NCG160123_MONITORING INFO_20180424

I
STORMWATER DIVISION CODING SHEET
NCG PERMITS
f
PERMIT NO. l 3
DOC TYPE C1 HISTORICAL FILE
MONITORING REPORTS
DOC DATE I ❑ r)UI p C)����"1
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted May 18, 2018
CERTIFICATE OF COVERAGE NO. NCG160123
FACILITY NAME APAC Atlantic, Inc. Plant_#11
COUNTY Guilford
PERSON COLLECTING SAMPLES Josh Sorrell
LABORATORY ENCO Lab Cert. # 591
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)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
®Other Long Branch
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period ?2
Outfall No:
-AVTotal
pate Sample .
Collected)
(mo/dd/yr) ��:
' 24-hour rainfall
amount,
Inches3
Suspended Solids
Benchmarks = -
_ =
_
f `100 mg/L or 50 mg/La.�
001
04/24/2018
0.75
38
002
04/24/2018
0.75
2.6
003
04/24/2018
0.75
< 2.5
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 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?"
-Outfall No.
DateSample
Coilectedi
(ima/dd%yr)
24-hour:rainfall
amount;
;inches ..
Non -polar O&G_by EPA.:
1664 (SGT+EM)
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 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 covv of this DMR, includina all "No Discharae" reports. within 30 days of receipt of the lab results for at end of monitorina veriod
in the case of "No Dischorae" 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 designer) 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,"
05 18 208
(Signature of Permittee) (Date)
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

(r_-- „CCR` ENCO Laboratories -
Accurate. Timely. ..responsive, Innovative.
102-A Woodwinds Industrial Court
Cary NC, 27511
Phone: [phone] FAX: [phone]
Friday, May 4, 2018
EI Group, Inc. (TH005)
Attn: Doug Albrecht
2101 Gateway Center Blvd,, Suite 200
Morrisville, NC 27560
RE: Laboratory Results for
Project Number: [none], Project Name/Desc: APAC Plant 11
ENCO Workorder(s): CB01686
Dear Doug Albrecht,
Enclosed is a copy of your laboratory report for test samples received by our laboratory on
Wednesday, April 25, 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,
Bill Scott
Project Manager
Enclosure(s)
FINAL This report relates only to the sample as received try the laboratory, and may only be reproduced In full. I Page 1 of

=11 CM
www.encolabs.com
SAMPLE SUMMARY/LABORATORY CHRONICLE
Client ID: 001 Lab ID: C801686-01 Sampled: 04/24/18 08:00 Received: 04/25/18 11:42
Parameter pis-ty-p Hold DatelTime(s) Prep DatelTime(s) Analysis Date/Time(s)
SM 2540D-1997 NO PREP 05/01/18 05/01/18 15:35 05/01/18 15:35
ClientI1): 002 Lab ID: CB01686.02 Sampled: 04/24/18 11:00 Received: 04/25/18 11:42
Parameter Preparation Hold Date/Time(s) Prep Date/Time(s) Analysis Date/Time(s)
SM 254OD-1997 NO PREP 05/01/18
05/01/18 15:35 05/01/18 15:35
Client ID: 003 Lab ID: C601686-03 Sampled: 04/24/18 11:05 Received: 04/25/18 11:42
Parameter Preparation Hold DatelTime(s) Prep DatelTimefs) Analysis DatelTimefs)
SM 254OD-1997 NO PREP 05/01/18
05/01/18 15:35 05/01/18 15:35
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In Tull. I Page 2 Of 7

www.encolabs.com
SAMPLE DETECTION SUMMARY
Client ID: 001
Lab ID:
CB01686-01
AOalyte
Results fibs rigs
iQb
Un;ts Method Notes
Total Suspended Solids
38 5.0
5.0
mg/L. SM 2540D-1997
Client ID: 002
Lab ID:
CB01686-02
Analvte
ResulL5 %ii9 M26
E"
ULM Metho Notes
Total Suspended Solids
2.6 2.5 2.5 mg/L SM 251OD-1997
FINAL
This report relates only to the sample as received by the laboratory, and may only be reproduced in full, Page 3 Of

