NCG140330_MONITORING INFO_20190204

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
I� MONITORING REPORTS
DOC DATE
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
CalendarYe_ar tote
*Report ALL WASTEWATER monitoring data on this form (include "No Floriv 1"No DischarNc e" pVcimit Violations) •from
the previous calendar.year to the' DEQ. by MARCH 1 of each year. � `�
Certificate of Coverage No. NCG 14 Q❑3 0� CENTRPL rtiL� `
C1NR `-
Facility Name: 'Z 6AIrn-(OL Yn(zxc>.1o4E �triAuS ,��` �>�� 1i4a.
County:
Phone Number: (aZTotal no. of outfalls monitored
Certified Laboratory r ►c ,-obrsc Lab # 1 ti
Lab #
Wastewater (WW) Discharge Outfall No. '.
Does this outfall discharge WW to SA waters? Yes ❑ No
Does this outfall discharge WW to S13 or PNA waters? Yes ❑ No IT
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No [EI�
Were there any limit violations in the calendar year? Yes No ❑
c
"�
Outfall No,
Daily Flow Rate,
cfs
'
pH,
SU
TSS,
mg/1
SS,
mlll
if applicable
Non -Polar O&G (EPA Method 1664
.,(SGT-HEM)), mg/l
-
Effluent•
Limitations
Daily Maximum
•
HOW or ORW n
50% of 7Q10.
'
lndfcate NO FLOW if
applicable
-
Cfressrthwaater
V.v'a:0
saltwater
6.8-8.5
Standard
,30
HOW
2.0 -
HOW ! ORW and Tr, or
PNA
10
-
HOW, ORW, SA,
HOW,O,oran,
T=o�+
5
-
�•
•No Limit
• .
Samples above Benchmark
subject to Tiered Responses
-15
Date
Sample
Coilected,
molddl f
f x -61 'rr`3.i
-
_
0242(-lie
0. c9o52
S.0
24
8d
5 00
0511c,11$
1. 1 Ll
8.6-1
13S. o
0 .
ooklzn k%
3. y'z
S•G10
q8.3
O. a
L 5.oc�
Permit Date 81112017 — 6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG14 EE 03
CERTIFICATION
.;
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person -or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is„ to the best of my
knowledge and belief,'tr'ue; accurate, "and"complete:,^ ra, M°aware that there .are significaritpenalties for
submitting false information including the possibility of fines and imprisonment for knowjng violations."
(Required by 40 CFR §122
Signatur
Date 3o A
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct -- Central Files is housed in DWR (not DEMLR) '
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
CAttn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 811/2017 — 6/30/2022
Last Revised 8-22-2017

C:1
�i
AMER
Stormwater Discharge Outfall (SDO) -
Qualitative Monitoring Report
.r. ?. f t.. _ _ .. � ,i�. .:'s'. � "eti, 1, `� :��: ]. .. .�: r .. � t:Gl=t '•'a:,•',
Forguidance on filling out thisform, please visit: httl//12ortal.ncdeDr.org/web/ir/nodes-stormwaterl
Permit No.: N/-C/_
Facility Name:
County: rib
Inspector:
Date of Inspection:
Time of Inspection:
or Certificate of`Coverage No.:
►� i rn -f EfZ M i�C.1-1 � �.1 C l�E,�.t'I� L. S , 1i.► c- _
t2
Total Event Precipitation (inches): 0.0.
Phone No. 252 - 53 22
MEN=
FEB 0 4 2019
CENTF kL FILES
Was this a "Representative Storm Event" or "Measureable Storm 've'fitM1.•irlpfiped by the permit?
(See information below.)
❑ Yes ❑ No 4
Please verify whether Qualitative Monitoring must be performed during'a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
"' ' A
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation. '
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling periad,'and`the permittee
obtains approval from the local DWQ Regional Office.
By thi -sfgn re, I certify that this'r ort is accurate and complete to the best of my knowledge:
!� X y
(Signa ire of PermitI or Desi9 ee)
5WU-242, Last modified 7/31/2013
Pagel of 2

9
1. Outfall Description:
Outfall No. I Structure (pipe, ditch, etc.) 1 iTGIA
Receiving Stream: rS5-t-�. s cz 1e p
Describe the industrial activities that occur within the out1fallldrainage area: &L\py f-. MIX" CD JCQ- 14-6-T,
iAk%AAR-UALPCE 5►�00. $roC1Cl• v�++� _�larfJy¢Va /.;alt �I`D�-FiG . nc1� h �ho,P�4��
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light,_medium, dark) as descriptors: k'4dNE.
3. Odor: Describe any distinct odors that the discharge may have (i:e., smells strongly of oil,
weak chlorine odor, etc.): A00
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
►�l�A 1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
P3jA 1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
41A1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No til'Q
8. Is there an oil sheen in the stormwater discharge? Yes No �� p
R. Is there evidence of erosion or deposition at the outfall? Yes No 1141A
10. Other Obvious Indicators of Stormwater Pollution:
List and describe _h1 ow
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

1
/),
­t_
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 3 3
FACILITY NAME: -1�►t} ' m ,r M rum ��1G
PERSON COLLECTING SAMPLES:'t$1=i.f 1�►i�t1;
CERTIFIED LABORATORY: �A 1Gnobr c Lab # 11
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: Zatg
SAMPLE QUARTER: ❑[✓ Jul -Sept Oct -Dec ❑Jan -March ❑April -June
COUNTY: A6tw; qkx
PHONE NO. (252) _ 53*1-_ 32Z2a
ADD TO LI5TSERVE? ❑YES E 190 EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout 2dther
OPTIONAL INFO:
Outfatl No.
Date Sample
i
Collected
(mm/dd/yr)
Type of Wastewater
x
(VE, RM, MD}
pH
(standard)
Total Suspended
Solids �
(mg/L)
Settleable
Solids
(mL/L).
TPW using
-
method.1664A
SGT-HEM'
(mg/L)
Discharge
Duration
(minutes)
Total Flow
,
(gallons/day)
-
-
_
6-93,4
303,5
53-
1
a
trio i.3
I If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pFi limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
TSS limits are 20 mg/L for wastewater discharges to FIQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater.to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY(INCLUDING ALL "NO FLOW", "NO•DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE FOR
AT END OF MONITORING_ PERIOD IN CASE OF "NO FLOWS TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
1 certify, under penalty of law, that this`document and A'atfAhments were prepared under my direction'or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the irif5irmation submitted. fused on my inquiry of the person or persons who.manage the system; or
those persons directl sible'#or gathering,the.information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I a are t there are signific nt penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violation 77
re of Perryf
1[3n I >�
(Date)
Permit -te: 7/1/2010 06/30/2015 Last Revised /13/11
`( , �e2of2

c_
40*1r-Ar
REGE IVEP ' NCDENR
Stormwater Discharge Outfall (SDO)
OCT 1-8 2018 Qualitative Monitoring Report
CENTRAL FILES
F'o g`uidanc�eongllingoutthisform,pleasevisit: w w
Permit No.: N/C/
Facility Name_
County: 4*1N ,\ i
Inspector: +� i
Date of Inspection:
Time of Inspection: ).;DO DM
or Certificate of Coverage No.
Total Event Precipitation (inches): 5
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See i ormation below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By thi4.-5i`gx4ture, I certify
of Permitt
gnee)
is accurate and complete to the best of my knowledge:
5WU-242, Last modified 7/31/2013
Pagel of 2

