NCG160120_MONITORING INFO_20190122

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. iV 0�& A, o
DOC TYPE HISTORICAL FILE
F� MONITORING REPORTS
DOC DATE L p(OI � D I a -a
YYYYM M D D

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No NCG160000 - Asphalt
Date submitted 01/09/2019
CERTIFICATE OF COVERAGE NO NCG16 0 1 2 0
FACILITY NAME Piedmont As all. LLC Reidsville Plant
COUNTY Rockingham _
PERSON COLLECTING SAMPLES Julian Stinson
LABORATORY Pace AnalyticalLab Cert # 633
Comments on sample collection or analysis
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑X July -Dec
or ❑ Monthly' _ (month'
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flaw ❑Water Supply ❑SA
®Other C; _
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Outfall No
Date Sample
Collected
(mo/dd/yr)
24 hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks =__>
-
100 mg/L or 50 mg/L
001
12/17/2018
0 07"
18 6 mglL
No discharge this period
RECEIVED
JAN 2 2 2019
CE-NTRAL. FIL S
DWR SECTION
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
3 The total precipitation must be recorded using data from an on -sate rain gauge Unattended sates maybe eligible for a waiver of the rain gauge requirement
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note Results must be reported in numerical format For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical Format When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
Permit Date 10/1/2014-9/31/2019 SWU 252 last revised 9/17/2014
Page 1 of 2

y
Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month
❑ No discharge this period
Qutfall No
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
IncheS3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL7 YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true accurate and complete I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
Permit Date 10/1/2014 9/31/2019
SWU 252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No NCG160000 - Asphalt
Date submitted 06/07/2018
CERTIFICATE OF COVERAGE No NCG16 0 1 2 0
FACILITY NAME Piedmont Asphalt_ LLC - Reidsville Plant
COUNTY _ Rockingham
PERSON COLLECTING SAMPLES Steven Ashworth
LABORATORY Page Analytical Lab Cert # 633
Comments on sample collection or analysis
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD Q Jan -June ❑ July -Dec
or ❑ Monthly' 'month]
DISCHARGING TO CLASS ❑ORW E]HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period
Outfall No
Date Sample
Collected'
(mo/dd/yr)
Z4-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks
-
100 mg/L or SO mg/L
001
5/31118
0091,
2 9 mg/L.
EC E I /E F,
JUN I 1 n �8
CENTRAL HL S
DWR SECTION
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
3The total precipitation must be recorded using data from an on -site rain gauge Unattended sites may be eligible for a waiver of the rain gauge requirement
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note Results must be reported in numerical format For example, do_not_n it Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z, or Tier 3 responses See General Permit text
Permit Date 10/1/2014 9/31/2019 SWU-2K, last revised 9/17/2014
Page 1 of 2

Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month
❑ No discharge this period
Outfall No
Date Sample
Collected
(mo/dd/yr)
24 hour rainfall
amount,
IncheS3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Marl an original and one copy of this QXR including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reportsl to
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system or
those persons directly responsible for gathering the information the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I
am aware that there are significant penalties for submitting false information including the possibility of fines and imprisonment for knowing violations "
6 -7 IZO16
(Signature ermittee) (Date)
Permit Date 10/1/2014 9/31/2019 SWU 252 last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No NCG160000 - Asphalt
Date submitted 12/12/2017
CERTIFICATE OF COVERAGE NO NCG16 0 1 2 0
FACILITY NAME Piedmont Asphalt, LLC Reidsville Plant
COUNTY Rockingham
PERSON COLLECTING SAMPLES Steven Ashworth
LABORATORY Pace Analytical Lab Cert # 633
Comments on sample collection or analysis
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ✓❑ July -Dec
or ❑ Monthly'_ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
Other_
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Outfall No
Date Sample
Collected
(mo/dd/yr)
24 hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks =__>
-
-
100 mg/L or 50 mg/L
001
12/06/17
0 06"
21 7 mg/L.
No discharge this period P2
RECEIVED
DEC 19 2017
CENTRAL FILES
DWR SECTION
1 Monthly sampling (instead of semi annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
3The total precipitation must be recorded using data from an on -site rain gauge Unattended sites may be eligible for a waiver of the rain gauge requirement
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note Results must be reported in numerical format For example, do not report Below Detection Limit BDL, <PQL, Non -detect ND, or other similar non -
numerical format When results are below the applicable limits, they must be reported in the format,,"<XX mil/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
Permit Date 10/1/2014 9/31/2019 SWU 252, last revised 9/17/2014
Page 1 of 2

