NCG140259_MONITORING INFO_20190514

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
)(MONITORING REPORTS
DOC DATE
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT LDMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No NCG140000
Calendar Year 2019
'Report ALL STORMWATER monitoring data on this form (include "No Flow"/ No Discharge°'`ifnd Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH i of each year a�9
Certificate of Coverage No NCG14 E2[EE
Facility Name Loven Ready Mix LLC
County Watauga
Phone Number 8( 28 ) 733 5406
Certified Laboratory Water Tech Labs
Lab # 50
Lab #
Total no of SDOs monitored 1
Stormwater Discharge Outfali (SDO) No VMA Outfall'? Yes ❑ No ❑
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 ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes enough consecutive samples below benchmarks to decrease frequency ❑
Yes received approval from DEMLR to reduce monitoring frequency
Other ❑
Outfall No
Total{Rainfall,
inches
Total
Suspended
Solids (TSS ),
m Il
pH,
�
Su" ;
Non -polar O&G
(EPA Method
1664 (SGT-HEM}},
mgll (VMA)
Ifapphcabla
New Motor Oil
Usage (gallmo )
Itapplicable
Stormwater
Benchmarks
indicate NO FLOW d
i
applicable
Circle Benchmark
100150
nn
6 �-9 V
1 �
>55 gaUmo average requires T55 and
Non polar O&G monitoring
Date Sample
Collected,
Moldd/yr
im
415118
52
17
69
NIA
NIA
Permit Date 81112017 — 6130/2022
Last Revised 8-22-2015

Certificate of Coverage No NCG14 KK1 199
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
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 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

wgrmirrCH LIVIFSInc
POST OFFICE BOX 1056 #5 PINEWOOD PLAZA DR
GRANITE FALLS NORTH CAROLINA 28630
[phone]
SAMPLE Loven -Pineola COLLECTION DATE
4/5/2019
PERMIT # COLLECTION TIME
0800
ADDRESS Loven Ready Mix RECEIVED DATE
4/5/2019
P O Box 155
RECEIVED TIME
11 25
Pineola NC 28662
REPORTED
4/11 /2019
ANALYSIS
ANALYSIS RESULTS UNITS DATE ANALYST
TSS 68 mg/L 4I8119 irg
LOG ID 1904-121 REPORTED BY NCCEER FIFIED LAB # 50
fob( o
Tony Gragg Lab Supervisor

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO; CENTRAL `OFFICE', <E
General Permit No NCG140000
Calendar Year 2018
*Report ALL STORMWATER monitoring data on this form (include "No Flow"/ No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year
Certificate of Coverage No NCG14
Facility Name LOVEN READY MIX LLC
County WATAUGA
Phone Number g( 28 )733-5406
Certified Laboratory WATER TECH LABS
Lab # 50
Lab #
JAN 10 Z419
Total no of G Osim�onitored,
GV�r4� VECT1Ct'�
Stormwater Discharge Outfall (SDO) No 1 VMA Outfall? Yes ❑ No ❑✓
Is this outfall currently in Tier 2 for any parameter) Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No 0
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes enough consecutive samples below benchmarks to decrease frequency ❑
Yes received approval from DEMLR to reduce monitoring frequency 0
Other ❑
,h iss f
p }; �4i Vk S FE
,b 6 3 r
"i;g, +d> �a g `
I r#� 6
?t
is S +;y°
4T %
� $ij r�(
Total
jd
a : , € 31 f
�a � b
;M } < �, I�
Non -polar O&G
a b' �
(EPA
d
New Motor Oil
Ouffall No'
�Total4Rainfall,
Suspended '
a
,yam i �
pH,
� Method
1 664 SGT-HEM
( ))
Usage (gallmo )
t
inches
Solids (TSS),
t SU
,
mg/1 (VMA)
Happfl=abfe
mg/1
H applicable
Stormwater
Circle Benchmark
fndlcale NO FLOW f!
100150
6 0-9 0
15
�55 g allmo average requires T59 and
Benchmarks
appfleablo
Non polar O&G monitoring
Date Sample_ .
� Collected,
vi
r� moiddlvr
1 12-1-18 1 0 37" 1 103 1 801 1 NIA I NIA I
Permit Date 8/112017 — 6/30/2022
Last Revised 8-22-2015

t
Certificate of Coverage No NCG 14 0 2❑ 5❑ 9❑
r
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 12/28/18
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

fiIgTER6rECH MISS,,.
POST OFFICE BOX 1056 #5 PINEWOOD PLAZA DR
GRANITE FALLS NORTH CAROLINA 28630
[phone]
SAMPLE Loven -Boone COLLECTION DATE 12/1/2018
PERMIT # COLLECTION TIME 1300
ADDRESS Loven Ready Mix RECEIVED DATE 12/3/2018
P O Box 155 RECEIVED TIME 0908
Pineola NC 28662
REPORTED 12/6/2018
l + � � S �+ tar- - `..a r F> �'- "�`' �a..' a -• r a w '� �ryrc i c"�� ;�,.r � 's � ` � r;�s.;�3�';4�� i
ANALYSIS
v f2ESULTS �f UNITS r '" DATE °Y T ANALYST t
TSS 103 mg/L 1214118 Irg
y � t.�i r�" .. rf � ✓ w . r � � r � � 1"3� t r . — ^�� 5 y � _ � }'z,.Y S" t r � � '� Y r fa^� ��'i "W 9
rii�1 f11 ArrsrPV✓1G JV�irt�4Z
ro> a s #yr yearw
LOG ID 1812-002 REPORTED BY NC CERTIFIED LAB # 50
f§4
Tony Gragg, Lab Supervisor