1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.}
Receiving Stream: 61 k
Describe the industrial activities that occur within the outfall drainage area: Atelt M,%Ytd G-4c t t
&Aa Mai'Mtnantt Sbv S�ci� ;j�j E 'tcwtS�.� t Ucll�ti /o ,4 c.d .rtc.t
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: VUH /I ^^�
3. Odor: Describe any stinct odors that the discharge may have (Le,, smells strongly of oil,
weak chlorine odor, etc.): 0�1
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 G) 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 e 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 (D 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe A 0 AL,
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, East modified 7/31/2013

t .i• ..r •.f'
•'i �,. j•'v �v v 1 ii j' �jv . • . � Iil �. .r 4�1•.� •�i;. �•iJ ;.J •�i. � '1••� " .111'.4i �c1 .! . � J
1
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h, �

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NG. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 3 � O
FACILITY NAME: Ri 'K rm tl PlIA11AC kt,%.3
PERSON COLLECTIN SAMPLES: ean
CERTIFIED LABORATORY; M ,'0_,-ObAc Lab i# J I
Lab #
LIMIT VIOLATIONS? YES gNO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 020 lF
SAMPLE QUARTER: OJul-Sept []Oct -Dec
COUNTY:
PHONE NO. ( } .,�3 % - 3 d"t�3
ADD TO LISTSERVE? ❑YES PNO EMAIL:
❑Jan -March ❑April -June
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Other.
OPTIONAL INFO:
Outfail Na.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD}
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
a
SGT--HEM
(mg/L)
Duration
(minutes)
Total Flow
7
(gallons/day)
-
-
-
6-93,4
303,5
53
(15)6
-
-
04LQI IIr
E Am. M
L_+91, 3
0. 0
SDo
39Soo
1 if wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1./2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

G Process wastewater discharges shall only be monitored for TPFI when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 026 .0224. I'ermittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW".) TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY,INFORMATION REPORTED. ,
"I certify, under penalty of law; that this document and all attachments were prepared under my direction`or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directl sponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. 1 a w that there arse significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
ture erm
Permit r'-te: 7/1/2010-06/30/2015
Last Revised 07/13/11
2 of 2

VMICROBAC@
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8I0494
Rightmyer Machine Rentals, Inc Project Name: Wastewater Samples - Roanoke
Rapids
Mr. Ben Rightmyer Project I PO Number: NIA
497 Highway #48 Received: 09/28/2018
Roanoke Rapids, NC 27870 Reported: 10/05/2018
Case Narrative
Field pH (by client): 8.9 temp 713.4
Analytical Testing Parameters
Client Sample 10: RR1, grab
Sample Matrix: Aqueous Collected By: Rightmyer
Lab Sample ID: K810494-01 Collection Date: 09/27/2018 14:00
Wet Chemistry
Method: EPA 1664 Rev. B
Oil 8, Grease (SGT-HEM)
Method: SM 2540 D-2011
Total Suspended Solids
Result
RL Units
c5.00 5.00 mglL
48.3 2,50 mg1L
Note Prepared Analyzed Analyst
10/03/18 0934 TAB
10/02/18 0911 NIT
Method: SM 2540 F-2011
Settleable Solids 0.30 0.10 mUL Y 09/28/18 1121 MT
Definitions
RL: Reporting Limit
Y: This analyte is not on the laboratory's current scope of accreditation.
Project Requested Certification(s)
Microbac Laboratories, Inc. - Fayetteville
11 North Carolina DENR NPDES
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:
Brittany Smith
Administration
Reported: 10/05/2018 15: 25
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910,864.1920 p I www.microbac.com Page 1 of 2

Fayetteville Division 2592 Hope Mills Road - Fayetteville, NC 28306 (910) 864-192018f *K810494-
CHAIN OF CUSTODY RECORD
9ENTNAME&ADDRESS: -
POO PROJECT i LOCATION:
Q3-18 I Qtly Process 1 Waste Water Roa. Rap.
U
m
LL
O
TYPE
OF ANALYSIS
PRESERVATION (CODE)
Rightmyer Machine
497 Hwy 48
Roanoke Rapids, NC
27870
T
Q
w
a
w
y
?
o
OPRORINE
CODE: A = None
B = HNO3 (pH<2) + <6°C
C = H2SO4 (pH<2) + <6°C
D= NaOH + <6°C
E = ZN Acetate + <6°C
F = Hrl
G = Sodium Thio
I
CONTACT PERSON:
Ben Ri htm er
P"OW-`
252-537-3223
sampim Name
Ben Rightmyer
DATE METHOD OF SHIPMENT:
9/27/18 -. Delivered to tab
LAB ID #
SAMPLE TYPE
DATE
TIME
COMP
GRAB
PH
FLOW
TEMP -C
CH
SULFroE
RR 1
TSS
9?27118
2:00 PM
Y
1
Y
.2
RR 1
SS
9/27/18
2:00 PM
Y
1
Y
RR 1
TPH
9/27/18
2:00 PM
Y
2
Y
L 2
pH Field : 8.9
Temp Field 78.4
Initials—p No
Turn round time: REGULAR RUSH
Comments or Special Hazards'. C/ !�
IS DATA FOR REG. COMPLIANCE PURPOSE?
NO YES X WHICH: DWQ-NODES
Page 2 of 2

�00YA
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://portal.nCdCnr.org/web/lr/nl2des-stormwater/­
Permit No.: IV/�/_/_/_/_/_/_/_/ or Certificate of Coverage No.:
Facility Name: r"IwN, Ac %Wj, I4c
County: I Phone No. 25},-5 37-3,-;-3
Inspector: 60-4% ok 51A�M 7 e:�: - ---- -
Date of Inspection: `�16 # 1,20Ir
Time of Inspection: 10: 4§
..n
Total Event Precipitation (inches): 0. % 0
Was this a "Representative Storm Event" or "Measureable Storm.Event" as defined by the permit?
(See information below.) NItC IV D
/Yes ❑ No JUN 18 2018
CENTRAL l`ILE,9
Please verify whether Qualitative Monitoring must be performed d'uring af- epfesbntative storm
event"or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signatyre, I certify that this resort is accurate and complete to the best of my knowledge:
(Sigdaore of Permittee or
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. I Structure (pipe, ditch, etc.)
Receiving Stream: Ae.115 Crc e-k
$yescribe the industrial activities that occur within the outfall drainage area:
� M6 ��tik.
S1NO) , SV'Otltd+1tS _ �pua0�►1LnT S�4ia14,��-�t14 {!I•}}�� rt y C"��.,t/�11n�'
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: i4c_4+aA
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 4GAt.
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 � 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
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 .0
3 4 5
7. Is there any foam in the stormwater discharge? Yes NN
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
Listanddescribe 1 owe..
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

I
r
t.�. r,1J' ... {.i.� i ,'I �','e.• .... � a �• . �,r"'-.. r d 3� •11: .`I �, �. ee.;., - ti � - .�•F �..7'. :`J • .. •:. •
•

