NCG160122_MONITORING INFO_20180720

PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
/v
❑ HISTORICAL FILE
C� MONITORING REPORTS
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted June 2S, 2019
CERTIFICATE OF COVERAGE NO. NCG160122
FACILITY NAME APAC Atlantic, Inc. Plant #10
COUNTY Guilford
PERSON COLLECTING SAMPLES Mbargou Diop
LABORATORY ENCO Lab Cert. # S91
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly! (month)
p�ISCIiARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
j��n ❑Zero-flowr ❑Water Supply ❑SA
JUL d.� ®OtheCopper Branch
2 0 2018
CENrRALI�ES PLEASE REMEMBER TO SIGN ON THE REVERSE -�
cwR s6Crlonr
❑ No discharge this period ?2
©utfall No.
Date Sample
Collected! -
(mo/dd/yr) .
24-hour rainfall
amount,
' Inchee
Total Suspended Solids
Benchmarks =__>
_
-
100 mg/L or 50 mg/O
001
05/29/2018
0.8
< 3.6
002
05/29/2018
0.8
< 2.9
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 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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

❑ No discharge this period?2
Outfall Na.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount, _
Inchee
Non -polar O&G by EPA
1664 (SGT-HEM)
°�
Total Suspendeif solids
Benchmarks
15 mg/L
100 rng/L or.50•mg/O
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 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 OUTFALL? YES ❑ N0 ❑
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_ull "No Discharge" reports, 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
Attm 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_
am aware at there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
06 25 20$
(Signature of Permittee) (Date)
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

k,,*'
Laboratories
Accurate. Timely. Responsive. Innovatir-e.
102-A Woodwinds Industrial Court
Cary NC, 27511
Phone: [phone] FAX: [phone]
Monday, June 11, 2018
El Group, Inc. (TH005)
Attn: Doug Albrecht
2101 Gateway Center Blvd., Suite 200
Morrisville, NC 27560
R€: Laboratory Results for
Project Number: [none], Project Name/Desc: APAC Plant 10
ENCO Workorder(s): CB01685
Dear Doug Albrecht,
Enclosed is a copy of your laboratory report for test samples received by our laboratory on
Thursday, May 31, 2018.
Unless otherwise noted in an attached project narrative, all samples were received in
acceptable condition and processed in accordance with the referenced methods/procedures.
Results for these procedures apply only to the samples as submitted.
The analytical results contained in this report are in compliance with NELAC standards, except
as noted in the project narrative if applicable. This report shall not be reproduced except in
full, without the written approval of the Laboratory.
This report contains only those analyses performed by Environmental Conservation
Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from
outside organizations will be reported under separate cover.
If you have any questions or require further information, please do not hesitate to contact me.
Sincerely,
4P
Bill Scott
Project Manager
Enclosure(s)
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in fulL Page 1 of 7

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SAMPLE SUMMARY/LABORATORY CHRONICLE
Client ID: 1 Lab ID: CB01685-01 Sampled: 05/29/18 05:25 Received: 05/31/18 16:25
Parameter Preparation Hold Date/Timefs) Prep Date/Timefs) Analysis Date/Timers)
SM 2540D-1997 NO PREP 0610SI18
06/01/18 09:50 06/02/18 09:50
Client ID: 2 Lab ID: CB01685-02 Sampled: 05/29/18 05:35 Received: 05/31/18 16:25
Parameter Prevaration Hold Date/Timefs] Prep Date/Time(s) Analysis DatelTimefs)
SM 2540D-1997 NO PREP 06/05/18
06/01/18 09:50 06/02/18 09:50
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 2 Of 7

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SAMPLE DETECTION SUMMARY
No positive results detected.
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In tuft. I Page 3 Of 7

