NCG140084_MONITORING INFO_20190509

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V Lc, ) q O
DOC TYPE
❑HISTORICAL FILE
IVMONITORING REPORTS
DOC DATE
❑ c�)�� �1 O 5 (i "1
YYYYMMDD

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 H 4
FACILITY NAME: Chandler Concrete Piedmont - RANDLEMAN Pit# 110
1 QTR
C0' Orig -State
0 Copy - State
0 Copy - Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2019
SAMPLE QUARTER: ®Jan -March ❑April -June ❑Jul -Sept ❑Oct -Dec
PERSON COLLECTING SAMPLES: No Discharge COUNTY: RANDOLPH
CERTIFIED LABORATORY:Pace Analytical Lab #633 RECEIVED PHONE NO. [phone]
MAY 0 9 Z019 ADD TO LISTSERVE? ❑YES ®NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
CENTRAL FILES OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements DWR SECTION
Non -Polar
Date Sample
Type of Wastewater
pH
Total Suspended
Settleable
Oil & Grease
Discharge
Total Flow
Out€all No.
1
Collected
(VE, RM, MD)z
(standard)
Solids
Solids
usingmethod
Duration
{gallons/day)'
(mm/dd/yr)
(rl
(mL/L)
1554SGT--HEM6
(minutes)
(mg/L)
-
-
6-93,4
303,5
53
(15)6
1
NQD
VE RM MD
-
-
N/A
N/A
-
N/A
NQD - No Qualifying 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.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (l 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 ml for wastewater discharges to HQW waters, 10 rng/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 DISCHARGEI 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 th 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 fo.rnittog false information, including the possibility of fines and imprisonment for knowing violations."
z
?// 6
(b te)
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 0 0 8 4
FACILITY NAME: Chandler Concrete Piedmont - RANDLEMAN Pit# 110
PERSON COLLECTING SAMPLES: No Discharge RECEIVED
CERTIFIED LABORATORY:Pace-Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO JAN 2 3 2019
CENTRAIL FILES
Part A: Wastewater Monitoring Requirements DWR SECTION
4 QTR
10--l"Orig — State
0 Copy — State
0 Copy — Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2018
SAMPLE QUARTER: ❑Jan -March ❑April -June ❑Jul -Sept ®Oct -Dec
COUNTY: RANDOLPH
PHONE NO. [phone]
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Non -Polar
Date Sample
Type of Wastewater
pH
Total Suspended
Settleable
Oil &Grease
Discharge
Total Flow
Outfall No.
Collected'
Z
(VE, RM, MD)
(standard)
Solids
Solids
using method
Duration
(gallons/day) '
(mm/dd/yr)
(mg/L)
(mL/L)
1664SGT-HEM6
(minutes)
(mg/L)
-
-
6-93,4
303,5
53
(15)G
-
-
1
NQD
VE RM Il
-
-
N/A
N/A
-
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.
r 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.
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.
L 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 !V, 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 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 th 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 f9fAhtting false information, including the possibility of fines and imprisonment for knowing violations."
/s
// � -
(D 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
3QTR
/ Orig - State
0 Copy - State
0 £eppabinstdn*
0 Copy - Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 4 SAMPLE COLLECTION YEAR: 2018
FACILITY NAME: Chandler Concrete Piedmont - RANDLEMX Plt#_1�10 � �,,,,
SAMPLE QUARTER: ❑Jan -March []April -June ®Jul -Sept []Oct -Dec
PERSON COLLECTING SAMPLES: FAULKNER �6CO- NTY: RANDOLPN
CERTIFIED LABORATORY:Pace Analytical1ab #t633 . NOV 06 20j_hH ENO. [phone] �
=ADD TO LISTSERVE? DYES'®NO EMAIL: "
LIMIT VIOLATIONS? YES ❑ NO ® G ' `�"-.L FILIDfSCHARGING TO CLASS: ❑5A ❑HQW ❑PNA ❑Trout ®Other: C
r"VA SFCTI08PTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Non -Polar
Date Sample
Type of Wastewater
pH
Total Suspended
Settleable
Oil & Grease
Discharge
Total Flow
Outfall No.
Collected 1
{VE, RM, MD) z
{standard}
Solids
Solids
using method
Duration
{gallons/day] '
(mm/dd/yrJ
(mg/L)
(mL/L)
1664SGT-HEM'
(minutes)
(mg/L)
-
6-93,4
303�5
53
(15)6
-
1
NQD
VE RM MD
-
-
N/A
N/A
-
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.
' 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.
a 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 beset to 50% of the Summer 7Q10 Flow as per 15A NCAC 026.0224. Permittees
who discharge wastewater to HQW waters shall obtain a Summer 70,10 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]
ems" Wo3 EvrDE�+�t o� A plS,GA14) .4� b�,c.a Nt4 �,,/i!!r� �+f" �a/,NS Sv4'✓t?�b+✓^J �*�NC.�.