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG14OOOO-
CERTIFICATE OF COVERAGE NO. NCG14 0 3 33 b SAMPLE COLLECTION YEAR:
FACILITY NAME: 1�,b}1im F YW{JCU j56r�d� Luc. SAMPLE QUAARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March (April-june
PERSON COLLECTING SAMPLES: r315Q 'Za. ►.1T COUNTY: t 'F
CERTIFIED LABORATORY: hltiC�Zaf�►�c _ Lab# PHONE NO. (X 53?
Lab # ADD TO LISTSERVE? ❑YES 2'NO EMAIL:
LIMIT VIOLATIONS? YES NO ❑ DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout [✓]Other
OPTIONAL INFO:
Part A. Wastewater Monitoring Requirements
Outfall No.
Date Sample
i
Collected
(mm/dd/yr)
Type of Wastewater
z
{VE, RM, MD}
pH
(standard)
total Suspended
Solids
{mg/L)
Settleable
Solids
(mL/L}
TPH usingDischarge
method 1664A
SGT-HEM6
(mg/L)
Duration)
(minutes)
Total Flow
(gallons/day)'
-
-
-
6-93''
303,5
53
(15)6
-
-
Y
l
O• Za
45.00
i3 1Cc`]
F If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are G-9 S.U. for wastewater discharges to freshwaters, and G.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications
Permit Date: 7/1./2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD 1N CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty,of law, that this dQcuMent:and a I I attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." .
re of Permittee)
Permit '-t: 7/1/201
Last Revised n7/13/11
,2of2

�MICROBAC`
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8E0287
Rightmyer Machine Rentals, Inc Project Name: Wastewater Samples - Roanoke
Rapids
Mr. Ben Rightmyer Project I PO Number: NIA
497 Highway #48 Received: 05/17/2018
Roanoke Rapids, NC 27870 Reported: 05/30/2018
Case Narrative
Field pH (by client): 8.6 temp: 75.4
Analytical Testing Parameters
Client Sample ID: RR1, grab
Sample Matrix: Aqueous Collected By: Rightmyer
Lab Sample ID: K8E0287-01 Collection Date: 05/16/2018 10:45
Wet Chemistry Result RL Units Note Prepared Analyzed Ana"t
Method: EPA 1664 Rev. B
Oil & Grease (SGT-HEM) <5.00 5.00 mglL 05/30/18 1005 TAB
Method: SM 2640 0-2011
Total Suspended Solids 136 2.50 mg1L. 05/18/18 0944 MT
Method: SM 2540 F-2011
Settleable Solids 0.20 0.10 mLIL Y 05/18/18 0938 MT
Definitions
RL: Reporting Limit
Y: This analyte is not on the iaboratory's current scope of accreditation.
Project Requested Certifications)
Microbac Laboratories, Inc. - Fayetteville
11 North Carolina DENR NPDES
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 samples) anaWed. This report is incomplete unless all pages indicated
in the footnote are present and an authorized signature: is included.
Reviewed and Approved 4:
Jeanne Overstreet
Project Manager
[e-mail]
05/30/2018 16:38
Microbac Laboratories, Inc.
2692 Hope Mills Rd I Fayetteville, NC 283061 910.864.1920 p I www.microbac.com Page I of 2

Fayetteville Division 2592 Hope Mills Road — Fayetteville, INC 28306 [phone] ,
i *K8Ea287"
CHAIN OF CUSTODY RECORD
CLIENT NAME&ADDRESS:
Rightmyer Machine
497 Hwy 48
Roanoke Rapids, NC
27870
Pop
Q2-18
CTILOCATION:
MyProcess / Waste Water Roa. Ra .
N
W
m
0
TYPE
OF ANALYSIS
PRESERVATION (CODE)
w
F
v
3
LU
w
x
v
117
IL
CODE: A = None
B = HNO3 (pH<2) + <6°C
C = H2SO4 (pH<2) + <6°C
D = NaOH + <6°C
E = ZN Acetate + <6°C
F = Hrl
G = Sodium Thio
CONTACT PERSON:
Ben Rl htm er
"ONE;
252-537-3223
Samplers lbme
Ben Rightmyer
DATE IMETHOD OFSHIPMENT:
5/16/18 - Delivered to lab
LAB ID #
SAMPLE TYPE
DATE
TIME
COMP
GaAs
PH
FLOW
TEMP -C
CH1�ORlNE
SULFIDE
RR 1
TSS
5/16118
10:45 AM
Y
i
Y
RR 1
SS
5/16/18
10:45 AM
Y
i
Y
RR 1
TPH
5/16/18
10:45 AM
Y
2
Y
pH Field: 8.67
Temp Field 75.4
Initials Yes i No
Turnaround time: REG%M E 1!Y Ll�
Comments or Special Hazards
IS DATA FOR REG. COMPLIANCE PURPOSE?
NO YES X NHICH: DWO-NPOES
Page 2 0f 2

Roanoke Rapids Stormwater/Wastewater Calculations
497 Hwy 48 Roanoke Rapids, NC 27870
Date Sample Taken: 5/16/2018
Date Lab Received: 5/17/2018
Date Lab Results Received: 5/30/2018
Site Map: Mid Atlantic Associates
Total Rainfal 0.10 inches
Sampling Period:2nd Qtr 2018
Drainage Area Approximate Square Feet
216,737 SF
216,737 SF
80% of site Impervious
20% Vegetated
173,390 SF
43,347 SF
0.075 Gal/SF Rainfall
0.075 Gal/SF Rainfall
13,004 Total Gal
3,251 Total Gal
0.95 Runoff Rate
0.25 Runoff Rate
12,354 Gal Discharged
813 Gal Discharged
13,167 Total Gallons Discharged by Storm Event
1 cu ft = 7.5 Gal/10 = 0.75 Gal per Inch
0.75 Gal/10 = 0.075 Gal per tenth of an inch
Sq Ft X Depth = Total Gallons X Runoff Rate =
Gallons Discharged Est. Runoff Rates
1/10 = 0.075 Gal Inpervious = 0.95%
2/10 = 0.150 Gal Stoned = 0.70%
3/10 = 0.225 Gal Vegitated = 25%
4/10 = 0.300 Gal
5/10 = 0.375 Gal
6/10 = 0.45 Gal
7/10 = 0.525 Gal
8/10 = 0.600 Gal
9/10 = .675Gal
10/10 = 0.75 Gal
Field Data Result
pH -
8.57
Temperature
75.4
TPH 1664
<5.0
SS
0.2
TSS
135
Limits
Compliant
6.0 - 9.0
Yes
None
Yes
15
Yes
5
Yes
30
No

X
jfA
NCDENR
Storlmwater Discharge 4utfall (SDD)
Qualitative Monitoring Report
For guidonce on filling out thisform, please visit: Iittt�://nrn t��Lncclenr.nra/�vei�/li /npcies su}rmw�iter�
Permit No.: N/C/_/_/�/T/�/^/_/ or Certificate of Coverage No.: N/C/G/ t
Facility Naine: :9L& lTm'f eg r1n cki,Ur 'rE Ist.S ::z:�,,3
County: ANL�i�A Phone No. Z 2- 531 - 327- 3
Inspector: —915&j ! i rh�(gg
Date of inspection: Z/2Ca/_18 R;=ri=1\/;=n
Time of Inspection: 8: 30 r61%
A ?
018
Total Event Precipitation (inches): 0 • d 5 CEN) 1-"%L- HLES
GVIR SEC- ION
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Pf Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
ature of Permittee
Page 1 of 2

