NCG140116_MONITORING INFO_20190808

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
G lyb,1 L
DOC TYPE
❑ HISTORICAL FILE
L MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 O SQ
FACILITY NAME: %aa
PERSON COLLECTING SAMPLES
CERTIFIED LABORATOR` t�zJrarrc d_4vri Jy� ,ee _1 Lab it J��
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: t > I�
SAMPLING PERIOD: ❑ July -December January -June.
COUNTY FoCtby-tIj
PHONE NO. (aL(2_)_'} SS`—`7jO-S
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA []HOW❑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?
(v/n)
ft of Months in Tier
2 Sampling'
-
-
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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.
' 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. '
Permit Date: 7/1/2011-60/30/2015 Date of last pH meter calibration: tr ��'�-yq :Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activitv MonitorinP RPOIIIrP mPn.c {— _
Outfall
No.
Date Sample
Collected
(mo/dd/yr)'
_---_.,,---.,-.._..._..-.,.,,..o�,,,,,,,,,,,s,���P,,,,••r,,,,•,,,,r„rorymunm—averageaoveracaienaaryear.
pH
(Standard
Units)
-15
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rain
(in)
New Motor oil
Usage
(ga I/month)
In Tier 2
Mo .. y
Monitoring?
(Y/n)
A of Months
in Tier 2
Sin Tier 2
6-9
100'
-
-
e�
$•3
<5
Jq.to
cep
S
_kd��
i
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]NO
�-
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample for at end of 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 P� It=or submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signatu're of
Permit Date: 7/1/2011-60/30/2015
R-o6-/9
(Date)
Last Revised 7/13/11
Page 2 of 2

RESEARCh & ANAiyTICAI
�} LAbORATORiES, INC.
For: Ready Mixed Concrete Co (ARGOS)
1491 Brookford Road
Kernersville, NC
Attn: Danny Rathbone
Report of Analysis
6/28/2019
Gig 11,611%�� •I'•�i
NC 34
zt
_ NC#37701
C, ,�'ftl
'O4T/RjfD
Client Sample ID:
62368l1
Lab Sample ID:
68430-01
Site:
Ready Mixed Concrete -Argos
Collection Date:
6/20/2019 14:10
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
pH
SM 4500 H+B-2000
7.6
Std. Units
6/20/2019 1410
Total Suspended Solids (TSS) SM 2540 D-1997
15.2
mg/L
5
LP 6/24/2019
Client Sample ID:
62361#2
Lab Sample ID:
68430-02
Site:
Ready Mixed Concrete -Argos
Collection Date:
6/20/2019 14:10
Parameter
I
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
pH
SM 4500 H+B-2000
7.8
Sid. Units
6/20/2019 1410
Total Suspended Solids (TSS) SM 2540 D-1997
9.6
mg/L
5
LP 612412019
Client Sample ID:
6236/#3
Lab Sample ID:
68430-03
Site:
Ready Mixed Concrete -Argos
Collection Date:
6/20/2019 14:10
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
pH
SM 4500 H+B-2000
7.5
Std. Units
6/20/2019 1410
Total Suspended Solids (TSS) SM 2540 D-1997
5.0
mg/L
5
LP 6/2412019
Client Sample to:
6236/#4
Lab Sample ID:
68430-04
Site:
Ready Mixed Concrete -Argos
Collection Date:
6/20/2019 14:15
Parameter Method Result Units Rep Limit Analyst Analysis Date/Time
Hydrocarbon O&G
EPA 1664 Revision 6/Silica Gel
<5
mg/L 5
pH
SM 4500 H+B-2000
8.3
Sid. Units
Settleable Matter
SM 2540 F-1997
<0.1
mltl 0.1
Total Suspended Solids (TSS)
SM 2540 D-1997
19.6
mg/L 5
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone]
Fax: [phone]
r,.i coo basic; vtd
LL- 61Z//Z019
6/20/2019
1410
AW 6/21/2019
0800
LP 6/24/2019
v .randalabs.com
Page 1

9 c-SEAR 1 & ANA[yflCA[
LkORAPDRiES, INC.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
wmrrrvJ
JOB WO. -
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STREETADDRESS 11
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PROJECT %%
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CITY, STATE, ZIP
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SAMPLE TEMPERATUREATRECEIPT J-D °C