Part 8 Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month
❑ No discharge this period P2
Outfall No
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =-=>
_
-
100 mg/L or 50 mg/0
Footnotes from Part A also apply to this Part B
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALO YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ No ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one copy of this DMR, including_all "No Discharge" report& within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system or
those persons directly responsible for gathering the information the information submitted is to the best of my knowledge and belief, true, accurate and complete I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
M
(Signature offermittee)
1 Z I Z I) zoC7
(Date)
Permit Date 10/1/2014-9/31/2019 SWU 252 last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No NCG160000 - Asphalt
Date submitted 12/12/2017
CERTIFICATE OF COVERAGE NO NCG16 0 1 3 3
FACILITY NAME Piedmont Asphalt, LLC - Pelham Plant
COUNTY Caswell
PERSON COLLECTING SAMPLES Steven Ashworth
LABORATORY Pace Analytical Lab Cert # 633
Comments on sample collection or analysis
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June © July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow []Water Supply [:]SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period �"
Outfall No
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks =__>
-
-
100 mg/L or 50 mg/L4
001
12/06/2017
0 07"
34 9 mg/L
RECEIVED
CENTRAL. FILES
UWR SECTION
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
Z For sampling periods with no discharge at any single outfall, you must stall submit this discharge monitoring report with a checkmark here
3The total precipitation must be recorded using data from an on -site rain gauge Unattended sites may be eligible for a waiver of the rain gauge requirement
" See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note Results must be reported in numerical format For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non
numerical format When results are below the applicable limits, they must be reported in the format "<XX m L" where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
Permit Date 10/1/2014-9/31/2019
SWU 252 last revised 9/17/2014
Page 1 of 2

i40
Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month
❑ No discharge this period;-'
Outfall No
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
IncheS3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reportsl to
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations
(Signature q Permittee)
Permit Date 10/1/2014 9/31/2019
lobb-7
(Date)
SWU-252 last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR]
for North Carolina DEMLR General Permit No NCG160000 - Asphalt
Date submitted
CERTIFICATE OF COVERAGE NO NCG16 0 1 2 0
FACILITY NAME _Piedmont Asphalt, LLC - Reidsville Plant
COUNTY Rockingham
PERSON COLLECTING SAMPLES Steven Ashworth
LABORATORY Pace Analytical Lab Cert # 633
Comments on sample collection or analysis
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEARy 1
SAMPLE PERIOD Q 3an-June July -Dec
or ❑ Monthly' (month]
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
®Other (-
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period ?2
Outfall No
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
3The total precipitation must be recorded using data from an on -site rain gauge Unattended sites may be eligible for a waiver of the rain gauge requirement
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note Results must be reported in numerical format For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format When results are below the applicable limits, they must be reported in the format, "<XX mg L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
Permit Date 10/1/2014 9/31/2019 SWU 252 last revised 9/17/2014
Page 1 of 2

Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month
No discharge this period;"
Outfall Na
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
k
Total Suspended Solids
Benchmarks
IS mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monotorinq period
in the case of "No Dischanae"reports) to
Division of Water Resources
Attn DWR 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 1
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
(Signatu&of Permittee)
Permit Date 10/1/2014 9/31/2019
% z�
(Date)
SWU 252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No NCG160000 - Asphalt
Date submitted 12/12/2016
CERTIFICATE OF COVERAGE NO NCG16 0 1 2 0
FACILITY NAME Pledmont Asphalt, LLC - Reidsville Plant_
COUNTY Rockingham
PERSON COLLECTING SAMPLES Steven Ashworth
LABORATORY Pace Analytical Lab Cert # 633
Comments on sample collection or analysis
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ✓❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
[]Zero -flow ❑Water Supply []SA
RECEIVED ®Other
DEC 19 2016 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
DINR SECTION
❑ No discharge this period ?'2
Outfall No
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks =__>
-
-
100 mg/L or 50 mg/L
001
11/29/2016
0 21"
12 5 mg/L.
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
3The total precipitation must be recorded using data from an on -site rain gauge Unattended sites may be eligible for a waiver of the rain gauge requirement
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note Results must be reported in numerical format For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note 1f you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
Permit Date 10/1/2014-9/31/2019 SWU 252 last revised 9/17/2014
Page 1 of 2

Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month
❑ No discharge this period
Outfall No
Date Sample
Collected'
lmo/dd/yr)
24-hour rainfall
amount,
lnches3
Non -polar O&G by EPA
1664 (SGT HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L°
Footnotes from Part A also apply to this Part B
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALLa YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to
Division of Water Resources
Attn DWR 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 Enquiry 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)
Permit Date 10/1/2014-9/31/2019
i Z )10
zof6
(Date)
SWU-252, last revised 9/17/2014
Page 2 of 2

aceAnalytrcal
—pacelabs cam
ANALYTICAL RESULTS
Pace Analytical Services LLC
205 East Meadow Road SuiteA
Eden NC 27288
[phone]
Project Reidsville Asphalt Plant
Pace Project No 92321242
Sample Reidsville Asphalt Plant Lab ID 92321242001 Collected 11/29/16 12 30 Received 11/30/16 11 00 Matrix Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No Qual
2540D Total Suspended Solids Analytical Method SM 2540D
Total Suspended Solids 125 mg1L 25 1 12/01/16 15 20
HEM, Oil and Grease Analytical Method EPA 16646
Oil and Grease c5 0 mg1L 50 1 12/09/16 08 01
Date 12/09/2016 04 51 PM
REPORT OF LABORATORY ANALYSIS
This report Shall not be reproduced except in full
without the written Consent of Pace Analytical Services LLC
Page 5 of 12
P

Semi-annuz
'ater Discharge Monitoring Report (DMR
Date submitted
CERTIFICATE OF COVERAGE NO NCG16 0 1 2 0
FACILITY NAME Piedmont Asphalt_ LLC - Reidsville Plant
COUNTY Rockingham
PERSON COLLECTING SAMPLES Steven Ashworth
LABORATORY Pace Analytical Lab Cert # 633
Comments on sample collection or analysis
A � i
Z4„ J tL
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD Q Ian -June ❑ July -Dec
or ❑ Monthly' (month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RF_r+��,J��J ❑Zero -flow []Water Supply [:]SAl ' ®Other C
JUL 15 201S
PLEASE REMEMBER TO SIGN ON THE: REVERSE 4
Part A Stormwater Benchmarks and Monitoring Results I '!:nvPI m1clil PPOCESsi�Ic UN
No discharge this period 2
Outfall Na
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount.
Inches;
Total Suspended Solids
Benchmarks
-
-
100 mg/L or 50 mg/L
001
06/15/2016
0 24"
19 8 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
3 The total precipitation must be recorded using data from an on -site rain gauge Unattended sites maybe eligible for a waiver of the rain gauge requirement
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note Results must be reported in numerical format For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
Permit Date 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month
❑ No discharge this period?'
Outfall No
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===>
_
-
15 mg/L
100 mg/L or 50 mg/0
Footnotes from Part A also apply to this Part B
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an orraina_I_and one copy of this DMR, including all "No Discharge"reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case o "No Discharge" re orts to
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
I[Signature of Permittee)
(Date)
Permit Date 10/1/2014 9/31/2019
SWU 2S2 last revised 9/17/2014
Page 2 of 2

