NCG140307_MONITORING INFO_20190604

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv �i� I / O 3D
FDOCYPE
❑HISTORICAL FILE
� MONITORING REPORTS
DOC DATE
O �� / � � -0 7
YYYYM M DD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
"Report ALL STORMWATER monitoring data on this form (include "No 'FlovVT No'Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG 14 ©Q® 7❑
Facility Name: Morrisville
County: Wake
Phone Number: { ) Total no. of SDOs monitored 1
Certified Laboratory Prism Lab Lab # 402
Lab #
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No ❑✓
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑✓
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
_ Yes, enough.consecutive samples below benchmarks to decrease frequency ❑
Yes, received -approval from DEMLR-to reduce monitoring frequency•---i-----©---------•------------ -- ---;
- ---Other _.:-.
`
Outfall No.
Total Rainfall,
inches
Suspended
Solids ( )
mg/1
pH,,
St1
Non -polar O&G
(EPA Method
1664TS5, SGT-HEM
( ))�
mgll (VMA)
if applicable
-
New Motor Oil-
Usage (gallmo.)
If applicable
Stormwater
Benchmarks
Indicate NO FLOW rl
applicable
Circle Benchmark
1 ��IJFa
[f
s.t1-9.4
15
?55 g a!lmo. average requires T55 and
Non -polar O&G monitoring
Date Sample
Collected,
molddlyr
` arF i
r
6 v a ;
4/18/2018
NO FLOW
07/18/2018
NO FLOW
ti
10/18/2018
NO FLOW
J� J
�, f f.ri;,gL FILES
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 0❑ 00EJ®
CERTIFICATION
" l 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 tines and imprisonment for knowing violations."
[Required by 40 CPS? §122.41
Signature
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/1/2017 — 6130/2022
Last Revised 8-22-2015

Of

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- WASTEWATER
SUBMIT TO CENTRAL OFFICE
t^_nnnr�l Dnrtmi+ Alva A!C`f=�lAl1f1l1AQ��
`Calendar Year'201S +` �vvvv CENTRAL FJLEC
w
Report ALL WASTEWATER monitoring data an this form (inciude "No Flow"mo Discharge" and i iolations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 0❑ _1 0❑ 7❑
Facility Name: Morrisville
County: Wake
Phone Number: (919 ) 834-4984 Total no. of outfalls monitored 1
Certified Laboratory Pace Analytical Lab #
Lab #
Wastewater (WW) Discharge outfall No. 001
Does this outfall discharge WW to SA waters? Yes ❑ No ❑✓
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No 0
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No 0
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ✓❑
Were there any limit violations in the calendar year? Yes ✓❑ No ✓❑
Outfall No.
Q01
Daily Flow Rate,
cfs
pH,
SU
TSS,
mg/1
SS,
mill
il'applicable
Non -Polar O&G (EPA Method 1664,
(SGT-HEM)), mgll .i
Effluent
Limitations
Daily Maximum
HOW or ORW
HOW
of 7Q10
Indicate NO FLOWN
appficahle
freshwater
6.0-9.0
saltwater2a
6 8-8.5
V a
Standard
30
HOW
HOW l ORW and Tr, or
10
HOW, ORW, SA,
Sa,PNA,orany
Trout
5
No Limit
Samples strove Benchmark
subject to Tiered Responses
15
Date'
Sample
Collected,
A� td.
-�
B
ti=k ':�,c
fi
c
44,
Y
a�� t Y p
�a
e - `f`� { • +f c ice}
3122/2018
NO FLOW
ph adjuster added 3121I18
4/18/2018
NO FLOW
7/18/2018
NO FLOW
10/18/2018
Discharge water
11.8
11.5
SM 4500-H+B-2011
SM 2540-D-2011
Permit late 81112017 — 613012022
Last Revised 8-22-2017

r'
I
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I
I
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,.. _ _ _ _� _ _ ._ _ ._ _ .. 1_ ... _ � _ .. _.. . _ ...._ ...� _ .__.. _2
__ _ _ .. _ _ .. _. _. __ _. ._ ... -«I

