NCG140128_MONITORING INFO_20180219

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
EC MONITORING REPORTS
DOC DATE
❑ �DI � Oa � 7
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE No. NCG14-
FACILITY NAME: Q12-
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Lab #=i-t----
Lab s*
OPTIONAL INFO:
Part A. Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: _ ZQI`T
SAMPLING PERIOD: July -December ❑ January -June
COUNTY __CTraiVa ;) -P- _
PHONE NO. ( )
ADD TO LISTSERVE? ❑YES FIND EMAIL:
DISCHARGING TO CLASS: [_]SA ❑HQW ❑PNA []Trout ❑Other.
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
(Standard
Units)
TSS
(mg/Lj
Event
Duration
(minutes)
Total 4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
fs of Months in Tier
Z Sampling'
-
-
6-9 2
100 Z,3-
-
-
-
Ct
)l
4
RECEIVED
v
CEiV-
-RAL FILES
vvvr
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 Ifor PHI, 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 S0 mg/I.
A For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 1 Last Revised 7/13/11
Page Iof2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)'
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfalla
(In)
New Motor Oil
Usage
(gal/month)
In tier 2 Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling2
6-9
15
100
-
-
-
-
I
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (Including all "No Flow" & "No Discharae" 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: OWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CER77FIC477ON FQANY 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."
a Its — � z I I Lfl�
(Sig nat4je a Permittee) ! (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

MCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: hap.,flnortal.ncdenr org/Acb/IrImpdes-storrnwaler/
Permit No.:
Facility Name: RAA3iNl nt 1
County: _ 'ort�i: k1f
Inspector: A i
Date of Inspection:_ Qi_iz I #I
Time of Inspection: j wZ Ap`
Total Event Precipitation (inches): , 11
or Certificate of Coverage No.: W.C1 j1_Z1, /QI-i l�l$I
Phone No.
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 "treasurable 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:
oPPermittee or Designee)
Page 1 of 2
5WU-242, Last modified 7/31/2013

1. Outfall Descriptfon:
Outfall No. I Structure (pipe,(GDtc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Z. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: LcoWy2
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Lbpe
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 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 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:
a 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes 'U
a. Is there an oil sheen in the stormwater discharge? Yes
4. is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe &ILL3w—
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 7/31/2013

aceAnalytical
3
September 18, 2017
Jay Watkins
Ready Mix Concrete
3610 Bush Street
Raleigh, NC 27609
RE: Project: Plant 13 Butner
Pace Project No.: 92355103
Paco Ansly11cs1 Sorvlces, LLC
9000 Kkncey Ave. Sulte 100
Huntersville, NC 28078
[phone]
Dear Jay Watkins:
Enclosed are the analytical results for sample(s) received by the laboratory on September 13, 2017.
The results relate only to the samples included in this report. Results reported h erein 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,
` 0" 410, i
Angela Baioni
angela.baioni@ pacelabs.com
[phone]
Project Manager
S
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Semmes, LLC.
Page 1 of 10

i Pace Analytical Services, LLC
aceA! lj4ic el e 9800 unceyAve. Suite078
JI /`I vu HunttrsvlUe, NC 28078
WmARDOWscum [phone]
CERTIFICATIONS
Project: Plant 13 Butner
Pace Project No.: 92355103
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking V%Wer Certification #: 37738 VirginialVEIAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, ezcapt in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 10

I
aceAnalytical e
r wew.pec�lebstvm
r
SAMPLE ANALYTE COUNT
Project: Plant 13 Butner
Pace Project No.: 92355103
Pace Analytical Services, LLC
9800 Kincey Ave. Serve 1100
Huntersvift, NC 2807a
[phone]
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92355103001 Outfall #1 Plant 13 Butner SM 2540D CTB 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

aceAnalytical
w"..Pecehft cm
i
ANALYTICAL RESULTS
Project; Plant 13 Butner
Pace Project No.: 92355103
Pate Analytical Services, LLC
8800 Kincey Ave. Suite 100
Huntersvllle, NC 28070
[phone]
Sample: Dutfall 01 Plant 13 Butner Lab ID: 92355103001 Collected: 09/12117 09:42 Received: 09/13/17 13:55 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
25400 Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 11.4 mg/L 3.2 1 99/15117 10:37
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in MI.
Date: 09/18/2017 03:23 PM without the written consent of Pace Analytical Services, LLC.
Page 4 of 10

aceAnalytical e
www.psceleba.com
QUALITY CONTROL DATA
Project: Plant 13 Butner
Pace Project No.: 92355103
OC Betch: 377900 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Descripdon: 2540D Total Suspended Solids
Associated Lab Samples: 92355103001
METHOD BLANK: 2093681
Associated Lab Samples: 92355103001
Parameter Units
Total Suspended Solids
mg1L
LABORATORY CONTROL SAMPLE:
Parameter
2093662
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 2093803
Parameter
Units
Total Suspended Solids
mglL
SAMPLE DUPLICATE: 2093664
Parameter
Units
Total Suspended Solids
mglL
Pace Analytical Services, LLC
S8D0 Kincey Ave. Suite 100
Huntersville, NC 28076
t704y875-DDD2
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualtfiers
ND 2.5 09A 5117 10:33
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 240 96 90-110
92355099001 Dup
Result Result
159 273
92355087001 Dup
Result Result
3.7 164
RPD Qualifiers
53 D6
RPD Qualifiers
191 06
Results presented on this page are In the unite Indicated Ey the "Units" ookartn sxceptntseee an attwnaa+ unit Is presented to the right of the raauft
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 09T1812017 03:23 PM without the written consent of Pace Analytical Services, I.I.C.
Page 5 of 10

ceAnalytical'
" xmypacele6s.mm
1
QUALIFIERS
Project: Plant 13 Butner
Pace Project No.: 92355103
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.
PQL - Practical Quantitation Limit.
RL - Reporting limit.
Pecs Analytical services, L.LC
9800 Kincey Ave. Suite 100
Hunteraylile, NC 28078
(704)975r9092
S - Surrogate
1,2-Olphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270, The result for each anslyte is
a combined conoentratlon.
Consistent with EPA guidelines, unrourided 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 riot 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 Acrylonitiile 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 TNb accredited, Contact your Paoe 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.
Date: 0911812017 03:23 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in Tull,
wKhout the written consent of Pace Analytical Services, LLC.
Page 6 of 10

aceArralytical
f� www.pacsW&C0m
I
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Plant 13 Butner
Pace Project No.: 92355103
Papa Analytical Services, LLC
9600 Klncey Ave. Sulte 100
Huntersvi1e, NC 28078
(704)87b9092
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92355103001 Outfall *1 Plant 13 Butner SM 2540D 377900
Date: 09/18/2017 03:23 PM
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

