NCG140320_MONITORING INFO_20190528

BTORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv Cc, 1 yD
FDOCTYpE
❑HISTORICALFiLE
'MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

Enviranrrtenrat
Quailty
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit httos://deq.nc_ gov/about/divisions/enerzv-n ineral-land-
resourceslemrgv mineral-land,permits/stormwater-vegii nodes-indushial-sw#tab-4
Permit No.: N/CI 1 I _l I / ! / or Certificate of Coverage No.: NIC/G/ 1 ll 6132101
Facility Name: r L
County: IN
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Phone No.
• asp MAY 2 S 2019
CFENTRAL FILES
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 Iocal DEMLR
Office.
By this signature, I ftertify that this report is accurate and complete to the best of my Imowledge:
y
(Signature of Permittee or Designee)
L Outfall Description:
Outfall No. Structure (pipe, ditch, etc.):
Receivin a Stream:
PI 0/10_
Describe the industrial activitie that occur within e oul fall drainage area:
rpSZ
Page 1 of 2
SWC-242,1ast modified 07/28/2017

2. Color: Describe the color of the
(light, medium, dark) as descriptors: ____j
3. Odor: Describe any distinct odors that the
chlorine odor, etc.):
basic colors (red, brown, blue, etc.) and tint
may have (i.e_, smells strongly of oil, weak
4.- Clarity: Choose the number which best describes the clarity of the discharge, where _1 is clear
and 5 is very cloudy: p
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:
l 2 3 4 5or
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? p Yes ... No.t�
S. Is there an oil sheen in the stormwater discharge? oyes I 0
9. Is there evidence of erosion or deposition at the outfaII? O Yes 9 o.
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
SwU-242, Last modified 07128/2017

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF C VERAGE NO. NCG14 O 3 a G_ A
FACILITY NAME: T CN
SAMPLE COLLECTOR:
CERTIFIED LABORATORY (CW9;4 Lab #
Lab #
[7;iIiI+7�TT>lLl;i+�
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: QI 4
SAMPLINGP_ERIO ; ❑ July -December January -June
COUNTY/,9 i
PHONE NO.
ADD TO LISTSERVE7 []YES 0 EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout her WS- N
NSW-Ql�
r ':
.ry•5
z+'_Collected
Outfall.No:,; .
.�
G .•-� M .; S
a>
`Date Sample. �
'l - �µ• 1 hf
;.; i
w : d . r 0R �.
(min/d /Y
i 1
,,NO.FLOW)
:, . n t y
✓�!.�W 1' `J °.�
"� x.1rs;+.�,,;
,, , . :
4` (standard Units)
\,dM1 �,
,x. :h.,"`.��..,
�, s R 4
!Y.t>,/.•$:'l�
ay
{, .l. rr St 4 fxri
�; •"- mg/L > .•�
S\ vi i"�1 _ ��Kf�s11i Spy
�,..
s
3 Totall
a u M1
:1 r ,.Rainfall. „+
11 ...1(Fnf•� S
K, ��. t"..
�� •� 1 FS#'S`•.�
,InTier2
t
MorithlyMori�tonrig7, '
' (T/11)' �.y {. •l
�.� ,.
w'i4 43 I�R ) p f:
l„ ,...,� ��.
#,ofMonthsinsTier2f.r"�
a;r •r Zq, ;
Sampling;* {
' h
"�,.r
.-- •• -
,, .-. -r- -sue- i,"�
t: r C[''� s-
y 72 .. ,.q
r.� -.
23
M4 F 100,,}.4. L
3 �.'
.I 51. f�v6w
1, t[f.f
r -,�.� d
Ill ♦�.
cob
s2z 1 TI 1
t
• -k)X
b
G YM
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and RNA waters where they are 50 mg/!.
"For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 8/1/2017-6/30/2022 Last Revised 07/27/17
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
y
Date Sample ,.
Collected
pH,
{Standard
Units)_
Non -Polar
011'& Grease using
method 1664 .
SGTNEM
{mg/�)
Total
Suspended
Solids
(mg/�)
Total "
4 .,
Rainfall
{inj
s
New.Motor 011 Usage
F
{gal/month}
d .,
En Tier 2`. "
Monthly
Monitoring?
iY/n1
# of MonthsjinTier Z.
'•. Samp)mg2 .
i
6-92,
' 100, - va:•
{ - .1
..
Iv
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR_(incl_uding 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 Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFIG4TION FOR ANY INFORMATION REPORTED:
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those
persons dire responsib for gaihe ing the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that re are sign i ant a ties or. ubmitt� false information, including the possibility of fine and im risonment for knowing violations."
>?
(Signat of Permittee) ( te) , L2
;er it Date: 8/1/2017-6/30/2022 Last Revised 07/27/17
Page 2 of 2

OMICROBAC0
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9E0233
Client Sample ID: Wilson PLT, Grab
Sample Matrix: Stormwater Collected By: ParrishlEastwood
Lab Sample ID: K9E0233-03 Collection Date: 05/14/2019 10:40
Wet Chemistry
SM 2540 D-2011
Total Suspended Solids
SM 2540 F-2011
Settleable Solids
Result RL Units Dilution Note
4.83 4.17 mg/L 1
<0.10 0.10 mUL 1
Analyzed Analyst
05/16/19 0816 TMC
05/16/19 0915 TMC
Client Sample ID: Selma PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: K9E0233-04 Collection Date: 05/15/2019 10:24
Microbiological Parameters by
Membrane Filtration
Result RL Units Dilution Note Prepared Analyzed Analyst
SM 9222 D-2006
Coliform, Fecal 12 1.0 per 100 mL 1 05/15/19 1535 TMC
Definitions
RL: Reporting Limit
Report Comments
Reviewed and Approved By: 1,
sell /LX.� �(,tpiGd�2.+e.r�
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated Jeanne Overstreet
in the footnote are present and an authorized signature is included. Client Relationship Specialist, Environmental
Reported: 05/17/2019 09:08
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 2 of 3

�MICROBACC)
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9E0233
PLT Concrete Services
Project Name: Stormwater Samples
Mr. Rick Proctor
Project / PO Number: NIA
3214 Tumage Road
Received: 05/15/2019
Wilson, NC 27893
Reported: 05/17/2019
Case Narrative
Rocky Mount- Water Temperature, 730 F, Air 659 F pH 8.5
Zebulon - Water Temperature, 790 F, Air 640 F pH 8.4
Selma - Water Temperature, 710 F, Air 651 F pH 8.6
Wilson - Water Temperature, 740 F, Air 660 F pH 9.3
Analytical Testln ameters
Client Sam ID: [ ocky M nou tnou t PLT,-Gi`ab
Sample M trix: Stormwaier Collected By: Parrish/Eastwood
Lab Samp ID: KgE0233-01 Collection Data: 05/14/2019 11:19
Wet ChemistryResult RL Units Dilution Note Prepared Analyzed Analyst
SM 2540 D-2011
Total Suspended Solids 17.0 8.20 mg/L 1 05/16/19 0816 TMC
SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 1 05/16/19 0915 TMC
Client Sample ID: Zebulon PLT, Grab
Sample Matrix: Slormwater Collected By: Parrish/Eastwood
Lab Sample ID: K9ED233-02 Collection Date: 05/14/2019 10:07
Wet Chemistry Result RL Units Dilution Note Prepared Analyzed Analyst
SM 2540 D-2011
Total Suspended Solids 4.83 4.17 mg/L 1 05116/19 0816 TMC
SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 1 05/16/19 0915 TMC
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 283061 910-864.1920 p I www.microbac.com Page 1 of 3

Fayetteville Divislon 2592 Hope Mills Road - Fayetteville, NC 28306 (910) 864-19201864-8774 fax
&)MICROBAC It CHAIN OF CUSTODY RECORD
PAGE I_ OFF_
c NTHAMR&AbbPM: roe PROJECT I LOCATION
PLT Concrete Services Storm water sites
3214 Tumage Road
Wilson, NC 27893 Mr. Rick Proctor
NAME
SA11rtER: P{ln+i P%t/+�a-iSl. 262.293.0500
DATEf11tETH6DOfaMlr#tHNTs
Don r% re L Aim—w;ol
ID
O
TYPE OF ANALYSIS
PRESERVATIONLijPD19)
rn
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U
�U
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'•gip d.in�oa �rrni * ;<e , .; ; : `.�.: `
� Q..Z,!�IP
�,`,r%r•f=,aSOd1111�.�11Q�1.1�•;.;:,'f
.�. , ��: :,. ,,,..•.,. ,:;
LAB ID S
Sample Start
SAMPLE
Dale
Sample
Start Time
Sample
Slop Date
Sample Stop
p
Time
corer
GPM
rLb pH
Field
pH
mp tar
Tamp
OF
lllr temp
F
Reln "
-Rook M1 p ntl ntI -►y-t9
/�: $
541-17
j1;1
X
A
Zebulon Plant '(y')
0 %,o b
-�
d . C �
X
A
(0
AlO
3
Wilson Plant -14,
y-1
D : YO
X
A
;
cJ
-r
A10
4*
Selma Plant ' fs-1
0�
-15-
409.'
X
1
F
1 S
IVa
Ra!>ngyta
ayq-
rbm p
sdlyt(al a
llfih
Imp
s nqu s !
fits
a s pnabim
a s
me
3
4
n
fi•
•a •
fi•
5
8
re
PH Field
Temp Field 1:
IS DATA FOR REG. COMPLIANCE PURPOSE?
YES j/ NO WHICH: I)w

' Errvirnnmentu!
Quaftty
Stormwater Discharge Outfall (SDQ)
Qualitative Monitoring Report
For guidance on filling out this form, please Oisit h s://d .nc. ov/about/divisionstener -mineral-land-
resources/energy-mineral-land permits/stormwater- mnits/npdes-industrial-sw#tab4
Permit No.: NICI 'l / ! or Certificate of Coverage No.: NlGG/l/y/ a/3I 2I �l
Facility Name: f [.T �LG.6t Sen _ L_�=b
County:
Inspecto:
Date of l
Time of Inspection: _ _ %%:z
Total Event Precipitation (inches):
a5�
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 ertify th this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.):
Receiving Stream
A1cLL _
Describe the industrial activiti%that ocurthin t
#e outfall drainage area:
Pagel of2
swU-242, Last modified 07/2 nol7

2. Color: Describe the color of the
(light, medium, dark) as descriptors: j
3. Odor: Describe any distinct odors that the
chlorine odor, etc.):
basic colors (red, brown, blue, etc.) and tint
may have (i.e., smells strongly of oil, weak
4. , Charity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: " !'c
1 2 3 4 5 tic) D �`�L
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:
1 2 3 4 5 Ao �jG
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy-
1 2 3 4 5 nn
7. Is there any foam in the stormwater discharge? 9 Yes No, �J+
S. Is there an oil sheep in the stormwater discharge? gYes Z� )b _ _ �-
9. Is there evidence of erosion or deposition at the outfall? A Yes o. N U 0, C.
10— Other Obvious Indicators of Stormwater Pollution:
List and describe NU I"'��
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, Lost modified 07=/2017

