NCG140129_MONITORING INFO_20190125

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
y C)
DOC TYPE
HISTORICAL FILE
Q, MONITORING REPORTS
DOC DATE
❑ G���I�1°��
YYYYMMDD

l mkonrnental
QuQllry
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Deport
For guidance on filling out this form, please visit https://deg.nc.rov/about/divisions/energy-mineral-land-
resources/energy„mineral-land hermits/stormwater-permits/npdes-industrial-sw#tab-4
Permit No.: NICI^I_I_I 1_I_I_I or Certificate of Coverage No.: N/C/GI /1 al /l Zlgl
Facility Name:
County: Phone No. Cj r C(— 5({ 4 -{6 Z 7
Inspector:
Date of Inspection:
Time of Inspection: " -
CENTRAL i=11 rS
Total Event Precipitation (inches): Cjy pVfR 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:
(Signature ePeftnittee or Designee)
1. Outfall Description:
Outfall No. Structure (pipe,< tc etc.):
Receiving Stream:
the industrial activities that occur within the outfall drainage area:
1 . -k t . i
Pagel of 2

U
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ C1 Par
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): 06 U-z
4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
l% 2 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:
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:
2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes 0-
8. Is there an oil sheen in the stormwater discharge? ©Yes 0 0.
9.
Is there evidence of erosion or deposition at the outfall? O Yes
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 he
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2

TABLE 9:1
ANA_LYTICAL 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 Hydrocarbons
mg/L
15 mg/L
Each Outfail'
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 outfail 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.

w
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG14 0 1
FACILITY NAME: p 3
PERSON COLLECTING SAMPLE LW�i Fz'�
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
Part A. Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2ol e)
SAMPLING PERIOD: ❑ July -December ® January -June
COUNTY U 0�
PHONE N0. i�J 5`I4-f 6=
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)1
pH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total ,
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling2
-
-
6-92
1002,
-15 I
t
!
• So
AJ
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfail here. Please make sure to mark the sample period above.
2 if a value is In excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
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
I Last Revised 7/13/11
Page 1 of 2
Date of last pH meter calibration:

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
jmo/dd/yr)F
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)
Month) In Tier 2
y
i Monitoring?
(y/n)
# of Months
in Tier 2
Sampling2
6-9
is 2.100
'
-
-
-
-
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:
Maii Original and one coon 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_CERTIFlG4TIQl fQR 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
i/2s/r
(Date)
Permit Date: 7/1/2011-60/30/2D15 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 Outfallz
Quarterly
Settleable Solids
mL/L
5 mL/L
Each Outfa112
Quarterly
Total Petroleum Hydrocarbons4
mg/L
15 mg/L
Each Outfa112
Quarterly
Event Duration
Minutes
Not applicable
Each Outfallz
Quarterly
FIow5
Gallons/Day
Not applicable
Each Outfall2
Quarterly
New Motor Oil Usage4
Gallons/ Month
Not applicable
Not applicable
Quarterly
Total Volume of Wastewater
Not applicable
50% of summer
Not Applicable
Quarterly
Discharged (HOW)
7Q10 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.

IceAnalytical
(�
w�rw.PeCelab3.00m
November. 16, 2018
Jay Watkins
Ready Mix Concrete
3610 Bush Street
Raleigh, NC 27609
RE: Project: Plant 17 #1
Pace Project No.: 92407103
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Jay Watkins:
Enclosed are the analytical results for sample(s) received by the laboratory on November 13, 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,
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, LLC.
Page 1 of 8

Pace Anaiytical Services, LLC
9800 100
aceAnalj cal neyAve. Suite
Huntersville, NC 28078
788
www pacelabs.com [phone]
CERTIFICATIONS
Project: Plant 17 #1
Pace Project No.: 92407103
Eden Certification IDS
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certifcation #: 633
North Carolina Drinking Water Certification #: 37738 VirginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shatl not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 2 of 8

Pace Analytical Services, LLC
aceAnalytical ® 98a0 Kincey Ave. Suite 100
Huntersville, NC 28078
wwwpecelabs.own [phone]
SAMPLE ANALYTE COUNT
Project: Plant 17 #1
Pace Project No.: 92407103
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92407103001 Plant 17 #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 8

aceAnalytical
www.pacalabs.com
le
ANALYTICAL RESULTS
Project: Plant 17 #1
Pace Project No.: 92407103
Pace Analytical Services; LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: Plant 17 #1 Lab ID: 92407103001 Collected: 11/12/18 14:30 Received: 11/13/18 12:45 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D-2011
Total Suspended Solids 85.1 mg1L 4.0 1 11/14/18 14:30
Date: 11/16/2018 09:16 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 8

aceAnalytical
www.pacalabs.wm
Il
Project: Plant 17 41
Pace Project No.: 92407103
QUALITY CONTROL DATA
QC Batch: 442315 Analysis Method: SM 254OD-2011
QC Batch Method: SM 2WD-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92407103001
METHOD BLANK: 2427917
Associated Lab Samples: 92407103001
Parameter
Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE:
2427918
Parameter
Units
Total Suspended Solids
mg/L
4
SAMPLE DUPLICATE: 2427919
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 2427920
Parameter
Units
Total Suspended Solids
mg/L
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
N❑ 2.5 11114/18 14:27
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 236 94 90-110
92406957003 Dup
Result Result
9.8 11.4
92406957004 Dup
Result Result
ND ND
RPD Qualifiers
15 D6
RPD Qualifiers
` 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: 11/1612018 09:16 AM without the written consent of Pace Analytical Services, LLC.
Page 5 of 8

r,.
aceAnalytical
www..peoelabs.com
QUALIFIERS
Project: Plant 17 #1
Pace Project No.: 92407103
DEFINITIONS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersvilfe, NC 26078
[phone]
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.
POL - Practical 0uantitation 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-E)iphenylhydrazine 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 TN accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
110-101;7_AI[*]V11*1
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: 11/16/2018 09:16 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 8

aceAnalytical
w+vw.pac�latu.00m
Project: Plant 17 #1
Pace Project No.: 92407103
Lab ID Sample ID
92407103001 Plant 17 #1
Date: 11/16/2018 09:16 AM
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
QC Batch Method QC Batch Analytical Method
SM 254OD-2011 442315
4
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Analytical
Batch
Page 7 of 8

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Enyironmen tal
Quality
Stormwater Discharge Outfall (SD®)
Qualitative Monitoring Report
For guidance on filling out this forni, please visit hUs:Hdcq.ne.gov/about/divisions/energy-mineral-]and-
resources/energy-mineral-land pernvts/stomiwater-permits/npdes-industrial-sw#tab-4
Permit No.: NIG_l�l�l I I I I or Certificate of Coverage No.: NIC/G111�1 �1I ZI1
Facility Name: 3 -Z- �T
County: Z),t(-k A— Phone No. q j Q - 54 4 -16 Z 7
Inspector: O-e4 r r-
Date of Inspection:
Time of Inspection:
d,9.3
Total Event Precipitation (inches): 5 L> CENTRAL F"ES
OWR 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:
(Signature SfPefinittee or Designee)
1. Outfall Description:
Outfall No. I Structure (pipe itc tc.):
Receiving Stream:
Describe the industrial activities that o within the outfaIl drainage area:
�fa�i mt� Caxrt,,4
Page] of 2

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: (1 trY
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): N v'
4. Clarity, : Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
23 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I 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:
IP 2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes ( 'N0.
8. Is there an oil sheen in the stormwater discharge? QYes al o.
9. Is there evidence of erosion or deposition at the outfall? o Yes *No.
10.• Other Obvious Indicators of Stormwater Pollution:
List and describe Moov'
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

TABLE 9:1
ANALYTICAL MONITORING REQUIREMENTS-S_TORMWATER
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 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.

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14_t�1 2
FACILITY NAME: 1" W�_ 1 q',-.3 4WU 51�_
PERSON COLLECTING SAMPLES r
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR. ZQ ) g I
SAMPLING PERIOD: 9 July -December ❑ January -June
COUNTY . JI L,�f
PHONE NO. )
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)1
PH
{standard
Units)
TSS
lmg/L)
Event
Duration
(minutes)
Total 3
Rainfall
(in)
In Tier 2
Monthly
Monitoring.?
(y/n)
# of Months in Tier
t
2 Sampling
-
-
6-9
1002,
-
-
Jlzs
S 1
0
TO
s
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfail here. Please make sure to mark the sample period above.
2 If a value is In excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
`For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page i of 2
Date of last pH meter calibration: ///ZL,(9

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gat of new motor oil/month — averaged over a calendar year.
Outfall
No,
Date Sample
Collected
(mo/dd/yr)'
PH
(Standard
Units)
TPH using method
1664A SGT=HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall'
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
it of Months
in Tier 2
2
Sampling
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 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 f013_ANY INFORMATION RiEPORTEA:
"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 significapt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Date: 7/1/2011-60/30/2015
(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 Outfallz
Quarterly
Total Suspended Solids (TSS)
mg/L
30 mg/L3
Each Outfal12
Quarterly
Settleable Solids
mUL
5 mUL
Each Outfa,12
Quarterly
Total Petroleum Hydrocarbons4
mg1L
15 mg/L
Each Outfalh
Quarterly
Event Duration
Minutes
Not applicable
Each Outfal12
Quarterly
Flow$
Gallons/Day
Not applicable
Each Outfailz
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.