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 fo�ubmitting false informationjncluding the possibility of fines and imprisonment for knowing violations."
rl�
Signature of
/J 2 / e
(D 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
2 QT R
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 4
FACILITY NAME: Chandler Concrete Piedmont - RANDLEMAN Pit# 110
Orig — State
0, Copy — State
0 Copy - Winston
0 Copy — Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2018
SAMPLE QUARTER: ❑Jan -March ®April ❑Jul -Sept ❑Oct -Dec
PERSON COLLECTING SAMPLES: FAULKNER COUNTY: RANDOLPH
PHONE NO. (336) I26-1181
CERTIFIED LABORATORY:Pace Anal ical �, Lab #633 �E IVE, t.,r
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® AUG 0 3 201blSCHARGING TO CLASS: ❑SA ❑HOW ❑PNA ❑Trout ®Other: C
CENTRAL 1=I��QPTIONAL INFO:
Part A: Wastewater Monitoring Requirements MAIP CC:r^TfnN1
Non -Polar
Date Sample
Type of Wastewater
pH
Total Suspended
Settleable
Oil & Grease
Discharge
Total Flaw
Outfall No.
Collected 1
(VE, RM, MD) �
(standard)
Solids
Solids
using method
Duration
(gallons/day)
(mm/dd/yr)
(mg/0
(mL/L)
1664SGT-HEM'
(minutes)
(mg/L)
-
-
6-93,4
303,s
53
(15)6
-
i
NO FLOW
VE RM MD
-
-
N/A
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.
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 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 rng/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:
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 ail 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 SAAitting false information, including the possibility of fines and imprisonment for knowing violations."
(SigrMture of Permittee) (D� e}
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 2 of 2

NC Department of
Environmental Quality
Received
AUJ3 01 201118 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
Winston-Salem
Regional Office
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 4
FACILITY NAME: Chandler_ Concrete Piedmont - RANDLEMAN Pit# 110
PERSON COLLECTING SAMPLES: FAULKNER
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
2 QTR
0
Orig - State
0
Copy - State
Copy - Winston
0
Copy - Plant
0
Copy - File
SAMPLE COLLECTION YEAR: 2018
SAMPLE QUARTER: ❑Jan -March ®April -June ❑Jul -Sept []Oct -Dec
COUNTY: RANDOLPH
PHONE NO. [phone]
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HOW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Non -Polar
Date Sample
Type of Wastewater
pH
Total Suspended
Settleable
Oil & Grease
Discharge
Total Flow
Outfall No.
Collected 1
(VE, RM, MD) z
(standard)
Solids
Solids
using method
Duration
,
(gallons/dayj
(mm/dd/yr)
(mg/L)
(mL/L)
15645GT-HEM6
{minutes)
(mg/L)
-
-
6-93•4
303.5
53
(15) 6
1
NO FLOW
VE RM MD
-
-
`1V Ar `„.
d�,.N A :.
-
N/A
No Discharge this Period -
A 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 (RMj, Mixing Druni Cleanout (MDR. 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.
Q pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
' 1SS 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 fINCLUDING 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 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 bestof my knowledge and belief, true, accurate, and complete. I am aware that there are
significant penalties for s-44itting false information, including the possibility of fines and imprisonment for knowing violations."
ure of Permittee)
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. NCG400 :B•4F®
FACILITY NAME: Chandler Concrete PiedFont - RANDLEMAN Plt# 110
PERSON COLLECTING SAMPLES: FAULKNEF�pR t
CERTIFIED LABORATORY:Pace Analytical Lab #633, i=lLEg
GENJ fi�L.
LIMIT VIOLATIONS? YES [:]NO ® DVVR SEGi1t��
Part A: Wastewater Monitoring Requirements
1 QTR
Orig — State
0 Copy — State
0 Copy - Winston
0 Copy — Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2018
SAMPLE QUARTER: ®Jan -March ❑April -June ❑Jul -Sept ❑Oct -Dec
COUNTY: RANDOLPH
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Non -Polar
Date Sample
Type of Wastewater
pH
Total Suspended
Settleable
Oil & Grease
Discharge
Total Flow
Outfall No.
Collected'
(VE, RM, MD) z
(standard}
Solids
Solids
using method
Duration
(gallons/day}
(mm/dd/yr)
(mg/L)
(mL/L)
1564SGT-HEMS
(minutes)
(mg/L)
-
-
6-93,4
303,5
53
(15)6
-
1
03/21/18
VE RM MD
8.1
18.2
N/A
N/A
>30
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 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 DFMLR. 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 for submitting false information, including the possibility of fines and imprisonment for knowing violations."