Certificate of Coverage No. NCG14 0❑ UM
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
if so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year? Yes ❑ No ❑
Outfall No.
002
Daily Flow Rate,
cfs
pH,
SU
TSS,
mgll
SS,
mlll
it applicable
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mgll
Effluent
Limitations
Daily Maximum
HOW or ORW
50% of 7Q10
Indicate NO FLOWit
applicable
freshwater
6.0-9.0
saltwater
68-8�
. .
Standard
30
HOW
0
20
HOW l ORPW�Tr, or
A
10
HOW, QRW, SA,
SB,PNA,orany
Trout
5
No Limit
Samples above Benchmark
subject to Tiered Responses
15
Date
Sample
Collected,
molddl ra
,rg,. "'°6°d �{� r" - x
�, n=
3/22/2018
9.28
6M
<0.1
Permit Date 8/112017 — 6/3012022
Last Revised 8-22-2017

Certificate of Coverage No. NCG14 1 3� 0� 71
CERTIFICATION
"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 inform
(Required by 40 CFR §122.
Signature
Date
, including the possibility of fines and imprisonment for knowing violations."
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2017

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
*Report ALL WASTEWATER monitoring data on this form (include "No Flow i"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 0❑ 3❑
Facility Name: Morrisville
County: Wake
Phone Number: (919 ) 834-4984
Certified Laboratory Pace Analytical
Lab #
Lab #
Total no. of outfalls monitored 1
Wastewater (WW) Discharge Outfall No. 001
Does this outfall discharge WW to SA waters? Yes ❑ No ❑✓
Does this outfall discharge WW to SIB or PNA waters? Yes ❑ No ❑✓
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑✓
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No❑
Were there any limit violations in the calendar year? Yes ❑ No E]
Outfall No.
Cal
Daily Flow Rate,
cfs
pH,
SU
TSS,
mgll
SS,
mill
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mgll
H applicable
Standard
Effluent
Limitations
Daily Maximum
HOW or ORVV
50% of 7Q10
Indicate NO FLOWN
applicable
freshwater
6.0-9.0
saltwater
68-0.
. O
'30
HOW
20
HQW 1 ORW and Tr, or
PNA
10
HOW, ORW, SA,
SB,PNA,orany
Trout
5
No Limit
Samples above Benchmark
subject to Tiered Responses
15
Date
Sample
Collected,.
molddlyr
t�1�X11TIT11
}, 4 `
. �.£ taa x4 µ_-,f
�'
C'.i ,}' i'
r'a.,;t�`f�ai:
B t e. .'� tl it ': $.A
" ;.
4' Si Y
,�-
711812018
NO FLOW
10/1812018
Discharge water
11.8
11.5
SM 4500-H+8-2011
SM 2540-D-2011
r-. r- tr'� t✓ 6� I G i�i
twiihi3 fl � Z01
CAL• sus � t ct+�_ <' � �.......,
Permit Date 8/112017 — 6/30/2022
Last Revised 8-22-2017

.J +
Certificate of Coverage No. NCG14 a[-3FJLT .
CERTIFICATION
"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."
[Required by 40 CFR §122,22]
Signature
Date a
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/1/2017 - 6/30/2022
Last Revised 8-22-2017