--
Asheville ❑ Eden❑ Greenwood ❑ Hunte rsville ❑ Ralfllgh Medlenlcsville��
OlentName: , { 7` Project#* WO# : 92355103
❑ Commercfal oP o o f1er:_ 11111111 OF 1111111111
92355103
—�ntWdySrslRMot5lalt-trrtad7... _ .Yes __.
0+m/InptahPunoeFauvdnioiCWtuuls: �`�'I;
PaclArig Material: []Bubble Wrap ❑Bubble Bags Nane 0 tither 81clo61cal Tissue FXocant
Tltsemomelgre� et ❑Blue ❑Npae Dyes .0go
Chian of Cu3todi Presents
es
No
N A
L.
Samoks Arrived wlthln held Tima?
es
OND
. WA
1.
Sfw t Held Time Anr its I[72 fir.)?
Oyes
2<
HA
3.
Rush Turn around Time R ua ted7
OYU
NIA
4.
SLf"weat Volume?
es
No
NIA
5.
CarreetContainen Used?
-Pace Containers Used?
a
ea
No
NNO
ON1A
ObljA
6
C"lainvs Imact?
za
No
001A
?.
Olssolved ana. sls: Samples Field FUDerW?
a
lie
A
B.
Sample Labels Match COC7
-lftdude3DaE/ArLabmLs Matrbr
s
090
IOW►
9.
Hea Race in VOA Vials a54nvnj?
Yea
No
A
10.
Ttlp Blank Present?
Trip Blank Custody Seals Present?
( Yes
QYR1
❑-
No
NIA
101A
IL
C LITNTNOTIFICATIONJRESOLUTION
Person Contacted:
Comments/sample Discrepancy:
Dato/nme:
M. V .Rq r L-JrY t„ JRV
1 1 j
Projea ManageF SCURF Ravlwr ;��r 1 Bate: t
Prolark Manager 5RF Revtew: i'I YJ Date:
Note: W haoaver there is a dhaapsw afiaelnB North [*rating colnpllama samples, a copy of thli tam wBlbIsant to the North CargBna MNR Growun Offla 0.
tint of held, Inwnect PMMWtiva, Jrut Cf tamp. Im=att cootstnea}
Page 8Of10

Document Name: Document Revised:3u
Sam to Condition upon Recei tfSGVR Pa e 2 of 1
_ J s-c�ecsca3.iiey;a3 _ _I parvnimittvoE}iea 1
'Check marktop half of bo-x-Tp-ffan or•dechIoRnaflon - Frolez IT WO# : 92355103
Is verified and within the acceptance range for PH: IAMB Sus Date: 09/27/ 17
preservation samples. CLIENT, 92-R eady Mist
e*Bottom half of baK is to list number of battles
Ilk
0
MEMO
Oki
son
�ii►��
o��u�iiii■ia°�u
INS�d���i'�iiiiiii►ONES
►on
MEMO
N
ON
0
MEN
son
iiLim
imoiii
pH Adjustment Log for Preserved Samples
Sample 10 "I'll pit of iruerveftvs I pH upon reroiat asu Prli 111 an tdlisttd Ttmepnptmotm Aa+aontcl Pro
adlutttd I added
E
age a

O
CHA)"F%-CUSTODY J Ana"cat Request Document
Tft CNdM04kQ** IL I LEGAL GOCUVENT. AM MkWI 4US W40 b4 CWrO4*d VAMW
Sptfm A 5 swtvoo c
PACLdftd CFAd bdwkfieR
P460= 3(
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-
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REWLATMY AGEMY
—
—
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(­NPDM V GXOUND�VkfEk r"' DRNMG WATER
NE
UST r, FmA OTHER
Egad TO:
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ad xmw
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Suit Locagm
L -TA
.7
10-
paga
A
COLLEMD
W7
wxswvvalw vww
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pw&.�A r
amvs4d SL
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SAMPLE 10
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awoN& mh mum I* Lft" lt4o TS
Wpp
Dow OT
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DAlt
TIME
DAVF
TIME
0, PAW
Lat,
Pox& Prolact Hol LAb 1.0-
1*3 DU�&
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-197.
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SAMPLER KwEma smwvp
ORIGNAL 1 . I., . x
T

RECE-NED
MAY 0 4 2017
NCDENR CENTRAL FILES
Stormwater Discharge Outfall (SDO) DWR SECTION
Qualitative Monitoring Report
Forcguidance orr filling qut this form, please visit:littp:lLpor.tal.iicdeiij-.org/weli/`li-Inpdes-stormtvaterl
Permit No.:
Facility Narne: R - pldrrf
County: U
Inspector:
Date of Inspection:
Time of Inspection:
or Certificate of Coverage No.: N/C/G/ j/'Y/ a/ / 2/$/
Total Event Precipitation (inches): 116
Phone No. ^ q q 9-15- L13$d
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a. "representotive storm
event"or "meosureoble storm event" (requirements vary, depending on the permitj.
Qualitative monitoring requirements vary. Most Hermits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storril 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 pleasuring 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 clischar& from the
permitted site outfall. The previous ineasura.ble storm event must have been at least 72 i10U1's
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:
(Signatu# of k ermittee or Designee)
Page 1 of 2
SLVr1-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. I Structure (pipe(ditch, c.)
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: W AA
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): AU 0Lu-0—
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� 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:
O 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yeses+'
9. Is there evidence of erosion or deposition at the outfall? Yes n
10. Other Obvious Indicators of Stormwater Pollution:
List and describe W b Pse _
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 7/31/2013