PROCESS WASTEWATER— Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO, NC614 0 1
FACILITY NAME: Afk%p6 [Zen lY (%tk
PERSON COLLECTING SAMPLES: <1.+
CERTIFIED LABORATORY: I?ece k a/ Lab # WC - R!/
Lab #
LIMIT VIOLATIONS? YES ❑ NOW
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: Ao 19
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec Dian -march 2rApril-June
COUNTY: ^?b b.1 F'l1
PHONE NO. ( 3.( ) ri �s 't717�
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
z
{VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH ustnp
method 1664A
SGg/L) °
(rnmg/LI
Discharge
Duration
(minutes)
Total Flow
z
(gallons/day)
6-93.4
303,5
53
(15)6
-
-
ot, o
B•3
On/c
<e•I
cs Ic
(,o
O• t
i
-It wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
' Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RIM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
' If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RID staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
3 TSS limits are 20 mg/L for wastewater discharges to HOW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/l/2010-06/30/2015
Date of last pH meter calibration: ('-Ab /q
Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tered Response Action.
7 Flow rate can be measured continuously or calculated. Flaw limits for wastewater discharges to HOW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224, Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW" "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE IOR
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
-[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, 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 Permittee) - (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

�NS R,A)
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
(- G
DOC TYPE
❑ HISTORICAL FILE
C MONITORING REPORTS
DOC DATE
❑ �'
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 O , 1 1 Lj7
FACILITY NAME: 421 0', is tie t- `
PERSON COLLECTING SAMPLES t
CERTIFIED LABORATORY(' Vg6W Ld_4,4 rI 4,e,,l Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLING PERIOD: ❑ July -December LR January -June
COUNTY f o26 L?*Ll
PHONE. NO.
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
Outfall No.
Date Sample
Collected
(mo/
NO LOW)'
FLOW)'
PH
(Standard
Units)
TSS
(m(mg/0Monitoring?
Even[
Duration
(minutes(
Total a
Rainfall
(in)
In Tier 2
Monthly
(y/n)
# of Months in Tier
2 Sampling'
-
-
6-9,
10021'
-
-
-
-
I
0.r
'1-4
/,}.
yo
I
a
b 0/
I. ;R
9. (-
v4
f
N
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3
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D
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!Y R
k cEer-
n RF
NEFiFn
n
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CENTRAL FILE
9 CEI
JTRAL. F11 F .
U%nlK JtG I IU
d DV
IR SECTION
n NO rwvv or NU uuCHANUt, tnter No 1-LUWor "NU DISCHARGE- for each outfall here. Please make sure to mark the sample period above.
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 Date of last pH meter calibration: 6, -_A,0—y9 ; :Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for f 'I'Y
Outfall
No.
Date Sample
Collected
(mo/dd/yr)'
PH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
ac i ies usmg> SS
Total Suspended
Solids
(mg/L)
gal of new motor
Event
Duration
(minutes)
od/momm —
Total
Rainfall°
(in)
averaged over a calendar
New Motor Oil
Usage
(gal/month)
year.
In Tier 2
Monthly
Monitoring?
(y/n)
9 of Months
in Tier
Sampling=
6-9
is
- 100'
-
-
e!.
i
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES []NOR
HAVE YOU CONTACTED THE REGION? YES Q NO[] r
REGIONAL OFFICE CONTACT NAME:
30
in case of "No Flow"I 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 a that there are significant a 'alties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of P rmi ee)
(Date)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2

