NCG140081_MONITORING INFO_20190509

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v C& Jy 0'DY
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ CidJVV)C2*
YYYYMMDD

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1
FACILITY NAME: Chandler Concrete Piedmont - Reidsville Pit #104
PERSON COLLECTING SAMPLES:
RECEIVED
CERTIFIED LABORATORY:Pace Analytical Lab #633
MAY 0 8 2019
LIMIT VIOLATIONS? YES ❑ NO ®
CENTRAL FILES
DVVR SECTION
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2019
SAMPLE QUARTER: ®Jan -March
COUNTY: ROCKINGHAM
PHONE NO. [phone]
1 QTR
0 { Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
❑April -June ❑Jul -Sept ❑Oct -Dec
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: WS-III, NSW
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MDJ z
pH
{standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
Non -Polar
Oil & Grease
using method
16545GT-HEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
{gallons/day)
-
6-93,4
303,5
53
(15)6
-
-
2
NO FLOW
VE RM MD
N/A
N/A
3
NO FLOW
VE RM MD
N/A
_N/A
No Discharge this Period -
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD), Report more
than one type if the waste -stream is commingled.
'If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff notifies you to
continue monitoring.
" pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TS5limits are 20 mg/L for wastewater discharges to HQW waters,10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
a Process wastewater discharges shall only be monitored forTPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to
benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 1SA NCAC 02B .0224. Permittees
who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the
discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

MAIL ORIGINAL AND ONE „COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN 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 Wsubmitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
¢ z 7
(Date)
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
4 QTR
0' Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 0 0 81 SAMPLE COLLECTION YEAR:
FACILITY NAME: Chandler Concrete Piedmont- Reidsville Pit #104 SAMPLE QUARTER: ❑Jan -March ❑April -June ❑Jul -Sept ®Oct -Dec
PERSON COLLECTING SAMPLES: COUNTY: ROCKINGHAM
CERTIFIED LABORATORY:Pace Analytical Lab #633 REC,EIV HONE NO. [phone]
ADD TO LISTSERVE? []YES ®NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® JAN 2 3 2019 DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: WS-II}, NSW
Part A: Wastewater Monitoring Requirements
CENTRAL FILES OPTIONAL INFO:
DWR SECTION
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD) z
pH
(standard)
TotalSuspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
Non -Polar
Oil &Grease
using method
16645GT-HEM6
(m9/L)
Discharge
Duration
(minutes)
Total Flow
{gallons/day)
-
-
6-934
3435
53
(15)6
-
-
2
12/21/18
VE RM MD
7.8
24.5
ND
N/A
180
N A
3
12/21/18
VE RM MD
8.1
18.2
ND
N/A
180
N/A
Discharge was result of rain event. - SW comingles with Process Water
If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles I RMj, Mixing Drum Cleanout (MD). Report more
than one type 4 the waste -stream is commingled.
'If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff notifiesyou to
continue monitoring.
" pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg1L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 rng/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to
benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees
who discharge wastewater to HQW waters shalt obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the
discharge location, the permittee skull notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLUOR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW') TO:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN 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 Pena (ties f or submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of i(P-Aittee)
Permit Date: 8/1/2017-06/30/2022
J-�-- o
( te)
Last Revised 07/27/17
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO] - Semi -An
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 U U 81
FACILITY NAME: Chandler Concrete Piedmont - Reidsville #104
PERSON COLLECTING SAMPLES: Philip Motsinger
CERTIFIED LABORATORY:Pa-ce_Analytical Lab #633
OPTIONAL INFO:
Part A. Stormwater Monitoring Requirements
al MONITORING FORM
NOV 062018
SAMPLE COLLECTION YEAR: 2018 CENTRAL FILES
�Jci ;Y
SAMPLING PERIOD: ❑July-Decembenr R � ❑Jainnuar�' ry-June
COUNTY Rockingham
PHONE NO. [phone]
Orig - State
0 Copy - State
0 Copy - Winston
0 Copy - Plant
0 Copy - File
ADD TO LISTSERVE? DYES ®NO EMAIL: _
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: WS-111 / NSW
Date Sample
cl
Collected
pH
7SS
Total
In Tier 2
ft of Months in
Outfall No.
/lest
m
(Standard Units)
(mg/L)
Rainfall'
Monthly Monitoring?
Tier 2
NO FLOW)1
(in)
(y/n)
Sampling
-
-
6-92
1002,3
_
1
8/1/18
7.2
11.0
3.25
N
N/A
Discharge due to storm event. -
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than
one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff notifies you to continue
monitoring,
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwater
5 TSS limits are 20 mg/Lfor wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VIVA areas. TPH does not have a limit for wastewater, but instead is subject to
benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 5C% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees
who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the
discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Permit Date:8/1/2017-06/30/2022
Last Revised 07/27/17
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Non -Polar Oil &
In Tier 2
Outfall
Date Sample
PH
Grease using
Total Suspended
Event
Total
New Motor Oil
Monthly
# of Months in
No.
Collected
(Standard
method
Solids
Duration
Rainfall'
Usage
Monitoring?
Tier 2
(mo/dd/yr)l
Units)
1664 SGT-HEM
(mg/L)
(minutes)
(in)
(gal/month)
(y/n)
Sampling2
(mg/L)
6-9Z
151
100",
-
-
-
N/A
*Vehicle Maintenance Not Performed at this Locatio
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (includine all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitorine Deriod in
case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"l certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penotZs for submitting false information, including the possibility of fines and imprisonment for knowing violations."
v
re of Permittee)
Permit Date: 8/1/2017- 6/30/2022
/a /" A
{ ate}
Last Revised 7/27/18
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1 SAMPLE COLLECTION YEAR:
FACILITY NAME: Chandler Concrete Piedmont - Reidsville Pit #104 SAMPLE QUARTER: ❑Jan -March
PERSON COLLECTING SAMPLES: COUNTY: ROCKINGHAM
CERTIFIED LABORATORY:P_ace Analytical Lab #633 PHONE NO, [phone]
ADD TO LISTSERVE? DYES ®NO
LIMIT VIOLATIONS? YES [:]NO
Part A: Wastewater Monitoring Requirements
3QTR
Orig - State
0 Copy -- State
0 Copy - Winston
0 Copy - Plant
0 Copy - File
❑April -June ®Jul -Sept ❑Ott -Dec
EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: WS-III, NSW
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD}z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
Non -Polar
Oil & Grease
usingmethod
.16645GT--HEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flaw
(gallons/day}'
-
-
6-93 a
303,5
5a
(15 )6
-
2
8/1/18 i
VE RM MD
7.2
11.0
ND
N/A
125
N/A
3
NQD
VE RM MD
-
-
-
N/A
-
N/A
Discharge was result of rain event. - SW comingles with Process Water
If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more
than one type if the waste -stream is commingled.
If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff notifies you to
continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
' TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to
benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees
who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the
discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Permit Date:8/1/2017-06/30/2022
Last Revised 07/27/17
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: W
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN 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 sWbmitting false information, including the possibifity of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:8/1/2017-06/30/2022
/a Zf
( te)
Last Revised 07/27/17
Page 2 of 2

f,
AV"
STORMWATER DISCHARGE OUTFALL SDO - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG14 008 1
FACILITY NAME: Chandler Concrete Piedmont - Reidsville #104
PERSON COLLECTING SAMPLES: Philip MOtsinger
CERTIFIED LAaORATORY:Pace Analytical Lab #633
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2018
SAMPLING PERIOD: ®July -December ❑ January -June
COUNTY RockinRh_am
PHONE NO. [phone]
0 Orig -- State
0 Copy — State
Copy — Winston
0 Copy — Plant
0 Copy — File
ADD TO LISTSERVE? [:]YES. ®NO EMAIL: _
DISCHARGING TO CLASS: ❑SA ❑HQW [JPNA ❑Trout ®Other: WS-Ill / NSW
Date Sample
Collected
Collected
pH
TSS
Total
In Tier 2
# of Months in
Outfall No.
m rOR
(Standard Units)
(mg/L}
Rainfalla
Monthly Monitoring?
Tier 2
NO FLOW)'
(in}
{y/n}
Sampling
6-92
1001.3
1
8/1/18
7.2
11.0
3.25
N
N/A
Discharge due to storm event.
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here, Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than
one type if the waste -stream is commingled.
3 If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff notifies you to continue
rnonitorirrg.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwater
TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water, classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to
benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees
who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If tt permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the
�l• C
discharge location, the permittee shall notify DEMLR, and the DEMLR Regionai Office may require an annual flow repo case by case baSi
j '
Per mit Date: 8/1/2017-06/30/2022
G) 4"_"'
::J
Last Revised 07/27/17
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year,
�'..
"Non -Polar Oil &
In Tier 2
Outfall
Date Sample
PH
-,Grease using
Total'Suspencled
-Event .. '
Total
New Motor Oil
Monthly
# of Months in
No.
Collected
(Standard
� method '
Solids
Duration
Rainfall4
Usage
Monitoring?
Tier 2
,
.(mo/dd/yr)'
Units)
1664 SGT=HEM
(mg/Lj
(minutes)
(in)
(gal/month).,
(y/n).
Sampling z
(mg/L)
N/A
*Vehicle Maintenance Not Performed at this Locatio
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period in
case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail 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 penoths for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 8/1/2017- 6/30/2022
/a A
( ate)
Last Revised 7/27/18
Page 2 of 2

l
I
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 H 1
FACILITY NAME: Chandler Concrete Piedmont - Reidsville Pit #104
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
3QTR
0 Orig - State
0 Copy - State
0 Copy - Winston
0 Copy - Plant
0 Copy - File
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: []Jan -March ❑April -June ®Jul -Sept []Oct -Dec
COUNTY: ROCKINGHAM
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑Haut ❑PNA ❑Trout ®Other: WS-111, NSW
OPTIONAL INFO:
Outfall No.
Date Sample
Collected �
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD) z
pH
{standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
Non -Polar
Oil & Grease
using method
1664SGT-HEM6
(mg/L)
Discharge
Duration
(minutes)
'Total Flow
(gallons/day)'
-
-
6-93,4
303'5
53
(1�j)6
-
2
8/1/18
VE RM MD
7.2
11.0
ND
y �:' N A - '
125
VA ,
3
NQD
VE RM MID
-
-
-
,.N A.....
-
N/A'
Discharge was result of rain event. - SW co -mingles with Process Water
If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM, Mixing Drum Clearoout (MD). Report more
than one type if the waste -stream is commingled.
if an effluent Iirnit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff notifies you to
continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
'TSS limits are 20 mg/L for wastewater discharges to HOW waters, 10 mg/1, for Trout and PNA waters, and 30 mg/L for all other water classifications.
Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to
benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HOW waters shall beset to 50%of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees
who discharge wastewater to HOW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the
discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Per rn it Date: 8/1/203 7-06/30/2022
Last Revised 07/27/17
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN THIS CFRTIFICATION 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 Wbmitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:8/1/2017-06/30/2022
(te)
Last Revised 07/27/17
Page 2 of 2