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AnalXical
www.pacelabs.=
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
HuntersvOle, NC 28078
[phone]
November 16, 2018
Jay Watkins
Ready Mix Concrete
3610 Bush Street
Raleigh, NC 27609
RE: Project: Plant 17 #1
Pace Project No.: 92407103
Dear Jay Watkins:
Enclosed are the analytical results for sample(s) received by the laboratory on November 13, 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,
(b*a' `-hi . `-�
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, LLC.
Page 1 of 8

e
(�5aneAnalytical
wwwpacelab&mn
CERTIFICATIONS
Project: Plant 17 #1
Pace Project No.: 92407103
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 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.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersvilte, NC 28078
(704)B75-9092
Page 2 of 8

aceAnaIXical
www.pecelabs.wrn
r
Project: Plant 17 #1
Pace Project No,: 92407103
SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
{704)875-9092
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92407103001 Plant 17 #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 Anatytical Services, LLC. Page 3 of 8

aceAnaiXicais
xwwpacafabs.can
ANALYTICAL RESULTS
Project: Plant 17 #1
Pace Project No.: 92407103
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: Plant 17 #1 Lab liD: 92407103001 Collected: 11112/18 14:30 Received: 11/13/18 12:45 Matrix; Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 254OD-2011
Total Suspended Solids 85.1 mg1L 4.0 1 11/14/18 14:30
Date: 11/16/2018 09:16 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 8

e
aceAnalytical
wwwparBlabs.mm
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huniersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: Plant 17 #1
Pace Project No.: 92407103
QC Batch: 442315
Analysis Method:
SM 254OD-2011
QC Batch Method: SM 254OD-2011
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92407103001
METHOD BLANK: 2427917
Matrix: Water
Associated Lab Samples: 92407103001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg1L
ND
2.5 11/14/18 14:27
LABORATORY CONTROL SAMPLE: 2427918
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 236
94 90-110
SAMPLE DUPLICATE: 2427919
92406957003 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg1L
9.8
11.4 15 D6
SAMPLE DUPLICATE: 2427920
92406957004 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 presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
Date: 11/16/2018 09:16 AM without the written consent of Pace Analytical Services, LLC.
Page 5 of 8

axAnalytical
wwvrpacelebs.com
QUALIFIERS
Project: Plant 17 #1
Pace Project No.: 92407103
DEFINITIONS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
[phone]
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.
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 Chloroethylvinyz 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 analyze 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: 11 /16/2018 09:16 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 8

aceAnalytical
www.paceJsbs.com
Pace Analytical Services, LLC
9800 Kinsey Ave. Suite 100
Huntersville, NC 28078
{704)875-9092
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Plant 17 #1
Pace Project No.: 92407103
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92407103001 Plant 17 #1 SM 2540D-2011 442315
Date: 11/16/2018 09:16 AM
y
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, exoepi in full,
without the written consent of Pace Analytical Services, LLC.
Page 7 of 8

.j
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 n t Z
FACILITY NAME: 4-wow 65 4F 11
PERSON COLLECTING SAMPLES F
CERTIFIED LABORATORY Lab # 9—
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 20 r)
SAMPLING PERIOD: ® July -December ❑ January -June
COUNTY bo,( A
PHONE NO. ( )
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
Outfall No.
Date Sample
Collected
tmo/dd/yr OR
NO FLOW)
pH
(standard
units)
TSS
(mg/L)
truant
Duration
(minutes)
Total a
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplingl
-
-
6-9
100 '
-
-
-
t V
_U
il-ow
—
Z-4
H
71-5
5e,
C
'I RAL FUS
u
"K z5tu I lunj
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 ifor pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until consecutive samples are below the benchmark or within the benchmark range.
' T55 benchmark values are 100 mg/I, except when dischafging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I,
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date; 7/1/2011-60/30/2015
I 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
Imo/dd/yr)'
pH
(Standard
Units)
TPH using method
1654ASGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In liar 2
Monthly
Monitoring?
(y/n)
11 of Months
in Tier 2
Sampiine
6-9
is
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 NAIVE:
Mail Original and one coon 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 FQR 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."
NYw 4-L� 7-11.1 1 Q,
(Signature of Per ittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

�i��
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http-//nortai.ncdenr org/we-/wq/ws/su/nndessw#tab-4
Permit No.: hl/.C/_
Facility Name: I
County: _ burw
Inspector:
Date of inspection.
Time of Inspection:
Total Event Precipitation (inches)-
or Certificate of Coverage No.: h/C/-G/L 1VA-1L/2/V
Phone No.
- W o >r 64A
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 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 DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signaturbofi�ermittee or Designee)
Pagel of 2
SWU-242, LastmodJRed 10/25/2012

Ne Otw far Zpa HAWW- 2017
1. Outfall Description:
Outfall No. Z Structure (pip , di c , etc.)
Receiving Stream:
Describe the i dustrial activities that occur within the outfall drainage area:
lI eixw M" t"A Ak'u r%. 4�p
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.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 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:
1 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
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
5WU-242, Last modified 10/25/2012

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. http:./,IpQIUI,ucdel]r.org/3yeb.4wA4ws/su/npdes!,w#tab-4
Permit No.: N/- /_/-/-/_/-J-J_/ or Certificate of Coverage No.: hilCIfil afb-/J Z)v
Facility Name: pl om-r 01 55 -
County: 3k.r16&" -- Phone No. - 644 - ib a I
Inspector ` F uw 4
Date ofInspectoo . _iZ IZA 11 7 _
Time of Inspection: 1,25 Pr` -
Total Event Precipitation (inches): • 50
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
L 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:
of Permittee or Designee)
Pagel 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 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,
weak chlorine odor, etc.): K)ata$
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
Q 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 (P 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:
7.
a.
1 9) 3
Is there any foam in the stormwater discharge?
4 5
Yes
Is there an oil sheen in the stormwater discharge? Yes
No
a
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stonnwater Pollution:
List and describe MQW
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
5WU-242, Last modified 10/25/2012

ac0nalytical
r wm Pmainbs.cam
December 27, 2017
Jay Watkins
Ready Mix Concrete
3610 Bush Street
Raleigh, NC 27609
RE: Project: Plant 17 HWY 55
Pace Project No.: 92368000
Pace Analytical Services, LLC
991O KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Dear Jay Watkins:
Enclosed are the analytical results for sample(s) received by the laboratory on December 21, 2017.
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,
01*0., "
Angela Baloni
[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. U.C.
Page 1 of 10

Pace Analytical Services, LLC
Iac)
eAnalyticaf® 9800 Kincey Ave. Suite 100
Huntersvllle, NC 28078
wompficalabrMcom i704j875-9092
CERTIFICATIONS
Project: Plant 17 HWY 55
Pace Project No.: 92368000
Eden CeWfication IDs
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Ddnking Water Certification #: 37738 VirginiaNELAP Certification M 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent or Pace Analytical Services, LLC, Page 2 of 10