nature of Pe
Permit Date:8/1/2017-06/30/2022
17/ p
(Date)
Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWATER` —`Quarterly Discharge Monitoring Report
GENERAL PERMIT NO, NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 0 0 8 4 _
FACILITY NAME: Chandler Concrete Piedmont - RA fMXW_
PERSON COLLECTING SAMPLES: FAULKNER
CERTIFIED LABORATORY:Pace Analytical Lab #633 FEB 0 5 2013
LIMIT VIOLATIONS? YES NO CENTRAL FILES
❑ ® DWR SECTION
Part A: Wastewater Monitoring Requirements
4 QTR
"-Orig - State
0 Copy -State
0 Copy - Winston''
0 "Copy - Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2017 1 - I
SAMPLE QUARTER: ❑Jan -March []April -June ❑Jul -Sept ®Oct -Dec
COUNTY: RANDOLPH
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA [:]How ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Non -Polar
Date Sample
Type of Wastewater
pH
Total Suspended
Settleable
Oil &Grease
Discharge
Total Flow
Outfall No.
Collected'
Z
(VE, RM, MD}
(standard)
Solids
Solids
using method
Duration
(gallons/day}
(mm/dd/yr)
(mg/L)
(mL/L)
1664SGT-HEM6
(minutes)
(mg/L) s.
6-93,4
303-1
53
4
1
NO FLOW
VE RM MD
-
-
N/A.
N/A
_
N/A
No Discharge this Period -
1 If wastewater systems have not d{scharged 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.B-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/Lfor 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 forwastewater, 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'AWITHIN 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 FORANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering th 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 itting false information, including the �6 - ibilify of fines and imprisonment for knowing violations."
X e
(Signature of Permitteej (Dat )
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
3QTR
-.e Odg -State
0 Copy - State
0 Copy.- Winsfon
0 ' Copy - Plant
0 Copy - File
CERTIFICATE OF COVERAGE N0. NCG14 0 0 8 4 SAMPLE COLLECTION YEAR: 2017
FACILITY NAME: Chandler Concrete Piedmont - RANDLEMAN Pit# 110 SAMPLE QUARTER: []Jan -March ❑April -June ®Jul -Sept ❑Oct -Dec
PERSON COLLECTING SAMPLES: FAULKNER COUNTY: RANDOLPH
CERTIFIED LABORATORY:Pace Analytical Lab #633 RECEItt� f VE&ONE NO. [phone]
NOV 02 2�17 ADD TO LISTSERVE? ❑YES ®NO EMAIL:
LIMIT VIOLATIONS? YES []NO ® DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ®Other: C
Part A: Wastewater Monitoring Requirements
DENTRAL FILES OPTIONAL INFO:
DWR SFrTlr)ha
Non -Polar
Date Sample
Type of Wastewater
pH
Total Suspended
Settleable
Oil & Grease
Discharge
Total Flaw
Outfall No.
Collected 1
(VE, RM, MD) z
{standard}
Solids
Solids
using method
Duration
7
(gallons/day)
(mm/dd/yr)
(mg/L)
(mL/L)
1664SGT-HEM6
{minutes]
(mg/L)
-
_
-
- 6-93.4
3035
53
(15)6 :.
1
8/8/17
VE RM MD
8.6
ND-
N/A
N/A
45
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), Kxing Drum Veanout (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 6-9 S.U. forwastewater 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 lV, 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 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.
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 p `-
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 w
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 bmitting false information, including the possibility of fines and imprisonment for knowing violations." w
(Signature ofPermitte (D te)
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING
GENERAL PERMIT NO. NCC3140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 4 SAMPLE COLLECTION YEAR:2017
FACILITY NAME: Chandler Concrete Co. �- Randleman Plant #�AMPLING PERIOD: ❑ July -December
COUNTY Randlolph
PERSON COLLECTING SAMPLES: Ronnie Faulkner JUL 2 a iliI/
FORM
\) Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
® January -June
CERTIFIED LABORATQRY:Pace Analytical Lab #633 PHONE NO. (336) 498 - 8209
CENTRAfAI]DE_TO LISTSERVE? []YES ®NO EMAIL:
OPTIONAL INFO: DWR SE Y1 -
E)IS&4RGING TO CLASS: [_]SA ❑HCtW ❑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
2 Sampling'
-
-
6-92
1001,3
1
NO FLOW
N
N/A
2
NO FLOW
N
N/A
No Discharge Observed during this
period
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.
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: 7/1/2011-60/30/2015 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)1
PH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall a
(in)
}
New Motor Oil
Usage
{gal/month)
In Tier z
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling'
6-9z
152
1001,3
N/A
"`Vehicle Maintenance
Not Performed 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 (includine all "No Flow" & "No Discharee" 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 diirec responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware a s ificant penalties for submitting false information, including the possibility of fines nd imprisonment for knowing violations."
