NCG140074_MONITORING INFO_20190125

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
1v L& N b a -7y
DOC TYPE
❑HISTORICAL FILE
Ja' MONITORING REPORTS
DOC DATE
❑ ol � 5
YYYYMMDD

T� ;
k
'Y
�I
Envvonmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit htt salde .nc, ov/about/divisions/ener -mineral-land-
resources/energy-mineral-land-permits/stormwater-permits/npdcs-industrial-sw#tab-4
Permit No.: N/CI ITI_I_I_I_I_I or Certificate of Coverage No.: N/C/G/ 1 `f / D / 0 / 71 �1
Facility Name: r vt e-r f $
County: _ (�,} LG Phone No. q lgi - 7 7 ;, - y ! 1? j?
Inspector: W , AA . rag w,
Date of Inspection:
Time of Inspection: S: 3.T P,✓l
.A . 2r H
'
Total Event Precipitation (inches): •�� iCENTRAL FILES
CWR SECTION
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
:9� L:��
(Signature of Permittee-or Designee)
Outfall Description:
Outfall No. 1 4 r f4
Receiving Stream:
Structure (pipe, ditch, etc.):
Describe the industrial activities that occur within the outfall drainage area:
C. o H c_, rlc- PI-6 dK'J , ✓rt
Page] of 2

r
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint,
(light, medium, dark) as descriptors: 1. , � k'
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): n1D N e-
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 9 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes S No.
S. Is there an oil sheen in the stormwater discharge? QYes 0 No.
9. Is there evidence of erosion or deposition at the outfall? o Yes 0 No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe N a .) e-
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2

�J
•
TABLE 9.1
ANALYTICAL MONITORING REQUIREM ENTS-STORMWATER
READY MIXED CONCRETE COMPANY — PLANT #
DISCHARGE
UNITS
BENCHMARK
SAMPLE
SAMPLING
CHARACTERISTIC
VALUES
LOCATION
SCHEDULE
pH
Standard
Within range
Each Outfall'
Semi -Annually
6.0 to 9.0
Total Suspended Solids (TSS)
mg/L
100 mg/L2
Each Outfall'
Semi -Annually
Total Petroleum Hydrocarbons3
mg/L
15 mg/L
Each Outfall'
Semi -Annually
Event Duration
Minutes
Not applicable
Each Outfall'
Semi -Annually
Total Rainfall
Inches
Not applicable
Each Outfall'
Semi -Annually
New Motor Oil Usage
Gallons/ Month
Not applicable
Not applicable
Semi -Annually
Notes:
1. Samples shall be collected at each stormwater discharge outfall unless representative outfall status
has been granted and documented by the Division of Water Quality. A copy of the letter granting
representative outfall status shall be kept on site.
2. TSS benchmark for ORW, HWQ, Trout or PNA waters is 50 mg/L.
3. Only required for sites where vehicle maintenance activities occur.
4. All samples must be grab samples. Grab samples shall be collected within the first 30 minutes of
discharge from a stormwater discharge outfall (SDO).
5. All samples must be collected during a measurable storm event. A measurable storm event is an
event that results in an actual discharge from the permitted site outfalls. The previous measurable
storm event must have been at least 72 hours prior. If no discharge occurs during a sampling period,
a monitoring report indicating "No Flow" must be submitted within 30-days of the sampling period.
6. For each sampled measurable storm event the total precipitation must be recorded using an on -site
rain gauge.
7. The permittee shall complete the analytical samplings in accordance with the schedule specified
above, unless adverse weather conditions prevent sample collection. Inability to sample due to
adverse weather conditions must be documented in the SPPP and reported on the appropriate DMR
form (Appendix A).
8. A minimum of 60 days must separate each monitoring event unless monthly monitoring has been
instituted under a Tier Two response
9. The permittee shall compare monitoring results to the above -referenced benchmark values for each
discharge characteristic. Exceedances of benchmark values require the permittee to increase
monitoring, increase management actions, increase record keeping, and/or install stormwater Best
Management Practices (BMPs) in a tiered program, as specified by the general permit.
10. Failure to monitor semi-annually per permit terms immediately institutes monthly monitoring for all
stormwater parameters. After six months of monthly monitoring, the permitee may make a request in
writing to the Division of Water Quality to return to a semi-annual monitoring schedule.

aceAnalytical
www.AaseJaAs.cam
July 03, 2018
Jay Watkins
Ready Mix Concrete
3610 Bush Street
Raleigh, NC 27609
RE: Project: Plant 5 Garner
Pace Project No.: 92390113
Dear Jay Watkins:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on June 28, 2018. The
results relate only to the samples included in this report. Results reported herein conform to the most
current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where
applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
wo. ` 11, �-fA>`or�
Angela Baioni
[e-mail]
[phone]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in fu%
without the written consent of Pace Analytical Services, LLC.
Page 1 of 10

aceAnalytical
j! vnvw.PacWab3.00m
I
Project: Plant 5 Garner
Pace Project No.: 92390113
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #; 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 10

aceAnalXical
wawpoembe.cam
SAMPLE ANALYTE COUNT
Project: Plant 5 Garner
Pace Project No.: 92390113
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 26078
[phone]
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92390113001 Outliall #1 SM 2540D RAY 1 PASI-E
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 10

_ ace Analytical'
wwwpecala6s.=
ANALYTICAL RESULTS
Project: Plant 5 Garner
Pace Project No.: 92390113
Pace Analytical Services, LLC
9800 KinceyAve, Suite 100
Huntersville, NC 28078
[phone]
Sample: Outfall 41 Lab ID: 92390113001 Collected: 06126/18 17:35 Received: 06/28118 09:50 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[
2640D Total Suspended Solids Analytical Method: SM 2540❑
Total Suspended Solids 2.7 mg1L 2.5 1 06/29118 15:21
Date: 07/03/2018 05:42 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4of10

aceAnapical
wM'W.pat+9labl.aapm
QUALITY CONTROL DATA
Project: Plant 5 Garner
Pace Project No.: 92390113
QC Batch: 417208 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92390113001
METHOD BLANK: 2313558
Associated Lab Samples: 92390113001
Parameter Units
Total Suspended Solids mg1L
LABORATORY CONTROL SAMPLE; 2313559
Parameter Units
Total Suspended Solids mg1L
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 06129/1815:21
Spike LCS LCS % Rec
Cone. Result % Rec Limits Qualifiers
250 250 100 90-110
SAMPLE DUPLICATE: 2313560
92390061001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 17.2 52A
SAMPLE DUPLICATE: 2313561
92390060001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 109 212
RPD Qualifiers
101 D6
RPD Qualifiers
64 D6
Results presented on this page are In the units Indicated by the "Unite" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shai4 not be reproduced, except in full,
Date: 07/03/2018 05:42 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 10

e
aceAnalytrcal
wwwpece1a83.WM
QUALIFIERS
Project: Plant 5 Garner
Pace Project No.: 92390113
1 DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 2BO78
[phone]
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270, The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed far, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitdle by EPA
Method 8260,
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 07/0312018 05:42 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 10

e
aceAnalytrcal
www.pacelab$.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Plant 5 Garner
Pace Project No.: 92390113
Pace Anatytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92390113001 Outtall #1 SM 25400 417208
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 07/03/2018 05A2 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 10

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STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14-a12 1 f7
FACILITY NAME: (ggA I+ &49--
PERSON COLLECTING SAMPLES W ci.r
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: Z Dtgj
SAMPLING PERIOD: ❑ July-December'January -June
COUNTY L.Jv4-1LIt_
PHONE NO. ( 4 +41 'iti Z 41 S.R
ADD TO LISTSERVE? DYES ENO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑other
Outf all Na.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)t
pH
(Standard
Units)
TSS
(mg/L)
Event
duration
(minutes)
Total
,
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplings
-
-
6-97
100 ,
-
-
Z
i
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is In excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are SO mg/I.
4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Date of last pH meter calibration: ! J2 20! I Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 5S gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected 5
(mo/dd/yr)
pH
(standard
Units)
TPH using method
1664A SGT-NEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(In)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
It of Months
in Tier 2
Sampling2
6-9
1s
100
-
-
-
-
I
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC 5 AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO [�
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copv of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample 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. I
am aware that there are signific9LQt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 7/1/2011-60/30/2015
'j iS
(Date)
Last Revised 7/13/11
Page 2 of 2

•
•
•
TABLE 9.2
ANALYTICAL MONITORING REQUIREMENTS -PROCESS WASTEWATER
READY MIXED CONCRETE COMPANY - PLANT #
DISCHARGE
EFFLUENT
SAMPLE
SAMPLING
CHARACTERISTIC
UNITS
LIMITATIONS
LOCATION
SCHEDULE
pH
Standard
6.0 — 9.0'
Each Outfal12
Quarterly
Total Suspended Solids (TSS)
mg/L
30 mg/L3
Each Outfal12
Quarterly
Settleable Solids
mUL
5 mLIL
Each Outfal12
Quarterly
Total Petroleum Hydrocarbons4
mg/L
15 mg/L
Each Outfa112
Quarterly
Event Duration
Minutes
Not applicable
Each Outfa112
Quarterly
Flows
Gallons/Day
Not applicable
Each Outfal12
Quarterly
New Motor Oil Usage
Gallons/ Month
Not applicable
Not applicable
Quarterly
Total Volume of Wastewater
Not applicable
50% of summer
Not Applicable
Quarterly
Discharged (HQW)
7010 Flow
Notes:
1. pH range for saltwaters is 6.8 — 8.5.
2. Samples shall be collected at each process wastewater outfall during a discharge event.
3. TSS effluent limitation HQW is 20 mg/L and 10 mg/L for Trout or PNA waters.
4. Only required for sites where vehicle maintenance activities occur and process wastewater
commingles with stormwater.
5. Flow may be measured continuously or calculated.
6. See 15A NCAC 02B .0224 and general permit for explanation.
7. All samples must be grab samples. Grab samples shall be collected within the first 30 minutes of
discharge from a process wastewater outfall.
8. If no discharge occurs during a sampling period, record "No Flow" or "No Discharge" within 30-days
of the end of the sampling period and file with SPPP.
9. Commingled discharges must be collected during a measurable storm event. A measurable storm
event is an event that results in an actual discharge from the permitted site outfalls. The previous
measurable storm event must have been at least 72 hours prior.
10. For each sampled measurable storm event the total precipitation must be recorded using an on -site
rain gauge.
11. The permittee shall complete the analytical samplings in accordance with the schedule specified
above, unless adverse weather conditions prevent sample collection. Inability to sample due to
adverse weather conditions must be documented in the SPPP and reported on the appropriate DMR
form (Appendix A).
12. For commingled discharges, a minimum of 60 days must separate each monitoring event unless
monthly monitoring has been instituted under a Tier Two response
13. The permittee shall compare monitoring results to the above -referenced effluent limitations for each
discharge characteristic. Exceedances of effluent limitations will result in a violation of permit
conditions and may be subject to enforcement.
14. Failure to monitor process wastewater quarterly per permit terms immediately institutes monthly
monitoring for all parameters. After six months of monthly monitoring, the permitee may make a
request in writing to the Division of Water Quality to return to a quarterly monitoring schedule.