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division -of Water quality General Permit No: NCG060000
Date submitted 4 (xS 11-7
CERTIFICATE OF COVERAGE NO. NCG06 01 L
FACILITY NAME t31"*r Ditty* 13
COUNTY Grwq i 114
PERSON COLLECTING 5,AMPLE5 1
LABORATORY tk(X Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
Z 01 `I
FACILITY ACTIVITIES INCLUDE;(check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES (YNO
PLEASE REMEMBER TOSIGN'ON THE. REVERSE +'
Total event rainfall' • q 6 or ❑ No discharge this period}
Outfall No.
Sample Collected,
mo/dd/yr
.TSS,
mg/L
pH,
Standard units
COD;
mg/L
Oil and Grease,
mg/L
FecallColiform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or SO
Within 6.0-9.0
120
30
1000
S00
Only applies to facilities that use/process meats.
IThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at apny outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Fable 3, identifying the especially sensitive receiving water, classif€cations 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 [Yno
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
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.
2The tota€'precipitation must be recorded 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.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
if yes complete Part B)
SWU-249 Last Revised: October 18. 2012
Page 1 of 2

*FOR PART A AND PART.B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
Y 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS: SEE PERMIT PART It SECTION B.
C 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:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge" reportsTto:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
'YOU MUST SIGN THIS CERTIFICATION FOR ANYINFORMATION REPORTED:
"I. certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information -submitted. Based on my inquiryof 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 %rniittee)
51,11,-r
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orgLweblwci/ws/su/npde.ssw#tab-4
SWU-249
Last Revised: October 18. 2012
Page 2 of 2

ac6Analytical.
wwwp=1aas.=n
i
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huniersville, NC 28078
[phone]
Project: PLANT 13 BUTNER
Pace Project No.: 92338348
Sample: OUTFALL #1 PLANT 13 Lab ID: 92338348001 Collected: 04/24/17 06:18 Received: 04125/17 14:55 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual
2540D Total Suspended Solids
Total Suspended Solids
Date: 04/2712017 03:04 PM
Analytical Method: SM 2540D
4.9 mg1L 2.5 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
04/26/17 13A0
Page 4 of 10

laboratory receiving samples:
Asheville ,F I Eden[:]
uonnnent Name: ESl Tech Spec
Sam a Condition upon Receipt
Document No.: 1
F-CAR-QA-003-Rev.02 1
Greenwood [J Huntersville
Client Name:
Project #:
IS
Courier. 40d x UPS Don lient
❑ Commercial ❑Pace ❑Other:
Custody Seal Present? [(Yes N40 Seals intact? [yes 17�0Np
Document Revised: Sept. 22, 2016
Pa elof2
Issuing Authority:
Pace Quality Office
Raleigh® Mechanicsville❑
WON_92338348
1111111111111111111111
48
pate/lnitlals Person Euamirring Contents:_94 —
Packing Material: 09ubble wrap ❑Bubble Bags one QOther.
Thrarmameter. ® IR Gun ID: _ 15-3452 Type a! Ice: ,wet ❑Blue ❑hone [_]Samples on Ice, tooling process has begun
_
Correction Factor: Add a.6 Cooler Temp Corrected l°C). Biological Tissue Frozen? ❑Yes []NO /A
Temp should be above fr eiang to 6'C
USDA Regulated Soil ( N/A, water sample)
Did sample originate in a uarantlne zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign sowte (lot mationatty,
❑Yes No Including Hawaii and Puerto Rico)?❑Yes VNa
Comments/Dlscrtyancy:
Chain of Custody present?
I.
amphs%tirrived'wittiiri HoidTime?
--•
❑
2
Short Hold Time Analysis (c72 hr.)?
Cl
3.
Rush Turn Around Time Requested?
❑T�n
4.
Sufficient Volume?
Correct Containers Used?
-Pace Containers Used?
❑
&
Containers Intact?
❑
7.
Samples Field Filtered?
❑
©
S. Note if sediment is visible )n the dissolved container
Sample labels Match COC?
•IrxJudes Date/Tlme/lD/Analysis
,,,
9.
Headspace in VOA Vials (>S-6mm)?
Yes
No
A
Ip.
Trip Blank Present?
Trip Blank Custody Seals Present?
Yes
❑
Yes
No
❑
No
NIA
11.
CLIENT NOT€FICATION/RESOLUT10N
Person Contacted:
Comments/Sample Discrepancy:
Date/nme:
Field Data Required? (_JYes ❑No
Project Manager SCURF �,} L�
Review: C
W�f T I bDate-,
Project Manager SRF
Review: 6Y} 1 Date. {_ L •��
Note: whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carollna DEHNR Certification Office (Le.
Out of hol(A Incorrect preservative, out of temp, incorrect containers)
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BP3U•250 mL Plastic Unpreserved(NIA)
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BP3Z-2S0 mL Plastic ZN Acetate & NaOH 09)
BP3C-Z50 mL Plastic N30H (p4 > 12) (CI-)
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AGIO.1 iiterAmber Unpreserved (N/A) (Cl-)
AG1H-1(lterAmber HO (pH <2)
AG3U-250 MLAmber Unpreserved (N/A) (Cl-) r
11117,11111
AGIS-1 Hier Amber H2SO4 (pH < 2)
AG35-2SO MAmber H2504 (pH <1)
AG3A(DG3A)-2so mLAmber W14CI (N/Aj(Cl-)
DGSH-40 mL VOA HCI (N/A)
VG9T-40 mL VOA Na2S203 (N/Aj
VG9U-40 mL VOA Unp (NIA)
DG9P-4G mL VOA k3PO4 (N/A)
VQAK (5 0311 per k(t}•S03S 3 it (N/A)
V/GK (3 vials per kit)-VPH/Gas kit (N/A)
SOSi-125 m L Sterile Plastt (NIA —lab)
SP2T250-1 Sie rile Plastic (N/A —lab)
6P3A-20 mL Plastic (NH2)2504 (9.3-9.7)
Culaha{ner
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CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chainof-Custody is a LEGAL DOCUMENT. AY mLevgrtt fWds must tm cwWletW accwafety.
pswe of
Sedlon A Section 6 Section C
Raquked Client infararat4n: Required Pmjcd Infortrodw: lnwwa leforMando:
Company: A!, 0 Roport T4 Atantion:
2097574
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To:
Company Name:
-
REGULATORY AGENCY
Addrew
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A7 i` �A 94-,0/6
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: weblwg/ws/su/npdessw#tab-4
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N/C/G/L
Facility Name: Bu-y V-A !' I a
County: 1 Parma I1'e Phone No. 'S 3 S b
Inspector: IN iAl An;IV 5
Date of Inspection: 2,14 ( I L.
Time of Inspection: ''1 14S A M _
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" a�aP, A
th peerrmit?
(See information below.) (.r
Yes ❑ No
MAR 14 2016
CENTRAL FILES
Please verify whether Qualitative Monitoring must be performed during a "RXresAr41Tt0wrm
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 l
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 DW(
ional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
Pagel of 2
5Wll-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No.. _ _ _ _ Structure (pip , ditch)tc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Qtar �.�V11 if-- 0 t' oad Of a loolt
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C1-e-u "
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Nb&Je
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
U 2 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 b 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:
D 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 0
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Nnls-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
SWU-242, Last modified 10/25/2012