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF C VERAGE NO. NCG14 0 3 a G
FACILITY NAME: PLT QL4 +�
SAMPLE COLLECTOR:
CERTIFIED LABORATORY G UN C, Lab#
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: o Qd L
SAMPLING PERIO : ❑ July -December January -June
COUNTY i
PHONE NO. (asa) j". , O
ADD TO LISTSERVE? ❑YES Rho EMAIL:
DISCHARGING TO CLASS: [_]SA ❑HQW ❑PNA ❑Trout Other jib S, N
Nsw - Q6
�:f•{{{.�i�� '7:�.Cr-
? a .r:'DateSSarii
•;
rn—
r
r .�
outfall,No ':{ �
��^ ��sf �tN�� �,�
-1""t4 —.ra `,..y �r
f2�.kr""'s
N..0 �^' gpZj
.>. '=� asrr r��
.,; •:c�� �Gj..:'� ���
.4 �`, -
'�» 1
(Standard,Units)rK
e4,na ::.' Y3'�%
4 4
75S !,;
.M
r , 'Y? ' �:, er+;nz:
d.r wy Tota�
aM} A F
C � ­: Rainfall gg
c ti
�,. y�,• �F;= c:t d' �e ;
3,�¢ In�T3erk2z ,
.' .: •
,Monthly)Monitonn ?'t
-r• Ux^ �
.,`'"„ '"
�� - s . �i^"
,. # of,IVlonths;ln Ter,2 x
-kr't,.�
�..a••.,.•
;r r,A(a }
.z ,,. � '•� t N� q�
"�'..a. �,"!.:, i.af..:Jl
i..: 'Y'ci �K�rz,
; st, a��yL�i ->'� ,� �s t.
��Mi,:�,i.2•:�r.. %_:}:t _''�'.!-?f��f,E?7
_ 2-
�ty� 6'9��?+Q�
3.- «-i�+!?ii'��i.�:iY�'Ff?.-
r=�j,. 2,3's
� (�.}lOO `,"�R�?-
«i:.wcri. �^f�:c�."
�,"•.�,7,R.:. ,
. + �. �t?,'o' ;� I,
6t{i�:1w i%J'.^.cf-
i r �:si •3 !;t• ii' ••ss.:
'1`4 i" �. , �S� .,x'.A•�
:C �.«;r •A7"�r, .5'
r
� �2�1
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall Here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
"For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 8/1/2017-6/30/2022
C
Last Revised 07/27/17
Page 1 of 2 C

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
? �, ��,,/+;'�
Jur':a ,{�, �
.a �tr,0ll&,Gieaseluj
Outfallg
- w ,
iNo..'
r ,Y�� x •,C
i r. q;y `t a.auy
': ��,..,
�� 1 I �,•yti'�'T^"...
r� Qf.L, �:
s " ° �'
;; Date 5a}riple
t Collected'sy
(" o/dd/yfjr
r 4fi.A-- G-
(r .h�� tY . 1
Y--__.• �--vcr .fy,F� i
.�{, r r �,
• �
(Skandard�
n ,.�
Units) r
?�^��rrry�i�
'0 1 k
r r., � ` { .:. ..}-�-
•a.-:� sew ��:�-,E
i�i
' .�
l ��
YE, ;,W thodi1664
�,. air
k:: 'SOPHEM
i
'•�8:9 .x; K
i �r --+,i
F � Totals
� . �,
3.�°e�
- Siusgendecf
x .
1 ::5ofids,
; / / t '�
i r 1m1S��1 r r
f �.n I Jy _
r-� r ��� v,+'•r�
�' y
Total'
' '� -4 '
Rainfall, .
-
ti I
A - I
��V '11^ -^;i •,P �r .-�y .^....�;
�. Y ',;:•: r;- ;
i �;�
N&,Motor'OiIkUsage
� _ n ;
teal/mdnihj,; L,.
Mt i
h 1..�',
Mr ;�r^^r, �,�;'�
fnTer�2',;
r _�
, Monthly` ", 1
, _
,M6nitbringr, ,
'
r t1y/nJ'•.
" t'�i �'� 4`-i$.V�
i"r � t K ��F'�'.i �;'.�y.`{, ��
u _ � •,.
:Y• �,
'La.
#,of1Months in Ties 2 l
* - = i
r � Salm'pling�� �" y
-,
L
jj fit{°''kh-i! _r 1�
i :i�g : -'
• r 15,':
s•100; Z,3"�"
r —i. 'f_,T
r
I_` _ ' 3,`.�
r _ - •^-w,.t .__....
, ,,.. .,
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDeNAT ANY ONE 0UTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Orieinal and one coov of this DMR (including; all "No Flow' & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitorine period in
case of "No Flow") to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUSTSIGN THIS CER7IFIGA770N 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 direcA responsib forgathe ing the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that re are sign' i ant ties r submitt false information, including the possibility of fine and im risonment for knowing violations."
V,
(Siena of Permittee) ( te)
Per it Date: 8/1/2017-6/30/2022 Last Revised 07/27/17
Page 2 of 2

&)MICROBACe
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9E0233
Client Semple ID: Wilson PLT, Grab
Sample Matrix: Stormwater Collected By; Parrish/Eastwood
Lab Sample ID: K9E0233-03 Collection Date: 05/14/2019 10:40
Wet Chemistry Result RL knits Dilution Note Prepared Analyzed Analyst
SM 2540 D-2011
Total Suspended Solids 4.83 4.17 mg/L 1 05/16119 0816 TMC
SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 1 05/16/19 0915 TIVIC
Client Sample ID: Selma PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: K9E0233-04 Collection Date: 05/15/2019 10:24
Microbiological Parameters by Result RL Units Dilution Note Prepared Analyzed Analyst
Membrane Filtration
SM 9222 D-2006
Coliform, Fecal 12 1.0 per 100 mL 1 05/15/19 1535 TMC
Definitions
RL: Reporting Limit
Report Comments
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated
in the footnote are present and an authorized signature is included.
Reviewed and Approved By:
Jeanne Overstreet
Client Relationship Specialist, Environmental
Reported: 05/17/2019 09:08
Microbac Laboratories, Inc.
2692 Elope Mills Rd I Fayetteville, NC 283061 910.864.1920 p I www.rnicrobac.com Page 2 of 3

OMICRO13AC�
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9EO233
PLT Concrete Services Project Name: Stormwater Samples
Mr. Rick Proctor Project / PO Number: NIA
3214 Tumage Road Received: 05/15/2019
Wilson, NC 27893 Reported: 05/17/2019
Case Narrative
Rodcy Mount- Water Temperature, 730 F, Air 650 F pH 8.5
Zebulon - Water Temperature, 790 F, Air 640 F pH 8.4
Selma - Water Temperature, 710 F, Air 656 F pH 8.6
Wilson - Water Temperature, 740 F, Air 66° F pH 9.3
Analytical Testin meters
Client Sam ID: L Rocky Mount PLT, Grab
Sample trix: Stormwaler Collected By: ParrishlEastwood
Lab Sam ID: K9E0233-01 Collection Date: 05/14/2019 11:19
Wet ChemistryResult RL Units Dilution Note Prepared Analyzed Analyst
SM 2540 0-2011
Total Suspended Solids 17.0 8.20 mg/L 1 05/16/19 0816 TMC
SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 1 05116/19 0915 TMC
Client Sample ID: Zebulon PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: K9E0233-02 Collection Date: 05/14/2019 10:07
Wet Chemistry Result RL Units Dilution Note Prepared Analyzed Analyst
SM 2640 D-2011
Total Suspended Solids 4.83 4.17 mg/L 1 05/16/19 0816 TMC
SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 1 05/16/19 0915 TMC
Microbac Laboratories, Inc.
2692 Hope Milts Rd I Fayetteville, NC 283061910.864.1920 p I www.microbac.com Page 1 of 3

Fayetteville Division 2692 Hope Mills Road - Fayetteville, NC 28306 [phone] / 864-8774 fax
CHAIN OF CUSTODY RECORD
PAGE _ j_ OFF_
c aAu Hess:
PLT Concrete Services
3214 Tumage Road
Wilson, NC 27893
POD
PRoaecr LOcATiON
Storm water sites
y
m
O
TYPE
OF ANALYSIS
PRESERVATION COD
�
�
Htt
CODE p a,s,6'C ON,itiY,�.
. ,:. _�.
`)s plAlo3,{Pt!1!'R 's, t + ti•'; <;?•"
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� ''�;;`: ,',gym �```�1 ''ti���t �.:;'•;
CONTACT PBRBON
Mr. Rick Proctor
PHONES
262.293.0500
aAllPLER: er,nY Phi sh
Don r, Fes- gAOwDol
OAMMUNODOI6NIPMENTi
LAB 1D t!
SAMPLE
sample Start
Data
Semple
Start 11ma
Sample
Stop Dale
Sample Stop
Time
cow
MM
Lab pH
Field
p}i
T �p
Mr Temp
F
Rain "
!
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/r%Ip
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0 : O 6
-
0: o '7
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- ���
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AI 0
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•%S-I
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3
F
S'
lVb
T pH Field:
Tamp Field 1:
IS DATA FOR REG. COMPLIANCE PURPOSE?
YES NO AFRICH: Doi Q
w m 6

Envkvn mental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, ,please visit h s://de -nc. ov/aboutt.divisions/ener -mineral-iand-
Permit No.: NICI� I I I l / I or Certificate of Coverage No), NIGGIZIYI&J)�2101
Facility Namej
County:
Inspector:
Date of Inspection:
Time of Inspection: Al, i
Total Event Precipitation (inches)
CENTRAL FILES
DWR SECTION
All permits require qualitative monitoring to be performed during a "me�-.isurable 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 721hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter I interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
i
By this signature, I c rtify that this report is accurate and complete to thebestof my knowledge:
U.
I
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No_ Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the * dustrial ac Mtie� that pcc��ihin the outfall drainage ar�,a.
Page 1 of 2
SWU-242, Last modified 07128/2017

Z2 4^
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: I Alt) D i S C
I
3. Odor: Describe any distinct odors.that the discharge may have, (i.e., smells strop y of oil, weak
chlorine odor, etc.): b
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 -No 101561
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 51 No 1JV-C-C,
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? Q Yes No. _ aU Y✓ ���
� . r n
8. Is there an OR sheen in the stormwater discharge? gYes ,� No_ 1ti 0 t J;5 'c
i9. Is there evidence of erosion or deposition at the outfall? d Ys � eNo. t 0
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
I
I
I
I
I
Note: Low clarity, high solids, and/or the presence of foam, OR she een, or erosion/deposition may be
indicative of poHutsmt exposure. These coadMons warrant further, investigation.
Page 2 of 2
SWU,242, Jastmodified 07/2=017

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 03 c
-10
FACILITY NAME: CG ►J lS � C_
SAMPLE COLLECTOR: C
CERTIFIED LABORATORY M4tCM a&C _ Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: C� cd�
SAMPLING PERIOD: [i July -December ❑ January -June '
�8161f11;u1
PHONE NO. pZsa 1 0 S100
ADD TO LISTSERVE? [-]YES NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [-]Trout Other WS'_N
N S w - cii--
7'
€
�. _Outfall N6.
'Date5ample'
�:✓YV_..
Collected"
�.
(mm/dd/j.KOR
NNOFLO
�" i-°�,,�M .i S�-r,,;r_. !'w}'
:z J, - "4;PH F
�. 5.� : �',. , �,
(Standard Units)M,,
,+i}.
ti.�r,-N?
Af t _;:� L.•�..ti5 y' fi [�
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; ,
'"�';• i.? qi `TYl. k �;u
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#af,Manth's`in`:Tier.,2"
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= 5 92 y
:1002 3
-
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here, Please make sure to mark the sample period above.
Z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
11 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 8/1/2017-6/30/2022
Last Revised 07/27/17
Page 1 of 2

Part 13: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month -- averaged over a calendar year.
.Z -JdY
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rl:.:
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,,, yu t , 7� 1
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-
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t7
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a, h:-
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'yM�� 85 f'±qw,
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1
":tNew Motor 011 UsageF �,,
a � � :�..� � �
s f: yam, v
,g (gal/mnnth)s
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�-,iF.t,'.n
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y
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z Mnnitoring7�;
f-�',`r 5,#T i,�5
t7�Ld {iA. d.,�" �} _ i.
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� `,uF, ;-`;�
�.. t2�
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w
froT =•a.r� : ,
,'r' :ot,Months In*TierZ,.
! �
fir', �w5ampfingz;,ti�LL,
.t.N-� F.
Yf.�„3}�'F ��f.: •4��: x. �ivd'.
..::y': y.. :1F'f' u�s�:
�'��-,..,��.�-•;�--.
s. 4 -biC)
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN S AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow"_& "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period in
case of "No Flow") to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMA77ON 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 responVA9
n, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are sigfalse information, including the possibility of fin s an imprisonment for knowing violations."
d l
{Signature of Permitt) (D te)
Permit Date: 8/
Last Revised 07/27/17
Page 2 of 2