www.encolabs.com
ANALYTICAL RESULTS
Description: 001 Lab Sample ID:CB01686-01
Received: 04/25/18 11:42
Matrix: Water Sampled:04/24/18 08:00
Work Order: CB01686
Project: APAC Plant 11 Sampled By: CLIENT
]Classical Chemistry Parameters
^ - ENCO Cary -it led a-Ve (NC 591 j
Analyte fCAS Numbe Results ftI
knilla
DF MDL POL Batch
Method Aiialyze4i Ay Notes
Total Suspended Sollds^ 38
mg/L
2 5.0 5.0 BE01002
SM 2540D-1997 05/01/18 15:35 OMR
Description: 002
Lab Sample I D: CB01686-02
Received: 04/25/18 11:42
Matrix: Water
Sampled.04/24/18 11:00
Work Order: CB01686
Project: APAC Plant 11
Sampled By: CLIENT
Classical Chemistry Parameters
^ - ENCO Cary CEWIfled analyre (NC 5911
Analyte rCAS Numberl Resul Flag
Units
PE MDL POL Batch
Method Analyzed BY Notes
Total Suspended Solids^ 2.6
mg/L
1 2.5 2.5 8E01002
SM 2540D-1997 05/01/18 15:35 OMR
Description: 003
Lab Sample ID: CB01686-03
Received: 04/25/18 11:42
Matrix: Water
Sampled:04/24/18 11:05
Work Order: CB01686
Project: APAC Plant 11
Sampled By: CLIENT
Classical Chemistry Parameters
^ - ENCn Cary c-jAcd analyte (NC 5911
Analyte rCAS Numberl RP<ulrc EL49 5lnits I7E MQL P" Batch Method Aid 1W Note
Total Suspended Solids^ ND mg/L 1 2.5 2.5 8E01002 SM 2540D-1997 05/O1118 15:35 OMR
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. I Page 4 Of

QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch SE01002 - NO PREP
Blank (SE01002-BLKI) Prepared & Analyzed: 05/01/2018 15:35
Spike Source %REC RPM
Analvte Result F.lal P-4L Units Level Result %REC Lill RPD im" Notes
Total Suspended Solids 2.5 u 2.5 ml
LC5 (8E01002-il Prepared & Al 05/01RO18 15:35
Spike Source %REC
RPD
Analvte
Result flag
PM
units
Level Result %REC Limits
RPD
Limit Notes
Total Suspended Solids
88
2.5
mg/L
100 88 80-120
Duplicate (8E01002-DUP1)
Prepared & Al 05/01/2018 15:35
Source: CB01514-01
Spike Source %REC
RPD
Awn ly
Rgsul Flag
PAL
1l
Level Result %REC Limits
RPD
MOIR Notes
Total Suspended Solids
53
10
mg/L
57
7
20
Duplicate (BE01002-Dt1P2)
Prepared & Analyzed: 05/01/2018 15:35
Source: CB01690-01
Spike Source %REC
RPD
AnalvtC
Result Flag
ROL
Units
Level Result %REC lli
RPD
LM11 Notes
Total Suspended Solids
100
12
mg/L
110
0.5
20
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 5 Of 7

FLAGS/NOTES AND DEFINITIONS
B The analyte was detected in the associated method blank.
D The sample was analyzed at dilution.
J The reported value is between the laboratory method detection limit (MDL) and the laboratory method
reporting limit (MRL), 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 quantitation 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 samples, moisture content.
PQL PQL: Practical Quantitation Limit.
N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater
confidence) to make a "tentative identification".
Greater than 25% concentration difference was observed between the primary and secondary GC column.
The lower concentration is reported.
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. r Page 6 of 7

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Sample Chain of Custody Form
Acct#: TH005 Prelog #: C601686
Client El Group, Inc, (TH005) Proiect#;Reference: APAC Plant 11
Contact: Doug Albrecht Required TAT: 10
Ship To: 2101 Gateway Center Blvd., Suite 20
Morrisville, NC 27560
Report To: 2101 Gateway Center Blvd., Suite 20
Morrisville, NC 27560
C801686-011_ Z j r: t 1 00,1,
j7_Ltjjt COZ_-
it :D 5 Gx:>
sampled y: rrTTf3'
Condition. ZACCOPtable —Unacceptable
ENCO Contacl, Bill Scott
102-A Woodwinds Industrial Caurl
Gary, NC 27511
Morrisville, NC 27560
Analyses: TSS SM2540D
Containers: 1 - 11.P
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contarl ycwl ergtaniratsan's safely protelsional
Cavllons & Abbreviations
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NaHSO•t ; Sodium Treoslilla;e ea a
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RECEIVED
JUL 2 0 201Y
CENTRAL FILES
DWR SECTION
Semi-annual Stormwater Discharge Monitoring Report (DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted 04/21/2017
CERTIFICATE OF COVERAGE NO. NCG160123 SAMPLE COLLECTION YEAR 2017
FACILITY NAME: APAC Atlantic, Inc. Plant #11 SAMPLE PERIOD ® Jan -June ❑ July -Dec
COUNTY: Guilford or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES: Josh Sorrell DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY: Prism Lab Cert. # 402 ❑Zero -flow ❑Water Supply []SA
Comments on sample collection or analysis: ®Other: Lone Branch
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Total Suspended Solids
Benchmarks =_>
-
-
100 mg/L or SO mg/0
001
04/19/2027
0.12
12
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 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 mk/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 1, 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: 1011/2014-9/31/2019 5WU-252, last revised 9/17/2014
Page 1 of 2