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. hqp://portal.ncdenr.org/web/wq/ws/sulnpdessw#tab=4
Permit No.: N/C/_ /Y/�/_/_/,/_/ or Certificate of Coverage No.:
Facility Name: B mInRje _#t 13__
County: &Ymv%ui l j- Phone No. R 1!3 - S? S - 43 Bo
Inspector: k1GAT1e.lJ5
Date of Inspection: X/Y I1b
Time of Inspection: '7t44f�kM
Total Event Precipitation (inches): • S-
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
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.
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:
(Sigr/furc/of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. ?— Structure (pip ditc , tc.)
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: r It&4 -
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
V 2 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:
1D 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes 6D
B. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes V
10. Other Obvious Indicators of stormwater Pollution:
List and describe tj0 Ki 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 10/25/2012

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)
mg1L
100 mg/L2
Each Outfall'
Semi -Annually
Total Petroleum Hydrocarbons3
mg/L
15 mg1L
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.

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 — 9.01
Each Outfa112
Quarterly
Total Suspended Solids (TSS)
mg/L
30 mg/L3
Each Outfa112
Quarterly
Settleable Solids
mVL
5 mL/L
Each Outfal12
Quarterly
Total Petroleum Hydrocarbons4
mg/L
15 mg/L
Each Outfal12
Quarterly
Event Duration
Minutes
Not applicable
Each Outfal12
Quarterly
FIow5
Gallons/Day
Not applicable
Each Outfal12
Quarterly
New Motor Oil Usage4
Gallons/ Month
Not applicable
Not applicable
Quarterly
Total Volume of Wastewater
Discharged (HQW)
Not applicable
50% of summer
7010 Flow
Not Applicable
Quarterly
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.
1 TSS effluent limitation HOW 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 02t3 .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.

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14
FACILITY NAME:
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: i
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -tune
COUNTY:
PHONE NO. [-�
ADD TO LISTSERVE? DYES ❑NO EMAIL.
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout []Other
OPTIONAL INFO:
Outfall No.
:al�.Sample
ected
(/dd/Yr)
Typeaf Wastewater
=Solids
(VE, RM, MD)
pH
(standard[
Total Suspended
(mg/L)
SeKleable
Solids
(mL/L)
TPH using
methad16644
S (mg/L)
(mg/L)
Dlsiharee
Duration
(minutes)
Total Flow
v
(gatlons/day)
6.91,
303's
5j
(IS)s
I
t If wastewater systems have not discharged in this quarter— report "No Flow' or "No Discharge" here. Please make sure to mark the sample quarter above.
a Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MO). Report more than one type if the waste stream is commingled.
3 If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HOW waters, 10 mg/L for -trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

c Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a Limit for wastewater,
but instead is subject to benchmarks and provisions of part IV, Section A, including the Tiered Response Action.
'Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q1D Flow as per 15A
NCAC 02B .0224. Permittces who discharge wastewater to HOW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 Flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case•by-case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WIT IN 30 DAYS OF RECEIPT OF SAMPLL UO
AT END OF Ili ONITORING PERIOD IN CASE OF "NO FLOW-1 TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
M MUST S! N THIS CERTIFICATION FOR A8JY WFORMATtON REP RTED:
"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,"
3%ir �6
(Si fur Permittee) IDate)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 7

,�aceAna1Xical
www.pacelabs. cem
ANALYTICAL RESULTS
Project: BUTNER #13
Pace Project No.: 92285574
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704 )875-9092
Sample: PLANT #13 OUTFALL #1 Lab ID: 92285574001 Collected: 02/04/16 07:45 Received: 02/05/16 15:10 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids ' 9.4 mg/L 2.5 1 02/10/16 10:55
Sample: PLANT #13 OUTFALL #2 Lab ID: 92285574002 Collected: 02/04/16 07:45 Received: 02/05/16 15:10 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total,Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 11.2 mglL 2.5 1 02/10/16 10:56
Date: 02/12/2016 09:01 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 4 of 9