1�5aceAna lyfica I
lwww pacelabs aom
ANALYTICAL RESULTS
Pace Analytical Services Inc
205 East Meadow Road Smote A
Eden NC 21288
(.33�)613 8921
Protect REIDSVILLE ASPHALT PLANT
Pace Protect No 92301676
Sample REIDSVILLE ASPHALT Lab ID 92301676001 Collected 06/15/16 20 45 Received 06/16/16 13 52 Matrix Water
PLANT 001
Parameters Results Units Report Limit DF Prepared Analyzed CAS No Qual
2540D Total Suspended Solids Analytical Method SM 2540D
Total Suspended Solids 119 8 mg/L 2 8 1 06/16/16 15 28
Date 07/06/2016 09 25 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced except in full
without the written consent of Pace Analytical Services Inc
Page 5 of 8

Semi-annual Stormwater Discharge „Monitoring Report {DMR)
for North Carolina DEMLR General Permit No NCG160000 - Asphalt
Date submitted
CERTIFICATE OF COVERAGE NO NCG16 0 1 2 0
FACILITY NAME Piedmont Asphalt. LLC - Reidsville Plant
COUNTY Rockingham
PERSON COLLECTING SAMPLES Steven Ashworth
LABORATORY Pace Analytical Lab Cert # 633
Comments on sample collection or analysis
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ❑ Jan -June ❑X July -Dec
or ❑ Monthly' (month)
f'C I �Rrllrlc TO CLASS ❑ORW ❑HCtW [:]Trout❑PNA
LAC ��JJ ❑Zero -flow ❑Water Supply ❑SA
DEC 10 Z015 ®other r: -----
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
❑ No discharge this period ;12
Outfall No
pate Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
total Suspended Solids
Benchmarks ===>
-
-
100 mg/L or 50 mg/L
001
11/18/15
0901,
7 1 mg/L.
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
3 The total precipitation must be recorded using data from an on -site rain gauge Unattended sites may be eligible for a waiver of the rain gauge requirement
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note Results must be reported in numerical format For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
Permit Date 10/1/2014-9/31/2019 SWU 252, last revised 9/17/2014
Page 1 of 2

Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month
❑ No discharge this period;"
Outfail No
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===>
-
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one copes+ of DMR, including all "No Discharge"reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of _"No Discharge" reports) to
Division of Water Resources
Attn DWR Central Files
1617 Mad Service Center
Raleigh North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FORANY INFORMATION REPORTED
"I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief true accurate, and complete I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
lz -7 L-2-01-5
(Signature o ermittee) (Date)
Permit Date 10/1/2014-9/31/2019 SWU-252 last revised 9/17/2014
Page 2 of 2

7acelytica�
Alm -,
cam
he-G I �=o=l=aa
ANALYTICAL RESULTS
Pace Analytical Services Inc
205 East Meadow Road SuiteA
Eden NC 27288
[phone]
Project REIDSVILLE PLANT 001
Pace Project No 92277065
Sample REIDSVILLE PLANT 001 Lab ID 92277065001 Collected 11118/15 23 20 Received 11/20/15 11 00 Matrix Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No Qual
2540D Total Suspended Solids Analytical Method SM 2540D
Total Suspended Solids 71 mg/L 25 1 11120A 5 12 49
HEM Oil and Grease Analytical Method EPA 1664E
Oil and Grease a5 0 mg1L 50 1 12/02/15 06 09
Date 12/02/2015 03 22 PM
REPORT OF LABORATORY ANALYSIS
This report shall not tm reproduced except in full
without the wntten consent of Pace Analytical Services Inc
Page 5 of 11