1. Outfall Description:
Outfall No. I Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: ZgApj mLx[9D C01-jc.r4e
i u40 NtA_i EtlpuG� S�IaQ SToc�< f i ��5 , Gc v'�� n.e�1� �aiaRD6l {
V�c�-1�c� ��fa�Ficr"`-ifzvc�C $ _cy�Uti�rnE
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ i,�ti� �r��e�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _-6Qnt, _
4. Clarity: Choose the number which best describes the,clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 20 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (2 j 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
7.
Q
Q
1 0 3
Is there any foam in the stormwater discharge?
4 5
Yes
Is there an oil sheen in the stormwater discharge? Yes
Is there evidence of erosion or deposition at the outfall? Yes e
10. Other Obvious Indicators of Stormwater Pollution:
List and describe �j o ►.1 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

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG146000
CERTIFICATE OF COVERAGE NO. NCG14 0 3 3 a
FACILITY NAME:-;?iL1-krrn--rae !1'tilackl�t�I✓ ilEvrA�S �.
PERSON COLLECTING SAMPLES: Bi5w Lp1-1 —1Ayese
CERTIFIED LABORATORY: —AA ic- Oc)191Sc Lab# 71.
Lab #
LIMIT VIOLATIONS? YES NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 201 dn )
SAMPLE QUARTER: ❑1ul-Sept []Oct -Dec tan -March
COUNTY: ula�.i iAx _
PHONE NO.
ADD TO LISTSERVE? OYES [eNO EMAIL:
❑April -.tune
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout { vJOther
OPTIONAL INFO:
Outfalf No.
Date Sample
i
Collected
(mm/dd/yr)
Type of Wastewater
, RM; MD)
(i/Ez
pH
(standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
6
5
g/L)
(mg/L)
Duration
(minutes)
Total Flow
7
(gallons/day]
-
-
-
6-93,4
303's
53
(15)6
-
-
�.
02 v- 19
vE rh M?
0
24.3
0.90
4-6.06
b
q 0
' If wastewater systems have not discharged in this quarter- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
21 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s T5S limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 or 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is sub}ect to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028 .0224. i'ermittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW" TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
(919) 807,-6379
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 infoFinatiori submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the inforrriation, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations.
ature of Permittee}
Permit —'^te: 7/1/2010-06/30P015
7",?O — /1
(Date)
Last Revised n7/13/11
�2of2

OMICROBACe
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K860906
Rightmyer Machine Rentals, Inc Project Name: Wastewater Samples - Roanoke
Rapids
Mr. Ben Rightmyer Project / PO Number: Q1-18
497 Highway #48 Received: 02/26/2018
Roanoke Rapids, NC 27870 Reported: 03/19/2018
Case Narrative
Field pH (by client): 8.0
Field Temp (by client): 62.2
Analytical Testing Parameters
Client Sample ID: RR1, grab
Sample Matrix: Aqueous Collected By: Rightmyer
Lab Sample ID: K8BO906-01 Collection Date: 02/26/2018 8:30
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: EPA 1664 Rev. B
Oil & Grease (SGT-HEM) <5.00 5.00 mg/L 03/06/18 0905 TAB
Method: SM 2540 D-2011
Total Suspended Solids 24.3 2.50 mg1L 03/01/18 0921 MT
Method: SM 2540 F-2011
Settleable Solids 0.80 0.10 mUL Y 02/26/18 1600 MT
Definitions
RL: Reporting Limit
Y: This analyte is not on the laboratory's current scope of accreditation.
Project Requested Certification(s)
Microbac Laboratories, Inc. - Fayetteville
11 North Carolina DENR NPDES
Report Comments
Reviewed and Approved By:
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 Bonnie K Sanders
only the sample(s) analyzed. This report is incomplete unless all pages indicated Senior Project Manager
in the footnote are present and an authorized signature is included.
[e-mail]
0311912018 16:42
Microbac Laboratories, Inc.
2592 Hope Milts Rd I Fayetteville, NC 283061 910.864.1920 p I www.microbac.com Page 1 of 2

Fayetteville Division 2592 Hope Mil{s Road -- Fayetteviile, NC 28306 [phone] /1
CHAIN OF CUSTODY RECORD
CUENT NAME B ADDRESS;
Rightmyer Machine Rentals
497 Hwy 4$
Roanoke Rapids, NC
27870
PO N
Q1-18
PROJECT r LOCATION:
Qtri Process I Waste Water ;Roa�.Ra].
LU
0
LL,
0
TYPE
OF ANALYSIS
PRESERVATION (CODE)
a
w
co
1—
ov
w
w
Sn
LU
z
m
Q
r
CODE. A = None
B = HNO3 (pH<2) + <6°C
C = H2SO4 (pH<2) + <6'C
D = NaOH + <6eC
E = ZN Acetate + <60C
F = Hr:l
G = Sodium Thio
CONTACT PERSON:
Ben Ri htm er
PHONE
252-537-3223
Samplers Name
Ben Rightmyer
DATE! METHOD OF SHIPME
�C{�
LAB ID #
SAMPLE TYPE
DATE
TIME
COMP
GRAB
PH
Flow
TEMP "C
RES
CHLORINE
SULFlDE
RR 1
TSS
2/26118
8:30:00 AM
Y
1
Y
�rQ
RR 1
SS
2/26/16
8.30:00 AM
Y
1
Y
RR 1
TPH
2126118
8:30:00 AM
Y
2
Y
Lab InMals—pp. Yes No
Tumaround time: REGULAR RUSH
Relinquished by:
Date
Time
Rene �by: Ign e)
2
Date �y
Time
Rhed
at py
3
Date-��
Time
Reca d by. Sign3fu�
� 4�
.� ' I
T!
Relinquished 6y:
Gala
me
Raeelvad by: {Slgnalum}
Daro
Time
5
6
pH Field: 8.o4
Temp Field 62.2
Comments or Special Hazards:
IS DATA FOR REG. COMPLIANCE PURPOSE?
NO YES X NHICH: DWQ-NPDES
Page 2 of 2
.Q 1, mil. _ �

Roanoke Rapids Stormwater/Wastewater Calculations
497 Hwy 48 Roanoke Rapids, NC 27870
Date Sample Taken: 2/26/2018
Date Lab Received: 2/26/2018
Date Lab Results Received: 3/19/2018
Site Map: Mid Atlantic Associates
Total Rainfall: 0.05"
Sampling Period: 1st Qtr 2018
Drainage Area Approximate Square Feet
216,737 SF
216,737 SF
80% of site Impervious
20% Vegetated
173,390 SF
43,347 SF
0.0375 Gal/SF Rainfall
0.075 Gal/SF Rainfall
6,502 Total Gal
3,251 Total Gal
0.95 Runoff Rate
0.25 Runoff Rate
6,177 Gal Discharged
813 Gal Discharged
6,990 Total Gallons Discharged by Storm Event
1 cu ft = 7.5 Gal/10 = 0.75 Gal per Inch
0.75 Gal/10 = 0.075 Gal per tenth of an inch
Sq Ft X Depth = Total Gallons X Runoff Rate =
Gallons Discharged Est. Runoff Rates
1/10 = 0.075 Gal Inpervious = 0.95%
2110 = 0.150 Gal Stoned = 0.70%
3/10 = 0.225 Gal
4/10 = 0.300 Gal
5/10 = 0.375 Gal
6/10 = 0.45 Gal
7110 = 0.525 Gal
8/10 = 0.600 Gal
9/10 = .675Gai
10/10 = 0.75 Gal
Field Data
Result
pH
8
Temperature
62.2
TPH 1664
<5.0
SS
0.8
TSS
24.3
Vegitated = 25%
Limits
Compliant
6.0 - 9.0
. Yes
None
Yes
15
Yes
5
Yes
30
Yes