Pace Analytical Services, LLC
aceAmIXical a e800 K ntar Ave. Suite 100
Huntensviiie, NC 2807$
wwwPI0gh 6G" (704)BT5-9092
SAMPLE ANALYTE COUNT
Project: Plant 17 HWY 55
Pace Project No.: 92368000
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92368000001 Outfal1 #1 Plant 17 SM 2540D NMIi 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
wiw:pzowaft.cam
ANALYTICAL RESULTS
Pace Analytical Servlces, LLC
9800 Kincey Ave. Sulte 100
Huntersvine. NC 28078
[phone]
Project: Plant 17 HWY 55
Pace Project No.: 92388000
Samplo: Outfall #1 Plant 17 Lab ID: 92368000001 Collected: 12120117 15:30 Received: 12/21/17 14:45 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual
2540D Total Suspended Solids
Total Suspended Solids
Dale: 1212712017 09:32 AM
Analytical Method: SM 2540D
71.5 mg1L 5.2 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
with,out the written consent of Pace Analytical Services, I.L.C.
12/22/17 14:23
Page 4 of 10

gWnalytical
www.peoakbs,com
QUALITY CONTROL DATA
Project: Plant 17 HWY 55
Pace Project No.: 92368000
QC Batch: 392150 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92368000001
METHODBLANK: 2175740 Matrix: Water
Associated Lab Samples: 92368000001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mglL ND 2.5 12/22/17 14:10
Pace Analytical Services, LLC
9800 Kincey Ave. Sulte 100
Huntersvi0e, NC 28078
[phone]
LABORATORY CONTROL SAMPLE: 2175741
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Sofids mg1L 250 256 102 90-110
SAMPLE DUPLICATE: 2175742
Parameter
Total Suspended Solids
SAMPLE DUPLICATE: 2175743
Parameter
Total Suspended Solids
92367665001 Dup
Units Result Result RPD Qualifiers
mg/L 22.6 31.4 33 D6
92368004001 Dup
Units Result Result RPD Qualifiers
mglL 65.2 67.7 4
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 shall not be reproduced, except in fall,
Date: 12127l2017 09:32 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 10

ceAnaliftal o
WWWpacefaba.com
QUALIFIERS
Project: Plant 17 HWY 55
Pace Project No.: 92368000
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 bellow the adjusted reporting limit,
MOIL - Adjusted Method Detection Limit,
POL- Practical QuanBtation'Limit.
RL - Reporting Limit.
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
HunlerSAlle, NC 28078
{704j875-9092
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 TN accredited. Contact your Pace PM for the current list of accredited analytes.
TNl - 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 reprod uced, except In full,
Date: 12/2712017 09:32 AM without the written consent of Pace Analytical Services, LLC, Page 6 of 10

IceAnalytical
wwwPa ghft.mm
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Plant IT HWY 55
Pace Project No.: 92368000
Pace Analytical Services, LLC
9800 KincayAve. suite 100
Hunrersville, NC 28078
[phone]
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92368000001 Dutfall #1 Plant 17 SM 2540D 392160
Date: 12127/2017 D9:32 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

iheMae=
r
Client Name:
P— e,
Fed Ex UIRS. USPS C16
Courlert
0 t
[:)Commercial Elpace []other:
Custody Seal Present?, []Yes to seals Intact? []Yes
Pai:kino Material-. []Bubb]eWrap [38ubble Bags
Thermometer:
ri I (LCI e)
-10 7
-Ad
Authority.
aqfi� --,Mj-CKafilC5VjIIeL7]
If S Ra e
0#'92368000
Dit*/InWalt Person Earnfnfing Caotents-O�-
2--
❑ Othei Blologlat Tissue Frozen?
OEM! ONoo DYes []No j'NjA
m "un ow: 7VP6011cal P' .
cartection S e±nr-, Cooler 13LCorw;t&d4X). b&above4eezin&tobY
USDA Regulated Soll 04NA water sarnpfeE
Did samples OrIjinate 111' Oquarantine zone %VMIn the United CA, NY, or, 5; (check maps)? old laqlasotOnate from a roreign sour" (]At I0 ralk,
Oye Cko 1rtdlvdjj Huyall and Fuuto Rkoj? E3Yes 01
Chain ofCustod
I Present?
411��
W. CINIA
1,
Sam -ples ArrlJed vjlthln.KoI4 Tim?
Yes
nNo QN/A
2,
Shoit Hold 1111me AwlyiN (i72 hr.)'?
. INA
E❑
3.
Rush.Turn Ar6undTIFrolteguened?-
EIN/A
4.
sufficlentVoiume?
es
13No
Co0ect CoMalneis Used?
..-Pace 6nialners Used?
as
13N0 ON/A
[]Ito ON/A
6.1
_CbrItAners Intact?
lift r,
]W'jk
7.
Dissolved anal �5: Si les Field Filtered?
Y
. No CkA
8.
Sample Lab& much cou
-Includes Date nme/iQjAnalVsIs MatrW
ffY. [3NO OWA-
9.
Heatlspaci In VDA Vials (,5-6m{h�3-
[]Yes
ONO
IA
30.
Trlp'llankfteserilt?
-Trio BlankCustody soals Present?
13yes
E]yts-
[]NO
CIND
A33.
NIA
CUENTNOTIFICATION/lIESOLUTION
Person Contacted:-
CDmintfitVSa*le Discrepancy;
I
Datemmt;
Field Dateflecialred? UYu UNo
Project Meniier- SCURF Rawl,ew: Dot,
Project Monapr SKF Review- LAI, TJ oat Nca: Wlte"'"'r there 13 a dumponvi affecibig hor�LbOrollro cornpilance samples, @COPY "is form will 1100nttO thtflorkh CEWIM OEHNR Certification Office JI.e.
Out of hold, Incorrect Orejervativt, but ofteinp, %corricicontairlirs)
%
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,v ,..`Do¢titn tl ex 4:Rc�vised: July 25, 2017 1 "
ciC$A!%iSam leCorididori' n R ! S':k'� Paget of 2-
Do�ulrten`t_;Hc'ti`' '+AISsoingAutharlty:
°`Ciieci<mark topfialftsfbox _iipHandJ rhlOd ati.auL�c
preservation samples. -----' PM: RMB 1/08/18
**Bottom half of box is to lust number of bottles CLIENT: 92-Rteody Mix
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tag for preserved samples
Sample w
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PH ppoa tetelpt
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CHAIN -OF -CUSTODY f Analyfica! Request Document
The Chain -of -Custody is a LEGAL DOCUmEN7. All relevant fields must be completed accurately.
Sxtlon A Seellon aSection e
Requi-d Cae d raft~lan: Roquirad Pr *-" Ir,tofrtitat{on: Invoice allonnaderc Fpage _ i Of t
Caft5o+'P• Ruady k5w Cgr4Me Re,porl Ta: Watka4 AnwnWn'
AgGem. 2610 BUM GO"] Cagy TO' Company Name
Ratefat,., NO 21610
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Prale[t Name; Se E� CaaaM,ers
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NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For cguidance on filling qut this form, Please visit: Imp; portal mcdenr.orgf webIIr•/nodes-stormwater/
Permit No.: �1/�/_/_/_/_/—/—/—/ or Certificate of Overage No.: p/
Facility Name: Plank 1`7 Ik" 5.5 _
County: ^ BArin 0-A' _ Phone No. a 19 - 54Y -16 Z%
Inspector:______
Date of Inspection:
Time of Inspection:
MAY 0 4
—
Total Event. Precipitation (inches]: 51
CFNTF�,gL
PFIL
Was this a "Representative Storm Event" or "Measureable Storm Event" as dec��}s p 6 t?
(See information below.)
R"Y�s ❑ No
Please verify whether Qualitative Monitori11r1 roust be performed during a "representative storm
event" or "rrleasureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be T
performed during a "reps:esentative storm event" or during a "measureable storhi event." hlowevel•,
some permits do not have this requirement. Please refer to these definitions, ifapplicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
anti that is preceded by at least 72 hours (3 days) in which no storm event measuring greater Chan
0.1 inches has occurred. A single storm event may cantailr 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 72-11our 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 Pe/mit{ee or Designee]
Page 1 of 2
SW11-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. Structure (pip ditch tc.)
Receiving Stream:
Describe the industrial activities that occur wit4in 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: — M&� '
3, Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weals chlorine odor, etc.): 1JDp-e-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: d
2 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:
O 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 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 V
9. Is there evidence of erosion or deposition at the autfall? Yes CN
10. Other Obvious Indicators of Stormwater Pollution:
List and describe LV t11) `r—
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, fast modified 7/31/2013

1. Outfall Description:
Outfall No. _2 Structure (pipe itch, 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: Q . a
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:
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 S is the surface covered with Floating solids:
1 V 3 4 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 6) 3 4 5
7. Is there any foam in the stormwater discharge? Yes l o
8. Is there an oil sheen in the stormwater discharge? Yes U
9. Is there evidence of erosion or deposition at the oLrtfalI? Yes 00
10. Other Obvious ludicators of Stormwater Pollution:
Gist and describe
Dote: Low clarity, high solids, and/or the presence of foan-r, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. (These conditions warrant further investigation.
Page 2 of 2
SWU-242, last modified 7/33,/2613