`�-e
aceAnalytical'
W "aricetabs cam
CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chain of Custody is a LEGAL DOCUMENT All relevant fields must be completed accurately
Section A Section 8 Section C
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Page of fl
Required Chant Information Required Project Information Invoite Information
Company t Report To ` Attention
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Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No NCG160000 - Asphalt
Date submitted 06/23/2015
CERTIFICATE OF COVERAGE NO NCG16 0 1 2 0
FACILITY NAME Piedmont Awhaft., LLC -Reidsville Plant
COUNTY Rockingham
PERSON COLLECTING SAMPLES Steven Ashworth
LABORATORY Pace Analytical Lab Cert # 633
Comments on sample collection or analysis
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD [ Jan -June ❑ July -Dec
or ❑ Monthly' _ Lmonthl
_ DISCWGING TO CLASS ❑ORIN ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other i•:
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE
DWR SECTION
[] No discharge this period ?2
Outfall No
date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
Benchmarks ===>
-
-
100 mg/L or 50 mg/L
001
06/14/2015
013
12 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
3 The total precipitation must be recorded using data from an on -site rain gauge Unattended sites may be eligible for a waiver of the ram gauge requirement
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note Results must be reported in numerical format For exam le do not report, Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format When results are below the applicable limits, they must be reported in the format, "<XX me/L where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note If you report a sample value in excess of the benchmark, you must implement Tier I, Tier Z, or Tier 3 responses See General Permit text
Permit Date 10/1/2014 9/31/2019 SWU 252, last revised 9/17/2014
Page 1 of 2
S"

Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month
❑ No discharge this period ?2
OutfaEl No
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART A AND PART B MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
+ TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE A5 REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an ortainal and one copy of this DMR, includina oil "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring Period
in the case of "No Discharge" reports) to
Division of Water Resources
Attn DWR Central Files
1617 Mad Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief, true, accurate, and complete I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations '
(Signature
'Permit Date 10/1/2014-9/31/2019
41( V r
(Date)
SWU 252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No NCG160000 - Asphalt
Date submitted 06/23l2015
CERTIFICATE of COVERAGE No NCG16 0 1 2 0
FACILITY NAME Picdmonj Asphalt, LLQ - Reidsville Plant
COUNTY Rockingham
PERSON COLLECTING SAMPLES Steven Ashworth
LABORATORY Pace Analytical Lab Cert 633
Comments on sample collection or analysis
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or []Monthly' (monthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
®Other_ C -_
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
No discharge this period ?2
Outfall No
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks ===>
_
-
100 mg/L or 50 mg/L
001
06/14/2015
013
12 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
3The total precipitation must be recorded using data from an on -site rain gauge Unattended sites may be eligible for a waiver of the rain gauge requirement
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note Results must be reported in numerical format For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
Permit Date 10/1/2014 9/31/2019 5WU 252 last revised 9/17/2014
Page 1 of 2

Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month
❑ No discharge this period ;'2
Outfall No
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===a
-
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses See General Permit text
FOR PART A AND PART B MONITORING RESULTS
A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one copv of this DMR, includina all "No Discharae" reports. within 30 days of receipt of the lab results for at end of momtorina period
in the case of "No Discharae" reports! to
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
" I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true accurate and complete I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations "
(Date)
Kermit Date 10/1/2014-9/31/2019
rj
—�
10
SWU 252, last revised 9/17/2014
Page 2 of 2

aceAnalyhcal
wwwp"larbs cm
r
r
ANALYTICAL RESULTS
Project REIDSVILLE PLANT
Pace Project No 92254723
Pace Analytical Services Inc
205 East Meadow Road Sale A
Eden NC 272S.8
[phone]
Sample REIDSVILLE PLANT 001 Lab ID 92254723001 Collected 06/14/15 19 05 Received 06117115 10 00 Matrix Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No Oual
2540D Total Suspended Solids Analytical Method SM 2540D
Total Suspended Solids 120 mg/L 26 1 06118/15 13 37
Date 06/21/2015 03 15 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced except in full
without the written consent of Pace Analytical Services Inc
Page 5 of 10