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ANALYTICAL RESULTS
Description: 1 Lab Sample Y D: CB01685-01 Received: 05/31/ 18 16:25
Matrix: Water Sampled:05/29/18 05:25 Work Order. C801685
Project: APAC Plant 10 Sampled By:CUENT
Classical Chemistry Parameters 1
^ - ENCO Cary certified andlyte [NC 591]
Analyte KAS Numbed Results Flag Units LF but POLL gAtUh Metho Artaing IY Notes
Total Suspended Solids^ ND mg/L 1.45 3.6 3.6 8FOL011 SM 2540D-1997 06/02/18 09:50 LBG LP-02
Description: 2 Lab Sample TD:CB01685-02 Received; 05/31/18 16:25
Matrix: Water Sampled:05/29/18 05:35 Work Order: CBM685
Project: APAC Plant 10 Sampled By -CLIENT
Classical Chemistry Parameters
^ - ENCO Cary terrified andlyre (NC 5911
Analyte FCAS Numbed Balul Etg Units RE MPL iOL Batch Method Analyzed AM 1i2tu
Total Suspended SDllds^ ND mg/L 1.15 2.9 2.9 8F01011 SM 2WD-1997 06/02/19 D9,50 LBG LP-02
FINAL This repon relates only to the sample as received by the laboratory, and may only be reproduced in rull. I Page 4 4f 7

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QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch 8F01011 - NO PREP
Blank (8F01011-BLI(1) Prepared:06/01/2018 09:SO Analyzed: 06/D2/2018 09:SD
Spike Source %REC RPD
nalvte Result Flag PP-01 Units Level Result %REC Limits RPD unit Notes
Total Suspended Solids 2.5 U 2.5 ri
LCS (8F01011-1 1) Prepared: 06/01/2018 09:50 Analyzed: 06/02/2018 09:50
Spike Source %REC
RPD
Analyte
Result
flag
P91
Units
Level Result %REC I imitc RPD
IbnR Notes
Total Suspended Solids
100
2.5
ni
100 100 80-120
Duplicate (SF01011-1 i)
Prepared: 06/01/2018 09:50 Analyzed: 06/02/2018 09:50
Source: CB08453.01
Spike Source %REC
RPD
1lnalvte
Result
Flag
P_0L
Units
Level Result %REC Limits RPD
Limit Motes
Total Suspended Solids
12
5.6
mg/L
8.7 30
20 QM-12
Duplicate (8F01011-DUP2)
Prepared: 06/01/2018 09:50 Analyzed: 06/02/2018 09:50
Source: CBOSSOS-01
Spike Source %REC
RPD
Anahle
Result
Flag
P_OL
Units
Level Result %REC Lim! RPD
Limit Notes
Total Suspended Solids
ISO
U
ISO
mg/L
180 U
20
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. I Page 5 O

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FLAGS/NOTES AND DEFINITIONS
B The analyte was detected in the associated method blank.
D The sample was analyzed at dilution.
] The reported value is between the laboratory method detection limit (MDL) and the laboratory method
reporting limit (MRL)r adjusted for actual sample preparation data and moisture content, where applicable.
U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation
data and moisture content, where applicable.
E The concentration indicated for this analyte is an estimated value above the calibration range of the
instrument. This value is considered an estimate.
MRL Method Reporting Limit. The MRL is roughly equivalent to the practical quandtation limit (PQL) and is
based on the low point of the calibration curve, when applicable, sample preparation factor, dilution
factor, and, in the case of soil samplesr moisture content.
PQL PQL: Practical Quantitation Limit. The PQL presented is the laboratory MRL.
N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater
confidence) to make a "tentative identification".
P Greater than 25% concentration difference was observed between the primary and secondary GC column.
The lower concentration is reported.
LP-02 Less than 1000 ml of sample filtered and residue range of 2.5-200 mg was not met. Due to
insufficient sample, analysis cannot be repeated.
QM-12 Precision between duplicate samples was outside acceptance limits.
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. I Page 6 of

