NCG160175_MONITORING INFO_20180220

r
4
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
Iv D '76
DOCTiPE
❑HISTORICAL FILE
[� MONITORING REPORTS
❑ � � I U � o�
YYYYMMDD
DOC DATE

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year: 2017
Individual NPDES Permit No. NCS ❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCG 160 175
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: APAC Atlantic, Inc. Plant # 13
County: Davie County
Phone Number: [phone] Total no. of SDOs monitored: 1
'R ARE
'Eg 2 0 09
7
Outfall No. 001
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ® RECEIVED
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? FEB 21 2018
Enough consecutive samples below benchmarks to decrease frequency ❑ CENTRAL FILES
Received approval from DWQ to reduce monitoring 'Frequency ❑ DWR SECTION
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Parameter, units
Total
Rainfall,
inches
Total
Suspended
Solids mgll
Benchmark
Date Sample
Collected,
mmlddlyy
NIA
100
5/21/16
0.6
<0.40
10/23117
1.1
No Flow
SWU-264-Generic-I3Dec2012

s-
J
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."
Signature [�
Date _2/14/18
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASIIEVILLE 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
,jNVASHINGTON REGIONAL OFFICE
'VVILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
(919) 79 l -4200
[phone]
[phone]
INSTON-SALEM REGIONAL OFFICE
CENTRAL OFFICE
1617 Mail Service Center
^To preserve, protect
585 Waughtown Street
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
and enhance
[phone]
[phone]
_ _ ' Nail?) Carolina's water..."
SWU-264-Generic-13Dec2Q12

RECEIVED
JUL 2 a qte
CENTRAL FILES
DWR SECTION
Semi-annual Stor_mwater Discharge Monitoring Report (DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted 06/21/2017
CERTIFICATE OF COVERAGE NO. NCG160175
FACILITY NAME: APAC Atlantic, Inc. Plant #13
COUNTY: Davie
PERSON COLLECTING SAMPLES: Bill Sorrell
LABORATORY: Prism Lab Cert. # 402
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ® Jan -June ❑ July
or ❑ Monthly' (month'
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other: Cedar Creek
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
❑ 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 50 mg/L'
001
05/21/2017
0.6
BRL
' 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.
' 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 rei3orted 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 Ter 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results- only for facilities averaging > 55 gal cf new oil per month.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

n No discharge this period?'
Outfall No.
Date Sample
Collected'
jmo/dd/ rj
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (%T-HEM)Total
Suspended Solids
Benchmarks
15 mg/L
100 mg/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 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 ATTHE 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:
Moil an oriainal and one coov of this AMR. includina oll "No Aischorae" resorts. within 30 days of receipt of the tab results for at end of monitorina period
in the case of No Aischarae" 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."
acy-Li �� 1-1D
(Signature of Permittee) (Date)
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

/Kpc::l: i RIsm
mvLA MATORIES M
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 # 13
Lab Submittal Date: 05/24/2017
Prism Work Order: 7050416
Case Narrative
05/31 /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__J
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 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 1 of 5

�nlR n A l Full-Servlce Analytical &
rr�� ' V' I Environmental Solutlana
- ueon�ioe�a, wc.
Sample Receipt Summary
05/31/2017
Prism Work Order: 7050416
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Outfall #1
7050416-01 Water 05/21/17 05/24/17
Samples were received in good Condition at 2.3 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 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529.6364 - Fax: [phone]' Page 2 of 5

Laboratory Report
�Full-service Analytical 8
RR_ ISM I Environmental Solutions
05l3112017
uoduma�a Inc
El Group, Inc. - Morrisville
Project: APAC Stormwater Testing
Client Sample ID: Outfall #1
Attn: Josh Dunbar
Prism Sample ID: 7050416-01
2101 Gateway Center Dr Ste. 200
Project No.: Plant # 13
Prism Work Order: 7050416
Morrisville, NC 27560
Sample Matrix: Water
Time Collected: 05/21/17 19:15
Time Submitted: 05/24/17 08:20
Parameter Result Units Report MDL
Dilution Method Analysis Analyst Batch
Limit
Factor Date/Time 10
General Chemistry Parameters
Total Suspended Solids BRL
mg1L 2.5 0.40
1 'SM2540 D 5124117 15:41 SLS P7E0460
This report should not he 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: [phone] Page 3 of 5

Fun -service Analytical a
1�P RLS M i Environmental Solutions
,
El Group, Inc. - Morrisville
Attn: Josh Dunbar
2101 Gateway Center Dr Ste. 200
Morrisville, NC 27560
General Chemistry Parameters - Quality Control
Project: APAC Stormwater Testing
Project No: Plant # 13
Level II QC Report
5/31/17
Prism Work Order: 7050416
Time Submitted: 5/24/2017 8:20:OOAM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P7EO460 - NO PREP
Blank (P7E0460-BLK1 ) Prepared & Analyzed: 05124t17
Total Suspended Solids BRL 5.0 mg1L
LCS (P7E0460-BSI) Prepared & Analyzed: 05/24117
Total Suspended Solids 500 5.0 mg1L 477.0 104 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 28224-0543
Phone: [phone] - Toll Free Number: 1-800I529-6364 - Fax: [phone] Page 4 of 5