NC Departmentcf
Environmental Quality
Received
AUj' 0 i 2PUT
Winston-Salem PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1 SAMPLE COLLECTION YEAR:
FACILITY NAME: Chandler Concrete Piedmont - Reidsville Plt #104 SAMPLE QUARTER: []Jan -March
PERSON COLLECTING SAMPLES: COUNTY: ROCKINGHAM
CERTIFIED LABORATORY:Pace Analytical Lab #633 PHONE NO. [phone]
LIMIT VIOLATIONS? YES []NO
Part A: Wastewater Monitoring Requirements
2 QT R
0 Orig — State
0, Copy — State
Copy - Winston
0 Copy — Plant
0 Copy - File
®April -June []Jul -Sept ❑Oct -Dec
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HOW ❑PNA ❑Trout ®Other: WS-III, NSW
OPTIONAL INFO:
Outfall No.
Date Sample
1
Coliected
(mm/dd/yr)
Type of Wastewater
2
(VE, ftM, MD)
pH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
Non -Polar
Oil & Grease
using method
16645GT-HEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
7
(gallons/day)
-
-
6-93,4
303,5
53
(15)6
-
2
4/24/18
VE RM MD
7.8
3.2
'AID
;` iN A„"'`''.
180
N/A
3
4/24/18
VE RM MD
7.8
5.7
ND ''; ;
`' ' , N A `..
240
N/A
Discharge was result of rain event. - SW comingles with Process Water
'If wastewater systems have not discharged in this quarter —report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more
than one type if the waste -stream is commingled.
'If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR Ro staff notifies you to
continue monitoring.
4 pH limits are 5-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 rng/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Process wastewater discharges shall only be monitored for TPH when commingled with storrowater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to
benchmarks and provisions of Part N, Section A, including the Tiered Response Actiun.
'Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224, Permlttees
who discharge wastewater to HQW waters shall obtain a 5ummer 7Q10 flow and report this Information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the
discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Per mit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (WCLUDING ALL "NO FLOW', "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW`) TO:
Division of Water Resources
Attn: DWR Central Files
1617 Mall Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN 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 formation, 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 sulj ting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permi
Permit Date:8/l/2017-06/30/2022
Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
2 QTR
Orig - State
0 Copy - State
0 Copy - Winston
0 Copy - Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1 SAMPLE COLLECTION YEAR:
FACILITY NAME: Chandler Concrete Piedmont - Reidsville Pit #104 SAMPLE QUARTER: []Jan -March ®April -June []Jul -Sept ❑Oct -Dec
PERSON COLLECTING SAMPLES: RE EI 1f EiJUNTY: ROCKINGHAM
CERTIFIED LABORATORY:Pace Analytical Lab #633 PHONE NO. [phone]
AUG 03 20VADD TO LISTSERVE? ❑YES ®NO EMAIL:
LIMIT VIOLATIONS? YES [-]NO ® CENTRAL FILE
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other: WS-III, NSW
LWR SFCTIOI\ PTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
Z
(VE. RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
Non -Polar
Oil & Grease
using method
1654SGT-HEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
-
6-93•4
303.5
53
(15),
-
2
4/24/18
VE RM MD
7.8
3.2
ND
NIA
180
N/A
3
4/24/18
VE RM MD
7.8
5.7
ND
N/A
240
N/A
Discharge was result of rain event. - SW comingles with Process Water
If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more
than one type if the waste -stream is commingled.
'If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff notifies you to
continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saitwaters.
TSS 1}mit5 are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
c Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to
benchmarks and provislons of Part IV, Section A, including the Tiered Response Action.
'Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 509/6of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees
who discharge wastewater to HOW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. if the permittee cannot obtain a Summer 70.10 flow for the receiving waters at the
discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Permit Date: S/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS_ANNUAL SUMMARY INCLUDING ALL NO FLOW", NO DISCHARGE) WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN 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 theJ' formation, 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 sut�r } sting false information, inciucl;ng the possibility of fines and imprisonment for knowing violations."
(Signature of Permi
Permit Date:8/1/2017-06/30/2022
/2,5 //�'
(D e)
Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWA, TER,; Quarterly Discharge Monitoring Report
AGES ERAljPERMIT No. NCG140000
CENTRAL FILES
CERTIFICATE OF COVERAGE NO. NCG14 0 0 81 OWR SECTION SAMPLE COLLECTION YEAR:
FACILITY NAME: Chandler Concrete Piedmont-- Reidsville Plt #104 SAMPLE QUARTER: ®Jan -March
PERSON COLLECTING SAMPLES: COUNTY: ROCKINGHAM
CERTIFIED LABORATORY:Pace Analytical Lab #633 PHONE NO. [phone]
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
1 QTR
!�
Orig - State
0
Copy - State
0
Copy - Winston
0
Copy - Plant
0
Copy - File
❑April -June ❑Jul -Sept ❑Oct -Dec
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: WS-III, NSW
OPTIONAL INFO:
Outfall No.
Date Sample
Collected 1
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD) z
pH
(standard)
Total Suspended
Solids
-(mg/L)
Settleable
Solids
(mL/L)
Non -Polar
Oil & Grease
using method
1664SGT-HEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
{gallons/day) '
-
-
-
6-93,4
303,5
53
(15)6
-
-
2
2/7/18
VE RM MD
7.5
17.3
ND
N/A
240
N/A
3
2/7/18
VE RM MD
7.5
15.4
ND
N/A
240
N/A
Discharge was result of rain event. - 5W comingles with Process Water
If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
' Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicie and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more
than one type if the waste -stream is commingled.
31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff notifies you to
continue monitoring.
"pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
'TSS limits are 20 mg/i_ for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to
benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees
who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the
discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW",,.`.NO DISCHARGE") WiTHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Resources
Attn: DWR Central Files
1617 Maid Service Center
Raleigh, !North Carolina 27699-1617
[phone]
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 penaltiet6r submitting false information, including the possibility of fines a nd imprisonment for knowing violations."
�G
(Signature of Permi e) (Da e)
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWATER = Quarterly `Discharge Monitoring' Report ..
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 02 81
FACILITY NAME: Chandler Concrete Piedmont - Reidsville Pit #104
PERSON COLLECTING SAMPLES: REOEI '
CERTIFIED LABORATORY:Pace Analytical Lab #633
FEB 0 5 2013
LIMIT VIOLATIONS? YES ® NO ❑
CENTRAL FILES
DWR SECTION
Part A: Wastewater Monitorinp, Requirements
4QTR ; .,
-0) Orig - State
Copy - State
0 ' Copy ; Winston
0 Copy - Plant
0 Copy' File
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: ❑Jan -March []April -June ❑Jul -Sept ®Oct -Dec
COUNTY: ROCKINGHAM
PHONE NO. [phone]
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: WS-I11, NSW
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD) z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
_ (mL/L),
Non -Polar
Oil & Grease
using method
16645GT-Hr=M6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)
- J
-
-
:6793.4
.3035
53
2
10/18/17
VE RM MD
8.2
38.6
ND: -
N A
60
N A M
3
NO FLOW
VE RM MD
_
_
„,;,. -
.` : 'N/A
_
NIA
High T55 - Driveway/Parking lot regraded just prior to rainfall event
o..
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mlxing Drum Cleanout (MD). Report more
than one type if the waste -stream is commingled.
'If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff notifies you to
continue monitoring.
" pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/Lfor wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/Lfor all other water classifications.
'Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to
benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees
who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the
discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDIN
G ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: -= -
'Division of Water Resources
Attn: DWR Central Files
1617 Mail.Service-Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN 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 penaltie or submitting false information,,including the possibility of fines and imprisonment for knowing violations."
Z �
(Signature of Permitt4w
Permit Date; S/1/2017-06/30/2022 Last Revised 07/27/17
Page 2 of 2

STORM WATER DISCHARGE OUTFALL (SDO] Semi -Annual MONITORING FORM
GENERAL PERMIT NOACG140000
CERTIFICATE OF COVERAGE NO. NCG14-0 0 8-1 SAMPLE COLLECTION YEAR: 2017
FACILITY NAME: Chandler Concrete Piedmont-�teidswil)e tR1Q4-�SAMPLING'PERIOD: ®July -December. ❑ Jan uary-June
PERSON COLLECTING SAMPLES: Philip Motsinger l.a {�— COUNTY Rockinaham
CERTIFIED LABORATORY:Pace Analytical Lab #633 FEB 0 6 20i3 PHONE NQ: { 336j 226-1181.
:__0J
Orig - State
0
Copy - State
0
Copy - Winston
0
Copy - Plant
0
Copy - File
OPTIONAL INFO: ADD TO LISTSERVE? ❑YES ®NO EMAIL: _
CENTRAL FILES DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other; WS-III / NSW
Part A: 5tormwater Monitoring Requirements DWR SECTION
Date Sample
t,
,
Outfall No.
Collected
pH
TS5
Total
°
Rainfall'
In Tier 2 �
Monthly Monitoring?
s
# of Months in
(mm/dd/yrOR
(Standard Units)
(mg/L) -
(in)
(in)
(Y/n)
Tier 2'
NO FLOW)'
Sampling
-
6-91
10013
1
10/16/17
7.6
32.3
.6
= ' -N -
N/A -
Discharge due to storm event. -
r
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
j
2 Report the abbreviation far the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw MaterialStockoiles (RM), Mixing Drum Cleanout (MD), Report more than
one type if the waste -stream is commingled. '
3 If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoringfor that parameter for six months, unless DEMLR RO staff. notifies you.to continue ,
monitoring, -
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwater
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to
benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. t,
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50%of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees
who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the
discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1'of 2

Part B: Vehicle Maintenance Activitv Monitoring Reauirements for facilities using > 55 sal of new motor oil/month- averaeed overa calendar near.
'.
pH
Non -Polar Oil &
Grease using
Total Suspended
'Event
Total
New Motor Oil
In Tier 2
# of Months in
Outfall
Date Sample, r
�
(Standard
method
Solids
Duration
Raihfa11a
Usage
Monthly
Tier 2"
No.
Collected,.
Units)
1664 SGT-HEM
(mg/L)
(minutes)
(in)
(gal/m4onth)
Monitoring?
2
Sampling.,
(mo/dd/yr)1
(mg/L)
(Y/n)
6-92
152
1001•3-
N/A
,
*Vehicle Maintenance Not Performed at this ILocatio
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES []NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: "
Mail -Original and one coov of this DMR-iincludina all "No Flow" &-"No Discharge" -reports) within 30 days of receipt of sarnole (or at end of monitoring period in
case of "No Flow") to:
Division of Water Quality - - - •-
Attn: DWQ Central Files -
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN 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 pel
t' s for submitting false information, including the possibility of fines and imprisonment for knowing violations."
7��
of Permittee)
Permit Date: 8/1/2017- 6/30/2022
Last Revised 7/27/18
Page 2 of 2

PROCESS, WASTEWATER— Quarterly Discharge Monitoring Report-,
GENERAL PERMIT NO. NCG140000
3QTR
id ,
Orig - State
-.0--
Copy - State.
0
Copy - Winston
0
Copy -- Plant
0
Copy- File
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1 SAMPLE COLLECTION YEAR:
FACILITY NAME: Chandler Concrete Piedmont - Reidsville Pit #104 SAMPLE QUARTER: ❑Jan -March ❑Apri#-June ❑Jul -Sept ❑Oct -Dec
PERSON COLLECTING SAMPLES: COUNTY: ROCKINGHAM
CERTIFIED LASORATORY:Pace Analytical Lab #633 PHONE NO. [phone]
RECEW: JV ff LAD TO LISTSERVE? ❑YES ®NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: WS-111, NSW
NOV 0 2 2017 OPTIONAL INFO:
CENTRAL FILES
Part A: Wastewater Monitoring Requirements 01AIP crzr^rinei
OutfallNo.
Date Sample
t
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD} z
-
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
Non -Polar
Oil & Grease
using method
16645GT-HEMI
(mg/L) ,
Discharge
Duration
(minutes)
Total Flow
7
igalfons/day)
6-93.4
303.5
53
(15)fi
2
NQD
VE 'RM MD
- .
-
N/A
-
3
NQD
VE RM' MID
-
-
N/A
NQD - No Qualifying Discharge this period - Discharge Observed -Qualified sample unobtainable
'If wastewater systems have not discharged in this quarter —report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more
than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff notifiesyou to
continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to
benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees
who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the
discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANN
OF MONITORING PERIOD IN CASE OF "NO FL{
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone] -
MARY (INCLUDING ALL "N(
a. 4
E") WITHIN 30 DAYS OF RECEIPT -OF SAM
YOU MUSTSIGN 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 o`r 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 f submitting false information; including the possibility of fines and imprisonment for knowing violations." -
- _
(Signature of Permitt — ( te) - --
Permit Date: 8/1/2017-06/30/2022
Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring [Repotal.rt`,;!
GENERAL PERMIT NO. NCG140000 Receivi .4-
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1
FACILITY NAME: Chandler Concrete_ Company - Reidsville #104
PERSON COLLECTING SAMPLES: Philip Motsinger
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
-
0 Orig — State
f
0 Copy — State
it+i
V Copy - Winston
0 Copy — Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2017 Winston-.Sa)e,,
SAMPLE QUARTER: []Jul -Sept ❑OctLDecai QJ -March ®April -June
COUNTY: Rockingham
PHONE NO. (336) 634 - 1845
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [-]Trout ®Other: C
OPTIONAL INFO:
Outfall No.
Date Sample
Collected
(mm/dd/yi)
Type of Wastewater
(VE,-RM, MD)Z :
pH
(standard)
Total Suspended
solids
(mg/L)
Settleable
'Solids'',
(mL/L)-
TPH using
method 1664A
5GT-HEM
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)'
-
6-93.4
.303,5
53
(15)67
-
-
1
04/24/17
VE RM MD
8.1
9.6
ND
N/A
45
200
2
01/23/17
RM
7.8
8.9
ND
N/A
45
200
Discharge was result of rain event. - SW comingles with Process Water
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
S TSS limits are 20 mg/L for wastewater discharges to HOW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HOW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 awar hat there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." -zerl
(Signature of Pe
-21,ioln
[date]
i
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

