NCG140116_MONITORING INFO_20190415

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V uc
DOC TYPE
❑HISTORICAL FILE
L� MONITORING REPORTS
DOC DATE
❑ c) /0 I � fltq I S
YYYYMMDD

PROCESSWASTEWATER ASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL. PERMIT 140. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 O L I LD
FACILITY NAME: 1L 41 c 0,6(
PERSON COLLECTING SAMPLES: . M" �-
CERTIFIED LABORATORY:I# _._ /
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: _ 4AD [ I
RECEI\.'
APR 2UP119�,
CENTRAL �-;_-
0 W R :,ECT! 0
SAMPLE QUARTER: ❑iul-Sept ❑Ott -Dec gian-March []April -June
COUNTY: f—oP--S�/
PHONE NO. II `%gS~' �7S
ADD TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQ►!!f ❑PNA []trout ❑Other
OPTIONAL INFO:
Qutfall No.
Date Sample
Collected'
(mrn/dd/yr)
Type of Wastewater
z
(VE, RIM, MD)
pH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
iPH using
method 1664A
sGT (mg / LI IVfs
Discharge
Duration
(minutes)
Total Flaw
>
(gallons/day)"
6-93'4
3C3'5
53
(15)s
-
-
03
APR I
i' AL
=11 Z"
Ec
i
'If wastewaters ystems 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 (RNI), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U, for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/i_ for all other water ciassifications.
Permit Date'.7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2
Date of last pH meter calibration: — .3 '��

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.
MALL ORIGINAL AND ONE COP
Y OF TH15 ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS.Of RECEIPT OF SAMPLE (OR
ATE D 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 CERTIHCATION 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 intormation, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Signature of Permittee) (Date
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

F6�ESEARCh & ANA[YTiCA1
F.rr—(OUboRAToRiES, INC.
�
For: Ready Mixed Concrete Company (Williamson)
1590 Williamson Street
Winston-Salem, NC 27107
Attn: Danny Rathbone
Repoft of Analysis
4/2/2019
i,61<163110 1"'p,
+��►b AN4Lij� 1'ri
:�.tL C10
y��•., i
.4CY
DJ
°r;00 NC#34 z;-
= NC tl37701
r
q
7j�FD pt�P`� �.
Client Sample ID: 6236-4 Lab Sample ID: 64554-01
Site: Ready Mixed Concrete Collection Date: 3/26/2019 6:30
Parameter Method Resul Units „ Rep Limit, An_ alyst AnalysisDate
Oil 8 Grease EPA 1664 B <5 mg/L 5 EE 3/27/2019
pH
SM 4500 H+8-2000
8.14
Std. Units
3/26/2019 0630
Settleable Matter
SM 2540 F-1997
<0.1
MIA 0A
AW 3/26/2019 1030
Total Suspended Solids (TSS)
SM 2540 D-1997
10.6
mglL 5
AW 3/28/2019
P.O. Box 473 106 Short Street Kemersville, North Carolina 27284
rai coa basic v1d
Tel:[phone] Fax:[phone]
NA = not onolyzed
www.randalabs.com Page 1

STORM UI/ATER-.DISCHARGE QUTFA�yL. �SDO}.- Semi: -Annual M.ONITO:R[NGTORM
GENERAL PERMIT N0..NCG1400O0
CERTIFICATE OF COVERAGE NO. NCG140 l { SAMPLE COLLECTION YEAR: D i S
FACILITY NAME: "SAMPLING 'PER[ . D: 9'1uly-December ❑ January -June
PERSON COLLECTING SAMPLES S COUNTY
CERTIFIED LABORATORYIZS+Zcd(�" �
�A eLab # ��' PHONE NO.
Lab # ADD TO LISTSERVE?.❑YES ❑NO EMAIL:
OPTIONAL INFO: DISCHARGING TO..CLASS: [:]SA ❑HQW ❑PNA, ❑Trout;❑Other
Part A: Stnrmwater Monitoring Requirements
Dutfall No.
Date Sample
Collected
(mo/dd/yr OR
g
NO FLOW)
pH
(Standard
Units)
TSS
(mg/L) '.
-
Event
Duration
(minutes)
-: Total .
4
Rainfalh
(in) ,
In Tier.2
Monthly
% ..
Monitoring?'
(y/n).......
.
# of Months in Tier
- 2
2 Sampling'
;
6-92
1002 3
I— low
i U U
I V�Iu
TIC
291?
r
­ENTRJ,LFILES
7
x If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please.make..sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier-1 or Tier 2 responses in the General Permit, Tier 2 .
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50mg/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.
;Outfaf!
- -
No
:,Date Sample;
� �
Collected
L
(mo
pH
:;(standard
Units}
TPH usrn method'TotalSus
�5 X�
„1664A;SGT-NEM ,
:__ r _-M. r
(mg/L)
ended
Spen:Month)
, , '.{`-:� _Solids � ,_
�'
(mg/L} g
r
�+ .,Events
k3 Duration
�r(n1111Ute5)
-Total
Rainfall
(in)
New,Motor,Dil
- Usage
(ga!/month};
Y
Mon�torin g
1#.of Months
: m Tier�2:
Samplmgz,. '1
_.'
--.., a
1
�.,,
L
•�� 1' ..,K11?
s
�I
&43D
yr
ss�
1,
h
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 coliv 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 that there ale jt4ificant penalties for submitting false information, including the possibility -of fines and imprisonment for knowing violations."
(Signature of Permittee) ' (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

RESEARCh & ANALyTICAI
QO LA ORAT®RiES, INC.
For: Ready Mixed Concrete Company (Williamson)
1590 Williamson Street
Winston-Salem, NC 27107
Attn: Danny Rathbone
Report of Analysis
10/3/2018
'S I
YTX I ;
i m NC 1134 Z. t17
NC 0037701
10
Client Sample ID: W 6239-1 Lab Sample ID: 56757-01
Site: Ready Mixed Concrete -Argos Collection Date: 9/27/2018 12:10
Parameter Method Result Units Rep Limit Analyst Analysis DatefTime
pH SM 4500 H+B-2000 8.2 Std. Units 9/27/2018 1210
Settleable Matter
Total Suspended Solids (TSS)
SM 2540 F-1997
SM 2540 D-1997
<0.1
<5
mill
mg/L
0.1
5
AW
AW
9/28/2018 0930
101112018
Client Sample ID: S 6239-1
Site: Ready Mixed Concrete -Argos
Lab Sample ID:
Collection Date:
56757-02
9/27/2018
12:10
Parameter
Method
Result
units
Rep Limit Analyst Analysis Date/Time
pH
Total Suspended Solids JSS)
SM 4500 H+I3-2000
SM 2540 D-1997
8.2
<5
Std. Units
mg1L 5
AW
9/27/2018 1210
10/1/2018
NA = no0 onolyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1
rat coo baSiC vld

STORM WATER -DISCHAR.GEDUTFALL'.(SD 0.).. Semi=AnnuaI M:ONITO:RING}FORM':
GENERAL PERMIT NO. NCG140000-
CERTIFICATE OF COVERAGE NO.: NCG14QD 1 I :: % SAMPLE COLLECTION YEAR:
FACILITY NAME: Z SAMPLING PERIOD: 9July-Decernber ❑January=June'
—o�'it� "
PERSON COLLECTING SAMPLESi " �h SY� � COUNTY5_
CERTIFIED LABORATORYi -,c.- .-wkk A '.0 Lab # PHONE NO. � )
Lab # ADD TO LISTSERVE?. ❑YES ❑NO EMAIL:.
OPTIONAL INFO: DISCHARGING TO..CLASS: ❑SA ❑HQW - ❑PNA, []Trout ❑Othe.r
Part A: Stormwater Monitorine Reauirements
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
_ .
pH
(Standard : ,
Units)
.. ._ _...
TS5
- "" -
(mg/L)
... .. -- :
Even
it
Duration-- -
(minutes} -
:.Total .
Rainfall ---.
(in)
In Tier 2
: Monthly.
Monitoring?.
# of Months in Tier
2 SamplirigZ
&92
1002'3
_
_..
,c L4
«
3v
;Aj
!�
-3
L>�1 !$
+Dw
N
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/I, i
A For each sampled measurable.storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 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.
=
�Outfa(I ,
No
{
! Y
i
Date Sample`
--Collected, .,:.
pH
. ' .... -:::
Standard
('
4
TPH using'ineihod
:., .°. ..
za I66RASGT HEM _
"�_AF
Total Su oenUed�'F
c
F _+i5olids;
�'.;•
i
Yi
-F Events
_
Duration
_
(minutes)
���
Total
4 �
Rainfall
(rn)
;New 1Vlotor Oil
Usage
(gal/rsionthj
,
In°TrerZ
s Monthly
� Monrtonn �
g.: '
#'of Months
in Tien2
- <.'i
Sampling;,
-
+15z = r 7
d .--
r,1Q
-'7
.3 C>
S�
S�
A/'.'
A
i�
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES ATANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES [] NO
REGIONAL OFFICE CONTACiNAME:
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
: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 gathering the information, the information submitted is; to the best of my knowledge and belief,' true, accurate, and complete. I
am aware that there a�e�i ificant"penalties for submitting false information, including the possibdity-of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:7/1/2011-60/30/2015
(Date)
Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVET AGE NO. NCG14�2
FACILITY NAME:
PERSON COLLECTING SAMPLES: :12 :T1'}
CERTIFIED LABORATORY:? Lab #1
Lab h
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Reouirements
SAMPLE COLLECTION YEAR: OI
SAMPLE QUARTER: ul-Sept ❑Oct -Dec ❑Jan -March
COUNTY: FORS _
PHONE NO. (3�) 17t�S `"l-5 'jS _
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout
OPTIONAL INTO:
❑April -June
❑Other
Outfall No.
Date Sample
Collected'
(mm/dd
Type of Wastewater
z
(VE, RM, MD)?
pH
(standard]
Total Suspended
Solids
(mg�L)
Settleable
Solids
(mL/L)
TPH using
methodlb64A
56F 1L)
(mgEt/L)/yr)
Discharge
Duration
(minutes)
Total Flow
7
(gallons/day}
-
-
-
6-93,4
303.5
53
(15)'
-
-
'23
01
L5
3�.
010171
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 (Rhll), 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 ?NAwaters, and 30 mg/L for all other water classifications..,_
Permit Date: 7/i/2010-06/30/2015 Last Revised 07/13/11,
Page I of 2

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 N, 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 perrnittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
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 Fifes
1617 Mail Service Center:
Raleigh, North Carolina 27699-1617
[phone]
YOU MU5T SIGN THIS CEIRTIFICATIQN FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the; person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
via
(Signature of Permittee)
Permit Date: 7/1/2010-06/30/2D15
/o -/Z)7
(Date)
Last Revised 07/13/11
Page 2 of 2