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division,of Water Quality General.Permit No. NCG060000
Date submitted gIZ5 l 11
CERTIFICATE OF COVERAGE NO. NCG06_Q Z SAMPLE COLLECTION YEAR
FACILITY NAME ('& 1 FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES it LMbj (V DISCHARGING TO SALTWATERS? [—]YES YNO
LABORATORY. P 14L`e- ab Cert. # GI
PLEASE REMEMBER TO'SIGN ON THE REVERSE -Y`
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall s . S/ or ❑ No discharge this period3
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 200 ml
Enterococci ,
Colonies per 100 mi
Benchmark
100 or 5D'
Within 6.0-9.0
120
30
1000
Soo
1Z -
12.1
N 11
lb,S
1 Only applies to facilities that use/process meats.
2The total 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.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new. motor oil per month? ❑ yes 5no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55-gal of new motor oil/month.
Outfali 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.
The total. 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.
(ice 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 II SECTION B.
O 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION B.
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 day_s of reteipt_of the_tab results (or at end of
monitoring period in the case of- "No Discharge" reports1aa:
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 Pe
.SCt I0
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orQ/web/wq/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18. 2012
Page 2 of')

ZAnalytical *
CHAIN -OF -CUSTODY / Analytical Request document
The Chan-d•Cudady La a LEGAL DOCUMENT. An rslevant fields must be campinmd accurately.
paw.d
SectSectionA Section B Sxlion t:
Required Client lnhmtaUon: Roqutrad Pra)ect lntormeliort: Imaca Intor"Ilm:
Ca pwv: Report Ta: Altwboa:
I/�'/�4
2 0 9 7580
Addrass: Copy
To,
Company Nwmv
RI:iiCFiAtC►Ry AGEIiCI :.
-
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f UST i." RCRA I— OTHER
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Requested
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Section MaudtCodes
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COLLECTED
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/IeAnalytical-
~Pacelabsxom
ANALYTICAL RESULTS
Project: PLANT 17 HWY 55
Pace Project No.: 92338351
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)8759092
Sample: OUTFALL #1 PLANT 17
Lab ID: 132338351001
Collected: 04/24/17 09:13
Received:
04/25/17 14:55 Matrix: Water
Parameters
Results Units
Report Limit DF
Prepared
Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
• 12.2 mg/L
3.3 1
04/26/17 13:41
Sample: OUTFALL #2 PLANT 17
Lab ID: 92338351002
Collected: 04/24/17 09:16
Received:
04/25/17 14:55 Matrix: Water
Parameters
Results Units
Report Limit DF
Prepared
Analyzed CAS No. Qual
2640D Total Suspended Solids
Total Suspended Solids
Date: 04/2712017 03:05 PM
Analytical Method: SM 2540D
40.2 mg1L 3.8 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 13:42
Page 4 of 10

Document Name: ESI Tech Spec Document Revised; Sept. 21, 2016
at;EAn,h,►,��! r Sample Condition Upon Recef SCUR) Page i of 2
�'r" Document NO.: ; Issuing Authority:
F-CAR-QA-003-Rev.02 Pace Quality Office
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood ❑ Huntersville ❑ Raleigh® Mechanicsville[]
Sample • Client Name:
Project It:
Courlev ❑ d Ex ❑UPS USPS Mflient
❑ Commercial ❑Pace ❑Other:
Custody Seal Present? ❑Yes la Seals Intact? Dyes iWo
WO#:92338351
1111111111111111111111
Date/Wtlals Person Examining Contents:
Packing Material: ❑Bubble Wrap ❑Bubble Bags one ❑Other:
Thermometer: )eWet
® IR Gun ID: IS-3492 Type of kw❑8lue ❑None ❑Samples an ice, coaling process has begun
Correction Factor: Add0.6 Cooler Temp Corrected {'Cl: � Biological Tissue Frozen? []Yes [7]No #/A
Temp should be above RuaranVne
ev g to 6•C
USDA Regulated Soil {N/A, water sample)
pid mrTtpfes originate in zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (;nt rnationally,
ENS 9No including Hawaii and Puerto Rico)? ❑Yes INo
Comments/Discrepancy:
Chain of Cust Present?
❑
I.
Samples Arrived within Hold Time?
ET
D
11
Z.
Short Hold Time Analysts (02 hr.)?
❑
3.
Rush Turn Around rim eRequested 7
❑
❑
4.
Sufficient Volume?
©
LJ
1 5.
Correct Containers used?
-Pace Containers Used?
❑
❑
Cl
E.
Containers Intact?
❑
❑
7.
Samples Field Filtered?
S. Note if sediment Is visible in the dissolved Container
Sample Labels Match COC?
-includes Date/TimeAD/Analysis
3,
Headspace in VOA Vials (>5-6mm)?
Yes
Ho
A
lo.
Trip Blank Present?
Trip Blank Custody Seals Present?
Yes
©
No
EJ
N
N A
A
i 12,
CLIE r NOTIFICATION/RESOLUTION
Person Contacted:
Comments/sample Discrepancy:
Date/Time:
Field Data Required? ❑Yes ❑No
Project Manager SCURF ^1[ I y ^�
Review: 11 I� Date:
Project Manager SRF
Review:
i ) I v Oats: i_ " of /
Nate: Whenever there is a discrepancy affecting North Carolina compliance samples, a COPY of this fat will be sent to the North Clrofina DEHNR Certification Office li.e.
Out of hold, Incorrect preservative, out of temp, incorrect containers)
Page 8 of 10

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A03S-250 mL Amber HZ04 (PH ,c 21
AG3A(VG3A)-250 mL Amber NH40(N/A)(CI-)
OG9H-40 ml VOA HCl (N/A)
a
-
VG9T-40ml. VOA Na2S203 (NIA)
I �
VG9U-40 mL V6A Unp (NSA)
OG9P-4O mL V0A H3 PO4 (NIA)
rC12 3
VOAK (6 vials per kit}5035 kit (N/A)
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WGK (3 vials par kit)-VPH/Gas kit (NIA)
IN
SP57-125mLSterile Plastic (NJA—tab)
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NCDENR
Stormwater Discharge Outfall (S®O)
Qualitative Monitoring Report
rorcguidance On fillilrc7 orrt this for•ril, please visit: half:/ jpQrtat.ncderlL.Qs' wet)/It•liipdes-stornitvater(
Permit No.: /C/—I—I—I—/—/ -I_I or Certificate of Coverage No.:
Facility Name: _ FIQnk 1`7 Ik
Cotlllty: b%tTVVA- % ! Phone No, a !g- 5,14y,-167
Inspector: � _ riSkoro
Date of'inspection: y17-g117
Time of Inspectiow 9-1.lb AV't _......_..____ _
Total Event Precipitation (inches): �L 51
Was this a "Representative Storm Event" or "MeasureaWe Storm Event" as defined by the permit?
(Seca information below,.)
Evr'*Ye s ❑ No
Please verity, rvhellierQtrerlitative Mouil:orinq must lie performed dcuhi q a "representatives[nrrn
even!"or "merrsureoble storm evamt" (requirements vory, depending of) the permit).
Qualitative monitoring requirenlents vary. Most permits recitlire 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 applicahle.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
anti chat is preceded by at least 72 hours (3 Clays) io whic'll no sturnl event measuring greater lhau
0.1 inches has or.curred, A single storm event may contain ill) to 10 conseculive hours of no
precipil.lbon.
A "measurable storm event" is a st.orlll event that results in at) actual discti!al-ge frnlli the
permitted site nutfall. The previous measurable stnlrnl evens must have been at leasl 72 hotirs
prim-. The 72-hour storm interval (toes not apply if the perlllitt['e is able to clncurrleilt Chill a shori-er
interval is representative for local storm events during the sampling period, and the permit[ee.
obtains approv 11 frulll [lie local DWQ Regional Office.
13y this signature, i certify [hat this report is accurate and Complete Co the hest ol, lily knowledge:
(Sigliatllre of* Pt/rnilfee or Designee)
Page 1 of 2
SWU-'242, LAst modiI�od 7/31/2013

1. Outfall Description:
Outfall No. f Structure (pip ditch te.)
Receiving Stream:
Describe the industrial activities that oqur 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: ` e _
3. Odor; Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): k OA>t
4. Clarity: Choose the number which Kest describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
2 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 S is the surface covered with floating solids:
d 2 3 4 5
6. Suspended Solids: Choose the number which best describes the arnount of suspended
solids in the stormwater discharge, where i 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 n
9. Is there evidence of erosion or deposition at the Outfall? Yes CN
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 1V C1 0 `r-
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