O M ICROBAC&
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8J0450
PLT Concrete Services
Mr. Rick Proctor
3214 Tumage Road
Wilson, NC 27893
Case Narrative
Rocky Mount- Water Temperature, 62' F, Air 651 F, Field pH 9.1
Zebulon - Water Temperature, 621 F, Air 55' F, Field pH 8.9
Selma - Water Temperature, 610 F, Air 550 F, Field pH 9.4
Wilson - Water Temperature, 610 F, Air 620 F, Field pH 9.1
Analytical Testing Parameters
Project Name: Stormwater Samples
ProjectI PO Number: NIA
Received: 10/24/2018
Reported: l l /02/2018
Client Sample ID: Rocky Mount PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: K8J0450-01 Collection Date: 1012312018 11:59
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: SM 2540 D-2011
Total Suspended Solids <4.17 4A7 mg1L Z70 10/25/18 1314 MT
Method: SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 10/25118 0850 MT
Client Sample ID: Zebulon PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: K8J0450-02 Collection Date: 1012312018 10:11
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: SM 2540 D-2011
Total Suspended Solids 7.16 6.17 mg1L Z10 10/25/18 1314 MT
Method: SM 2540 F-2011
Settleable Solids
<0.10 0.10 mUL
10/25/18 0850 MT
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 of 3

(5>MICROBACI!�
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8JO45Q
Client Sample ID: Wilson PLT, Grab
Sample Matrix: Stormwater Collected By: ParrishlEastwood
Lab Sample ID: K8J0450-03 Collection Date: 10/23/2018 10:58
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: SM 2540 D-2011
Total Suspended Solids <4.17 4.17 mg1L Z10 1G125/18 1314 MT
Method: SM 2640 F-2011
Settleable Solids <0.10 0.10 mUL 10/25/18 0850 MT
Client Sample ID: Selma PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: K8J0450-04 Collection Date: 10124/2018 10:26
Microbiological Parameters by Membrane Result RL Units Note Prepared Analyzed Analyst
Filtration
Method: SM 9222 D-2006
Coliform, Fecal 3.0 1.0 per 100 mL 10/24118 1409 MT
Definitions
RL: Reporting Limit
Z10: Only one 1 L bottle was provided for both the Total Suspended Solid and the Settleable Solid tests. The Settleable Solid
was run first, followed by the Total Suspended Solid. During transfer of sample between tests, some sample was likely
lost.
Report Comments
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated
in the footnote are present and an authorized signature is included.
Reviewed and Approved By:
Jeanne Overstreet
Client Relationship Specialist, Environmental
Reported: 11 /02/2018 13:06
Microbac Laboratories, Inc.
2692 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 2 of 3

m
Fayetteville Division, 2592 Hope Mills Road.— Fayetteville, NC 28366 (910) 864-19201864-8774 f,
- *K8J4450"
CHAIN OF CUSTODY RECORD
CLENTPM68.ADDRF-'.--
PLT Concrete Servioes
32.14T�rinageRoad
Wilson, NC 27893
Poi ARwECTILOCATION
iStormwater sites
I..j
m
LL
TYPE OF ANALYSIS
PRESERVATION CODE
co
¢
U
Lu
.f •S so ••" t ; i .': •' • ti
coNT�sTrEnsoN
Mr. Rick Proctor
PKOKF-
252.293.0500
sAMPLr R
DATE r MENOD OF SHIPMENT:
LA8 ID #
SAMPLE
Sampie Start
Dace
Sample
Start Time
Sample
Stop Date
Sample Stop
Time
coup
GRAB
Lab pH
Field
pI4
water
Temp
-F
'Air Temp
'F
Rain
.
J
Rocky Mt. Plant
10.-7X34
f 1 i5.9
1n:2�-1 Y
! 1' 0�ol
X
A
�.
.L,:,
to-5
W D
Zebuion Plant
10.23 -1 if,
10' 1n a.iL
0-73'1 '
/0lY/
X
A
a
to 1,
No,
M
Wilson. Plant
x3-% 5
1D..
l�".Fl
��
X
A
Selma Plant
jogqA,14i�°'1�
x
F
`f
l
S S
b
i 1 A _&
tL
• pH Field:
Temp Field t:
0
L
LL
Comments or SDecial Hazards: RfiEW E D
IS DATA FOR REG. COMPLIANCE PURPOSE"
YES ,"NO NHICH: lu
Page 3 of 3
tL
• pH Field:
Temp Field t:
0
L
LL
Comments or SDecial Hazards: RfiEW E D
IS DATA FOR REG. COMPLIANCE PURPOSE"
YES ,"NO NHICH: lu
Page 3 of 3

KC.
Errvironmenrul
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit h s://de .no. ov/about/divisionslener -mineral-iand-
resourccs/ener -mineral- d permits/storznwatcryermits/apdes-industrial-sw#tab-4
permit No.: N/CI,� I I I / Irf or Certificate of Covezage No.:
Facility Name: _ PI T
County &VI_I
Inspector_
Date of Inspection:
Time of Inspection:
—"l5i —
MAY 01 %fpt
Total Event Precipitation (']aches): p R } ,,_ rf�
f 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 roust 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 peraaittee obtains approval from the local DEMLR
Regional Office.
By this signature, I cert:ifyfhat this report is accurate and complete to the best of my knowledge:
,N�A_40_h
of Permittee or Designee)
x. Outfall Description:
Oatfall No_ Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial acti
within the outfall drainage area:
Page 1 of
Swi1-242, last modified 07/2=017

2. Color: Describe the color of the discharge usipg basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: NO _0 T ' 'e— -
3. Odor: Describe any distinct odors that the discharge may have (i_e•, smells strongly of oil, weak
chlorine odor, etc.): IVY 15 C
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
5. Floating Solids: Choose the nui fiber 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(� t�
d. 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? 9 Yes p No. f
S. Is there an oil sheen in the stormwater discharge? ;aYes Q No.C-
9. Is there evidence of erosion or deposition at the outfall? Q Yes Q No. f U V [ s C
10. Other Obvious indicators of Stormwater Pollution:
List and describe _ tjo
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosiouldeposition may be
indicative of pollutant exposure. These conditions warrant fmather investigation_
Paget oft
SWU-242. LastmodiSed 07/=017

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 G oZ
FACILITYNAME: N'T �GN c eT� SetZvf Cep _ e .
SAMPLE COLLECTOR: r2jj�j-f Pfi,M— S K —- D_c ui e. ,gs rW OGb
CERTIFIED LABORATORY M i r (Z0 (3A C Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: a G i d—
SAMPLING PERIOD: ❑ July -December January -June
COUNTY IV4jg3 N
PHONE N0. 6kT,3k, 1 _ qn . G3)O0
ADD TO LISTSERVE7 []YES ZNO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Other ors_ 14
wW - CA.,
t�
.t x:
- Outtall'NO:
5
Date`Sample':
ected`
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ti
n,.;�� 5,-"`
rr ?uwW
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LF.(yStandard,Unitsj ,
it �r ray ysx 4
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� � ,:1 tW' '` � "' }fig
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aw.h �R�
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��.I l�y7..}},, J: �liN i �3`'jY .r.L`7..M.•1
.\ I.XiFsrv]_Y �:•;si!, S iY
-r -� s �,-,..."�'•,'q*
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a ;`of
;Eti wRamfall:.
1, R R
n} a
!I.:zA
,x.-•�rs:'
K `iln•Tier2,ns
Monthly Monitonrg?,
l"""it
,Months in Tier 2 f
4 r.
hx
a69?
-y-kow
7.5
' 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.
I If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the'General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are SO mg/I.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 8/1/2017-6/30/2022
Last Revised 07/27/17
Page 1 of 2 L

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
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cted
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HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN AT ANYONE 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 da s of receipt of sample or at end of monitoring period in
case of "No Flow") to:
Division of Water Resources
Attn: DWR 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 responsibl 71or gatherin the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware tha �e5i,�cnl peIt's r submitting false information, including the possibility of fin s and i prisonment for knowing violations."
(Signat, re of Permittee) (Date)
Permit Date:8/1/2017-6/30/2022
Last Revised 07/27/17
Page 2 of 2

&)M ICROBAc�
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8 D0380
PLT Concrete Services
Mr. Rick Proctor
3214 Tumage Road
Wilson, NC 27893
Case Narrative
Rocky Mount- Water Temperature, 68' F, Air 61' F pH 9.3
Zebulon - Water Temperature, 64' F, Air 54' F pH 9.0
Selma - Water Temperature, 63' F, Air 49' F pH 9.1
Wilson - Water Temperature, 68' F, Air 58' F pH 8.9
Analytical Testing Parameters
Project Name: Stormwater Samples
Project 1 PO Number: NIA
Received: 04/17/2018
Reported: 04/19/2018
Client Sample ID: Rocky Mount PLT, Grab
Sample Matrix: Stormwater Collected By: ParrishlEastwood
Lab Sample ID: KSD0380-01 Collection Date: 04117/2018 11:57
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: SM 2640 D-2011
Total Suspended Solids 62.7 8.33 mg/L 04/18/18 0931 MT
Method: SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 04/17110 1541 MT
Client Sample ID: - Zebulon PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/EaStW06d
Lab Sample ID: K8D0380-02 Collection Date: 04I1612018 10:44
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: SM 2640 D-2011
Total Suspended Solids <4.17 4.17 mg1L 04118118 0931 MT
Method: SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 04/1711a 1541 MT
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1 916.864.1920 p I www.microbac.com Page 1 of 2

6)MICROBACs
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8D0380
Client Sample ID: Wilson PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: K8D0380-03 Collection Date: 04116/2018 11:20
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: SM 2540 D-2011
Total Suspended Solids 61.0 7.55 mg1L 04/18118 0931 MT
Method: SM 2540 F-2011
Settleable Solids 0.10 0.10 mVL 04117/16 1541 MT
Client Sample ID: Selma PLT, Grab
Sample Matrix: Stormwater Collected By: ParrishlEastwood
Lab Sample ID: K8D0380-04 Collection Date: 04/1712018 10:24
Microbiological Parameters by Membrane Result RL Units Note Prepared Analyzed Analyst
Filtration
Method: SM 9222 D-2006
Conform, Fecal <1 per 100 mL 04/17/18 1551 JR
Definitions
RL: Reporting Limit
Report Comments
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted.
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated
in the footnote are present and an authorized signature is included.
Reviewed and Approved By:
,::? q,& Ap
Jeanne Overstreet
Project Manager
[e-mail]
04/19/2018 17:38
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1 910.864.1920 p I www.microbac.com page 2 of 2

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CHAIN OF CUSTODY RECORD
PAGE . 1 - OF 1
CUENTNAYES.ADORM:
PLT Concrete Services
3214 Turnage Road
Wilson, NC 27893
POO
PROJECTILOCATION
Storm water sites
toC
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TYPE OF ANALYSIS
PRESERVATION CODE
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CODE;/14,56'COIVLY,;;:;.:•,:•..•':.:-
., , .c =, H2SO4
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'' •` :: Q •cetatl +� C . .' ;• �'••'. • �`.
, '. Sodiuila. ila...,;,i
,'t ', . ..k ,�'::ti •' .,. �:i
CDNTAt TPERbOH:
Mr. Rick Proctor
PHONE:
252.293.0500
SAMPLER:e
`�vrv'NL (� r'77l i(�ie s
DATE I METHOD OF SHIP1[EW,.
LAB ID 0
SAMPLE
Semple Start
Date
Semple
Start Time
Sample
Stop Date
Sample Stop
Time
COUP
GRAD
Lab pH
Field
PH
Tamp
-F
Air Temp
F
Rain ,
Rocky Mt. Plant
f1:S'6•N
l6 f
; s? A",
X
j
A
13
2Ci
b
o
Zebulon Plant
yfdri
la'eo ,
�% d'�
YV /br,
X
A
6
l0 7
S!
U
�.
Wilson Plant
11, e
it:20
X
A
rj O
Selma Plant
1012
1/-l7•I S
10P11p.,
X
1
F
quLsMd by:
Data
inyme
Received by; (signature)
Date
Time
2
sl nqu a
ah
■
Received by, ISLUMbure
als
me
3
4
RalinquIshed by;
a ■
Rece : s gflehne
Date
me
5
B
pH Field:
Temp Field 1:
Comments or Speclal Hazards:
IS DATA FOR REG. COMPLIANCE PURPOSE?
YES V'NO ,NHICR