'a
KESEARCh & ANA[yTICAI
:tea
�i
Report of Analysis
, ,
LA O RAT®Ri ESQ INC.
10/3/2018
ANA
For: Ready Mixed Concrete Co (ARGOS)
,•,'``�`�•LYl�'+.
4 �+
1491 Brookford Road
."``�" •��t
r4•,li
Kernersviile, NC
NC u31 ? Cn
Attn: Danny Rathbone
r t NC 037701 a
���rerrf11j1*.
Client Sample ID: 6236-1
Lab Sample ID, 56739-01
Site: Ready Mixed Concrete -Argos
Collection Date: 9/27/2018 a30
Parameter Method
Result Units Rep, Limit Anal ytst Analysis Date/Time
pri _ SM 4500 H+13-2000
7.04 Sid. Units 9/27/201 t3 0930
Total Suspended Solids (TSS) SM 2540 D-1997
<5 mglL 5 AW 101112018,
Client Sample ID: 6236-2
Lab Sample ID: 56739-02
Site: Ready Mixed Concrete -Argos
Collection Date: 9/27/2018 9:30 t;
Parameter Method
Result Units Rep Limit Analyst Analysis DatelTime
PH SM 4500 H+B-2000
7.14 Std, Units 9/2712018; 0930
Total Suspended Solids (TSS) SM 2540 D-1997
<5 mg/L 5 AW 10/112018,
Client Sample ID: 6236-3
Lab Sample ID:
56739-03
Site: Ready Mixed Concrete -Argos
Collection Date:
9/27/2018 9:30 =
Parameter
Method
Result
Units
Rep Limit An_ alyst Analysis Date/Time
PH
SM 4500 H+B-2000
7,08
Std. Units
9/27/2018 0930
Total Suspended Solids (TSS)
SM 2540 D-1997
<5
mg/L
5
z
AW 10/112018r
Client Sample ID: 6236-4
Lab Sample ID:
56739-04
Site: Ready Mixed Concrete -Argos
Collection Date:
9/27/2018 9:30 .'
Parameter
Method
Result
Units
Rep Limit Analyst Anal sis DatelTime
Hydrocarbon O&G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE 9128/2018!
PH
SM 4500 H+B-2000
8.73
Std. Units
9/27/2018 0030
Settleable Matter
SM 2540 F-1997
<0.1
mlll
0.1
AW 9127/2018 1630
Total Suspended Solids (TSS)
SM 2540 D-1997
20.4
mglL
5
AW 101112018•
P.O. Box 473 106 Short 5treet Kemersville.
North Carolina 27284 Tel: [phone]
Fax: [phone]
wvay.ra'ndalabs.com
Page 1

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 SAMPLE COLLECTION YEAR:
FACILITY NAME:1Z SAMPLE QUARTER: ®Jul -Sept Oct -Dec ❑Jan -March []April -June
PERSON COLLECTING SAMPLES: I V}� COUNTY: } OiZS_;41 _
CERTIFIED LABORATORY: Lab # PHONE NO.
Lab # ADD TO LISTSERVE? [DYES NO EMAIL:
LIMIT VIOLATIONS? YES NO g DISCHARGING TO CLASS: E]SA ❑HQW ❑PNA ❑iroat ❑Other
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected,
(corn/dd/yr)
Type of Wastewater
VE, RM, MD)'
( )
PH
(standard)
Total Suspended
Solids
(rag/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
5GT HEM'
(mg/L)
Discharge
Duration
(minijtes)
Total Flow
�
(gallons/day)
-
6-93'4
303.5
—rC'3
ti '--t-
S
, 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 Sf 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 iimlts 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 ell other water classifications::,;
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

c
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,
7 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 Summer7Q10.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.
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 1N CASE OF "NO FLOW" TO:
Division of Water Quality'
Attn: DWQ Central Files
a '
1617 Mall Service Center
Raleigh, North Carolina 27699-1617
[phone]
r...
YOU MUST SIGN THIS ERTiF[ AT! N 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 theperson 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 s�nificant penalties for submitting false Information, including the possibility of fines and imprisonment for knowing
violations."
(Signature of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER -- (quarterly Discharge Mon
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 J! I ( SAMPLE COLLECTION YEAR:
FACILITY NAME: A jM 1,V I SAMPLE QUARTER: ❑Jul -Sept
PERSON COLLECTING SAMPLES: e I COUNTY: T-4-
CERTIFIED LA80RATORY:jZI�i�Lr�1�c�,a�G� ,'c51 Lab #. C- 3q PHONE NO. f
I Lab # ADD TO LISTSERVE? []YES ❑
LIMIT VIOLATIONS? YES ❑ NO ❑ DISCHARGING TO CLASS: ❑SA
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
ring Report
o1
]Oct -Dec ❑Jan-M6rch QApril-June
EMAIL: I
HQW ]PNA ❑Trout ❑Other
Outf all No.
;f
Date Sahiple
i
Collected
(rr:m/dd%yr]
Type of Wastewater
i
(VE, RM, MD)z
I
pH
(standard)
Total Suspended
Solids
(rng/L],
Settleable
Solids
(mLJL� �
TPH using
method 1564A
5GT-HEIt?s
{mg/L)
Discharge
t '
Duration �
-
(minutes)
Total Flow
r
(gallons/day]
.
-
- I
6-91'4
-
L
oLI
'
I
.Ill 7f11�
'
I
I
I
I
I
I
I
if wastewater systems have not discharged in'thls quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter;abbve.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Leaning (VE), Raw Material Stockpiles {RMV}Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to Institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
" pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for ail other water classifications;',,;
Permit Date: 7/1/2010-06/30/2015 :,'Last Revised 07/13/11
Page 1 of 2

s Process wastewater discharges shall only be monitored forTPH when commingled with stormwater discharges from VMA
ybut instead is subject to benchmarks and provisions of Part 1V, Section A, including the'riered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset I
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10.flow and report this 4
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the D\A
report on a case -by -case basis.
r
F.
I
�I
Division of Water Quality
Attn: DWQ Central Files
1617 Mall Service Center
Raleigh, North Carolina 27699-1617
[phone]
"I certify, under penalty of law, that this document and
assure that qualified personnel properly gather and eva
those persons directly responsible for gathering the infc
complete. 1 am aware that there are significant penalt(
violations." /�
Permit Date:7/1/2010-06/30/2015
R
Il attachments were prepared under my direction or supervision
We the Information submitted. Based on my Inquiry of the; per:
mation, the information submitted is, to the best of my knowlec
for submitting false information, including the possibility of fin(
(Date)
reas. 7Pit does not have alimit for wastewater,
150% of the Summer 7Q1f) Flow as per 15A
Formation to DWQ, If the permittee cannot
2 Regional Office may require an annual flow
in accordance with a system designed to
on or persons who manage the system, or
ge and belief, true, accurate; and
s and imprisonment for ]mowing
.Last Revised 07/13/11
Page 2 of 2

STORMWA'°TER-DISCHARGE-OUT. AEL' SDo.) Semi -Annual M,O,NiTORIN'GYFORM..:
GENERAL PERMIT NO..NCG14:00.0'0:;:.:.: -.. ......;:
CERTIFICATE OF COVERAGE NO. NCG14 SAMPLE COLLECTION YEAR:
j
FACILITY NAME: X `SAMPLING PERIOD: ❑ July -December 19 January -June' APR O
PERSON COLLECTING SAMPLES COUNTY 2Qi$ .
Lab # ✓U!. • �y PHONE NO. G� E—
).'75'S-'BLS 'y�5` CENTRAL FILE -
ADD CERTIFIED LABORATORY v ��;a �
Lab'# ADD'TO LISTSERVE?.❑YES [:]NO EMAIL:. R SECTIQN1
OPTIONAL INFO:
Part A: Stormwater Monitorine Requirements
DISCHARGING TO -CLASS: []SA ❑HQW ❑PNA ❑Trout ❑Other
.Outfall No.
Date Sample
Collecteda
"
(mo/dd/yrOR
NO FLOWjl
pH
(Standard
Units)
..
TS5
{mg/L),'
Event,
Duration-:.-
{minutes}
::Total
-'Rainfall- -
(in)
In Tier 2
: Monthly
Monitoring?'"
. .
# of Months in Tier
25arripliri'g
6_qz _
1002'3-
I
o3r0
o
'J.S-
L.
o
:�
tso
i If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW' or "NO DISCHARGE" for each outfall here. Please make.sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark'range (for pH), you must implement the Tier-1 or Tier 2 responses in the General Permit, Tier 2 .
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HOW,.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: 7/112011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part 6: Vehicle Maintenai ce Activity Monitoring:Requirements-for facilities using >. 55 gal of new motor oil/month - averaged.over a calendar year.
No
f � - �•
;Dat6Sam le
Collected
-F
k `
H pOutfaW
d
Units}w(i
Y
� r -Y _
T1P6H6u4sAr'n'S'G:mT eliiEhMod
5<
- ', �
t t's, J 1 k. z f_ F a
otal;5soulsypdes nded}DuEvraetniton
"i'��' .-- i
-1'`i'. -.�Y- - � ,'Y`N
r r
,. /S Y (
y} � tf1-
�" R;:aT�oritfaalll
n]
� i 1 -;
<NewU,fVslaatoe rOillz
g
(ga!/month}
� - 7 b
3Jc�JInb. � a� t+ .Ya'
Manitorin g
p �.aK-.� k•Y` 'l Z
M7ieo[nrths
2Standar
x1
lin
5anipg
I L �;
6"9x %'
"`15? V.4
w �10023:a aar�n
c r a
y
j
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 receiot of samDle (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center r
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 person:pel 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 forgathering the information, the information submitted is,- to the best of my knowledge and belief; true, accurate, and complete.' I
am awar at there are s` ifican alti mitting false information, including the possibility -of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:7/1/2011-60/30/2015
(Bate)
Last Revised 7/13/11
Page 2 of 2

RESEARCh&ANA[yTiCAI Report of Analysis
LA ®RAT®RiES, INC. 3/16/2018'
���sr:rrrri��i
'`Ready
.�``GHb1-
F6r: Mixed Concrete Company (Williamson)
1590 Williamson Street
�'?i'• C�.
Winston-Salem, NC 27107
°C :y NC 034
Attn: Danny Rathbone
NC t137701 -
go N
ff�EarA1��`��
Client Sample ID: 6236-1
Lab Sample ID:
47465-01
Site: Ready Mixed Concrete -Argos
Collection Date:
3/6/2018
Parameter Method
Resul
Units Rep Limit Anal s Analysis Daterrime
PH SM 4500 H+8-2000
7.4
Std. Units
316/2018
Total Suspended Solids (TSS) SM 2540 D-1997
20.2
mg/L 5
AA 3/7/2018
Client Sample ID: 6236-2
Lab Sample ID:
47465-02
Site: Ready Mixed Concrete -Argos
Collection Date:
3/6/2018
Parameter Method
Result
Units Rep Limit Analyst Analysis Datefrime
PH SM 4500 H+13-2000
7.5
Std, Units
3/6/2018
Total Suspended Solids (TSS) SM 2540 D-1997
35.6
mg/L 5
AA 3/7/2018
Client Sample ID. 6236-3
Lab Sample ID:
47465-03
Site: Ready Mixed Concrete -Argos
Collection Date:
3/612018
Parameter Method
Result
Units Rep Limit Analyst Analysis DatelTime
PH SM 4500 H+13-2000
7.6
Std. Units
3/6/2018
Total Suspended Solids (TSS) SM 2540 D-1997
31.9
mg/L 5
AA 3/8/2018
Client Sample ID: 6236-4 Lab Sample ID: 47465-04
Si,e: Ready Mixed Concrete -Argos Collection Date: 3/6/2018
Parameter Method Result Units Rep Limit Analyst Analysis DatelTime
PH SM 4500 H+13-2000 8.6 Std. Units 3/6/2018
Settleable Matter SM 2540 F-1997 <0,1 ml/1 0.1 AA 3/7/2018 0800
Total Suspended Solids (TSS) SM 2540 D-1997 8.8 mg/L 5 AA 3/8/2018
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1
ray coo ba=sic v t tl

RESEARCH & ANA1yTiCA[
LAbORATORiES, INC.
Report of Analysis
3/16/2018
Client Sample ID: 71 Outfali #4 Lab Sample ID: 47465-05
Site.,.;, "' "Ready Mixed Concrete Argos' Collection -Date: •- 31612018,•
Parameter Method Result Units Reg Limit Analyst Analysis DatelTime
Hydrocarbon O&G EPA 1664 Revision B/Silica Gel <5 mg/L 5 AW 3/8/2018
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] wmv.randalabs.conq Page 2
.�I ct�.m D_t5ic v 4if