•
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 O 0 1
FACILITY NAME: &C4_rV4,/-
PERSON COLLECTING SAMPLES Q, AA - &rRtwe_
CERTIFIED LABORATORY $ « Lab # t
Lab p
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YFR: Zd Iig
SAMPLING PERIOD: [ July -December ❑ January -June
COUNTY L1 ac i (_ v
PHONE NO. ( 4i g ) 171A
ADD TO LISTSERVE? []YES NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [—]Trout []Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)t
pH
[Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
.
Rainfall
(in)
In Ter 2
Monthly
Monitoring?
(y/n)
1# of Months in Tier
2 Sampling2
6-9 2
100 ,
-
-
-
-
1 0(
�•
�.(o
q
i
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 pH), you must implement the Tier 1 or Tier 2 responses in the General Permit, Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
a TSS benchmark values are 100 mg/l, except when discharging to ORW, 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: 7/1/2011-50/30/2015 Date of last PH meter calibration: / / --L ZD l 2s 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.
Out#all
No.
Date Sample
Collected
(mo/dd/yr}'
pH
{Standard
Units}
TPH using method
1664A 5GT--HEM
(mg/L}
Total Suspended
Solids
{mg/L}
Event
Duration
{minutes}
Total
Rainfalla
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2 Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
2
Sampling
6-9
15_AJfA-
JA
I
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR f includine all "No Flow" & "No Dischame" reports) within 30 days of receipt of sample f or at end of monitorine period
in case of "No Flow" to:
Division of Water Quallty
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 are significant pen ties 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

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deg.nc.gov/about/divisions/energy-mineral-tand-
resources/energy-mineral-land-permits/stormwater-permits/npdes-industrial-sw#tab-4
Permit No.: N/CI_I_I_I_I_I_I_I or Certificate of Coverage No.: N/C/G/ I I `il D/ al? l vI
Facility Name: mar 1.1 c_r 1 g L%
County: V- e— Phone No. Q t eC ?? `(t W _.
Inspector: W. NI 3(AswG(
Date of Inspection:
Time of Inspection: 3:.fo
JAN
Total Event Precipitation (inches): CEW t�ci\t- FILES
DWft SECTION
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event' is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description: 1II ^^
Outfall No. 1 Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities th t occur within the outfall drainage area:
Page 1 of 2

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): IJ oN4-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes • No.
8.
U
Is there an oil sheen in the stormwater discharge? ©Yes ® No.
Is there evidence of erosion or deposition at the outfall? O Yes o No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 110
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2

1�5aceAnalyfical"
lwxm. pacelabs c=
October 19, 2018
Jay Watkins
Ready Mix Concrete
3610 Bush Street
Raleigh, NC 27609
RE: Project: Garner NC Pit 5
Pace Project No.: 92403352
Dear Jay Watkins:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite100
Huntersviile, NC 28078
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on October 12, 2018.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
C4-qja. q�l - i
Angela Baioni
[e-mail]
[phone]
Project Manager
Enclosures
ACCttFO�
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 10

u. I
eAnalytical
wrvw.pecelab�.cam
Project: Gamer NC Pit 5
Pace Project No.: 92403352
Pace analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in fO,
without the written consent of Pace Analytical Services, LLC, Page 2 of 10

aceAnalytical
wwwpacalabs.cwn
I
SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
9800 Kincey Ave, Suite 100
Huntersville, NC 28078
[phone]
Project: Garner NC Pit 5
Pace Project No.: 92403352
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92403352001 Gamer Plant Outfall #1 SM 254OD-2011 SOB 1 PASI-E
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 10

ace Analytical
»wwwombs.com
ANALYTICAL RESULTS
Project: Garner NC Pit 5
Pare Project No.: 92403352
Paco Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: Garner Plant Outfall #1 Lab ID: 92403362001 Collected: 10/11/18 15:50 Received: 10112/18 16:06 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2640D Total Suspended Solids Analytical Method: SM 2540D-2011
Total Suspended Solids 516 mg1L 5.0 1 10/15/18 13:23 D6
Date: 10/19/2018 08:42 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 10

0
aceAnalytical
/ wwwpecelaDs.tam "
I
QUALITY CONTROL DATA
Project: Garner NC Pit 5
Pace Project No.: 92403352
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
HuntersvMe, NC 28078
[phone]
QC Batch: 436237
Analysis Method:
SM 254OD-2011
QC Batch Method: SM 2540D-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92403352001
METHOD BLANK: 2400381
Matrix: Water
Associated Lab Samples: 92403352001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg1L
ND
2.5 10/15/18 13:15
LABORATORY CONTROL SAMPLE: 2400382
Spike LCS
LCS % Rec
Parameter
Units
Cone. Result
% Rec. Limits Qualifiers
Total Suspended Solids
mg1L
250 242
97 90-110
SAMPLE DUPLICATE: 2400383
92403352001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
5.6
6.7 18 D6
SAMPLE DUPLICATE: 2400384
92403353001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
ND
ND
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is pretended to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/19/2018 08:42 AM without the wntten consent of Pace Analytical Services, LLC. Page 5 of 10

aceAnaIXicai
www.pecelaDs.cam
Pace Analytical Services, LLC
9800KinceyAve. Suite100
Huntersville, NC 28078
(704)B75-9D92
QUALIFIERS
Project: Gamer NC Pit 5
Pace Project No.: 92403352
DEFINITIONS
OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
NO - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
POL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270, The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG- Silica Gel -Clean-Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/19/2018 08:42 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 10

aceAnalXical
www.pacelaftwm
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Garner NC Plt 5
Pace Project No.: 92403352
Lab ID Sample ID
92403352001 Garner Plant Outfall #1
QC Batch Method
SM 25400-2011
Pace Anatocal Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QC Batch Analytical Method
436237
REPORT OF LABORATORY ANALYSIS
Analytical
Batch
This report shall not be reproduced, except in full,
Date: 10/1912018 08:42 AM without the wntten consent of Pace Analytical Services, LLC. Page 7 of 10

Document Name: Docurnunt Ravised: February 7, 2Lt18
aCBMaI ��j+ Sampie Conditlon Upon Receipt(SCUR) ^r _ Page 1 of 2 _
W��Document No.: Issuing Authorlty:
F-CAR-Rev.D6 Pace C arulinas Quality Otike .
Laboratory receiving samples:
Asheville ❑ UonEj Greenwood ❑ Huntersville ❑ ltaleighEl Mechanicsville❑
Cilent Name: [ Pry ect fZ:. WO • 924 W 3352
7
.; � �
Courier: F {< Ex � ❑liP5 ❑t:licnt LISPS rr
❑ Commercial []Pace �L�, ❑Orfl r: _ _� 92403352
Custody Sea[ Present? ❑Yes ( Vo Seals Intact? ❑Yas or L
\ OateJlnitlals Person Examining Cornenn; /011+ ly
Packing Material: ❑pubble Wrap
❑Hubble Bags ,41(6e ❑ Other
Thermom
IR Gun ID: %116 •r
.`` ///'��
Type at Ice: yVr ❑aloe
'
Cooler Temp ('C): —12 _ a Correction
Facto ,Add uhtracl ('Cl
Cooler Temp Corrcctpd
USDA Regulated SO { rT/A, water sampte)
Did samples ,rip' to in a q arardine zone within
nYes r.?t INa
the United States: C,1, NY, or SC (check map;)?
1loivglcalTissu rrocenT
[jreS ❑?rn1rlA
❑None `
Temp should be abmi! freezing to fi'C
❑SaFill; lrs out of tetvp criteria, 5IIII::IVp on ices �uoiin;::rocwss
has i qc in
Did inmpleS originate front a foreign Sou+ee hlwrnaIlonall'r,
1u 1 lino I[a:aafi aril Puerto RICol7 f-�Yes r-4r,
T Cplr,ltu!nts/Discrcpanc}:
Chaino{Custud�Present7
Samples Arrived within Hold Time?
Yes RJA
ees
Short Hold lime Analysts (r72 hr.)?
©Yes (2Jo NJA
3.
Rush . Turn AroundTimcRv uesred?
Yes NJA
d.
Sufficient_Wume7
_jjle
_ es No NJA
5.
ConurtContainers USLJ?
-ParcCnntaincrsUsedT
Yax ❑Na ❑N/A
G.
Contaln,:rs Intact'?_ _ _
Dissolved anak�sis: Samplr_s Finld (lten:cT
- -
r_, ❑No ©rIJA
❑Yes ❑rin µNJA--
_7,
3. �� —_.._ _ _—�_
9,
Sample 'wbels Match CDC? -ETY-n Dun ❑v1A
-includes Date/Time/ID/Analysis Matrix: G
Neadspaca fn VDA Vials
_�,a ( N A
Trip thank Present? ❑Yds (J,
Trip Hfank Custody Seals Present? Upo r+/A
COMMENTSIS;MPtEDISCREPANCY Pi+ldquirR<;uuiied+ i.�Ycs (]Ha
Lot I_Dofsplitc<tnlainers: -( --
CLIENT NOWicArION/RF.50LUTION _ —T—^- — - •T- T T--•
t
Person contacted:, Date/Tlme:
Project Managur SCURF Review: _ -
r •
Project Alawigor SRF Revlow;
Date:
Date:
1
Page 8 of 10