7 Zo
(Si ature of ermitte (Ddte)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

ate
rig
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report � 0 CCopy state
GENERAL PERMIT NO. NCG140000 0 Copy - Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 4 SAMPLE COLLECTION YEAR: 2017
FACILITY NAME: Chandler Concrete Company - Randleman #110 SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec []Jan -March ®April -June
PERSON COLLECTING SAMPLES: Ronnie Faulkner COUNTY: Randolph
CERTIFIED LABORATORY:Pace Analytical Lab #633 PHONE NO. (336) 498 - 8209
RECEIV��ADDTOLISTSERVE? ❑YES ®NO EMAIL:
LIMIT VIOLATIONS? YES [:]NO ® JUL 2 4 2017 DISCHARGING TO CLASS: ❑SA []HQW ❑PNA []Trout ®Other: C
CENTRAL FILESOPTIONAL INFO:
Part A: Wastewater Monitoring Requirements DWR SECTION
Outfall Na.
Date Sample
Collected !
(mm/dd/yr)
Type of Wastewater
(VERM
, , MD)2
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT-NEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day) '
-
-
-
6-93,4
303,5
53
(15),
-
-
1
NO FLOW
VE RM MD
N/A
2
NO FLOW
VE RM MD
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.
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 HQVV 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 t re are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
ignature of Permitt (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

; . Orig - State
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report 0 Copy - State
GENERAL PERMIT NO. NCG140000 0 Copy - Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 0 0 H 4 SAMPLE COLLECTION YEAR: 2017
FACILITY NAME: Chandler Concrete Company - Randleman #110 SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June
PERSON COLLECTING SAMPLES: Ronnie Faulkner COUNTY: Randolph
CERTIFIED LABORATORY:Pace Analytical Lab #633 "� PHONE NO. (336) 498 - 8209
�T0\1 ADD TO LISTSERVE? ❑YES ®NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® AQ� `OEOISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA [—]Trout ®Other: C
Part A: Wastewater MonitorinK Requirements
EN, G\`ptJ
GOER OPTIONAL INFO:
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)
TPH using
method 1664A
6
SGT-HEM
(mg/L)
Discharge
Duration
(minutes)
Total Flow
,
{gallons/day}
-
-
-
6-93.4
303,5
S3
(15)6
-
1
NO FLOW
VE RM MD
N/A
2
NO FLOW
VE RM MD
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

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 re are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
ature of Permittee)
Permit Date:7/1/2010-06/30/2015
ZI i
(Da e)
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 4
FACILITY NAME: Chandler Concrete Company - Randleman #110
PERSON COLLECTING SAMPLES: Ronnie Faulkner
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES [:]NON
Part A: Wastewater Monitoring Requirements
0 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: Randolph
PHONE NO. (336) 498 - 8209
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ®Other: C
OPTIONAL INFO:
Date Sample
Total Suspended
Settleable
TPH usingDischarge
Outfall No.
Collected)
Type of Wastewater
RM, MD)
pH
Solids
Solids
method 1664A
SG
Duration
Total Flow
(gallons/day) 7
(mm/dd/yr}
(VE,
{standard}
(mg/L)
(mL/L}
{minutes}
( mg/ g/L) L]
-
-
-
6-93.4
303,5
53
(15)6
-
-
1
NO FLOW
VE RM MD
N/A
2
NO FLOW
VE RM MD
N/A
IV FLJ
MAY
No qualifying discharge this period -
uMvt
I�irnr��aAT��.
�tt;1f{}iy
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".`'" n'"NNU UN17
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.
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 70.10 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

_ „"NO DISCHARGE") WITHIN 3U DAYS OF RECEIPT O,F. SAMPLE (OR
MAIL_ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL NO FLOW".
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 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 tha here are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Signature of Permmii We (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 F
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 4 SAMPLE COLLECTION YEAR:2017
FACILITY NAME: Chandler Concrete Co. — RandlemamRIM1110 SAMPLING PERIOD: ® July -December ❑ January -June
PERSON COLLECTING SAMPLES: Ronnie Faulkner E[OUNTY Randlolph
PHONE NO. ( 336) 498 - 8209
ORM
Orig —State
0 Copy -- State
0 Copy — Plant
0 Copy - File
CERTIFIED LABORATORY:Pace Analytical Lab #633 FEB 0 7 2017 ADD TO LISTSERVE? ❑YES ®NO EMAIL: _
OPTIONAL INFO:
CENTRAL FILESDISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
Part A: Stormwater Monitoring Requirements DWR SECTION
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
[standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
Rainfall a
(in)
In Tier 2
Monthly
Monitoring?
n
(y/ )
# of Months in Tier
2 Samplinga
-
-
6-92
1002,3
-
1
NO FLOW
N
N/A
2
NO FLOW
N
N/A
No Discharge Observed during this
period
' 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/I.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

- ".f%
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/I J
Event
Duration
(minutes)
Total
a
Rainfall
(inJ
New Motor Oil
Usage
{gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier z
SamplingZ
6-92
152
1002.3
N/A
*Vehicle Maintenance
Not Performed 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 (includine 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 directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that th
(Signature of Permittee)
nalties for submitting false information, including the possibility of fines a d imprisonment for knowing violations."