Res" me (i Aj?-'
Environmental
- Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deg.nc.sov/about/divisions/energy _mineral -la_ nd-
resources/ever. -mineral-land-permits/stormwater-permits/npdes-industrial-sw#tab-4
Permit No.: NICI / / I / l I / or Certificate of Coverage No.: N/C/Gl1f�l 61 20
Facility Name: PG T 0D%)C SQ-g4 Qt S , 1 u Q,'
County: /Y f {-c
Inspector: CLAy�
Date of inspection: 10 ` I — i
Phone No. r95a --y.S-I - y9 S0
N
Time of Inspection: O l '2 N EC E 1 1fi n
OCT 2 7 toil
Total Event Precipitation (inches): CENTr'AL FILES
aWR SEC7-10N
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 si ature, I certify t this repo is accurate and complete to the best of my knowledge:
of Permittee or Designee)
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Pagel of 2
SWU-242, Last modified 07/2812017

2. Color: Describe the color of the dis
(light, medium, dark) as descriptors: M6
basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): A10 D i Ski-e_
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: A jD 0 i S -y--C
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:
m d D -;S &h�-e-
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 2 3 4 5
7. is there any foam in the stormwater discharge? O Yes Q No. NO D .-C'
8. is there an oil sheen in the stormwater discharge? oYes O No. Ato 0 te- C .
® 9. is there evidence of erosion or deposition at the outfall? 9 Yes O No. /V V 1C�
10. Other Obvious Indicators of Stormwater Pollution:
List and describe M OA 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 07/28/2017

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140 3 C_>�d
FACILITY NAME: IM0,
SAMPLE COLLECTOR:
CERTIFIED LABORATORY C CG Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: C� O r
SAMPLING PE IOD: July -December ❑ January -June
COUNTY _ 5 -
PHONE N0. `a1 ag3 . a" 0
ADD TO LISTSERVE? []YES [gKO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [-]Trout 0ther_jW,5 _/v
N,S K1- CA�_
,,, z
1 w'�, .i)''^
<r
;flutfall No`, -
w
•
t..:
E'ai•-�%< %
;Collected
S-
`�
s{ d/yr�R' k,�
4' 1 Y:
♦•NO;FLO,�_r
y�„�..,J, •4. ,�';: r.'y,'
�}.4r _���'•."-.,u•�'i
'r3 P !
-
F{Standard,Units?
.�.. ,. rK .�,'}s�f�.-'i
�:.4;,�x^a%•��e;'R.t�lkn
-.° ft .'�; t. )'
�.~..', hF �ff.i.i:•.' i•= `i Jk-•`
TSSiez -
�p 3 r,. ,t
�. n ? {T _R
i-�` zt ={mR/L}, shy , J.
i. +i�•��' d' t
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.`�Mti,�h.i-.!'-1r S.
},,
�.�;r..T� +�'
Total
1.. d. "q,:.
ftarnfall,;.
1't .P �: ref
... ,Fir' :.�{ .1 1:•`ly/
�°.„� n �Y'i _'.k•:+'� ..��'
y �i. CiT '. r-.. ay
f.
M. Ain Tier;2
ay,
Monthly'Morijtoring?>
a. y,( -�_
, >a.<, .:` I .J„ �• i rir
- _r _�i.. ,�r�F•.
r.. •: =.
# of;Months in_Ller 2'?"
e ;v•a
t Sampliri, � r=
. F
t' r
;4p ,_ •• .;j+..,. r �.^•.,��
?'.rrl, 6-92 4
" r'a �s 10023
o9,
0'7
• ZC�
O
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit, Tier 2
Monthly sampling shall be done until 3 consecutive samp4es are below the benchmark or within the benchmark range.
3 TS5 benchmark values are 100 mg/I, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
S,s
-<G.10
Permit Date:8/1/2017-6/30/2022
Last Revised 07/27/17
Page lof2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month —averaged over a calendar year.
Ay^ t�iTK e_.,..•..�yyY'r� ha,..,�,f,.;.`.
Ou
41
.�;�t.,J.ili.�f?, <aare}Fi.'�'S4t ?' -Ji.11,°.�.•,r�_': lAFY=t=`�A' j
;
4t1_ t�YUi`k^• D,`'.m_4aC,"j._tfo" hVerf. A/s,Sed_Mac,vm t/,ie:Y..._'%.aPda�.Y'a;"y)l.,!,e:���1�U iya'�e'�kCy �A I,,'
yt w
n}'Q
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Standard
.:"."we.', wUnits) .,k
yIi�frw�!-ri"_
Ft .vlrl.0i�4��'j
, Non 'olar
r' �
+oi&Greausing
r.,..
`i=.E„ ..:.li'.1 .
meod 1664gNo
- �-yI4,•�f:- �lg� /ZI..�d}C�,rih7v,-r°,� l,,.
SGTFEM ']
y
S3LLs "{- yzt. . ig:'t�-
jiupende
-a�i".l3 ' `y��'d,, .a"l.vZ i,ti�r -
Solids
ia�1 Atf
oi,2:'Tm_'
.a".z:(:v P
;
Rainflla �P.`.
:��$t�, ,
irbfLs��-yf@R�y°1 V4�__... -,�(...
i:Rfv-�F-tr,�i emr'.SA u, :�• .d,,,, c�hl:_sii•'ky'l.�t"
';NewotorOlI Usge,.,}
:1'i° '
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eqrToaFti
Ifci�".4('�y,�i:a]e#'. ��u.�'o-d„-rf �i yS�fM.K..lnE,�o�-+ l.m
-.'a
Lhs ng'
:2.T'
1-.C
m !fnMorit6ring s4-�rr•,24'
't
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,r'`,=-.t
yCft
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-+
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[
ywn°
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r
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEMENW AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO u
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 Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMA77ON 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 iArmation, tie information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are Significan ena M
formation, including the possibility of ZIfinites nd impri onment for knowing violations.
V
(Signature of Permitt(Dat )
Permit Date: 8/1/Vl7-6/30/2022
Last Revised 07/27/17
Page 2 of 2

PLT Concrete Services
Mr. Rick Proctor
3214 Tumage Road
Wilson NC, 27893
OMICROBAC®
Fayetteville Division
Certificate of Analysis
Project: Stormwater Samples
Rocky Mount PLT, Grab
K7J0454-01
Result Units
Date Reported: 10/ I S/ 17
Date Received: 10/12/17
Date Sampled: 10/12/17
Sampled By: Parrish
Method
Field Data
PH
9.0
pH Units
10/11/17 10:27
Parrish
pH
Temperature
76
°C
10/11/17 10:27
Parrish
Field
Analyzed by: Microbac Laboratories, Inc.
- Fayetteville
Settleable Solids
<0.10
mL/L
10/13/17 09:19
JR
SM 2540 F-1997
Total Suspended Solids
7.72
mg/L
10/16/17 11:15
TAB
SM 2540 D-1997
Zebulon PLT, Grab
K7J0454-02
Analyte
Result
Units
Analyzed
Analyzed By
Method Qualifier
Field Data
PH
8.3
pH Units
10/11/17 11:30
Parrish
pH
Temperature
73
°C
10/11/17 11:30
Parrish
Field
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids
0.10
mL/L
10/13/17 09:19
JR
SM 2540 F-1997
Total Suspended Solids
3.64
mg/L
10/16/17 11:15
TAB
SM 2540 D-1997
Wilson PLT, Grab
K7J0454-03
Analyte
Result
Units
Analyzed
Analyzed By
Method Qualifier
Field Data
PH
8.7
pH Units
10/11/17 11:01
Parrish
pH
Temperature
75
°C
10/11/17 11:01
Parrish
Field
Analyzed by: Microbac Laboratories, Inc.
- Fayetteville
Settleable Solids
0.10
mL/L
I0113/17 09:19
JR
SM 2540 F-1997
Total Suspended Solids
21.9
mg/L
10/16/17 11:15
TAB
SM 2540 D-1997
Selma PLT, Grab
K7J0454-04
Microbac Laboratories, Inc.
Page 1 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com

OMICROBACt
Fayetteville Division
Certificate of Analysis
PLT Concrete Services
Date Reported: 10/18/17
Mr. Rick Proctor Project: Stormwater Samples
Date Received: 10/12/17
3214 Turnage Road
Date Sampled: 10/12/17
Wilson NC, 27893
Sampled By: Parrish
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH
9.2
pH Units 10/12/17 10:25
Parrish pH
Temperature
75
aC 10/12/17 10:25
Parrish Field
Analyzed by: Microbac Laboratories, Inc.
- Fayetteville
Coliform, Fecal
8.0
per 100 mL 10/12/17 16:35
TAB SM 9222 D-1997
QC Batch Run - (Microbac Laboratories, Inc - Fayetteville)
Analyte
Result
Units
Source RPD Limit
Total Suspended Solids
24.7
mg/L
K7J0457 24 5
Total Suspended Solids
State Certifications:
NCDNR #I1
NCDOH 937714
5000 mgfL
K7J0316 0 5
Respectfully Submitted
Jeanne Overstreet, Project Manager
Thank you for your business. We invite yourfeedback on our level of service w You, Please contact the Division Manager, Rob Dermer at 910-864-1920 with any
questions. You may also contact J. Trevor Boyce, President at [e-mail]
Microbac Laboratories, Inc.
Page 2 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com

Fayetteville Division 2692 Elope Mills Road — Fay6deville, NC 28305 (910) 864-19201864-677i *K7J0454*
1 C F O BA,C�
CHAIN QF'CUSTODY RE;;CQRD
I
CLEWrAM&ADDIMMPo.
PLT Cwcrete Services
14 Tumage Road
Pisan; NC 27893
A
7stoatersnes
;a)
TYRE OF'ANALYMS
PRl�l VATI CODEY
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$'ample
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Field
pt{
. W4 Air. Tamp
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Rahe "
Rock ;ML Plant
P
-AddbWeL
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e�
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7-Plaeni
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Selma Plant
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Temp Raid t:
P.
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Ccminenas or Spedal Hazards:.
SD REG. WMH_IANM PWPRSE 7
YES No AH7C}'t:.
REVIEWED
Page 3 of 3

ff
Stormwater Discharge auffall (SD®)
Qualitative Monitoring. Report
PermitNo__ MCI I I_IF / / / ! or Cm-tificare of Co},�agcNam wCjCVL[ UI -)I NI
Facality Name: � t �O �✓l 1
County- ' H Phone No_ . _15 ? =(4 S71
Inspector_ f7 _A.r
Date of Xnspectiort: zi, 2 j n _
By this si gnats m I this Fort is accurate and complete to the best of my knowledge=
C(C
.(SjgT?dU= of Perwittcc or Designee)'
L Outran Descripfion
Outfall No_ Structure (Pipe, ditch, etc-) �� r A n5—
Rccciving Stream:
Aescn-bc the industrial activities that occur -Vci in thcetfaZ drama a area
2 Color
Describe the color of the discharge using basic colors (r;dd
dark) • as descriptors: N C> J
3_ Odor
Describe any -distinct odors that the discharge, may have [z(
etc) Q
REC i V Ed
1�! A1'- 2 01.7
blue, etc) and tint (light;•mtedium, S
Le ti,4V 1�i 1�..
r)%AtP qPr .TION
strongly of oil. weak chlorine odor, .
4- ' Charity.
Choose the number which best desmbes the clarity of the dimhaxgc what I is clear and 10 is very
cloudy_
1 2 3 4 5 6 7 8 9 10
� I
swu-242 10t599 :

S_ Floafintg S ids '
Choose the number which best describes the amount of floating solids in the stoimwater discharge where
1 is no solids and 10 is the surface covered with floating solids: AJO LD i 5
1 2 3 4• 5 6'' 7 8 91 10
6_ Suspended Solids -
Choose the number which best describes the amount of suspended solids is tlx stornxwater discharge
where 1 is no solids and 10 is extremely muddy_
1 2 - 3 4 5 6- •7 S 9 10
7_ Foam.
Is there any foam iIl the stonuwater discharge? Yes No
8_ Oil Sheen
Is [here an oil sheen in the stornawater discharge? Yes No- A '
• r
9. Other Obvious Ind"rcatGrs of Stoanwater Poflucion
List and dcscribc
i
• 1
Not= Lour clarity, high solids, andlor the presence of foam or oil sbcm may be•lndlcative of pollutant
exposure_ These conditions may warrant fimther investigation_
" Pagc.2 •
Nnl•f �•� \ArM •