G
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 1' No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ_by MARCH,Iroffeach year
Certificate of Coverage No NCG 14 ®2T 19I JUN 15 Z018
Facility Name LOVEN READY MIX LLC
County WATAUGA SI CTION
Phone Number (828 )733-0525 Total no of SDOs monitored 1
Certified Laboratory WATER TECH LABS Lab # 50
Lab #
Stormwater Discharge Outfall (SDO) No 1 VMA Outfall? Yes ❑ No ❑✓
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 0
Was this outfall ever in Tier 2 during the past year? Yes ❑ No [E]
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes enough consecutive samples below benchmarks to decrease frequency ❑
Yes received approval from DEMt_R to reduce monitoring frequency 0
Other ❑
Outfall No
Total Rainfall,
inches
Total
Suspended
Solids ( ) TSS,
mg/1
pH,
SU
Non -polar O&G
(EPA Method
1664 ( SGT-HEM)) ,
mgll (VMA)
Nopplicable
New Motor Oil
Usage (gallmo )
Happffeabfs
Stormwater
Benchmarks
Indicate NO FLOW if
aAplkable
Circle Benchmark
1 oOlcA
50
n
6 V-g 0
.1 5
1
ASS gallmo average requires 755 and
Non polar OAG monitoring
Date Sample
Collected,
molddlyr
t
s
05 16-18
254
108
874
NIA
NIA
Permit Date 8/1/2017 — 6/3012022
Last Revised 8-22-2015

Certificate of Coverage No NCG 14 00 2❑ 5❑ 90
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 06-12-18
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 8/1/2017 — 6130/2022
Last Revised 8-22-2015

lWRrER6rECH LR851.c
POST OFFICE BOX 1056 #5 PINEWOOD PLAZA OR
GRANITE FALLS NORTH CAROLINA 28630
[phone]
SAMPLE Loven -Boone COLLECTION DATE 5/16/2018
PERMIT # COLLECTION TIME 1038
ADDRESS Loven Ready Mix RECEIVED DATE 5/16/2018
P 0 Box 155 RECEIVED TIME 1315
P]neola NC 28662
REPORTED 5/24/2018
�l rd'4`�"'�'"• 3� '�� ; G y�.�i ti �i.rs .��, `F,�'� `t +=�' � 'k �`� „�''�s+�sMsr: �sc�n' ,�- "a.� t w � 1�j ' Pie � a yrei 'kr'Y�S31� �'b'r + y'�y v j'},.� � 1�-,��i'� � i
ANALYSIS RESUL`TSr=�°UNITS xDATEx �� 4 x�"ANALYST
M
TSS 108 mg/L 5117/18 ]rg
�s� `�. ����; .t�..�,, r �yN}, -Y ti'k-�' ri.n'��{.�,� k � � � y sa�S�,fF� �? � e�ks�'�ry,' •��) el� t�� �3.a� v� t � ,�s i'a��ri§.�{��'�'•5"+' w.s �m� v ah a 7.y, e � " �'! k T� rti r 9� [ a j � �.n +i _1 �+x 'p c r R�,3 se d ,r3 ��' i � � ,� k " 3'a rti Rdt`7 t"� �'`` Ya�. ✓r�sr h " a �e i'' i '��' n" i s
�' _f re ]
LOG 1D 1805-262 REPORTED BY NC CERTIFIED LAB # 50
fl�
�0 P
Tony Gragg, Lab Supervisor

S FATE OF NORTI I CAROLINA
_ DEPARI MEN l OF ENVIRONMEN IAL QUALI I Y
DIVISION OF ENERGY, MINERAL, AND LAND RI7-SOURCES
MAR GENERAL PERMIT NO NCG140000
CERTIFICATE OF COVERAGE No NCG140259
STORMWATER AND PROCESS WASTEWATER DISC[1ARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In complianLe 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,
Loven Ready Mix, 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
Loven Ready Mix LLC
1996 11 WY 421 North
Boone
Watauga County
to receiving waters designated as UT Laurel Fork, in the Watagua River Basin, in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1,
11, III, and IV of General Permit No NCG140000 as attached
This certificate of coverage shall become effective March 13, 2018
his Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day March 13 2018
foi William E Vinson, Jr, P I,, Interim Director
Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission
i

AATON
. A Division of Energy, Mineral & Land Resources
1 Land QualitySectionlStormwater Permitting
National Pollutant Discharge Elimination System
NCDENR
N— C-- Dawarn
E vao,H u 0 Nd� RC'AUAce9 PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
I Day
I Please enter the permit number for which the change is requested
NPDES Permit (or) Certificate of Coverage
1 14 10 12 5 9
II Permit status prior to requested change
a Permit issued to (company name) R H Loven Co Inc
b Person legally responsible for permit Robert
PF—CENED
MAR 07 2WO
DEW -LAN@ QUAL1 V'
4TaMWA%lit PPUlTT1tAG
c Facility name (discharge)
d Facility address
e Facility contact person
Loven
First MI 1 dst
President
Title
PO Box 155
Permit Holder Mailing Address
Pmeola NC 28662
City State Zip
[phone] [phone]
Phone I ax
R H Loven Co Inc
1996 HWY 421 N
Address
Boone NC
City State Lip
Robert Loven [phone]
First / MI 1 Last Phone
III Please provide the following for the requested change (revised permit)
a Request for change is a result of ® Change in ownership of the facility
® Name change of the facility or owner
If other please explain
b Permit issued to (company name)
c Person legally responsible for permit
d Facility name (discharge)
e Facility address
f Facility contact person
Loven Ready Mix LLC
Wiley B Roark
First MI I a"t
ManaEer
Title
PO Box 911
Permit Holder Mailing Address
Mountain City
TN
37683
Cit}
[phone]
State
wbrpmaymead com
Gip
Phone E mail Address
Loven Ready Mix LLC
1996 HWY 421 N
y Boone
AddressNC
NC
City
Robert
State
Zip
Loven
First
MI
Last
[phone] rhloven@lovenreadymix com
Phone E-mail Address
IV Permit contact information (if different from the person legally responsible for the permit) ` ,1
Revised Jan 27 2014 W