/,4
(ate) /
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. NC6140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 4
FACILITY NAME: Chandler Concrete Company - Randleman #110
PERSON COLLECTING SAMPLES: Ronnie Faulkner
CERTIFIED LABORATORY:Pace Analytical Lab #kI ECENED
LIMIT VIOLATIONS? YES ❑ NO
FEB o 7 2017
Orig — State
0 Copy — State
0 Copy — Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2017
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June
COUNTY: Randolph
PHONE NO. (336) 498 - 8209
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [—]Trout ®Other: C
CENTRAL FILES
pWR 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
S ( /L)
mg/L]
Discharge
Duration
(minutes)
Total Flow
7
{gallons/day]
-
-
-
6-93,4
303.5
53
(15)6
-
-
1
NO FLOW
VE RM MD
N/A
2
NO FLOW
VE RM MD
N/A
No qualifying 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.
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 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 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 th here are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
1y 11-7
(Si nature of Permittee) (Date) /
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. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 4
FACILITY NAME: Chandler Concrete Comoanv - Randleman #110
PERSON COLLECTING SAMPLES: Ronnie FaulknIVED
CERTIFIED LABORATORY:Pace Analytical Lab # 3
LIMIT VIOLATIONS? YES ❑ NO ® NOV 0 2 2016
CENTRAL FILES
DWR SECTION
Part A: Wastewater Monitoring Requirements
-,(Y� 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: Randolph
PHONE NO. (336) 498 - 8209
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other. C
OPTIONAL INFO:
Outfali 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 using
method 1664A
SGT-NEAe
(mg/L) `
Discharge
Duration
(minutes)
Total Flow
(gallons/day)7
`
-
-
-
6.93,4
3D3s
,3.
(�5}6
-
1
NO FLOW
VE RM MID
N/A
2
NO FLOW
VE RM MD
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.
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.
$ 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 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 beset to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flaw 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 DWCZ 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.
N 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 t there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing
violations." I A
re of
Permit Date: 7/1/2010-06/30/2015
/UZ9ib
(Q e)
Last Revised 07/13/11
Page 2 of 2

tate
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report 170 Copy State
GENERAL PERMIT NO. NCG140000 0 Copy - -Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 4 SAMPLE COLLECTION YEAR: 2016
FACILITY NAME: Chandler Concrete Company - Randleman #110 SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -tune
PERSON COLLECTING SAMPLES: Ronnie Faulkner COUNTY: Randolph
CERTIFIED LA80RATORY:Pace Analytical Lab #C E I V ED PHONE NO. (336) 498 - 8209
ADD TO LISTSERVE? []YES ®NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® AN 0 1 2016 DISCHARGING TO CLASS: [—]SA ❑HQW ❑PNA ❑Trout ®Other: C
CENTRAL FILES
DWR SECT101 ' OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD}
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SG7 /L)
(mg/L}
Discharge
Duration
(minutes)
_
Total Flow
7
(gallons/day)
-
-
-
6-93'4
303'5
S3
(15)6
-
1
NO FLOW
VE RM MD
�N%A
2
NO FLOW
VE RM MD
N/A
Y
,
No qualifying discharge this period - �f
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter a'lTo e
7 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mix nIVDrum
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.
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 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 respg�nsible for gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware th#there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." -I-,' 1/ i
of Perm
Permit Date:7/1/2010-06/30/2015
2 7—
(D(ate)
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 4
FACILITY NAME: Chandler Concrete Co. - Randleman Plant #110
PERSON COLLECTING SAMPLES: Ronnie Faulkner
CERTIFIED LABORATORY:Pace Analytical Lab #633
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR:2016
SAMPLING PERIOD: ® July -December ❑ January -June
COUNTY Randlolph
PHONE NO. (336) 498 - 8209
ADD TO LISTSERVE? []YES ®NO EMAIL:
OR
Orig -State
0 Copy - State
0 Copy - Plant
0 Copy - File
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 4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n) 4
# otMonths in Tier
2 Samplingz
-
-
6-9
100 ,
-
-
-
-
1
NO FLOW
0
N
N/A
2
NO FLOW
,N`
N/A
I~11 cn
No Discharge Observed during this
-
period
'_ l V `-
//�1
�� 1
b
_
v
C
NTRAI Fill Fq
WR SECTION
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.
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.
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/yrjl
PH
(Standard
Units)
TPH using method
1664A SGT-HEM
[mg/L}
Total Suspended
Solids
[mg/L)
Event
Duration
(minutes)
Total
c
Rainfall
(in)
New Motor Oil
Usage
[gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
2
Sampling
6-9
15
100 '
-
-
-
-
-
N/A
*Vehicle Maintenance
Not Performed this Location
V
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" 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 direr y responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware t e are significant penalties for submitting false information, including the possibility of fines nd imprisonment for knowing violations."