PROCE5_13 WASTF- IATER - Quartedy ;discharge Menkmisng, Repo a
GENERAL PERMIT NO. NCGI40000
CZRTiFICAX.E OF COVERAGE NO. i.C.51A 0 1
FACILITY NAME: �Y(iodccS tZen.)Y (h;yC
PERSOP COLLECTING SAMPLES:
CERTIFIED LABORATORY: P-ab #
lab #
LIMIT VIOLATIONS? YES ❑ NO RI
Part A: Wastewater Monitoring Reouirements
SAMPLE COLLECTION YEAR: Ao I 1
SAMPLE QUARTER: ❑Jul -Sep-, ❑Oct -Dec ❑.Ian -March CKAPM-June
COUNTY: %Ge6I f'1[
PHONE NO. (Y3L) �7 1Zs tj1''7�
-]YES
ADP TOLISTSERVE? [:]NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQ\Af ❑PNA ❑Trout ❑O4her -
OPTIONAL INFO: ,
Qutfafl No.
a
Dz .e Sample
Collected'
(mm/dd/yr)
Type of Wastewater
z
(\/E, RMI, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method R664q
SGT-HEM'
(mg/L)
Dlscharpe
Duration
(minu4es)
Total Flow
(gallons/day)'
-
_
93.4
6-9 3,4
303,5
O(. A�
B•3
.L� /1,
<o• I
Gs n I�
(off
�l S
i
it wdoiewdrer >ysmrns nave nor discharged in rnis quarter— report No now or -No Uischarge" here. Please make sure to mark the sample quarter above.
1.
' Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MO). Report more than one type if the waste -stream is commingled. -
If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for sift months, unless DWO RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HOW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/3L
Page 1 of 2
Date of last pH meter calibration: C�-.;0 7

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HOW waters shall be set to 50% of the Summer 7Q10 Flow as per 1SA
NCAC 02B .0224, Permittees who discharge wastewater to HOW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL -NO O FLOW" "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAM) LE 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
[phone]
YOU MU5T SIGIN TMIS CERTIFICATIOPI FOR ANY INFORMATION REPORTED:
"I certify, under penafHy,of lave, 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, an6
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: 7/1/2010-06/30/21)15
(Date)
Last Revised 07/13/11
Page 2 of 2

0
RESFARCk ANA1Y1faCA1 Report of Analysis
LA O RATORiESF kco 6/28/2019
at
kw
�& �,YTj� f��,
For: Ready Mixed Concrete Co (ARGOS)
.`� ....
!y
1491 Brookford Road
.
•J�A': (p ..
rt7
Kernersville, NC
pit`
:co NC 434 ° sh
z;
NC H37702
Attn: Danny Rathbone
°
f"/
D AIA OJ•
Client Sample ID: 6236/41
Lab Sample ID:
68430.01 —
Site: Ready Mixed Concrete -Argos
Collection Date:
6/20/2019 14:10
Parameter Method
Result Units Rep Limit
Anal st Analysis Daterrime
pH SM 4500 H+B-2000
7.6 Std. Units
6/20/2019 1410
Total Suspended Solids (TSS) SM 2540 D-1997
15.2 mg/L 5
LP 6/24/2019
ClientSample ID: 6236/#2
Lab Sample ID:
68430-02
Site: Ready Mixed Concrete -Argos
Collection Date:
6/20/2019 14:10
i Parameter Method Result Units Rep Limit Analyst Analysis Daterrime
i
pH SM 4500 H+B-2000 7.8 51d. Units 6/20/2019 1410
Total Suspended Solids (TSS) SM 2540 D-1997 9.6 n1g/L 5 LP 6/24/2019
Client Sample ID: 6236/0 - Lab Sample ID: 68430-03
Site: Ready Mixed Concrete -Argos Collection Date: 6/20/2019 14:10
Parameter — Method Result Units Rep Limit Analyst Analysis Daterrime
L I
pH SM 4500 H+B-2000 7.5 Sld. Units 6/20/2019 1410
Total Suspended Solids (TSS) SM 2540 D-1997 5.0 mg/L 5 LP 624/2019
Client Sample ID:
Site:
6236/#4
Ready Mixed Concrete -Argos
Lab Sample ID:
Collection Date:
68430-04
6/20/2019 14:15
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Daterrime
Hydrocarbon O&G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE 6/27/2019
pH
SM 4500 H+B-2000
8.3
Sld- Units
6/20/2019 1410
Settleable Matter -
SM 2540 F-1997
<0.1
ml/I
0.1
AW 6/21/2019 0800
Total Suspended Solids (TSS)
SM 2540 D-1997
19,6
mg/L
5
LP 6/24/2019
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone]
Fax: [phone]
w .randalabs.com Page 1

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