NPDES PERMIT NAMEIOWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact
First MI Last
i tie
Mailing Address
City State Zip
( )
Phone F-mail Address
V Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change9
® Yes
❑ No (please explain)
VI Required Items THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING
This completed application is required for both name change and/or ownership change
requests
�j Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request Articles of incorporation are
not sufficient for an ownership change
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request For a name change request, the signed
Applicant's Certification is sufficient
PERMITTEE CERTIFICATION (Permit holder prior to ownership change)
I, Robert H Loven, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete
Signature Date
APPLICANT CERTIFICATION
1, Wiley B Roark, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge I understand that if all required parts of this
application are not complet and that if all required supporting information is not included, this application
package will be return as i omplete
Signature
Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan 27 2014

BILL OF SALE
�e7b
THIS BILL OF SALE is made and entered into this G a day of Mw.4r 2018, by
RH LOVEN ("Seller"), a North Carolina Corporation, in consideration of the sum the
amounts described below, the receipt of which is hereby acknowledged, for the benefit of
LOVEN READY MIX, LLC, a North Carolina Limited Liability Company, ("Buyer") its
successors and assigns, the following property
1 Furniture, equipment and fixtures, supplies and inventory located on the premises of
Seller's Boone, NC and Pineola, NC plants and offices The rights to the use of the name
"Loven Ready Mix" and "Loven Ready Mix Concrete " Goodwill, intellectual property,
and land use and other permits and approvals, to the extent the foregoing is related to the
ready mix business operated by Seller
2 All of those assets shown on Exhibit A
3 All rights to the domain name and website for www lovemeadymix com
Excluding all furniture and equipment located on the second floor of Seller's office
located in in Pmeola, NC, the peace lily plant in the office lobby, and those items shown
on Exhibit A-1 Also excluding post office box numbers 155 and 145, and the phone
number 838-733-0525
Seller does hereby sell, convey, assign, grant, bargain, sell, transfer, and deliver
all of Seller's right, title and interest in and to the described personal property
Seller covenants with Buyer that it is the lawful owner of the personal property
described above, that the personal property is free from liens, claims, pledges, security
interests and all other encumbrances
IN WITNESS THEREOF, the Seller has caused this Bill of Sale to be executed in its
corporate name by its duly authorized corporate officer, this Z?. day of Mffirelr, 2018
P-U
RH Loven Company,
A North Carolina Corporation
Robert H Loven, President
Notary Public
Sworn to and subscribed before me this the ? r day of Zo /
My Commission Expires 7 I z-7 l Z-y zy
MICHAELL7P0O7RE
NotaryBurke CoMyCornmission Explres Septemb

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO NCG140000
CERTIFICATE OF COV R'ALGE NO NCG14Q _j q
FACILITY NAME i� Lovl— ?10.itf
PERSON COLLECTING SAMPL V deiA
CERTIFIED LABORATORY tv -Teffi Lpbj, Lab #
Lab #
OPTIONAL INFO
Part A Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR /7 F?PrFjj/f:rJ
SAMPLING PERIOD July -December ❑ January -June JAN 23 ?rR
COUNTY
PHONE NO ( � 3 jd5 Rr4AOWR nT,;(jN m
ADD TO LISTSERVP YES �NO EMAiL lj%T
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
Rainfall4
(In)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in2Tier
2 Sampling
-
6-9
100
-
-
ra-ao-I�
o�s
A/ h
If NO FLOW or NO DISCHARGE Enter NO FLOW or NO DISCHARGE for each outfall here Please make sure to mark the sampic 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 preapiration must be recorded using data from an on site rain gauge
Permit Date 7/1/2011 60/30/2p16
U
Last Revised 7/13/11

a
Part B Veh,,,e Maintenance Activity Monitoring Requirements for facilities using > 5,, gal of new motor oil/month — averaged over a calendar year
Outfall
No
Date Sample
Collected
(mo/dd/yr)�
pH
(Standard
Units)
TPH using method
1664A 5GT HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall°
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring
(y/n)
tt of Months
in Tier 2
Sampling'
6-9
15
100
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK E)CEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]NO M
HAVE YOU CONTACTED THE REGION YES ❑ NO
REGIONAL OFFICE CONTACT NAME
Mail Oneinal and one coot/ 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 forth Carolina 27699 1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
l 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 Aat there are sioificant penalties for submitting false information
(Signature 4f Permittee)
including the possibility of fines and imprisonment for knowing violations
(Date)
pr--Fi m Dare 7/1/201160/30/20145 tas,Revisec 3/11
Page 2 of

I
uR rERi ECH LAYSm.
POST OFFICE SOX 1056 #5 PINEWOOD PLAZA DR
GRANITE FALLS NORTH CAROLINA 28630
[phone]
SAMPLE Loven -Boone COLLECTION DATE 12/20/2017
PERMIT # COLLECTION TIME 0900
ADDRESS Loven Ready Mix RECEIVED DATE 12/20/2017
P O Box 155 RECEIVED TIME 11 45
Plneola, NC 28662
REPORTED 12/28/2017
ANALYSIS
ANALYSIS RESULTS UNITS DATE ANALYST
TSS 46 mg/L 12/21/17 1rg
®l
LOG 1D 1712-292 REPORTED BY NCCERTIFIEDLAB # 50
fo � 0
Tony Gragg, Lab Supervi,,or

ff�
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forgurdance on filling out thisform please visit htto //uortal ncdenr.ore/web/Jr/nudes storintvaterl
Permit No N/C/_/�/r/_/_/_// or Certificate of Coverage No
Facility Name
County Al Phine No Zo? $ - 7 3 3_--027a.7 _
inspector Tu.il f_ V?Ind
Date of Inspection ' a 0: 7
Time of Inspection q 0 I)q am
Total Event Precipitation (inches) ® 5' it
Was this a Representative Storm Event or Measureable Stoi m Event' as &Imed by the permit?
(See information below)
4 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)
Quahtativc monitoring requirements vary Most permits require qualitative monitoring to be
performed during a representative storm event or during a measureahle storm event However
some permits do not have this requirement Please refer to these definitions if applicable
A representative storm event is a storm event that measures greater than 0 1 inches of rainfall
and that is preceded by at least 72 hours f 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 ss 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 1s 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 sifn4ure I certify that fts report is accurate and complete to the hest of my knowledge
Permittee or
SWU 242 Last madificd 7/31/2011
At
Page I of 2