F
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
04XOrig - State
0 Copy - State
0 Copy - Winston
0 Copy - Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1 SAMPLE COLLECTION YEAR: 2017
FACILITY NAME: Chandler Concrete Company - Reidsville #104 SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June
PERSON COLLECTING SAMPLES: Philip Motsineer COUNTY: Rockingham
CERTIFIED LABORATORY:Pace Analytical Lab #633 _ PHONE NO. (336) 634 - 1845
t �iVE�L'ADD TOLISTSERVE? [_]YES ®NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® JUL 2 4 2017 DISCHARGING TO CLASS: []SA ❑HQW ❑PNA [-]Trout ®Other: C
Part A: Wastewater Monitoring Requirements
CENTRAL FILES OPTIONAL INFO:
DWR SECTION
Outfall No.
Date Sample
Collected 1
(mm/dd/yrj
Type of Wastewater
VERM
{, , MDjZ
pH
{standard)
Total Suspended
Solids
(mg/Lj
Settleable
Solids
{mL/L)
TPH usingDischarge
method 1664A
-HE
SGT-NEMb
Duration
(minutes]
Total Flow
gallons/day]'
-
-
-
6-93,4
303,5
53
(15)6
-
-
1
04/24/17
VE RM MD
8.1
9.6
ND
N/A
45
200
2
01/23/17
RM
7.8
8.9
ND
N/A
45
200
Discharge was result of rain event. - SW comingles with Process Water
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to marls the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.S S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 hest of my knowledge and belief, true, accurate, and
complete. I am awar hat there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." _
71
(Signature of
Permit Date:7/1/2010-06/30/2015
-71zloln
{date)
i
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG 14 0 0 8 1
FACILITY NAME: Chandler Concrete Company - Reidsville #104
PERSON COLLECTING SAMPLES: Philip MotsinSer RECEIVED
CERTIFIED LABORATORY:Pace Analytical Lab #633
APR 2 4
LIMIT VIOLATIONS? YES [:]NO
CENTRAL FILES
DWR SECTION
Part A: Wastewater Monitoring Requirements
Orig - State
0
Copy - State
0
Copy - Winston
0
Copy - Plant
0
Copy - File
SAMPLE COLLECTION YEAR: 2017
SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June
COUNTY: Rockingham
PHONE NO. (336) 634 - 1845
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(VERMMDj
, ,
pH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
S
(mg/L) 6
mg/L}
Duration
(minutes)
Total Flow
(gallons/day}
-
-
-
6-93,4
303,5
53
(15)6
-
-
1
01/23/17
VE RM MD
8.1
10.0
ND
N/A
45
200
2
01/23/17
RM
7.8
5.0
ND
N/A
45
200
Discharge was result of rain event. - SW comingles with Process Water
1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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,*at there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Signature of
"1"
(b te)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
Orig —State
0 Copy — State
CERTIFICATE OF COVERAGE NO. NCG14 O O H 1
_ _ _ _
RI�ED
SAMPLE COLLECTION YEAR: 2017
0 Winston -Office
0 Copy - Plant
FACILITY NAME: Chandler Concrete Co. _- Reidsvill��itz#_
IPA 17
SAMPLING PERIOD: El July -December
January -June
0 Copy �- File
PERSON COLLECTING SAMPLES: Philip Motsing�er
COUNTY Rockingham
CERTIFIED LABORATORY:Pace Analytical Lab #633
CENTRAL. FILES
PHONE NO. (336j 634 - 1845
OPTIONAL INFO:
DWR SECTION
ADD TO LISTSERVE? []YES []NO EMAIL: _
DISCHARGING TO CLASS: []SA ❑HQW
❑PNA ❑Trout ®Other: C
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
{standard
Units)
TSS
(mg/L)
Event
Duration
(minutes}
Total
A
Rainfall
{in}
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
z
2 Sampling
-
-
6-92
100 2,3
-
-
-
-
1
01/23/17
8.1
10
45 Min.
•65
N
0
2
01/23/17
7.8
5.0
45 Min.
•65
N
0
Discharge due to storm event, PW commingles w/ SW
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2016 Last Revised 7/13/11
Page 1 of 2

Part B. Vehicle Maintenance Activity Monitoring Requirements for facilities using > SS gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
p
Collected
{mo/dd/yr)r
pH
(Standard
Units)
TPH using method
1664A SGT NFM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfalla
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
{Y/n)
# of Months
in Tier 2
Z
Sampling
6-92
15
100 '
-
-
-
-
-
N/A*
*Vehicle Maintenance Not Performed
at this Location
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring- period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail 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 th re'g ' icant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Signature of Permittee (Date)
Permit Date: 7/1/2011-60/30/2016 Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 81
FACILITY NAME: Chandler Concrete Company - Reidsville #104
PERSON COLLECTING SAMPLES: Philip Motsinger
CERTIFIED LABORATORY:Pace Analytical Lab #6�ECEVE❑
LIMIT VIOLATIONS? YES []NO ® NOV C t L0%
CENTRAL FILES
Part A: Wastewater Monitoring Requirements DWR SECTION
Orig - State
0 Copy - State
0 Copy - Winston
0 Copy -- Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June
COUNTY: Rockingham
PHONE NO. (336) 634 - 1845
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
{mm/dd/yr}
Type of Wastewater
z
RMMD}
{VE, ,
pH
(standard)
Total Suspended
Solids
(mI/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
6
SGT-FILM
(mg/L)
Discharge
Duration
(minutes)
Total Flow
,
{gallons/day}
-
-
-
6-93,4
303'S
53
(15)6
-
-
1
10/7/16
VE RM MD
7.3
3.1
ND
N/A
180 +/-
1800
2
10/7/16
RM
7.3
4.7
ND
N/A
180
1800
Discharge was result of rain event. - SW comingles with Process Water
1 If wastewater systems have not discharged in this quarter- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.9-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/I, for atl:6the wr a` er clas�sific`aati ns.
6 ♦- - I III 1I — Fi WA I I I*W ,
Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges.from. VMA-areas�fPH does not%ave a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date- 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT „OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN TH15 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 t`hh are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." J !/ ` _ -
(D,dte)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 81
FACILITY NAME: Chandler Concrete Company - Reidsville #104
PERSON COLLECTING SAMPLES: ReeovED
CERTIFIED LABORATORY:Pace Analytical Lab #633
Nov 0 2 2016
LIMIT VIOLATIONS? YES ❑ NO
CENTRAL FILES
DWR SECTION
Part A: Wastewater Monitoring Requirements
.A/ Orig — State
0 Copy - State
0 Copy — Plant
0 Copy - File
7
SAMPLE COLLECTION YEAR: 2010
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June
COUNTY: Rockingham
PHONE NO. (336) 634 - 1845
ADD TO LISTSERVE? OYES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)
PH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT HEM
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day)7
-
-
-
6-93.4
303,5
53
(15)6
-
-
1
NQD*
VE RM MD
N/A
2
NQD*
RM
N/A
*No Qualifying Discharge this period -
Evidence of discharge -sample unobtainable
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or, calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 here are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
/d Z 7 //z
(Signs ure of Permittee)(D e)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — QuarterlyDischarge Monitoring Report 0 Copy State
g g p Copy —State
GENERAL PERMIT No. NCG140000 0 Copy —Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 O O 8 1 SAMPLE COLLECTION YEAR: 201A 7
FACILITY NAME: Chandler Concrete Company- Reidsville #104 SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec Dian -March ❑April -June
PERSON COLLECTING SAMPLES: Philip Motsinr;er RECEIVEDPHonNTY: Rockingham
iE NO. [ 336) 634 - 1845
CERTIFIED LABORATORY:Pace Analytical lab #633
- - NOV 0 2 2016 ADD TO LISTSERVE? DYES ®NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® CENTRAL FILES DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [:]Trout ®Other: C
DWR SECTION
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
2
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
a
SG (mg/L/L)T-HEM
Duration
(minutes)
Total Flow
(gallons/day)
-
-
-
6-93'4
303,5
53
(15)6
-
-
1
10/7/16
VE RM MD
8.6
3.1
ND
N/A
120 +/-
280
2
10/7/16
RM
8.1
ND
ND
N/A
95 +/-
190
Discharge was result of rain event. - SW comingles with Process Water
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/l/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE IOR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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." �/� 1
(Signature of
Permit Date:7/1/2010-06/30/2015
/b 2
( ate)
Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1 SAMPLE COLLECTION YEAR: 2017
FACILITY NAME: Chandler Concrete Co. - Reidsville Plant #104 SAMPLING PERIOD: ®July -December ❑January -June
PERSON COLLECTING SAMPLES: Philip Motsinger COUNTY Rockingham
Ong - State
0 Copy - State
0 Winston -Office
0 Copy - Plant
0 Copy - File
CERTIFIED LABORATORY:Pace Analytical Lab #633 RECEIVED PHONE
LO. (; RVE634 - 1845
TO
OPTIONAL INFO: ADD ❑YES []NO EMAIL: _
NOV 02 2016 DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW}
PH
(Standard
Units}
�
DWR SECTION
TSS
(mg/L}
Event
Duration
(minutes)
Total
4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2
2 Sampling
-
-
6-9
100 ,
-
-
-
-
1
10/7/16
8.6
3.1
120+/- Min.
1.5
N
0
2
10/7/16
8.1
ND
95 +/- Min.
1.5
N
0
Discharge due to storm event, PW commingles w/ SW
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
Z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
a TSS benchmark values are 100 mg/l, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I.
A For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2016 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
{mo/dd/yr)1
PH
(Standard
Units
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
{mg/L}
Event
Duration
(minutes)
Total
a
Rainfall
(in)
New Motor pit
Usage
(gal/month)
In Tier 2
Monthiy
Monitoring?
{y/n)
# of Months
in Tier 2
2
Sampling
6-9
152
1001,
-
-
-
-
-
N/A*
*Vehicle Maintenance Not Performed
at this Location
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (including all "No Flow" & "No Discharge" resorts) within 30 days of receipt of sample for at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of I w, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified per nnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons dire sponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware ther re sig ' is nt enalties for submitting false information, including the possibility of f' es a d imprisonment for knowing violations."
17e,
2.
{Signature of Permittee} (q te)
Permit Date: 7/1/2011-60/30/2016 Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 81
FACILITY NAME: Chandler Concrete Company - Reidsville #104
PERSON COLLECTING SAMPLES: Philip Motsinger
CERTIFIED LABORATORY:Pace Analytical Lab#M _1VED
LIMIT VIOLATIONS? YES []NO ® AUG 0 1 Rl'!j
CENTRAL FILES
DWR SECTION
Part A: Wastewater Monitoring Requirements
Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June
COUNTY: Rockingham
PHONE NO. (336) 634 - 1845
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA []HQW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Date Sample
Total Suspended
Settleable
TPH using
Di cs harge!
l
Outfall No.
Collected)
Type of Wastewater
(VE, RM, MD)
PH
(standard)
Solids
Solids
method 1664A
S
Duration
�� al
(gallons/ddy)
(mm/dd/yr)
(mg/L)
(mL/L)
�mHlM'
(minutes)
-
-
-
6-93,4
303.5
53
(15)6
-
-
1
NO FLOW
VE RM MD
***
***
'"**
N/A
***
***
2
NO FLOW
RM
r%
ll /�
NO QUALIFYING DISCHARGE THIS PERIOD - V
1 If wastewater systems have not discharged in this quarter -- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
S TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg1L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 tha here are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." , - / .,
(Signature of Permittee)
Permit Date:7/1/2010-06/30/2015
(gate)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14.0-0-81--­'`.
FACILITY NAME: Chandler Concrete Company - Reidsville #104
PERSON COLLECTING SAMPLES: Philip Motsinger
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES [:]NON
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: [_]Jul -Sept ❑Oct -Dec
COUNTY: Rockingham
PHONE NO. (336) 634 - 1845
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW
OPTIONAL INFO:
0 Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
�Aln March ❑April -June
❑PNA ❑Trout
Oth"r ,
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)2
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT-HEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
gallons/day)'
-
-
-
6-93'4
303.5
53
(15)6
-
-
1
2/3/16
VE RM MD
6.5
ND
ND
N/A
75+ !
;l1Ci 300.1% „
2
2/3/16
RM
6.5
ND
ND
N/A
75+
—j3 5 ' %1 I
AY
hnnr,nM Z)t1v {10N
Discharge was result of rain event. -
1 If wastewater systems have not discharged in this quarter —report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saitwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
s Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
l�
.'G (1Nli
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WiTHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 respon ble far gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that t ere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
ature of
Z7/l4
(Date)
Permit Date. 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14-0'0"81--\ SAMPLE COLLECTION YEAR: 2016
FACILITY NAME: Chandler Concrete Co. — Reidsville Plant #104 SAMPLING PERIOD: ❑ July -December
PERSON COLLECTING SAMPLES: Philip MOtsinger COUNTY Rockingham
CERTIFIED LABORATORY:Pace Analytical Lab #633 PHONE NO. (336) 634 - 1845
OPTIONAL INFO: ADD TO LISTSERVE? ❑YES ❑NO EMAIL
DISCHARGING TO CLASS: ❑SA ❑HQW
Part A: Stormwater Monitoring Requirements
FORM
0 Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
® January-J�`�
YZ,,.o
❑PNA ❑Trout MOtiter C
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)
pH
{Standard
Units)
TS5
(mg/L)
Event
Duration
(minutes)
Total
Rainfall ,
(in)
In Tier 2
Monthly
Monitoring.
(y/n)
# of Months in Tier
2 Samplingz
-
-
6-9
101) '
-
-
-
-
1
2/3/16
6.5
ND
75+ Min.
2.1
N
0
2
2/3/16
6.5
ND
75+ Min.
2.1
N
0
P'
Discharge due to storm event, PW commingles w/ SW
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.,
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
FC'1�11��U
MAY - 3 2fl 16
Arl,Ocrssrrf�; v11117
Permit Date: 7/1/2011-60/30/2016 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfali
No.
Date Sample
Collected
(mo/dd/yr)1
PH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfalla
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2 Monthly
Monitoring?
(Y/n)
# of Months
in Tier 2
2
Sampling
6-92
15
100 '
-
-
-
-
-
N/A*
*Vehicle Maintenance Not Performed
at this Location
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Orieinal and one coov of this DMR {includinp- all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail 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 direct�l r soon 'ble fir gathering the information, the information submitted is, to the best of my -knowledge and belief, true, accurate, and complete.
am aware thath�re �sig ifi�nf penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Permit Date: 7/1/2011-60/30/2016 Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1
FACILITY NAME: Chandler Concrete Company - Reidsville #104
PERSON COLLECTING SAMPLES: Ricky Wilson
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
Ong - State
0
Copy - State
0
Copy - Plant
0
Copy - File
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec Dian -march
COUNTY: Rockingham
PHONE NO. (336) 634 - 1845
ADD TO LISTSERVE? DYES ®NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW
OPTIONAL INFO:
❑April-Junel
❑PNA ❑Trout ®Other: C
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
2
(yE, RM, MD}
pH
(standard)
Total Suspended -
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGr-HE)
(mg/L
Discharge
Duration
(minutes)
Total Flow
7
�Ballans/days
-
-
-
6-93.4
303,5
53
(15)6
-
-
1
NO FLOW
VE RM MD
N/A
2
NO FLOW
RM
N/A
1!5115
.P% Me"
t r L
. E_.
NO QUALIFYING DISCHARGE THIS PERIOD -
L FILES
�3EC-Tlulsi
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
` pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 0213 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE"] WITHIN_30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN OF "NO FLOW) TO:
Division of Water Quality
Attn: DWQ Central Files n4�
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANYINFORMATION 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 re are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." I
iture of
Permit Date:7/1/2010-06/30/2015
z /G
ate}
1
Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING F
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 2
FACILITY NAME: Chandler Concrete Co. — Reidsville Plant #104
PERSON COLLECTING SAMPLES: Ricky Wilson
CERTIFIED LABORATORY:Pace Analytical Lab #633
OPTIONAL INFO:
Part A- 5tormwater Mnnitnrinp Renuirements
6 Orig — State
0 Copy — State
0 Copy - Plant
SAMPLE COLLECTION YEAR: 2016 0 Copy -File
SAMPLING PERIOD: ® July -December ❑ January -June
COUNTY Rockies
PHONE NO. (336) 634 -1845
ADD TO LISTSERVE? DYES ❑NO EMAIL: _
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
(Standard
Units]
TSS
(mg/L)
Event
Duration
(minutes]
Total
a
Rainfall
{in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
z
2 Sampling
-
6-92
100 '
-
-
-
-
1
8/11/15
6.9
ND
30 Min.
1.25
N
0
2
8/11/15
6.9
6.5
30 Min.
1.25
N
0
I
Discharge due to storm event, PW commingles w/ SW
VL_ "l `'°'
Nov 0 2 zolb
PPNITRAI P
CWR SECTION
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
"For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
ate,•
Permit Date: 7/1/2011-60/30/2016 Last Revised 7/13/11
Page 1 of 2