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`fix :-��,>�:�-��tt s� - � �le 4� er.=�r },�•
Sample Chain of Custody Form
Acct#;
TH005
Client
El Group, Inc. (TH005)
Contact:
Doug Albrecht
Ship To:
2101 Gateway Center Blvd., Suite 20
Morrisville, NC 27560
Report To:
2101 Gateway Center Blvd., Suite 20
Morrisville, NC 27560
Prelog 9: C1301665
Project#/Reference: APAC Plant 10
Required TAT: 10
ENCO Conlwf: Riil GDON
102-A Woodwinds Industrial Court
Cary, NC 27511
Morrisville, NC 27560
C1301685-01 �.� 9If r ;;j%'�:5 Analyses: TSS SIV12540D
Containers: 1 - 'I LP
GB01685 02
Analyses.TSS.SlN??5A4D
. Con#miters: 1 - 1 LW
Mbargou Diop
5730 Riverdale dr
Jamestown Plant #10
[phone]
(33ra)603=,i610
"'.0
Sampled By: Temp
Condition: _.Z_ACceptebte _Unacceptable
F? ,sire y: oateRme;
Received By.- oafe/rlsne.
Na1os
Comamws en tnts sample k!t ;nay cWlein ViamlCal preservallvps as rpqutrad by I:li PAr rxrdlaas mfCtrrvriult co ccn ing this natanals i &rt Im round detow. DO NOT rmso Cantpinars prior lu
use,
W11" fillog preserved Containers, use Caulion nvl Ip Inmate vapors thfil nlry as causetl In tree Chw,!,al rearlin-1 I or-30,e 1110 sumpte wO the prestvvalives. Collpu samples in it well•venlrlated area
nr lake apprt]pri�le {7rgCauiipns ip Ovniri p>SpUeure 10 fllpsp 1u+nps ,rapt! CaUSitlrl� helpW pprlainiltp to file Ylerltl€uI� u(iErese fttp12r10iG, ,
II+5 the shippers fespdnslbility to onsurn that tho samolp8 are Nickttd in 16rn u rlanrwr Io prnrnnl break qo anq tt,o vnp r-ow4ed ientperme+tar I; mpinlainrrd during trprislt urell tetrerpt at the
lahoralory.
A lempwislwo blaj* has !wart ind,rtled to measure IA& amNerk lenimalue& of the t;ppiflf rope" iemkit of pIP. lots Plus- dp fieg remove lists cprxanler from ihq cold tv., tot sect•. along W,ih lho
samples in a sim;lar manner, This bmlle Wnlains daranced water Only.
The Information galow rare PRECAUTIONARY STATEMENTS ONLY) All polon:;al tlr iUs posers h7 111ese mnto6als ! 1,� a nal tics" laodrmesed For adrfllianal InlcFina4nn or rrssislanco.;plgzxq
colllacl your orpWirzaltun's s,,11v1v pralosvmtk
Page 7 Df
Ce rk i% AWevialions
ilCi : Hydroclslortt:Acid - ST40NC AC0 Avoid skin ana uya earnlaCl. If conLlt115 mode, Rusin alleClerl areas -a rrev"alwy wall UWC4.
HNO3 :Nitric. Acid - STRONG AGIP' SI RONG OXIp¢ERt Avuld shin arxi eye Canlac! IS ronlaCt is iri.nlc, llusl, allLmefj 11rotis 4"ed+aiofy wirh water

RECEIVED
JUL 2 0 201�
CENTRAL FILES
QWR SECTION
Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted 04/26/2017
CERTIFICATE OF COVERAGE NO. NCG160122
FACILITY NAME: AP_A_C_ _Atlantic, Inc. Plant #10
COUNTY: Guilford
PERSON COLLECTING SAMPLES: Mbargou Dio_p
LABORATORY: Prism Lair Cert. # 402
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 F]ORW [_]HCIW Trout []PNA
❑Zero -flow []Water Supply QSA
®Other: Copper Branch
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
Imo/dd/yri
24-hour rainfall
amount,
Inches
Total Suspended Solids
itertchmarks
-
-
100 mg/L or 50 mg/O
001
04/24/2017
2A4
16
002
04/24/2017
2.44
16
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'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 m_g/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, 71er 1, or 77er 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/ r)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =—>
15 mg/L
1D0 mg/L or 5D rng/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 DUTFALL, TRIGGER TIER 2 REQUIREMENTS.
r TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IE YES, HAVF YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orialnal and one coon of this DMN. lncludina all "No Dischorae" reoorts, within 30 days of recelot of the lob results for at end of moriitorina period
in the case o `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."
6tgn—A, L6L `7--10-I 1
{Signature of Permittee) (Date)
Permit Date: 1011/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