n No dischome this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
2664(SGT-HEM)
Total Suspended.Solids
Benchmarks =a
-
15 mg/L
100 mg/L or SO mg/V
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 EXCFEDANCE 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 ortainal and one coov of this DMR. fncludina all "No Discharge" reports. within 30 days of receipt of the tab results for at end of monitorina 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.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permitteee {Date}
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

/CID'RISM
WU WRAToair s, we
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 Stormwater Testing
Project No.: Plant # 11
Lab Submittal Date: 04/21/2017
Prism Work Order: 7040414
Case Narrative
05/01/2017
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 end of this case
narrative.
Please call if 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:
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
Reviewed By Terri W. Cole For Angela D. Overcash
Project Manager
* 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 or Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Fro* Number: 1-0001529-0354 - Fax: [phone]-M9 Page 1 of 5

o, \
Sample Receipt Summary
aP R S M Full -Service
� y d&
Environmental Solutions 05/01/2017
O.weaaro«,ea ��
Prism Work Order: 7040414
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Outfall 1
7040414-01 Water 04/19/17 04/21/17
Samples were received in good condition at 1.9 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-800/629-6364 - Fax: 704152b-0409 Page 2 of 5

AP
aFull-Sarvlca Analytical 8
M I Environmental Solutions
Laboratory Report
05/01 /2017
El Group, Inc. - Morrisville
Project: APAC Stormwater Testing
Client Sample ID: Outfall 1
Attn: Josh Dunbar
Prism Sample ID: 7040414-01
2101 Gateway Center Dr Ste. 200
Project No.: Plant # 11
Prism Work Order: 7040414
Morrisville, NC 27560
Sample Matrix: Water
Time Collected: 04/19/17 10:35
Time Submitted: 04/21/17 16:40
Parameter
Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Daterrime ID
General Chemistry Parameters
Total Suspended Solids
12 mg1L 3.8 0.80
1 'SM2540 0 4/26117 15:14 SLS PID0413
This report should not be reproduced, except in its entirety, without the written Consent of Prism Laboratories, Inc.
449 Spring brook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001629-6364 - Fax: [phone]-W9 Page 3 of 5

1 `
Q c� L I S A /I I Feuironm ri al Solution a
� �/ � Environmental Solutions
El Group, Inc. - Morrisville
Attn: Josh Dunbar
2101 Gateway Center Dr Ste. 200
Morrisville, NC 27560
General Chemistry Parameters - Quality Control
Analyte
Project: APAC Stormwater Testing
Project No: Plant # 11
Level II QC Report
5l1117
Prism Work Order: 7040414
Time Submitted: 4/21/2017 4:40:OOPM
Reporting Spike Source %REC RPD
Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P7DO413 - NO PREP
Blank (P7D0413-BLKI) Prepared & Analyzed: 04/25/17
Total Suspended Solids BRL 5.0 mg/L
LCS (P7D0413-BSI) Prepared & Analyzed: 04/25/17
Total Suspended Solids 470 5.0 mg1L 477.0 96 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 28224-0643
Phone: [phone] -Toll Free Number: 4-0001529-6364 - Fax: [phone] Page 4 of 5