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
General Permit No. NCGI40000
Calendar Year 201"1
Certificate of Coverage No._ NCG14 UUUU;
Facility Name: K i I.,NTmKEX m A�MiuC �' i�►�"i i��-S y c.
County:
Phone Number: V } J55-3 Total no. of outfalls1m� pt ted �--
Certified Laboratory Ail •c ra hcac- Lab # 11. �.G� V ��
Lab # % k ZD�a
Wastewater (WW) Discharge Outfall No. S- ,N KW\Lr' pN
Does this outfall discharge WW to SA waters? Yes ❑ 0Nl�o1�
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No 21'
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ET
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No [+]�
Were there any limit violations in the calendar year? Yes [v]' No ❑
E
......... :::::.:::::::::::::::::::::...................................................:...............:...:.
_ .......
Effluent
Haw or oRw :
5Q% Of.7( 1©.:.....
fresi�water
6'.0 9::0:::
��
►irn6; oRw sn
Na Limit
L�mrtations
:.
_
How :::::::;SICPNA.or,anY:'
n
�v--
Trout
Be�xlfmark
Indicate NO FLOW if
-- "
-HQW
r
v7
Samples shove
- - --
--- applicable -----
esaltwaaWr
6 -$-S s,--
I,OR�W�and Tr or
.
su6jeetto i'ieratl Responses _
[3alry,Maximum- -
.....::::
:..... :::
::;;.10::::. € €:
........
:...........
..:.. ...:: � ...:: ......... ..........
(r 151 ►-1 +A o r.-o w
n 6.02 $.q Zql o•ta
i212211-1 O rLoIJ
Permit Date 8/1/2017 — 6/30/2022

f
Y �. +
��S

r _ I
Certificate of Coverage No. NCG 14 00©©
CERTIFICATION
" I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Required by 40 CFR §122.
Signature ~
Date 1 �aGN j y*► c m.?; 9 t.�m•� er
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DA R (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 81112017 — 6/30/2022 -

f
0
Q
57ArE
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report,
For guidance on ing out t is orm. please visit,- t_-L•p•,I!h2_o,_e.nr ..state.nc.us/su/Porms Documents.htm#rniwforrns
Permit No.: t /CI 1 I or Certificate of Coverage No.: N/C/G/ 11410/ 31310I
Facility Nag: !,twlm e mkr-1,iuE
County: r[ Phone No. 2 Z�
Inspector:--!�
Date of Inspection:
Time of Inspection: DO M
Total Event Precipitation (inches):
D.G7C�
Was this a Representative Storm Event? (See information below) ❑ Yes ❑ No /JIA
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
I. Outfall Description:
Outfall No. :I- Structure (pipe, ditch, etc.)
Receiving Stream: ELLS Ci?Er-- K
Describe the industrial activities that occur within the outfall drainage area: I�db4Qy 1 ;% i5D Cc,-kc.F
4i4oP STac�<P, �rc5 . �o ►�n.e�r-� 5iorls c,�
V5C.41CLJ5 —rebFFiC— , r 1 uc1C 4 Rvi�rr►¢u
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: k4o o lam,
3. Odor: Describe any distinct odors that the discharge may have (i.e., smelts strongly of oil, weak
chlorine odor, etc.): h-J0W;-.
5 WU-242-11260E
Page t of 2

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
,�jja I 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount•of:susp'ended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:,
�f Q 1 2 3 4
7. Is there any foam in the stormwater discharge? Yes No hl A
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obi-ious Indicators of Storm`vater Pollution:
List and describe N O j.J
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.
C
Page 2 of 2
SwU-2 l2- t t 2608

PROCESS •WASTEWATER= Quarterly Discharge Monitoring Report
GENERA. PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 O 3 _3 0
FACILITY NAME: mfac"iui� �E�fJ�t 4 �. S�.ICI _
PERSON COLLECTING SAMPLES: _"99Q '�+l�►-iCi'Y�`��
CERTIFIED LABORATORY:r-obAcLab # 1i
Lab It
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: Zb1'1
SAMPLE QUARTER: ❑1ul-Sept Oct -Dec ❑tan -March ❑April -June
COUNTY: lAlJl.a Sr09
PHONE N0. ('2.,42 ) 15
ADD TO LISTSERVE? [—]YES BWO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout QOther.
OPTIONAL INFO:
outfali Na.
Date Sample
i
Collected
(mm/dd/yr)
Type of Wastewater
x
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids �
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT HEM 6
(mg/L)
Discharge
.Duration
(minutes)
Total Flow
(gallons/day)7
6-9",
303,5
53
(15)6
r.L+
C>
�..
z If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date:7/i/2010-06/30/2015
Last Revised 07/13/11
�1;
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02i3 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW" TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION.REPORTED: = .
"I certify, under penalty of law, that this'document and all attachments were prepared under my direction or 'supervision in accordance with a system designed to
assure that qualified personnel properly gatherancl'evaluate the information submitted. 13ased on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge,and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations "
/1__­1
(Signature
o►„,,J M- --K•
I h L.
r►��fe(' (D te)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 j
�2of2

C
Storm`vater Discharge Outfall (SDO)
Qualitative Monitoring Report
Fur" uiCiCin e v : L !!: ova ,hip IF,-, .m „hence visit, httrr!/h2o.enr.state.nc.us/su/Forrns Doc uments.htnimumiscforrns
Permit No.: N/C/ I I I 1_l l l or Certificate of Coverage No.: N/C/G/I/ 9/-U 3131 dl
Facility Narre7. ��� �/ /I ft0n ^, Ace%W5 lest,
County: 4AVL,% Phone No. ;-a--5'3 7
Inspector: Q :n
Date of Inspection: 9 2A 1 � L— C I C: D
Time of Inspection: :�#5- _ (y r_ a 017
Total Event Precipitation (inches): CENTRAL FILES
DWR SECTION
Was this a Representative Storm Event? (See information below) N(Yes ❑ No
Please check your permit to verifi, if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A `Representative Storm Event' is a storm event that measures greater than 0. l inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measurincp greater than 0.1 inches has
occurred. A single storm event may contain up. to 10 consecutive hours of no precipitation.
By thi�ig-n4ide, I certify that
%'�
of Perrrdf
e)
is accurate and complete to the best of my knowledge:
1. Outfall Description: P`
Outfall No. Structure (pipe, ditch, etc.) '
Receiving Stream: e l�S Cfte(,k
Describe the industrial activities that occur within the outfall draina
i�iw� nit nano S 00. 5 fGGL_ 0 I ICS e-41A\4V" 10_ -6�Oh'awG. tit
area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ulna- town
fe{i:c} �IJ
3. Odor: Describe any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak
chlorine odor, etc.): N &r\e—
SWU-242-112608
Page I of 2

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: r`
I
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:
. O 2 3 4 5
b. 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:
(2/ 3 4. 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the sformwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
C
S WU-242-t 12608