1d\
4P°'EISM
, ivL"-ToR1M mc.
Full -Service Analytical &
Environmental Solutions
El Group, Inc. - Morrisville
Josh Dunbar
2101 Gateway Center Dr Ste. 200
Morrisville, NC 27560
NC Certification No. 402
NC Drinking Water Cert No, 37735
SC Certification No. 99012
Project: APAC 5tormwater Testing
Project No.: Plant # 10
Lab Submittal Date: 04/26/2017
Prism Work Order: 7040468
Case Narrative
05/03/2017
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the and of this case
narrative.
Please call it you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
a --,,I
Angela D. Overcash
VP Laboratory Services
Data Qualifiers Key Reference,
Reviewed By Angela D. Overcash
VP Laboratory Services
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 5pringbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 1 of 6

i'� I • Full -Service 8
�P RISM I Environment el SolutiAnalyticalons
Sample Receipt Summary
05/03/2017
Prism Work Order. 7040468
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Outtall1
7040468-01
Water
04/24/17
04/26/17
Outfall2
7040468-02
Water
04/24/17
04/26/17
Samples were received in good condition at 1.9 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirely, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: 704l525-0409 Page 2 of 6

e.
FullAnalytical
Environmenironmen tal Solutions
�lAaOIiATON IE4 INC
El Group, Inc. - Morrisville
Attn: Josh Dunbar
2101 Gateway Center Dr Ste. 200
Morrisville, NC 27560
Project: APAC Stormwater Testing
Project No.: plant # 10
Sample Matrix: Water
Laboratory Report
051012017
Client Sample ID: Ouffall 1
Prism Sample ID: 7040468-01
Prism Work Order: 7040468
Time Collected: 04/24/17 07:00
Time Submitted: 04/26/17 08:20
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DatefTime ID
General Chemistry Parameters
Total Suspended Solids 16 mg1L 2.9 0.80 1 *SM2540 0 4128117 10:22 SLS P700493
c
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Sox 240543 - Charlotte, NC 28224-0643
Phone: [phone] -Toll Free Number: 1-8001529.6364 - Fax: [phone] Page 3 of $

LzOO
Full-Service Anal ticaleeon�row�ca n/cEnvironmental Slutions
%
Laboratory Report
0510312017
El Group, Inc. - Morrisville
Attn: Josh Dunbar
2101 Gateway Center Dr Ste. 200
Morrisville, NC 27560
Project: APAC Stormwater Testing
Project No.: Plant # 10
Sample Matrix: Water
Client Sample ID: Outfall 2
Prism Sample ID: 7040468-02
Prism Work Order: 7040468
Time Collected: 04/24/17 07:15
Time Submitted: 04/26/17 08:20
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
General Chemistry Parameters
Total Suspended Solids 16 mg1L 3.1 0.80 1 "SM2540 D 4128/17 9:59 SLS P700493
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] -Toll Free Number: 1-8001529-6364 - Fax: 704152"409 Page 4 of 6

n.�
QOi� l S A /� } Full -service Analytical &
rr��n �/ J Environmental Solutions
O'ueo�e,aTanRa we
El Group, Inc. - Morrisville Project: APAC Stormwater Testing
Attn: Josh Dunbar
2101 Gateway Center Dr Ste. 200 Project No: Plant # 10
Morrisville, NC 27560
General Chemistry Parameters -Quality Control
Level II QC Report
513117
Prism Work Order: 7040468
Time Submitted: 4/26/2017 8:20:OOAM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P7D0493 - NO PREP
Blank (P7DO493-BLK1) Prepared & Analyzed: 04/28/17
Total Suspended Solids BRL 5.0 mg1L
LCS (P71210493-13W) Prepared & Analyzed: 04/28/17
Total Suspended Solids 470 5.0 mg/L 477.0 98 90-110
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 26224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 5 of 6