,��aceAnalyticaI
www.pacelabs.com
f '
QUALITY CONTROL DATA
Project: BUTNER #13
Pace Project No.: 92285574
QC Batch: EDEN121705 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92285574001, 92285574002
METHOD BLANK: 1663133 Matrix: Water
Associated Lab Samples: 92285574001, 92285574002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 02/10/16 10:51
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE: 1663134
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg1L 250 250 100 90-110
SAMPLE DUPLICATE: 1663135
92285759001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 44.5 45.0 1
SAMPLE DUPLICATE: 1663136
92285802001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg1L 98.0 95.0 3
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 be reproduced, except in full,
Date: 02/1212016 09:01 AM without the written consent of Pace Analytical Services, Inc.. Page 5 of 9

P�aceAnal ical
ww.pscelabs.com
Pace Analytical Services, Inc.
9800 Kincey Ave, Suite 100
Huntersville, NC 28078
[phone]
QUALIFIERS
Project: BUTNER #13
Pace Project No.: 92285574
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.
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.
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 - Sampie 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, Styrene, and Vinyl chloride.
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
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Oate: 0211212016 09:01 AM without the written consent of Pace Analytical Services, Inc.. Page 6 of 9

aceAnalytical
www.pacelabs.com
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704 )875-9092
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: BUTNER #13
Pace Project No.: 92285574
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92285574001 PLANT #13 OUTFALL #1
92285574002 PLANT #13 OUTFALL #2
SM 2540D
SM 2540D
E DE N/21705
EDENt21705
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/12/2016 09:01 AM without the written consent of Pace Analytical Services, Inc.. Page 7 of 9

Analytical
Document Name:
Sample Condition Upon ReCei
Document No.:
F•RAL-CS-001-rev.03
Document Revised: 26OCT2015
Page 1 of 2
Issuing Authority:
Pace Huntersville Qualltv Office
Emu
Client Name: Project V. I� 0
fj2
�5574
Courier: _ ❑Fell Ex ❑UPS CUSPS }Clientf��f
❑CommerOal ❑Pace ❑Other: 92285574
Custody Seal on Cooler/fox Present? Dyes VNo Seals Intact? ❑Yes !"No
Packing MaterWI: ❑Bubble Wrap []Bubble Bags None ❑Other: l
Thermometer IRGunSN_J22065387
Used:
iR Gun 5N: 121065371 Type of Ice-
.- - Vwet []Blue ❑None []Samples on ice, cooling process has begun
Cooler Temp Corrected ('C). y Biological Tissue Frozen? []Yes E]No �/A
Tempshould be above fr ezing to 61C Correction Factor: 0.0 °C Date and Initials of Person Examining Contents: 215 1 t Q
USDA Regulated Soil (X/A, water sample)
Did samples a iginate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (International1 ,
[)Yes VJNo including Hawaii and Pueno Rlco)? Eyes aNa
If Yes to either question, fill out a Regulated.Soll Checklist and include with SCUR/COC paperwork.
COMMENTS:
Chain of Custody Present?
Yes
QN0
❑N/A
1.
Chain of Custody Filled Out?
Yes
❑No
Q NIA
2.
Chain of Custody Relinquished?
Yes
❑Ho
❑kq/q
3.
Sampler Name and/or Signature on COC?
Yes
QNa
UNIA,
4.
Samples Arrived within Hold Time?
6Yes
QNo
❑N/A
S.
Short Hold Time Analysis (<72 hr)?
❑Yes
0190
N/A
6.
Rush Tom Around Time Requested?
Dyes
No
❑N/A
7.
Sufficient Volume?
L&es
❑No
NIA'
9,
Correct Containers Used?
Yes
(3No
❑N/A
9.
-Pace Contalners Used?
Yes
[]NO
❑NIA
Containers Intact?
Yes
No
N/A
10.
Flitered Volume Received for Dissolved Tests?
❑Yes
No
N/A
Ia. Note if sedlmdnt is visible in the dissolved container
Sample Labels Match COC?
0Yes
C]No
(]N/A
12.
-Includes DatetFime/ID/Anal sis Matrix;
All containers needing acid/base preservation have been
checked?
)Yes
(]No
❑NJA
13
All containers needing preservation are found to be in
compliance with EPA recommendation?
(HNO3, lirSOa, HCl<2; NaOH >9 Sulfide, NaOH>12 Cyanide)
Yes
❑No
[]N/A
Exceptions: VOA, Coliform, TOC, oil and Grease,
DRO/8015 (water) OOC,LLH
es
❑No
❑N/A
Samples checked for dechlorization
Yes
[]No
❑NIA
14.
Headspace in VOA Vials (>5-6mm)?
❑Yes
ONO
/A
15.
Trip Blank Present?
[]Yes
❑No
NIA
16,
Trip Blank Custody Seals Present?
❑Yes
4No
N/A
Pace Trip Blank Lot H (if purchased):
CLIENT NOTIFICATION/RESOLUTION
Person Contacted: Date/Tn-ne;
Comments/Resolution:
Field Data Required? ❑Yes M.No,
Protect Manager SCURF Review: C 4y `�� nnr• C.
Note: Whenever there is a discrepancy affecting North Carolina compklance samplies, a copy of thrs form will be sent to the No
hold, Incorrect preservattve, out of temp, incorrect containers),
Carolina DEHNR Certliication Office (i.e. out of
Page 8 of 9