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERA. PERMIT No. NCG140000'
CERTIFICATE OF COVERAGE NO. NCG14 0 3 3 C> SAMPLE COLLECTION YEAR: 2017
FACILITY NAME:��LaNTrn1L I�iAe� iN� fit. �NC, SAMPLE QUARTER: v❑ful-Sept []Oct -Dec ❑Jan -March ❑April -June
PERSON COLLECTING SAMPLES: _ Ei 1;' ;6"Tn.-{f--_r_ COUNTY: 9rM,,,&X
CERTIFIED LABORATORY: tAle-r-0]14c. Lab # 11 PHONE NO. (ZSZ) SSI - 3223
Lab # ADD TO LISTSERVE? ❑YES [�10 EMAIL:
LIMIT VIOLATIONS? YES gNO ❑ DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout 26ther
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
f
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard]
Total Suspended
Solids
{mg/L)
Settleable
Solids
(mE%LI
TPH usingDischarge
method 1664A.
SGT-HE'M6
(mg/L)
Duration
{minutes)
Total Flow
�
{gallons/day)
-
-
-
6-93,4
303'5
53
(15)6
-
-
�.
VE Vrn Mp
8-q
Z`tl
0.%0
L �.0
17
1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
a if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
TSS limits are 20 mg/L for wastewater discharges to HQW waters,10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A
NCAC 0213 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO _FLOW"] TO:
Division of Water Quality
Attn: DWQ Central files
1617 Mail Service Center
Raleigh, Norte Carolina 27699-1617
(919) 807,-6379
. • � _ � ! • ! � ' •• ,• .. 1.
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: --
"I certify, under penalty, of,law, that this'documgnt and, all attachments were prepared under my direction -or supervision in accordance with a system designed to
assure that qualified personnel property gather and'evaluate the information submitted. fused on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violation .' 7- ��, '
1 6(7 W17
((Signs ure of Per e} (Date)
,rmit ^,te: 7/1/2010-06/30/2015
Last Revised 07/13/11 `
'�2of 2

In
�MICROBAC"
Fayetteville Division
Certificate of Analysis
Rightmyer Machine Rentals, Enc Date Reported: 10/09/17
Mr. Walt Gibbs Project: Wastewater Samp:ca - _n_vapnke Rapids Date Received: 09/29/17
497 Highway #48 Date Sampled: 09/28/17
Roanoke Rapids KC, 27870 Sampled By: Rightmyer
RR1, grab
K711157-01
[ Analyte Result Units Analyzed Analyzed By Method _ _ Qualifier i
Field Data
pH 8.9 pH Units 09/28/17 21:45 Rightmyer pH
Temperature 75.7 °C 09/28/17 21:45 Rightmyer Field
Anatyzed by_ Microbac laboratories, Inc - Fayetteville
Oil & Grease (SGT-HEM) <5.00 mg/L 10/06/17 09:00 JR EPA 1664
Settleable Solids O.10 mL/L 09/29/17 13:40 JR SM 2540 F-1997
Total Suspended Solids 291 mg/L 10/03/17 11:25 TAB SM 2540 D-1997
Microbac Laboratories, Inc.
Page 1 of 2
25512 Hnrxe Mills Road I Fnvettevillp_ MC 2R3nR I Aln.RM.14211 n 19ln_RR4_R774 f I www_mirrohar._enm

C
Fayetteville Division 2592 Hope Mills Road -- Fayetteville, NC 28306 (910) 864-19201
CHAIN OF CUSTODY RECORD
muoia1u�Ad
CLlENTNAME &ADDRESS:
Rightmyer Machine
497 Hwy 48
Roanoke Rapids, NC
27870OkE
POO PRa1ECTILOCATION:
ShopQtrl Process I Waste Water Roa. Rap.
J
m
LL
O
TYPE
OF ANALYSIS
PRE ERVATION (CODE)
a'
w'
F
'�:
v
,�
Uj
x
11
=
CODE: A = None
B = HNO3 (pH<2) + <6eC
C = WS04 (pH<2) + <6°C
D = NaOH + <6°C
E = ZiN Acetate + <6°C
G = Sodium Thio
CONTACT PERSON:
Ben Rightm er
252-537-3223
Samplers Name
Ben Rightmyer
DATE/ METHOD OF SHIPMENT:
9-29-17 - Delivered to lab
LAB ID #
SAMPLE TYPE
DATE
TIME
21:45
COMP
GRAS
PH
FLOW
TEMP -C
E9,
CHLRORINE
sl[LFIDE
RR i
TSS
9/28/17
Y
1
Y
RR 1
SS
9128/17
21:45
Y
1
Y
RR i
TPH
9l281i7
21:45
Y
2
Y
e
TE
Lab
Rerfe Ss bY•
r � t
Dale /�j )
�il f%
Time
f•l�
R e by: (SI n)
oat
T]me 1
gqul by.
D
Timge
ece cdbY' In re)
Dmtn
Tlme
3
- � -/
J f Z}
TR
4
r7
Relinquished by,
Date
Time
eetived by. Slgttaturo]
Dale
Tlme
5
6
pH Field : 8.94
Temp Field 75.7
Inttlals--ii. Yes No
tTum ound ' e: Rf ULAR RUSH
Comments or Special Hazards:
IS DATA FOR REG. COMPLIANCE PURPOSE?
NO YES X NHICH: DWQ-NPDES
Page 2 of 2

Roanoke Rapids Stormwater/Wastewater Calculations
497 Hwy 48 Roanoke Rapids, NC 27870
Date Sample Taken: 9/28/2017
Date Lab Received: 9/29/2017
Date Lab Results Received: 10/09/2017
Site Map: Mid Atlantic Associates
Total Rainfall: 0.10"
Sampling Period: 3rd Qtr 2017
Drainage Area Approximate Square Feet
216,737 SF
216,737 SF
80% of site Impervious
20% Vegetated
173,390 SF
43,347 SF
0.075 Gal/SF Rainfall
0.075 Gal/SF Rainfall
13,004 Total Gal
3,251 Total Gal
0.95 Runoff Rate
0.25 Runoff Rate
12,354 Gal Discharged
813 Gal Discharged
13,167 Total Gallons Discharged by Storm Event
1 cu ft = 7.5 Gall10 = 0.75 Gal per Inch
0.75 Gal/10 = 0.075 Gal per tenth of an inch
Sq Ft X Depth = Total Gallons X Runoff Rate =
Gallons Discharged
Est. Runoff Rates
1/10 = 0.075 Gal
inpervious = 0.95%
2/10 = 0.150 Gal
Stoned = 0.70%
3/10 = 0.225 Gal
Vegitated = 25%
4/10 = 0.300 Gal
5/10 = 0.375 Gal
0/10 = 0.45 Gal
7/10 = 0.525 Gal
8/10 = 0.600 Gal
9/10 = .675Gal
10/10 = 0.75 Gal
Field Data
Result
Limits
Compliant
pH
8.9
6.0 - 9.0
Yes
Temperature
75.7
None
Yes
TPH 1664
<5.0
15
Yes
SS
0.1
5
Yes
TSS
291
30
No

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14 0 3 G
FACILITY NAME:-Zi.,%di i'Y1C AA
PERSON COLLECTING SAMPLES:-9rgA
CERTIFIED LABORATORY: N,,cro\ 06c Lab # 11
Lab f#
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A. Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 20111
SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec ❑Jan -March [QApril-June
COUNTY: 1Arz ►�t y.
PHONE NO. (26S) 15'31- 322'3
ADD TO LISTSERVE? ❑YES [�J'NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout [Kther
OPTIONAL INFO:
Qutfall No.
Date Sample
z
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
s
SGT-HEM
(mg/L)
Duration
(minutes)
Total Flow
7
(gallons/day)
`
-
6-93,4
303,5
53
(15)6
-
-
1
rJ o
Fto�
7 2017
DWR
SECTION
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD) . Report more than one type if the waste -stream is commingled.
3if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