RESEARCH • &ANA[Y.TiC'Al
CHAIN-bF CUSTODT-REC,ORU •
LAbORAT®ROES� INC
-Acnaly'ticaf I;Prlo�ess CbT7SUf�atlt�nS. .-.•..,,... �.. �'�,....,...�.�...�.-.•....w,.:s...1._' �....,6i.+.n--..,�.-.-,_-.-..�. ..,v. . � • �.i�..... .... ... �_.- �,,. rswJ.,.._. ., ,_
Phone 133q?;998-2841 WATER rwasrswArVR :amsc_
'COMPANY
JOB NO, r'
O`
PROJECT OR '
y0 y� O
SAMPLERNAME (PLEASE PRiIS1] �Q �Oti �cQ `mQ �accl
i f � YIi i � �'m�CO�T CJ��'` - O� �` �i ���
SAMPLER SIGR RE. `y �O �O p• `o' Ohs .`
-� w m 4 Q 0�4� ��(2 0 I c�
C9 Q• Q' Q• }
1A9iAIX N" v , v v v v
t3 avid sAMPLt tQcpt[aN t I D. ' x h ' �`' �• * * h y " : REQU ESTEQ ANALY-S1S .
STRF-ECADDRES
GFrY, STATE„ZIP
IN 1���.^!• '�fj--4 �%`�7 i `�'.\�' d1 / / �
GONTAGT PHONE
g3C-'A4
SAMPLE NUMBER
(LAB USE ONLY}
GATE
iihSE
T
CCAP
GRAB
TEMP
c
ids
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RELINQUISHED BY
wtorIME
RECEIVED BY
REMARKS:
SAME LE TEMPERAT RI . AT RECEIPT °C
RELINQUISHED BY
DATjEMME
RECEIVED BY

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
GEIVED
CERTIFICATE OF COVERAGE NO. NCG14 0 1 APR 02 S MPLE COLLECTION YEAR: _ ��(�
FACILITY NAME: f�aq� t�,�_i`n� CENTRl,`SAMP,LE QUARTER: []Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June
PERSON COLLECTING SAMPLES: �+ 1✓l S �,t-i-� -yt °1 6ECCQUNTY: _
CERTIFIER LABORATORY: _R * _Lr�boc'g for.'c s Lab # PVC _ _ PHONE NO. (33fo
— Lab # ADD TO LISTSERVE? []YES ONO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® DISCHARGING TO CLASS. ❑SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall No,
Date Sample
Coilectedl
(mm/dd/yr)
Type of Wastewater
VE, RM, MD)'
}
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
S'� HEM
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallorss/day)
"
-
6-93,4
303.s
53-
p3
R• (,
�•B
Co.1
<5
6•�'th'1g
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 (ftNlj, Mixing arum
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 I)Wi,q RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saitwaters.
s T55 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';.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

a Process wastewater discharges shall only be monitored forTPH when commingled with stormwater discharges from VMA areas. TPH does not have alimit 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 5090 of the Summer 7Q10 Flow as per ].SA
NCAC 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10,fiow 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.
I
i
MAILORIGINAL 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 "ISO FLOW" TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
a
YOU MUST SIGN THIS itK11RQ411QN 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, accurpte, and
complete. I am aware that there are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for knowing
violations."
(5igna 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. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14Q L J_ SANiR�.�OLLECTiON YEAR:
FACILITYNAME: {1,;� _ �� _
S,4MPLE QUARTER: []Jul -Sept ®Oct -Dec []Jan -March []April -June
PERSON COLLECTING SAMPLES: ,BAN 19UPTY:
CERTIFIED LABORATORY: o&f i Lab # �t� PHONAO. ( g k7 jS 17�
Lab #
jjWR IAg��.,,..O LISTSERVE? []YES [:]NO EMAIL:
poT�„
LIMIT VIOLATIONS? YES ❑ NO ® �'' I 0 PBTIWWiil;;GIAG TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑other
OPTIONAL INFO: -
Part A: Wastewater Monitoring Requirements
Outf all No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
x
(VE, RM, MD)
pH
(standard]
Total Suspended
solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664R
5GT HEM'
(mg/L)
Discharge
Duration
{minutes
Total Flow
�
(gallons/day)
.
-
-
6-93'4
303.s
53
(:L5)6IV
_
'D — Ok1
' 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.
a 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.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters,
s T5S 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 classifications6,
Permit Date: 7/l/2010-06/30/201S Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored forTPH when commingled with stormwater discharges from VMA areas. TPH does not have a'limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Qio 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 shal[ notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY 1INCILLIDING 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]
3.
YOU MUST SIGN INKS ERTKFI A7I N FOR ANY INFORMATION REPORTED.
"I certify, under penalty of la'w, 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
(Date)
Permit Date. 7/1/2010-06/30/201S Last Revised 07/13/11
Page 2 of 2

STQRIVI:WA=TER-.DISCHARGE �`U:TFALiL' (SDO) Semi-Annual-,,=MO:NI:TORIN.G FORM::::
GENERAL PERMIT NO NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 C SAMPLE COLLECTION YEAR: _ ,c i
FACILITY NAME: _��c_S' i� F�: jC SAMPLING: PERIOD: g luly-December ❑ January -June
PERSOCOUNTY
N COLLECTING SAMPLES Tm �CYt:'
CERTIFIED LABORATORY 17, 4�Rrzc>n a� {�,sATI,3 �-;e�� Lab # 3y : PHONE -NO. (334.
�^ Lab # ADD TO LISTSERVE?-.❑YES ❑NO EMAIL:
DISCHARGING TO.CLASS: ❑SA ❑HQW ❑PNA ❑Tratat ❑Other
OPTIONAL INFO: ;
Part A_ Stnrmwater Manitarine.Renuirements
Outfall No.
Date 5ample.. ...
Collected .`
(ma/dd/yr OR
NO'FLOW)1
pH
{Standard :.
Units}
TSS
(mg/L)
i
Event
Duration -.,..
(min,utes) .
:Total
,
Rainfall .._
. (in)
In TIer2
Monthly
Monitoring?
# of Months in�Tier
z
2 Sampling.
1
n9 No
.3)23
001
,s
n rTi-
' x
ZVI/
ENT
CT10N
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 arTier 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 10Q 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 uxa6tenavceucmvuvmmn1t"anxR°".fim",P"*"o,,f*mm,".,ri"p>ss,=/"f",="""~","xa""",h—*"~,ur"ri""~,=,=/pnd",",*",' .
41
HAS YOUR FACILITY HAD 4ORN1ORE8EN[H MAR KEX[BEDEN[ESATANY ONE OUTFAL (INCLUDING VEH|CLEMANtENAN[E?YES F1NU
HAVE YOU CONTACTED THE'REG|ON7 YES F1NO[�
REGIONAL OFFICE C0NTAOFNAK8E: �
in case of "No Flow") ' �
�,
�
Division of water Quality �
Attn: DvVQCentra| Files
1617Mail Service Center.
Raleigh, No�h[and�a276�9'l�1T ' ^
�
�
—
YOU MUST SIGN THIS CERTIFICATION'FOR ANY INFORMATION REPORTED.
^
^| certify, underpenalty o[|aw/dhv th�document and aUauachmomswerpreparedundarmydiru��n-or ,upcm�oninacco�xncewith ' designed to
thatassure qualified d | properly&at the information submitted. d on my inquiryofthe who.managethesystem, or
thosedirectly responsible for kathering the inforriiatiori, the information submitted is, tothe-best ofmyknow|edQeand b6|id}tm accurate, and �omp|etr. |
am aware dud�n�thepooihUity-ofUnexandimpnyonmentforknmwihg-vio|a�ons.''
—_. .
Permit Date: 7/1/2011�60/3n/2O15
`
�
�
� Last xevucu7/za/z1
, Page Zofz
�
`
0
of

PROCESS.WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140 1 1
FACILITY NAME: IrA c;+'v�C
PERSON COLLECTING SAMPLES:T..�
CERTIFIED LABORATORY: ! ? e ,( L1CA1 Lab # _ 3�
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A. Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:di i
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec []Jan -March ❑April -June
COUNTY: 1-OiL51i`�
PHONE N0. (3LO�J '7
ADD TO LISTSERVE? ❑YES []NO EMAIL:
DISCHARGING TO CLASS: ❑5A ❑FiQW ❑PNA ❑Trout _]Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
VE, RM, MD z
( )
pH
(standard)
Total Suspended
solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
rnethad 1664A
S a�"N6
(mg/Lj
Discharge
Duration
(minutes)
Total Flow
T
(gallons/daY)
-
6-93'4
303s
53
(15),
.;
REGOVems,
7 i R
M117
CENTRAL FILES
ION
1 If wastewater systems have not discharged in•thls 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 (1101j, 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. A
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saitwaters.
r>
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L forTrout and PNA waters, and 30 mg/L for all other water classifications::.;
Permit Date: 7/1/2010-06/30/2015 :''`Last Revised 07/13/11
Page 1 of 2

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a`6it for wastewater,
7 but instead is subject to benchmarks and provisions of Part 1V, 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 5095 of the Summer 7Q10 Flow as per 1SA
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10.flow and report this information to 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.
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW" M.
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Ra.leigh, North Carolina 27699-1617
[phone]
3�
YOU MUST SIGN THIS CER77FICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of la'w, 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."
C:R -1
(Signature of Permittee) (Date)
Permit Date: 7/1/2010-06/3012015 Last Revised 07/13/11
Page 2 of 2

STORIVIINA°TER!.DISCHARGEOU.TFALL-(SDO.) ,..Semi=Arnnual}MO;NITO:RINGiFORM
GENERAL PERMIT NO N,C.G14DQ00 ..
CERTIFICATE OF COVERAGE NO: NCG14 0 l ll (� SAMPLE COLLECTION YEAR:
FACILITY NAME: C is SAMPI:ING P.ERLO.D: ❑ July -December Q Janua yAune':
PERSON COLLECTING SA PLES —T'T✓`1 ;-}-I; COUNTY -�
CERTIFIED LABORATORY j +.srs,lc�1 �( cf} jj�t'cA�ab # PHONE. -NO. Qtj4e }. -7K-"—
J Lab # ADD TO-LISTSERVE? ❑YES [:]NO EMAIL:
OPTIONAL INFO: DISCHARGING TO.CLASSi ❑SA ❑HQW ❑PNA []Trout ❑Other
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
1
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 2'
f.08
G L `
�p
Aj
a
bG ! vs- 1(o.
8
300
1
�fr 1 n f
S y
%
3ah
CEA/F
CENTRAL FILE
vvvP� 6t-UTIOh
a
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.
if a value is in excess of the benchmark, or outside the. benchmark range (for pN), you must implement the Tie r.I 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.th.ey 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 Maintenaiice Activitv:Monitorine ReciuIrPmP.ntS for facilities ucine > 55 pal-nf new motor nil/month—avarapari nvar a ralanrinr-uaar
-
'Outfall:
No
.`
#-
Date 5amp
p e
r
Collected
;..
m
(o/dd/yr}
s
ti
r
p H
x(Standarc
Units
;i rs ,y
t"4 ..x _:•,
TRH usrn `;rrret&d
g
„1564A5GT HEM.'
. mgl`.
,sY
-`Y� 'S ysC.r 4 •f1s.
,� v�'y is_'F i
.,~r=�-5
rToiafSus ended F'
z =s � p, .,�
��-Solids Y f
���r-a,{F*
t.r�..-rr L,.,
IR�"t�",C"f'�. �a1�
:t� .
r °Eve"nt L
-+ Duration
+ ; .
minutes
s .� -F
s
_ aIn
„-Total r
R irifall°
a
in
q a
New,!Motor Oil
n Usa a
g
aI .rilonth
k
e..,viJ�k, y ,f.`M* -. i'� �Y
_ _
Tier z
Monthly .
--Monitoring.; ".-
?
{Y/n} �k
i- .7}.t;
#of:Morithsr
-
in 7ier2
Sam fin Z
t-i:• ^* t 2 s„u
h �u'+4'r 2 .54';1F
} :t Y M31". ;L;
o�17
1
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)?' YES ❑ NO
HAVE YOU CONTACTED THE'REG10N? YES' ❑ NO ❑
REGIONAL OFFICE CONTACT -NAME:
Mail Original and one cobv of this DMR (includini? all "No Flow" & "No Discharize" reoorts) within 30 days of receipt of sample for at end of monitorine period
in case of "No Flow") to:,;
Division of Water Quality
Attn: DWQCentral 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 Al 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 knowirig violations."
------------
(Signature of Permittee)
Permit Date: 7/1/2011-60/30/2015
_ 6.43` >
(Date)
Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT No: NC6140000
CERTIFICATE OF COVERAGE NO. NCG14 Ci I
FACILITY NAME:
PERSON COLLECTING SAMPLES:. __ 1 ,H �S•^� �� _...
CERTIFIED LABORATORY:Lab #-
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: I s.
SAMPLE QUARTER: ❑Jui-Sept []Oct -Dec ❑Jan-f1?darch April -June
COUNTY
PHONE NO.
ADD TO LISTSERVE? [DYES ❑NO EMAIL: i r
(DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trb6t []Other
OPTIONAL INFO:
i'
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 1564A
5GT-NEIV
(mg/L)
Discharge
Duration
{minutes}
Total Flow
7
(gallons/dayj
"
-
6-934
3039,5
53
(15)6
_
(�t-r i
r�� ri�
�D`
`�.
L_t�j
is o
b,1 S S .5f.
KIC.GEJVF:.1
J'1L
i
r..l'=I
ITDA1-.=,1 r
e,
DVI
R SF n
�i
It wastewater systems have not discharged In'this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quart6rabove. .
a Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (R7v1},'Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled. ;
If an effluent limit is exceeded twice in a row, the permittee is required to Institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
PH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s T5S 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.,..;
Permit Date: 7/1/201M6/30/2015 =' Last Revised o7/13/11
;. Page 1 of 2