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
'Report ALL STORMWATER monitoring data on this form (include "No Flow"I"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH i of each year.
Certificate of Coverage No. NCG14 o— 3❑
Facility Name: Morrisville
County: Wake
Phone Number: {)
Certified Laboratory Prism Lab
Lab # 402
Lab #
Total no. of SDOs monitored 1
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No p
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 0 RECEIVE
Was this outfall ever in Tier 2 during the past year? Yes ❑ No 0
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? MAR 4 Zd
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ CENTRAL FIt
Yes, received approval from DEMLR to reduce monitoring frequency ❑
GWR SECTtt
Other ❑
Outfall No.
Total Rainfall,
inches
Total
Suspended
Solids ( )
m II
pH,
SU
Non -polar O&G
(EPA Method
1664TSS, { }} SGT-HEM ,
mg/1 {VMA}
rf applicabfe
New Motor Oil
Usage (gallmo.)
If applicable
Stormwater
Benchmarks
indicate NO FLOW if
applicable
Circle Benchmark
100150
6.0-9.0
15
�55 gaflmo, average requires TSS and
Non -polar o&G monitoring
Date Sample
Collectedjid
molddlyr
�.
Rf
(`a¢ �.k%^
�♦
>
07/1812018
NO FLOW
10/18/2016
001
11.5
11.8
Permit Date 8/1/2017 — 6/3012022
Last Revised 8-22-2015
L

Certificate of Coverage No. NCG14 �MEOF7
CERTIFICATION
"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."
(Required by 40 CFR §122, 221
Signature
Date
i�
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

0
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2017
*Report ALL WASTEWATER monitoring data on this form (include "No FlovVT No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 0❑ 3❑® 70 REC..',E- IVEU
Facility Name: Morrisville Plant APR 1. 3 2618
County: Wake
919 616-9260 CENTRAL 1=1�ES
2
Phone Number: ( ) DWR STotal�o, of outfalls monitored
Certified Laboratory Research & Analytical Lab Lab # 34
Lab #
Wastewater (WW) Discharge Outfall No. 001 & 002 �r��l�ar
Does this outfall discharge WW to SA waters? Yes ❑ No � �`
Does this outfall discharge WW to S8 or PNA waters? Yes ❑ No ❑✓ L p
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑�
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No
Were there any limit violations in the calendar year? Yes ❑✓ No ❑
Outfall No.
001
Daily Flow Rate,
cfs
pH,
SU
TSS,
mgll
SS,
mill
If applkebre
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mg/1
Effluent
Limitations
Daily Maximum
HOW or ORW
50% of 7Q10
lnCicare NO FLOW if
appNcable
freshwater
6.0-9.0
saltwater
6. p-8.5
V
Standard
30
Haw
20
HOW 1 ORW and Tr, or
PNA
10
HOW, ORW, SA,
SB,PNA,orany
Trout
5
No Limit
Samples above Benchmark
subject to Tiered Responses
15
Date
Sample
Collected
molddl rx
x,
'� `
y
r
�a
_ iM�
�.t
: ..,.
L
1 h F aftUpi i
a:
3/30/2017
PW 001
7,67
88.3
.5
<5
6/30/2017
PW 001
11.9
47.8
<5
8/28/2017
PW 001
11.3
24.4
<0.1
11/8/2017
PW 001
10.2
6
<0.1
1211612017
PW 001
11.7
64
<0.1
Permit Date 8I112017 — 6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG14 ®30®0
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑✓
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No ❑�
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No ❑✓
If so, what is the 7Q10 flow rate? or Tidally influenced
waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No ❑✓
Were there any limit violations in the calendar year?
Yes ❑
No ❑
Outfall No.
002
Daily Flow Rate,
cfs
pH,
SU
_
TSS,
mgll
SS,
mill
If applicable
Non -Polar O&tG (EPA Method 1664
(SGT-HEM)), mgll
Effluent
Limitations
•
Daily Maximum
HQW or ORW
50% of 7Q10
Indicate NOFLOW d
applicable
freshwater
6.0-9.0
saltwater
6.8-d
O Oo
Standard
30
HQW
n
2Q
HQW 1 ORIN MdTr, or
10
HQW, ORW, SA,
36,PNA,orany
Trout
at
a
No Limit
Samples above Benchmark
subject to Tiered Responses
1 rj
Dates
Sample
Collected,
;W, ,l
.,+3Y-V'.;ah.
.@ss
$ ,
����
6130/2017
PW 002
11.8
43.8
<5
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG14 OQ ff I® 7❑
CERTIFICATION
" 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 71-7
informa, including the possibility of fines and imprisonment for knowing violations."
(Required by 40 CFj�R�122.�
Signature
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2017