Part 13: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
p
Collected 1
(mo/dd/yr)
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall°
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling
6-9
152
100 '
-
-
-
-
-
N/A*
*Vehicle Maintenance Not Performed
at this Location
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES []NON
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitorine period
in case of "No Flow") to. -
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN 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 directl responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware th are ignificant p nalties for submitting false information, including the possibility of fines a d imprisonment for knowing violations."
a '�a S
(Sign ture of Permittee) (Da, )
Permit Date: 7/1/2011-60/30/2016 Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1
FACILITY NAME: Chandler Concrete Company - Reidsviile #104
PERSON COLLECTING SAMPLES: Ricky Wilson RECEIVED
CERTIFIED LABORATORY:Pace Analytical Lab #633 ,;
LIMIT VIOLATIONS? YES []NON
n
L 1=lLES
, :SECTION
Part A: Wastewater Monitoring Requirements
Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
5 A -
SAMPLE COLLECTION YEAR:.20�� [
1rr
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June
COUNTY: Rockingham
PHONE NO. (336) 634 - 184S
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA []Trout ®Other: C
OPTIONAL INFO:
Outfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)x
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L}
TPH usingDischarge
method 1664A
SGT HEMS
(mg/L)
Duration
(minutes}
Total Flow
(gallons/day)
-
-
-
6-93''
303,5
53-
1
8/11/15
VE RM MD
6.9
ND
ND
N/A
45
30
2
8/11/15
RM
6.9
6.5
ND
N/A
45
30
Discharge was result of rain event. - SW comingles with Process Water
If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/l/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE fOR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW"} TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
'Tcertify, 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 t a ere are signif cant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." '
c
Signature of Permittee} (D (te}
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
Orig — State
0 Copy — State
0 Copy — Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Chandler Concrete Company - Reidsville #104 SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June
PERSON COLLECTING SAMPLES: Ricky Wilson VE
rC�OUNTY: Rockingham
CERTIFIED LABORATORY:Pace Ana_ytical Lab #633 R I V ��pHONE N0. [ 336) 634 - 1845
JUL 31 2u1]ADD TOLISTSERVE? ❑YES ®NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other: C
CENTRAL FILES
DWR SECTION'
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
1
Collected
(mm/dd/yr}
Type of Wastewater
x
(VE, RM, MD)
pH
{standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
6
SG /L)
(mgg/ L}
Discharge
Duration
(minutes)
Total Flow
,
{gallons/day}
-
-
-
6-93'4
303'5
53
(15)6
-
-
1
NO FLOW
VE RM MD
N/A
2
NO FLOW
RM
N/A
NO QUALIFYING DISCHARGE THIS PERIOD -
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2
arr■
C3

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality _
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 ere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." J ---j/ A
(Signature of Pe
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FOR
GENERAL PERMIT No. NCG140000 / Ong - State
f 0 Copy - State
0 Copy - Plant
CERTIFICATE OF COVERAGE NO. NCG 14 0 0 8 1
SAMPLE COLLECTION YEAR: 2015 0 Copy- File
FACILITY NAME: Chandler Concrete Co. - Reidsville Plant #104 SAMPLING PERIOD: ❑ July -December ® January -June
PERSON COLLECTING SAMPLES: Ricky Wilson COUNTY Rockingham
CERTIFIED LABORATORY:Pace Analytical Lab #633 PHONE NO. (336) 634 - 1845
OPTIONAL INFO: ADD TO LISTSERVE? ❑YES [-]NO EMAIL: ^
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ®Other. C
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
{Standard
Units)
TS5
(mg/L)
Event
Duration
(minutes)
Total
A
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
i# of Months in Tier
2 Samplingz
-
-
6-9
100 ,
-
-
-
-
1
03/05/15
7.6
4.4
90 Min.
.60
N
0
2
03/05/15
8.1
21.4
go Min.
.60
N
0
Discharge due to storm event, PW commingles w/ SW
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period ab
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the Gener
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they a re 50 mg/I.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge,
Permit Date: 7/1/2011-60/30/2016
0
b
4
Last Revised 7/13/11
Page 1 of 2
r�
CL.
LAJ
�J
a
LAM

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr}1
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n}
# of M:,nths
in Tier 2
2
Sampling
6-9
15
1002.3
N/A*
*Vehicle Maintenance Not Performed
at this Location
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]NON
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (including all "No Flow" & "No Discharee" reoorts) within 30 days of receiot of sample for at end of monitorinP oeriod
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 pers nel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons dir I onsibl for ga ring the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware he sig ca pe I es for submitting false information, including the possibility of fi es a d imprisonment for knowing violations."
y
( ig ature of Permittee)(D e}
Permit Date: 7/1/2011-60/30/2016 Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 0 0 81
FACILITY NAME: Chandler Concrete Co. - Reidsville Plant #104
PERSON COLLECTING SAMPLES: Ricky Wilson
CERTIFIED LABORATORY:Pace Analytical Lab #633
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2015
SAMPLING PERIOD: ❑ July -December
COUNTY Rockingham
FORM
�0/ 06g -State
Copy - State
0 Copy - Plant
0 Copy - File
® January -June
PHONE NO. (336) 634 - 1845
ADD TO LISTSERVE? [-]YES [-]NO EMAIL:
DISCHARGING TO CLASS: []SA❑HQW ❑PNA -]Trout ®Other: C
Outfall No.
Date Sample
Collected
{mo/dd/yr OR
NO FLOW)1
PH
(Standard
Units)
TSS
{mg/L)
Event
Duration
(minutes)
Total .
a
Rainfall
(in)
In Tier 2
Monthly
Monitoring)
(y/n)
# of Months in Tier
2
2 Sampling
-
-
6-9
100 '
-
-
-
-
1
03/05/15
7.6
4.4
90 Min.
.60
N
0
2
03/05/15
8.1
21.4
90 Min.
.60
N
0
Dischargedue to storm event, PW commingles w/ SW
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2016 Last Revised 7/13/11
Page 1 of 2

Part B. Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall '
No,
Date Sample
Collected 1
(mo/dd/yr)
pN
(Standard
Units)
' TPH usingrmethod
1664A SGT-HEM
(mg/L)
Total -Suspended
Solids
(mg/L)'
Event ,
.
Duration
(minutes)
Total,
,
Rainfall,
(in)
New Motor
Usage.
(gal/month)
In Tier 2 l
Monthly
Monitoring?
(y/n)
tt of Months
-in Tier 2
Sampling
6-9
15
100 .
N/A*
*Vehicle Maintenance Not Performed
at this Location
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES ATANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail 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 pers nel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons dir I onsibl for ga ring the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware he sig ' ca pe I es for submitting false information, including the possibility of fi es a d imprisonment for knowing violations."
y
[ i ature of Permittee) (D e)
Permit Date: 7/1/2011-60/30/2016 Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1
FACILITY NAME: Chandler Concrete Company - Reidsville #104
PERSON COLLECTING SAMPLES: Ricky Wilson
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
0 Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®3an-March ❑April -June
COUNTY: Rockingham
PHONE NO. (336) 634 - 1845
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA []HQW ❑RNA ❑Trout ®Other: C
OPTIONAL INFO:
Outfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
x
{VE, RM, MD}
pH
(standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
6
SG
(mg/L�/L)!
Discharge
Duration
{minutes}
Total Flow
{gallons/day}
-
-
-
6-93'4
303,5
53
(15)6
-
-
1
03/05/15
VE RM MD
7.6
4.4
ND
N/A
90
120
2
03/05/15
RM
8.2
21.4
ND
N/A
90
112
Discharge was result of rain event. -
l if wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saitwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
LAJ
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQCentrai Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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:7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
. _ •�
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1
FACILITY NAME: Chandler Concrete Com an - Reidsville #104
PERSON COLLECTING SAMPLES: Ricky Wilson
CERTIFIED LABORATORY:Pace Analytical Lab ##633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
0
/
Orig - State
Copy - State
0
Copy - Plant
0
Copy - File
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June
COUNTY: Rockingham
PHONE NO. (336) 634 - 1845
ADD TO LISTSERVE? DYES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [-]Trout ®Other: C
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEMS
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day)
-
-
-
6-93,4
303,5
53
(15)'
-
-
1
03/05/15
VE RM MD
7.6
4.4
ND
N/A
90
120
2
03/05/15
RM
8.1
21.4
ND
N/A
90
112
Discharge was result of rain event. -
1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with starmwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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:7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

Orig - State
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report 0 Copy - State
GE14ERAL PERMIT NO. NCG140000 0 Copy - Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Chandler Concrete Company - Reidsville #104 SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June
PERSON COLLECTING SAMPLES: COUNTY: Rockingham
CERTIFIED LABORATORY:Pace Analytical Lab #633 PHONE NO. (336) 634 - 1845
RECEI®®
VEVbDTOLISTSERVE? []YES ®NO EMAIL:
LIMIT VIOLATIONS? YES [:]NO ® FEB 0 3 2015 DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
Part A: Wastewater Monitoring Requirements
CENTRAL FILES OPTIONAL INFO:
DWR SECTION
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
2
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method1664A
6
SG
(mglL)/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)
-
-
-
6-93'4
303s
53
(15)6
-
-
1
10/15/14
VE RM MD
7.4
ND
ND
N/A
75
90
2
10/15/14
RM
7.9
2.7
ND
N/A
75
75
Discharge was result of rain event. -
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 gatheri?g the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware thatVere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
nature of Permitteej
Permit Date:7/1/2010-06/30/2015
/ /36 f
(D,tej
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1
FACILITY NAME: Chandler Concrete Company - Reidsville #104
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
Orig — State
0 Copy — State
0 Copy — Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec Dian -March ❑April -June
COUNTY: Rockingham
PHONE NO. (336) 634 - 1845
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA [—]HQW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Outfall No.
Date Sample
i
Collected
(mm/dd/yr)
Type of Wastewater
Z
(VE, RM, MD}
pH
(standard}
Total Suspended
Solids
Solids
Settleable
Solids
(mL/L)
TPH using
method 1664A
a
SGT HEM
(mg/L}
Discharge
Duration
(minutes)
Total Flow
7
(gallons/day}
-
-
-
6-43'4
303,5
53
(15)6
-
-
1
07/15/14
VE RM MD
6.5
6.6
ND
N/A
60
75
2
07/15/14
RM
7.2
7.4
ND
N/A
60
60
Discharge was result of rain event. -
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
b Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 0213.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. if the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 signifint penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." . 1 i1 _ , . /,
re
Permit Date: 7/1/2010-06/30/2015
(DdteV
Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FOR
GENERAL PERMIT NO. NCO140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1
FACILITY NAME: Chandler Concrete Co. -- Reidsville Plant #104
PERSON COLLECTING SAMPLES: Philip MotsinRer
CERTIFIED LABORATORY:Pace Analytical Lab #633
OPTIONAL INFO:
Part A: Stormwater Monitorine Requirements
2f Orig - State
0 Copy - State
0 Copy - Plant
SAMPLE COLLECTION YEAR:2014-2015 I 0 Copy -File
SAMPLING PERIOD: ® July -December ❑ January -June
COUNTY Guilford
PHONE NO. (336) 634 -1845
ADD TO LISTSERVE7 DYES ❑NO EMAIL: _
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA [-]Trout ®Other: C
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2
2 Sampling
-
-
6-9
100 ,
-
-
-
-
1
7/15/14
6.5
6.6
75Min.
.75
Y
0
2
7/15/14
7.2
7.4
60Min.
.75
Y
0
Discharge due to storm event, PW commingles w/ SW
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
RECE/viz
MARS
CENTR,gL FILES
OIA/R SECTIOr'!
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l. RECEIVED
�� ��1 /CCD
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. V
MAR 1 1% 5
CENTRAL FILES
DWR SECTION
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 1 of 2

