-1
SAMPLING PERIOD: ❑ July -December ® January -June
COUNTY -L0P Ls4 N
PHONE NO. (5P T 1 (aL4 I o I L,
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
a
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplingz
-
6-9
100 ,
-
-
-
01
61f 05 aoI7
f90
`7 5'
No
MIA
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.
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, HOW, Trout, and PNA waters where they are 50 mg/I.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
C
Permit pate: 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)1
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
2
Sampling
6-9
15
100 '
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO NJ
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30, days of receipt of sample for at end „of monitoringperiod
eriod
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 a re that ther are signific nalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
S a
(SignatubA Permittee) (Date)
Permit Date, 7/1/2011-60/30/2015 Last Revised 7/13/11
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