[Signature of Permute ( ate)
Permit Date: 7/1/2011-60/30/2015 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 8 4
FACILITY NAME: Chandler Concrete Co. — Randleman Plant #110
PERSON COLLECTING SAMPLES: Ronnie Faulkner
CERTIFIED LABORATORY:Pace Analytical Lab #633
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR-.2=
SAMPLING PERIOD: ® July -December
COUNTY Randloiph
WE
FORM
/ Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
❑ January -June
PHONE NO. (336) 498 - 8209
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)
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
-
-
6-9
1002,
-
-
-
-
1
NO FLOW
N
N/A
2
NO FLOW
N
N/A
No Discharge Observed during this
period
n o
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.
TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, 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. _
IVED
i 2016
- FILES
3TION
r—'
,raw
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.
Sample
Date Sam p
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
z
Sampling
6-9
15
100 '
-
-
-
-
-
..
N/A
"
*Vehicle Maintenance
Not Performed this Location
T.
yiaY.�ix
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 copv 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 pro rly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsib or gath ring the i formation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are if nt pe tie or su fitting false information, including the possibility oZfi.,eya d imprisonment for knowing violations."
(Signature rmittee) (De)
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 No. NCG14 0 0 8 4
FACILITY NAME: Chandler Concrete Company - Randleman #110
PERSON COLLECTING SAMPLES: Ronnie Faulkner
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:20W
Orig -State
0 Copy - State
0 Copy - Plant
0 Copy - File
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June
COUNTY: Randolph
PHONE NO. (336) 498 - 8209
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Date Sample
1
Type of Wastewater
pH
Total Suspended
Settleable
TPH usingDischarge
method 1664A
Total Flow
Outfall No.
Collected
(VE, RM, MD}2
(standard}
Solids
Solids
SGT-HEM
Duration
,
(gallons/day}
(mm/dd/yr}
(mg/L}
(mL/L}
(mg/L)
(minutes}
-
-
-
6-93,4
303.5
53
(15)6
-
-
1
NO FLOW
VE RM MD
N/A
2
NO FLOW
VE RM MD
N/A
s­-I
VU
2016
No qualifying discharge this period -
1 ' '
.r, r_tS
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. v
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 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 020 .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,4re arefignifical penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
ature of
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 8 4
FACILITY NAME: Chandler Concrete Company . Randleman #110
PERSON COLLECTING SAMPLES: Ronnie Faulkner
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
01Dj_5�
SAMPLE COLLECTION YEAR:
Orig —State
0 Copy — State
0 Copy — Plant
0 Copy - File
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec Dian -March ❑April Uun
COUNTY: Randolph
PHONE NO. (336) 498 - 8209
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
z
RMMD)
{VE, ,
pH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT-HEM'
(mB/L)
Discharge
Duration
(minutes)
Total Flow
7
(gallons/day}
Irri
-
-
-
6-93,4
303,s
53
(15)6
- - L_ 1.0
1
NO FLOW
VE RM MD
N/A
n 9 2015
2
NO FLOW
VE RM MD
N/A
CE I
I l HAL FILES
UU
It J Hv
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.
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.
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 TPFI 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 that the a re si nifican penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Sign ture of P r ittee) (D e}
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. NCG 14 0 0 8 4
FACILITY NAME: Chandler Concrete Company - Randleman #110
PERSON COLLECTING SAMPLES: Ronnie Faulkner
CERTIFIED LABORATORY:Pace Analytical Lab #633 RLCEI ED
LIMIT VIOLATIONS? YES ❑ NO ® JUL 31 2015
CENTRAL FILES
Part A: Wastewater Monitoring Requirements DWR SECTION
0 Orig — State
0 Copy — State
0 Copy — Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ❑Jul -Sept []Oct -Dec ❑tan -March ®April -June
COUNTY: Randolph
PHONE NO. (336) 498 - 8209
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: ESA [—]HQW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
2
(VERMMD)
, ,
pH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
6
5GT-HEM
(mg/L}
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
VE RM MD
N/A
No qualifying 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.
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 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 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 responsi for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that a r�si ificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." /n
ature of Permittee)
Permit Date:7/1/2010-06/30/2015
[ tej
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 4
FACILITY NAME: Chandler Concrete Co. — Randlieman'FtW Wb
PERSON COLLECTING SAMPLES: Ronnie Faulkner
CERTIFIED LABORATORY:Pace Analytical Lab #633 JUL 31 2015
OPTIONAL INFO: CENTRAL FILES
Part A: Stormwater Monitoring Requirements DWR SECTION
SAMPLE COLLECTION YEAR-2014-2015
SAMPLING PERIOD: ❑ July -December ® January -June
COUNTY Randlolph
DR
Orig -State
0 Copy - State
0 Copy - Plant
0 Copy - File
PHONE NO. (336) 498 - 8209
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)'
pH
[standard
Units}
T55
(mg/L)
Event
Duration
(minutes}
Totala
Rainfall
(in}
In Tier 2
Monthly
Monitoring?