Part 8: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
{mo/dd/yr}1
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
{mg/L}
Event
Duration
(minutes)
Total
Rainfall°
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
{y/n}
# of Months
in Tier 2
2
Sampling
6-92
15
100 ,
-
-
-
-
-
N/A*
*Vehicle Maintenance Not Performed
at this Location
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Orisinal and one coov of this DMR (includine all "No Flow" & "No Discharp-e" reports) within 30 days of receipt of sample for at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUSTSIGN 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 re nsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that t i scan enalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(5ignat a of Permittee) ( te)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2of2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 1
FACILITY NAME: Chandler Concrete Company - Reidsville #104
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:Pace Anall(tical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
Orig — State
0 Copy — State
0 Copy — Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June
COUNTY: Rockingham
PHONE NO. (336) 634 - 1845
ADD TO LISTSERVE? DYES ®NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(uE, RM, MD)
pH
[standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
6
S (mg/L)
mg/
Discharge
Duration
(minutes)
Total Flow
7
(gallons/day)
-
6-93,4
3035
53
(15)6
NO FLOW
VIE RM MD
N/A
_
NO FLOW
RM
N/A
A D
L LU 14
NO QUALIFYING DISCHARGE THIS PERIOD - DWQ/
30113
' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE-) WITHIN_30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 therp are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." . --\
re of Permittee}
Permit Date:7/1/2010-06/30/2015
Z.7 r-'—
(Date)
Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 81
FACILITY NAME: Chandler Concrete Co. — Reidsville Plant #104
PERSON COLLECTING SAMPLES: Philip Motsinger
CERTIFIED LABORATORY:Pace Analytical Lab #633
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR:2013-2014
SAMPLING PERIOD: ❑ July -December
FORM
Orig -State
0 Copy - State
0 Copy - Plant
0 Copy - File
® January -June
COUNTY Guilford
PHONE NO. (336) 634 - 1845
ADD TO LISTSERVE? ❑YES []NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑trout ®Other: C
outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)t
PH
(Standard
units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
Ralnfali
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling
-
-
6-9
10()2,3-
-
-
-
1
2/5/14
7.6
ND
18o Min.
•5
Y
0
2
2/5/14
7.9
ND
15o Min.
S
Y
0
Discharge due to storm event, PW commingles w/ SW
I If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value Is In excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
a TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
for each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr}'
PH
(Standard
Units}
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended '
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
i
Sampling
6-9
is
-
N/A*
*Vehicle Maintenance Not Performed
at this Location
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Orieinal and one coov of this DMR f includine all "No Flow" & "No Discharee" reoorts) within 30 days of receiot of samole (or at end of monitorine period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN 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 res sible for athering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that t scant nalties for submitting false information, including the possibility of fines an imprisonment for knowing violations."
Z f
(Sign ture of Pe ittee) (Da )
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 0 0 8 1
FACILITY NAME: Chandler Concrete Company - Reidsville #104
PERSON COLLECTING SAMPLES: Philip Motsinfer
CERTIFIED LABORATORY:Pace Analytical Lab #i633
LIMIT VIOLATIONS? YES [:]NO
Part A: Wastewater Monitoring Requirements
0 Orig — State
0 Copy — State
0 Copy — Punt
0 Copy - File
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March []April -June
COUNTY: Rockingham
PHONE NO. (136) 634 - 1845
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ®Other: C
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEA-f
(mg/L)
Duration
(minutes)
Total Flow 7
(gallons/day}
53
(15 f
-
-
1
2/5/14
VE RM MD
7.6
NO
2.7
N/A
180
2870
2
2/5/14
RM
7.9
ND
2.5
N/A
150
2650
Discharge was result of rain event. - SW comingies with Process Water
' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type If the waste -stream is commingled.
3 If an effluent limit is exceeded twice In a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
S TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
c Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VIVA areas. TPH does not have a limit for wastewater,
but instead Is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
G PERIOD IN CASE OF "NO FLOW") TO AT END OF MONITORING _ �' -' •_ .. _
:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
High Total Suspended Solids - sample taken during initial storm sure we have cleaned catch basins and have made other corrective actions.
YOU MUST SIGN THIS CERTIFIC4TION 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 theXae sigr scant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
..� violations." ��%''
Pe
Permit Date; 7/1/2010-06/30/2015
.? /
(D.-We)
Last Revised 07/13/11
Page 2 of 2

TCRE-r-ErjC-0MPA-.N.-Y'
CO.
December 3, 2009
Mr. Steve W. Tedder
Water Quality Regional Supervisor
NC DENR
Winston-Salem Region
585 Waughtown Street
Winston-Salem, NC 27107
Subject: Notices of Violation for:
Reidsville Plant 4104, NCG140081 &
Eden Plant # 105, NCG 140080
Dear Mr. Tedder:
RECEIVED
oof =w�
DC0l 009E2
Winston-Salem
Regional OY,'ice
I was surprised and appalled with the issues discovered during the inspection by
Mr. Ron Boone on November 18, 2009. We at Chandler Concrete take all environmental
issues very seriously. Today I met with Mr. Donnie Brady, Production Manager, Mr.
Dan Goley, Area Manager, Mr. Donnie Manring, Reidsville Plant Manager and Mr.
Dewey Pruitt, Eden Plant Manager today at each of their plants to discuss your letter
dated November 19, 2009. First of all, both of these plant managers have just been
promoted to these positions and were not fully familiar with the location of some of the
documents and their responsibilities.
1 will respond to each of the compliance evaluation issues starting with the
Reidsville Plant ##104.
Item 2 — The name of the receiving waters form this site is identified in the permit
cover sheet as being an unnamed tributary to Wolf Island Creek in the Roanoke River
Basin.
Item 3 -- After searching the files at the plant we found a copy of the SP3 that was
revised on 08/04/04, 01/12/06, and 08/15/07. In addition I have revised the plan again on
11/24/09. There is a copy of this document enclosed and a copy at the plant. The
revisions made in 2007 are highlighted in blue and the revisions made in 2009 are
highlighted in red. These revisions address the issues stated in your letter. Since we do
Quarterly Housekeeping Inspections (form QHI) we thought that an annual inspection
was not necessary. These completed forms are contained in the SP3 handbook behind tab
QM. There are secondary containment drainage inspections for the past five years in the
SP3 Handbook behind Tab labeled SCR.
POST OFFICE Box 131 • BURLINGTON, NORTH CAROLINA 27216-0131
TELEPHONE: [phone] / FAx: [phone]

F� H
Mr. Steve W. Tedder
Water Quality Regional Manager
Reidsville Plant #104
Eden Plant #l05
Page 2 of 3
Item 4 — There are analytical monitoring records for the past five years. The only
one missing form the plant during my visit today was for 2007. Copies of these reports
are also kept here in my office of which I have made copies and are enclosed. These
reports do show the results for settleable solids on the backside of the report. I will agree
that all of the qualitative records were not in the handbook. I don't know if they were not
done or have been misplaced, but they will be done and filed from this time forth. I do
agree that there are three stormwater discharge outfalls (SDO) at this site and instructed
the former plant manager that he should be collecting samples at all three. The new plant
manager is now aware of this and will be sampling at all three on the next round.
Item 5 — It has been my understanding that the drain valves on the secondary
containment vessels are considered locked if they have no operable handle, which was
the case at the time of the inspection, but as of today these valves have been replaced
with a pad lock handle.
Eden Plant #105
Item 6 — The same is the case with the identification of the receiving stream form
this plant. On the cover sheet to the permit it identifies that site discharges as flowing
into an unnamed tributary to Dry Creek in the Roanoke River Basin.
Item 7 — Again as explained in Item 3 there have been revisions to the SP3 on
08/04/04, 01/12/06 and 08/15/07 and in addition it was just revised on 11/24/09. A copy
of this plan is enclosed and is at the plant. The same is true for the annual facility
inspections and secondary containment drainage inspections as explained in Item 3 for
Reidsville.
Item 8 — I did not find a copy of the analytical reports for 2008 and prior years at
the Eden Plant, but had copies in my files. I have made copies of these and they are now
at the Eden Plant. A copy is also enclosed, and at the plant. I was not able to locate the
qualitative records for all of the necessary inspection intervals, but they will be done at
the proper times in the future. The question of a second stormwater outfall has been
corrected. The pit mentioned will be filled and the water from this area will be directed
into the existing sediment ponds. The water from these ponds is recycled to the truck and
drum wash area which in turn flows in a closed loop. During a significant storm event
this water will co -mingle with the process water and be discharged at outfall 001 as
indicated on the site plan. The results of the settleable solids are reported on the back of
the Discharge Monitoring Report, as you will note on the enclosed forms.
Item 9 - The secondary containment vessel's valve had the handle removed and
was considered locked. This valve has as of today been replaced with a pad lock type of
valve. The form oil used for the "sego" blocks is a biodegra4able product and poses as no
threat to the environment. Even though this area will be cleaned this week.
I trust that the information provided is satisfactory and will exhibit our sincere
concern to apply with all environmental issues. If there are still questions I will be most
happy to meet with Mr. Ron Boone at these locations at a time that is convenient with
him to address any concerns or questions. I further request that any possible monetary
penalties be waved.

Mr. Steve W. Tedder
Water Quality Regional Manager
Reidsville Plant 4104
Eden Plant 4105
Page 3 of 3
As stated in the opening paragraph our company is very serious about being an
environmentally friendly company. In fact we are in the process of having all of our
plants certified as Green -Star plants. Green -Star certification is an industry wide
program that is recognized by a joint venture with the National Ready Mixed Concrete
Association (NRMCA) and the Federal EPA. Our Salisbury facility has already achieved
this designation and we are presently working at five other locations.
Thank you for your time and the positive comments about these two facilities
made by Mr. Boone.
Sincerely,
ames J. Woody
Environmental Manager
Enc. Reidsville Plant 104
Eden Plant 105

(16
RECEIVED
N.C. Deot. of ENR
DEC 0 7 2009
Winston-Salem,
Regional Office
CHANDLER CONCRETE CO., INC.
REDISVILLE PLANT # 104
STORMWATER POLLUTION PREVENTION PLAN
(SP3)
1. SITE Y FORMATION
A. Site Location: This site is located at 7699 NC 87 North near Reidsville, NC. This
property is located in an industrial section that is bordered on the north and east by a
quarry operated by Martin Marietta. On the west side is a heavy vegetative and wooded
area. To the south is NC 87 and a residential area. Water is discharged from this site into
an unnamed tributary to Wolf Island Creek that is in the Roanoke River basin.
B. Site Plan: A copy of the site plan is on the next page.
C. General Location Map: A copy of a portion of the USGS map identifying the
surrounding area follows on the page after the site plan.
(This part of the page is left blank intentionally)
Revised 08/16/04, Revised 01/12/06
Revised 08/15/07, Revised 1 1/24/09

SP3
Reidsville Plant # 104
D. List of Potential Pollutant Sources: The most likely sources for contaminates are
listed below:
■ Parked vehicles
■ Paved and unpaved areas
■ Aggregate stockpiles
■ Truck mixer loading area
■ Admixture storage area (contained)
■ Truck wash area
Acid storage area
■ Fuel storage and fueling area (contained)
■ Left -over concrete washout area
The following table lists a complete inventory of materials at this plant along with a
risk assessment of polluting storm water:
MATERIAL
LOCATION
EXPOSED TO STORM
WATER?
Portland Cement
Silo
No
Fly Ash
Silo
No
Sand
Stockpile
Yes
Stone
Stockpile
Yes
Motor Oil
Storage BId'g
No
Transmission Fluid
Storage Bld'g
No
Hydraulic Fluid
Storage Bld'g
No
Fuel Oil
AST (contained)
No
Truck Washing Liquid
Wash Rack
Yes
Form Oil (Biodegradable)
Block Forms
Yes
ADMIXTURES:
Daravair 1000
AST (contained)
No
Daracem 19
AST (contained)
No
Daratard 17
AST (contained)
No
Calcium Chloride
AST (contained)
No
WRDA 35
AST (contained)
No
Lubricon
AST (contained)
No
Delvo Stabilizer
AST (contained)
No
Revised 08/04/04, Revised 01/12/06
Revised 08/15/07, Revised 11/24/09
2

SP3
Reidsville Plant # 104
E. Description of Storage Practices:
a) Coarse and fine aggregate is received via dump truck and stored on the ground.
They are separated and contained by concrete walls on three sides.
b) Cement and fly ash are received via closed tanker trucks. This material is
pneumatically unloaded and stored in closed steel silos.
c) Liquid admixtures arrive at the plant in closed tanker trucks and pumped into
AST's located next to the plant in a contained area.
d) Diesel fuel is received from the fuel distributor and unloaded into an AST in a
containment vessel.
e) All other oils and petroleum products are stoked in AST's inside the storage
building.
f) Truck washing liquid (acid solution) is in an AST located at the truck wash
area for daily use.
F. List of Significant Spills: There have been no significant spills or leaks at this location
during the years of 2005, 2006, 2007, 2008 and 2009, or since this plant was purchased in
1991. Should a leak or spill occur it would be duly noted on the proper form located
behind tab labeled Spills.
G. Storm Water Outfalls: There are three point source storm water outfalls at this site and
they are indicated on the site plan. One is to the southeast of the property next to the
Martin Marietta property, the second is at the southwest corner of the property and the
third is on the west next to the truck wash area. The water form number one and two
outfalls flows into a ditch along the side of NC 87. That water flows to the northwest into
a series of ponds offsite. The water from outfall number three leaves the property to the
west and is discharged into the same location. These waters flow into an unnamed
tributary to Wolf Island Creek that empties into the Roanoke River basin. Storm water at
these outfalls will also be co -mingled with process water during storm events. Any other
storm water leaves the property in a sheet discharge.
lI. STORMWATER MANAGEMENT PLAN
A. Feasibility Study: When this site was originally designed there were no regulations
regarding water discharges. Planning continues on a better way to control the discharge of
process water within economic constraints. Secondary containment to enclose the liquid
admixtures and diesel fuel has been constructed. The aggregate is transferred to in -plant
storage bins via conveyor. There is a below grade hopper that allows the aggregate to be
transferred directly to the plant storage bins. At other times a front-end loader transfers
the aggregate from the on the ground storage area to the bins via conveyor. Cement and
fly ash is being unloaded, stored, and discharged via a closed system. All vehicles are
fueled on -site.
B. Secondary Containment Schedule: The secondary containment vessel for the liquid
admixtures and diesel fuel has been constructed. The pumps and dispensing bottles are
located in a closed structure inside this vessel. This vessel is equipped with a manually
control drain valve that is secured with a locking mechanism. This valve is to be closed
Revised 08/04/04, Revised 01/]2106
Revised 08/15/07, Revised 11/24/09
R1