1 Outfall D cription J,,1'
Outfall No T Structure (pt e ditch etc ) lob /?
Receiving Stream T -va
Describe thAmdustrial activities th4 occur within th"utfal4 dra age area
2 Color Describe the color of the lscharge ustng asic f�°I rs (red brown blue etc ) and tint
(light medium dark) as descriptors ,f PTV A !�'t-i GV
3 Odor Describe any dtstin_cyodors that the discharge may have (if smells strongly of oil
weak chlorine odor etc) I I h 0
4 Clarity Choose the number which best describes the clarity of thL discharge where 1 is
clear and 5 is very cloudy
0 2 3 4 5
S Floating Solids Choose the, number which befit describes the -imount of floating solids in
the stormwater discharge where 1 is no solids and 5 is the surface covered with floating solids
0
2 3 4 5
6 Suspended Solids ChoosL the number which hest describes the amount of suspended
solids in the stormwater discharge where I m no solids and 5 is extremLly muddy
0 2 3 4 5
7 Is there any foam in the stoi mwater discharge2 Yes o
8 Is there an oil sheen in the stormwater discharge? Yes 'o
9 Is there evidence of erosion or deposition at the outfal17 YLs !o
10 Other Obvious Indicators of Stormwater Pollution lJ
List and describe
Note Low clarity, high solids, and/or the presence of loam, oil sheen, or erosion/ deposition
maybe indicative of pollutant exposure These conditions warrant further investigation
SW❑ 242 Last modtfied 7/31/2013
t
Page 2 of 2

k
I
STORMWATER DISCHARGE OU_TFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO NCG140000 RECG=
CERTIFICATE OF COVERAGE NO NCG14-fi- L q q
FACILITY NAME VIV luj 606V 111i%�ut
PERSON COLLECTING SAMPLES G.J s
CERTIFIED LABORATORY Vi v LeCb LA,1 nr, Lab #
Lab #
OPTIONAL INFO
Part A Stormwater Manitorine Reauirements
SAMPLE COLLECTION YEAR _ 0? U / -1 JU
SAMPLING PERIOD ❑ July December [� January We
COUNTY WkA vw A a,
PHONE NO ('�n_) 1 53- 0.5'35
ADD TO LISTSERVE? ❑YES ❑NO EMAIL
�C
DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ❑Trout ❑Other
Outfall No
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
PH
(Standard
Units)
TSS
(nI
Event
Duration
(minutes)
Total 4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
z
2 Sampling
-
6-9
100 23
-
-
-
-
l1P
0
F40
I
AfI�
L
JUN 2 0
CENTRAL R
QWR SEC
' If NO FLOW or NO DISCHARGE Enter NO FLOW or NO DISCHARGE for each outfail 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
fvionthly 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 +Haters where they are S0 mg/I
° For each sampled measw ab+e storm ev-nt the to,al preciDitation must be recorded using data rom an on site rain gauge
ED
317
LES
ON
Permit Date 7/1/2011 50/30/2016 last Re-ised 7/13/11

Part B Vehi. -:� Maintenance Activity Monitoring Requirements for facilities using > 5, bdl of new motor oil/month - averaged over a calendar year
Outfall
No
Date Sample
Collected
(mo/dd/yr)'
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
{mg/I}
Event
Duration
{minutes}
Total
Rainfall"
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring
(y/n)
# of Months
in Tier Z
2
Sampling
6-9
15
100
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO F7
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME
� c C g tie .. a ,. .. -t-,.� ,. li,i.s D{vin , :.. tr.:::k e vL, c u v ac ive, ;a:ai. Mir r -3-- uav, .. recesot o, i;, aT e^u v
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 tlftaohere are ssgnifil)nt penalties for submitting false information including the possibility of fines and imprisonment for knowing violations
(Signature of pdrmittee)
Ferri, Date 7/1/2011 60/30/2016
(Date)
Las, Revisec 7113/11
Page 2 of

IdRTE016TECH LRE.5,11c
POST OFFICE BOX 1056 #5 PINEWOOD PLAZA DR
GRANITE FALLS NORTH CAROLINA 28630
[phone]
SAMPLE R H Loven -Boone Plt COLLECTION DATE 5/23/2017
PERMIT # COLLECTION TIME 1400
ADDRESS R H Loven Company RECEIVED DATE 5/24/2017
P O Box 155 RECEIVED TIME 11 50
Pineola NC 28662
REPORTED 6/6/2017
ANALYSIS
ANALYSIS RESULTS UNITS DATE ANALYST
TSS 60 mg/L 5/25/17 irg
LOG ID 1705-404 REPORTED BY NC CERI II IED LAB 9 50
fls� (40
Fony Gragg Lab Supervitior