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a1imit for wastewater,
7 but instead is subject to benchmarks and provislons of Part iv, Section A, including the Tiered Response Action.
Flow rate can be measured cont(nuousiy or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Qi9 Flaw as per 15A
NCAC 026 .0224, Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10•flow and report this information to DWQ, If thepermittee 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.
i
I
i
MAfL-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] '
a
YOU MU575IGN TNI5 ER7IFI A-n N FOR ANY INFORMA-rJON REPORTED
"I certify, under penalty of la;w, 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 ray 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, accur.'ate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Signature of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
.:' Page 2of2

PROCESS WASTEWATER — Quarterly Discharge Monitoring ReporRiECEIVED
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF CQVERAGE N0. NCG14,b _L 1 t�
FACILITY NAME: Zyos V1%
PERSON COLLECTING SAMPLES: �' ► Sn,-
CERTIFIED LABORATORY: IZ•sSc�,t�d .5� }s�ly-i�cl Lab # _ 3!1
Lab #
LIMIT VIOLATIONS? YES ® NO ❑
Part A: Wastewater Monitoring Requirements
APR 0 4 2017
CE�',Y�iRAL FILES
SAMPLE COLLECTION YEAR: I D AFL ECTlON
SAMPLE QUARTER: 03ul-Sept []Oct -Dec ®Jan -March ❑April -tune
COUNTY: Fo9i.5+r14
PHONE NO.
ADD TO LISTSERVE? OYES ONO EMAIL: i =
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA OTroiit ❑Other
OPTIONAL INFO:
Outfall No.
Date Sample
I
Collected
(mm/dd/yr)
Type of Wastewater
VE, RM, MD z
( )
pH
(standard)
Total Suspended
Solids
(mg/L}
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGTNENJs
(mg/L)
Discharge
%.
Duration
(minutes)
Total Flow
7
(gallonsfday}
-
-
6-93';
303.5
53
(15}e
-
L71
8.3g
-362.tr
4.0,11
<5
a
0'•0117
Y '
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 (1110), 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.
A pH limits are 6-9 S.U. for wastewater dischargers to freshwaters, and 6.8-8,5 S.U. for discharges to saitwaters.
s T5S 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.',i_
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1of2

a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have to `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. } ;
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 51GN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the. person or persons who manage the system, or
those persons directly responsible for gathering the Information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and
complete. 1 am aware that there are significant penalties for submitting false information, Including the possibility of fines and Imprisonment for knowing
violations." /
of Permittee)
Permit Date. 7/1/2010-06/30/2015
3-31-1
(Date)
V�
Last Revised 07/13/11
Page 2 of 2

STORM WA TER:.DISCHARGEOUTFAWISDQ).-:Semi::=AnnuaI MO.NI:TO.RIN&FORM
GENERAL PERMIT No NCG3,40000 •.
CERTIFICATE OF COVERAGE NO. NCG14 D SAMPLE COLLECTION YEAR: c1212
FACILITY NAME: a ;q IX 'SAMPLING `PERIQD: ❑ July -December ® January -June -
PERSON COLLECTING SAMPLES -1-;Q1 COUNTY r'9iL�Kfil�
CERTIFIED LABORATORYLab # PHONE NO.
Lab # ADD TO- LISTS ERVE?-RYES ❑NO EMAIL:.
OPTIONAL INFO: DISCHARGING TO. CLASS: []SA ❑HQW ❑PNA ❑Trout [:]Other
Part A: Stormwater Monitorine Requirements
Outfall No.
Date Sample
Collected
( NO FLOW) ...
pH
Standard
Units) .. -
m L
Tg/
Event
Duration•-
[minutes)
'Total
,
Rainfall
: - . . (Inj _
In Tier.2
.. Monthly
- ..
Mo{Y/njn....:
# of Months in Tier
,
z Sam liri 'z ... .
6-9Z
100�3
_
A
tI IA76
�S
�.fl
3t7
6
as?
a o
Sco
(+ .
J,i
'CENTRAL
FILE
-
NVR • ro
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.
9 TS5 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: 7/1/2011-60/30/2D15 Last Revised 7/13/11
Page 1 of 2

i
Part B: Vehicle Maintenance Activity:Monitoring:Requirements _for facilities using> 55 gal of new motor oil/month —averaged over a calendar year.
-
Outfalt'
No
e
e
bateSam`le'P
p
Collected;
{mo/dd/yr}1
pH
.:r Standard
(r
TPH usrngmeihad"TotalSus
1664A SGT NEM,;
ended':Euent
:L
:Solids •
4, r
j" �...�_
Duration
Total r
a
Ramfal!
(in)
:New'MdtorOil:
Usa e
g
(gal/month) ,v
4 1ri Tier 2.
tVlonthl Y
xMonitoring?
I.of;Months
in Tier 2 .
Z
5amphng,
i
-
y
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY OUTFALL (INCLUDING VEHICLE MAINTENANCE)?' YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
r
Mail Oriainal and one coov of this DMR (includiniz all "No Flow" & "No Discharge" renoi-W 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 bell"ef; true, accurate, and complete
am aware e1 there are signific ant'prialties for submitting false information, including the possibility -of fines and imprisonment for knowing violations."
(Signature of Perlmittee)
Permit Date: 7/1/2011-60/30/2015
(Date)
Last Revised 7/13/11
Page 2 of 2

RESEARCh & ANA1yTICA[ Report of Analysis
UboRATORIES, INC. 2/1/2017
Aft
For: Ready Mixed Concrete Company (Williamson) �.• .+;�•�, C••''ti.+•�+
1590 Williamson Street •'rrr
Winston-Salem, NC 27107
" rar NC 1i34 y
�
Attn: Danny Rathbone NC 1137701
Client Samplo ID: 6236 Outfall #1 Lab Sample ID: 29961-01
Site: Ready Mixed Concrete Collection Date: 1/22/2017 16:30
Parameter Method Result Units Rea Limit Analyst Analysis DatelTlme
pH SM 4500 H+B-2000 6.60 Sid. Units 1/22/2017 1630
Total Suspended Solids (TSS) SM 2540 D-1997 8.6 mg/L 5 JB 1/24/2017
Client Sample ID: 6236 Outfall #2 Lab Sample ID: 29961-02
Site: Ready Mixed Concrete Collection Date: 1/22/2017 16:32
Parameter eth d Result Units Re Liml Analys Analysis Date[E[ma
pH SM 4500 H+B-2000 6.52 Std. Units 1/22/2017 1632
Total Suspended Solids (TSS) SM 2540 D-1997 8.0 mg/L 5 JB 1/24/2017
Client Sample ID: 6236 Outfall #3 Lab Sample ID: 29961-03
Site: Ready Mixed Concrete Collection Date: 1/22/2017 16:33
Parameter Method Resul Units Rep Llmi Anallyst Analysis pate/Time
pH SM 4500 H+B-2000 8.78 Std. Units 1/22/2017 1633
Total Suspended Solids (TSS) SM 2540 D-1997 251 mg/L 5 JB 112412017
Client Sample ID: 6236 Outfall #4 Lab Sample ID: 29961-04
Site: Ready Mixed Concrete Collection Date: 1/22/2017 16:35
Parameter Method Resul Units Rep Llm t Analyst Analysis DateIT'
Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 DN 1/2612017
Gel
pH SM 4500 H+13-2000 8.88 Std. Units 1/22/2017 1635
Settleable Matter SM 2540 F-1997 <0.1 mil! 0.1 SK 1/23/2017
P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1
ral coa basic Od

RESEARCh & ANA[YTiCA[ Report of Analysis
LA ®RAY®RiES, INC. 2/1/2017
Client Sample ID: 6236 Outfall #4 Lab Sample ID: 29961-04
Site: Ready Mixed Concrete Collection Date: 1/22/2017 16:35
Parameter Nothod Resul Units Rep Limi Analyst Analysis Daterrim�
Total Suspended Solids (TSS) SM 2540 D-1997 32.6 mg1L 5 JB 1/24/2017
NA = not analyzed
P.O. Box 473 106 Short Street Kemersville, North Carolina 27264 Tel: [phone] Fax, 336-996-0326 www.randalabs.com Page 2
ral coa basic vld

PurtA�8tdrrhW6t6ekA6nhodmg,lRcqu|roffiems
2.
100
'n a valueis in of the bnoem'th6General' pc,m�'Tie rZ'
Monthly sampling shall done _— 3 consecutivesamples_--__ the —benchmark _ within the _benchmark _range. '
'TSSbenchmark values are z00mg/ except when discharging »vonvv and pmawa�nh �er tar
e
�For each s,m�edmea�mb| .nneventd`e�«a|p�zip�a��precipitation d tising data from anon-site rain gauge.
' .
,ennDPermit//z/zuzz-6o/5o/zO15 — �1as Revised '
. ^
� . Page Iuf2

Part B: Vehicle Makitp.nahrP Artivitv Mnnitnringr.RPnijirckmPntc fnr fnrilitiaC liCing!1 CA OMI.nf nA%A1 mntnr nfllmniitl;— sear-d near n enland4ne %j
Fr- -4 v
1.5�
I n, i r
rg 'bgow.j
ispen
I N
6
,4110uttallaW' ,
�.,,NMSarnpl
Wk Standard;
r-
I li�T 411.ff
IinggQ,
M
Nit' __,
. . . . . . . . . . . . W-C
M30;
i�RT-
Fw
T?
1MM
Q
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENtES AT ANYONE 6OTFALL (INCLUDING. VEHICLE MAINTENANCE)?- YES ❑ No
HAVE YOU CONTACTED THE REGION? YES [JNO EK
REGIONAL OFFICE CONTACT -NAME:
Mail Ordinal and ohe copy of this DMIR (including all "No Flow" & "No Discharge" 'reporifO within 30 days-of'receipt of sample for at e'fid of m'ofiiibri6g period
in case of "No Flow") to: 4
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 allattachmentswere preparedr 'under myclirection-orsupervi:s,lon in accordance With a system designed to. -
assure that qualified personnel properly gather and evaluate the information submitted.. . Based o n2 my - inquiry of.the person or . persons who.rnanage"lhe system, or
those persons directly responsible'for gathering y/9 infdrmati6ri, the'inforrz tiorfisubmitted,.Js - to the best of my knowledge acid b6lie'f" true, 4ccu rat' ,and coniplete.-. -1
am aware that there are sigriifican "pens false information, including the possibility -of fines'and imprisonment fbr-knowirig violations. . .
9
{SignatureofPeirniftee) (Date)
Permit Date: 7/1/2011-60/30/2015 MJ Last Revised7/13/11'
Page 2 of 2