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2017
Report ALL STORMWATER monitoring data on this form (include"No Flow"1"No Discharge" and Benchmark.
Exceedances) from the previous calendar year to the`DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG 14 ©0® 7❑
Facility Name: Morrisville Plant MAR 0 7 2018
County: Wake CENTRAL FILES
919 616-9260 "o"fT r-mind 2.
Phone Number: (1} Total no. of SDOs monitored
Certified Laboratory Research & Analytical Lab Lab # 34
Lab #
Stormwater Discharge Outfall (SDO) No.. 001 VMA Outfall? Yes ❑ No 0
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑�
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑✓
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall No.
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
m II
pH,
SU
Non -polar O&G
(SPA Method
1664 SGT-HEM
mgll (VMA) ))'
liapplicable
New Motor Oil
Usage (gallmo.)
!!applicable
Stormwater.
Benchmarks
Indicate NO FLOW H
applicable
_ Circle Benchmark
V 5
Onlro
6. V-9.0
1 r
�J
>55 gallmo, average requires TSS and
Non -polar O&G monitoring
Date Sample
Collected
molddlyr
��= �a . RV N� ��
y
�.���
�.
X t�
3/30/2017
001 No Flow
6/30/2017
001 No Flow
6/30/2017
002 No Flow
8/28/2017
001 No Flow
11/8/2017
001 No Flow
12/16/2017
001 No Flow
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

i0
Certificate of Coverage No. NCG14 ❑O ®®Q
CERTIFICATION
"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."
[Required by 40 CFR §122.22]
Signature
Date � i
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCC3140000
CERTIFICATE OF COVERAGE NO. NCG140307
FACILITY NAME: Morrisville
PERSON COLLECTING SAMPLES: James Whitfield
CERTIFIED LABORATORY: Prism Lab # 34
LIMIT VIOLATIONS? YES ® NO ❑
Part A: Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 2017
�CC�Ci, Ir AMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec []Jan -March ®April -June
tIvrL,JCOUNTY: Wake
JUL 27 2017 PHONE NO. [phone]
ADD TO LISTSERVE? DYES ®NO EMAIL:
CENTRAL. FILES DISCHARGING TO CLASS: ❑SA ❑HQW
DWR SECTION OPTIONAL INFO:
❑PNA ❑Trout ®Other
Outfall No.
Date Sample
Collected)
(mm/dd/yr)
Type of Wastewater
{VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
(m/L) SGTg/L) 6
Discharge
Duration
(minutes)
Total Flow 7
(gallons/day]
-
-
RM, MD-
6-93.4
303,s
53
(15)6
-
-
001
6/30/2017
RM
11.9
47.8
<5
>1
002
6/30/2017
RM
11.8
43.8
<5
>1
NOTE: Settleable Solids
was not sampled. Next
quarter will have double
samples.
If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
Permit Date: 7/l/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

.I
di-
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VIVIA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE")_ WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING_ PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

V --�/ � - - 7 l /7
(Signature of Permittee) (pate)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 3 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140307
FACILITY NAME: Morrisville
PERSON COLLECTING SAMPLES: Steven Yarborough
CERTIFIED LABORATORY: Prism Lab # 34
LIMIT VIOLATIONS? YES ® NO ❑
Part A: Wastewater Monitoring Reauirements
SAMPLE COLLECTION YEAR: 2017
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June
COUNTY: Wake
PHONE NO. [phone]
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW
OPTIONAL INFO:
❑PNA []Trout ®Other
Outfali No.
Date Sample
Collected
(mm/dd/yr}
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L}
TPH using
method 1664A
SGT-HEMS
fmg/LJ
Discharge
Duration
(minutes}-
Total Flow
,
(gallons/day)
-
-
RM, MD-
6-93''
303,s
53
(15)6
-
-
001
3/30/2017
RM
7.67
88.3
.5
<5
>1
i
4 5 2U17
T
DW
' If wastewater systems have not discharged in this quarter —report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50%of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons direcoy responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aw1rexhat thfte arg,*nificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
uri-(of Permittee)
Permit Date:7/1/2010-06/30/2015
S1z/ r7
(Date)
Last Revised 07/13/11
Page 2 of 2

} PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140307
FACILITY NAME: Morrisville RECEIVED
:,PERSON COLLECTING SAMPLES: Joe Kisselburg
CERTIFIED LABORATORY: Prism Lab # 34 JAN 2 3 2017
LIMIT VIOLATIONS? YES ❑ NO ® CENTRAL FILES
DWR SECTION
Part A: Wastewater Monitoring Reauirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June
COUNTY: Wake
PHONE NO. [phone]
ADD TO LISTSERVE? DYES ®NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW
OPTIONAL INFO:
❑PNA ❑Trout ®Other
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
Z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
5 ( NEmg/L) B
Discharge
Duration
(minutes)
-Total Flow
7
: (gallons/day)
-
-
RM, MD-
6-93''
303'5
S3
(15),
-
-
002
12/20/2016
RM
8.46
<5
<0.1
N/A
>1
>1
If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

E ►.
a Process was discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 70.10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those person directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am a%gre tl of thvla are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:7/1/2010-06/30/2015
(0 Ill
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140307
FACILITY NAME: Morrisville
PERSON COLLECTING SAMPLES: Joe Kisselburg
CERTIFIED LABORATORY: Prism Lab # 34
LIMIT VIOLATIONS? YES ® NO ❑
Part A: Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June
COUNTY: Wake
PHONE NO. [phone]
ADD TO LISTSERVE? DYES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other
OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
RMMDj
{VE, ,
pH
{standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
6
5G
(mg/L}/L)1T
Discharge
Duration
(minutes)
Total Flow
(gallons/day]
-
-
RM, MD-
6-93,4
303,5
53
(15)6
-
-
001
9/20/16
RM
11.9
58.8
<0.1
N/A
>1
>1
16
r�
i
ION
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page ] of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality _ T
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware t4at thege are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signlature of Permittee)
Permit Date: 7/1/2010-06/30/2015
c 424z(0
(Date)
Last Revised 07/13/11
Page 2 of 2

4
PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140307
FACILITY NAME: Morrisville
PERSON COLLECTING SAMPLES: Joe Kisselburg
CERTIFIED LABORATORY: Prism Lab # 34
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec []Jan -March ®April -June
COUNTY: Wake
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW
OPTIONAL INFO:
❑PNA ❑Trout ®Other
Outfall No.
Date Sample
i
Collected
(mm/dd/yr)
Type of Wastewater
2
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
a
SGT-HEM
(mg/L)
Discharge
Duration
(minutes)
Total Flow
�
(gallons/day)
-
-
RM, MD-
6-93'4
303'S
53
(15)6
-
-
001
6/14/16
RM
8.04
<5
<0.1
N/A
>1
>1
_7
L11 C
Cd P l{' k
123!i
I NL
- %kWL--I N $..tom
t
tic, n 9 �il
Al
` If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications._
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but in, tPad it*!�fbject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HOW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE"] WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons dire ly re nsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
1 am aware(�hat tre significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ature of Permittee)
Permit Date:7/1/2010-06/30/2015
%/?-/n,
(Date)
Last Revised 07/13/11
Page 2 of 2