�-� CHAIN -OF -CUSTODY 1 Analytical Request Document T
-Pa The Chain-cf-Cuslody a LEGAL BOCUMENT. All rolevini fiRlds, mw;i by comalutod �ratt;ly'.rM
v .paratab com
Pa qe of
Section A Section Q Section C
Required Ulant Informaoon- Required Project hafwmogon: Invoice Iniercnntlon:
Ctmt w": Aue (pitt ale Roporl To: Attention:
2056 301
Address: r n Copy
V p
To:
Company Name:
REGIILATOl2Y AGENCY, ' . ,
4 �Z
AadTBSs
NPDES = GROUND WATER r- DRINKING WATER
j UST i RCRA OTHER
Elrall To: '' a w .�I, -
rcitasa Orger No.:
l r
RNA"
P !� tl ...} Fax; Project
Name;
� pmio =
Location
N-Tqs G6
I�����.
Mnnherr,
,Site
STAIF--
ReQuaated Qua DatofTAT: Prolgat
Number.
Pax Ridge k �{ {
1
Requested
Analysis
Filtered
(YIN)
Soction D MatTM Codes
z
R.q.lrod CUw t Inkm+weon fJATRLK rnnr
m
COLLECTED
PrUServarivas
>.
_
'
❑rick in3 Viakr IIW
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Waste Wale. WW
CWPO:ITE
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SAMPLE ID W pa w,
AR
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Sampla IN MUST BE UNIQUE. Tissue TS
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RELINQUISHED BY i AFFILIATION
DATE
TIME
AC
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SAMPLE CONDRIONS
cc.
z
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SAMPLER NAME AND SIGNATURE
ORIGINAL
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DATE Signed } ,�F.
of
-Imponant tJam: W :r ,nB tnh. rum v,w--ct4)ln,g Paen': n1F_7,13 day pay,mni i n+x Nnd u9too;i ] ti, LT—iwnla., t,r I r1l. 1— mono, r,r/.y v.V� not Pala VXhin JO aal;s F�ALL,O-020iov.07, 1 rblay-2007

aceAnalytical
www.pacelabs.com
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704 )875-9092
Project: BUTNER #13
Pace Project No.: 92285574
Eden Certification [Ds
205 East Meadow Road Suite A. Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
North Carolina Wastewater Certification #: 633
VirginiafVELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page 2 of 9

aceAnalylcal
WWW'pacefab5.cw
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704 )875-9092
SAMPLE ANALYTE COUNT
Project: BUTNER #13
Pace Project No.: 92285574
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92285574001 PLANT #13 OUTFALL #1 SM 2540D DWJ 1 PASI-E
92285574002 PLANT #13 OUTFALL #2 SM 2540D DWJ 1 PASI-E
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 3 of 9

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14�
FACILITY NAME: L71� k� _ 4-1 ri
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Lab #1 CI r_
Lab It
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: La I (a
SAMPLING PERIOD: ❑ July -December January -June
COUNTY Cyir 'i1
PHONE NO. (q 7s ` 4 3 1 i
ADD TO LISTSERVE? ❑YES ❑NO EMAIL: -
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
Outfall No.
Date Sample
Collected
(mo/dd/yrOR
NO FLOW}
pH
(Standard
Units)
TSS
(mg/LI
Event
Duration
(minutes)
Total
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
25ampfing r
-
'2 Itj !A2
r
OFF
.r'
1
%+
'L
l7
r'S
' 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.
9 TSS benchmark values are 100 mg/I, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I.
`For each sampled measurable storm event the total prec=pitation must be recorded using data from an an -site rain gauge.
Permit Date: 7/112011-60/30/2015 I Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activrtv Monitorine Reouirements for facilities urine > 55 eat of new motor oillmanth — avera¢ed over a calendar vear
Outfall
No.
Date Sample
mo dd r'
(/ Collected }
PH
{Standard
Units)
TPH vslnp method
1664A 5GT--HEM
(m 1}
B/
Total
Solids
(m L
g/)
Event
Duration
(minutes)
{
Total
Rainfall'
(in)
)
New Motor Oil
Usage
a1 month
(g / )
In Tier 2
Monthly
Mo(y/n)ng?
n of Months
in Tier 2
Sam tin
P �
6-s
15
1
I
HAS YOUR FACILITY HAD c OR MORE BENCHMARK EXCEEDEN T ANY ONE OUTFALL IINCLUWNG VEHICLE MAINTENANCE)? YES [:]No 12r_
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME
Mail Original and one copy ofthis DMR inclu in all "No Flow" & "No Discharge" reportsreportsl 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 27699-1G17
YOU MUST SIGN THIS CERTIFICATION fQft 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 gvalified 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 Cher a rig ficant pe alties for submitting false information, induding the possibility of fines and imprisonment for knowing violations."
/�->- 311111j,
(Signature oritiffe) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

T�I r�r ; ��'�iTf Y nlSCfl,f';Gi (7lIlF,�LL (5[C?� - SrZ�l-L�1.11Z� .li Cr+, IOO f",II IGn
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO.`INCG14 D1
FACILITY NAME: P�e'
PERSON COLLECTING SAMPLES `l
CERTIFIED LABORATORY Lab # _ q f
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION-Y.EA�R: _ ZQ ) y
l
SAMPLING PERIOD: fy-Decernber January -tune
COUNTY rjj i ) I'e
PHONE NO, 575 - Lf5Sd
ADD TO LISTSERVE? AYES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout
[]Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
(Standard
Units)
yS5
(mg/L)
Cvent
Duration
(minutes)
Total
Rainfa114
(in)
In Tier 2
Monthly
Monitoring?
(V/n)
# of Months in Tier
2 Sampling2
-
-
6-92
100Z'3
-
-
-
I
10115 bg
P, Z_
qq,D
q zo
To
N
NOVREG
1
DWR SECT
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.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
'ED
014
LES
ON
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.
Qutfall
No.
Date Sample
Collected 1
(mo/dd/yr)
PH
(Standard
Units)
TPH using method
1664A SGT-1-fEl1R
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfalla
(in)
New Motor Oil
Usage
(gal/month)
In InTier#
2 Tier
Monthly
Monitoring?
Wh)
of Months
in Tier 2
gamplingz
6-9Z
15z
1002,3
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES []NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that th re are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature ' er tee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