Semi-annual Stormwater Discharge Monitoring Report(DMR)
for North Carolina DEMLR General Permit No NCG160000 - Asphalt
Date submitted
CERTIFICATE OF COVERAGE NO NCG16 0 1 Q Q
FACILITY NAME Piedmont Asphalt. LLC - Reidsville Plant
COUNTY Rockingham
PERSON COLLECTING SAMPLES Steven Ashworth
LABORATORY Pace Analytical Lab Cert # 633
Comments on sample collection or analysis
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
SAMPLE PERIOD ❑ Jan -June ❑x July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑water Supply ❑SA
®Other (-
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
❑ No discharge this period a2
Outfall No
Date Sample
Collected'
24-hour rainfall
amount,
Inches
Total Suspended Solids
Benchmarks =__>
_
100 mg/L or 50 mg/l
001
11 /17/14
016
3 2 m /L
RECEIVED
DEC 0 1 2014
CENTRAL FILES
CWR SECTION
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
3The total precipitation must be recorded using data from an on -site ram gauge Unattended sites maybe eligible for a waiver of the rain gauge requirement
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note Results must be reported in numerical format For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non-
numericalformat When results are below the applicable limits, they must be reported in the format. "<XX_me/L�' where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc in mg/L
Note if you report a sample valve in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
Permit Date 10/1/2014-9/31/2019
SWU 252 last revised 9/17/2014
Page 1 of 2

Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new oil per month
❑ No discharge this period?"
Outfall No
Date Sample
Collected'
(mo/dd/yr)
24 hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
15 mg/L
100 mg/L or SO mg/L
Footnotes from Part A also apply to this Part B
Note if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART A AND PART 8 MONITORING RESULTS
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS
• TIER 3 HAS YOU R,FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL2 YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reportsi to
Division of Water Resources
Attn DWR Central Files
1617 Mail Service Center
Raleigh North Carolina 27699 1617
YOU MUST SIGN THIS CERTIFICATION FOR Ably INFORMATION REP98TED
"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 '
Permittee)
Permit Date 10/1/2014-9/31/2019
I 1 z 5 Z�4
(Date)
SWU 252 last revised 9/17/2014
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO NCG160000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO NCGUE ©M
SAMPLES COLLECTED DURING CALENDAR YEAR 2014
(This monitoring report is due at the Division no later than 30 days From the date
the facility receives the sampling results from the laboratory)
FACILITY NAME Piedmont Asphalt LLC - Reidsville Plant COUNTx Rockingham
PERSON COLLECTING SAMPLES Steven AshwortF PHONE NO (3_ 36 ] 349-8697
CERTIFIED LABORATORY Pace Analytical Lab # 633
Pace Analytical Lab # 12
Monitoring Requirements
Outfatl
No
Date
Sample Callected,
moldd/ r
Total Rainfall,
inches
00530
00400
00556
Total Suspended Solids, mg4
pH,
Standard units
Total Petroleum Hydrocarbons, mgA
EPA Method 1664 SGT-HEM)
Benchmark
-
100
Within 6 0 — 9 0
15
1
08118114
062
12 m 11
62
NO
` If a value is in excess of the benchmark or outside the benchmark range (for pH) you must implement the Tier I or Tier 2 responses in the General Permit
Mail original and one copy to
Division of Water Quality
Attn Central Files RECEIVED
1617 Mail Service Center
Raleigh North Carolina 27699- 1617
AUG 2 6 2014
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED CENTRAL FILES
DW4J80G "
"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 subrrutted 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 tines and imprisonment for knowing violations '
(Signature ermittee)
B 22 2o1
(Date)
SWU 252 051409
Page I of l

1
ace Analytical
e www pecelabs com
ANALYTICAL RESULTS
Pace Analytical Services Inc
205 East Meadow Road Suite A
Eden NC 27288
[phone]
Project Piedmont Asphalt LLC
Pace Protect No 92213809
Sample REIDSVILLE PLANT Lab ID 92213809001 Collected 08/18114 16 00 Received 08/19/14 09 45 Matnx Water
OUTFALL 001
Parameters Results Units Report Limit DF Prepared Analyzed CAS No Qual
2540D Total Suspended Solids Analytical Method SM 2540D
Total Suspended Solids 12 0 mg/L 2 8 1 08/20/14 15 23
HEM Oct and Grease Analytical Method EPA 1664E
Oil and Grease ND mg/L 50 1 08/21/14 10 58
REPORT OF LABORATORY ANALYSIS
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Date 08/21/2014 03 15 PM without the written consent of Pace Analytical Services Inc Page 5 of 12