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

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidaneeon filling out thisform,please visit: http://h2o.enr,s[atCaiC.«slst.'F=rrns Dncuments.him4miseforms
1 '
Permit No.: NICI l_I_1_1 I_I_I or Certificate of Coverage No.: N/C/G/ I I ql 0/S/S/ 0I
Facility Name: `Kt6141-rn-i"r;1L MAC4%Q0-- gS&:T a S,, `rLiC
County: Aw-'%zizx Phone No. Z52- 6S 1 - 3223
Inspector: 'gE 1�% ATm
Date of Inspection: �o l l7
Time of Inspection: 8:_00 Ann • '.
�t
Total Event Precipitation (inches):
O. O
Was this a Representative Storm Event? (See information below) ❑ Yes ❑ No NIA
Please check yqur. permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By tip s'�nature, I certify hat this report is accurate and complete to the best of my knowledge:
of PerKitree 9/Designee)
1. Outfall Description:
Outfall No. 1 Structure (pipe, ditch, etc.) D kTC 1l
Receiving Stream: _ F:KE"5 Crec le- _
Describe the industrial activities that occur within the outfall drainage area:�E1Jw n'l��cec� Courr-
M/J�,,�i-e�.tAucE $t�0i STocl��'1cS �Dv�Urs�cu� S?oPfsa-
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): N4w6
�,_ r ,okr,�
Page I of 2
S wU-242- t 12608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
]. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where leis no'solids and 5 is the surface covered with floating solids:
�1A f 2 3 4 5
6. Suspended Solids:. Choose.the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremelyiriuddy:
hJJP, 1 2 3 4 5-
7. Is there any foam in the stormwater discharge? Yes No t4lk
8. Is there an oil sheen in the stormwater discharge? Yes No tj
9. Is there evidence of erosion or deposition at the outfall? Yes No hrA
k
10. Other ObA.o`jus Indicators of Stormwater Pollution:
List and describe 1� 6WIS
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
S W U-242- t 12608

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG IJ000, ,
CERTIFICATE OF COVERAGE NO. NCG14 O 3 S a SAMPLE COLLECTION YEAR: 2 o ii
FACILITY NAME: �_ IA—, m^{FR YY��µ,xjr T{ u �c 5. �� j LE QUARTER: ❑Jul -Sept ❑Ott -Dec
PERSON COLLECTING SAMPLES: 'g ►-1 �'a�kr~�er f TY'
CERTIFIED LABORATORY: —A Icr-obo.<_ Lab # 1! APP 04 2QHONE NO. {252) 531 - 322�,
Lab It ADD TO LISTSERVE? ❑YES [�IO EMAIL:
0n-March ❑April -June
LIMIT VIOLATIONS? YES ❑ NO [�' D NAL FIL CHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout [Other
WTIONAL INFO:
Part A. Wastewater Monitoring Requirements
Outfall No.
Date Sample
I
Collected'
(mm/dd/yr}
Type of Wastewater
z
(VE, RM, MD}
pH
(standard)
Total Suspended
Solids
(mg/L}
Settleable
Solids
(mL/L)
TPH usingDischarge
method .1664A
SGT HEM6
(mg/L)
Duration}
(minutes
Total Flow
(gallons/day)'
-
-
-
6-93'4
303'5
53
(15)6
-
!
a,�
o,L-j
I If wastewater systems have not discharged in this quarter-- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ Rp staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
TSS limits are•20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

s Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part 1V, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B ,0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7410 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction of supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluatie the information submitted. eased on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." I
ignature of Permittee)
3 - q --/ 7
(Date)
*e: 7/1/2010-0G/30 15 Last Revise' ^'/J.3/11
v

v
(- I
c
Stormtwater Discharge Outfall (SD4)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http:/th2o.Cnrstate.nc.us/su/Forins Doc u ments. ht:u#i �i.c`ar ns
t
Permit No.: NICI_I I I 1_l_I_I or Certificate of Coverage No.: NICIGI °l 3/ 31 °I
FacilitvName:►o+h�mye+ t`t`�cu�U�—�i�a5 's�+c.
County: 1�AL���xV Phone No. 252 - 53'1 3 22 3
Inspector:
Date of Inspection: 3 2-1 - i1
Time of Inspection:
Total Event Precipitation (inches): D. o .
Was this a Representative Storm Event? (See information below) ❑ Yes ❑ No t�%c
Please check your permit to verify, if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By th��grfature, I certify t lfis report is accurate and complete to the best of my knowledge:
//
Designee)
1. Outfall Description:
Outfall No. I Structure (pipe, ditch, etc.) d kGN
Receiving wells ells C2f5FtC
Describe the industrial activities that occur within the outfall drainage area:'K6NA ft C �cr� e �►���
-506F 6rdC f'L.G_5 eOu',omeA barrage , J,h%;-Ie 4rz G .
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: f� o N
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ►Job
5WU-242-112608
Page 1 of 2

r'
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: I
�jQ 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:
�jj)1 2 3 4 5
6. Suspended Solids: CChoose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
NJp 1 2 3 4 5
7. Is there any foam in the storrnwater discharge? Yes No NIA,
8. Is there an oil sheen in the stormwater discharge? Yes No t.I! 4
9. Is there evidence of erosion or deposition at the outfall? Yes No NIA
10. Other Obvious Indicators of Stormwater Pollution:
List and describe N 014F✓
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.
5
C
Page 2 of 2
SWU-212-112608

1
PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 S 3 0 pp
FACILITY NAME. �n+ Qr i w_-ia;i.+r ?�J- 5 c fl N"r Ai, 1
PERSON COLLECTING SAM�PILES-W6j CERTIFIED LABORATORY: LABORATORY: M; _r-o-pc Lab # I1
Lab #
LIMIT VIOLATIONS? YES 2 NO
Part A: Wastewater Monitoring Requirements
APR 2019
SAMPLE COLLECTION YEAR: 20I r'1 13CNTRAL FILe,
SAMPLE QUARTER: ❑Jul -Sept []Oct -Dec SJJan-March/RnApCil tune
COUNTY: 1 +61 K
PHONE NO. 2[ 52)535-54n0
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Outfall No.
Date Sample
3
Collected
(mm/dd/yr)
Type of Wastewater
z
{VE, RM, MD}
pH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
-Solids
(mL/L)
TPH using
method 2664A
SGT NEN16
(mg/L)
Discharge
Duration
(minutes)
Total Flow
7
{gallons/day)
-
-
6-93'4
303,5
53-
!
03 25
1,1
Rnr► m,D
qs
44-Ot
L o. %0
.4 5. cad
5SLOO
115 Z.oq
Pi—U
„r
IG-iir
_r_-w-T 7w
FILES
nXAt SE
710�4
1 If wastewater systems have not discharged in this quarter-- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastelarater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/203.5 Last Revised 07/13/11
Page 1 of 2