1. Outfall Description:
Outfall No. 2- Structure (pipe(Sch, tc.)
Receiving Stream:
Describe the industrial activities that occur within tiie 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: t&. f oo'.
3, Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _MboJ (
?-. Clarity: Choose the number whicli best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
S. [Floating Solids: Choose the number which best describes the amount of floating solids it)
the stow rnwater discharge, kvhece 1 is no solids and 5 is the surface covered with Floating solids:
1 l/ 3 4 S
6. Suspended Solids: Choose the number which best describes the ar-nount of suspended
solids in the stormwater discharge, where i is no solids and 5 is extremely muddy:
1 6) 3 d 5
`l. is there any foaro in the stormwater discharge? Yes C90
8. Is there an oil sheeii irl the stormwater discharge? Yes t to
47. ]s there evidence of erosio►� or deposition at the outfall? Yes tVo
10. Other Obvious iridicators of Storrov)-ater Polluticii:
List and describe �,9_�
Note: Lola clarity, high solids, and/or the prasence of foaili, oil Sneed, r, �i osio,r/rle �Gsiclan
'tray be indicative of pollutant e;.posure. These conditions warrant fnrcl:wr investigaii-3n.
Page 2 of 2
SwU-242, r,ast modified 7/31/2013

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted g174 li
CERTIFICATE OF COVERAGE NO. NCGOGJ2 It
FACILITY NAME WVII IL 1
COUNTY VIAtud�_
PERSON COLLECTING SAMPLES VPso �.�11J6,6(0
LABORATORY I> AL`e b Cert. # qI _
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
FACILITY ACTIVITIES INCLUDE (check all that apply):
use/process meats [ use animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES (YNO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total evens rainfall 1-Y.-St 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
100 or 504
Within 6.0 — 9.0
1 120
30
1000
Soo
�z.
4 -1
►%
1
1
(
I
' On}y applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at anv outfalls. You must still submit this discharge monitoring report with a checkmark here.
°Sae 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? [I yes 2�no
Part B: Vehicle Maintenance Area Monitoring -Results: only for facilities averaging > 55 gal of new motor oillmonth.
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
-
1
Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
For sampling periods with no discharge ate outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General ?ermit text, Table 3, identifying the especialiy sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part 6)
SWU-249 Lasr Revised: October 18. 2012
Pa c: I of

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B,
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES FINOCK
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 athe lab resuits for at end of
monitoring period in the case of "No Discharge" reports) ta:
Division of Water Quality
Attn: DWQ Centraf Files
1617 fAail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATfQN 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 property 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
S1# 117
(Date)
Additional copies of this form may be downloaded at: htt artal.ncdenr.ar web w ws su n desswtttab 4
S wu-=19
Lair Revizcd: October 1 ti, 2012
Page 2 oi' a

aceAnaljftal
.—n
CHAIN -OF -CUSTODY I Analytical Request Document
Tha Charof-Custody is a LEGAL DOCUMFKT. All relevant HOICIS MUSI boCQMPIetW OCCUrdt:ly.
yr
Raclin A Suction R Section C
Requirad Cftnt lnkwmtk)n: Required Prqca Informal1w: Inv= Intaimaflor;
"": hfaa Report To: Aft—b—
2097590
Add�:
Copy To:
Company Noma:
AdzImoc
NPOES GROUND WATER PRINKING WATER
F IX5T f- RCRA OTHER
Eman Toll
4D
Ord& 11.,�
Pam Woo
:1 _ (_1q*t'tW
'III,.
Ra?a�a:
J rF,--
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V.
Manager.
STATE,
Requested Qwo Patwrrm.
Piclact Number,
PmA.e 0:
Requested
Ana
pis
Fifteired,
Section D fftLrbLGc4ss
P-401f-d Cb.11 Hun—L— MATRIX f =E
13'i�ki.g wai'l Dw
COLLECTED
pirservi6ves
watoc WT
wasid wzttT ww
U
Compass
00NIPOSTE
0
soivso�id SL
SAMPLE ID Oil 01.
m
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rwo-,
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E
411i . i AL .
SAMPLE CONDIMNS
SAMPLER NAME AN, 0 SJGNATUFM
t;
ORIGINAL
PRINT Name of SAMPLER:
PATE Signed
SIGNATURE of SAMPLER:
' hmpoftent NC40 BY w2mg bI3 .1onn Y.9 art wco[ag Pe *s NET ]0 COY P%Ylrar-t UYMS and agnt" . IA. OW901 e 1.5% Per nv Il . F-ALL-0-0201roV.07.15-h1ay-2007

Arl--7
aceAnalytical
wwwpacelabs.c=
ANALYTICAL RESULTS
Project: PLANT 17 HWY 55
Pace Project No.: 92338351
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: OUTFALL #1 PLANT 17
Lab ID: 92338351001 Collected: 04/24/17 09:13
Received:
04125/17 14:55 Matrix: Water
Parameters
Results units
Report Limit DF
Prepared
Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
1 12.2 mg1L
3.3 1
04/26/17 13:41
Sample: OUTFALL #2 PLANT 17
Lab ID: 92338351002 Collected: 04/24117 09:16
Received:
04/25/17 14:55 Matrix: Water
Parameters
Results Units
Report Limit DF
Prepared
Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
40.2 mg1L
3.8 1
04/26/17 13:42
Date: 04/27/2017 03:05 PM
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

Document Name; ESI Tech Spec Document Revised: Sept. 21., 2D16
: SampleConditionU onRace ipti5CUR) _ Page 1OF2
/A,aceAnal ka!Document No.: Issuing Authority:
F-CAR-QA-003-Rev.02 Pace Quality Office
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenvuood ❑ Huntersville ❑ Raleigh® Mechanicsville[]
• • Client Dame; rU�lO . 92i3383 ,�►1
kra Project t3:
Courier: ❑ d Ex ❑UPS ❑uSPS l 2nnt
�l EIS I B l I ICI �I II
❑ Commercial ❑Pace []other: 92338351
Custody Seal Present?
❑Yes Pvo Seals Intact? Oyes
`
No
Pack€ng Material:
i/
❑Bubble Wrap ❑Bubble Bags �No:ie
❑Other:
Oate flniUats Person E:rarrrl n ing Contents;06—,,,_
a-113-1:31-
Thermometer:
®IRGun ID:
,Wet
Type aflee:
❑Blue
[]None 05ampleson ice, cooling process has begun
Correction Factor: kddo 6
_IS-3492_
Cooler Temp Corrected J'Q
Biological Tissue Frozen? []Yes ❑No OIA
Temp should be above fr�ez€ng
—
to VC
T—
USDA Regulated Soil ( 1�7j
N/A, water sample)
Did samples originate in a
❑Yes Kno
uarantlne zone within the United States: CA, NY, or SC (check
maps)?
Did samples originate from a foreign source (lnt rnationaily,
including Hawaii and Puerto Rico)? Oyes No
Comments/Discrepancy:
Chain of Custody Present?
©
0
11 i
Samples Arrived within Hold7ime?
©
El2,
Short Hold lime Analysis (<72 hr.)?
❑
3.
Rush Turn Around lime Requested?
❑
15
©
4.
Sufficient Volume?
5.
Correct Containers Used?
-Pace Containers Used?
ff
©
0
El
d
Containers Intact?
Ll
❑
0
1 7.
Samples Field Filtered?
8. Note if sediment Is visible in the dissolved container
Sample Labels Match COC?
E -Includes clate/Time/ID/Analysis
-
9.
Headspace in VOAVials (>5.6mm)7
0
Yes
No
4A
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
Yes
YYes
No
N
N A
A
1 11.
CLIENT NOTIFICATION/RBOLUTION
Person Contacted:
Comments/Sample Discrepancy:
Project Manager SCURF
Review,
Project Manager SRF y ��� 1 It-)
Review: � !
Field Data Required? L)Yes LJNo
Date/Time:
Date: � - Zi 1 ;1 ~V
Datet d" zo ✓( I
Hate: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form wilt be sent to the North Carolina DEHNR Certifcation C ffrce li.e.
Out of hold, Incorrect preservative, cut of temp, incorrect containers)
Page 8 of 10
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AW S-250 mL Amur H2SO4 (pH -4 2)
AGM(DMA)•250 mL Am her N H4C1 (N/d.)(G- )
OG9H40 mL VOA HCI (N/A)
a
VG9T-40 mL VOA Na2S203 (NIA)
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VG9U•4D mL VOA Un0 IN/A)
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V/GK (3 vials per kit)-VPH/Gas kit (NIA)
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SPZT 250 mLSterile Plastic (N/A- tab)
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�W4
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
horguidance on filling out this form, please visit: http://oortal.ncdenr.Qrg/web/lr/nodes-stormwate�
Permit No.: _/ or Certificate of Coverage No.: 1./+�/O_/
Facility Name: 6UL( SS
County: buyInAWK I W, Phone No. 91 Q - S T4 —1,67 `1
Inspector: mij L
Date of Inspection: 511S Oh
Time of Inspection: ? ., Nb r
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" asp4bed by the permit?
(See information below.) ���
I
Yes ❑ No / Q
Please verify whether Qualitative Monitoring must be performed during a `representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).Nl�
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
i 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:
(SiOatr(e of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. i Structure (pipe itch, 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: Cl-eAr
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 00"
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and S is very cloudy:
6 2 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:
() 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 G
9. Is there evidence of erosion or deposition at the outfall? Yes N�
10. Other Obvious Indicators of Stormwater Pollution:
List and describe +l. OA-)—1
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may he indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