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u.....-.-...� r,,/.�., ✓: �'J:'.W JELL'+'..�....» w -
:v
ii Full -Service Analytical & CHAIN OF CUSTODY RECORD , �„ (iJ
Environmental Solutions PANE OF _ QUOTE a TO ENSURE PROPER BrI.LIlitra -+�"- -� AYE,y,NO NIA
"tesonwTaaeanrc. r / rSsrnplesiNTAC[suponerrtval? + rF
449 Springbrook Road • Charlotte, NC 28217
Project Name: t(t r 1 j 11 J . i7 g °fd r.� ,
Phone [phone] Fax: [phone] Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
*Please ATTACH any project specific reporting (QC LEVEL 111111 IV)
Client Company Name: ?t- . 0 C' v �r+a,�` provisions and/or QC Requirements
Report To/Contact Name*' u M60o Invoice To:
porting Address: 7Z;,9 ,CW r b • Sidle Io Address:
_I C � �G.1�-
Phone! Y '- a4" 7-21F (Y ) (No : Purchase Order NoJt3ttlln Reference rrA` �) �' ''�
Email Address: ' un it ' : V -`] 9
Requested Due Data 111 pay 0 2 Days Q 3 Days 0 4 Days Q 5 Days
EDD Type: PDF Excel Other "Working Days" U 6-9 Days Pytandard 10 days O Rush Work Be
Site Location Na e Samples received afiet 14:00 will be processed nazi cosiness day.0
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Certification: NELAC DoD FL NC
OTHER NIA
Site Location Physical Address '-" U kpye,,t [ r` Turnaround time is based on business days, excluding weekends and holidays.
(SEE REVERSE FOR TERMS 8 CONDITIONS REGARDENO SERVICES
L'4t17tlj�Z; yyj�/( �� RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
Water Chlorinated: YES— NO_
Iced Fe Sam on Collection: YES
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SAMPLE DESCRIPTION
DATE
COLLECTED
TIME
TIME
COLLECTED
MILITARY
HOURS
MATRIX
(SOIL,
WATER OR
SLUDGE)
SAMPLE CONTAINER
I PRESERVA-
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Upon relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
submitted In writing to the Prism Project Manager. There will be charges for any changes after analyses have been Initialized.
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l] F Ex S 13 Hand -delivered d P6= FieW Service Other
NPVMS. UST: GROUNDWATER: NKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
❑NCOSC ❑NC CI SC ONC ❑SC ❑NC El SC ❑NC ❑SC ❑NC❑SC ❑NC ❑SC ❑NC ❑5C ❑NC ❑SC
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*CONTAINER TYPE CODES: A= Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) v

Semi-annual Stormwater Discharge Monitoring Report JDMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted 05/18 2016 _
CERTIFICATE OF COVERAGE NO. NCG160122
FACILITY NAME: APAC Atlantic, Inc. Plant #10
COUNTY: Guilford
PERSON COLLECTING SAMPLES: Mbareou Diop
LABORATORY: Prism Lab Cert. # 402
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
®Other:. Copper Branch
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
No discharge this period?z
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
05/03/2016
1.5
8.2
002
05/0312016
1.5
35
RE __ ED
MAY 2 0 2016
CENTRAL FILES
DWR 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.
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.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
!Vote: 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 ms/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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

❑ No discharge this period?z
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 50 mg/L4
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 1, 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 oriainal and one copy of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoring 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."
(Signature of Permittee)
Permit Date: 10/1/2014-9/31/2019
(Date)
SWU-252, last revised 9/17/2014
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year: 2013
Individual NPDFS Permit No. NCS ❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. 'lCG 160 122
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: APAC Atlantic, Inc.—_ and t:#.10
County: Guilford County
Phone Number: [phone]
Total no. of SDOs monitored: 3
Outfall No. 001
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑ ENR
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No �If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑ 9 2014
Received approval from DWQ to reduce monitoring frequency []❑wA�
Other
8reriri►
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Parameter, (units)
Total
Suspended
Solids mg/1
pH.
Standard Units
Total Petroleum
Hydrocarbons, mgll
EPA Method 1664
SGT-HEM
Total
Rainfall,
inches
Benchmark
NIA
100
Within 6.0 - 9.0
15
Date Sample
Collected,
mmlddlyy
2/26/2013
0.60
92.0
7.4
5.1
8/19/2013
1.00
17
7.2
< 7.4
S W U-264 -Generic-13 Dec2012

Additional Outfall Attachment
Outfall No. 002
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,
inches
Parameter, (units)
Total
Suspended
Solids mgll
P H
Standard Units
Total
Petroleum
Hydrocarbons,
mgll
EPA Method
1664 (SGT-
HEM
Benchmark
N/A
100
Within 6.0 - 9.0
15
Date Sample
Collected,`
dd y
mml ly�
�4
a�
y
t
2/26/2013
0.60
92
7.4
5.1
8119/2013
1.00
< 5.0
7.4
<5.0
SW U-264•Generic-13 Dec2012