I
I
-- OcicumentName! Dom ment?tevised:Nhruary7.2018
Samrile Con(Utiuu_Upon ficreipt�SCi1111 I'.II,<< 1 of 7 t
Yi10El�I&fi lCr7i Document No.: Issuing Aulhority: _---
- F-CAR-CS-033-nev.46 Pace Caloiir,a; Qttaii[y Offire —
•Check mark top half of box If pH anti/or dechilarin:ltion Is project S
W0#9--2403352
verified and within the acceptance range for preservation pM: AMB —
Due Date: 1O/28/18
samples. CLIENT: 92-Ready Mix
Exceptions VOA, Collform, TOC, Oil and Grease, DRO/8015 !water )DOC, LLHg
"'Bottom half of box is to list number of battle
i
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ry ry =
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pH Adjustmeitt Log for preserved Samples
Sarnp+u lQ Type of Preservative 1 pFi upcn rrreipt Ue10 prtiurv7l1un adjasled Time pfi'Wvallen linuuntai �Q%Ova(r're to( 4
—,,djualuJ I jJ'dcd
rro(e: wnenever more is s aiscrepancy arrecung rvonn tiarollr(a Camp113neC samples, a copy of [nls lawn vl+u ne sent to :h�• t;or to c:ar nna 7Er nit cusiuca; ue uu cr. { .u.
Out of hold, LuDezect preservative, out of temp, Incorrect containers.
0
I
Page 9 of 10
rro(e: wnenever more is s aiscrepancy arrecung rvonn tiarollr(a Camp113neC samples, a copy of [nls lawn vl+u ne sent to :h�• t;or to c:ar nna 7Er nit cusiuca; ue uu cr. { .u.
Out of hold, LuDezect preservative, out of temp, Incorrect containers.
0
I
Page 9 of 10

CHAIN-OF-CUSTODY I Analytical Request Document
The Chain-QJ-CUs;r),Ay 1;5 ? LEGAL DOCUNIENT. All r&I-avint fie--s mmt be Compleled
6— A
R—c—
2� 1 a F"; S:
NC'_ i
I Fax
N
R.q=-bn 0—
z C P I
RC
f:il:-.d
(YINI-'
:'I.
tu
SAMPLE ID
Due Uh b...
c— br —.tm Tnsu of
67
s
COLLECTED
Z
START
END
2
4
M5
7
7
ADMMUAL-=M"F'rM.
moN
r , j­,,
TtM
. Uyl AF"T 6� v'L,::
oN
YPLE :,mcin S
17
toaz-118
1
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SAMPLER NAME AND WGHATURS
PPJW Name of SAMPLER:
SIGNATURE of SAMPLFFL, E Sigurd:
CO
C1
0
0
431
tn
M
CL

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 D 0 1 `(
FACILITY NAME:
PERSON COLLECTING SAMPLES 14.,i
CERTIFIED LABORATORY e- __ Lab ## _ 4
Lab #t
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: ZO )
SAMPLING PERIOD: [D July -December E] January -June
COUNTY
PHONE NO.
ADD TO LISTSERVE? OYES [:)NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ❑Other
Outf all No.
Date Sample
Collected
(mo/dd/yr OR
NO FL0W)1
PH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
R infall'
(in)
In Tier 2
Monthly
Monitoring?
(Y/n)
# of Months in Tier
2 Sampling,
-
-
6-9
100 '
i
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.
2If 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 T55 benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
`For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 1 Last Revised 7/13/11
Page 1of2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month —averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)'
pH
(Standard
Units )
TPH using method
1664A SGT-HEM
m L)
{ g/
Total Suspended
Solids
m L
i)
Event
Duration
minutes
(minutes)
Total
a
Rainfall
In )
New Motor Oil
Usage
al month
(g / )
In Tler 2
Monthly
Monitoring?
(y/n)
�
# of Months
in Tier 2
Sam iin
p g2
6-9
is
lap 2.3-
-
-
-
l
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 coav of this DMR (including all "No Flow" & "No Discharae" reports) within 30 days of receipt of sample (or at end of man [to ring 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 CERTIFfCATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties For submitting false information, including the possibility of fines a d imprisonment for knowing violations."
.7 t�'
(Signature of Permittee) �� (Date
Permit Date: 7/l/2011-60130/2015 Last Revised 7/13/11
Page 2 of 2

ArA
NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http; f Zportal.ncdenr.orglwe6 o/ws f su/Ll dessw#tab-4
Permit No.: h/f,/_/`/_/_/_/- _/_/ or Certificate of Coverage No.: N-1.C1.Q1jJD-�q1DJZ/
Facility Name: t ryt -f-
County: IJo&e _ _T.PhoneNo. /'
Inspector: -%
Date of Inspection: I I V, 11-7
Time of Inspection:
Total Event Precipitation (inches): 5
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
211yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
I Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains aonroval from the local DWO ReEional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. — I Structure pipe ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outf((all drainage area:
1� l tf.(Ga u T 1 WI
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L;j 61 r, A
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): elb P 'e- _
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
l 2 3� 4 5
S. Floating Solids: Choose the number which best describes the amount of Floating solids in
the stormwater discharge, where l is no solids and 5 is the surface covered with floating solids:
10 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfali? Yes S
10. Other Obvious Indicators of stormwater Pollution:
List and describe 1'j'p P .
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
swU-242, Last modified 10/25/2012

aceAnalyircal
www.pecslabs.tam
December 14, 2017
Jay Watkins
Ready Mix Concrete
3610 Bush Street
Raleigh, NC 27609
RE: Project: Plant 5 Grover NC
Pace Project No.: 92366366
Pace Analytical Services, LLG
9800 Kincey Ave. Suite100
Huntersville, NC 28078
[phone]
Dear Jay Watkins:
Enclosed are the analytical results for sample(s) received by the laboratory on December 08, 2017.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
(40L q`1. 1f)aJ*zu
Angela Baioni
[e-mail]
[phone]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services. I.I.C.
Page 1 of 10

aceAnalytrcal
wwwpumwm mm
Pace Anatyticat Services, LLC
9800KinceyAva. Suite100
Huntersvilie, NC 28078
[phone]
CERTIFICATIONS
Project: Plant 5 Grover NC
Pace Project No.: 92366366
Eden Certification lDs
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 VirginialVEIAP Certification M. 460025
REPORT OF LABORATORY ANALYSIS
This report shag not be reproduced, except in full,
without the written consent of Pace Analytical Services, L.L.C. Page 2 of 10

aceAnalytical
www.pamleft com
SAMPLE ANALYTE COUNT
Project: Plant 5 Grover NC
Pace Project No.: 92366366
Pace Analytical Services, LLC
9t100 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Analyses
Lab ID Sample ID Method Analysts Reported Laboratory
92366366001 Outfall #1 Plant 5 SM 2540D CHM 1 PASI-E
REPORT OF LABORATORY ANALYSIS
This report Shan not be reproduced. except In full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 10

(�IaceAnalyfical@
www.PgMAabs.cnm
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: Plant 5 Grover NC
Pace Project No.: 92366366
Sample: Outfall #1 Plant 5 Lab ID: 92366366001 Collected: 12/08/17 14:15 Received: 12/08/17 16:30 Matrix: Water
Parameters Results Units Report Llmlt DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 25400
Total Suspended Solids 73.3 mg/L
Date: 12/14/2017 08:48 AM
6.0 1 12/12/17 13:38
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In Tull,
without the written consent 01 Pace Analytical Services, LLC,
Page 4 of 10

aceAnalyiical
tw w.pecews.Com
QUALITY CONTROL DATA
Project: Plant 5 Grover NC
Pace Project No.: 92366366
QC Batch: 390444 Analysis Method: SM 25400
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92366366001
METHOD BLANK: 2166386 Matrix: Water
Associated Lab Samples: 92366366001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg1L ND 2.5 12I12117 13:35
Pace Analytical Services, LLC
9800 Kincey Ave. Stile 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE: 2166387
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rec Limits Qualifiers
Total Suspended Solids mg/L 250 260 104 90-110
SAMPLE DUPLICATE: 2166388
92366364001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mgfL 75.5 84.3 11 D6
SAMPLE DUPLICATE. 2166389
92366455003 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg1L 122 133 8 06
Results presented on Me page we In the units Indicated by the "Units' column except where an alternate unit is Presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in tuff,
Date: 12114l2017 08:48 AM without the written consent of Pace Analytical Services, LLC.
Page 5 of 10

aceMalXical e
WWW.paserabs,corn
QUALIFIERS
Project: Plant 5 Grover NC
Pace Project No.: 92366366
DEFINITIONS
OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot,
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL - Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit.
Pace Analytical Services, LLC
9800 Kincey Ave, Suite 100
Huntersville. NC 28078
[phone]
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RFD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylontlrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TN accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12114/2017 08:48 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 10

aceAnalytical"
www.pWVW3.can
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Plant 5 Grover NC
Pace Analytical Servic05, LLC
98M Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Pace Project No.: 92366366
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92366366001 Outtall #1 Plant 5 SM 2540D 390444
REPORT OF LABORATORY ANALYSIS
This report Shall not be reproduced, except in full,
Date: 12/1412017 08:48 AM without the written consent of Pace Analytical Services, LLC. Page 7 of 10