A��
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http:/.li2oijal.ncdenr.org/web/lrinpdes-stormwatert
Permit No.: N/C/_/_/�/�/ _//_ / or Certificate of Coverage No.:
Facility Name: en# 1'f jj(Aw 5S
County: �rinuw�. Phone No.
Inspector: ReAJ-W1d Uln'SkCKo _ _ .--
Date of Inspectio] 14 lb ^
Time of Inspection: ''1 40 dr+
Total Event Precipitation (inches): ^e
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
O"Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "rneasureable 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
j and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
10.1 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:
(Sigj�Ktu✓e of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. & Structure (pipe�tc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Q+Ea*% e h-c.re.4e -NAM-
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C 6-Ar
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): poA..'e
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
lv 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:
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:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
B. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes 6
10. Other Obvious Indicators of Stormwater Pollution:
List and describe lRiv &� -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 7/31/2013

tr
PkeAnalytica!"
CHAIN -OF -CUSTODY I Analytical Request Document
The Chain•of-Cushy is a LEGAL DOCUMENT. Ad relevant fielU must be completOd accurat".
Pau.: n7
Section A Section a Section C
•w
Rcquned Chu,! Inlo,mation: Required Prgeet lnlom:alion: Invoiee Wormatian;
Company: To: A;tection:
2056307
UU&; C,A toa-:16-4tR?port
Address; f 51—,
Cagy To-,
Cornoany Name
REGULATORY AGENCY
'PlAk b
Atltlrcas,
NPDES GROUND WATER :" DRINKING WATER
UST RCRA OTHER
F.wq To W /�
Partner+_ Order No.:
4
Ph fqx
P.vjet%Name:
o°ee r'rop-•a
Site Location
5 �J' �.j
Rc -u Wd Due oatw7AT:
Pr01ElCt Kur•.b^_..
?wu MolM x {. �--.
Requested
Analysis
Filtered
(YIN)
$°ttion 6 Hattie Catics
RequlrtoMATRIX .f. 0(70F
o
t
COLLECTED
Preservatives
Y'
pnnvinc Water Dtv
U
e
VJ, WT
(j
V7]^.te Nrllttr N:VI
-rr07utt F
COMMUTE
VMT
Campo
ENU GWIU
V
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SAMPLE !D w� wa
Sar:rplt rDs ilJa^t S[ i;NICI;E Tissur 7$
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it
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—
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Pace project No./
1-7
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i
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Ae.^i'fE,Na�Ct3M11�lFNT$ I R?LINgi;t5NED 8YlAFi•1LIATiDN 7Ac �t4"._- AN[:E Ep tAFF41AfIH
it
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SAMPLER NAME AN-7 $7L r,.. -
0
Er

�;a'ceAnaiyfical'
www.pacehtb&corn
ANALYTICAL RESULTS
Project: HWY 5S PLANT #17
Pace Project No.: 92298601
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: OUTFALL #1 PLANT # 17 Lab ID: 92298601001 Collected: 05/18116 19:40 Received: 05/20/16 14:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed GAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 16.8 mglL 2.6 1 05/24/16 11:37
Sample: OUTFALL #2 PLANT # 17 Lab ID: 92298601002 Collected: 05/18/16 19:40 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 25400
Total Suspended Solids 31.0 mg1L 5.0 1 05/24/16 11:37
Date: 06/20/2016 02:31 PM
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

DOCLlnleh�No.. Issuing Authorlty:
-001-reV.05 Face Raleigh Quality Office
Client Name; WO#: 92298601­­-
Pro ject fi
�Rtl
C0Courier:::ed Ex k ❑Ups DUSPS
PdCL� RP" Cf2en['
E]Other:— 92298601
Ctl;tody Seal Present? Dyes 0,10 Seals Intact? Dyes �No
hate/initials Person El(amining Conte rits'. - L(O
!1'l(A61V,IAwl,1I: , FIBLitiblv bVf up 06obh.e Bogs 'ON -one 000w; — *4EF
thornivnieter: /I !R SR: 1220653V E)w sm 121.00,411 Type of ice: owet ❑Da!,. [1%one []Samplet� on ice, cooling process has be
" Flctxr.'D,Wc ('00ler Temp Corrected ('C); Biological Tissue Frozen? Dyes [INo N/A
USDA Ac,;:.A;j[ed ;nil r
lnt! ljrti'P.d States- CA, NY, or SC (check maps)? Did samples originate front a foreign source (inIFall0rallY,
M -
ii— and Puerto Ricoh nYes NO
Q
COMMENTS:
I.
Yes D1,10 014/A
/dye$
DNo
ON/A
2.
Jiai.il of :ustozlv Kelinclulshed?
&Y,-s
No
D,/A
3.
SimWel-Narn� and/or Sipniture ell COC?
(fZ/Yes
ONo
MN/A
4.
SaniplpsAriv�-dvdt�jln FjoldTinie?
b�es
OND
EINIA
5.
Short - Bold Time Analysis J 02 hr)?
DY6s
0JNo'_ D N/A
Turn Around Time Requested?
OYes
No
©N/A
7.
�Rush
SufficientVolunle?
ry.
'1J N.
ON/A_
8.
rorrectCuntalners, Used?
Yes
ye 5
ONO
©NIA
9.
- Pace Containers Used?
Y,
DNo
ONIA
oTst*,tincr> Intw F
No
CJN(A
10.
oYes
0 Pic 1ANIA
11. 1 Jolt If sediment Is visible in the dissolved container
12.
t.Aok roalch C(1(7.7 Yes ©No ONIA
loallix:
o­:,, r.;L-Jw!, :lriss4n valion are found x, no ul
1, �iq fl, q t� J,11)
I.Ci,.,: WaoH >7 Sulfide, NpOH;-121 Cyanide)
Cr1Yes
DNu
EJNJA
VO& Coliroffii, TOC. Oil Jlu(I Grease,
v. LHg
es
No
ONIA
14.
il-implo:, :re, ked for �es Dft ©NIA
'es [2i"l- ON
�iLa- space in V0A Viah, (;,5-6mrn)?
DY.,
[11,�o
N/A
15.
fi`:) 'Wilik Present?
Dyes
[]NO
051,11A
16.
I lip Scats Present?
OYLS
Dtqo
N/A
Pacc Trip clank Lot ft (if Durchased):
CLIENT NOTINCATIONIRESOLUTION Field Data Required? OYes 0No
Person Contacted: Date/Time:
Coniments/Resolution:
PrOjECt Manager SCURF Review: Date:
Project Manager SRF Review: LX\ u bate; i
Is a discrepancy affecting NorthCarolina compliance Samples, a copy of tills form,/H be sentto the NorthCarolina DEIINRCedification Office (i.e.
Z'.,! ho,!o
; . lriC;lrqrt rirt?Seivaii,,o, t)tj,, oftcmp, IncoreLo C011t3inerS)
Page 8 of 9

�U
v SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
{ " for North Carolina Division of Water Quality General Permit No. NCG060000
V��k
Date submittedCERTIFICATE OF COVERAGE NO. NCG' 61
FACILITY NAME rat K%r t7 14w 5f
COUNTY
PERSON COLLECTING SAMPLES mirtuid W,54cwd_
LABORATORY {tea G �e Lab Cert. # G( f _
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Z C f
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES [iV0
PLEASE REMEMBER TO SIGN ON THE REVERSE --1
Total event rainfall 2�, N or ❑ No discharge this perioa`3
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
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
1
I
,a
G•Z
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 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,
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [Rno
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
-
3D
100 or 5046.0
-• 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 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 es, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

s
7
'0�011 PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 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" 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."
7h tI (L
(Signature,,Aflgrmittee) (Date)
Additional copies of this form may be downloaded at:.http:/ZRortal.ncdenr.org/web/`wg/ws/`su/­npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