Additional Outfall Attachment
Outfall No. 003
Is this outfall currently in Tier 2 (monitored monthly)? Yes 0 No Z
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency F-1
Other D
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,
inches
Parameter,
(units)
Total
Suspended
Solids mg/I
p H
Standard Units
Total
Petroleum
Hydrocarbons,
mg/1
EPA Method
1664 (SGT-
HEM)
Benchmark
NIA
100
Within 6.0 - 9.0
15
Date Sample
Collected
mm/dd/yy
'x
V
A N.:
U
2/2612013
0.60
NO DISCHARGE
8119/2013
1.0
NO DISCHARGE
SWU-264-Generic-1 3Dec2012

" 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,�Lg
Date l
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL, OFFICE
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115
[phone] Fayetteville, NC 28301-5043 [phone]
I [phone] 1 1
RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE WILMINGTON REGIONAL OFFICE 1
3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension
Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845
[phone] [phone] [phone]
WINSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE
585 Waughtown Street 1617 Mail Service Center
Winston-Salem, NC 27107 Raleigh, NC 27699-1617
[phone] [phone]
"To preserve, protect
and enhance
North Carolina's water... "
SW U-264-Generic-13 Dec2012

RECEIVED
N.C. Dent. of ENR
STORMWATER DISCHARGE OUTFALL (SDO) MAR 0 12011
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Winston•Saiem
Calendar Year 2010 Regional Office I
General Permit No. NCG160000
Certificate of Coverage No. NCG160122
This monitoring report summary is due to the DWQ Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the renal sample of the calendar year.
Facility Name: APAC Atlantic, Inc, Plant #10 Jamestown, NC
County: Guilford
Phone Number: [phone]
Total no. of SDOs monitored: 2
Outfall No. 001
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No X
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No X
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Outfall 001
Total Rainfall, Inches
00630
00400
00566
Vehicle
Maintenance
Activities
TSS, mg1L
pH, sm.
Oil &
Grease,
mg1L
New Motor Oil
Usage,
gal/month
Benchmark
N/A
100
6.0= 9.0
.30. `
N/A,
Date Sample Collected
molddlyr
X 1- fa
I�� J
%
�(Ipi>
1 f. ..l
riir'-4
i
t w il.. Pik
UW
ry.`
asr yam,
02/22/2010
0.5
122
6.3
ND
NA
08/19/2010
1
5.8
7.9
ND
NA
SWU-25ONCG16-051709

Additional Outfall Attachment
Outfall No. 002
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No X
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No X
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Outfall 002
Total Rainfall, inches
00530
00406
00566
Vehicle
Maintenance
Activities
TSS, mglL
PH, S.U.
Oil &
Grease,
mglL
New Motor Oil
Usage,
gallmonth
Benchmark
NIA
100 , .
6:0 .Z 9.0
' 30
WA:
Date Sample Collected,
mohldlyr
� 1 '�
- � ^53 . X+
�tly� +..,rr h a
1?. .,A^" it ��n: ��',. ye 1.,���{
3
,�,, L�
('
�Ik i.YCly ��s
4na:i �':�4
1��*aki�l3 aA �'�„��k
rti . .a�, ♦ � s
�whe�i. t u�� �
t
ii a ik, a
'a �'Jn� :al
' . r 3 ' a
iY� �4{fti
d Qi t} t
!:�-A'E _:i.ii ;i �,u �
$� '. •�,e
� y t
%�M 1 {x4;0
�3�'.{ •�.•`�"T�� :J
02/22/2010
0.6
146
7.5
NO
NA
0811912010
1
7.5
3
NO
NA
SWU-250NCG16-051709

" 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 I" , i
Date r
Mail Annual DMR Summary Reports to:
DWQ Reaional Office Contact Information:
Asheville Office ...... [phone]
Fayetteville Office
... [phone]
Mooresville Office...
[phone]
Raleigh Office ........
[phone]
Washington Office
...[phone]
Wilmington Office.-
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
2090 US Highway 70
Swannanoa, NC 28778
(828) 2964500
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
6114INGTON REGIONAU.OFFICE WiLMiHGTON REG10NAt;�OF1~1!
943 Washington Square Mall 127 Cardinal Drive Extension
Washington, NC 27889 Wilmington, NC 28405-2845
[phone] [phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone] -
"To p eserve, pmfect
:,'.and enhance
Mario Carolina's seater..."
SWU-250NCG16-051709