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
t GENERAL PERMIT NO NCG140000
CERTIFICATE OF COVERAGE NO NCC14 d
FACILITY NAME Q J tiV �i IC
PERSON COLLECTING SAMPLES 1 V
VL CERTIFIED LABORATORY (,aeV Tech Gi J Lab # 5!2
Lab #
OPTIONAL INFO
Part A 5tormwater Monitortne Requirements
SAMPLE COLLECTION YEAR j D I
SAMPLING PERIOD July -December ❑ January -June
COUNTY UU Cj.}rj it (k,
PHONE NO Q_jjj 3'05a,5—
ADD TO LISTSERVE? ❑YES [:]NO EMAIL
DISCHARGING TO CLASS []SA ❑HQW ❑PNA ❑Trout ❑Other,
C►utfall No
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)t
pH (Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
Rainfall 4
(in)
In Tier 2
Monthly
Monitoring?
(y/n'
# of Months In Tier
2 Sampling2
-
6 4
100
-
-
-
4
_P
. r
Iao
5-9 r�
MftuffVED
=t
"_ l_ S
11 NO FLOW or NODISCHARGE Enter NO FLOW or NO DISCHARGE for each outfaII here Please make sure to mark the sample period above
If a value 3s in excess of the benchmarK or outside t,)e benchmark range (for pH) you must implement the Tier 1 or Tier 2 responses in the General Pc rmrt Tier 2
r lonthl� sampling shall be done until 3 consecutive amples are below the benchmark or within the benchmark range
T S benchmark value are 100 mg/I e cep. when discharging to ORW HOW Trout and PNA watt is where they are 50 mg/I
F o, r-3rh sarnpl,-d mf-ps4,r,ble storm , L n the total precipitat,on must he recwdod u inp d21-3 fiom an on site rain gauge
l'_ nrit r, 'L // A /201 6U1'01'0'6 1 is, Pevi,,ec' 711311 1

•
P-3rt B Veh., , M-3intenance Activity Monitonne Requirements for facilities usine > S- -di of new motor oil/month - averaeed ovc r a calendw vear
Outfall
No
Date Sample
Collected
(mo/dd/yr)3
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
(ga!/month)
In firer 2
Monthly
Monitoring
(y/n)
# of Months
in Tier 2
7
Sampling
69
15
100 23
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFA!_L (INCLUDING VEHICLE MAINTLNANCE)-P YES ❑ NO
HAVE YOU CONTACTED THE REGION YES ❑ NO
REGIONAL OFFICE CONTACT NAME
Mail OriRinal and one copy of this DMR (including all 'No Flow" & "No Discharge" reports) within 30 days of receipt of samole for at end of monitorine oeriod
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
E certify under penalty of law that this document and all attachments were prepared under my direction or supervitiion 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 he system or
those persons directly responsible for gathering the information the information submitted is Lo the best of my knowledge and belief true accurate and complete
ani a re that there ar significant penalties for submitting false information including the possibility of fines and imprisonment for knowing violations
la -16 ?�
(Signat e of Permittee) (Date)
r D (- 7/1/201 ] 601,012016 L-s, R ti t
°arL ) 0 -

- IdRTL'R6rjrCH LR85,n,
POST OFFICE BOX 1056 #5 PINEWOOD PLAZA DR
GRANITE FALLS NORTH CAROLINA 28630
[phone]
SAMPLE Loven -Boone COLLECTION DATE 121612016
PERMIT # COLLECTION TIME 0630
ADDRESS Loven Ready Mix RECEIVED DATE 121612016
P O Box 155 RECEIVED TIME 1506
Pmeola NC 28662
REPORTED 12/9/2016
ANALYSIS
ANALYSIS RESULTS UNITS DATE ANALYST
TSS 37 mglL 1218116 Irg
LOG ID 1612-059 REPORTED BY NC CERTIFIED LAB # 50
fp � 9
Tony Gragg, Lab Supervisor

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO NCG140000
CERTIFICATE OF COjER, l14AGE NO NCG14 0 5 9
FACILITY NAME hC� V,. - ID _P1411'&
PERSON COLLECTING SAMPLES Vb b!V j YW
CERTIFIED LABORATORY :LtG(1 �A6S !►1G Lab #
Lab #
OPTIONAL INFO
Part A Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR U i �P
SAMPLINGPERIOD R,,��IOD ❑ July -December January- u�
COUNTY uYA4Vz a,
PHONE NO 573
ADD TO LISTSERVE? ❑YES []NO EMAIL
DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA [-]Trout ❑O1l,en
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 Moths to Tier
1 2 Sampling
L/
6-9
100
-
-
-
-
%
i
"
JUN 10
2M
I~
DWR SECTION
` If NO FLOW or NO DISCHARGE Enter NO FLOW or "NO DISCHARGE for each outfall here Please make sure to mark the samole period above
7 If a value is m excess of the benchmark or outside the benchmark range (for pH) you must implement the Tier 1 or Tier 2 response- 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 SO mg/I
. For each sampled measurable storm event the total precipitation must be recorded using data from an on site rain gauge
Permit Oate 7/1/2011 60/30/2016 Last Revised 7113111

Part B Veh.,,e Maintenance Activity Monitoring Req.rirements for facilities using > 5., gal of new motor oil/month — avei aged over a calendar year
Outfafl
Na
Date Sample
Collected
(mo/dd/yr)3
pH
Standard
Units)
TPH ustog method
1664A 5G7 HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall"
(in)
New Motor Oil
Usage
(f,al/month)
In Tier 2
Monthly
Monitoring?
Wn)
rt of Months
in Tier 2
Sampling'
6-9
15
100
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES ATANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO FM
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME
Mail Original and one copy of this DMA (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
AtLn DWQ Central Files
1617 Mail Service Center
Raleigh North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFOhMAT1ON REPORTED
I certif} under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed o
assure Lhat qualified personnel properly gather and e 3luate the information submitted Based on my inquiry of the persor or persons who manage the system or
those persons directly responsible for gathering the intormation the information submitted is to the best of my knowledge and belief true accurate and complete
am are that thereWe significant penalties for submitting false information
(Sign fJ"' ,
ure of Permi tee)
Err iii D3,e 7/10011 b0/30/20115
including the possibility of fines and imprisonment for knowing violations
& -1-/(
(Date)
',_s, / - 3/11
--ge 2 of

tmrmirECH LRIP.S Inc
POST OFFICE 80;1056 #5 PINEWOOD PLAZA DR
GRANITE FALLS NORTH CAROLINA 28630
[phone]
SAMPLE Loven -Boone COLLECTION DATE 5/20/2016
PERMIT # COLLECTION TIME 1745
ADDRESS Loven Ready Mix RECEIVED DATE 5/2312016
P O Box 155 RECEIVED TIME 1226
Pineola NC 28662
REPORTED 5/26/2016
ANALYSIS _ - ----- - T--- - -
ANALYSIS EFFLUENT UNITS DATE ANALYST
TSS 3 1 mg'L 5I24116 , g
I
_ I
J
1
LOG ID 1605-355 REPORTED BY NC CERTIFIED LAB # 50
Tony Gragg Lab Supervisor