TLRM''','llfRDISCHARGE OUTFAtL �SD©) - Semi-Annu aaI MONITORNG FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. INCG.24_.o I C%
FACILITY NAME: -i-
PERSON COLLECTING SAMPLES T&IS
CERTIFIED LABORATORY C _ Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: Zo I
SAMPLING PERIOD: [ July -December [] January -June
COUNTY
PHONE NO. (3A )_ 5L41 -/A Z 7
ADD TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout
0OYher
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
1
NO FLOW]
pH
(Standard
Units)
TS5
(mg/L)
Event
Duration
(minutes)
i atal
4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
z
2 Sampling
»
-
6-92
1002'3
1
!o S
��
.�
o
NOV_
DWR S
2 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.
B TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
EIVED
2M4
Q FILES
ZCTION
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 vear
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 In Tier TierZ
Monthly
Monitoring?
(y/h)
# of Months
in Tier 2
2
Sampling
6-92
152
1002.3
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ffT-'
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 SIGIV THIS CERTIFICATION FOR ANY WFORMAT1O1V 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 t re are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
/D
(Signature P ittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

"I
A
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit. httR//portal.ncdennorg/web/wq/ws/su/nodessw#tab-4
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N/C/C/j/#/
Facility Name: PlArif 1
County: D wr wN r i Phone No. 9 l (44 -116 Z 7
Inspector: S
Date of lnspectior . lb,r iS %1
Time of Inspection: Arm
Total Event Precipitation (inches): o JO
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
EKYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureahle 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,
same permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storin event that measures greater than 0.1 inches of rainfall
1 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 l
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 oAer�ttee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description.
Outfall No. { Structure (pip dot , 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: _T far
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Qln it
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
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
m. 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
�. is there an ah sheen in the stormwater discharge? Yes iv
�. Is there evidence of erosion or deposition at the outfall? Yes [Vo
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 2of2
SWU-242, Last modified 10/25/2012

AtIt .
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http://portal.ncdenr.org/wpb/-w—qLws/su/npdessw#tab-4
Permit No.: N/C/_/_/_/�/_/_/_/ or Certificate of Coverage No.: 71-
Facility Name:
County: r ' Phone No.
Inspector: Lau W&TWbss
Date of Inspection:
Time of Inspection: /D/ Z7 AM
Total Event Precipitation (inches): 1540
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:
(Signatugof 06rmittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. Z Structure (pip 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: C f A C
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Nhi-,-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
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 1 is no solids and 5 is extremely muddy:
1 TIN
V 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe P 0 n "L
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 10/25/2012

aceAnalXical
www.pacelabs.mm
Jay Watkins
Ready Mix Concrete
PO Box 27326
Raleigh, NC 27611
Project: PLANT #17 HWY 55
Pace Project No.: 92221762
Sample: OUTFALL #1I1PLANT 17
Parameters
Total Suspended Solids
Sample: OUTFALL #21PLANT 17
Parameters
Total Suspended Solids
Reviewed by:
Laura J Cooper
Laboratory Report
Pace Analytical 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
Lab ID: 92221762001 Collected: 10/15/14 10:21 Matrix: Water
Results Units Report Limit Analyzed Qualifiers
19.5 mg/L 3.2 10/22/14 09:59
Lab ID: 92221762002 Collected: 10/15/14 10:27 Matrix: Water
Results Units Report Limit Analyzed Qualifiers
48.8 mg/L 6A 10/22114 M59
[e-mail]
Raleigh Certification IDS
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification #: 37731
Page 1 of 3

Document Naftle. Sample Condition Upon
DoWMent Revised: April 04,2013
-Recelpt (SCU.R)
Page I of 2
Document No.:
Issuing AuthodOes,
F-FOAL-,CS-001-rov.02
Pace Asheville Quality office
Client Name,
Where Received:
El Huntersylile Asheville [] Eden Nlelgh
Cou ri to), Fed Ex UPS LISPS iS Commercial pow .Other
custoil _WSQ�al on CoolorlSox Present: [] Yes 60 seals intact, )21'yw [ no
K4itdrlall' [j Mble Wrap 'Bubb)
E3 None nOiher
Circle TheimornoterUsed: 1110.un SN122001' too: 6wf Blue None' [] $amplas on ice, 66difid process has_ begunIR Gun Smok Un SN: 122065371
Tamp C6rrectlon Factor: Add I Su tr ct 0.6 0
Re and Initlala ;f person qzamlnlno
Corrected Cooler T'e'mp,., C
Blo . I . ogic.a.1 Tissue Is Frozen. Yes'No
Conte rose allo
_jernA should be above freezing to M
comments:
ChdIn-'of0tistodyPreson1*
oy" -ow
0HAA
I.- -
Chain of.Witody-Fillod Out
Yes.11140
OWA
2...-
Chain, of'custody RellnSwIshed.
'FLYRs ow
UwA
3.
_Sam pI0,r,,NaMa_.& Signature on COC:
15YO ONO
0 wX
4.
Samples Arrived within Hold Time:
L-K.. NO
OWA
6..
" _14101w"M
a short �fttd-.V o Anal ysls'(<7211r):
OYQ%^
ORA
B.
Rush 44 bround Time Requested.
, 1
Dyes
OwA
7.
es ElNo
'OKA
8.
Corraat bgnlslners Used:
ffy,a ONO.
0-W-A
B.
•Pe00,606talners Used:
ON.
MiA
Containers Intact:
J;ryas ONO
E3wA
ilb.
Flllemt 6iurrio -received for Dissolved testa
pes ONO
OiA
11.
Sample-lUbels match t=:
0?. ph.
OWA
112.:
All have bean Checked,,
ONo
ONJA
All opnt8iriais beading preservation are found to be In
eyes rlNo
OWA
bornOia4db-.'with EPA recornmeadauixt
t�* L-1 4161K Tor, O&G, WORD (tyataq�
14qes ONo-
fbr dechlorlm tion:
OYev ONO
)?rWA
.14,
'0'J1qV0AVials ( krrirn:
0yes 13NO
fi3WA
15.
Trlp"6,6 TF6sont­
OY. PNI
Nlrl
16.
trip, f, nk,`68tody -Seals Present
CjYes ONO XNJA
1I'gce:Tflobiank Lot #(Ifpurchwe
ClIont!Notifloation'/ Resolution' Field Data Required? y I N
_v--!Porson Contacted: DatefrInne.
QOMA96W. Resolution:
t�RF Date: w
SGfJ Place iabel here
4) Al
Notes vr+hanever
AID=
rice
-, 12. - 1 7, 62
Thera Is a d1scrapancy affectirto North Carolina cam (lance 1A
sornpqs. qoopyof this form Will be sent to the North.Cerollna OEHNR
` C13rttfic`�tinri Office (ire out othold, Inoorrent proservallve, out of temp,
Ifteorf6ot rontalners) t92222176
77
% Page 2 of 3

0'��J U-SiODY I Ana IyticaI Re quest�Documerot...
.. ' _„ 9..p..gy�-,...f - •'�,^,:,,_ f'�' "' .. .,s:.^?.. !'t. � _:S:t:; ' . F t�-.. ,a• [ :..^-,-,....[ r,aTr, '1 r' ot-C:rstOd,R iS a LEAC DQGUSNEiIIT �dx rck ra fitfdt mu9t bB comPtetetl aCaurateh'• •
0
n •.
1IM
f NPDES r ORMINDWATERf'
M Codas
SAMPLEID il
VApe
'VVP
Ak AR
}Timsue TS•
•I►7�
•
•
•.� r
Pace . .., NOJ Lab
11
.
1��
[�
_... -- .•kA1v1aM MIY.�F.. GnNwn wie-hnn wr•.x�wn�MW. PwMiNGi��il..la.enaMY�./�W.�aaM fww.i.w.Mbb r�h.nwoM l,FllLww�mMW ♦�.vN iwM.W.•..^YI'�.vt�i i f.
F4M I -0-020mv,07. 15-mw-?nn7

aj'&
A:Z= RECEIVED
MCDENR
Stormwater Discharge Outfall (SDO) APR o 1 2014
Qualitative Monitoring Report: CENTRAL FILES
DWQIBOG
Forguidance 017 filling out thisfor'n7, please visit: hrti?:
Permit No.: lV/C/_/_/_/_/_/T/�/ or Certificate of Coverage No.: N&IC j% 1 /y/?
Facility Name: iP'lo.:4 11. _ tt"j-, 5
County: % L0A Phone No. gig-,gqq-1L-1 —
inspector: Y%A 0. cc F2P. _
Date of Inspection: ', l 1h
Time of Inspection: I c -. -e Qrn
Total Event Precipitation (inches): 1�
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
VIY'es ❑ No
Please verify 1.147ceher Qualitative Monitoring anist be performed during a "repre,.senl-otnle storn7
event" ar• `•r77easrlreoble storm event (requirernents vary, depending on the lie rr77it).
Qualilative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "rneasureabie 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 130L1r5 (3 days) in which no storr3l 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 storn-i event- that results in an actual discharge from the
permitted site outfall. The prevrious 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, J certify that this report is accurate and complete to the best of my knowledge:
(Signature olfermittee or Designee)
Page 1 of 2
swu-2Q, Las[ niodirod 10/25/2012