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R I S M CHAIN o� cus�o©v �Eco�o
� � r Full -Service Analytical &
Environmental Solutions PAGE_I„ OF _L_ QutTPE a To ENSURE PROPER BILLINO:
.�uaoruroaies, wc.
Project Name:
ale Sprone 704152 Roars •Charlotte, NC 2809 Short Hold Analysis: (Yes} (No) UST Project: es (NO)
Phone [phone] •Fax: [phone]U9 (Yes)
'Please ATTACH any project specific reporting (QC LEVEL 1 II III IV)
Client Company Name: ,� �Cyrrz+p - provisions andlor QC Requirements
T,��t�f-
Report To/Contact Name: Yl i
Invoice To -
Reporting Address: -~ " / /v Address:
Phone: Fax (Yes) (No): urcllase Order No.18111ing Reference
Email Address: _ i e lu n bn rrP r-i mil- - c e-r , Requested Due Date ❑ 1 Day ❑ 2 Days 0 3 Days ❑ 4 Days ❑ 5 Days
EDO Type: PDFrExcel Other Gush work Must Be
Y wlrorking Lays„ ❑ tr9 Days ❑ Standard i0 days ❑ Pre -Approved
Site Location Name: Samples received after 14:00 will be processed next business day.
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Certification: NELAC DOD FL NC
Sc OTKER N/A
Site Location Physical Address:._ /7P CLlt!__�2'ti7> Turnaround time is based on business days, excluding weekends and holidays.
(SEE REVERSE FOR TERNS & CONDMONS REGARDII O SERVICES
RENDERED BY PRISM LABORATORIES. INC. TO CLIENT)
water Chlorinated: YES_ NO
Sample Iced Upon Collection: YES
NO
CLIENT
SAMPLE DESCRIPTION
DATE
COLLECTED
TIME
COLLECTED
MILRARY
HOURS
MATRIX
WATERTER OR
SLUDGE)
SAMPLE CONTAINER
PRA•
TIVES
TrVES
ANALYSIS REQUESTED
E^ / REMARKS
>� / ///
PRISM
LAB
ID NO,
'TYPE
SEE BELOW
NO.
SIZE
IL
x)
i
i
Li
Sampler's Signature Sampled By (Print Name) /mot r s� /7/vI r Affiliation _el
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 char es for any changes after analyses have been Initialized.
r
alinqu y: gn3lvre) a y. to ate
ilitary ours
j ^ r! Additional Comments:
sit Amvai Tlme
5de'D9pa0ure lime
r
Reiinquls S ura % Le oriel By. ate
MetliodoWNorront NOTE.4LrSAMPLEJCO0LER8 SHOULD APED lrT WITH C OD FALS FOR NS N TATIOTHE LABORATORY. p NO.
Field Tech Foe:
SAMPLES ARE NOT ACCEPTED AND VERIFrEPAGAIN$T CDC U RECEIVBDAT THE LABORATORY
2 (J 11f
P Fed Ex 0 UPS ❑ tand'deivered Field Service ❑ Other V
DRINKING SOLID WASTE. LANDFILL❑
SWAYER. I L3 NC El SC
El NC Q SC� ❑ NC El SC NC ❑ SICTER ❑ C SC ❑ NC ❑ SC
I n NBC ❑ 5C ❑ NC El5G I ❑ NC
TERMS & CONDITIONS
n
"CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)
081GINAL.

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted o5/18/2016 �Oz,
CERTIFICATE OF COVERAGE+NO. NCG160123
FACILITY NAME: APAC Atlantic, Inc. Plant #11
COUNTY: Guilford
PERSON COLLECTING SAMPLES: Josh Sorrell
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' mon h
DISCHARGING TO CLASS ❑ORW ❑HCIW ❑Trout EN�A
00
❑Zero -flow ❑Water Supply ❑SA7.
®Other:_ Lone Branch
PLEASE REMEMBER TO SIGN ON THE REVERSE --)
❑ No discharge this period?'
outfall No.
Bate Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Total Suspended Solids
Benchmarks ===a
_
-
100 mg/L or 50 mg/O
001
D5/03/2016
0.5
14
002
05/03/2016
0.5
14
003
05/03/2016
0.5
<2.5
RECE V ED
MAY 2 0 2016
CENTRAL FILES
DN/R SECTION
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 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 S, 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)
24hour 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/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 anginal and one copy of this DMR, including-all_"No Discharge" reports, within 30 days of receipt of the lob results (or at end of monitoring period
in the case of "No Dischar e" 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/l/2014-9/31/2019
S-L U-Fb
(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 NPDES Permit No. NCS ❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCG 160 123
This monitoring report summary of the calendar year should be kept on file on -she with the facility SPPP.
Facility Name: APAC Atlantic, Inc. (Plant,# 11
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 21
Was this outfail ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No IZ
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 mg/1
pH
Standard Units
Total Petroleum
Hydrocarbons, mgll
EPA Method 1664
(SG -HEM)
Benchmark
NIA
100
within 6.0. 9.0
15
Date Sample:
Collected,
mmfddiyy
K,�, .vr-
x s^.
`r__�
.� �
"�. z _
w
,
2/26/2013
0.8
6.4
7.9
ND
8/19/2013
0.17
<10
6.8
<5.0
5W U-264-Generic-13 Dec2012