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
3 0� .Q SAMPLE COLLECTION YEAR: G (k
CERTIFICATE OF COVERAGE NO. NCG14 D _ _/1�
FACILITY NAME: I)KT CGuett��2 sk i{CUB , 1k 0— SAMPLING PERIOD: July -December January -June
PERSON COLLECTING SAMPLES. jCeNAq P&RR_j . COUNTYNA, CH
CERTIFIED LABORATORY Lab # It PHONE NO. a2sa) -_� 9 3. Q 3S0C
Lab # ADD TO LISTSERVE? ❑YES [:]NO EMAIL: 1'VS —IV
OPTIONAL INFO: DISCHARGING TO CLASS: []SA ❑HQW ❑PNA []Trout OtherClg-
Part A: Stormwater Monitoring Requirements
::.
Outfall No.
Date Sample
Collected
(rno/dd/yr OR
NO FLOW)'
PH
(Standard
Units)
TSS.
(mg/L)
Event
-Duration
(minutes)
Total
n
Rainfall
(in)
In Tier 2
' Monthly
Monitoring?
(y/n)
# of Months in Tier
2
2 Sampling
-
6-9
100 '
-
-
-
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for PH), you must implement the Tier 1 or Tier 2 responses in the General Permit, Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Sc-rau_
sou,)
-<a.ro
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part 8: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month - averaged over a calendar year.
Outfall
No:
Date Sample
-Collected
(mo/dd/yr)1' -
pH
(Standard
-,
�a ;Units)
TPH using method
16S4A SGT HEM
(mg/L) .
Total Suspended
Solids
_
(nig/L)
Event
, .
Duration
{minutes)
Total'
a
Rainfall
a
,'.
-(In)
New Motor -Oil
Usage
(gal/month) _
In Tier 2 .
Monthly '
Monitoring?
(Y/n)
# of Months
in Tier 1
x .
Sampling.. .
100 '
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDE CES 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 DM_ R (including all ' No Flow" & "No Discharge" reports) within 30 days of receipt of sample for at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh; North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in'accordance with a system designed to
assure that qualified -personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons -who manage the system, or
those persons irectly resp Bible for gathering the information, the information submitted is, to the. best of my knowledge and bellef, true, accurate, and complete
am aware th there ifican a Ities for submitting false information, including the possibility o fin and imprisonment for knowing violations."
(Signature of Permittee) (D te)
Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

PLT Concrete Services
Mr. Rick Proctor
3214 Turnage Road
Wilson NC, 27893
&)MICROBACe
Fayetteville Division
Certificate of Analysis
Project: Stormwater Samples
Date Reported: 04/28/17
Date Received: 04/25/17
Date Sampled: 04/25/17
Sampled By: Parrish
Rocky Mount PLT, Grab
K7D0803-01
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
PH 9.4 pH Units 04/24/17 15:31 Parrish pH
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids <0.10 mL/L 04/26/17 08:45 TAB SM 2540 F-1997
Total Suspended Solids 61.3 mg/L 04/26/17 09:00 TAB SM 2540 D-1997
ZebuIon PLT, Grab
K7D0803-02
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH 9.4 pH Units 04/24/17 14:01 Parrish pH
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids 0.10 mLIL 04/26/17 08:45 TAB SM 2540 F-1997
Total Suspended Solids 8.75 mglL 04/26/17 09:00 TAB SM 2540 D-1997
Wilson PLT, Grab
K7D0803-03
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
PH 9.4 pH Units 04/24/17 14:34 Parrish pH
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids <0.10 mL/L 04/26/17 08:45 TAB SM 2540 F-1997
Total Suspended Solids 18.0 mglL 04/26/17 09:00 TAB SM 2540 D-1997
Selma PLT, Grab
K7D0803-04
Inalyte Result Units Analyzed Analyzed By Method Qualifier J
Field Data
PH 10.1 pH Units 04/25/17 10:44 Parrish pH
Microbac Laboratories, Inc. Page I of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1 910.864.1920 p 1910.864.8774 f I www.microbac.com

PLT Concrete Services
Mr. Rick Proctor
3214 Turnage Road
Wilson NC, 27893
OMICROBAC'E)
Fayetteville Division
Certificate of Analysis
Project: Slormwater Samples
Selma PLT, Grab
Date Reported: 04/28/17
Date Received: 04/25/17
Date Sampled: 04/25/17
Sampled By: Parrish
K7D0803-04
Analyte Result Units Analyzed Analyzed By Method Qualifier
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Coliform, Fecal 28 per 100 mL 04/25/17 14:47 TAB SM 9222 D-1997
QC Batch Run - (If&robac Laboratories, Inc. - Fayetteville)
Analyte
Result
Units Source RPD
Limit
Total Suspended Solids
113
mg/L K7100800 0
5
Total Suspended Solids
25.2
mg/L K7D0783 5
5
Total Suspended Solids
10.3
mg/L K7D0771 3
5
Rocky Mount- Water Temperature, 681 F, Air 590 F
Zebulon - Water Temperature, 66° F, Air 600 F
Selma - Water Temperature, 641 F, Air 661 F
Wilson - Water Temperature, 651 F, Air 601 F
Statc Certifications:
NCDNR #II
NCDOH #37714
Respectfully Submitted
Jeanne Overstreet, Project Manager
Thank you for your business. We invite vourfeedback on our level ofservice to you. Please contact the Division Manager, Rob Dermer at 910-864-1920 e•ith anv
questions. You may also contact J. Trevor Boyce, President at presidenleaa'microhac.com
Microbac Laboratories, Inc.
Page 2 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1 910.864.1920 p 1910.864.8774 f I www.microbac.com

.�I
MMUMMEMOMMENNI
smommmuslammomi
MEMEMEMSEEMEN
moommmommossm
MOMMENEENNOMMEMI
IMMEMEMMUMMENUME
IMERNMEMMEMEMEME
INNEEMEEMEMMEMEN
IMMEMMEMEMENMEMN
IMEMEMEMEMEMEMEN
IMEMEMENEEMEMEMS

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 0 3/d-�
FACILITY NAME: kTCo K. 2. mel" S (Z 0— .
PERSON COLLECTING SAMPLES j<:pM q PAgN
CERTIFIED LABORATORY �M t C W Q A C,__ Lab # 1
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION Y R: a0 f T
SAMPLING TOM July -December ❑January -June
COUNTY
PHONE N0. R3• D 3-0
ADD TO LISTSERVE? ❑YES []NO EMAIL: K16 'J
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout Other Ww _ C6.
Outfall No.
Date Sample
P C7.1 ted—
�G r—' p
OR
I NO 1
IS
pH
(Standard
Units)
TSS
(mg/0
Event
Duration
"{minutes)
Total
a
Rainfall
(inj
In Tier 2
Monthly
Monitoring?
(Y/n)
# of Months in Tier
2
2 Sampling
-
6-9
100 '
-
-
-
CENTRAL FILEb
5
r% 17
UL6-3 111M ti:9
' 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
N1-)nthly 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.
0A0
Permit Date: 7/l/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part 15, Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gai of new motor oil/month — averaged over a calendar year.
Qutfall
tqb:
Date Sample'
Collected
(rno/dd/yr)1
pH
(Standard
Units)
TPH using method
1664A5GT--HEM
(mg/L}._
Total,Suspen'ded
_ ••
Solids
(mg/Lj 4
. Event
� ." -
Duration
I
(minutes)
Total',
.1 1.. a
Rainfall
; (in)
New Motor Oil
Usage
,(gal/month): ,a,
In Tier 2
Monthly
Monitoring?
.,
{Y/n�
# of Months
in Tier Z.
2
Sampling
l
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDS CES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coot/ of this DMR (includins all "No Flow" & "No Dischame" reports) within 30 days of receiot of sample (or at end of monitorine 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:
"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 pro rly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible r gatherin the information, the information submitted is, to the. best of my knowledge and belief, true, accurate, and complete
am aware that " " ' enaIt.
f bmitting false information, including the possibility of ines aryW imprisonment for knowing violations."
' 1 GAV l6
(Signature of[Permittee) (hate)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

- S
rVED
'VOV 0 4 2o16
DUUTR4C Fj�ES
R Sfir'
Stormwater Discharge OutfaU (S]boy 10N
Qualitative Monitoring, Report
Permit No_: Mb I I_I / I I / or Certificate of Coverage No_: N/CJu J Iq16I3I2'!Q!
Facility Namm: IT e�G2-�^ _ _ � lyti j - County:'- S� Phone No_ _ - 1
inspector_ K m
Date of Inspection: ID— j-7— ( to . _,.._ _ .....- - --- •_-- . _ -
By this signature. I certify is report is accurate and complete to the best of my knowledge:
(Signature f Permittec or Designee)
L Outfall Dtscription
Outfall No. Structure (pi
Roceiving Stream= 54_P_V- —7 �
Describe the industrial activities that d
L 61or-
r within the outfall drainage area
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark)'as descriptors: DS 4v
3_ Odor
Describe any. distinct odors that the discharge ma
{y have (i.e_, smells strongly of oil, weak chlorine odor, .
etc-) �iC7 �t 5 lAArr�i
4_ Clarity,
Choose the number which, best describes the clarity of the discharge where i is clear and 10 is very
cloudy: C>
1 2 3 4 5 6 7 8 9 10
Page 1
swv 242-1 o 099

7
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids: kb (>( S J( Z
I 2 3 4. 5 6 7 8 9• 10
6. Suspended Solids
Choose the number which best'describes the amount of suspended solids its the stormvrater discharge
where I is no solids and 10 is extreraely muddy_
1 2 - 3 4 5 6 -7 S 9 10
7. Foam .
Is there any foam in'die stormwater discharge? Yes No - A,�
8. Oil Sheen
Is there au oil sheen in the stormwater discharge? Yes No-
9. Other OlMous Indicators of Stormwater Pollution
List and describe
Notc: Low clarity, high solids, and/or the presence of foam or oil -sheen maybe •indicative of pollutant
exposure. These conditions may warrant further investigation.
` I
Pap. 2
CUM •1�•+ vn. rnn -

' &)MICROBAC"
Fayetteville Division
Certificate of Analysis
PLT Concrete Services
Mr. Rick Proctor Project; Stormwater Samples
3214 Turnage Road
Wilson NC, 27893
Date Reported: 10/25/16
Date Received: to/18/16
Date Sampled: 10/18/16
Sampled By: Parrish
Rocky Mount PLT, Grab
K6J0564-01
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH
Temperature
8.9 pH Units
71 oC
Analyzed by: Microbec Laboratories, Inc. - Fayetteville
Settleable Solids 0.20 mL/L
Total Suspended Solids 9.00 mg/L
10/17/16 12:46 Parrish pH
10/17/16 12:46 Parrish Field
10/19/16 09:27 JR SM 2540 F-1997
10/19/16 11:14 JR SM 2540 D-1997
Wilson PLT, Grab
K6J0564-02
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH 9.1 pH Units 10/17/16 13:21 Parrish pH
Temperature 76 °C 10/17/16 13:21 Parrish Field
Analyzed by: Microbac laboratories, Inc. - Fayetteville
Settleable Solids <0.10 mL/L 10/19/16 08:56 JR SM 2540 F-1997
Total Suspended Solids 8.00 mg/L 10/19/16 11:14 JR SM 2540 D-1997
Zebulon PLT, Grab
K6J0564-03
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH
8.5
pH Units
10/17/16 13:56
Parrish
pH
Temperature
72
°C
10/17/16 13:56
Parrish
Field
Analyzed by: Microbac Laboratories, Inc.
- Fayetteville
Settleable Solids
<0.10
mL/L
10/19/16 08:56
JR
SM 2540 F-1997
Total Suspended Solids
2.80
mg/L
10/19/16 11:14
JR
SM 2540 D-1997
Selma PLT, Grab
K6J0564-04
Microbac Laboratories, Inc.
Page 1 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1 910.864.8774 f I www.microbac.com