Courier;
❑ Cornrnerd
Oustody 5eai pr
Patidng Maier)
Therm r;
IR
USDA Regulate
Did sample mlg
i• tl 1.
•
' 1�it _i.tr
EbcumelrtNanie::">=• ::, r OactimeritRevised:July 25,2017
5am to Condition Upon Re6eq' • `• B '
:;'., : S of 2
DocumentND.:: t•� r ;.f, lssuingAuttwrtiy:
F•-CAR-M-0 alkyomce
amng•samples:
...__--
I e ® Eden❑ 'Greenwood ❑ Hliritersvllft3 ❑ Ralejgh Allet;hanit5ville[�" _.� �...
Client Name:
�^ Fc ®�.
1F Li ,' W® r 92366366
Projeci tl.
_Fed
UPS ❑�P�_ tni 1111110 11111111 N
1
9Z3 M386
lt? Dyes o
�—�i_ - - -
Seals Intact? ❑Yes
Date/InRlels Penoa Framin]r�l4ntants;�,,f�G
QBubble Wrap
!e Bags one Other Blologkcal Tissue Feuxen7
�es []NO
10: ��3Y
Et ©Blue ❑Hors
Type of toe:
—coeleFtemvCor►etleeCc?:-- �----�;enp.shouldeE�aovrtree�Ingtob-E
[ ;000 out of hmp Muria, Samples on In, cooiiog proms
II NIA, water sample!
haskpn
ti arenUne tone whhln
the United States: GA Mr, of SC (check maps)? OW saafts atlinate from a forelto source pnternattonaey,
• h.,*.en�w Hnria ann conA". Rleel] r1V.. r7ua.�--�
iLInlmEn a
chain of custidY Present?
No
[Ix/A
1.
Sam !es within Hold rime?
❑►lo '
b1/A...
2.
ShortHold Analysis M hr.)?
Nt+
N A
9.
RUSH ?Urn AAnd Tlme Uested7
yes
o
x A
a.
SuffidentVol e?
No
EIRIA
S.
CorrectContal ersUsed?
-Pace Conta ners Used?
ra
❑H%A
ONLA
S.
Containers in 7
a
No
N A
7.
Dissolved ana Is: Samples FleWd Rhered?
Dyes
A
8.
5ampletaeels lc"COAna Mattt,l:C7
-includes meJeo
R
Do
13N/A
9.
Heads ace In V A VWs *.&nm ?
Des
CINO
10.
Tltp Blank Prec t?
Trl Blank Cu SealsPresent?
1jyes
a
❑No1L
No
tA
aJENT k0TtflCA10N/BES0WT60N 1 Field Date Ragdrad? L,jfes ( jNo
Person Contacts
Dlsuepancy: --- _
Project ManaQerl5tURF Reviews Date:
Projactrainagar F Review .__ i l r��lY� Date
NOW Whenever theyeih adhcre an p tY off ettinj North grrolGla campeanaa samples, a wpY otthis !arm WpF 6e kattothe koRtl Carolina DExNR CertNiatlen l)fdGr µ.e.
go of hold, incofrea mum out-0ftemp, Incorrect cerltainersj 5
y
i
�FiMl�d�!ii+M .!;"EY+i'�+.!4�.'.�itM!!•w4d11'�w:.+aMi.►� +.:�-w+.ti,de.w.q .ar.+isi.. r• W�.n.:'av� ' ii�.

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted V w f f ?
U0 v -IL
CERTIFICATE OF COVENRAGE _- Z SAMPLE COLLECTION YEAR
(TX.
Z6 I `I
FACILITY NAME 1TX.*'fir P!_ �� - - _-_ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY I jk V4- ❑ use/process meats ❑ use animal fiats/byproducts
PERSON COLLECTIOq SAMPLES W i ltvLi C45we tr _ DISCHARGING TO SALTWATERS? OYES tS?jNO
LABORATORY._ ACC Lab Cert. # of I
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event roinfall s raor n No discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH, COD,
Standard units mgf L
flit and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100or50°
Within.6.0-9.0 ( 120
30
1000
Soo
t9.11
?S hi
NO
.�
i
i Only applies to facilities that use/process meats.
2.The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfails. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, iden&,ying the especially sensitive receiving water classifications where the more protective benchmark applies.
E©
CENTRAL FILES
DWR"SECTION
[aid this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? O yes [X no (if es complete Part 8)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
I oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
30
100 or 50
6.0 — 9.0
Only applies to facilities that use/process meats.
2 The total precipitation must be, ecorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page I of

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 2 REQUIREMENTS. SEE PERMIT PART €1 SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION a.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mall an original and one copy of this:DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION -REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information,. including the possibility of fines and imprisonment for knowing violations."
(Signature of IyarMittee)
S/I d �
(bate)
Additional copies of this form may be downloaded at: http:/Iportal.ncdenr-ore/weir/wq/ws/`u/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

aceAnalytical
wwwpacelabs mm
r
ANALYTICAL RESULTS
Project: PLANT 5 OUTFALL #1
Pace Project No.: 92338498
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)87& 9092 .
Sample: PLANT 5 OUTFALL #1 Lab ID: 92338498001 Collected: 04/25117 10:18 Received: 04/26/17 14:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids ND mg/L 2.6 1 04/27/17 13:35
Date: 05/04/2017 09:06 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Ana lyticat Services, LLC.
Page 4 of 10

ljoAnalytical"
wwW,pacelabs.cw
I
Project: PLANT 5 OUTFALL #1
Pace Project No.: 92338498
QC Batch: 358295
QC Batch Method: SM 2540D
Associated Lab Samples: 92338498001
METHOD BLANK: 1987402
Associated Lab Samples: 92338498001
Parameter
Units
Total Suspended Solids
mglL
LABORATORY CONTROL SAMPLE: 1987403
Parameter
Units
Total Suspended Solids
mglL
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone],
QUALITY CONTROL DATA
Analysis Method: SM 2540D
Analysis Description: 2540D Total Suspended Solids
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 04/27/1713:33
Spike LCS LCS % Rec
Conc. - Result % Rec Limits Qualifiers
250 254 102 90-110
SAMPLE DUPLICATE: 1987404
92338442001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L <2.5 ND
SAMPLE DUPLICATE: 1987405
92338496001 Dup
Parameter Units Result Result
Total Suspended Solids mg1L 118 159
RPD Qualifiers
RPD Qualifiers
30 D6
Results presented on this page are In the units Indicated by the "Units" column except where an altemata unit is presented to the right of the result
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/04/2017 09:06 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 10

Pace Analytical Services, LLC
aceAnalytrcal • 9800 Kincey Ave, Sulte100 Huntersville, NC 28078
078—pacelabs.com [phone],
r '
i
QUALIFIERS
Project: PLANT 5 OUTFALL #1
Pace Project No.: 92338498
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected a1 or above adjusted reporting limit.
3 - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unfounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNl accredited. Contact your Pace PM for the current list of accredited analytes.
TN -The NELAC Institute.
LABORATORIES
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/0412017 09:06 AM without the written consent of Pace Analytical Services, LLC, Page 6 of 10

aceAnalytical'
www.paceiabs.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: PLANT 5 OUTFALL #1
Pace Project No.: 92338498
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875r9092
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92338498001 PLANT 5 OUTFALL 91 SM 2540D 358295
Date: 05/04/2017 09:06 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 7 of 10

u0cument rvame: tar I ecn apes Document Hevlsea: Sept 11, 2016
�.PaceAna! lCa�r Sample Condition Upon Receipt SCUR Page I of 2
%..- Document No.: Issuing Authority:
F•CAR-QA-003•Rev.02 Pace Quality Office
Laboratory receiving samples:
Asheville ❑ Eden[] Greenwood ❑ Huntersvllle ❑ Raleigh® Mechanicsville❑
Sample CO'n.dikion'Uponi.'..'' Client Name: WO# : 92338498
Receipti Project #: l i 11
Courier: nFediir CUPS ❑U5PS ❑Client���`
❑ Commercial ffJ ace []Other:92338498
Custody Seal present? ❑Yes No Seals Intact? ❑Yes C1 �f 7
Date/Initials Person Examining Contents'!
Packing Material: [)Bubble Wrap ❑Bubble Bags E5None (]Other:
Thermometer:
® IR Gun ID: _ 15-349 Type of ke: Wet OBlue ❑None ❑Samples on ice, coo line process has begun _-
Correction Factar:ndd a6 Coal r Temp Corrected ('CJ: 81010glcal Tissue Frozen? ❑Yes ❑No N/A
Temp should be abov ree to f —C
USDA Regulat ( N/A, water sample)
Did Sample iginate in a quarantine torte within the United States: CA, NY, or SC (check maps)? Did samples originate From a foreign source (internal'
❑Yes No Including Hawaii and Puerto Rico)? Elves or r
Comments/Discrepancy:
Chain cf Custody Present?
El 11
1,
Samples Arrived within Hold Time?
©
2,
Short Hold Tlme Analysis (42 hr.)?
❑
❑
3,
Rush Turn Around Time Recluesttd?
❑
4.
Sufficient Volume?
©
5.
Correct Containers Used?
-Pace Containers Used?
0
6.
Containers Intact?
❑
7.
Samples Field Fit[ered?
❑
; 8. Note if sediment is visible in the dissolved container
Sampee Labels Match COC?
-Includes Date/Time/ID/Analysis �I/V
9.
Headspace In VOA Vlais (>5-6mm)?
yes
No NA
i I0.
Trip Blank Present?
Trip Blank Custody Seals Present?
Yes
❑
Yes
No ry
❑
No N
A ! 11.
A
CLIENT NOTIFtCAT10N/RESOLUTION
Person Contacted:
Comments/Sample Discrepancy:
k Fietd Data Required? (_IYes LJNo
Date f Ti me:
Project Manager SCURF I ``��
Review: J� Date: 'C!, rl
Project Manager SRF
Review: ! f j J l] Date:f i "f
Note: whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEH NR Certification Office li.e.
Out of hold, incorrect preservative, out of temp, Incorrect containers)
Page 8 of 10