PROCESS WASTEWATER:— Quaiter!y'Discharga-Monitoring Report.
GENERAL PERMIT No. NCG140000 T..,:•
SAMPLE CA
CERTIFICATE OF C VERAGE•NO:-NCG 4 •L � � . ' _ >uEcrioN•vfrAR:., � � _;,'�•:
RECEIVED
JAN 17 2017
CENTRAL. FILES
DWR SECTION
FACILITY NAME:"
SAMPLE ClUAR7ER;.:. [Jul -Sept_ Oct -Dec Qarch Jan-M. QAps 11-lurse
. PERSON• COLLECTING SAMPLES: M _�S p(
COUNTY
CER7IFIEI3 LABORATORY RZ a.#> , FHQNIr
ADDJO.'LISTS�EtVE _ QYl:S;.[�NO,<1=MAlL _
I -
L1MlTVIOLATIONS? YES NO []
DlSCHARtil TO C1AS5 '[!SA OHQW''[�PN�1°�QTra�t [�Othe'
Part A, Wastewater Monitoring:requirements '
Date Sample - .
1
Type of Wastewater -
pH
Total Suspended:_
,:` :.Settleable''::
TPH-usfng
method1664A_ '
rtN•
Discharge:
s•1:
; Total.Flow
Outfa[I No.
Collected.
{VE, RM; MD) z
(standard)
Solids'-.-.
•
` : .. solids
SG-HEMs.-
Duration-
e'
(gallaiu/day)'
(mni/dd/yrj
(mg/L)
(ml;/L}
( �L).
{minutes);
-
-
6_74
30�-s
5s
f1516
e
1 if wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please. make sure to mark the sampi quarterbbove.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stock Iles (RIM);::Yviixing Drum.
Cleanout (MD), Report more than one type if the waste -stream is commingled.
s If an effluent limit is exceeded twice in a row, the'perm[ttee Is required to institute monthly monitoring forthat parameter for six months, LnIess DV, QOo staff
notifies -you to.continue monitoring.
4 y,
pN ilmits are 6=9 S U for wastewater discharges to freshwaters and 6.8 $ 5 S.U. for discharges to saltwaters
s TSSlimits are20 mg/l: forwastewatrer'dl5rha�ges to.F{QWrwafers; l0'mg/L forTrout and;PNA waters,:and 3a mg/Cfon.ail other,water class[ icatians.r's
Permit 2�10-06/3aY'aaSt-Revised07/.13/11
:gage.1 of Z
�L

Process wastewater discharges shall only -be monitored for.TPH when commingled With stormvk;ater discharges from.VMA areas. TPH does not have�Olmlfforwastewater,
but Instead is subject to benchmarks and provisions of Part IV, Section A, itesponse Action, I `?
Flow rate can be measured.continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q 0 Flow as per:15A,.;
NCAC 02E .0224 Perm,tteeswho discharge wastewater to:HQW waters sh;311-abtain.a 5ummer�7QlO flow-and.report this information'.to DWQ,.1f the ermittee'cannat '=
abta�n a Summdr`7Q10 flow for the.edceiving water'stat the dssd�arge'loc tlon :the+perrnitiee skallEnotify,DV1lQ; anti;the-DW.Q;Regional dff�ce may:re {:dire an annual flow
report owa'case, y-case'basfs '. _t: ? +
r < �•
MAIL OftlG1NAL'ANI)` NC: COP F 7H 5FANNUAL-SUMMARY INCLUDIN ALL "'NO -FLOW' "Np:b15CHARGE" ~µ.3 A1f5 OF RECEIPT:OF SAMPLE OR
TAT Nb • F ONI. O . PE G RIOD INCASE F "NO i=LOW" 7p
,Division of-Water•Quality
__.. .
,a 1
'Attn: DWQ°Central Files`
;1517 IViai.l 5ervlceiCenter
Raleigh,- North; Carolina 27699.; 617
(919).-807-6379..
1
s l t
a AjYY/MFOffM677ONAIP arEfl: j.r
l:certlfy, under lsenalty oflaw,Jthat thTs.dacument and al4attachmentswere prepared under my direction or.supervision in accordance with a s st. in.ciesi ned to
Y g
assure q,lypyroperly;gather and,evaEuate the information subrriltte`d`asee!'on my Inquiry" pf the person or:persaiis:who manaEe theysterri or
those.perso'ns directly iesponslblefoe gathering the; Informa'tionRthe infiorm'ation subMitted;is�;to:the=,best'of,my�ioiowledge;and:bellef true accurate acid:..,-. :.
- s 4•,
complete I am aware that there are s[gnlficant penalties for suhmitting false information,.including the possltiIlity;oi fiiies�ihd.lmprisanment for knowing
a ure of Permlttee)•
Permit Date: 7/l/2010-06/30/2015
` Last Revised 071 3/11
page 2 ❑f 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE N0, NCG14 P_L 1 nA
FACILITY NAME: l c_! +� M ",LZ OJ Z?_Q`f� CN ^_
PERSON COLLECTING SAMPLES: + i
CERTIFIED LABORATORY: ,.s--A r tLab # 1,JL.-39-
Lab #
LIMIT VIOLATIONS? YES ❑ NO ®.
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: a201 L
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑tan -March ❑April -June
COUNTY: rorLS
PHONE NO.
ADD TO LISTSERVE? []YES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO: i
s
Outfall No.
Date Sample
Collected}
(mm/dd/yr)
Type of Wastewater
Z
(Vl f RM, MD)
pH
(standard)
Total Suspended
solids
(mg/L)
Settleable
Solids
(mL/L) .
TPH using
method 1&64A
5GT-HEM' Ms
(mg/L)
Discharge
Duration
(minutes)
Total Flow
7
(gallons/day)
-
-
-
6-93.4
303's
53
C]
r� a-- s -% r
r.;,�,.iL.I
V L—v
n
f;
CENTR,
�L FILES
DWR SECTION
r
1 If wastewater systems have not discharged in'this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
I 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.
a If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
" pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TS5 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.,::t'
Permit Date: 7/1/2010-06/30/2015 =Last Revised 07/13/11
Page I of 2

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 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10.flow and report this information to DWQ. If the:, ermittee 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.
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW"? TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center x:
Raleigh, North Carolina 27699-1617
[phone]
.ti .
r
YOU MUST sIGN THIs GERTIFlATJQN FOR ANY INFORMATION REPORTED: r
"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."
l lD 0-3
(Signature 6f Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

STORMWA°TER. DISCHARGE OUTFALLf(SDO).--:Semi:-Annual; MONITORIN .-TORM.
:. GENERAL PERMIT NO..NCG140000
CERTIFICATE OF COVERAGE NO.-NCG14 0. ( SAMPLE COLLECTION YEAR:
q SAMPLING' PERIq,D: July -December January -June
FACILITY NAME: tr►c]
PERSON COLLECTING SAMPLES �r�I Jjg4hL, le COUNTY ,Fa�2s�l°H1
CERTIFIED LABORATORYZA",,d'k:61J� s'04 Lab # PHONE NO. (aak) "MS7 'y.E t
Lab # ADD TO-LISTSERVE? ❑YES ONO EMAIL:.
OPTIONAL INFO- DISCHARGING TO -CLASS: ❑SA ❑HCIW - ❑PNA. ❑Trout ❑Othe.r • ��✓
Part A: Stormwater. Monitoring,Requirements
Outfall No
Date Sample
Collected
(mo/dd/yr.OR
1;..
NOT OLN) . ,
pM ...
-. •.(Standard
;
Units) -
TSS
; (mg/L)
Event"
-Duration
(minutes]
'Total
a
:Rainfall
- (in) .
In Tier,2,_,
Monthly
Monitormg�
. (y/n) ....
# of Months in Tier.
z....
2 Sampling.
a
RECEIVW
CENTRAL:.
ILES
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, Dr -outside thebenchmark range (for pH), you must implement the Tier I orTier 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, HRW,.Trout, and PNA waters where.they are 50 mg/l.
A For each sampled measurablestorm 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 I of 2