.-tat i.i.- .'� ..
- ., •r'.
.. , - r ..
_
.. 'F
,
. .rs
:} ; ..
is
..
..
.t i i.s� ., i' ..
M•` �. i. '�
_' 'lt:
�. r .e• a ...
..
,'° - •
� .
,
•
fF

SP3
Reidsville Plant # 104
and locked at all times except when cleaning the vessel. Prior to release the storm water
will be visually observed and noted on the "Secondary Containment Release Report" for
color, foam, stain and visible sheen. If uncontaminated it will be released. If
contaminated it will then be properly contained and disposed. The truck wash liquid is a
mild acid solution, which is of little concern since it will mix with the process/storm water
that is usually alkaline. As previously mentioned all other possible contaminates are
stored inside and not exposed to storm water. Records of the releases from the
containment vessel are kept at this site for a period of five years.
C. Best Management Practices (BMP) Summary: Best management practices are physical,
structural or management practices that prevent or reduce pollution of waters of the state.
The following is a description of the BMP and storm water controls that are in place at the
Reidsville facility.
a) Some process water is being discharged at three outfalls. Most of the drives and
parking area is unpaved. Work needs to be done to eliminate the process water
that flows offsite. Planning continues on the planning and construction of
sediment basins.
b) Drivers are assigned specific parking locations for their trucks. Should any kind of
leak or spill occur it is to be reported to the plant manager and maintenance for
proper repair. Spills are to be cleaned up immediately and properly disposed.
c) Rinsing out of the truck mixer drums is kept to a minimum. When necessary at the
end of the day a maximum of 150 gallons of water is used. The trucks empty this
water offsite.
d) A log is maintained in the plant manager's office for inspections, service and
maintenance performed on the dust control system.
e) Some of the water from the stockpiles discharged in a sheet flow through
vegetation filter strips.
f) The berms and swales need to be constructed in order to better control the flow of
the process water.
III. Spill Prevention and Response Plan
A. Potential Pollutant Sources: This site meets the EPA requirements for a Spill Prevention
Control and Countermeasure Plan (SPCC) Plan. This plan is located in the office at this
plant. The actions to be taken for the spill prevention and response are based on a proper
assessment of potential pollutant sources of the materials in inventory. Liquid admixtures,
cement, fly ash and diesel fuel pose the greatest potential for a large spill either by rupture
of one of the tanks, a severed supply line, or by overfilling. In the event of a failure of one
of these materials plant personnel have been trained on the proper way to contain the spill
and properly dispose of this material. A complete list of potential pollutants is listed in
Section I -- Site Information paragraph D.
B. Facility Response Team: The response team is made up of the following people:
• Donnie Manring --- Plant Manager
• Dan Goley — Area Manager
• Employees assigned to this site.
Revised 08/04/04, Revised 01/12/06
Revised 08/15/07, Revised 11/24/09
4

SP3
Reidsville Plant # 104
The Plant Manager and Production Manager are responsible for maintaining the proper
operational procedures according to this Plan and the NC DENR Permit NCG 140081.
They are responsible for sampling, reporting, and maintaining all necessary forms
according to this Plan and Permit. They also will assign special housekeeping and
preventative maintenance tasks to the employees that are assigned to this plant.
Employees are instructed to follow the provisions of the above referenced permit. They
also are instructed on the proper truck wash locations and procedures. Should they
observe any potential violations they are to report such to their supervisor.
C. List of Contacts: Following is a list of contacts to notify in case of an emergency.
Inter -Company
Name Title Office Phone
James Woody Environmental Mgr. [phone] x 120
Donnie Brady Production Mgr. [phone] x 123
Steve Jones HR Mgr. [phone] x 102
Jeff Hinkle Fleet Maint. Mgr. [phone] x 110
J.C. Tuttle Plant Maint. Mgr. [phone] x 216
Peter McDaniel Dispatch [phone] x 141
Others
Company Phone
Emergency 911
A & D Environmental [phone]
NC DENR Division of Water Quality [phone]
NC DENR Division of Air Quality [phone]
Ray Harris Towing/Hauling [phone]
IV. Preventative Maintenance Plan
Cell Phone
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
A. Schedule of Inspections: An effective Preventative Maintenance Program (PM) is an
important aspect of any BMP control system. Well -maintained and inspected equipment
is less likely to cause problems that result in accidents and spills. The Reidsville Plant has
a preventative maintenance program that satisfies the overall needs of the SP3. The
purpose of the PM is to locate and correct equipment problems before they occur or cause
major problems. PM will reduce truck and plant breakdowns in addition to reducing the
risk of pollution of storm water. A list of items to be checked and the frequency is located
under the heading of Action List in Section VIII.
B. Good Housekeeping: Proper housekeeping is maintaining an orderly work environment
in order to contribute to the overall facility pollution control effort. Good housekeeping is
achieved through a combination of periodic employee training, motivation, and significant
manatr•mant tit t}tq r'1F-tails nima�rintY ciira cinwanv and urnrlr arr�a� arr r_1Pan anri nrrir�rly
Good housekeeping contributes to prevention of accidents, but also supports worker
health and cafPttr nrnrrramc aliminatr•c uraetr+ aura r�f.nr�railtr rtr,�trcntc �lr'tNrrnra�inn of
Revised 08/15/07, Revised 11/24/09

SP3
Reidsville Plant # 104
company property and equipment. The Reidsville facility shall adopt a standard of good
housekeeping in all of its work and storage areas. The following steps will help minimize
any potential for storm water pollution in addition to promoting safety and a sense of well
being at work.
a) Trash and other waste will be picked up regularly. A covered trash receptacle will be
strategically located inside and outside and emptied on a regular basis.
b) Maintain clean, dry floors and paved surfaces by using brooms, mops, shovels,
vacuum cleaners, or other cleaning equipment.
c) All liquid containers exposed to the weather will be kept in a secondary containment
vessel or inside the storage building.
d) All containers stored inside will be placed on pallets or shelves to prevent corrosion or
deterioration from exposure to moisture on the floor.
c) Empty drums and used pallets will be properly disposed.
f) The Good Housekeeping Checklist will be completed as part of the Quarterly
Housekeeping Inspection Report and retained in this book behind tab labeled QM.
V. Employee Trainin
Training of employees is essential to the success of any program. The following training will
be conducted:
A. Initial and annual training for all employees will include:
a) An introduction to Chandler Concrete Company's SP3, the Storm Water Discharge
permit, and what their responsibilities are.
b) Spill response and cleanup procedures.
c) Preventative maintenance requirements.
d) The role that good housekeeping plays in the plan.
B. Follow-up training at the plant will deal with specific problems and problem areas to
include the implementation of any new BMP.
C. A copy of all training activities will be kept in this manual behind the Training tab.
Vl. Responsible Party
The Environmental Manager shall be responsible for the overall coordination, development,
implementation and revision if this plan. Ultimately every employee assigned to this plant
has a responsibility to maintain this site in accordance to the Storm Water Permit. Other
responsible parties are listed in Section III paragraph C.
VII. Plan Amendment
This plan will be amended whenever there is a change in design, construction, operation, or
maintenance that has significant effect on the potential for the discharge of pollutants to
surface waters. At a minimum the plan will be reviewed and updated on an annual basis.
Revised 08/04/04, Revised 01/12/06
Revised 08/15/07, Revised 11/24/09
Gol

SP3
Reidsville Plant # 104
VHI. Facility Inspection Program
The plant manager or his designee will conduct visual inspections and monitoring of the
outfall and other areas as per the Action List on page 8. The forms can be found behind the
tabs as indicated below. After the forms have been completed they are to be filed behind the
properly marked tab and kept for at least five years.
A. Discharge Outfall Monitoring Report (DOMR): This is the form that is to used when
you actually take a sample of the storm water. This is required to be done once a year
between August 1 and July 31. Upon completion of initial data this form is to be sent to
the Environmental Manager (EM) to be completed. The EM will then submit to the State
and also send a copy back to the plant to be filed in this book.
B. Storm Water Discharge Outfall (SDO): This form is to be filled out when the DOMR is
performed and again approximately six months later.
C. Quarterly Housekeeping Inspection (QHI): This form is primarily a good housekeeping
checklist that is to be completed during the quarterly inspection.
D. Secondary Containment Release (SCR): This form is to be completed every time the
water is released from the secondary containment vessel.
E. Dust Collection System (DCS): This inspection is required as per the Air Quality Permit
and these forms are maintained in the Environmental Handbook. Visual inspections are
made daily and physical inspections are recorded weekly. There is also an annual
inspection form.
F. Spills and Releases: Anytime there is a significant spill or release it will be documented
indicating the date, time, material, amount, location, corrections made and who was
notified. This information will be filed behind the tab marked Spills.
(This part of page left blank intentionally)
Revised 08/04/04, Revised 01/12/06
Revised 08/15/07, Revised 11/24/09

SP3
Reidsville Plant # 104
IX. ACTION LIST
Report
Form
Activity
Responsibility
Required
ID
Daily:
Inspect vehicles for fuel, oil & other fluid leaks
Drivers/Open.
Yes
MVR
Visual inspection of dust collectors
Plant Mgr,
No
Weekly:
Inspect vehicles hoses and clamps
Drivers/Oper.
Yes
MVR
Inspect admixture lines, clamps, and tanks
Plant Mgr.
No
Inspect wash out area
Plant Mgr.
No
Inspect dust collection system
Plant Mgr.
Yes
AQ 101
Quarterly:
Good Housekeeping checklist
Plant Mgr.
Yes
QHI
Inspect secondary containment structures
Plant Mgr.
Yes
QHI
Semi -Annually:
Visually monitor all outfalls in spring & fall
Plant Mgr.
Yes
SDO
Analytical Monitoring of Representative Storm
Plant Mgr.
Yes
QHI
Inspect secondary containment structures
Plant Mgr.
Yes
QHI
Storm Drainage Inspection Checklist
Plant Mgr.
Yes
QHI
Annually:
SP3 training
James Woody
Yes
TRAIN
Inspect dust collection system
Plant Mgr.
Yes
AQ 102
Annual Facility Review
Plant Mgr.
Yes
A R
Analytical Monitoring of Representative Storm
Plant Mgr.
Yes
QHI
SP3 Review
James Woody
Yes
SP3
Analytical Data Submittal
Plant Mgr.
Yes
DOM
As Needed:
Document Significant Spills
Plant Mgr.
Yes
Spills
Release of rain/snow water from secondary
containment
Plant Mgr.
Yes
SCR
Revised 08/04/04, Revised 01 / 12/06
Revised 08/15107, Revised 11/24/09

NCDENR
.: y
.
Na1xN u�w�. od.�s,cxs or
[rvllOxMM uip Nc�.wK �Mca
DISCHARGE OUTFALL MONITORING REPORT
GENERAL PERMIT NCGI40000
(All sample data shall be reported no later than 30 days after receipt of lab results)
Certificate of Coverage NCG14 /J 7
Facility Name �li '�� 6-t covr .;rn- tue.
t+& .Pig l
Countyc
=Fhoneumber
Certified Laboratory #
Person Collecting Sample(s)
Collectors Signature
Sample ,Information
Part A:-Stormwater Discharge Monitoring Data (For stormwater not combined with process wastewater)
Storm Event Characteristics
Stormwater Dischar e Mo itorin
t
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new mot
-oil per rnanth? ❑ Yes ❑ No If yes, complete information below.
Stormwater Discharge Monitoring from Vehicle Maintenance Areas
7 Outfall Date Sample Total Flow ' Total Event Event New pH. ' Total Oil and
No. Collected Precipitation Duration Motor Oil Suspended Grease
Usage Solids
(titoldd/yr) (MG) (inches) (hours) (aaf/ma) (Std:.Ui�its} (mZII) (mz/l)

Part B: Process wastewater discharge monitoring data
Sample #
Effluent Source(s) for this sample ,/
Vehicle / Equipment CIeanin ❑
Raw Material Stock -pile Wetting ❑
Mixing Drurn Clean -out' ❑
Recycle S stern Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
PH
Std. units
TSS
mg/1
Settleable Solids
MI/1
Sample #
Effluent Sourcff(s2 for.this sarisple
Vehicle /Equipment Cleaning
Raw Material Stock-pile_Wettihp,
❑
❑
Mixing Drum Clean -out
❑
Rec cle $ stem Overflow
Parameter,
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG .
Event Duration
hours
PH
Std..units
TSS
mg/l
Settleable Solids
ml/1
Mail original and one copy to:
Attn:. Central Files
Division of Water Quality
DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
Sample #
Effluent Source(s) for this sample
Vehicle / Equipment Cleaning ❑
Raw Material Stock -pile Wetting ❑
Mixing Drum Clean -out ❑
Recycle System Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/I
Settleable Solids
HIM
Sample #
Effluent Source• s .f©r tihis ganx le
❑
Vehicle / Equipment Cleaning
Raw Material Stock -pile Wetting
❑
Mixin Drum Clean -out
❑
❑
Recycle S stem Overflow
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
PH
Std. units
TSS
Mel
Settleable Solids
mlh1
"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 ing6iry 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. r am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing
violations."
(Signature of Permittee or Designee)
(Date)