_ t
STORMWATER DISCH4RGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO NCG140000
CERTIFICATE OF COVER GE NO NCG142 a 5 ,l
FACILITY NAME ` -P
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY 4UC&ti, Rai klwk In C Lab #
Lab #
OPTIONAL INFO
Part A Stormwater Monitoriniz Reaurrements
RECEIVED
SAMPLE COLLECTION YEAR �9 �' 15 OCT 2 0 0,15
SAMPLING PERIOD r ] July-Decemljer ❑ Janu 1,URAL FILES
COUNTY vvetfnufu DWR SECTION'
PHONE NO (7d k ) 433--05a3-
ADD TOLISTSERVE?❑YES ❑NO EMAII
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?
# of Months in Tier
2 Samplingz
69
100
-
q a5 1,5
5
N YO
q
I
I
o NO "LOVE/ or NO DISCHARGE Enter NO FLOW or NO DISCHARGE for each outfall here Please make sure to mark the s ,nple period above
I a ,aiue is n excess of the henchmark or outside the cenchmark range (for pH) )ou must trnplerrcnt the Tier 1 or Tier 2 respoi ses in the General Permit lei 2
font t,, , r npling mall be done until 3 consccuttvc sam pies are below the ber%chma k or the henthrnark range
a TES ue maik values arr 100 mg/I e rr at %jhe- c'ischarging ,o ORW HOW Trou, and FIJA %%u wn- e they are 50 mg/I
For r ,i n sam,�lr d mca5wab�e ,or cr, r ,hz total preup+,anon must br> recoiecd u,mt oa« t nni an on site rain gauge
I I 1 ,) ,�_ -'/' 101 ' 6Clr 6/'016 LA,

Pnrt 9 VeF, . M-3intenance Activity Monitorme RLOiJrrements for facilities usme > S- _al of new motor oil/month - averaeed over a calendar vear
'
fall
No
Date Sample
Collected
(mo/dd/yr)'
pH
(Standard
Units)
TPH u rqg method
I6641 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
SamplmgZ
6-9
15
100
IJ
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK E �CEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES []No ❑�
HAVE YOU CnNTACTED THE REGIONS YES ❑ NO
REGIONAL OFFICE CONTACT NAME
Mail Ori>?rnal and one copy of this DMR (Including all No Flow' & No DischarRe" reports) within 30 days of receipt of sample (or at end of monttorinR 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 TH15 CERTIFICATION FOR ANY INFORMATION REPORTED
I certify under penalty of law that this document a id all at,achmerts were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and ovaluate the information submitted Based on my inquiry of the per,on or persons who manage ,he system or
those per sons directly responsible for gathering the nformatron the information submitted is to the best of my knowledge and belief Lrue accurate aro cornple(e
am a are hat there -re significant penaloes for submitrrng false information including the possibility off fines and imprisonment for knowirig violaLrons
_ l /V /m //
(Signa re of Permittee) (Date}}'�' ``�
201 3 t( 0/2016

idRrFR6rccH Lmi m,
POST OFFICE BOX 1056 #5 PINEWOOD PLAZA DR
GRANITE FALLS NORTH CAROLINA 28630
[phone]
SAMPLE R H Loven -Boone Plt COLLECTION DATE 9/25/2015
PERMIT # COLLECTION TIME 0815
ADDRESS R H Loven Company RECEIVED DATE 9/25/2015
P O Box 155 RECEIVED TIME 11 44
Pineola, NC 28662
REPORTED 1011 /2015
ANALYSIS
ANALYSIS RESULTS UNITS DATE ANALYST
TSS <2 5 mg1L 9128115 Irg
LOG ID 1509449
REPORTED BY NC CERTIFIED LAB 0 50
ft&X
Tony Gragg, Lab Supervisor
t11

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO NCG140000
CERTIFICATE OF COVERAGE NO NCG14 D q
FACILITY NAME CVVJPIU F12kf
PERSON COLLECTING SAMPLES o bti 4ah
CERTIFIED LABORATORY1VpjCy- T?(l 1.�o-kiS ItiC _ Lab #
Lab #
OPTIONAL INFO
Part A Stormwater I\Aonitorimz Requirements
SAMPLE COLLECTION YEAR olI5
SAMPLING PERIOD ❑ July December [January -June
COUNTY W
PHONE NO ( 7'3-05-2-T
ADD TO LISTSERVE? ❑YES ❑NO I MAIL
DISCHARGING TO CLASS [—]SA ❑HQW ❑PNA []Trout ❑Other_
Event Total In Tier 2
a Monthly # of Months
Outfall No
Date Sample
Collected
(mo/dd/yr OR
NO FLOW);
PH
(Standard
Units}
TSS
(mg/L)
Duration
(minutes}
Rainfall
{in}
Monitormg>
(y/n)
2 Sampling
I
69
100 23
-
-
j
1
7 19 - 15
00
3"9
'1
/ "
A10
UL I V
IN I HAL FILES
Alp r
L � r
I r'O FLOGJ or NO DISCHARGE Enter NO FLOW or NO DISCHARGE for each outfall here Please mal e sure to mark the sample period abotp
I , v-lue Is In e,ccss of the benchmar, or outslce ,he be-)rhmark range (for pH) you mus, Implemen the Tier 1 or Tier 2 responses rn the General Pcrr t i Ier 2
' ,o-irht, s3mpking shall br done until 2 con cru Ive sample, are below the benchrnari or %tilthln Inc FJtnchma6, range
I,t nchm IT4 V'luc, air' 100 F/I e r' p, t in n CI char), p to ORW HOW Trout -3nd PNA t , , here they -irE 50 rnp/I
'rn i) I, C t_ JSOI,;blc t IT i c ) ,' c o �' pr-cmi - ion must be if corc'rd u,rnp c,atc ` o > in on Ite raH t Huge
11 1) 7 !'O- 1J/]t� C
c 7 j