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OP3U-250 mL Plastic Unpreserved (N/A)
MU-500 mt Plastic Unpreserved(NIA)
P1U-1 liter Plastic Unpreserved (NIA)
SM-250 ml. Plastic H2SO4 (pH < 2) (Cl-)
Vx
8P3N-250 mLplastic HNO3 (pH <2)
7
x
8P3Z-25D mL Plastic ZN Acetate & N20 H (>9)
BP3C-250 mL Plastic NaOH (pH > 22) (d-)
WGM-Wi4e-mouthed Glass jar Unpreserved
AG1U-1 liter Amber Unpreserved IN/A) (Cl-)
ZZAXX
AG 1H 1 liter Amber HCl (pH c 21
AG3U-2SOmLAmber Unpreserved(N/A)(CI-)
AG1S-1 liter Amber H2SO4 (pH < 2)
AG3S-250 mL Amber H2SO4 (pH <2)
AG3A(DG3A)-25D mL Amber NH4❑ (N/A)(CI-)
DG4H-4O mL VOA HCI (N/A)
VG4T-4O mL VOA Na2S203 (N/A)
VG9U-40 ml VOA Unp (N/A)
DG9P-40mL VOA H3PO4 (N/Al
I
VOAK (6 vials per kitj-5035 kit (N/A)
II
i
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V/GK (3 vials per k t)-VPH/Gas kit (NIA)
SPST•125 mL Sterile Plastic (NIA -lab)
SP2T-250 mL Sterile Plastic (WA - lab)
MA-250 mL Plastic (NH2)2504 (9.3-9.7)
CLbita finer
VSGU-20mL$cin1dIationvials (N/A)
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CHAIN -OF -CUSTODY I Analytical Request Document
Tho Chanof-Custody E a LEGAL DOCUMENT. All tOWWOnf fields must be c>OMODW A=ratey.
Pop.
of
Section A Section $ Section C
Raqulndmpanclient I:fcmklWny Required Project $imratlatf: Inruttt 1;V0nnaliun.
Coy: Repun Tce AttonWn:
2097598
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Company Name:
REGULATORY AGENCY
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A
JPA
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. http:, Jportal,ncdennore/web1wq/ws/su/nndessw#tab-4
permit No.:!/C/_/_/�/_/_/_/ _/ or Certificate of Coverage No.: IV/C/G/ I / y/O/D/1/,1
Facility Name: P lank 5 6r wee _
County: NNKr, Phone No. q1j:D7-411,?2
Inspector: al ac0.SyueI�
Date of Inspection: q (-A51 17
Time of Inspection: o:1 0"
Total Event Precipitation (inches): • SO
Was this a 'Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
ETYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(SigrVf6re of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

I. Outfall Description.
Outfall No, l Structure ipe, itch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: !
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: UIt++ faro
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Nou r-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, vt=]-sere 1 is no solids and 5 is the surface covered with floating solids:
6) 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
P 2 3 4 5
7. is there any foam in the stormwater discharge? Yes to
8. is there an oil sheen in the stormwater discharge? Yes (
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Nb0 `C
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SwU-242, Last modified 10/23/2012

TABLE 9.1
ANALYTICAL MONITORING REQUIREMENTS-STORMWATER
READY MIXED CONCRETE COMPANY - PLANT #
DISCHARGE
UNITS
BENCHMARK
SAMPLE
SAMPLING
CHARACTERISTIC
VALUES
LOCATION
SCHEDULE
pH
Standard
Within range
6.0 to 9.0
Each Outfall'
Semi -Annually
Total Suspended Solids (TSS)
mg/L
100 mg/L2
Each Outfall'
Semi -Annually
Total Petroleum Hydrocarbons3
mg/L
15 mg/L
Each Outfall'
Semi -Annually
Event Duration
Minutes
Not applicable
Each Outfall'
Semi -Annually
Total Rainfall
Inches
Not applicable
Each Outfall'
Semi -Annually
New Motor Oil Usage3
Gallons/ Month
Not applicable
Not applicable
Semi -Annually
Notes:
1. Samples shall be collected at each stormwater discharge outfall unless representative outfall status
has been granted and documented by the Division of Water Quality. A copy of the letter granting
representative outfall status shall be kept on site.
2. TSS benchmark for ORW, HWQ, Trout or PNA waters is 50 mg/L.
3, Only required for sites where vehicle maintenance activities occur.
4. All samples must be grab samples. Grab samples shall be collected within the first 30 minutes of
discharge from a stormwater discharge outfall (SDO).
5. All samples must be collected during a measurable storm event. A measurable storm event is an
event that results in an actual discharge from the permitted site outfalls. The previous measurable
storm event must have been at least 72 hours prior. If no discharge occurs during a sampling period,
a monitoring report indicating "No Flow" must be submitted within 30-days of the sampling period.
6. For each sampled measurable storm event the total precipitation must be recorded using an on -site
rain gauge.
7. The permittee shall complete the analytical samplings in accordance with the schedule specified
above, unless adverse weather conditions prevent sample collection. Inability to sample due to
adverse weather conditions must be documented in the SPPP and reported on the appropriate DMR
form (Appendix A).
8. A minimum of 60 days must separate each monitoring event unless monthly monitoring has been
instituted under a Tier Two response
9. The permittee shall compare monitoring results to the above -referenced benchmark values for each
discharge characteristic. Exceedances of benchmark values require the permittee to increase
monitoring, increase management actions, increase record keeping, and/or install stormwater Best
Management Practices (BMPs) in a tiered program, as specified by the general permit.
10. Failure to monitor semi-annually per permit terms immediately institutes monthly monitoring for all
stormwater parameters. After six months of monthly monitoring, the permitee may make a request in
writing to the Division of Water Quality to return to a semi-annual monitoring schedule.

SEMI-ANNUAL STORIVIWATER DISCHARGE MONITORING REPORT
for Nerth Carolina Division of Water Quality General Permit No. NCG060000
Date submitted V .6►f (7
CERTIFICATE OF COVE� RAGE NO. NCGp6 O O Z_SAMPLE COLLECTION YEAR 7-6 11
FACILITY NAME (3-4. t r _ A q+r1 S _ - FACILITY ACT IVITIES INCLUDE (check all that apply):
COUNTY WINV_L ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTINLq SAMPLES W < <iL1 9CitSwe V DISCHARGING TO SALTWATERS? DYES 17�,NO
LABORATORY AGte Lab Cert. #i I
Part A: Stormwater Benchmarks and Monitoring Results Total evenr rainfall' ­r'."or D No discharge this period3
Outfall No..
Sample Collected,
mo/dd/yr
TSS,
mg/L
pli,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
IGO or 505
Within 6.0-9.0
120
30
1000
500
I
Ll 25 Ill
NQ
I
I
I
` Only applies to facilities that meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at an outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies_
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? D yes [$ no (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
€?utfah No.
Sample Collected,
mo/dd/yr
oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor oil Usage,
Annual average gal/mo
Benchmark
30
100 or 50
6.0 — 9.0
-
i
' Only applies to facilities that use/process meats.
2 i he .otal precipitation must be recorded using data from an on -site rain gauge.
s For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-349 Last Revised: October 18.'O12
Pane l of 2

*FOR PART A AND PART B MONITOR]NG RESULTS-
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS_ SEE PERMIT PART II SECTION 8.
O 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFAI_I_? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT DAME:
Mail an original and one copy of this:DMR, including all 'Wo Discharge" reports, within 30 days of rece4 t ot the lob results for at end of
monitoring period in the rase aif 'Tfo Discharge" rep�xrts
Division of Water Quality
Attn: DWQ Central Files
1 617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATI©A! REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information -submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information,. including the possibility of fines and imprisonment for knowing violations."
(Signature of
5/11rd7
(Date)
Additional copies of this form may be downloaded at: http.,//poi-tal.ncd�!i,-ir.oTgLweb w��_s _ulns3 12 •sijr:ttGb-�
S W U-_49
Last Revised: October 18. 2012
Pale 2 of 2.

"Analytical"
www.pimlabs.cnm
ANALYTICAL RESULTS
Project: PLANT 5 OUTFALL#1
Pace Project No.: 92338498
Pace Analytical Services, LLC
9800 KlnceyAve. Suite 100
Huntersviue, NC 28078
[phone]
Sample: PLANT 5 OUTFALL #1 Lab ID: 92338498001 Collected: 04/25/17 10:18 Received: 04/26/17 14:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids ND mg1L 2.6 1 04/27/17 13:35
Date: 05104/2017 09:06 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 10

aXAnalXical
"m..pacelabs.com
i
t
QUALITY CONTROL DATA
Project: PLANT 5 OUTFALL #1
Pace Project No.: 92338498
QC Batch: 358295 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92338498001
METHOD BLANK: 1987402 Matrix: Water
Associated Lab Samples: 92338498001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 04/27/17 13:33
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE: 1987403
Spike LGS LGS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mglL 250 254 102 90-110
SAMPLE DUPLICATE: 1987404
92338442001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L <2.5 ND
SAMPLE DUPLICATE: 1987405
92338496001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mglL 118 159 30 D6
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not r7e reproduced, except in full,
Date: 05/04/2017 09:06 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 10

/IeAnalytical'
www,pacefabs mm
i
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QUALIFIERS
Project: PLANT 5 OUTFALL #1
Pace Project No.: 92338498
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting lim(t.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservat(on may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis ofAcrolein and Acrylonitrite by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05104/2017 09:06 AM without the written consent of Pace Analytical Services, L.L.C. Page 6 of 10