Y
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140307
FACILITY NAME: Morrisville
PERSON COLLECTING SAMPLES: Joe Kisselburg
CERTIFIED LABORATORY: Prism Lab # 34
LIMIT VIOLATIONS? YES ❑ NO
Part A_ Wastewater Monitorine Requirements
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec Dian -March ❑April -June
COUNTY: Wake
PHONE NO. [phone]
ADD TO LISTSERVE? DYES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW
OPTIONAL INFO:
❑PNA ❑Trout ®Other
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM6
(mg/L)
Duration
(minutes)
Total Flow
�
(gallons/day)
-
-
RM, MD-
6-93.4
303'5
53
(15)6
-
-
001
12/21/15
RM
6.89
18.3
<0.1
N/A
>1
>1
1 /I
L
FEE
.0 3 2016
D.
Lr
_C
If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
bu, instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 0213.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 70.10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am awa fe Xhat th4re are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date: 7/1/2010-06/30/2015
I /,-" // b
(Date)
Last Revised 07/13/11
Page 2 of 2

1
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO.,NCG140307
FACILITY NAME: Morrisville
PERSON COLLECTING SAMPLES: Joe Kisselburg
CERTIFIED LABORATORY: Prism Lake ## 34
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 2015
RECEIVED SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June
COUNTY: Wake
OCT $ 3 2015 PHONE NO. [phone]
CENTRAL FILES ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DWR SECTION DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other
OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
2
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM6
(mg/L)
Duration
(minutes)
Total Flow
7
(gallons/day}
-
-
RM, MD-
6-93,4
303,5
53
(15)6
-
-
001
08/21/15
RM
6,66
10.3
.145
N/A
>1
>1
I'M"
` If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but ,tead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
` 7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to SO% of the Summer 7Q10 Flow as per 1SA
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
_MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING_ PERIOD_ IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons erectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am,avKare th#t tlWe are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:7/1/2010-06/30/2015
t ,y ( t 1 j t
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140307' SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Morrisville RECEIVED /ED SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec []Jan -March ®April -June
PERSON COLLECTING SAMPLES: Joe Kisselburg 81 COUNTY: Wake
CERTIFIED LABORATORY: Prism Lab # 34 JUL 2 4 Z015 PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
LIMIT VIOLATIONS? YES []NO ® CENTRAL FILES DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other
DWR SECTION
OPTIONAL INFO:
Part A: Wastewater Monitorine Reouirements
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
:
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
5GT-HEM6
(mg/L)
Duration
)minutes)
Total flow
7
(gallons/day)
-
-
RM, MD-
6-93,4
303,5
53
(15)6
-
-
001
06/29/15
RM
8.19
14.9
<.1
N/A
>1
>1
It wastewater systems have not discharged in this quarter _ report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above,
a Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD), Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2
I

r.
' 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VNIA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 026 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO -FLOW", "NO DISCHARGE") WITHIN 30 DAYS _OF_RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"l 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 perso directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I arpAware Jl at t4efe dare significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re of Permitteej
Permit Date: 7/1/2010-06/30/2015
(pate)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140307
FACILITY NAME: Morrisville
PERSON COLLECTING SAMPLES: Joe Kisselburg t . tw
CERTIFIED LABORATORY: Prism Lab # 34 RECE
MAY I
LIMIT VIOLATIONS? .YES ® NO ❑ CENTRAL FILL
Part A: Wastewater Monitoring Requirements DWIR SECTIOr
RECEIVED
MAY 13 20-i7
SAMPLE COLLECTION YEAR: 2015
�E TR ,� n
SAMPLE gUARTER: OJul-Sept ❑Ott -Dec MJan- . , 4 une
COUNTY: Wake
ON
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL: cz�
DISCHARGING TO CLASS: ❑SA DHQW ❑PNA Trout ®Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected 1
(mm/dd/yr)
Type of Wastewater
2
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
� Solids
(mL/L)
TPH usingDisrbarge
method 1�664A
SST-HEV
(mg/L)
DurationT
(minutes)
Total Flow
(gallons/day) .
-
-
RM, MD-
6-.93,4
303.s
53
(15)s
-
-
001
03/26/15
RM
9.78
16.2
<.1
N/A
>1
>1
If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation'for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TS5 limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to SO% of the Summer 7Q10 Flow as per 15A
NCAC 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis. .
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY JINCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW"I TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons direc4responsible for gathering the information, the information submitted is, rto the best of my knowledge and belief, true, accurate, and complete.
I am aw r at-th e a ignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
S�%c l� - -
(/ (Signatur4 of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
CERTIFICATE OF COVERAGE NO. NCG140307
FACILITY NAME: Morrisville
PERSON COLLECTING SAMPLES: Joe Kisselburg
CERTIFIED LABORATORY: Prism Lab # 34
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
GENERAL PERMIT NO. NCG140000
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March []April -June
COUNTY: Wake
PHONE NO. [phone]
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VIE, RM, MD)
PH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPii usingDischarge
method 1664A
SGT-HEM'
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day)
-
-
RM, MD-
6-93'4
303.5
53
(15)6
-
-
01
9/9/14
RM
8.51
<5
<.1
N/A
>1
>1
T 1
Z01
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-85 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