P ftt R Veh , M3rntLnanre Actwity MonitonnE Rcquaemcnts for facilities usme > S- _ it of new motor oil/month — averaeed over a calendar vc 3r
Outfat(
No
Date Sample
Collected
{mo/dd/yr)'
pH
(Standard
Units)
TPH using method
1664A SGT HEM
(rng/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(rn)
New Motor Oil
Usage
(gal/month)
in Tier 2
Monthly
Monitoring?
(Y/n)
I
�
a of Months
in Tier 2 1
Sampling
Sampling
i
6-9
15
100"
HAS YOUR f AOLITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO W
NAVE YOU CONTACTED THE REGION? YES ❑ NO
REGlOidAL OFFICE CONTACT NAME
Mail Oriemal and one coov of this DMR (tncludlnR all No Flow" & 'No DlscharRe" reports) within 30 days of receipt of sample (or at end of monrtorinR period
in case of No Flow' to
Divcsson of Water Quality
At,n DWQ Centra€ Files
1617 � tail Service Center
RalciEh North Carolina 27699 1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
I cer ri`ti under penalty of law that this document and all a,lachments were prepared under my direction or supervcsion in accordance with a sys,em designee to
assure ,nat qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the pertion or persons who manage the SySLer i or
,hose persons directly responsible for gathering ,he rnrorm3tion the information submitted is to the bes, of my knowledge and belief true accurate anc co« 7!_r
tl here are s rficant penalties for svbmti ing false informa,ion including the possibility of fines anc' impri onment for knowing violations
o pn3tur( of rmrttPe) (Date)

ldRrER6rECH LRES Inc
POST OFFICE BOx 1056 #5 PINEWOOD PLAZA DR
GRANITE FALLS NORTH CAROLINA 28630
[phone]
SAMPLE Loven -Boone COLLECTION DATE 4/19/2015
PERMIT # COLLECTION TIME 0915
ADDRESS Loven Ready Mix RECEIVED DATE 4/21/2015
P O Box 155 RECEIVED TIME 1645
Pineola, NC 28662
REPORTED 4/30/2015
-- - ----- _--__----- ANALYSIS -- ----- - ---- -�
ANALYSIS RESULTS UNITS DATE ANALYST
TSS 58 mglL 4123/15 jrg
LOG ID 1504-406 REPORTED BY NC CERTIF[LD LAB # 50
foll1w(A"
Tony Gragg, Lab Supervisor

s
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO NCG140000
CERTIFICATE OF COVERAGE NO NCG14_ 5
FACILITY NAME Loy 7 li" — hobAE plod
PERSON COLLECTING SAMPLES r 0 07 of LAtA,
CERTIFIED LABORATORY. Wxltv Tcclt,_LS_lhC_ Lab #
Lab #
OPTIONAL INFO
Part A Stormwater Monitoring Reautrements
SAMPLE COLLECTION YEAR r- 1)1)1-
SAMPLING PEPIOD � July December ❑ January -June
COUNTY �(
PHONE NO 1 3 3 SAS
ADD TO LISTSERVE7 ❑YES ❑NO EMAIL '
DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ❑Trout ❑Other
C}utfall No
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
PH
(Standard
Units}
7S5
(mg/L)
Event
Duration
(minutes}
Total
4
Rainfall
(�n}
In Tier 2
Monthly
Monitoring
(y/n)
# of Months in Tier
2 Samplings
6-9
100
-
1
13-14zoo
i TD31
o
N p
DEC
2614
CENTRAL
FILES
Ir NO FLOW or NO DISCHARGE Enter NO FLOW or NO DISCHARGE for each outfall here Please make sure to mark the sample period abo,,e
!( a v ilue is in excess of the benchmarn or ou site he benchmark range (for pH) you must implement the Tier 1 or Tier 2 responses in ,he General Pt r ,i Tier 2
t 9onthly sampling shall be done until 3 consecuove saml les are below the benchmark or within the benchmark range
I SS bencnmark values art 100 mg/I e rrpt when discharging to ORW HQW Trout and Prgk seers where they are SO mg/I
For C'Cr Sam� le4 e75t.r�ble 5 On h� �o G1 preclpi.ation must be recorded Using dal ` Or I „r On 5<<C rdrn gaUge
Pt_rn11 li'tc i/t 7C1] i t 0/3lj?U1S iaSi nwvis,-o 7/2�/ i