AQ= .�
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: httn://portal.nccienr.Qrg web/wgjwsZsLi/nodessw#tab-4
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N/C/G///Y/O/ J / Z/$/
Facility Name: floi%t 13 lRv4gier , Wt
County: GiQrtl i the Phone No.
Inspector: JA4 WAINUS
Date of Inspection. e/ 1
Time of Inspection: 6 14 6 )km
Total Event Precipitation (inches): 0 SO
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
R'O'Y—es ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm 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:
(SignatuA oWermittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. Structure (pip , ditc! tc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
ffj'l m;ierJ(odue-te Playt4
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Cl1gr
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weals chlorine odor, etc.): M60-C
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
® 2 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:
© 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:
6) 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes Q
S. Is there an oil sheen in the stormwater discharge? Yes V
9. Is there evidence of erosion or deposition at the outfall? Yes DN
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Nblt fG
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

% 13
c6Analytical
wwwpacelabs.com
Laboratory Report
Jay Watkins
Ready Mix Concrete
PO Box 27326
Raleigh, NC 27611
Project: PLANT #13 BUTNER NC
Pace Project No.: 92221759
PaceAnalytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 1 of 1
Report Date: 10/31/2014
Date Received: 10/16/2014
Sample: OUTFALL #11PLANT 13 Lab ID: 92221759001 Collected: 10/15/14 06:45 Matrix: Water
Parameters Results Units Report Limit Analyzed Qualifiers
Total Suspended Solids ".0 mg/L 16.7 10/22114 09:59
Reviewed by:�—
Laura J Cooper
[e-mail]
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification M 67
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification #: 37731
Page 1 of 3

/ry
�_�PdG9.4fT�i lCal+
rw,wN•pnaA.n ..�...
'
Document Name:°Sample Coridltlon Upon
Receipt SCU.R
Document Revised: April 04', 2gl'i;`
P8 e 1 of 2 '
Document No.
F-RAL-CS-0014ev.02
issuing Authorities:....:,.....
Pace Asheville QuallicY Oftice'
Client -Name:
Where Received: Huntersville Asheville Eden /*Raleigh
Courier (CITCls): Fed Ex UPS LISPS le Commercial Paco . Other _
Custody Seal on CoolerfSox Present: Q Yea no Seals.intact: /yes no. -
Pai kind h9ateriaf: D Btibbla Wrap' (] Bubble Stags None Other---
Circle Thermometer Used:.ifd Gun SN:11206fi7 type of Ice: Blue None [] Samples on Ice, cooling procese.has•tiegup
IR Gun Bask Up SN:122066371 F
Temp Correction Factor: Add ! Su r ct rq 6. C
Data and Init€a1a of person cxamintng
CorrQcted CoolarTemp.: C
Blologleal Tissue is Frozen; yes No rA
contents f Fr a ad n
chectr
Temp. should �o above freezing to e'C
Comments:
Chain of Custody Present:
Yes Ma
ONIA
4.
Chain of Custody -Filled Out:�21qs
ONo
091A
2,
Chain of Custody Relln Ulshsd:
es ONO
OVA
3.
Sampler Name & SI nature on COC:
es ONo
ONIA
4..
Sam pies Arrived within Hold Time:
ee 'Mo
UWA
5,
Short Hold Time Anal als <T2h :
C1Yea
©WA
6.
Rush Tum Around Time Requested:
ayes qk
ONlA
7.
Sufficient Volume:
ley. ONO
ONIN
8.
Correet Containers Used:
, j]" ONO
ONix
9. '
'-'Pace Containers Used:
s Oko
EJNiA-
Containers Intact:
ee ONo
❑NfA
10,
Filtered volume -received for Dissolved tests
( Yes ONo
01A
11,
Sumple Labels match COC:
eyes Qi o
0WA
12.
-Includes dateAlmoAD/Ana1 is Matrix:
All containers needing preauvatlon have been checked.
es TINo
©N!A
T
13.
All bontalners needing pret mollan are found to be Ink.
RZn ©Na
ONlA
oornpltarnco Wth EPA recommendation. -
:
exco :Ions, y2A. voilrvrm, TOG, od.G, MORO
os ONO
..
Samples checked for dechlorination:
❑Yes ONo
wA
14.
Heads ace lri VOA Vials T6mm :"
OYos ❑t•:o
OVA
16.
Trip Blank Present:
E7Ye's. CJNo r1WA
16.
Trip Blank Custody Seals Present
❑ roe ON*
111r/A
Face Trip Blank Lot # if purchaseft
Client Notlficafford Resolution:
Field Date Requited?
Y ;1. : N`
t i
PersarrContactedr 'Date/Time.,
Cornmenfs/ Resolution:
.:•:
I;
l
SCURF.ISRF to:
92�22`
Review..
U00119
T�
7
,- ; g;,
•tfFl�l
- 5-
1
Note: W
Whenever there Is a disaepancy atiodng North Carolina cornpUne ae
1]jFFF ,1!'!IgIIIII[[ff■1■■■■
lliw�l�a
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aemptes, a copy of this form W11 be sent to the North Carolina DFHNR
Certification offics (l.e out of hold. Incorrect out of tamp,
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Page 2 of 3:L

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REGULATORYAGENCY
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RCRA
DRWINGWATER
OTHER
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SARtFLE
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SAAWLER NAUE AND SIGNATURE
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e
DECEIVED
RCDENR APR o 1 2014
Stormwater Discharge ®utfall (SDO) CENTRAL FILES
Qualitative Monitoring Report DWQ/BOG
Forguidance on filling out this form, please visit: htrl?: / ,1rt,I,: rct1w�I
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N%C/CG-/1/ -Y/O / i
Facility Name: Pla.,j 13 13u4r,,i- �^
County: Phone No. 911?-S-75'- 14390
Inspector:
Date of Inspection: 2111jm _ ,•
Time of Inspection: 1:46 ow,
Total Event Precipitation (inclies): • Z!�
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
[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. i
i 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
I permitted site outfall. The previous measurable storm event Crust 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
5W U-242, Last modified 10/25/20I2

1. Ootfall Description:
Outfall No. I Structure (pipe, ltc , 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:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weals chlorine odor, etc.): 06
4, Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and S is very cloudy:
0 2 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:
0 2 3 4 5
G. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 3 is no solids and 5 is extremely muddy:
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 to
9. Is there evidence of erosion or deposition at the outfall? Yes Vo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe M0-11-
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, LaAmodified 10/25/2012