4
PartB- Vehicle MaintenaiiceActivitv-Mnnitaring.Rpriiiirpmpntr Mrfnrilitipr ii6no 5 55 Pal nfnpw mntnrnil/mnnth—nuPr;xrrPd near rn1pnrinrupar
­ft, ­
, " -4 lz� -
r
.S, I, _.�,
Date:
hbd2
c . d d
t%p
-
# o M
,
amp e,,,-.vav
—'Collected
"664k5GT-:H
A".:in T
S
m
00
q
r
W A7
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCtS ATA'NYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)?_
HAVE YOU CONTACTED THE REGION? YES r_j No F-1
REGIONAL OFFICE CONTACT NAME: . . . I .. . .;-
Mail Original and one copy of this DIVIR (including all "No Flow" &!'No Discharge" reports)
YES 0 No
ceiDt 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 directi6n.orsupervision 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 ga;hering the information, the informatioh submitted is', to the best of my knowledge and beli'ef;true, accurate, and complete. I
am aware that there are significan ties for submitting false information, including the possibility -of fines -and imprisonment for knowing violations."
-7 6L —20
(Signature—o�f Perfiiittee) (Date)
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: N G14 p1'� SAMPLE COL ECTION•YEAR: �b I
FACILITY NAME: 1 n� �h'.x�J� c,tx-fe SAMPLE QfJARTER; ❑Jul-Seizt ❑Oct -Dec ❑Jan-Mareh 4pril-June
PERSON COLLECTING SAMPLES: JSvv vu � 'n _ COUNTY. +
CERTIFIED LABORATORY tidy Lab # P,,HONE NO. (3 l� :. 55- rT5'7Jr Y
b AM
.TOst15TS@RVE7: YES; - NO <EMAIL:
LIMIT VIOLATIONS-? YES' r - :. 5A ❑'NQ DISCHARGING TO CLASS ❑ ❑HQVJ''[]PNA ❑Trout ❑Other-'
O T ALINF
. - P lUN O.
Part A. Wastewater Monitoring Requirements
Outfall No.
Hate Sample'.
1 :
Collected
(mm/dd/yr)
Type of Wastewater
(VF, RM; MD)Z
pH
(standard}
Total Suspended
Solids
(mg/L.)
Settleable
Solids
(MLA)
TPK uslny
method 1664A
SGT NEA+Tr : '
(mg/L) .
Disi harie
s
Dura ior.
(minutes)':
:.,:Tota1 Flow
{gallons/dayf
S~ o.S 1
6.3
Ig
L a,
5
:
a17
-E 4/
E ..J
Y-.:..
r`CAfTrin r
r a.
AI C�r'Tir+A
`"
If wastewater systems have not dischareed
In this auarter— report "No Floyd" or "No
Dischame". here. Please.make sure to mark the samold
auarteraliove.
= Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stock dies (Rtiri) Mixing Drum'
Cleanout (100). 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 forthat parameter for -Six months, L mess DWQ'RO staff
notifies you to continue monitoring.
spN Ilmits are 6-9 5 U: forwastewaterdischarges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
TSS limits are 20 mg/L for�wastewater discharges to Waters l0'mg/t forTrout and PNA waters; and 30_mg/L-for all other, water. dassI Ications.r;
Permit Date: 7/1/201 ;
a
0409/2015 Ist:Revised 07/13/11
_ -Page I of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwatcr discharges from VMA areas. TPH does not have �i- llmlt for wastewater,
but instead is subject to benchmarks and provislons of Part IV, Sectlon A, including the 7lered Response Action.
'.Flow: rate can be.measured.continuously or calculated. Flow limits for wastewater discharges to }tqW waters shall beset to 5096 of the Summer 7QZQ: Flow as per:15A.,....
-:e
Wwj.
N(J4C 028.0224 PerHttees who discharge'.wastewater to:HQW"waters shall obtain a Summer 7Q10 flow and report this Information to DWQ, If the O'ermittee cannot
obtain a Summer 7Q10 flow'for the receiving waters atthe discharge location, the permittee shalllnotify,DWO and_ ;the DWQ-Reg' onal,Of ce:may.retiuire an annual flow
report on a case -by case basis ; % .
- ., .. -• ... ,cam,- F :,
.I :
: MAIL nRIGINA1:-ANn%nhiF rnPy r THIS-ANt�II IAlrS1IMMARY-fiwri-iiniNrrAtT,'!Nf4xi nw!. "AIn.: ;rI4ARGF'.'1 WITFIIN 3n []/1Y . OF RFr'FIPT.nr SAMPLE f01
yAT ND F: UNI O : G PER106JN�CASE F FNO°FLAW" TO; : _ .
.:.. . .. .......... ..': s ,•- '...' -
zMvision of Water Quality
Attn: DW4Central Files::. ....:. .._
_.,.
J617 Mail Service Center
`Raleigh, North Carolina-.27699-1617.... ::.......:... - ." ..
;..,,
[phone] _ ... ,.
�4
YOU MUbT_EON"MI CEIi'TIFIGATION FO 6Y INFORMATION R6FORTEU:
� Lcertify,.under penalty a€law, that thisdocumentand-ail attachments were re ared:unaer m direcilan or.su ervision i
P P y. l n accordance.with a system designed to''
. _ L
assure that gaafified personnel'properly.gather andyevaluate the information submitted'"• Ba'sed'on my Inquiry of the person'br-persons'who manage the system; ar
those persons directly responsible for gathering therinformatlon, the infermfat-lon submitted jlsitci'-the;best of my kriowledge snd:belief,'true;:accurate;cnd
complete `: f�rn aware'tFiat ere are significant penalties'for submitting. false Information, including the:possibllity:of"fines and•imprisonment for knowing
ffi
violations."":,
(Signature of Permittee).`
Permit Date: 7/1/2010-06/30/2015
` 6st Revised 07/13/1.1
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO, NCG14 d .I 3 5
FACILITY NAME: 1�11 t,994dfjgfix
PERSON COLLECTING SAMPLES/-6,, j Z!hti ,S+��
CERTIFIED LABORATORY ,ti.,w«7 Lab # to
Lab #
OPTIONAL INFO:
Part A: Storrnwater Monitoring Requirements
Event Total In Tier 2
SAMPLE COLLECTION YEAR: ��JG
SAMPLING PERIOD: ❑ July -December 4 January -June
COUNTY _ O/Ll56..�
PHONE NO. (,�) .3%- y1 ?4-
ADD TO USTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA []Trout ❑Other
Date Sample
Collected
PH
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 Ties 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 T5S benchmark values are 100 mg/l, except when discharging to ORW, HOW, 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.
IM
�E1VED
20 2016
RAL FILES
SECTION
Permit Date: 7/1/2011-60/30/2015 I Last Revised 7/13/11
Page 1 of 2

Part 3: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfafl
No.
Date Sample
Collected
jmo/dd/yr)'
PH
(standard
Units )
TPH using method
Ibb4.4 SGT-HEM
m /L)
( g
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
1
Total
a
Rainfall
(in)
New Motor oil
Usage
{gal/month)
In Tier 2
Monthly
Monitoring?
[y/n)
# of Months
in Tier Z
Z
Sampling
6-9
1s
Lou
I
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALI_ (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" revortsl within 30 days of receipt of sample for at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of 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 awar ha then a igniflcant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Signs ure of P mittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

PRCFSS-'v�ASFFiNATER'-Quarte.r.ly`Discharge:Moniocing Repo. ;
,,.:........ ... GENERA. PERMIT NO. KG1400M v
CERTIFICATE OF Ct}VERAGE.NO NCG� 4 1 SAMPLE COLL—ECFION•YEAR: - 2,y 1 Lc 1 w
F,4CILITY NAME:' 2�Aa�_'; kzD' �o.,��,�ct-t �o — SAMPLE QUARTER, []Oct-oec Jan-MarcFi' QAgrll-lure
'.PERSON:COLLECTINGSAMPLES- 5M.^t-W COUNTY: ^42S
C RTIFlE6C'A' IQIYATORY" ` �,r�teh ,4tif1`Jxlt'�°A�WV# a,..'.-
,e.�.; _ z� s � ,,� :i'r - : i ' I b%#` ADD T.Or�L[S S Rie D` 6; QN D, -.,EMAIL:, - —
._ :,
�IMlT 1lIOLA1 IQ'NS7 `YES 'c 'Np` ` ' - ="'� «_ _ sr: ^QISCHAFGINCa�TD CIA.SS: 5A' °' F3QV1li; t PNA: K Tra" k Other
1lfr•�/-yam'} _ _ _ C] ❑ E ❑...-y ❑
M1if. '� k ..)'s :i�X .���� h 4 -- -:.i :Y i ^�'P^>. bf t•1 �^I C A�'1.�..s:. �Ni•�.,� 1' - �r
,�- � -> �� � �� �` �.;'': •,'"_ _ � _ �QPTIONAL INFO:'.
Part As Wastewater MOnit6ring itLmuirements
Outfail Na.
Date Sampl • .
Collected.::
col
(mni/dd/y&
:': Type of Wastewater •
( z
VE, RM;MD)' '
pH :
standard
Total Suspended°:_
,.
Solids.'; •
(mg/L)
r:= ,Settleable:-::
:' Solids'' .:.
HIM': :
TPH,.U51nQ
methad 1664A
.:
SGT-HENI :`
biseharge
�';' •
Ion.-.,,
(minutes)=,
- „
'."Total. Flow
(alions/day)'
-
-
8-9"
9E33.s
5s
{15)s
r
3-1
ma, L,
< b,l
Coo
O, 9
:.
�J.
'-r -
s r-
1 If wastewater systems have not discharged In this quarter-- report "No Flow" or "No Discharge- here. Please.make sure to mark the sample quart&r Bove.
? Report the abbreyiatioh for the type of Authorized•Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Materlal Stockf ices (RM)�.MWng Drum'
Cleanout (MD). Report'more than one type if the waste -stream is commingled.
s if an effluent limit IS exceeded,Iwice In a row, the permlttee is.required to institute monthly monitoring for -that parameter For six months, nless DlhlQ 90 staff
notifieSyouto,'continuemonitroring. ca .
W 11niits 6re.'6.45:U. fot wastewater-AIscharges,to freshwaters, and'6.8-8.S S.U. for discharges to saitwaters.
TSS f�mitr are`20 mgfLiorwasfewaterdisctiarges toiQ4Vrwaters; l0 rrig/L%r:Srout and pNA.wate�s;•and 3Q mgJi: for�all;otherwater classi cat!
PPS •..
Permit Date 7/1%2010-06f3D/20L5 , < < +` r l Y'Last Revise-07/.13/11
ti ;Page: i of 2
• 4 '

Process w'astewater.dischai�es.shafl, -for.TPH when cornfn[n led . With storm
..9ply.bernoriltored 9 Water discharges froMLVMA.a'
but instead Is subject to berichma and.pr­ovTslors - IV, Section A, I k��pon'
s of Part n e se'Action.
reas. TPH-doeinot havet:11m1t.-for wastewater, -
:"..-.Flow l:rate,can,be-measured continuously or calculated. F1'
Flow for wastewater discharges tO'HQW shall beisettoSO%of
. k*:4�.
.
waters
NO%C 028 %e Wastewater tci;H.QW water shall -dbtain. a Sum mer,7QIO flow.and this
thesumrner7QI O.'Flow as per
Information,to DWQ:
-report
rx , 1 -4;,; t
ob-if th erm!t ee:-cb
tain Summer 7Q1G,`f16w:f45e nnot
t the r6c'e'i_v-ing,!WW�f. is
ttee CtAnOOe.-
on 'b
CiA I na[�Offi�e�MayrreN'W6 an annual flow
e�p
report case7l y-
N`
7
rq
MAIL ORIGINALANMOt JSZOPYOF--T.14[S�A-NNUAL�SUMMAR-Y-IINCLU 'NO
� DING'AL
I 4t -FLOW".
AT.
7'FN N
Wvb: rt6k
W AYS OF REirE1PT OF sAmPLE OR
H!
C-A
I I N; SE NGTIL MM�To,
- X)
.,DWIsiori-ofW f6r�oi
a i liy
.6,a
1617-Ma 111-Seivice Center';!`
Raleigh; IN6rth:,C-arolina-:2.76994617--4
. .......... . .
YO�U A NVAFMMQN R
y, under enaW'�oflaw, Ithait
p' -thls-.do'ciiment-and'dit,';ina'chments were rni
'd'
t.dli�ktlqn or. supervision -in
assure thatlquafifi Re sonn '-.,; .
gg
0*1 0" :`0
accordance with, a system
q Tn. esigned to'
.gather-aiid.Li%�aluate-the-informatlort ubniTtte&1 Inku-i"'
Al - � .: ­
those.pelrso*ns, -i8 per'�sorisl.who-mana-g e., e�system'
directly f6spohilbJ6.-f therin'g A ,.br.
Q�gq info
-the rinStion, the Inforrr%htion subr�ft-tedi;satg.,.,e,,best-ofrny,, owleclge�qrid e�..accuqx�!;-an
An �be fi�tru
. - , ­­�­­ �-_l - - - j, , 7"�'
ete.4'Ta'rh,2W'ae61t that H - a
a H J­�!a ties- 9C.'supinTIMI
6ti, ralse information,
"tuding, hoPdstiblurVof,,tilies.an.d'Imprisonment for
ons.
.Permit Date:
M,qr
Revised 07113/n
'Page 2 of 2