0MICRQBAC®
Fayetteville Division
Certificate of Analysis
PLT Concrete Services Date Reported: 10/25/16
Mr. Rick Proctor Project: Stormwater Samples Date Received: 10/18/16
3214 Turnage Road Date Sampled: 10/18/16
Wilson NC, 27893 Sampled By: Parrish
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH
10.)
pH Units
10/18/16 10:42 Parrish
pH
Temperature
74
0C
10/18/16 10:42 Parrish
Field
Analyzed by: Microbac Laboratories, Inc.
- Fayetteville
Coliform, Fecal
¢1.0
per 100 mL
10/18/16 16:16 JR
SM 9222 D-1997
QC Batch Run - (Microbac Laboratories, Inc - Fayetteville)
Analyte
Result
Units
Source
RPD
Limit
Total Suspended Solids
21.0
mg/L
K6J0581
40
5
Total Suspended Solids
6.80
mg1L
K6J0572
11
5
Total Suspended Solids
10.0
mg/L
K6J0558
0
5
Rocky Mount- Water Temperature, 711 F, Alr 82' F
Zebulon - Water Temperature, 720 F, Air 820 F
Selma - Water Temperature, 740 F, Air 700 F
Wilson - Water Temperature, 76' F, Air 82' F
State Certifications:
NCDNR #II
NCDOH #37714
Respectfully Submitted
Jeanne Overstreet, Project Manager
Thank you for your business. We invite your feedback on our level ofservice to you, Please contact the Division Manager, Rob Dermer at 910-864-1910 with any
questions. You may also contact J. Trevor Boyce, President at [e-mail]
Microbac Laboratories, Inc.
Page 2 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com

® Microbac Laboratoyzes Inc.
SouthernTesting & Research Division
3809 Airport Drive, Wilson, NC 27896
Phone:[phone] , Fax:[phone]
Webslte: www.southemtesting.com
Page or
CHAIN OF CUSTODY ti����.u.i��...i.... ��i-----w
Lab Use Only
and Analyses Request I
Rush Approval By: Daterrime:
Wept:
Od
I Report To: c
CcK1 Per on: rSample # Acct. # Transport:
0Rec'd on teat Temp: Res. Cl, pH: i
I❑
�j Yes ❑ No �
Inv to A ass- �[ �I Fax # or Email SAMPLING CHARGES:
N r _ ' G • ��� �� 0me: Miles Other. I
a:
Sampled By: Project IA: Anal ses Re nested
Reafested Turnaro nd Ima
Normal (2 weeks) [] Rush (3 5 days) ` PO # # Z
❑
JURIZUOTE
Emergency Rush (ASAP)'
' ADDITIONAL CHARGES WILL APPLY
CALL FOR APPROVAL Client Requested Due Date,
Item Stan End Comp Grab .Sample
# Date/Time DalefTlme Type.. DescrlpllonrSample Marks
--------
---------
�r t
--------
----------
o •r?-
T-a----
1 �-
-- -
_
VL
9,1
>
--------
--------
1
7►
_ -------
------
I
_n-
Z;;"
too
FL
10,01
JR.as
--------
---------
:[gr5t
Li
---------
--------
i
7
RELINQUISHEQ
BY
DATEITIME
RECEIVED
BY
DATEITIME
NOTES:
1
L -
v-/ 8 -C6 11'�14
2
3J
'Fletd Res. Cl.: Field Conductivity: Field Temp: Field pH: Field D.O.:
IS DP.TJkTO BE USED FOR REGULATORY COMPLIANCE PURPOSES? G7YEs ❑ NO IFYES, WHICH REGULATORY AGENCY:
Sea Reverse for Codes - 11 f0B

N
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 0 o�/���
FACILITY NAME: PKT CG kime-'et � CUJ_ _, NJ Q.
PERSON COLLECTING SAMPLES 1< IgNAq Pagf. IL
CERTIFIED LABORATORY (CIZORA C— Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
fors
SAMPLE COLLECTION YEAR: '
SAMPLING P RI D: July -December ❑-January-June
COUNTY_I_
PHONE NO. ( j_ 3r G, WS-N
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Other NSW - Q6-
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total 4
Rainfall
(in)
In Tier 2
Monthly
Monitoring.
(y/n)
# of Months in Tier
2 Sampling2
-
6-9
100 '
-
-
.so
1 If "NO FLAW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
Z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No:
Date Sample'
Collected
[mo/dd/yr}1
pH
(Standard
Units)
TPH using method
1664A SGT--HEM
{mg/L}
Total Suspended
Solids
(mg/L) ,, , ��;
Event'
Duration
{minutes}
Total
4
Rainfall
(in)
'New Motor Oil
Usage
{gal/month} ;,
In Tier 2
Monthly,
� Monitoring?
(y/n)
# of Months
in Tier 2 .
SamplingZ
6-9
15
100 '
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDS CES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO L]d
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Oriainal 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 pr erly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly respon ' or gath ing the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that t r signifi a r submitting false information, including the possibility o roes d imprisonment for knowing violations."
(Signature of ermittee) (Date)
Permit Date: 7/1/2011-60/30/201S Last Revised-7/13/11
Page 2 of 2 �'

0
1r
�iMICROBACID
Fayetteville Division
Certificate of Analysis
PLT Concrete Services
Mr. Rick Proctor Project: Stormwater Samples
3214 Turnage. Road
Wilson NC, 27893
Wilson PLT, Crab
2oc�cy Nfc�u'�
tic IZ�po�a�
pal'M
Date Reported: 09/10/15
Date Received: 09/04/15
Date Sampled: 09/03/15
Sampled By: Parrish
K5I0213-01
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
PH
Temperature
9.2 PI -I Units
83.0 OC
Analyzed by: Mirrobac Laboratories, Inc. - Fayetteville
Settleable Solids <0.10 mL/L
Total Suspended Solids 21,7 mg/L
09/02/15
16:00
Parrish
pH
09/02/15
16:00
Parrish
Field
09/04/15
13:41
NCH
SM 2540 F-1997
09/08/15
14:16
NCH
SM 2540 D-1997
Zebuion PLT, Grab
K5I0213-02
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
PH
'temperature
8.9 PH Units
83 °C
Analyzed by: Mirrobac Laboratories, Inc. - Fayetteville
Settleable Solids <0.10 mL/L
Total Suspended Solids 2.25 mg/L
09/03/15
15:10
Parrish
pH
09/03/15
15:10
Parrish
Field
09/04/15
13:41
NCH
SM 2540 F-1997
09/08/15
14:16
NCH
SM 2540 D-1997
Selma PLT, Grab
K510213-03
Analyte Result Units Analyzed Analyzed By Ivlethod Qualifer
Field Data
PH
Temperature
9.2 PH Units
80 °C
Analyzed by: KcTobac Laboratories, Inc. - Fayetteville
Colifonn, Fecal 3100 per 100 mL
09/03/15 09:35 Parrish pH
09/03/15 08:35 Parrish Field
09/04/15 15:53 AFO SM 9222 D-1997 H
QC Batch Run - (microbac Laboratories, Inc - Fayetteville)
Analyte Result Units Source RPD Limit
Total Suspended Solids 31.8 mg/L K510255 5 5
Total Suspended Solids 6.50 mg/L
K5I0253 81 . 5
Microbac Laboratories, Inc. Page 1 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com

�VMICROBAC*
Fayetteville Division
Certificate of Analysis
PLT Concrete Services
Mr. Rick Proctor Project: Stormwater Samples
3214 Turnage Road
Wilson NC, 27893
QC Batch Run - (Microbac Laboratories, Inc - Fayetteville)
Date Reported: 09/10/15
Date Received: 09/04/15
Date Sampled: 09/03/15
Sampled By: Parrish
Analyte _
Result
Units
Source
RPD
Limit
Total Suspended Solids
170
mg/L
K5I0185
10
5
Total Suspended Solids
8.75
mg/L
K510165
26
5
Total Suspended Solids
3.50
mg/L
K510153
67
5
Zebulon - Water Temperature, 83' F, Air 96' F
Selma - Water Temperature, 80' F, Air 71' F
Wilson - Water Temperature, 831 F, Air 960 F
Notes and Definitions
E{ Analyte was prepared and/or analyzed outside of the analytical method holding tune
State Certifications:
NCDNR #11
NCDOH #37714
Respectfully Subm
i
tte
d
Jeanne Overstreet, Project Manager
Thank you for your business. We invite yourjeedback on our level ojservice to you. Please contact the Division Manager, Rob Dermer at 910-864-1920 with any
questions. You may also contact J. Trevor Royce. President at president@mrcrobac com
Microbac Laboratories, Inc.
. Page 2 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910,864.8774 f I www.microbac.com

9 Microbac Laboratories Inc. CHAIN OF CUSTODY
Southern Testing & Research Division
3809 Airporl Drive, Wilson, NO 27896 d Analyses Request
Phone:[phone] , Fax: [phone] any q
Websitcr www.southemtesting.com
Sampled By:
eque Turnaround Time
Nd Normal (2 weeks) ❑ Rush (3-5 days)'
❑ Emergency Rush (ASAP)'
ADDITIONAL CHARGES WILL APPLY
GALL FOR APPROVAL
ltem Start. End . Comp Grab
# DaterTime Date/ iine
PL--------- %-i -------- -
9
RELINQUISHED BY
2
3
Field Res. Cl.:
i DATATO BE USED FOR REGULAT
# or Email
10 # STRL Qy9TE #
:Ilent Requested Due Date:
DescriptionlSamPle Marks
C1.
-y ).
K'l 0 P � I
DATEMME
-3-1 S / q-os�
Field Condtictivity: Field Temp:
e -
ORY-COMPLIANGE PURPOSES?
IV —
AR
Page of
Lab Use Only '
Rush Approval By-. DatefTime; %
Dept
Sample p AccL # Transport:
Rec'd on Ice", 'Temp: Res. Cl, pH: i
❑ Yes ❑ No
1
SAMPLING CHARGES:
Time: ri�r.rMilm.:�rr.ir�r bth«r�r�r���
TEITIME
Field pH: Field 0,0.:
NO IFYES, WHICH REGULATORY. AGENCY:
NOTES:
...—See Reverse for Codes T 11 /Oe

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMiT,NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14_U 3 0;/Q SAMPLE COLLECTION2YAR:1�FACILITYNAME: 7.T CG },iCRQ��, S CU} e SAMPLING PERIOD: uly-DecemSer [January -June
PERSON COLLECTING SAMPLES1�2MAtI P�,�R� COUNTY- AlAVj
CERTIFIED LABORATORY Lab ## ( PHONE NO. PSLj �43. 03G
Lab ## ADD TO LISTSERVE? DYES [:]NO EMAIL:
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Mother
Outfall No.
Date Sample
�. Collected
mo/dd r OR
{/Y
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
z
2 Sampling
-
-
5-9
100 '
-
-
-
-
V
7 3
360
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
a TSS benchmark values are 100 mg/I, except when discharging to ORW, HOW, 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.
ws� N
S__eWLL
,�0.10
m
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)1
pH _
(Standard
" .Units)
TPH using method
1664A.SGT-HEM
(mg/!).
Total Suspended
Solids
(mg/L)
Event' .
Duration
(minutes)
Total '4•
Rainfall
(in)
New Motor Oil
Usage
(gal/month)..,.
In Tier 2 .
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
z
Sampling
6-9
15�
j002,3
- -
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDE CES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES []NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (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 thering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that Cher are signifi nLp Ities for ubmitting false information, including the possibility of fines a d imprisonment for'knowing violations."
Vic. «/«�%s�
(Signature of Perr tee) (Ddte)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

RECEIVED
P
iqu v 3 0 2015
CENTRAL FILES
DWR SECTION
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No_: N/G_ll^I�I I I_I or Ccrtificale of Co�TYIYI-T-
County:'No.: lvacvyl
Facility Name: �GT Ce�itiC(� P*f� �-�� S Phone.No_ J72inspector:
Date of Inspection: _ -2-_��;
By this signature. I�7�j rc is accurate and complete to the best of my knowledge:
of Permittec or Designee)
1. OutfaU Description
Ou 1 No. Structure (pipe, ditch, etc-)
Receiving Stream:
DrscTibc the industrial activities th within the outfall drainage area:
2. Color
Describe the color of the discharge using bas�olors
rown, blue, etc.) and tint (light, medium
dark) as descriptors: /V
3_ Odor
Describe any. distinct odors that th discharge may have (i.e., smells strongly of oi.l weak chlorine odor, .
etc-) t7 r tH ✓i�' �e — - -- - -
4. • Clarity .
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy: AJ6 0 �.
1 2 3 4 5 b 7 S 9 10
Page I
SWU-242.101599