M.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons dire ly responsible for gathering the Information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete.
I am awpre#hat JVre amfslgnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signatu(e of Permittee)
Permit Date: 7/1/2010-06/30/2015
�a
(Date)
Last Revised 07/13/11
Page 2 of 2

. L, - ..::
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140310
FACILITY NAME: Durant Park
PERSON COLLECTING SAMPLES: Joe Kisselburg
CERTIFIED LABORATORY: Research and Analytic Lab # 34
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec []Jan -March ❑April -June
COUNTY: Wake
PHONE NO. [phone]
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ®Other
OPTIONAL INFO:
Outfall No.
Date Sample
i
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD}
pH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
S (mmg/L}g/L)16
Duration
(minutes)
Total Flow
,
(gallons/day}
-
-
RM, MD-
6-93,4
303,5
53
(15)6
-
-
01
9/9/14
RM
7.17
< 5
<.1
N/A
>1
>1
RVIECEIVED
Li
PIES
C;r=N:FRA6
N
If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A _
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons direc y 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 thefie ar4gnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re 0 Permitteey
Permit Date: 7/1/2010-06/30/2015
�a*1 6(
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG140307
FACILITY NAME: Morrisville
PERSON COLLECTING SAMPLES: Joe Kisselburg
CERTIFIED LABORATORY: Prism Lab # 34
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitorine Requirements
SAMPLE COLLECTION YEAR: 2014
RECEIVED
JUL 18 2014
CENTRAL FILES
DWa1BOG
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June
COUNTY: Wake
PHONE NO. [phone]
ADD TO LISTSERVE? [—]YES ®NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW
OPTIONAL INFO:
❑PNA [—]Trout ®Other
Outfall No.
Date Sample
Collected)
(mm/dd/yr}
Type of Wastewater
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPIi usingDischarge
method 1664A
SG 6
(mg/L}g/L)
Duration
(minutes}
Total Flow
{gallons/day}7
-
-
RM, MD-
6-93,4
303,5
53
(15)6
-
-
01
6/26/14
RM
7.79
2.33
<.1
N/A
>1
>1
If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE"] WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN TI 15 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 qualif d personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons di ly sponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am a+y� that eore significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations."
of permittee)
Permit Date:7/1/2010-06/30/2015
c �/r
(Date)
Last Revised 07/13/11
Page 2 of 2

RECEIVED
APR 15 2014
CENTRAL FILES
DWO/BOG
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140307
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Concrete Supply Co., LLC
is hereby authorized to discharge process wastewater and stormwater from a facility located at
Concrete Supply Co. — Morrisville Plant
222 International Dr
Morrisville
Wake County
to receiving waters designated as unnamed tributary to Crabtree Creek, a class B;NS W water in
the Neuse River Basin,. in accordance with the effluent limitations, -monitoring requirements, and
other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG140000 as
attached.
This certificate of coverage shall become effective April 14, 2014,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 14, 2014
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