I'AceAnalytical
' wwwpacelabs.corn
I
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: PLANT 5 OUTFALL #1
Pace Project No.: 92338498
Lab ID Sample ID
92338498001 PLANT 5 OUTFALL #1
Date: 05/04/2017 09:06 AM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QC Batch Method QC Batch Analytical Method
SM 2540D 358295
REPORT OF LABORATORY ANALYSIS
This report shMl not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Analytical
Batch
Page 7 of 10

��rPace,4nalyti:;al `
uocumenr Name: tar iecn spec
iple Condition Upon Recelpt(SC
Document No.: _
Document Itevisecl: Sept. 21. 21.116
Page 1 of 2
issuing Authafity:
Pace Quality 4ffici
Laboratory receiving samples:
Asheville R. Eden Greenwood ❑ Huntersville ❑ Raleigh® Mechanicsville❑
Client Name: LQ ! 140: 92333493
f t Project #:
Courier: ❑Fe ❑UPS ❑lusp5.,,„
❑Client
[] commercial 2<ace ❑other: 92336495
Custody Seal Present? ❑Yes No Seals Intact? ❑Yes T�.
Date/initials Person Examining Contents¢���
Packing Material. ❑Bumble Wrap ❑Bubble Bags None ❑Other: F
Thermometer:
®tR Gun tD: r 15.3492 Type of Ice: wet ❑Blue ❑None ❑Samples on ice, cooling process has brgun .
Correction FactOr:Add 0.6 Coal r Temp Corrected ('Cl: Biological Tissue Frozen? Des ❑No Nf A
Temp should be above fee ' to 6°C
USDA Rewlat ( N/A, water sample)
Did sample iginate in a quarantine tonewithin the United States: CA, NY, orSC {check maps}? Did samples originate From a foreign source (Imernati
❑Yes No Including Hawaii and Puerto Rico)? ❑Yes
Cammertts/Discrepa nry:
Chain of Custody Present?
0 D
1. i
Samples Arrived within Hold Time?
15
❑
2,
Short Hold lime Analysis 1c72 hr.)?
❑
_
❑
3.
Rush Turn Around Time Requested?
El4.
Sufficient Volume?
❑ ❑
5.
Correct ContainersUsed?
-Pace Containers Used?
❑
❑ ❑
6.
Containers Intact?
Er
0 ❑
?,
Samples Field Filtered?
❑
; 8. Note if sediment is visible in the dissolved container
Sample Labels Match WC?
-Includes Date/Time/ID/Analysis S[A/
E 9.
Headspace In VGA Vials (>5-6mml?
©
No NA
i 10.
Trip Blank Present?
Trip Blank Custody Seals Present?
Yes
Yes
No NA
Nu N
i 11.
fA
CLIENT NDTIFIC4T1014/1RESOLLITION
Person Contacted: I
Comments/Sample Discrepancy:
t Field Data Required? (JYes IJNa
Oate/7irne:
Project Manager SCURF / _
Review: �" 7 {' �• Date: f `L
Project Manager SRF
Review: �.7 Date:
Now Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEH NR Cerlific"On Office (i.e.
out of hold, incorrect preservative, out of temp, incorrect containers)
Page 8 of 10

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MU-500 tnL Plastic Unpreserved (N(A)
D1U-1 liter Plastic Unpreserved (NIA)
1
GP3S-M mL Plastic H2SO4 (pH < 2) (Cl-)
GP3N-250mLplastic HNO3 (pH <2)
BP32-25DmLPlasticZNAcetate &NaOH(>9)
BP3C-250 mL Plastic NaOH (pH > 22) (CI-)
WGFU-Wide-mouthed Glassjar Unpreserved
AG1U-1 liter Amber Unpreserved (N/A) (Cl-)
AG 11+1 liter limber HCI (pH < 2)
AGSU-250mLArnber Unpreserved(N/AMI-)
AG1S-1 liter Amber H2SO4 (pH < 2)
AG3S-250 mL Amber H 2504 (pH < 2l
AG3A(AG3Aj-25O m L Amber N H4CJ (N/AI (Ci-)
oG9H-4o mL VOA HCI (N/A)
VG9T-40 mLVOA Na2S203 (NIA)
VG9U-40 mL VDA Unp (N/A)
- -
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DG9P-40 rnL VOA H3PO4 (NIA)
VOAK 16 vials per kit)-5035 kit (N/A)
_
V/GK (3 vials per kit)-VPH/Gas kit (N/A)
SPST-125 mL Sterne Plastic (N/A -- lab)
SPZT--250 mLSterile Plastic (NIA - lab)
SP3A-250 mL Plastic (NH2)ZSO4 (5.3-9.7)
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CHAIN-OF-CUSTODY / Analytical Request Document
The ChaincfLustoly €s a LEGAL DOCUMENT. All tafevmt fiats must ae to]mpteW a=ratey"
w".08Ci46s.wn
Pepe:
o1
Section A Saclion 8 Section C
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Required Client Ipfarnirtiw: ReWred Project tn{oRT43lIIX1: IrIYerS4C Infarmut;cn:
Cmpany: Q� Ftepad to: Anmtbn:
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Copy TO:
Compaly Name
REGULATORY AGENCY
Address:
r" NPDES ;-" GROUNDWATER;
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Enavl To: r ` t'urchaso
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SAMPLER NAME AND BIG NATURE
ORIGINAL
PRINT Namo of SAMPLER:
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SIGNATURE of SAMPLER:
E Signed
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WMIDWYYI
vnpni.�i My- U, cn .qq �s term you nm ncngtb.; P.tn: NET 30 C.,y ajyrnCrC arms a a, nq in tare aipgm or r.s% on m th ra :any m es W siin wt —10 anya. F •ALL-0"0 rev"07, 75-kay"2007

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NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http_/fj2ortal.ncdenr.org/web/Ir/npdes-stormwater/
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.:
Facility Name: -`(r;rf%ff_, NL_
County: W wif"e _ Phone No. 4- 47 Z`4l 69,
Inspector: W11 t I1
Date of Inspection: 5 + ( 6
Time of Inspection: 1 00 fm
Total Event Precipitation (inches): • 3
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.) d
Yes ❑ No r
Please verify whether Qualitative Monitoring must be performed during a "representati I rri.
event" or "measureable storm event" (requirements vary, depending on the permit).
L;.
Qualitative monitoring requirements vary. Most permits require qualitative monitoring'Co he
performed during a "representative storm event" or during a "measureable storm event.` -However
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge From the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWO Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(SigAuYe of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Dutfall No. f Structure (otpeditch, etc.]
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
NOA n
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:" (lowhl _ T
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Noy -e
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 (D 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 V 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
1.0. Other Obvious Indicators of Stormwater Pollution:
List and describe N o Mr
Dote: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
sWU-242, Last modified 7/31/2013

CO
` FaceAnalytical"
CHAIN -OF -CUSTODY I Analytical Request Document
Tne Chain-of-Cuswoy is a LEGAL DOCUMENT. All r levant fields must be completed xcuraleFf.
Section A Section B Section C
Page: of
Required 010M. Ini—alion: FZ quired Pr'- cl Information: Invoice InlomlAfi�n:
� r- ^ rti
"LJ
CornpanY. j� '/1 Report To: Atr?nGprl:
CU2C.
s`�J tLi1 �J•k
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REGULATORY AGENCY
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NPDES r- GROUNDWATER DRINKING WATER
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Requested Due Datc7TAT:
Plgecl Numbe q 2 1,5 7 ; `
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Analysis
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Sccuan D M3lriz Codas
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2ceAnalytical'
" wxwpacefabs.com
ANALYTICAL RESULTS
Project: GARNER PLANT #5
Pace Project No.: 92298599
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: OUTFALL 91 GARNER Lab ID. 92298599001 Collected: 05/18/16 13:00 Received: 05/20/16 14:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 122 mg1L 10.0 1 05/24/16 11:37 D6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/20/2016 02:30 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 9