STORMWATER DISCHARGE dUTFALL (SDO) - Semi -Annual MONITORING FORM
UENERALPERMIT No. NCG140000
CERTIFICATE OF'CCiVEFfAGE'NO.--NG14-0;--,i:- SAMPLE COLLECTION YEAR:
FACILITY
NAME:-
77,.;
; �,SAMPLIN_G PERIOD:�-
July-DeceberEJanuary-June, ,.
PERSbN,COLLECTINGfSAMPLES iCOUNTYEpxjy+
.4 ge
CERTIFIED LABORATORYgi3-
PHONE NO. (-3) "?
Lab # ADD TO LISTSERVE?❑YES 7NO EMAIL:®
6PTIONAUNFO: DISCHARGING TO CLASS: OSA DHQW EPNA [:)Trout 00ther
-Part A:.S.tormwater Monitoring Requirements
aMlIn
ho/dd/
Units}
0
�b
n
7
EZ4MEve 'Total-
4111
7�MtaintaIV4<
7
Tier 2 xr�
v?ntStafidaid!
qg
L!
_'k
J?. 14 1
Ido
7
"10
1) F L
UENTF
PWR.
EIVED.
16 Lull
AL FILES!
3 )ECTION
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 ' L.. . I -
If a value is in exc6ss:of the benchmark;.pr outside the benchmark range (forpH),:you must implement the Tier I or Per
,Tier 2 responses in mft`Tier2
Mohthly sampling 'shall 'be'done until-3.consecutive.sahiples are -below the be.nchm'-ark or within -the,benchma rk range.,,
3
TSS- bench T ark. valu ei'a,ie,100.41, except when dischariingto,ORW, HQW,.Trout,:and.PNA waters where they a're'.50'riig/l.
For each sampled measurable storm event the total precipitatio-n' 'must -6e..recorded using data from an on -site rain gauge.
j
Permit Date: 7/1:/2011 -60/30/2615 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.
�4
:4�,'
b ii-14
r, *iNo
N
�4 1z T N5
'S5mp1!Ae_
N-
(mo dd/."
,yr, "%W 1
7w,; W
PR0',1(S_t'and'a­r'd4jp
fi9fllnitsg%W(RdL
nl'
le,
Kusin method
F 664AL,,SG
T
0,
"M N 9,
A-Z
-f- - W,
Total Suspende'd
C COP!
_125-4-A
I NK 60AMM,
-E
`'Event
.Duration
min 't minutes
iES
NOSVIV110.
-,*,-TA,,,T6*iI
lRli WE I ,Fes.
-*-ft
q18A " 1.9 1-9
g
R 1P
a- - -
0
NeMLMgto 1
0;,
'WWA T i
Z! IMN
RUN M-31211
"M
I
qnqier,z�q
.8 'I - V,
K'T
Y
w M onitoringr
Mir" _V
.01211V
r,,71vopmonths
tin
t
HAS YOUR:FACILITY.HAD.40R MORE BENCHMARK 'EXCEEDENCES�AT ANY ONE bUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ f O'g
HAVE YOU CONTACTED THE REGION?
I YES ❑NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one co6yof'this DMR Ondudin'gall "No Flowil :Z', "No D isch a r6'.-'--'r6j�ortsj within 30 d ys of receipio'fisarnple (or -at end of monitoring pehod
in cakd`6"No Flow") ; to
Division of Water QUality'
Attn: DWQ Central, Files
1617 Mail,Service Center --
Raleigh, North Carolina 27699-1617 2
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:—.
"(-certify. underpenalty6flavirl-tKbt this document and all attachments were prepardbnder my direction or supervision ervision in accordance with a systemdesigned to J
' ;
assure -that --qi'iialified personnel properly gather and evaluate the information submitted: -Based on;.my:inquiry of,the persomor, persons. who manage the system, or
those p&s&hs directIV resporisibld!foregathering the,information, the information submi,tt.ed is, to the best of, my'..knowledge and 'belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (DiteY
Permit Date: 7/1/2011_60/30/2015 La . st Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report.
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO.• CG14_Q L 1_ _k
FACILITY NAME: i2•4y
PERSON COLLECTING SAMPLES:
CERTIFIED LAi3bRATORY:2g, a -'t41%&C-A,,.iy1 _eA.I I Lab # AV-314
Lab #
LIMIT VIOLATIONSTT-YES ❑ NOR'
Part A: Wastewater Monitoring Requirements
Total Suspended
Settleable
Discharge
Date Sample
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 ahove.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockr iles (RIi ,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, t nless DWQ RO staff
notifies you to continue monitoring. �; x
" 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 rng/L for all other water classi ications.r, ;'
Permit Date: 7/1/2010-06/30/2015 I Y Last Revised 07/13/11
Page 1 of 2

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have`allimlt 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 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 reiquire an annual flow
report on a case -by -case basis.
s ,
MAIL ORIGINAL AND'ONE COPY OF TH(5 4NNUAL SUMMARY (INCLUDING ACL "ND_FLOW". "ND D15CHARGrI WITHIN 30 DAYs OF RECEIPT OF SAMPLE (OR
AT END QF�MONITORING PERIOD IN CASE OF "NO FLOWTO: "
nivi[inn of Wntar rhiaiity
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
1
YOU MM5I6N.TH15 CFRTIFICATIQJY FOR ANY JK RMAVQN 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 persq�s directly responsible for gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accugite, and
complete. I am aware that there are significant penalties for submitting false Information, including the possibility of fines and Imprisonment far knowing
Violations."
-- (5[of Permittee). -•--•---..,,,, ....._:.,— _. (Date), -
Permit Date: 7/l/201.0-06/30/201.5
` Cast Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge. Monitoring Report,
GENERA. PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NCO. NCG14 0 _j1 (,g
FACILITY NAME:.+
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS?. YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements,
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: [KJtil-Sept ❑Oct -Dec ❑Jan -March ❑Aprll-June
COUNTY: 1'nsas •rth
PHONE NO. Qj)2
ADD TO LISTSERVE? OYES ONO EMAIL.
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout❑Other
OPTIONAL INFO:
Outfall Na-
Date Sample'.
Collected i
(mni/dd/yr)
Type of Wastewater
(VE, RM, MD) a
,a
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mE/L)
TPH us fng
method 1664A
5GT-HEM .
(mg/L)
r • '
Dls'charge
Duration
(mind:
Total Flow
�
(gallons/dayj7
-
-
64.,
30315
53
(15)5
-
NTW
f ll,t
DW R 5
: ,
' If wastewater systems have not discharged In this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sampl,
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stock
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,
notifies you to continue monitoring.
4 pH limits are 6-9 S.U, for wastewater discharges to freshwaters, and 63-8.5 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 classi
Permit Date: 7/112010-06/30/2015
quarter above,
les (RM) Mixing Drum
Zless DWQ RO staff
t
zations.r'.
"Last Revised 07/13/11
a Page 1 of 2

r'Process wastewater d€scharges shall only be monitored for TPH when commingled with storm";ater discharges from VMA areas. TPH does not have ,�a3limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, Including the Tiered Responsa 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 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 DWO, and the DWQ Regional Office may require an annual Flow
report on a case -by -case basis.
MAIL ORIGINAL AND' NE COPY D-F—THAANNUAL 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 Mall Service Center
Raleigh, North Carolina 27699-1617 ~ s
[phone]
Y
My 51 GN.THI R TI FWA T1 0 N FO R A N y IN T! ON REPOR
"I.certlfy, under penalty of la'w, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personni el 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,.accureate, and
complete. I am aware that there are significant penalties for submitting false Information, Including the possibility of fines and Imprisonment for knowing
violations."
(Signature of Permit ). (Date).
-4
Permit Date: 7/1/2010-06/30/2015 Mast Revised 07/13/11
Page 2 of 2
y ~•Z IIti

PROCESS WASTEWATER — Quarterly Discharge. Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO, NCG14_.C? J_,L _(.o
FACILITY NAME:
PERSON COLLECTING SAMOLES:
CERTIFIED LABORATORY 124,-,r�,44,m)ii��,y� Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NOR
Part A: Wastewater Monitoring Requirements
JUL 0 6 2015
CENTRAL FILES
SAMPLE COLLECTION YEAR: _� DWR SECTION
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec []Jan -March ®April -June
COUNTY: Pugz
PHONE NO. L-a' W S
ADD TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑li W DPNA []Trout ❑Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method Ib64A
SGT HENS
(mg/LI
Discharge
Duration
(minutes)
Total Flow
(gallons/day)'
•
-
-
6-93A
303,s
53
(1S)6
f
I
"I
-
I.
..
1
I
1 If wastewater systems have not discharged In this quarter — report "No flow" or "No Discharge" here. Please make sure to mark the sampl
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Materlal Stock
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,
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 classi
quarter above.
les (RM�, Mixing Drum
"iless DWQ RO staff
Permit Date: 7/1/2030-06/30/2015 I '^ Last Revises! 07/13/11
IJ Page 1 of 2

a Process wastewater discharges shall only be monitored for TPH when commingled with stormvrater discharges from VMA areas. TPH does not have "a limit for wastewater,
but instead is subject to benchmarks and provislons of Part IV, Section A, including the Tiered Response Action.
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 DWCI, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
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 MU5TSIGN THI5 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." r
(S gnature 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
A
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 4 l I 3e SAMPLE COLLECTION YEAR: olaits
FACILITY NAME: ?uAd� NLKc _�D�-re�l�D • SAMPLE QUARTER: ❑!ul-Sept ❑Oct -Dec ]Jan -March ❑April -June
PERSON COLLECTING SAMPLES: _ COUNTY: - Fb+
S�t
CERTIFIED LABORATORY: .4 - }Lab rt `34 PHONE NO.
Lab # ADD TO LISTSERVE? ❑YES []NO EMAIL:
LIMIT VIOLATIONS? YES []NO 2q DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA []Trout [-]Other
OPTIONAL (NFO: t
Part A: Wastewater Monit'orine Reauirements
Outfail No.
Date Sample
Collected)
(rnm/dd/yr)
Type of Wastewater
z
(VE RM MD)
pH
(standard)
Total Suspenc ed
Solids
(mg/L) '
Settleable
Solids
(mL/L)
TPH using
method lb&4A
SGT-HEIVe
(mg/1-)(minutes)
Discharge
' "
Duration
"Total Flow
,
(gallons/day)
•
v.�.��
fIV�U
AR
n
L
LENTRAr
ris
L)VVR
3ECTInAW
I"
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.
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 6-4 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 foi• wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications..
Permit Date: 7/1/2010-06J30/2015 i -Last Revised 07/13/11
Page 1 of 2

C •�

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a1imit for wastewater,
but instead is subject to'oenchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rat&bio llw"easured 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.
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-1 TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
F
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFOR41ATION 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."
(Signat re of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015
i
Last Revised 07/13/11
Page 2 of 2

`1

i�
',PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERA E NO. NCG14O f l % SAMPLE COLLECTION YEAR: •pt14
FACILITY NAME: -P,6M, (Ley U CZ& _ �I SAMPLE QUARTER: []Jul -Sept Oct -Dec QJan-Marc{7 April -June
PERSON COLLECTING SAMPLES: COUNTY: Fva4 _-
CERTIFIED LABORATdRY: .v�r/ ab t! ,clL #�� P�foNE No.
LI Lab q ADD TO LISTSERVE? []YES []NO EMAIL:
i
LIMIT VIOLATIONS? YES NO ❑ DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNATrout []Other
OPTIONAL INFO:
Pan A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
t ,
Collected
(mm%dd/yr)
Type of Wastewater
z
(VE, RM, M0)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT-NE1Uf
(mg/L)
Discharge
Duration
(minutes)
Total Flow
7
(8allons/dayj
6-4j''
303,s
53
(15)6
L
o.t
O.,
(3.0 7711h
i
r'
CC;ENTFF
L
ECTION
r
I
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.
2 Report the abbreviation or 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.
a if an effluent limit is excepesded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unlesDWQ RD staff
notifies you to continue r onitoring.
pH limits are 6-9 S.U. for:wastewater discharges to freshwaters, and 6.8-$.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L fo� wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06 30/2015 Last Revised 07/13/11
Page 1 of 2

r
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 topenchmarks 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-hy-case basis.
Y
i
MAIL ORIGINAL AND • r:
NE COPY OF TH15 ANNUAL SUMMARY IINCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT ItND.OF MONITORING PERIOD IN CASE QF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolinas 27699-1617
[phone]
i;
k
F
YOU MST 1 NTHIS CERTIFICALION 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 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." /7
(Signat6re of permittee)
1,
Permit Date: 7/1/2010-06j%30/2015
I;
t
(date)
Last Revised 07/13/11
Page 2 of 2

STORMWATFR DISCHARGE OUTFAtt (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT Nn NCGi4nnnn
i
CERTIFICATE OF COVERAGE NO. NCG14 V l 1
FACILITY NAME: 2�.4 M;XcrQ &A*;_1-7, cj=,
PERSON COLLECTING SAMPLES ►', ,<h�in:'c _
CERTIFIED LABORATORY Kc�e �/� Vf,Ciil Lab # Ak, li-Wi
Lab #
OPTIONAL INFO:
Part A. Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2'01q
SAMPLING PERIOD: July -December ❑ January -June
COUNTY a
PHONE NO. (al k) '78s • hs`'7s-
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout []Other
i
Outfall No.
Date Sample
Collected
;
(mo/dd/yr OR
No FLOW)'
PH
(Standard
Units)
TSS
(mg/L(
Event
Duration
(minutes)
Total
,
Rainfall
(in)
In Tler 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2
2 Sampling
I
-
j -
6-9
100
-
-
-
- c
131
12y.q L
9a
• so
1-7 . 4
�b
•s`o
ems•
FH
0 9 2015'
r.
GEN.
.L
V
E 1 V
4
= If "NO FLOW" or "NO DfKfIARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
If a value is In excess of the'benchmark, or outside the benchmark range (for pHl, you must implement the Tier 1 or Tier 2 responses in the General Permit, Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark. range.
a 755 benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
`Far each sampled measuraYle storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/?D/2015 ; Last Revised 7/13/11
t Page 1 of 2