NOMA
Division of Water Quality / Surface Water Protection
1
National Pollutant Discharge Elimination System
NCDENR
Duw—off PERMIT NAMEIOWNERSHIP CHANGE FORM
Cr..�wor*�xr u.p N�nJwa� RE°�OUF:CES
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N LCI S1,01 1 1 1 1 J N C G 1 4 10 13 1 0 17
II. Permit status gdff to requested change.
a. Permit issued to (company name): CEMEX Construction Materials Atlantic, LLC
b. Person legally responsible for permit: Larry McSwain
First MI Last
VPIGM Carolinas
Title
101 Young Court
Permit Holder Mailing Address
Greenville SC 29615
City State Zip
[phone] [phone]
Phone Fax
c. Facility name (discharge): CEMEX — Morrisville
d. Facility address: 222 International Drive
Address
Morrisville NC 27560
City State Zip
e. Facility contact person: Johnny M Tapia 803) 327-2494
First / MI / Last Phone
IH. Please provide the following for the requested change (revised permit).
a. Request for change is a result of ® Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
UCH 1 7 2013
d. Facility name (discharge):
e. Facility address:
f. Facility contact person:
Concrete Supply Co., LLC
Henry
Batten
First
MI Last
President
Title
P.O. Box 5247
Permit Holder Mailing Address
Charlotte
NC 28299
City
State Zip
[phone]
He ,.Battenn,ConcreteSu 1 Co.com
Phone
E-mail Address
Morrisville
222 International Dr.
Address
Morrisville
NC 27560
City
State Zip
Johnie
Alexander
First
Ml Last
Johnie. AlexanderoaConcreteSupplyCo.
[phone]
coin

` NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2of2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Johnic Alexander
First Ml Last
Environmental Manager
Title
P.O Box 5247
Mailing Address
Charlotte NC 28299
City State Zip
[phone] [e-mail]
concretesupplyco.com
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior to
this ownership or name change?
x Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
X This completed application is required for both name change and/or ownership change requests.
X Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or
a bill of sale) is required for an ownership change request. Articles of incorporation are not
sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and the
new applicant in the case of an ownership change request. For a name change request, the signed Applicant's
Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, Larry McSwain, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the hest of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will he
returned as incomplete.
g�� 9• /9 2o1.3 -
Signature Date
APPLICANT CERTIFICATION
1, Henry Batten, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
R_ q - 27,2
—7 r3 -
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 712008

A
A
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Johnie Alexander
Concrete Supply Co., LLC
P.O. Box 5247
Charlotte, NC 28299
Dear Mr. Alexander:
John E. Skvarla, III
Secretary
April 14, 2014
Subject. NPDES General Permit NCG140000
Certificates of Coverage -Multiple
Concrete Supply Co., LLC
Formerly CEMEX Construction Materials Atlantic, LLC
Counties - Multiple
Division personnel received your request to revise your stormwater permit Certificates of Coverage
to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificates of Coverage for the 17 facilities that changed
ownership from CEMEX Construction Materials Atlantic, LLC to Concrete Supply Co., LLC. The
terms and conditions contained in the General Permit remain unchanged and in full effect. These
revised Certificates of Coverage are issued under the requirements of North Carolina General
Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions or need further information, please contact the Stormwater Permitting
Program at [phone].
Sincerely,
ORIGINAL SIGNED 13)
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville RO, Z. Khan
Winston-Salem RO, M. Gantt
Fayetteville RO, B. Cole
Asheville RO, L. Herbert
Raleigh RO, J. Holley
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-9200 / FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http://Portal.ncdenr.orolweb/Irl
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Deborah.Reese, DEMLR Budget Office — please update billing info
Stormwater Permitting Program Files
Central Files
Mecklenburg County DEP, Water Quality, 700 N. Tryon Street, Charlotte, NC 28202
Wake County Environmental Services, Attn: Eric Green, P.O. Box 550, Raleigh, NC 27602