� ; �[1C�PI-rll���[ICc9! !€I `�t"•-..vr,u,uull a un. .:., I:UiI
Document clo:: -�-
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Issuing Authority:
Dace Ralelgh Quality Office
_ of lleo hair,
F,�u{yt- Client Name: IWON : 92298599
Project #
, t
�l U1 X, I1I1IIII I {
� �t<'orntnercial C�Pacc x ❑UPS �Other:_� Cfient �I II� � � II � I�[ � ��
�No
92298599
Custudy Seal Present? ❑Y•es ( 110 Seals Intact? ❑Yt:5 Date/initials Person fiNamining Contentsi�
tacking Nflawrial. FIB, Wrap ❑bobble Bags None ❑other.
i Is!i n tunescr: T!] A Sit: 122065387 ❑IR SN: 122065371 Type of tce: OWLt ❑etc: ❑Mane ❑Samples on ice, cooling pEacess,haas begun
Corrr!r.tinri Factor, 0.0`C COolU -rerrlp Corrected ('C); - ,— biological Tissue Frozen? ❑Yes ❑NO UJN/A
iJSii�•. Iiei, aatctl Soil i /-]'diA, :vatl r sanlfilc)
:, ::• , ":::'r.l:•: i'+:i "-,X,nitinl: lone ^: i'fl at vie Un;w-d States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (Inter atianally,
iucloldine Ha::ali and Puerto Rico)? i7Yes No
_—.----
—
__---
- -- COIv1MENT5: rT—.
f�
.�•:,;i_.!:;alcu.r_n.eat:u!?..------.».._.,_.-----------•----- Ycs__..4rN°
3.
jC1iJin t)I..:ISir:r_i:r14?Ihlt{trlSltiii 1-_._----'-'__ _
YS
❑N{r ❑N/A
w
-A.--
ti r,+Lilt, 'laroe .and/or :I rnau,r on COC? 1j3/Yes ❑NoEl N/A
ti:n les krrived -:,ithin Hold Time?[]lies
DNo N A
S.
Snort Ilo]07' me Analysis (02 hr)?
❑yes
2INP ❑NIA
6,
—
Rush Turn Around Time Fi uested?
Dyes
CdP4. ❑N/A
7.
Sufficient ~Volume?
Ycs
❑No ❑N/A
8.
Correct Containers Used?
Yes
❑No ❑N/A
9,
Pace Containers Used?
l es
No N/A
Containers Intact?
Yes
DNo N/A
10.
Filt_ered Volume fte_ceived for Dissolved Tests?
-
❑Yes
❑No NIA
11. Nota f sedlment Is visible in the dissolved container
, ., wlc I :not:, Vetch Coca
Ycs
©No ❑N/A
12.
'I^t._l,,v�>'!Jatei'ilne;iU/Znalysis-
_s�latnx:_��—_
•1„ii
�:rnta,lrrrs _ larding :16dlb1se presorv"Ition have Oetm
13.
.• •,'!-,',"
r,�..-//!!,.
Vy"s
❑Na ❑N/A
„ ..rl,!,,•in,•I ttia t!{1111 t', fit uyi!I :.ILit11S we found Lu be to
.
.�. ;1'ai',:. '.•: ElI� l.' i, rl!!:r,l !toll!( li liltlJ11�
rl;j!};, ii= •;2; t,;r0ll?9 Sulfide, NaoH>12 Cyanide) Yes
❑No ❑NIA
.rci,tinn,"it1.:• COlii,nni, WC, Cif sod Grease,
`'I•........-..-.` t:-..=1� ---- - --
--- _Ycs
_ ��fio �N/A
i:-m:j1cr.•:I_ Lkcd fol dechl,al!latlon
Yes
❑No ❑NIA
_14.
I�•a:i S; la�i ill':OA 1'iafs (>5-Gmnl)? ------
._ _..._..._.--.-.--._.__.._................
❑Yes
❑Nu NIA
15.
7•ris 131;m4 Prfsent?
❑YeS
[]No i/A
ef�
16.
'Hp Illar„ Custcdv Seals Present?
Dyes
©No N/A
Puce I lip Islfink tot Ir (If purchased):.....
CLIENT NOTIFICATIONIRE50LUTION Field Data Required? Dyes ❑No
Person Contacted: DateArne:
CDmment5/Re5olutlon:
Project Manager 5CUfRF Review: U-\, Date: (3'sr)''C:
Projr.0 Manager SRF Review: 1•• A Date: Q",5
Note: I.vnenever there Is a discrepancy affecting i lurlh Carolina compliance samples, a copy Of this torm;rjll be sent to the North Carolina DEHNR Cert4icallon Office 0'e.
Out ul lusio, ii%cor+r(t nfese;vative, out of temp, incorrect containers)
Page 8 of 9

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted -1 I I--. I I C&
CERTIFICATE OF COVERAGE NO. tpT
FACILITY NAME
COUNTY 11Y AKt
PERSON COLLECTING SAMPLES r
LABORATORY PAC,e Lab Cert. # q
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Z bgL
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 i 3 or ❑ No discharge this perio?
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
100or504
Within 6.0 — 9.0
120
30
1000
500
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑1lJno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gat of new motor oil/month.
Outfall No.
1 Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
ITSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anv outfalls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ff yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page i of 2

_, .
.�VOR PART A AND PART B MONITORING RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cry of this DM_R, includingall "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case o "No Discharge" reports) to: ^
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signofiireof Permittee)
7/!Z f lb
(Date)
Additional copies of this form may be downloaded at:.http://portal.ncdenr,org/web/wq/ws/su/npdesswtttab-4
S W U-249
Last Revised: October 18, 2012
Pa-e 2 of 2

GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. iVCG14__a SZ 7 4 SAMPLE COLLECTION YEAR: Z O N
FACILITY NAME: — flaxa- 5 %r,,f ]rt� RJ (- SAMPLING PERIOD: �ly-December ❑ January -June
PERSON COLLECTING SAMPLES rJ W A T CilJ`J COUNTY— WAVe
CERTIFIED LABORATORY Lab # q PHONE NO. (_,M} 'i 7 Z-
Lab # ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
OPTIONAL INFO:
Part A: Stormwatdr Monitoring Requirements
DISCHARGING TO CLASS: [_]SA ❑HQW ❑PNA ❑Trout ❑Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW}1
pU
(Standard
Units}
TS5
(mg/L)
Event
Duration
[minutes}
Total
a
Rainfall'
[in}
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplingz
-
-
6-92
100z'3
-
-
-
-
CENTRAL
MR S
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.
4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
_F®
N14
ILES
ION
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year
Outfall
No.
Date Sample
Collected i
(mo/dd/yr}
PH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall°
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/ri)
# of Months
in Tier 2
Samplingz
6-9,
15
1002,3
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO 2r
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coon of this DM {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✓yhere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
dib/y
(Date)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2

_ aceAnalytrcal
f www.pacela6s.c�m
(I
I
Jay Watkins
Ready Mix Concrete
PO Box 27326
Raleigh, NC 27611
Project: PLANT 95 GARNER, NC
Pace Project No.: 92221772
Sample: OUTFALL #i1PLANT 5
Parameters
Total Suspended Solids
Reviewed by: cl`
Laura J Cooper
Laboratory Report
Lab ID: 9222177200
Results Units
14.3 mg1L
laura,[e-mail]
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
1 Collected: 10/15/1412A2
Report Limit Analyzed
3.3 10/22/14 00:59
Pace Analytical Servlces, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 1 of 1
Report Date: 10/31/2014
Date Received: 10/16/2014
Matrix: Water
Qualifiers
North Carolina Bioassay Certification #; 16
North Carolina Drinking Water Certification #: 37731
Page 1 of 3

��A
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http_//12ortal.ncdonr.ot-glweb/wq/ws/su/npdcssw#tab-4
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N/C/C/ /// O/�/�/�/
Facility Name: -PIA& .5 &are eft 0
County: - wAge Phone No. alq - 77 z-41P _
Inspector: sA\l _WKIV-10
Date of lnspect o — (a 115 1 14
Time of Inspection: _ I"i: q 2. 4;IM
Total Event Precipitation (inches): 4 - Z.
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Q Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
i
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
.................... .
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(SignapGre Yf Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. — Structure pipe itch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color. Describe the color of the discharge using basic colors Cred, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): h1bt�
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 V 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 0 4 5
5. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes 0
8. Is there an oil sheen in the stormwater discharge? Yes Io
9. Is there evidence of erasion or deposition at the outfall? Yes Ed
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

... ..
Document Name: Sample Condition U—Poit
Receipt (SCUR)
DoWnent Revised; April 04,"01'Y"
Palle 1 of-2
Document No.,.
F-RAL-CS401-rev.02
Issuing Authoritio8
Pace Asheville Quotvn"MG6°
Client Name:
M6e:Rocelved: 0 Huntersylile [] Asheville Edon /Raleigh j,
Cotirl6r (Circle)-. - Fad Fx UPS USPS C'ornmerolal Pep Other
Custody Seal on CoolerlBox Present'. Yea no -Sealobtact, 'ZY0 no
Other -------
Circle Thermometer Used; IR Gun SN*1220650768,ot ice. Blue None samples on too, oocItno process has 6g�G"n I
& I W
iR Gun Back Up SNA Z296537I
Temp Correction Factor: Add I Su r ct
ter
Corrected coolorTerrip.:- C Biotogleal Tissue Is Fr6zen: Yes No EA)
Tomp, should be above freezing to.M Corn,ments:
Date Initlals of person examinIP9.
......
contents I0.
check�
, - . " /
Chain of Custody Present
Yes 0No
ONJA
1.
Chain of Cv2Lojd Filled put
as ONo
DiA
2.
ChnIn of, Custody Rolingutshod.
-27#3 mo'
btuA
3.
Sampler Name & Signature on COC.
lz%- []No
Otirk
4.-
Sam Plea Arrived within Hold Time:
19—yos ONO
ONIA
6-
Short ,Hold Time Analysts' (<72hr):
DYos
61A
6.
Rush,Turn Around Tune Requested:
Elves a
CIWA
7.
Sufficient Volume:
A, at".
64A
8.*
Corre bt Containers Used:
-Palo Containers Used:
"Dy*. EING
_&;Ki ©No
64A
MA
9.
Containers Intact:
JUY9, ONO .
DIVA
16.
I'llterridvolume-reoetyed for-DIssolvDd taAt8
Dyaq QN0
E*A
11.
Sample Labels match WC.
-includes dAte/tImeADIAnalysis Malsl&�
%as QNo
OWA
12.
All containers needing,proservatlon have bean checked,
All bohtalnere needing proservalion are found to be In
00MptlaflCO With EPA recommendation,
M00 OEM' Y13A. vollflorm, Toc, O&G, Wf-DRO ets;
:Y-©No
e)RI63 PN6
otei. 13NO
OWA
bw
13.
Samples checked for dechlorinallon:
OY83 DNO
14,
hoadspd ce in VOA Vials (>6mm)
Dyes L3No
JMA
16.
Trip Blank Present:
TOP Blank Custody Seals Present
IPace Trip BInk Lot # (if purchased):
ClYei Mo �tuA
E)Ye.s EIN#
16,
Client Notification) Resoluilon: Field Data Required? Y
Person contacted; MeMme:
Pornmen
SCURF /8RF
O'bel here
Date;
) M
Lu
-j
Review::
L t t
1�'r Y`� I
' s I
Note: Whenever there is a discrepancy affecting North Car6lins oornpilance
Samples, a copy of IHS form will be sent 6"the-North Cafollm 0 UHNR;111lllll���l��i��t�r
Certification -Office ks out of hold, incorrect preservative, out of
2;g;:
In,ow6ct containers)
Page 2 of 3