S. Floating Solids
Choose the number which best describes the amount of -floating solids in the stormwater di harge where
I is ao solids and 10 is the surface covered with floating solids: Ajo 10 1 S L ,�► e
1 2 3 4 5 6. 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of s nded solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy.
1 2 .3 4 5 6 .7 8 9 10 '
7. Foam - j j
Is there any foam in'the storm/Vwater discharge? Yes No v
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No- /"Q . S
9. Other Obvious Indicators of Stormwater Pollution
List and dcscribe /N" O AS�!
Note: Low clarity, high solids, andlor the presence of foam or oif•sheen may be indicative of pollutant
exposure. These conditions may warrant further investigation.
Page.2

&)MICROBAC,;
Fayetteville Division
Certificate of Analysis
PLT Concrete Services Date Reported: 1 ] /06/ 15
Mr. Rick Proctor Project: Stormwater Samples Date Received: 11/03/15
3214 Tumage Road Date Sampled: 1 ] /03/15
Wilson NC. 27893 Sampled By: Parrish
Rocky Mount PLT, Grab
K5K0096-01
Analyte
Result
Units Analyzed
Analyzed By
_ Method Qualifier
Field Data
PH
9.6
pH Units 11/02/15 12:01
Parrish
pH
Analyzed by: Microbac Laboratories, Inc.
- Fayetteville
Settleable Solids
<0.10
mL/L 11/04/15 11:04
SW
SM 2540 F-1997
Total Suspended Solids
87.3
mg/L 11/05/15 21:33
SW
SM 2540 D-1997
Wilson PLT, Grab
K5K0096-02
Analyte
Result
Units Analyzed
Analyzed By
Method Qualifier
Field Data
PH
9.2
pH Units 11/02/15 11:25
Parrish
pH
Analyzed by: Microbac Laboratories, Inc.
- Fayetteville
Settleable Solids
<0.10
mL/L 11/04/15 11:04
SW
SM 2540 F-1997
Total Suspended Solids
20.7
mg/L 11/05/15 21:33
SW
SM 2540 D-1997
Zebulon PLT, Grab
K5K0096-03
Analyte
Result
Units Analyzed
Analyzed By
Method Qualifier
Field Data
PH
8.6
pH Units 11/03/15 07:10
Parrish
pH
Analyzed by: Microbac Laboratories, Inc.
- Fayetteville
Settleable Solids
<0.10
mL/L 11/04/15 11:04
SW
SM 2540 F-1997
Total Suspended Solids
3.00
mg/L 11/05/15 21:33
SW
SM 2540 D-1997
Selma PLT, Grab
K5K0096-04
Analyte
Result
Units Analyzed
Analyzed By
Method Qualifier
Field Data
PH
10.2
pH Units 11/03/15 11:10
Parrish
pH
Microbac Laboratories, Inc.
Page 1 of 3
2592 Hope Mills Road I Fayefteville, NC 28306 1 910.864.1920 p 1910.864.8774 f I www.microbac.com

N
&)MICROBACJ
Fayetteville Division
Certificate of Analysis
PLT Concrete Services
Mr. Rick Proctor Project: Stormwater Samples
3214 Turnage Road
Wilson NC, 27893
Date Reported: 11/06/15
Date Received: 11/03/15
Date Sampled: 11/03/15
Sampled By: Parrish
Selma PLT, Grab
K5K0096-04
Analyte Result Units Analyzed Analyzed By Method Qualifier
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Coliform, Fecal <1.0 per 100 mL 11/03/15 15:45 AFO SM 9222 D-1997
QC Batch Run - (bficrobac Laboratories, Inc. - Fayetteville)
Analyte Result Units Source RPD Limit
Total Suspended Solids 296 mg/L K5K0222 7 5
Total Suspended Solids 1.25 mg/L K5K0144 0 5
Total Suspended Solids 6.00 mg/L K5K0103 8 5
Total Suspended Solids 206 mg/L K5K0091 8 5
Rocky Mount- Water Temperature, 651 F, Air 621 F
Zebulon - Water Temperature, 621 F, Air 600 F
Selma - Water Temperature, 661 F, Air 64° F
Wilson - Water Temperature, 660 F, Air 640 F
State Certifications:
NCDNR #11
NCDOH #37714
Respectfully Submitted
Jeanne Overstreet, Project Manager
Thank you for your business. We invite yourfeedback on our level ofservice to you. Please contact the Division Manager. Rob Dermer at 910-864-1920 with any
questions. You may also contact J. Trevor Boyce, President [e-mail]
Microbac Laboratories, Inc. Page 2 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com

0 Microbac Laboratories Inc.
,Southern Testing & Research Division
3809 Airport Drive, Wilson, NC 27896
Phone:[phone] • Fax:[phone]
Website: www.southemtesting.com
-1
9
CHAIN OF CUSTODY r___-_._.____-a__�....:________�
and Analyses Request '' Lab Use Only
Y 9 `Rush Approval By. DaterTlme: !
II 1
0 R To: �
� � � G
9G �j
t Pers i5ample # Acct. # Transport: �
tom' i
,ram rReed on Ice' Temp: Res. Cl, pH: J
�[_iv� 010 Yes ❑ No
P
n aic Ad s: Fax # or Email SAMPLING CHARGES:
7 /Time:.Mileage: Other:
.s i ...... i...
Sampled By: ♦ Project ID: Ana as Requested
e ua ed Tumirounqnme .
Normal 2 weeks) * 1
( ❑ Rush (3 5 days) ' PO >k STRL QUOTE A QO
❑ Emergency Rush (ASAP)' 't� O41 C HOC
' ADDITIONAL CHARGES WILL APPLY
CALL FOR APPROVAL Client Requested Due Date:
Item Start End Comp Grab Sample
# DateMme Daterl-ime Type" DescriptionlSample Marks ' Q
_...._
________
O
liLo
_
_
�i_ZX
------------------
_________
________
L �v
RELINQUISHED BY
DATErnME
RECEIVED QY
DATEITIME
NOTES:
1 Co.
Fa
2
3
Field Rea. CI.: Field Conductivity: Field Temp: Field pH: Field D.O.:
IS DATATO BE USED FOR REGULATORY COMPLIANCE PURPOSES? CrYES ❑ NO IF YES, WHICH REGULATORY AGENCY:
"See Reverse for Codes
11/08

f
RECEI V ED
O C T 2 8 2014
CENTRAL FILES
Stormwater Discharge Outfall (SDO) DWR SECTION
Qualitative Monitoring. Report
Permit No_: �IIG 1 l�l ! ! 1 1 or Certificate of C
Facility Name: C O 0-0 c
County: "04 S'-I - , Phone No.
Inspedtor: 14 40 "t x Pe:�-Aa.6K Z do 4,
Date of Inspection: I - '3-5 i y
rge No.: NIGGI/IY, 6131 Zf0l
M T AJ : C--
25"2- `fsl--^SY
By this sign re, l certify iha is repo is a uratc and complete to the best of my knowledge:
(Signatrtfa]Ul
rriittcc or Designer)
1. escription
Outfal1 Structure (pipe, ditch,
Receiving Stream: _ --
Descri the industrial acti 'ties tPat occur wiihin 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:' O 0 J" c-� -L-
3. odor
Describe any -distinct odors
etc.) _ b Lo
4. - Clarity.
the discharge may bait (ix-, smells strongly of oil, weak chlorine odor, .
tGkA�I-C
Choose the nurnber which best describes the clarity of the discharge where I is clear and 10 is very
cloudy: /1iJ
1 2 3 4 5 6 7 8 9 10
Page l
SWU-242-101599

y
S. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids: NV
1 2 3 4 5 6 7 8 9 10
6. Suspended Sands
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy- Ajo 0 cSc-�4-� -r_
1 2 •3 4 5 6 .7 8 9 10
7. Foam .
Is there any foam in'the stormwater discharge? Yes No
9. Oil Sbeen
Is there an oil sheen in the stormwater discharge? Yes No Aj v
9. Other Obvious Indicators oI Stormwater Pollution '
List and describe
Note: Low clarity, high solids, and/or the presence of foam or oil -sty may be indicativr of pollutant
exposure. These conditions may warrant further investigation.
Page.2
SWtl-142-10l59y

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
. I GENERAL PERMIT NO. NCG140000 ,
CERTIFICATE OF COVERAGE NO. NCG14 (3 _3 a�
FACILITY NAME: PkT G I A S Ce2 f k C'. .
PERSON COLLECTING SAMPLES lcgNAy p&RNc(
CERTIFIED LABORATORY M i O-O Q A C. Lab #_ I i
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION Y R:
SAMPLING PERIOD: INA July -December ' 0�january-June
COUNTY S
PHONE NO.
ADD TO LISTSERVE? []YES ❑NO EMAIL: ws- N
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ther_S w - Q
Outfall No.
Date Sample
Collected
(m OR
NO FLOW}
pH
(Standard
Units }
TSS
{mg/L}
Event
Duration
(minutes)
Total
a
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 SamplingZ
6-9
100 ,
-
-
-
-
a t
. 31
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
Z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
"For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
<0. 10 Mq1,.
Permi;^Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B`` Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
p
Collected
(mo/dd/yrjl
pH
(Standard
Units)
TPH using method
1664A 5GT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfalla
(in)
New Motor Oil
UsageMonthly
(gal/month)
In Tier 2
Monitoring?
(y/n)
# of Months
in Tier 2
z
Sampling
6-92
15
100 '
-
-
-
-
-
c
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDE CES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample for at end of monitorine 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 f gathering he information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that the re signific a J s f su itting false information, including the possibility of fes anV imvrisonment for knowing violations."
(Signature of Pe ittee) (Dat )
Permit Date: V/1/2011-60/30/2015 Last Revised 7/13/11
`� - Page 2 of 2

OMICROBAC`
Fayetteville Division
Certificate of Analysis
PLT Concrete Services
Date Reported: 09/30/14
Mr. Rick Proctor Project: Stormwater Samples
Date Received: 09/25/14
3214 Turnage Road
Date Sampled: 09/25/14
Wilson NC, 27893
Sampled By: Parrish
Zebulon PLT, Grab
K4I0842-01
[ Analyte _ _ Result Units Analyzed Analyzed By Method Qualifier
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids <0.10 ml/L, 09/26/14 07:20 JAO SM 2540 F-1997
Total Suspended Solids 5.00 mg/L 09/29/14 08:50 SW SM 2540 D-1997
Wilson PLT, Grab
K4I0842-02
Analyte
Result
Units
Analyzed
Analyzed By
Method Qualifier
Field Data
PH
8.1
pH Units
09/24/14 11: l5
Parrish
pH
Analyzed by: Microbac Laboratories, Inc. -
Fayetteville
Settleable Solids
<0.10
ml/L
09/26/14 07:20
JAO
SM 2540 F-1997
Total Suspended Solids
6.25
mg/L
09/29/14 08:50
SW
SM 2540 D-1997
Rocky Mount PLT, Grab
K4I0842-03
Analyte
Result
Units
Analyzed
Analyzed By
Method Qualifier
Field Data
PH
9.3
pH Units
09/25/14 07:02
Parrish
pH
Analyzed by: Microbac Laboratories, Inc.
- Fayetteville
Settleable Solids
<0.10
mUL
09/26/14 07:20
JAO
SM 2540 F-1997
Total Suspended Solids
6.50
mg/L
09/29/14 08:50
SW
SM 2540 D-1997
Selma PLT, Grab
K410842-04
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
PH 9.1 pH Units 09/25/14 10:37 Parrish pH
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Coliform, Fecal 280 per 100 ml 09/25/14 15:40 JAO SM 9222 D-1997
Microbac Laboratories, Inc. 2592 Hope Mills Road I Fayetteville, NC 28306 1 910.864.1920 p 1910.864.8774 f I www.microbac.comET