(y/n)
� of Months in Tier
z
2 Sampling
-
-
6-92
1002'
-
-
-
-
1
NO FLOW
N
N/A
2
NO FLOW
N
N/A
No Discharge Observed during this
period
l 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.
4 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)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 Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Z
Sampling
6-4
is
100 ,
-
-
-
-
-
N/A
*Vehicle Maintenance
Not Performed 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 perso5lbvroperly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly re rle for_&1fhging thehformation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that t si ificant al ' for itting false information, including the possibility of fines an imprisonment for knowing violations."
�- f
(Signature of Permittee) (D te)
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. NCC3140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 4
FACILITY NAME: Chandler Concrete Company - Randleman #110
PERSON COLLECTING SAMPLES: Ronnie Faulkner
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
,00'�__Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June
COUNTY: Randolph
PHONE NO. (336) 498 - 8209
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
(VERMMD)
, ,
pH
(standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
6
S ( gmgL) /L)
Duration
(minutes)
Total Flow
7
(gallons/day]
-
-
-
6-93.4
303,5
53
(15)6
-
-
1
NO FLOW
VE RM MD
N/A
2
NO FLOW
VE RM MD
N/A
mn
AP
No qualifying discharge this period -
IR-War
1 If wastewater systems have not discharged in this quarter report "No Flow" or "iVo Discharge" here. Please make sure to mark the sample uar �OUF auUR 6S2 y g q p g p qRM177!►vGReport the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (R,ing Dru
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 028 .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 k
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
i•
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 gatherin the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware t at t re arg significa penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." /
re of
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 N0. NCG14 0 0 8 4
FACILITY NAME: Chandler Concrete Company - Randleman #110
PERSON COLLECTING SAMPLES: Ronnie Faulkner
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: Randolph
PHONE NO. (336) 498 - 8209
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)
of Wastewater
Z
[VERMMD)
, ,
pH
[standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method1664A
HE
S g/L)
[mg/L)
Duration
(minutes)
Total Flow
7
[gallons/day}
-
-
-
6-93.4
30a.s
53
(15)6
-
-
1
NO FLOW
VE RM MD
N/A
2
NO FLOW
VE RM MD
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.
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.
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.
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 70:10 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 gatherin the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am -aware t at t re ar significa penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
7 f
gnature of Permittee}
( i( to
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 8 4
FACILITY NAME: Chandler Concrete Company - Randleman #110
PERSON COLLECTING SAMPLES: Ronnie Faulkner lC
CERTIFIED LABORATORY:Pace Analytical Lab #6313����� V G�
LIMIT VIOLATIONS? YES ❑ NO ® MAR 1
CENTRAL FILES
[MIR SECTION
Part A: Wastewater Monitoring Reauirements
Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June
COUNTY: Randolph
PRONE NO. (336) 498 - 8209
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Outfall No.
Date SampleTPH
i
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/Lj
Settleable
Solids
(mL/L)
using
method 1664A
6
SGT HEM
(mg/L)
Discharge
Duration
(minutes)
Total Flow
7
(gallons/day]
-
-
-
6-93.4
303.5
53
(15)6
-
-
1
NO FLOW
VE RM MD
N/A
2
NO FLOW
VE RM MD
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.
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.
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 are ignifican enalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
Signature of Permittee) ( 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 4 SAMPLE COLLECTION YEAR: 201S
FACILITY NAME: Chandler Concrete Company - Randleman #110 SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June
PERSON COLLECTING SAMPLES: Ronnie Faulkner COUNTY: Randolph
CERTIFIED LABORATORY:Pace Analytical Lab #633 PHONE NO. (336) 498 - 8209
® 11ftWtO
LISTSERVE? [:)YES ®NO EMAIL:
❑
LIMIT VIOLATIONS? YES NO ARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other: _C
FEB 0 3 2015
CENTRAL FRHONAL INFO:
Part A: Wastewater Monitoring Requirements DWR';PrT?OKI
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
[VERMMD]
, ,
pH
[standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
6
SGT-HEM
[mg/L]
Discharge
Duration
[minutes]
Total Flow
7
[gallons/day)
-
-
-
6-93,4
303,5
53
(15)6
-
-
1
NO FLOW
VE RM MD
N/A
2
NO FLOW
VE RM MD
N/A
No qualifying discharge this period -
i 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.
3It 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.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 small 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 signifi nt penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." .�Z--.W /
re of Permittee]
Permit Date:7/1/2010-06/30/2015
x) 115
( te)/
Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG 14 0 0 8 4
FACILITY NAME: Chandler Concrete Co. - Randleman Plant #110
PERSON COLLECTING SAMPLES: Ronnie Faulkner
CERTIFIED LABORATORY:Pace Analytical Lab #633
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR:2014-2015
SAMPLING PERIOD: ® July -December
FORM
Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
❑ January -June
COUNTY Randlolph
PHONE NO. (336) 498 - 8209
ADD TO LISTSERVE? []YES ®NO EMAIL: _
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
Outfall No.