f Full -Service Analytical &
�n
I S f V l I Environmental Solutions
fiiLAa01a,4TORIES, INC.
?A
a
,a
449 Springbrook Road - Charlotte, NC 28217
Phone [phone] - Fax:[phone]
Client Company Name:-jr-�'�►W iAii
Report To/Contact Name: _11 L4 9&Nr_ to
Reporting Address: ` L
1b+sylilf tq�c,
CHAIN OF CUSTODY RECORD
PAoE_ of QUOTE p{T,D ENSURE PR PER BI L97 r
Project Name: �r��i �J/Jl.�
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
`Please ATTACH any project specific reporting (QC LEVEL 1 II III IV)
provisions andlor QC Requirements
Invoice To.•
Address:
Phone: - Fax (Yes) (No):3ZL- 411E L S8B �jrh V ► 7e� j
Purchase Order NoJBiliing Reference �.
Email Address: _ (J; ' r-6' I L La. -- Requested Due Date ❑ 1 Day 0 2 Days d 3 Days ❑ 4 Days O 5 Days
EDD Type: PDF�2LExcel_Other "Working Days" © 6-9 Days jk Standard 10 days 0 P e AWork dust Be
Site Location Name: n I, Samples received after 14:00 will be processed next business day.
Site Location Physical Address: I ZI ittA _rS.4L Turnaround time is based on business days, excluding weekends and holidays.
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Certification: NELAC DOD FL NC
SC OTHER NIA
Water Chlorinated: YES— NOAI^
Sample Iced Upon Collection: YES ND
CLIENT
SAMPLE DESCRIPTION
DATE
COLLECTED
TIME
COLLECTED
MILITARY
HOURS
MATRIX
(SOIL,
WATER OR
SLUDGE)
SAMPLE CONTAINER
PRESERVA•
TES IV
ANALYSIS REQUESTED
REMARKS
{��
PRISM
LAB
tD NO.
*TYPE
SEE BELOW
NO.
SIZE
Sampler's S' al Sampled By
(Print Name) Torft Affiliation /!-•• fV•
Upon retinquishi g, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
submitted in wrjfing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized.
FReOnquls cure y .,�p� y. t ignature � (D)ia//e Amy ours Additional Comments
-3 1 Z.i✓1/ ... f Lt
��/�i_hed . (SI heraj v Receive y; (Si nature)Date
Reli uia a SI na u ec For risen relari
y ( 6 Y ale
Method of Shipment: NOTE-. A SAMPLE COOLERS SHOULD B APED SHU C 5 Y S£ALS OR N P R A ON TO THE LABORA CDC Group o.
SiS
rSlte t]epatttJr6 Tltni# rr f
Field T@ch,Fee r f r- , ��r
r:; cr rr,
�g
SAS ARE NOT ACCEPTED AND VERI ED 7 COC U ECEIV" THE LABORATORY.
❑ Fed Ex ❑ U Hand�elivered ❑ Pdam Field Service Other 1 t`—' �" [ t�L.� 1. ��� • `
NPOES: UST: GROUNDWATER: NKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
ElNC ❑ SG El NC ❑ SC U NC ❑ SC o NC ❑ SC
NC ❑ SC o NC ❑ SC NC 0 SC U NC ©SC ❑ NC O SC
1711 ©
hRICyiNA!
"CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)

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 160 175
This monitoring report summary of the calendar year should he kept on file on -site with the facility SPPP.
Facility Name: APAC Atlantic, Inc. CPlantA 3'_..'
County: Davie County
Phone Number: [phone] Total no. of SDOs monitored: 1
Outfall No. 001
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
pH
Standard Units
Total Petroleum
Hydrocarbons, mgll
EPA Method 1664
SGT-HEM
Benchmark
N/A
100
Within 6.0 - 9.0
15
Date Sample
Collected,
mmlddlyy
2126/2013
1
NA
8
ND
9121/2013
0.5
5.8
7
< 5.0
SW U-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 j
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
FAVETTEVILLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 29779
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mail
127 Cardinal Drive Extension
Raleigh. NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
(910) 796T-7215�
WINSTON-SALEM REGIONAL OFFICE
CENTRAL OFFICE
u yT
585 Waughtown Street
1617 Mail Service Center
^To preserve. prolecl
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
andenharrce
[phone]
[phone]
_ North Carolina's waler..."
SW U-264-Generic-13DeQ012

iir
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2010
General Permit No. NCG160000
RECEIVEfl
N.C. Deot. W PJ-
MAR 0 1 2011
Winston"Salerr.
Regional Office
Certificate of Coverage No. NCG1604-2B �
t't5
This monitoring report summary is due tot"'/
t a 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 #13 Mocksville, NC
County: Guilford
Phone Number: [phone]
Total no. of SDOs monitored: 1
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
00556
Vehicle
Maintenance
Activities
TSS, mg/L
pH, s.u.
Oil &
Grease,
mg/L
New Motor Oil
Usage,
gal/month
Benchmark
N/A
100
6.0 — 9.0
30
N/A
Date Sample Collected,
molddlyr
02/22/2010
0.3
221
6.9
ND
NA
08119/2010
1.5
33.9
6.5
ND
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
Date 0-a8l1
Mail Annual DMR Summary Reports to:
DWQ Reaional Office Contact Informatinn:
Asheville Office ......
[phone]
i=ayettevilfe Office
... [phone]
Mooresville Office
... [phone]
Raleigh Office ........ [phone]
Washington Office
...[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
ASHEVII,Lf RI GIONAL�OEICE;
FAYETTIEV(LI.EwREGitONALQFFICE
I LI.g,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]
RALEIGHREGIONAL QIFICE
WASHiNGTLONREGIONAL OFFICE
REGIONA INIs OFFICE V1'ILMGTON
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
I
W1NS'TON SAEEM Rkd QN
C_ENI`RAL;OFEIECE
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
"7oAieserv" protect
end'ertharlee
North Cardihn 's'svater
SWU-250NCG16-051709