NO NR
� CM�16�[�'f ��0 ,ACtA/l �ilOL�CB
DISCHARGE OUTFALL MONITORING REPORT
GENERAL PERMIT NCG140000
(All sample data shalt be reported no later than 30 days after receipt of lab results)
Certificate of Coverage
NCG14�®©
Facility Name
County
�� c c iti1 Cfxkc.
Phone Number
3 _ 9 uS-
Certified Laboratory #
Person Collecting Sample(s)
CoIIectors Signature
Sample Information
Permit Term
Year
Year-Stast/End Dates
Place check mark to indicate
applicable sampling period
Discharge--T-yg .(check as appropriate)
Storniiwili r .: '. '
. Wastewater
1
August 1, 2004 to July 31, 2005
❑
0
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
2
August 1, 2005 to July 31, 2006
3
August 1, 2006 to J61y 31, 2007
4
August 1, 2007-to July 31, 2008
5
August 1, 2008 to July 31, 2009
::Fart A: St4t'znWater Discharge Monitoring Data (For stormwater not combined with process wastewater)
Storm Event Characteristics
Total Event Precipitation (inches
Evrnt Duration hours
Q t NQ O �E2 tlCo
lt1 ' ff-. L E 1Q%Z
n� � B ✓L '
Stormwater Discharge Monitoring
Outfall Date_Saniple Total Flow Total Event Event Duration
No. Collected Precipitation
mo/dd/ 'r (MG) (inches) (hours)
pH Total
Suspended
Solids
Stci.:;Units . (m 1)
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
of 1 per month? ❑ Yes ❑ No if yes, complete information below.
Stormwater DischaLge-Monitoring from Vehicle Maintenance Areas
Outfall Date Sample
No. Collected
(mo/dd/
Total Flow Total Event
Precipitation
(MG) (inches)
Event New
Duration Motor Oil
Usage
(hours) gal/mo)
pH Total
Suspended
Solids
(Std.Units) (m f
Oil and
Grease
(mg 1

Part B: Process wastewater discharge monitoring data
Sample #
Effluent Sources for this sample ,/
Vehicle / E ui ment Cleaning ❑
Raw Material Stock -pile Wettin ❑
Mixing Drum Clean -out ❑
Recycle S stem Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
PH
Std. units
TSS
mg/I
Settleable Solids
ml/1
Sample #
Effluent Sources for -this saris le
Vehicle /. E ui ment Cleaning ❑
Raw Material Stock -pile Wetting. ❑
Mixipy, Drum Clean -out ❑
Recycle System Overflow ❑
Parameter.
Unit Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
PH
Std. units
TSS
rng/1 .
Settleable Solids
rrzl/l
Mail original and one copy to:
Attn: Central Files
Division of Water Quality
DENR.
1617 Mail -Service Center
Raleigh, NC 27699-1617
Sample #
Effluent Source(s) for this sam le
Vehicle / Equipment Cleanin ❑
Raw Material Stock -pile Wettin ❑
Mixing Drum Clean -out ❑
Recycle System Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration .
hours
pH
Std. units
TSS
mg/1
Settleable Solids
ml/1
Sample #
Effluent Sources for! this•$arni le 4
Vehicle /Equipment Cleaning ❑
Raw Material Stock -pile Wettin ❑
Mixing Drum Clean -out ❑
Recycle System Overflow ❑
Parameter Unit
Data
Collection Date mo/dd/yr
Total Flow MG
Event Duration hours
pH Std. units
TSS mg/l .
Settleable Solids ml/I
"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."
(Print Name of Permittee for Designee)
(Signature, oe-i-mittee or Designee) (Date)
sw U-241-080104 Page 2 of 2

t 1FtS u1 As ac; A otsct-M"e- PAU-i, F P"t
Tlk& rt- +oj1-0 PG�+A «ten is �a��rlrsr�
lt5inr] .l ni rac Cc ucit6{ec .
DISCHARGE OUTFALL MONITORING REPORT
NCDENR GENERAL PERMIT NCG140000
(All sample data shall be reported no later than 30 days after receipt of lab results)
Certificate of Coverage
NCG14 ®®®0
Facility Name
"
County
C7
Phone Number
Lj
6, qS-
Certified Laboratory #
Person Collecting Sample(s)
Collectors Signature
Sample Information
Permit Term
Year
Year Start/End Dates
Place check mark to indicate
applicable sampling period
Discharge Type (check as appropriate)
Stormwater.
Wastewater
1
August 1, 2004 to July 31. 2005
Lj❑
Of
❑
1 ❑
1 ❑
❑
❑
❑
❑
❑
❑
❑
2
August 1, 2005 to July 31, 2006
3
August 1, 2006 to July 31, 2007
4
August 1, 2007 to July 31, 2008
5
August 1, 2008 to July 31, 2009
'Part A: Stormwater Discharge Monitoring Data (For stormwater not combined with process wastewater)
Storm Event Characteristics
Date
Total Event Precipitation (inches)
Event Duration (hours)
Stormwater Discharge Monitoring
Outfall
No.
Date Sample
Collected
mo/dd/ r)
Total Flow
(MG)
Total Event
Precipitation
(inches)
Event Duration
(hours)
pH
(Std. Units
Total
Suspended
Solids
mg I
P
N
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
oil per month? 0 Yes po If yes. complete information below.
Stormwater Discharge Monitoring from Vehicle Maintenance Areas
Outfall
No.
Date Sample
Collected
(mo/dd/ r)
Total Flow
(MG)
Total Event
Precipitation
(inches)
Event
Duration
(hours)
New
Motor Oil
Usage
(gal/mo)
pH
Std. Units)
Total
Suspended
Solids
(mg I)
Oil and
Grease
mg l
SWLI-241-080104 Page lof 2

Part S: Process wastewater discharge monitoring data
Sample # —L—.
Effluent Sources for this sample
❑�
Vehicle / E ui ment Cleaning
Raw Material Stock- ile Wettin
Mixina.Drum Clean -out
❑'�
Recycle System Overflow
❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
a(i (a4;
Total Flow
MG
Ijp
Event Duration
hours
S
PH
Std. units
TSS
mg/I
?1 9
Settleable Solids
mul
�! D
Sample#
Effluent Source(s) for this sample
❑
Vehicle 1 Equipment Cleaning
Raw Material Stock- ile Wettin
❑
Mixing Drum Clean -out
❑
Recycle System Overflow
❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
.pH
Std. units -
TSS
mg/l
Settleable -Solids
I rnl/I
Mail original and one copy to:
Attn: Central Files
Division of Water Quality
DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
Sw U-24 t-080104
Sample #
Effluent Sources for this sample
❑
Vehicle / E ui ment Cleanin
Raw Material Stock -pile Wettin
❑
❑
❑
Mixing Drum Clean -out
Recycle System Overflow
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/I
Settleable Solids
txtl/1
Sample #
Effluent Sources forthis:sam le
4
❑
❑
❑
❑
Vehicle / Equipment Cleanin
Raw Material Stock -pile Wettin
Mixing Drum Clean -out
Recycle System Overflow
Parameter
. 'Uriit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/I
Settleable Solids
ml/1
"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 passibility of fines and imprisonment for knowing
violations."
�jj rr
(Print Name of Permittee or Designee)
l'05-k G
(Signature of P • r tttee or Designee (Date)
Page 2 of 2

4
0
:Mnalyfical
www.pacelabs.com
June 28, 2006
Mr. James Woody
Chandler Concrete Co.
PO Box 131
Burlington, NC 27216
RE: Lab Project Number: 92121350
Client Project ID: Plant 104 Reidsville, NC
Dear Mr. Woody:
Pace Analytical Services, Inc.
9800 Kincey Avenue, Suite 100
Huntersville, NC 28078
Phone: [phone]
Fax: [phone]
Pace Analytical Services, Inc.
2225 Riverside Drive
Asheville, NC 28804
Phone: 828,254.7176
Fax: [phone]
Enclosed are the analytical results for sample(s) received by the laboratory on June 15, 2006. Results reported
herein conform to the most current NELAC standards, where applicable, unless otherwise narrated in the body of
the report.
Inorganic Wet Chemistry and Metals Analyses were performed at our Pace Asheville laboratory and Organic testing
was performed at our Pace Charlotte laboratory unless otherwise footnoted.
If you have any questions concerning this report please feel free to contact me.
Sincerely.
Bonnie McKee
[e-mail]
[phone] ext. 234
Project Manager
Enclosures
Asheville Certification IDs
NG Wastewater 40
NC Drinking Water 37712
SC 99030
FL NELAP E87648
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, inc.
nelac,4
harlotte Certification IDs
NC Wastewater 12
NC Drinking Water 37706
SC 99006
FL NELAP E87627

aceAnalyfical
www.pacelabs.com
Lab Sample No: 927091488
Client Sample ID: 104A
Pace Analytical Services, Inc.
9800 Kincey Avenue, Suite 100
Huntersville, NC 28078
Phone: 704.875, 9092
Fax: 704, 875.9091
Pace Analytical Services, Inc.
2225 Riverside Drive
Asheville, NC 28804
Phone: 828,254.7176
Fax, 828.252.4618
Lab Project Number: 92121350
Client Project ID: Plant 104 Reidsville. NC
Project Sample Number: 92121350-001 Date Collected: 06/14/06 15.32
Matrix: Water Date Received: 06/15/06 11:18
Parameters Results Units Report Limit_ Analyzed By CAS No. Qual RegLmt
Wet Chemistry
Total Suspended Solids Method: EPA 160.2
Total Suspended Solids NO mg/l 3.3 06/16/06 07:45 TMR
Date: 06/28/C6
Ash eville-Qortificati on IDs REPORT OF LABORATORY ANALYSIS
NC Wastewater 40
NC Drinking Water 37712 This report shall not be reproduced, except in full,
SC 99030 without the written consent of Pace Analytical Services, Inc.
FL NELAP E87648
nelac_,=
Page: 1 of 3
Charlotte Certification IN
NC Wastewater 12
NC Drinking Water 37706
Sc 99006
FL NELAP E87627

R
ace Analytical
www.pacelabs.com
Lab Sample No: 927091504
Client Sample ID: 104E
Pace Analytical Services, Inc.
9800 Kincey Avenue, Suite 100
Huntersville, NC 28078
Phone: [phone]
Fax., 704.875.9091
Pace Analytical Services, Inc.
2225 Riverside Drive
Asheville, NC 28804
Phone., 828.254.7178
Fax., 828,252.4618
Lab Project Number: 92121350
Client Project ID: Plant 104 Reidsville, NC
Project Sample Number: 92121350-002 Date Collected: 06/14/06 15:35
Matrix: Water Date Received: 06/15/06 11:18
Parameters Results Units Report Limit Analyzed By CAS No. Qual RegLmt
Wet Chemistry
Total Settleable Solids Method: EPA 160.5
Total Settleable Solids ND ml/l/hr 0.10 06/15/06 22:00-CD1
Date: 06/28/06
Asheville Certification IN
NC Wastewater 40
NC Drinking Water 37712
SC 99030
FL NELAP E87648
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in fuli,
without the written consent of Pace Analytical Services, Inc.
,p ACCOR
melac,,=
Page: 2 of 3
Charlott. Certification EDs
NC Wastewater 12
NC Drinking Water 37706
SC 99006
FL NELAP E87627
u

aceAnalyical®
www.pacelabs.com
PARAMETER FOOTNOTES
Method 9071B modified to use ASE.
Pace Analytical Services, Inc.
9800 Kincey Avenue, Suite 100
Huntersville, NC 28078
Phone: [phone]
Fax: [phone]
Pace Analytical Services, Inc.
2225 Riverside Drive
Asheville, NC 28804
Phone: [phone]
Fax: [phone]
Lab Project Number: 92121350
Client Project ID: Plant 104 Reidsville, NC
All pH, Free Chlorine, Total Chlorine and Ferrous Iron analyses conducted outside of EPA recommended immediate
hold time.
Depending on the moisture content the PRLs can be elevated for all soil samples reported on a dry weight basis.
2-Chloroethyl vinyl ether has been shown to degrade in the presence of acid.
ND Not detected at or above adjusted reporting limit
NC Not Calculable
J Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit
MDL Adjusted Method Detection Limit
Date: 06128106
Asheville Certification IDs REPORT OF LABORATORY ANALYSIS
NO Wastewater 40 This report shall not be reproduced, except in full,
NO Drinking Water 37712
SC 99030 without the written consent of Pace Analytical Services, Inc.
u N 1LCagQ{
FL NELAP E87648
Page: 3 of 3
Charlotte Certification IDs
NO Wastewater 12
NO Drinking Water 37706
SG 99006
FL NELAP E87627
ti

nnn /ln�h rlin�l
L;MAIN-Ul--C:US I UUY 1 Analytical Kequest Document
. The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
Page: of
Section A
Section B
Section C
c
Required Client Information:
Required Project Information:
Invoice Information:
0967411
Company , r�
7 • ' '`
Report To:
Attention;
REGULATORY AGENCY
i
-
'r7,. r
❑ NPDES ❑GROUND WATER
❑DRINKING WATER
Address
Copy To:
Company Name:
�
❑ UST ❑ RCRA
p Other
Address:
❑GA ❑IL ❑IN
❑MI OMN ONC
Email To:
Purchase Order No.:
Pace Quote Reference:
DOH ❑SC ❑ WI
❑OTHER
Phone Fax
Project Name: ; ;
Pace Project Manager;
"i 6 '.q
-
Filtered (YIN)
Requested Due DatefTAT:
Project Number:
, Pace Profile' s]
r-
Requested
Analysis:
-
Section D Required Client Information
Valid Matrix Codes
MATRIX COnF _
d
'
Preservatives
_
DRINKING WATER DW
w
UJ2
0-
SAMPLE ID
WATER WT
WASTE WATER WW
o
O
o
w
L z
s`
SOIU ODD SL
x
am
COLLECTED
d u M
m
Ur
One Character per box.
OIL OL
E o z
z
, _
o
(A_Z, 0-9
AIR L qR
g
<t7
COMPOSITESTART CCMPD5ITE ENDIGRAB
o ¢
O
= O = `m
y, Pace Project Number
W Samples;Ds MUST BE UNIQUE
~
OTHER OT
DATE TIME DATE TIME
c N z
Q m m G-
�°
TISSUE TS
> _ _
= z z E
Lab LD
1 i f is
"
•
• • +
■ 13Y I AFFILIATION•
SAMPLE CONDITION
Additional Comments:
�a
z
-
r
z
z
z
z
z
z
�
r
r
z
z
z
}
r
}
,..Isi
AMPLER NAME AND SIGNATURE`m
U
o
PRINT Name of SAMPLER:
°�
o
y Q
i
E
°
R
SEE REVERSE SIDE FOR INSTRUCTIONS
SItnTLIRE of SAMPLER:
-
DATE Signed (MM r DD r YY)
9
ai i nron—,n tiKA .nF
2 /") - /(-/- I)'/'