Pirt B Veh- - Maintenance Activitv MonitonnV Requirements for facilities usine > 5,. _al of new motor oil/month - averaeed over a calendar vear
Outfall
No
Date Sample
Collected
(mo/dd/yr)'
pH
(Standard
Units)
TPH using method
1664A SGT HEM
(mg/W
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
<
Rainfall
(rn)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Manitoring7
(Y/n)
I 9 of Months
in Tier 2
z I
Sampling
6-9
15
100
-
4
II
i
�
I
}if,S SOUR FhC1LITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO [�
HAVE YOU CONTACTED THE REGION? YES ❑ NO 19
REGIONAL OFFICE CONTACT NAME
road Orimnal and one coot/ of this DMR. (includmp, all ' No Flow" & "No DtscharRe 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 Servtce Center
Raieig,h Norm Carolina 27699 1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
I ce; o'y under penalty of law that this documen, and all at,achments were prepared under my direction or supervision in accordance with a sys,em designco o
assure ,ilat qualified personnel properly ga,her and ejaluate the information submitted Based on my inouiry of the person or persons vA ho manage ,he sss,er i o
hose persons directly responsible for gathering .he information the information submitted ss to the best of my kno vledge and belief true accurate ane co, �,)I,te
c ft that ,here are ignificant penalties for submitting false information including the possibili,y of fines and �mpnsonment for knowing violation,
(Sign t re of Permittee) (Date)
U c-/1/201 i

C
t
URTERiTECH LRES Inc
POST OFFICE BOX 1056 #5 PINEWOOD PLAZA DR
GRANITE FALLS NORTH CAROLINA 28630
[phone]
SAMPLE Loven -Boone COLLECTION DATE 11/23/2014
PERMIT # COLLECTION TIME 1630
ADDRESS Loven Ready Mix RECEIVED DATE 11 /24/2014
P O Box 155 RECEIVED TIME 1535
Plneola, NC 28662
REPORTED 12/3/2014
--------- --- - - --- ANALYSIS
ANALYSIS
ANALYSIS RESULTS UNITS DATE ANALYST
k
TSS 31 mg/L 11/25/14 Irg
LOG ID 1411-372
RI PORTED BY NC CTRTIFIED LAB # 50
fl�
Cony Gragg Lab Supervisor

r
•
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING DORM
GENERAL PERMIT NO NCG140000
CERTIFICATE OF COVE AGE NO NCG14 0 � 5
FACILITY NAME ✓ I1 Ill �f
PERSON COLLECTING SAMPLES JQ9ty"'t jyu") _
CERTIFIED LABORATORY IIBr 1_eCk1 kALS loG Lab#
Lab #
OPTIONAL INFO
Part A Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR 11
SAMPLING PERIOD ❑ Ju1y-December VI January -June
COUNTY W �0
PHONE
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)1
p�
(Standard
Units)
T55
(mg/L)
Event
Duration
(minutes)
Total
4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling'
-
69
100
03
I
�
, i
i
I
!
I
I
(10 -LOV,/ or NO DISCHARGE Ent4 r NO FLO' 1 o NO DISCHARGE for each owfall Fore Please rna�e t,re to mark tale sample period ahol
z u, rs in f c(,ss of hC bencn o of SIC, 1 5enchmark range ( or pl-) gyros, r,i -- 71cme^. ,'ice T�-r i or firer 2 re poises 3n the Gen,r-I -, T _
1 11, ,-r1 inrlt St17111 or Jonr t n,il , qr ,_cu , p', , are helU%Y the t?Cnc,n nl�k o h h, gent` 11 3r r? fig,
IC111 t uc., 31 100 if ' , `i-^ t Ding ,o OF,rr o10% 1 ro d ' , - 11 1 ,mart- 50 -rg/I
r r , 1 )IF , t r C n«'im, nu % 11 1u L ', L i )1 0 i jr crr, 1 nt ti_

> it 2 "eh - L M-iin ,'rl-illco Activity Monitoring R� quirer-writs for 1-3cilrties using > 5- iI of new moor oil/mon h --- -wt raged ovci -i call nd-11 V+ ar
Outfall
No
Date Sample
Collected
(mo/dd/yr)'
pH
(Standard
Units)
TPH u5rr7g method
1664A SGT HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
I
Duration
�
(minutes)
Total
,
Rainfall
(rn)
New Motor Oil
Usage
(gal/month)
In Tier 2
a of Months
Monthly
Monitorsng? in Tier 2
(Y/n) Sampling I
69
15
100
-
I
i
I
I
hµS `TOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEED E CES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)7 YES ❑ NO
HHVE YOU CONTACTED THE REGION YES ❑ NO
REGIONAL OFFICE CONTACT NAME
Mail OnRinal and one copy of this DMR (including all No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitonne ❑eriod
in case of No Flow") to
Division of Water Quality
A„n DWQ Central Files
16! 7 Mail Service Center
Raleigl3 North Carolina 27699 1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
i cer,i,y unaer penalty of law that this documen, and all a.Lachments were prepared under my direc.ior, or supervision in accordance with a sys,er3 desig-iec o
-,s re ,hat qualified personnel properly gather and e%alua,e the information submitted Based on my inquiry of the person or persons who manag( ,he s}s �r o
ios- pe, sons directly responsible for gathering .he infor r �aoon the information submitted is ,o the )es of my knowiedge and belief true accur-3tr_ anc c I ]I_
e ,I ,there are signs cant penaloes for La ni ,inl, false information Including ,file possibih,y o' fines and impr�sorment for knov.ing ticl-, cis
fCi� z to e of Herrnittee) {Ua,el

A
ldRrFR4rvCH LRJO.Shn,
POST OFFICE BOX 1056 #5 PINEWOOD PLAZA DR
GRANITE FALLS NORTH CAROLINA 28630
[phone]
SAMPLE R H Loven -Boone Plt COLLECTION DATE 5/12/2014
PERMIT # COLLECTION TIME 1650
ADDRESS R H Loven Company RECEIVED DATE 5/13/2014
P O Box 155 RECEIVED TIME 1043
Pineola NC 28662
REPORTED 5/21 /2014
r ------ -- —_ -- --- ---- - ANALYSIS - �" -- - — -- — - -- - -- -- --�
3 ,
ANALYSIS RESULTS UNITS DATE ANALYST
TSS 31 mg/L 5114I14 Irg
i
LOG ID 1405-184 RI PORT[ D BY fl%
NCCL.RC[I�IEDLAB#50
I ony Gragg, Lab 5upervitior