CoArWcal'
SwUp,n A
RequWad CiOM h*=Zboft
-
Section 8,.
Rawirad Pfvicct hft,.sac0M
CHAIN-OF-:CUSTODY.1,Analytical,Riques;t'Dockaff4nt'L -.";"f-i,-'-,:—"t,i-',,',-,,r
The Chain-of�tstudy Is a LEGAL DOCuMENT--A0;.-76vanthWlS'must be ownpieted 8=4al" M
ar
Section C
bwalce Intalmstiort
RGPW% TZ
Accra=:
1182 317
-Z 7Addrow.
Copy To:
CompAmyName:
REGULATORY AGENCY
M F rqpDEs C GROUNDR J-6 DRINKINGWATER
f RCRA
UST F OTHER
ErrcW Tec,
. i
Paco QWQb
1ptIM. �
IF—
0.
M
Pace PrMted
She Loca"n
SrAM
Requested. Dow EkataffA.T.
Pan pmft 0. -5kksr�
R"UaWMd
Analysis
Fftred
(YIN)
sectkM D
1
1
R0Qvhvdaw*f0wMww MATRIX :
0
2
COLLECTED
PrtServa&ft
Dnr,kL nq waftf ow
U.
vftw wr
CWPMI
wwwwaw wP,w
Product.
SQ*SOW SL
SAMPLED on OL
wi;w WP
w
MP-1
(A-7- M I A Air AR
Lu
fa
w
S&r;ft Ms ML&-t BE UNIQUE Ti"w n.
z
2
Lu
orw OT
X
IL
0
tV
0
4D
CL
0
DATE
TWE
DAM
TWE
M
z
M
=
z
z
2
0
21
Pate Project N*.J Lab LO.
f lAd'.5.
5 do
IsIgMIZ-or
z.
s
9so
t2l
AWMONAL, COMMOM
RELVIM=MW BY I AFFUJATHM
DATE
TuArc
ACCEFMD BY: AFW.TM
DATE
TWE
SAAME CONDMWs
SAkkliR kAW AMb SIGNATURE
ORIGINAL
PRINT Name al SAIMILVI.
NJA w6iK )46
U'F 7
A
SIGRATUFM W SAMFLEfi:

RECEIVED
NCDENR MAR 13 2W
Stormwater Discharge Outfall (SDO) cEDWQIBO�Es
Qualitative Monitoring Report
l orguirlancc on filling out this form, please visit: htr �: „ rr�l.�iccltt.pi_.i�� ;/tiay l)/ev %%.IJ-s r tt i(it;ssw�t;1i)-4
PermitNo.: lvJC/_/_/_/_/_/_/_/ or Certificate of Coverage
Facility Name: _e115 cro_-.�— N__(—
County: 0Q.1-t. _ Phone No. 919- 77.2-�dy
inspector:
Date of Inspection: 31i k
Time of Inspection: t i' : Y:f A --
Total Event Precipitation (inches): .�
Was this a "Representative Storm Event" or "Measweable Storm Event" as defined by the permit?
(See information below.)
Eyes El No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable.storm event' (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be I
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
3
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater- than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation. ,!
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.__
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. OutfaIl Description:
Outfall No. i Structure ( ppe ditch, etc.)
Receiving Stream:
Describe the jindustrial activities that occur within the outfall drainage area:
1
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C.k %r
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): ticA-
4. Clarity: Choose the number which nest describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 Q7 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 0 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes M�
B. Is there an oil sheen in the stormwater discharge? Yes a
9. Is there evidence of erosion or deposition at the outfall? Yes 1�M
10. Other Obvious Indicators of Storrawater Pollution:
List and describe AJoti
[dote: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Lastmodified 10/25/2012

ST®RMWATER DISCHARGE OUTFALL (S®®) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG1�� (� —] SAMPLE COLLECTION YEAR: c,7,01 Y -
FACILITY NAME: _ PL.4"4 S _"r" SAMPLING PERIOD: ❑ July -December 0 January -June
PERSON COLLECTING SAMPLES Mb COUNTY a
CERTIFIED LABORATORY Lab # 4 PHONE NO. (4l9 j 7-7
Lab # ADD TO LISTSERVE? ❑YES ONO EMAIL:
OPTIONAL INFO: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
z
2 Sampling
-
-
6-9
1002,3
-
-
-
-
300
•Y
AI
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year
Outfall
No.
Date Sample
Collected
(mo/dd/yr)1
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall"
(in)
New Motor Oil
Usage
(gal/month)
Month) In Tier 2
y
Monitoring?
Wri)
# of Months
in Tier 2
2
Sampling
6-92
is
1002,3
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDFNCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO Q/
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Orieinal and one coov of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
3131(y
(Date)
Permit Date:7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2

(�,IaneAnalyfical
www,pawabs.crom
Laboratory Report
MD Capps
Ready Mix Concrete
PO Box 27326
Raleigh, NC 27611
Project: PLANT #5
Pace Project No.: 92192347
sample: OUTFALL 1 Lab to: 92192347001 Collected: 03/03/14 11:45
Parameters Results Units Report Limit Analyzed
Total Suspended Solids 8.8 mg1L 3.2 03110/14 20:00
Reviewed by:
Nikitia Jones -Jackson
[e-mail]
Asheville Certification 1Ds
2225 Riverside Dr., Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
[phone]
Page 1 of 1
Report Date: 03/11/2014
Date Received: 03/07/2014
Matrix: Water
Qualifiers
North Caroiina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
VirginiaNELAP Certification #: 460222
Page 1 of 3

i
1 cep
Report Results to:
Ready Mixed Concrete
P.O.Box 27326
Raleigh, NC 27611
ATTN:
Phone: [phone]
i
cal' Chain of Custody
Bill Results to -
Ready Mixed Concrete
P.O.Box 27326
Raleigh, NC 27611
ATTN: Alilsefr
3-'� VJ41*�
�Z I4z,3 `r'-7
Standard Report Delivery
Rush Report Delivery (w/ surcharge)
Requested Due Date:
Project Reference. Plants #5
Purchase Order#:
Sampled By: MO (Apt
posixe'
.:F�.
5to
iV[atfr.'
owe
,.
OutfallI
G
313�ic�
Sw
TSS
Relinquished by (signature)
Re e' ed by (sig9tur
Da
Mime
4 =
For Lab Use Only
Temperature at receipt:
Temp: Co
Relinquished signature}
Received by (signature}`
Dat
lime
Relinquished by (signature)
Received by (signature)
Date
Time
b
N
M
a

Document Name, Sample Condition Upon DocOrnent Revised: April 04, 2013
ZeAna Vtipi- Receipt SCUD Page 1 of 2
Document No.: Issuing Authorities:
F- L-CS-001-rev.02 Pace Asheville Quality Office
Client Name:. 1+
Where'Received: Huntersville Asheville Eden Ralekgk�
Courler (Circle): Fed Ex UP5 USPS Ciien Commercial Pace . Other
Custody Seal on Cooler/Box Present: yes .. no Seals Intact: yes no
Packing Material: El Bubble Wrap �i s None Other
Circle Thermometer Used: I.R Gun N:122065387Type of Ice: Wet Blue • None Samples on ice, cooling process has begun
iR Gun B . p . 7
Temp Correction Factor: Add I ubtract'
Corrected Cooler Temp., - .0 ...
Terri' should be above fraeaing to 6
C
Biolagical Tissue is Frozen: •Yes NIA
'Comments:.
Date and Initlals of person examining
ca to Pre ry o '
checkr.
Ctiain of 00stbd Present:. - .; .. . . :::. _.'. _
:. Yos C�No'
❑NfA•
1; .,_.., _......._.., - :...... '.. _...._ .._.. , :..: ..,......
Chain of CustodyFilled Out.
Yes :❑No
CINiA
2. '
GhaWof CU' M6 Relinquished:
Yea .❑No
❑NfA
3.
Sam ler.Name.& Signature on COG:
16Yes ❑No
❑NiA
4.'-
Sam IesArrived within }cold Time:
Yes :❑No
❑N!A
5..1.
Short.Hoid Time.Anal is <72hr):
©Yes 'A
©N(A
6...
Rush,,Turn_Around Time. Requested:
❑Yes No"
❑NIA
7..
SOfflcient Volume:
as ❑No.
❑wA
Correct Coin talners.Used: {
-Pace Containers Used:
Yes ❑No '
A.S.©lvo
❑NIA
❑N1A
J.•,—
Containers Intact -
Yes ❑No'
❑NVA
lb-
Filterad volume received for Dissolved tests
Dyes ONO
NIA
11.
Sample Labels.rrlatch COC:.
-Includes date' hime/lDlAnalysis Matrix:
Yes, QNo
❑WA
12..
All containers needing preservation have been checked.
All containers needing preservation are found to be in
compliance with EPA recommendation. ..
excepilons: VQA, coilfmrn, TOC, O&G. WI-DRO (water)
Xas .ONo
r�lvas ONo
j'
Yes ONO
❑NlA
❑NIA
13,
Sam les checked for dechlorinatlon:
Yea, ❑No
❑N/A
44,
Headspace In VOA Vials >6mm :
❑Yes ONO
gNIA
15''.
Trip Blank Present:
Trip Blank Custody Seals Present
Pace Trip Blank Lot # (If purchased):
'[]Yes ❑No }-NIA
❑Yes ❑No ; yJTr1A
r/
16;
Client NotiflcationT Resolution: Field Data Required? Y I N
Person Contacted: Date/Time:
Commentsf Resolution:
SCURF ISRF ate: Place label here
• Review:.
Note, Whenever there Is a discrepancy affecting North Carolina compllance I �O# ; �2192 47 1
samples, a dopy of this form will be sent to the North Carolina DBHNR f
Certification -Office (i.e out of hold, Incorrect preservative, out of temp,
inoorrect containers)
Il 9219
Page 3 of 3