:01111111-
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/Y �'
pH
(Standard
Units)
TPH using method
1664ASGTNEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
,
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
iy/nl
If of Months
inTier2
2
Sampling
6-9
1s
100 '
-
-
-
-
it
i
i
l
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL tINCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
. i
Il "No F
within 30 days of receiot of s
Division of Water Quality ,
Attn: DWQ Central Files
1617 Mail Service Center i
Raleigh, North Carolina 27699-1617
c
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there are signi%zint penalties for submitting false information, including the possibility of fines and imprisonment for knowing violation's'."
(Signature of Permittee)
Permit Date:7/1/2011-60/30/2015
42! - Et -!-
(Date)
Last Revised 7/.13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring. Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAIlGE NO. NCG�41 1 I
FACILITY NAME: ZwW Mi ec�� QAcne-"tom_ ec _
PERSON COLLECTING SAMPLES: ��► �? r'
CERTIFIED LABORATORY: Lab # ,$ C'*,Sq
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Reauirements
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 (RNi), 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.
A 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.
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: L&ul-Sept []Oct -Dec ❑Jan -March ❑April -June
COUNTY: _ F� Y -7 /a( _
PHONE NO.
ADD TO LISTSERVE7 []YES ❑NO ' EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Tro.ut. ❑Other
OPTIONAL INFO:
i
Outfall No.
Date Sample
Collected`
(mm/dd/yr)
Type of Wastewater"
VE, RM, MD Z
( }
pM
(standard}
Total Suspended
Solids
(mg /L)
Settleable
Solids
(mL/L)
TPH using
method 2564A
scr(mg/L�
/Llf
Discharge
Duration
(minutes)
Total Flow
7
(gallons/dayj
-
-
-
6-93''
303.s
53
(15),
-
0 = to
ECEIVED
SECTM
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

r
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 watersshallbe 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
obtairt 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.
MAIL ORIGINAL AND ON COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 3D 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]
. YOi! MUST SIGN THIS CEltTlFl G4 rm Fog 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 si�nt penalties for submitting false Information, Including the possibility of fines and imprisonment for knowing
violations."
r'
(Signal a of Per ittee) (Datej,
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

�F;PROCESS WASTEWATER' Quarterly Discharge Monitoring Repp
GENERAL PERMIT NO. NCG140000 :MAY 2 2 2014
CENTRAL FILES
CERTIFICATE OF COVERAGE NO: NCG14 u t g SAMPLE COLLECTION YEAR: 02771q : DWQIBOG
FACILITY NAME: ' ,4 o%•r O c . ,,SAMPLE.QU_ARTER: ❑Jul -Sept "❑Dc#=Dec=. ,❑Jan -March : [AApril-tune
x�e `f
PERSON -COLLECTING SAMPLES: c Jh . T COUNTY
CERTIFIED, LABORATORY: �m�(Lab # PHONE NO::(;
,ADD TO.LISTSERVE7 .❑YES . ❑NO ;EMAIL: `...: :'''-`
;LIMiT.V10LATIONS7 YES ❑ NO ❑ '`� DISCHARGING TO CLASS: ❑SA ❑HQW ❑PHA [Trout ❑Other
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
�o-
_�.Date:Sample-r
. �
;.OutfallNo:
..
.-�.�,_�
r• :,>: fx,
lra�_
_ ,
1�,..�
�� :=Collected
•� .
� ..
� >j(mm%tld/, r _ ,��
tn:,
.._.� v'
_� -=- a
lNastewateAN
Yp =
— w. -� = a
VE3SRlNIfrI111DSGT-NE1VlG
,
� .:�•�,_�:.-� ..,, --... :.
y ��_
��c H
r. p -
- '
�3�:t' �,
i`G
TotalSuspe'nded--9
=
Solids-
- �
=
�_' {mC�.L�°�. �,
.s.
,.
Set#leable7,
� .'
s= Solids
� ��(mL/Lj� 1*�
ns�;s�?-a� �
rTPFlusm x
�,'�9
1� : �,
1. dr1 �r.
metho x 664Auration�
€
'� j -
�'�`�# _
^�
_.Discharged
-�
'
�:(mmutes)�-
y ,
x, otalF.ow.
,T
�r -Q-'f
allonsl
c>a ;Iq Yip
:,x�-5a;-fFrr�:✓=,;�..
'Yi'Y,;-..+-=r.t.,ze_-�:
i..aim""`
g.,
,,,,_''.�,.�.�"='r°-c�z
,. r-g�"
'7`!'�'i7i69
"3,s ..'i' - _
-r_, ,='.
M3s30.Nr::. -'-'
''ram".-�_.6.
=Y6?r15 �a�K'r'+�S-_+ .�f.'_1151=.
_.r
rr"r�'�F
:terr
�.'�2rP'F.'
�-�
-r-...-'.
3.fr37'.'.?y%u_
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 discharge's'to freshwaters, and 6 8 8 5 S E!'for discharges to'saltwaters
s T55 limits are 20 mg%L for in+a5fewater discharges td HQIN_waters, 1t] mg]L for Trout"and;'PNA water5,'and 30 mp,�L' fog al1'othe� water`d'a sifications:
Permit Date::3/1/2010=06%30 2015:. Last Revised 07/13/11
Page 1 of 2

s Process .wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flawrate can be measured,,continuously or';calculated Fiow' limits for wastewaterdischarges to'HQW waters sh I'be set to 50%,of the Summer 7Q10 Flow'as per 15A .
NCAC 0213 0224: Perm'ltteeswho discharge -wastewater to HQW wat?rsshall.obfain a'Surnmer 7Q10 flow"and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q20 #!ow for the receiving waters at the discharge Location, the permittee shall notify DWQ, and the DWQ Regional Office may'require an annual flow
report,: '. case -by -cos ` asis.1.7
AT END OF -MONITORING -PERIOD' -INCASE OF'"NO FLOW'. ]'TO:
Division of -Water Quality :. .
Attn:-DWQ Central'Files :_.
1617 Mail Service Center . :•-._ . ' : .::_.._........ ... _ _.... _. ..._...._ _ ._ .. .. _.
Raleigh; North Carolina' 27699-1617
(919)'807-6379-; w._.. :.. ...........;.` :_.. r- -
_ .. .-. - ...
YOU MUSTSIGN THIS CERTIFICAT10N-FOR:ANY-INFORMATION,REPORTED: R
certi under enal of .__..._u.........:..:.:.. .
fy, . p yty : law,'that this,document.and,allottachments were prepared undermy direction or_super►nsian m aciordance with'a system'designed to
assure,that qualified. ?ersonneI prop erly.gathe"r_and,evaluate the_inforrrii tion submitted `.IBased,•on my inquiry of the person or persons who manage the system, or
.::�
those persons'dtrectly responslble'for,gathering the-information;_the information su>}mitted is, to the best of my Icnowledge'and belief, true, accurate, and
co'mpiete 1 aYn-aware that there are significant penalties -for submitting false information, inclUd n&the,possibility!of.'fines`and=imprisonment for..khowing
violations.••`:
C/ -
(Signat�f Permittee) (pate)
Permit Date: 7/1/2010-06/30/2015.: i z ti ;v f i t`:. Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO; NCG14 o SAMPLE L as 1y
COLLECTION YEAR.
FACILITY NAME: `� U
SAMPLE QUARTER::: ❑1ul Sept ❑Oct bec:..RJan-March:; : ❑April -June
z. P. COUNTY FDXSV i h
PERSON COLLECTING,5AMPLES: "
CERTIFIED LABORATORY: vret+kc rR,ytrca r Lab.4.,. L a `PHONE NO; ( j `1SS�'rs-7�
a
r, _
: ADD'TO,,LISTSERVE7.[�YE5.,❑NO:EMAIL
`CIMIT,VIOIATICINS? YES`-❑ NO ❑ f DISCHARGING TOCLA55: ❑5A ❑HQW ❑PNA QTrout []Other
I OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
nf'�" ���iy�1 ":
OutfallNo
_ - ��
L � :"�.itii�'S: #,
Dates Sam' fe
1'T_
� Coilected-,ixZ..
5"�k r__(VE;RMTMD]�
u[mm/tltl/:•,,r�
..�:,��9:-. =•e-dv%ir�i :_'QCT`'�'. _
:. c �� - .
_eafWastewater_ , .-
YP
_
_
= rr E ,.�
_ _
:-� r_ H
:� -�"s _
(s#andard]
�-�" _ —
T,otal�5us„ end d
-
= "5oiid
�: r �•
�., - a m [
_ _ - �
"Settleable'
_wSoljds
-Fa
m �_�
�`._�k: .. .Ys'2n �
P y
�;rriethod 1b64.4° xr
-a
aSG7 HENI„s?'
y�IF'?S-'�.
Dischar e
?r
_'DurationT ,_-:•7
.:
- mmutesj
�i .� ��- i.
- < r
�: „i0tal Flow
(gallons/day]=x'
��r ,l
,: ys�.,
_�
'�;
y �y , •� m.
� I J 3'4 °R •�Y.�+
arm
_ .�x,=�'�k; -
_.1[ �1 ' 'd i_ ...
�';��µ�+.��j"['3,4 -
3tti.Rr S 3'
s' ��y` a vs`�sc�r E=
� .' .�.��..D. .3Z -
�j3�+sa-
7 � � .�_
a,y -
�
RF:
t71 ors
Q.�'7
b D
aI r.ti
18t�
r
i
I
MAR
FIL
a
jI
i
1 If wastewater systems have not discharged in this quarter —report "No Flaw" 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 (VIE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f,an effluehtlimit is:exceede'd twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
.notifies' 'Li to continue monitoring. I -
.yo4 .. •J.- 1 - ' . •: 'i. - .lip - 'i , •: ?
OH. limits are 6-9 5U:,for,was[ewater discharges�to freshwaters;.I..and 6 8:8.5 iS. U for discharges to'saltwaters
TSsljrnits a 20 nig%L for.;vuasfewatec discharges to HQWI; iaters;.10 rng'/f 'for.Traiif ah+PNA`Watei's, and 30 rrig%L'for all 'other'water'classificatioi?s`:,:
Permit Date:7/r/2010-06/30/2015:.: ,.. .. _ �, . Last Revised 07/13/11
a Page'1"of 2

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 iristead 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:dischar"ges to HQW waters sf�all be"set to 50%of ihe:Summer 7Q10 Flow as per 15A .
NCAC 02B":02Z4 Permittees who discharge wastewater to-HQW. waters'shall obtain a'Summer 7Q10 flow"and report this information to DWQ. If the permittee cannot
obtain p.Summer-7Q10 flouv for'fhe:receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
reporton a case -by -case basis.
MAIL. -ORIGINAL AND: ONE.COPY'OE 'HIS-ANNUALSUMMARY-fINCL-UDING-ALL "NOTLOW" . "NO-'DiSCHARGE"):•WITHIN 30-DAYS.OF.RE:CEIPT=OF SAMPLE (OR
(Signature of Permittee)
E 3—ut rj-' y
[Date]
C
r
Permit Date: 7/1/2010-06/30/2015.: 4 ;Y q
Last Revised 07/13/11
Page 2 of 2