1. Outfall Description: _
Outfall No. 1 Structure (pipe, itc , 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: N-r-
3. Odou n 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:
2 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 S is the surface covered with floating solids:
cif 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:
2 3 4. 5
7. Is there any foam in the stormwater discharge? Yes
B. Is there an oil sheen in the stormwater discharge? Yes 7�
9. Is there evidence of erosion or deposition at the outfall? Yes Vo
10, Other Obvious indicators of Stormwater Pollution:
List and describe iti) V,\-�
Mote: Low clarity, high solids, and/or the presence of foams, oil sheen, or erosion/deposition
may he indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
Styli-242, Listmadified 10/25/2012

ff
NCDENR
Storrnwater Discharge ®utfall (SD®)
Qualitative Monitoring Deport
For guidance on filling out thisform, please visit: lit CLt/Elf �ry �l_. el rt3.s�i;;/�` Iyf lLti .ta n icl: ti is sfi,ik)A
Permit No.: N&I—/_/_/_/_/_/_/ or Certificate of Coverage No.:
Facility Name:-?'1z1,4 0 HIli 5 y
County: Phone No. q14-54q-lte,'jj
Inspector: A40 c4f cs
Date of Inspection: ? !
Time of Inspection: la.1fS-A,�.
Total Event Precipitation (inches): -?1 _
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
V*Y�es ❑ 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 "measureal) le storm event." However, I
some permits do not have this requirement. Please refer to these definitions, if applicable.
€ t
I A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall i
i 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 offermittee or Designee)
Page 1 of 2
5WU-242, Last modified 10/25/2012

1. Outfall Description.
Outfall No. ,1 Structure (pipe, , etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
P1. nj
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Q�,lr
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:
1 Q 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 CJ! 3 4 S
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 3 4- 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes )lo
9. Is there evidence of erosion or deposition at the outfall? Yes 1�
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
SWii-242, Last modified 10/25/2012

ST®RMWATER DISCHARGE OUTFALL (S®®) m Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 D 1 a 9
FACILITY NAME: on+ (-i w•
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY frau Lab # C
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 1 U1 tj.
SAMPLING PERIOD: ❑ July -December © January -June
COUNTY b i.,h.,L,
PHONE NO. (9i 4
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout [:]Other
Ou#fall No.
Date Sample Collected
(mo/dd/yr OR
NO FLOW)1
PH
(Standard
Units
TSS
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplingz
-
-
fi-92
1002'
-
-
-
-
1J• W
l
.;
S10
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
a TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
A For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part 13: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor o!I/month — averaged over a calendar year
Out#al!
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)
Month! In Tier 2
y
Monitoring?
(y/n}
# of Months
in Tier 2
Z
Sampling
6-92
15Z
100",
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO d
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR [including all "No Flow" & "No Discharge" reports] within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who manage the system, or
those persons 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 drl:�ermittee}
alaby_
(Date)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2of2

aceAnalytrcal
www.pacarab.c=
Laboratory Report
MD Capps
Ready Mix Concrete
PO Box 27326
Raleigh, NC 27611
Project: PLANTS #17
Pace Project No.: 92193592
Pace Analytical Services, Inc.
9B00 KinceyAve. Suite 1o0
Huntersville, NC 28078
[phone]
Page 1 of 1
Report Date: 03/25/2014
Date Received: 03/18/2014
Sample: OUTFALL 1 Lab ID: 92193592001 Collected: 03/17/14 10:41 Matrix: Water
Parameters Results Units Report Limit Analyzed Qualifiers
Total Suspended Solids 3.5 mg/L 2,5 03/22/14 11:38
Sample: OUTFALL 2 Lab ID: 92193592002 Collected: 03/17/14 10:46 Matrix: Water
Parameters Results Units Report Limit Analyzed Qualifiers
Total Suspended Solids 25.5 mg/L 3.1 03/22/14 11:39
Reviewed by:
Nikitia .tones -Jackson
[e-mail]
Asheville Certification IDs
2225 Riverside Dr., Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
West Virginia Certification #: 356
Virginia/VELAP Certification #: 460222
Page 1 of 3

Report Results to:
Ready Mixed Concrete
P.O.Box 27326
Raleigh, NC 27611
Mb faef-:Y
ATTN: lGii4nSAA6&n.
Phone. 919-796-'1520
►caf4 Chain of Custody
Bill Results to:
Ready Mixed Concrete
P.O.Box 27326
Raleigh, NC 27611
:J'X� �;�
ATTN: JQW1.1wiIsen
Standard Report Delivery
Rush Report Delivery (w/ surcharge)
Requested Due Date:
Project Reference: Plants #17
Purchase Order #:
Sampled By: 02,/)LWp.t
L M
-0� e'
IN I
W.1
tali k�.�
WOMEN
1.
- - No
6-�-L�
0
Ew �K
Outfall I
G
Sw
TSS
Y6
31t7ily
Clutfall 2
G
Sw
TSS
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Document Name: Sample Condition Upon Document Revised: April 04, 2013
ZAnaVi-cal A receipt SCUR Page 1 of 2
Document No.: Issuing Authorities:
F- L-CS- 01-rev:02 Pace Asheville QualityOffice
Client Name.,
Where Received: Hunfersyille pnoo
Eden Raleigh
Courier (Circle): - Fed Ex UPS USPS Commercial Pace .Other
Custody Seal on Cooler/Box Present: -yesSeals intact. yesEl no
Packing Material: Bubble Wrap: lublags No Other
Circle Thermometer Used: I.R Gu SN:122065387Type of tee: Wet Blue None E] Samples on ice, cooling process has begun
IR Gun B 1
Temp Correctlon Factor: Add btract� r �. C
Corrected Cooler Temp.: 0 r C Biological Tissue is Frozen: Yes No NIA
Temp should be above freezing to VC Comments:
Rate arid tnittals of person examining
check t s Pr o
Chain o€Custod Present
s--[]No
--ON/ A-
1.._.....
Chain of Custody Fllied Out:
Yes ©No.
❑rV1A
2,.
Chain of. Custody Relinquished:
Yes ❑No
❑N/A
3.
Sampler Name& Signature on COC:
Yos ❑No
❑NIA
4.
Sa" ples Arrived within Hold Time:
Yes -QNo
❑NIA
5..
Short Hold Time Analysis (<2hr):
Dyes VNo
❑NIA
6.
Rush Turn Around Time Requested:
Dye's No
❑NIA
7.
Suffioient Volume:
es ❑No
DWA
g.
Correct Containers Used:
-Pace' Containers. Used:
as ❑No
VYes ❑No
❑NIA
❑NIA
9.
.
Containers Intact:
es ONO
❑NIA
10.
Filtered volums-received for Dissolved tests
DYes ONO
NIA
11.
Sample Labels match COC:
-includes dateltime/lD/Analysis Matrix:
Yes
No
❑NrA
12,
All containers needing preservation have been checked.
All containers needing preservation are found to be In
compliance with EPA recommendation.
exceptions; VOA, coliform, TOC, O&G, WI-ARO (water)
es. ❑No
Yes ❑No
Z—fyes ❑No.
❑NIA
❑NIA
13.
Samples checked for dechlorination':
es ❑No
❑NIA
14,
Heads pace In VOA Vials ( >6mm):
[]Yes ONO
NIA
15.
Trip Blank Present.
Trip Blank Custody Seals Present
Pace Trip Blank Lot # (if purchased}_
Dyes ONO
❑Yes ONO
NIA
VNIA
16,
Client Notification! Resolution: Field Data Required? y 1 N
Person Contacted: Date/Time:
Comments/ Resolution:
SCURF ISRF Date:
Review::
Note: Whenever there is a discrepancy affecting North Car li0,Mpin
samples, a copy of this form will be sent to the North Carolina DEHNR
Certification -Office ( i.e out of hold, incorrect preservative, out of temp,
incorrect containers)
Place label here
Page 3 of 3