STORMWATER DISCHARGE OUTFALL (S®O) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 4 1 a+ SAMPLE COLLECTION YEAR: 2-019
FACILITY NAME la., la SAMPLING PERIOD: ❑ July -December 0 January -June
PERSON COLLECTING SAMPLES IM4 �„ _ _ _ COUNTY -
CERTIFIED LABORATORY Lab # q j PHONE NO. (90 )�T-7S-g3T6
Lab # ADD TO LISTSERVE? ❑YES []NO 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)1
pH
(standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
n
(y/ )
# of Months in Tier
2 Samplingz
-
6-92
1002,3
-
-
-
-
I
LI
Y.yv
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 TS5 benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
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
Outfali
No.
Date Sample
Collected
(mo/dd/yr}1
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
[mg/L]
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfalla
(in)
New Motor Oil
Usage
(gal/month)
In InTier#
Z Tier
Monthly
Monitoring?
Wri)
of Months
in Tier 2
Sampling z
6-92
152
1002'3
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO +�
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR(including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance With a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature s&� rmittee)
?./17 /_IV
(Date)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2

aceAnalytical
www.paculabs.com
MD Capps
Ready Mix Concrete
PO Box 27326
Raleigh, NC 27611
Project: PLANTS #13
Pace Project No.: 92193589
Sample: OUTFALL 1
Parameters
Total Suspended Solids
Reviewed by:
NikitRa Jones -Jackson
nikitia.jones@ pacel abs. cam
Laboratory Report
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersvilte, NC 28078
[phone]
Page 1 of 1
Report Date: 03/25/2014
Date Received: 03/18/2014
Lab ID: 92193589001 Collected: 03/17/14 13:41 Matrix: Water
Results Units Report Limit Analyzed Qualifiers
4.1 mglL 2.5 0312211411:37
Asheville Certification IDs
2225 Riverside Dr., Asheville, NC 28804
FloridalNELAP Certification #: E87648
Massachusetts Certification #: M-NCO30
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
Vrginia/VELAP Certification #: 460222
Page 1 of 3

0
aceAnalytical
Report Results to:
Ready Mixed Concrete
P.O.Box 27326
Raleigh, NC 27611
)4fJ)C4pPS
ATTN:
Phone-, 919-790-1520
Chain.of CustpAi
Results to:
Ready Mixed Concrete
P.O.Box 27326
Raleigh, NC 27611
a43 MfAk-,-5
ATTN: JQWA liakiliwn
EIrstandard Report Delivery
Rush Report Delivery (w/ surcharge)
Requested Due Date:
Project Reference: Plants #113
Purchase Order
Sampled By:
Relinquished

Document Name; Sample Condition Upon
Document Revised: April 44, 2Q13
Analytical'
lr '" wr.w,nnonrpns co,n
Receipt SCUR
Page 1 oft
Document No.:
Issuing AUtllOrltles.
F- l -CS- 01-rev.02
Pace Asheville Quality Office
Client Name:{
Where Received: Hunters viile [j Ash Eden " Raleigh.
Courier (Circle): Pad f x UPS LISPS Client Commercial Pace , Other
Custody Seal on Cooler/Box Present: D yes no Seals intact: yes [] no
Packing Material: Bubble Wrap }a Bags Nor Other
Circle Thermometer Used: (R Gu SN:1z2485387Type of Ice: Wet Blue None Samples on Ice, cooling process has begun
IR Gun B 71
Temp Correction Factor: Add I �tract r C Date anti Initials of person examining'
Corrected Cooler Temp.: C Biological Tissue'is Frozen: Yes No NSA CC t s Pr o
Chock.
Temp should be.above freezing to,6°•C Comments:
Chain of Castody Present:. _ _...
es -[]No
CIN1A-
1-. — ::
:. . . ... ....... ... :..
Chain of Custody Filled Out:
Yes ON.
❑WA
2. '
Chain of.Custody Relinquished:
Yes ONO
❑NIA
3.
Sampler Name & Signature on COC:
Yes ❑No
❑wA
4.
Samples Arrived within'Hold Time:
Yes •ONo
❑WA
5'..
Short Hold Time -Analysis <72hr :
Dyes VN.
ONIA
6.
Rush. Turn Around Time Requested:
❑Yes No
6N1A
7.
Sufficient Volume:
VY9. ©No
ONIA
8.
Correct Containers Used:
-Pace Containers Used:
as ONO
/ Yes' DNo
❑N/A
C]NIA
9. '
Containers Intact:
es ©No
❑NIA
10.
Filtered volume -received for.' Dissolved tests
❑Yns ONO
VA
11.
Sample Labels match COC:
-Includes date/time/ID/Analysis Matrix:
l Yes A'o
El NIA
12,
All containers needing preservation have been checked.
All containers needing preservation are found to be in
compliance ► ith EPA recommendation.
exceptions: yOA, rmliferm, TOG, O&G, WI-DRO (water)
ONO
Yes Elko
Yes ONo
Otd1A
❑NIA
13.
Samples checked for dechlerination:
oes ❑No
❑NIA
14.
Headspace in VOA Vials ( >6mm :
❑Yes ❑No 116NIA
15,
Trip Blank Present:.
Trip Blank Custody Seals Present
Pace Trip Blank Lot # (if purchased):
❑Yes ©No
©Yes ©No
NrA
VNIA
16.
Client Notificatlonl Resolution: Field Data Required? Y I N
Person Contacted: Date/Tlme:
Comman{sl Resolution.,
SCURF 15RF^ Date: Place label here
Review:: 1 1�-A-
Note: whenever there is a discrepancy affecting North Carolina compli nce
samples, a copy of this form will be sent to the North Carolina DUHNP
Certification -office j i.e out of hold, incorrect preservative, out of temp,
incorrect containers)
;[c3