Date Sample
Collected
mo dd r OR
{ , /y 1
NO FLOW]
pH
(Standard
Units)
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
NO FLOW
N
N/A
2
NO FLOW
N
N/A
No Discharge Observed during this
period
RECLE
FEB 0.
DWR SE
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.
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.
s 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.
IVED
3 2015
. FILES
a;TION
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 > S5 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 Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(Y/n)
# of Months
in Tier 2
z
Sampling
6-9
15
100 ,
-
-
-
-
-
N/A
*Vehicle Maintenance
Not Performed 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 tha a sj ni icant enalties for submitting false information, including the possibility of fines nd imprisonment for knowing violations."
(Signature of Permittee) ( te)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING F
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 4
FACILITY NAME: Chandler Concrete Co. - Randleman Plant #110
PERSON COLLECTING SAMPLES: Ronnie Faulkner
CERTIFIED LABORATORY:Pace Analytical Lab #633
OPTIONAL INFO:
Part A: Stormwater Monitorine Requirements
SAMPLE COLLECTION YEAR:2013-2014
OR
Orig - State
0 Copy - State
0 Copy - Plant
0 Copy - File
SAMPLING PERIOD: ❑ July -December ® January -June
COUNTY Randlolph
PHONE NO. (336) 498 - 8209
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)1
pH
(Standard
Units)
TSS
(mg/L) .
Event
Duration
(minutes)
Total
Rainfall a.
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
z
2 Sampling
-
-
6-9
100 '
-
-
-
1
5/1/14
6.5
ND
30Min.
1
N
N/A
2
5/1/14
6.8
ND
35 Min
1
N
N/A
Discharge due to storm event, PW commingles w/ SW
AUG 0 1 2014
S
DWQJBOG
' 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.
a 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: 7/1/2011-60130/2015 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)1
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
4
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
x
Sampling
6-9
15
100 ,
-
-
-
-
N/A
*Vehicle Maintenance
Not Performed 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 pers nnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly r ponsible for gatheri the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
7 am aware that th r signifi p nalties f r submitting false information, including the possibility of fines d imprisonment for knowing violations."
7 42 /
(Signatu a of Permittee) ( ate)
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 NO. NCG14 0 0 8 4
FACILITY NAME: Chandler Concrete Company - Randleman #110
PERSON COLLECTING SAMPLES: Ronnie Faulkner
CERTIFIED LABORATORY:Pace Analytical Lab #! V ED
LIMIT VIOLATIONS? YES []NON
AUG o 1 z0114
CENTRAL FILES
Part A: Wastewater Monitoring Requirements DWQIBOG
Orig — State
0 Copy — State
0 Copy — Plant
0 Copy - File
SAMPLE COLLECTION YEAR: 2013-2014
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June
COUNTY: Randolph
PHONE NO. (336) 498 - 8209
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
(VE, RM, MD)
pH
{standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
6
SGT-HEM
(mg/L)
Discharge
Duration
(minutes)
Total Flow
7
{gallons/day}
-
-
-
6-93.4
303.5
53
(15)6
-
-
1
5/1/14
VE RM MD
6.5
ND
ND
N/A
30
90
2
5/1/14
VE RM MD
6.8
ND
ND
N/A
35
100
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.
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 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 1of2

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 i formation, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that ther significant pe Ities for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
re of Perm
Permit Date: 7/1/2010-06/30/2015
71-2-? // 0--
{ te}
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report 0 0� state
GENERAL PERMIT NO. NCG140000 0 Copy - Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 4 SAMPLE COLLECTION YEAR: 2013-2014
FACILITY NAME: Chandler Concrete Company-- Randleman #110 SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Reaulrements
COUNTY: Randolph
PHONE NO. (336) 498 - 8209
ADD TO LISTSERVE? DYES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [-]Trout ®Other: C
OPTIONAL INFO:
Date Sample
Type of Wastewater
PH
Total Suspended
Settleable
TPH usingDischarge
method 1664A
Total Flow
Outfall No.
Collected'
(VE, RM, MD)
(standard)
Solids
Solids
SGT-HENI,
Duration
(gallons/day)'
(mm/dd/yr)
(mg/L)
(mL/L)
(mg/L)
(minutes)
-
-
-
6-93A
30315
53
(15f
-
-
1
NO FLOW
VE RM MD
N/A
li"tk-0,%s�-aa
ac...,..
a %Lam.LpZI
V C U
v
ll
No qualifying discharge
this period - SW comingies with Process Water CENTF
AL FILES
Uilyi
UBOG
' 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 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
Pagel 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 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 thje}e are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." i1071 1
of
Permit Date:7/1/2010-06/30/2015
(D e)
Last Revised 07/13/11
Page 2 of 2