.�� : .1
+ WY
�piw
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
19 November 2009
Chandler Concrete Co., Inc.
Attn: Mr. James Woody
P.O. Box 131
Burlington, NC 27216
Subject: Compliance Evaluation Inspections & Resulting Notices of Violation for
NPDES General Stormwater Permit NCG140000 at
Chandler Concrete Plant #104, Reidsville, NC, COC — NCG140081,
NOV-2009-PC-0935; &
Chandler Concrete Plant #105, Eden, NC, COC — NCG140080,
NOV-2009-PC-0934
Rockingham County
Dear Mr. Woody:
1. Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Quality (DWQ or
the Division) conducted compliance evaluation inspections (CEI) at the subject facilities on 18
November 2009. Inspection checklists are attached for your records and the inspection findings
are summarized below.
Reidsville Plant #104, NCG140081, NOV-2009-PC-0935
2. This facility is located at 7699 NC Hwy 87 North, in Reidsville, Rockingham County, North
Carolina. Although the receiving stream is not specified on the Certificate of Coverage (COC), it
appears that the site discharges to an unnamed tributary to Wolf Island Creek, which is currently
classified as Class C waters in the Roanoke River basin. Chandler should update this information
during the next permit renewal process.
Documentation & Monitoring Review
3. The Stormwater Pollution Prevention Plan (SP3) was last revised in August 2004, and
documentation of annual reviews was not found. Several items are out of date including the list of
facility response personnel, the responsible person(s), the list of spills, and DWQ phone numbers
for spill reporting. Additionally, records for annual facility inspections, secondary containment
drainage inspections, etc., were incomplete or do not exist.
4. Review of analytical and qualitative (A&Q) monitoring records revealed that A&Q monitoring has
only been done at outfall 001; however, there are three stormwater discharge outfalls (SDO) on
the site, numbered 001, 002 and 003. Additionally, there were A&Q monitoring records for the
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX: [phone] Customer Service: 1-877.623-6748 NorthCarolina
Internet: www.ncwaterquality.org J/
a ura �
An Equal Opportunity 1 Affirmative Action Employer

Chandler Concrete Co., Inc.
Attm Mr. James Woody
Compliance Evaluatson Inspections & NOVs
NCG140080 — NOV-2009-PC-0934 &
NCG140081 — NOV-2009-PC-0935
11/19/2009
Page 2 of 3
years 2005 and 2009 only; there were no records for the years 2006, 2007 and 2008. Finally, it
appears that waters draining to all three SDOs are a mixture of stormwater and wastewater, which
would require that you perform the analytical monitoring for wastewater, yet results for settleable
solids were not found.
Site Review
5. The site appeared quite clean and well maintained. However, the valve for the secondary
containment for the admixtures was not locked in the closed position as required. Please correct
this as soon as possible.
Eden Plant #105, NCG140080, NOV-2009-PC-0934
6. This facility is located at 234 North Main Street, in Eden, Rockingham County, North Carolina.
Although the receiving stream is not specified on the Certificate of Coverage (COC), it appears
that the site discharges to an unnamed tributary to Dry Creek, which is currently classified as
Class C waters in the Roanoke River basin. Chandler should update this information during the
next permit renewal process.
Documentation & Monitoring Review
7. The Stormwater Pollution Prevention Plan (SP3) was last revised in August 2004, and
documentation of annual reviews was not found. Several items are out of date including the list of
facility response personnel, the responsible person(s), the list of spills, and DWQ phone numbers
for spill reporting. Additionally, records for annual facility inspections, secondary containment
drainage inspections, etc., were incomplete or do not exist. Finally, annual training has either not
been conducted or not been documented as required.
8. Review of analytical and qualitative (A&Q) monitoring records revealed that A&Q monitoring has
been done for 2009, but records for 2008 and prior either don't exist or have been misplaced.
Also, there is a sedimentation cell near the northeast corner of the facility, north of the series of
concrete sedimentation cells. This cell is constructed of concrete Jersey barriers and earth, and a
small cut has been made in its southeast corner to facilitate drainage of the cell when it gets to
that depth. The drainage from this cell may be considered wastewater because it receives waste
concrete and possibly drum washes. This cell discharges completely separately from the site's
single identified SDO 001. However, Chandler has not been monitoring it as an SDO. Finally, just
as with the Reidsville plant, the waters draining to the series of concrete sedimentation cells and
subsequently to SDO 001, are a mixture of stormwater and wastewater, which requires that you
perform the analytical monitoring for wastewater, yet results for settleable solids were not found.
9. The site appeared quite clean and well maintained. However, the valve for the secondary
containment for the admixtures was not locked in the closed position as required. Please correct
this as soon as possible. Also, there is a Jersey barrier form near the water tanks, along with
some oil containers. The oil is used to coat the form. Although it is a small amount, there is some

V T . .►
Chandler Concrete Co., Inc.
Attn: Mr, James Woody
Compliance Evaluation Inspections & NOVs
NCG140080 — NOV-2009-PC-0934 &
NCG140081 — NOV-2009-PC-0935
11 /19/2009
Page 3 of 3
oil spillage around the form that should be properly cleaned up. Chandler may also need to
retrain plant personnel on the proper spill cleanup procedures.
10.You are reminded that pursuant to NC General Statute 143-215.6A, the Division may assess civil
penalties against Chandler, of up to $25,000 per day, for each violation of NCG140000.
Chandler must correct all violations identified above as soon as possible. Additionally, please
reply in writing to this NOV within 30 days of receiving it. Your reply should detail corrective
actions with implementation schedules for each of the violations identified above in paragraphs 3
through 5 and 7 through 9. Failure to reply may also result in a recommendation to enforce from
this office to the Division Director.
11. Thank you for your cooperation in this matter. Should you have any questions, please feel free to
contact Mr. Boone or me at [phone].
Sincer ,lye /
teve W. Tedder -
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachments:
1. BIMS Inspection Checklist
cc: SWP__ .WSRO J
Central Files
Stormwater Permitting Unit

Permit: NCG140081
SOC:
County: Rockingham
Region: Winston-Salem
Compliance Inspection Report
Effective: 08/01/04 Expiration: 07/31/09 Owner: Chandler Concrete Co Inc
Effective: Expiration: Facility: Chandler Concrete Co-Plt #104
7699 N NC 87
Contact Person: James J Woody
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s)-
Related Permits:
Title:
Inspection Date: 11/18/2009 Entry Time: 03:00 PM
Primary Inspector: Ron Boone 1
Secondary Inspector(s): ' .-
Reidsville NC 27320
Phone: [phone]
Certification:
Exit Time: 04:00 PM
Jill `1 /2-6, i
Phone:
Phone: [phone]
Ext.2202
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Ready Mix Concrete Stormwater/Wastewater Discharge
COC
Facility Status: ❑ Compliant ® Not Compliant
Question Areas:
® Storm water
(See attachment summary)
Page: 1

Permit: NCG140081 Owner • Facility: Chandler Concrete Co Inc
Inspection Date: 11/1812009 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Please refer to attached inspection summary letter.
Page: 2

Permit: NCG140081 Owner - Facility: Chandler Concrete Co Inc
Inspection Date: 11/18/2009 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
®
n
n
n
# Does the Plan include a General Location (USGS) map?
®
n
n
n
# Does the Plan include a "Narrative Description of Practices"?
®
n
n
❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
®
n
n
n
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑
In
❑
n
# Has the facility evaluated feasible alternatives to current practices?
®
n
n
n
# Does the facility provide all necessary secondary containment?
®
n
n
n
# Does the Plan include a BMP summary?
®
❑
n
11
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
n
n
n
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
®
n
n
# Does the facility provide and document Employee Training?
®
n
n
n
# Does the Plan include a list of Responsible Party(s)?
®
n
n
n
# Is the Plan reviewed and updated annually?
L7
®
n
n
# Does the Plan include a Stormwater Facility Inspection Program?
®
n
n
n
Has the Stormwater Pollution Prevention Plan been implemented?
n
n
n
Comment: Please refer to attached inspection summary letter.
Qualitative Monitoring
Yes
No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
n
®
n
n
Comment: Please refer to attached inspection summary letter.
Analytical Monitoring
Yes
No
NA
NE
Has the facility conducted its Analytical monitoring?
n
®
00
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
n
n
®
n
Comment: Please refer to attached inspection summary letter.
Permit and Outfalls
Yes
No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
®
n
n
# Were all outfalls observed during the inspection?
®
n
n
n
# If the facility has representative outfall status, is it properly documented by the Division?
n
n
IN
n
# Has the facility evaluated all illicit (non stormwater) discharges?
®
n
n
Comment: Please refer to attached inspection summary letter.
Page: 3

A�n
NCDENR
North Carolina Department of Environment and
Division of Water Quality
Michael F. Easley, Governor
August 4, 2004
James J Woody
Chandler Concrete Co
PO Box 131
Burlington, NC 27216
Natural Resources
William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
Subject: NPDES Stormwater Permit Coverage Renewal
Chandler Concrete Co-Plt # 104
COC Number NCG 140081
Rockingham County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG 140000 the Division of
Water Quality (DWQ) is forwarding.herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of General Stormwater Permit NCG140000
• A copy of a discharge monitoring report form
• 5 copies of the qualitative monitoring report form
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by the Department of Environment and Natural
Resources, or relieve the permittee from responsibility for compliance with any other applicable federal, state, or
local law, rule, standard, ordinance, order, judgment, or decree.
If you have any questions regarding this permit package please contact Bill Mills of the Central Office Stormwater
Permitting Unit at [phone], ext. 548.
cc. Central Files
Stormwater Permitting Unit
Winston-Salem Regional Office
Sincerely,
I r�~
for Alan W. Klimek, P.E.
Surface Water Protection Section
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 N. Salisbury St., Raleigh, North Carolina 27604 NorthCarolina
Phone: [phone]I FAX [phone] Internet: hfpalh2o.enr.state.nc.us/su/stormwater.htmi NaturallyoAn Equal OpportunitylAifirmative Action Employer - 50% Recycled110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCGNCG140081
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.I, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission,
and the Federal Water Pollution Control Act, as amended,
Chandler Concrete Co
is hereby authorized to operate a process wastewater treatment system, and is hereby authorized to
discharge process wastewater and stormwater from a facility located at
Chandler Concrete Co-Plt #104
7699 North NC 87
Reidsville
Rockingham County
to receiving waters designated as a UT of Wolf Island Creek, a class C stream, in the Roanoke River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts 1, II, III, IV, V, and VI of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective August 1, 2004,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 1, 2004.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management
Commission

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires B-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/molday Inspection Type Inspector Fac Type
1 u 2 U 31 NCG140061 111 121 05/04/19 117 18 U 19 U 20 U
Remarks
211 1 LI I i I I 11_ I I_ I I I 1 I I I I _I I I I I I I _lam I I I I I I 11_ ] I I 11_L_I 11 166
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 CA ---------- -------------Reserved-----------------------
67 1 1 69 70 L _J 71 U 72 N 73 W 74 751 I I ! L 1- U 80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
08:50 AM 05/04/19
04/08/01
Chandler Concrete Co-Plt 4104
Exit Time/Date
Permit Expiration Date
7699 N NC 87
Reidsville NC 27320
09:20 AM 05/04/19
09/07/31
Name(s) of Onsite Representative(s)fritles(s)1Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official(TitlelPhone and Fax Number
James J Woody,P0 Box 131 Burlington NC 27216//336-226-1181/3365700FWa ted
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
David C Russell WSRO WQ//336-771-4608 Ext.260/
Signature of Management Q A Reviewer AgencylOffice/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.

r`
PPrmit
Yes
No
NA
NF
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
■
❑
❑
❑
Is the facility as described in the permit?
®
❑
❑
❑
Are there any special conditions for the permit?
®
❑
❑
❑
Is access to the plant site restricted to the general public?
■
❑
❑
❑
Is the inspector granted access to all areas for inspection?
■
❑
❑
❑
Comment: This facility has a good site plan and monitoring is being performed as required. No problems observed.
Mr. Donnie Manring(cell #336 669-6032) was met.