Additional Outfall Attachment
Outfall No. 002
Is this outfall currently in Tier 2 (monitored monthly)? Yes El No M
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 El
Received approval from DWQ to reduce monitoring frequency F1
Other El
Was this SDO monitored because of vehicle maintenance activities? Yes E] No 0
Total
Rainfall,
inches
Parameter, (units)
Total
Suspended
Solids mg1I
pH
Standard Units
Total
Petroleum
Hydrocarbons,
mg/I
EPA Method
1664 (SGT-
HEM)
Benchmark
NIA
100
Within 6.0 - 9.0
15
Date Sample
Collected,
mm/dd/yy
A011
2/26/2013
0.8
6.8
8.2
6.8
8/19/2013
0.17
<17
6.9
< 6.9
SWU-264-Generic-1 3Dec2012

Additional Outfall Attachment
Outfall No. 003
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 mgl!
p H
Standard Units
Total
Petroleum
Hydrocarbons,
mg/1
EPA Method
1664 (SGT-
HEM
Benchmark
N/A
100
Within 6.0. 9.0
15
Date Sample
Collected,
mmlddiyy
2/26/2013
0.8
11
8.1
6.7
8/19/2013
0.17
< 12
6.9
< 5.0
SWU-264-Generic-13Dec2012

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
Date I ;1 -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]
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
943 Washington Square Mall
127 Cardinal Drive Extension
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
CENTRAL OFFICE
1617 Mail Service Center
°To preserve, protect
Raleigh, NC 27699-1617
and enhance
[phone]
North Carolina's water..."
SWU-264-Generic-13Dec2012

7M;A;R
VED
of SNP
i
STORMWATER DISCHARGE OUTFALL (SDO) 2011'
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) wins,cr-sa,q.-
Calendar Year 2010 �eg:ona!(?i`�r_
General Permit No. NCG160000
Certificate of Coverage No. NCG 160123
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 final sample of the calendar year.
Facility Name: APAC Atlantic, Inc, Plant #11 Greensboro, NC
County: Guilford
Phone !Number: [phone] Total no. of SDOs monitored: 3
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 0 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
00666
Vehicle
Maintenance
Activities
TSS, mglL
pH, sm.
Oil &
Grease,
mg/L
New Motor Oil
Usage,
gallmonth
Benchmark
N/A
100
6.0 - 9.0
30
N/A
Date Sample Collected
moldd rrc�y�
a°
7F
4}t
4�
F ��
n
•`'s
s�
, �'
ey
02122/2010
0.5
408
6.6
ND
NA
0610112010
0.5
9.3
cNot ollected
Collected
NA
SWU-250NCG16-051709

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
00400
00666
!Vehicle
Maintenance
Activities
TSS, mg1L
pH, s.u.
Oil &
Grease,
mglL
New Motor Oil
Usage,
gallmonth
Benchmark
N/A
100
6.0 - 9.0
:.. 30
N/A .
Date Sample Collected,
molddtyr
,r t
� ,,
r b
sz� vM
a
w
> n,
02/22/2010
0.5
654
6.6
ND
NA
06/0112010
0.5
10.3
Coll) cted
Collot ected
ted
NA
SWU-25ONCG16-051709

0
Additional Outfall Attachment
Outfall No. 003
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 003
Total Rainfall, inches
00530
00400
00556
Vehicle
Maintenance
Activities
TSS, mg/L
pH, s.u.
oil &
Grease,
mglL
New Motor Oil
Usage,
gal/month
Benchmark
NIA100
..
6.0 -��910
30
NX
Date Sample Collected/
�J
molddlyrc+
' n ! '' u
u..'L ,h.. c y.. � �t
"ri^ h9Ak�i
02/22/2010
0.5
292
6.4
ND
NA
06101120/0
0.5
9•3
CoNot e ted
Cone Not ted
NA
SWU-25ONCG16-051709

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�J1
Date r7(-
Mail Annual DMR Summary Reports to:
DWQ Rerlionai 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
[phone]
3800 Barrett Drive
Raleigh, NC 27609
(919) 7914200
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
FA_Y_ ET E_YML E',REGIQiVALwOFE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
'To Praserve PM(ed
and enhawe
North Ceroliha's ►vater.-."
SWU-25ONCG16-051709