PLT Concrete Services
Mr. Rick Proctor
3214 Tumage Road
Wilson NC, 27893
�MICROBAC"
Fayetteville Division
Certificate of Analysis
Project: Stormwater Samples
Date Reported: 09/30/14
Date Received: 09/25/14
Date Sampled: 09/25/14
Sampled By: Parrish
QC Batch Run - (Microbac Laboratories, Inc -Fayetteville)
Analyte Result Units Source RPD Limit
Total Suspended Solids 6.50 mg/L K4I0886 7 5
Rocky Mount- Water Temperature, 701 F, Air 621 F
Zebulon - Water Temperature, 72' F, Air 58' F
Selma - Water Temperature, 701 F, Air fit° F
Wiison - Water Temperature, 721 F, Air 60° F
State Certifications:
NCDNR 411
NCDOH 437714
Respectfully Submitted
Bonnie K. Sanders, Senior Project Manager
Thank you for your business. We invite yaurfeedbackon our level ofservice to you. Please contact the Division Manager, Rob Dermerat 910-864-1920 with any
questions. You may also contact J. Trevor Boyce, President at [e-mail]
Microbac Laboratories, Inc.
Page 2 of 3_
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 if J www.microbac.com

Microbac Laboratories Inc.
Wilson Division
3809 Airport Drive, Wilson, NC 27896
Phone:[phone] - Fax:[phone]
Website: www.microbac.com
CHAIN OF CUSTODY Page of
Lab Use Only
and Analyses Request 'Rush Approval By. DateMme:
Dept
Original Report To: � �� � �
Ca 2 ` .
Contact Person: ! � Sample # Acct. �! Transpprt:
�iW(�LQ f
Reed on Ice', 'Temp: Res. Cl. pH:
Phone # �� _ a �j _ O O 01 ❑ Yes ❑ No
T J
ddress: r� e , t p p
O( (A�, IV J l�
Invoice Address: Fax # or Email SAMPLING CHARGES:
l
COther
Sampled By f CA I Project ID: Analyses Requested
eques Turnaround Time
vtNom:al(2 weeks} © Rush (3 5 days} ' PO # STRt_ QUOTE# ���
© Emergency Rush (ASAP)' � p`
' ADDITIONAL CHARGES WILL APPLY e,
CALL FOR APPROVAL Client Requested Due Date:
Item Start End Comp Grab Sample p 1 p 0
� t
# DatelTime Date/Time Type" Description/Sample Marks
v_•0144t
T4m: Aiea 72 ,9�rz,
—
-
�16"
i 5 t;•, PLT t 1 13.1
-------
-------
r 7 a l - a.
-�--
-- -
Ix rwp4eA
RELINQUISHED BY
DATEMME
RECEIVED BY
DATEITIME
NOTES:
'
Dcwry re- �"
94 -N %e -'7 A,
2
3
Field Res. CI.: Field Conductivity: Field Temp: Field pH:Field D.O.:
Lt
DATA TO BE USED FOR REGULATORY COMPLIANCE PURPOSES? E5 NO IF YES, WHICH REGULATORY AGENCY: D s
"Sep Reverse for Codes`
yi/os

1
_ RECEIVED
MAY 02 2014 RECEIVED
CENTRALFILES �. `.
MAY OP. ':-�
DWQIBOG -.-� CENTRAL t=11_ES
❑WQlBOG
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring. Report
Permit No.: 1WC1 I I�I I 1 1 I or Ccrtificate of Coverage � No.: N/QGI 11VAj4Q
Paci1ity Narrw,, Pl L _C.2 r R ^U`-- 't t'1�1� _ 4,'.• t_ _. _
County: AJA-`s(-\ Phone No. Q?S,Z - `(S r q 4 S a
lnspedtor: eilyq \-I _ /k'it- , 5 ',P=FS�L.�ao
Date of Inspection:��lo`�
By this s afore, I th/�at is port is accurate and complete to the best of my knowledge:
�[,�JC W _
ign,aline of Permittco or Designee)
L 1 Outfall Description
Outfall No_ Structure (pipe, ditch, .etc.)
Receiving Sur -sin: e
Describec industrial activitta)0kWL1e_P4_
th t occur within the outfall drainage area
_p.
0-Y1c
2. Color
Describe the color of the
dark)'as descriptors:' 0
using basic colors (red, brown, blue, etc_) and tint (light medium,
3_ Odor
Describe any distinct odors that the dselgelJmay have (i.e_, smells strongly of oil, weak chlorine odor,
etc-) liJr9nt . _
4. clarity
Choose the number which best describes the clarity of the di ., a�rge where 1 is clear and 10 is very
cloudy: ND (�V5t.-*Of• —
1 1 2 a 4 5 6 7 8 9 to
Page 1
Sw1.1-242-101599

0
S. Floating Solids —
Choose the number which best describes the amount of floating solids in the stormwater dt ge where
1 is no solids and 10 is the surface covered with floating solids:
2 3 4 5 .6 7 8 9 10
b. Suspended Solids �{ J
Choose the number which best describes the amount of suspended solids in the stormwater di arge
where I is no solids and 10 is extremely muddy:
I Q5 .3 4 5 5 7 S 9 10
7. Foam
Is there any foam in the stormwater dii eti rge? Yes {Nb ]
8. Oil Sheen �om -
Is there an oil sheets in the stormwater dis arge? Yes a�
9. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the pre=ce of foam or oil. sheen may be indicative of pollutant
exposure. These conditions may warrant ftuther investigation.
Page
SWU-242-101599

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14_WaO
FACILITY NAME: P�'T Crj .A c :r' ,
PERSON COLLECTING SAMPLES JC9N..:`4 P�­RM�'Lf ^
CERTIFIED LABORATORY�M i-�ZC3 �' Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLING PERIOD: July -December January -June
COUNTY / JA
PHONE NO. Q.=�j Cc : 0"�G�J
ADD TO LISTSERVE? ❑YES ❑NO EMAIL: VJS- N
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout RrOther
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
(Standard
Units)
TS5
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 SamplingZ
-
-
6-9
1002,3
6
.7s
G
1 If "NO FLOW" or "NO DISCHARGE, Ente NO FLOW" r 'NO DISCHARGE" or each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, outsid e ble,chmar a (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 T55 benchmark values are 100 mg/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.
NEW-ca
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using> 55 gal of new motor oil/month --averaged over a calendar year.
-
Outfall
No.
Date Sample
Collected
{mo/dd/yr)1
PH
(Standard
Units)
TPH using method
1664A SGT-HEM
{mg/L}
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total a
Rainfall
(in)
New Motor Oil
Usage
{gal/month}
In Tier 2
Monthly
Monitoring?
{y/n}
4 of Months
in Tier 2
Z
Sampling
6-92
15
100 '
-
-
-
-
-
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 0
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 monito_r_ing period
in case of "No Flowl 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 or gatheri g the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that a are si alti fo submitting false information, including the possibility oYfines aVd irT/irisonment for knowing violations."
�G'516
(Signaturg,6f Permittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

v ' Microbac Laboratories Inc.
Wilson Division
3809 Airport Drive, Wilson, NC 27896
Phone:[phone] - Fax:[phone]
Websile: www.microbac.com
i
CHAIN OF CUSTODY
and Analyses Request
Page of
----- — —-----------
o
Lab Use Only
`Rush Approval By: IDateRme:
JDept:
Original Report ToA • r 'b I
ddress: 3� l � 6
+�-+� /PCs
Contact Person: I jSample # Acct. 0Transport:
Reed on Ice, Temp: Res. Cl. pH:
Phone # �51—' 2 3 - �L Li I ❑ Yes � No
Invoice Address: �_ > 3. Fax # or Email ISAMPLING CHARGES:
MileaLe: Other.
����—+--��
Sampled By- KP" �'� Project ID: Anal es R Requested
equested Turnaround Time
Normal (2 weeks) [] Rush (3-5 days) ' PO # STRL QUOTE # Q��
[] Emergency Rush (ASAP) ' O`
" ADDITIONAL CHARGES MLL APPLY Z
CALL FOR APPROVAL Client Requested Due Date:�Q
Item Start End Camp Grab Sample
# DateMme Daterrime " '" Type" DescriptlonlSample Marks
Ar'579.
yc.
Lr.i
W i ISCA Ff 10, Iq
iL
d�
Z
-
r
--,� g
►oj so
�t i P 4
S7 to Y
171
4L
--
_--___
5 � q1
RELINQU MED Y
DATEMME
RECEIVED BY
DATEMME
NOTES:
r
�
z
3
Field Res. Cl.: Field Conductivity: Field Temp: Field pK: Field D.O.:
1S DATATO BE USED FOR REGULATORY COMPLIANCE PURPOSES? YES ❑ NO IFYES, WHICH REGULATORY AGENCY: LU
"See Reverse for Codes 11/08

1 J
Fayetteville Division
ro
NEC• � 2592 1-[opc Mills Rd bacFayetteville, NC 28306
910.864.1920 Phone
910.864,8774 Fax
Certificate of Analysis
PLT Concrete Services
Mr. Rick Proctor Project: Stormwater Samples
3214 Turnage Road
Wilson NC, 27893
Willson PLT, Grab
1404431-01
Date Reported: April 23, 2014
Date Received: April 21, 2014
Date Sampled: April 17, 2014
Sampled By: Parrish
Analvte Result Units Analyzed Analyzed By Method Qualifier
PH 8.4
Analyzed by: Microbac - Fayetteville Division
Settleable Solids <0.10
Total Suspended Solids 30.5
PH Units 4/16114 9:46 Parrish pH
ml/L 4/21/14 10:30 JAO SM 2540 F-1997
mta/L 4/23/14 8:30 JTL SNt 2540 D-1997
Zebulon PLT, Grab
140443 l -02
It
Analvte Result Units Analyzed Analyzed By Method Qualifier
Field Data
PH 8.4 pH Units 4/16/14 10:17 K. Parrish PH
Analyzed by: Microbac - Fayetteville Division
Settleable Solids <0.10 rnl/L 4/21/14 10:30 JAO SM 2540 F-1997 H
Total Suspended Solids 7.50 mg/L 4123/14 8:30 JTL SM 2540 D-1997 S1
Rocky Mount PLT, Grab
1404431-03
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH 8.9 pH Units 4/16/14 10:50 Parrish pH
Analyzed by: Kcrobac - Fayetteville Division
Settleable Solids <0.10 ml/L 4/21/14 10:30 JAO SM 2540 F-1997 I-1
Total Suspended Solids 6.75 mg/L 4/23/14 8:30 JTL SM 2540 D-1997
State Certifications: Respectfully Submitted
NCDNR #11
NCDQ11 437714
USDA #3787
Bonnie K. Sanders, Senior Project Manager
Page 1 of 2

Fayetteville Division
2592 Hope Mills Rd
Fayetteville, NC 28306
910,864.1920 Phone
910.864.8774 Fax
Certificate of Analysis
PLT Concrete Services
Mr. Rick Proctor Project: Starmwater Samples
3214 Tumage Road
Wilson NC, 27893
Selma PLT, Grab
1404431-04
Date Reported: April 23, 2014
Date Received. April 21, 2014
Date Sampled: April 17, 2014
Sampled By: Parrish
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH 9.6 pH Units 4/17/14 10:35 Parrish pH
Anatyzed by: Microbac - Fayetteville Division
Coliform, Fecal <1.0 per 100 ml 4/21/14 13:55 7AO SM 9222 D-1997 H
QC Duplicate Results
Analyte Result Units Source RPD Limit
Total Suspended Solids 5.75 mg/L 1404402 14 5
Total Suspended Solids 9.25 mg/L 1404431 21 5
Total Suspended Solids ND mg/L 1404468 5
Field Information
Rocky Mount- Water Temperature, 570 F, Air 440 F
Zebulon - Water Temperature, 66° F, Air 481 F
Selma - Water Temperature, 651 F, Air 46° F
Wilson - Water Temperature, 611 F, Air 41° F
Lab was closed on April 18, 2014 in observance of Good Friday. Cient requested samples to be analyzed on Monday, April 21, 2014.
Notes and Definitions
S1 Relative Percent Difference (RPD) outside accepted recovery limits
H Analyze was prepared and/or analyzed outside of the analytical method holding time
State Certifications:
NCDNR #11
NCDOH #37714
1JSDA #3787
Respectfully Submitted
Bonnie Y— Sanders, Senior Project Manager
NPage1-2,of2