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

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http:llportal.ncdenr.org/web/lr/nodes-stormwaterL
Permit No.: L/C/
Facility Name:
County:
Inspector:
Date of Inspection:
Time of Inspection:
' I or Certificate of Coverage No.:
Total Event Precipitation (inches): O : 9'15
Phone No. -53 7 —321&3
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
i Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By thi �ggafure, I certify that r t is accurate and complete to the best of my knowledge:
/,-L^ 71,
(Sig ture of Permitte r D gnee)
Pagel of 2
SWU-242, Last modified 7/31/2013

I. Outfall Description:
Outfall No. f Structure (pipe, ditch, etc.) D_i
Receiving Stream: %m M ck
Describe the industrial activities that occur within the outfall drainage area: P1' C ncn�-t 44��
/'�+u►%n�ett..s�a�, Sh�j,'laf ,�rN�?�+►tn�"Sjtil��G,�t�iUc. I lw�iSZ��.��a +-�fua�J+"�t�}"
2. Color: Describe the color of the dischar a using basic colors (red, brown, blue, etc.) and tint
flight, medium, dark) as descriptors: L+ V,ir �/ "iA
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): I� o lei
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
G 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of -suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
O 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
Listanddescribe lltA
Note: Low clarity, high solids, and/or the presence of foam, oil sheen; or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

8
f
I
I

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL. PERMIT No. NCG140000,"
CERTIFICATE OF COVERAGE: NO. NCG14 O t.7L C� SAMPLE COLLECTION YEAR:
FACI1 ITY NAME: Lr�jyt /)'fj,►/e �,�,�,�, SAMPLE QUARTER: []Jul -Sept ct-Dec ❑tan -March ❑April -.tune
PERSON COLLECTING SAMPLES:' /f �j6dS -_ COUNTY: li�K
CERTIFIED LABORATORY:_,/?? Lab # ZZ PHONE NO. ( _j„j`32—.3a -23
_ Lab It ADD TO LISTSERVE? ❑YES Q'f I0EMAIL:
LIMIT VIOLATIONS? YES ❑ NO DISCHARGING TO GLASS: ❑SA ❑HQW ❑PNA ❑Trout[�ther
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM'
(mg/L)
Duration
(minutes)
Total Flow
�
(gallons/day}
-
-
-
6-93'4
303's
53
(15)6
-
,�
s"
/
D
r
v i NAL FILES
...
' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above,
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report morE� than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can he measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer XUD flow and report this information to DWQ. If the permittee cannot
obtain a Summer 70.10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ; and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARG : WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. i am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for Knowing
violations."
2
Signature of Permitteej (Dat
P r _ *e: 7/1/2010 06/30 015
Last Revis- -'/13/11
:2of2

�~~ PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140V000
V `
CERTIFICATE OF COVERAGE. NO. NCG14 O 3 .3 6 I
FACILITY NAME: h t c t ct!S �icJG•
PERSON COLLECTING 7SAMPL S: h S
CERTIFIED LABORATORY:_ Lab # f l
_ Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: .2 D /%
SAMPLE QUARTER: ❑Jul -Sept []Oct -Dec []Ian -March �pril-dune
COUNTY: r7'Gr/ X
PHONE NO. (_&,TZ) 537— 3�23
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ther
OPTIONAL INFO:
Outfail No.
Date Sample
1
Collected
mm dd r
( / /})
Type of Wastewater
(VE, RM, MD)Z
pH
(standard)
Total Suspended
Solids
L
(mg/ }
Settleable
Solids
mL L
{ /)
TPH usingDischarge
method 1664A
SGT-NEM6
(mg/LJ
Duration
t minutes
Total Flow
(gallons/day},
-
-
-
6-93,4
303'5
53
(15)6
-
-
I
Z 5 b
d D
DO D!p
VF
Lo
" IV
I If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for w�3stewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action,
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO _DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
C 3 �
,(S;gnature of Permi e) (at%)
Permit 'ate: 7/1/2010-06/30/2015 Last Revised n7/13/11
=2of2

RECEIVE®
•.�;, , JUN 0 6 2016
CENTL Stormwater Discharge Outfall (SDO) DWR SECTIONFILES
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: I ttp:l/lz2o.eitr.sEate.nr,.us/sulForms Documents.han#miseforins
Permit No.: NICI f I I ! I 1 I or Certificate of Cgverage No.: iyl 1 f'!,'L!'Oj
Facility Name: *e---
County: A&C /. , e _ —Phone No. z52 — Ss7- 3.1a 3
Inspector: Walf-41 -Ails
Date of Inspection: _ r Z// 7 /-2
Time of Inspection: A . 3D P,*n
Total Event Precipitation (inches): 40. 7G
Was this a Representative Storm Event? (See information below) es ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pormittee or Designee)
1. Outfall Description: /
Outfall No. Structure (pipe, ditch, etc.) Cf '�cGr
Receiving Stream: G' -eG
Des the indwarial activities that Joccur within the outi-all drainage area: C
d /d'NT . .S ,o/Ve!!5 . A�Ji D/NEYY 2tcs e Ili !i , b
f
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors, "V'pA/E — L. rIf
3. Odor: Describe an distinct adorn that the discharge may have (i.e., smells strongly of oil, wed
chlorine odor, etc.):
Page 1 of 2
SIVU-242-112609
1.

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: �
1 f`2) 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stor awater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where i is no solids and 5 is extremely muddy:
- - 1 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other ©bAou.s Indicators of Stormwater Pollution:
List and describe AY_
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosionldeposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
face 2 of 2
SWU-242-112608

Riehtmyer Machine Rentals, Inc
] ... Wilt Gihha
497 Highway # 38
Roanoke Rapids NC, 27870
*MICROBAC°
Fayetteville Division
M
Cei-tificate of Analysis
Date Reported.: 05/27/16
Project: «'asteivater Samples - Roanoke Rapids mate Received: 05/19/16
Date Sampled: 05/17/16
Su;;,PICel By: Gibbs
RM.R 1, Grab
K6E0760-01
Analyte Result Units Analyzed Analwed By Method Qualifier
Field Data
pH
7.1
pH Units
05/17/16 14:30.
Gibbs
PI-i
'Temperature
17.8
C
05/17/16 14:30
Gibbs
Field
Analyzed by: Microbac Laboratories, Inc. -
Fayetteviile
Oil & Grease (SGl-HEM)
<5.00
Ina/L
05/27/16 08:54
Sw
EPA 1664
Settleable Solids
<0.10
InL/L
05/19/16 08:49
AC
SM 2540 F-1997
"Total Suspended Solids
5.60
mg/L
05/19/16 1140
CCR
SM 2540 D-1997
Microbac Laboratories, Inc.
Page 1 of 2
2592 Hope Mills Road 1 Fayetteville, NC 283061910.864.1920 p 1910.864.8774 If 1 www.microbac.com

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14Q j x 6
FACILITY NAME: IS Suc
PERSON COLLECTING SAMF'L S: Vtja /42.1
CERTIFIED LABORATORY:_,/V/?_rClaaG Lab#_
Lab #
LIMIT VIOLATIONS? YES E,_�'(VO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: .2
SAMPLE QUARTER: OM -Sept ❑Oct -Dec an -March ❑April -dune
COUNTY: //hz�iy
PHONE NO. {2.57_} .53 7 - 3,;Z P-
ADD TO LISTSERVE? DYES ❑NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ther
OPTIONAL INFO:
Outfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
x
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/t)
TPH usingDischarge
method 1664A
56T-HEM
(mg/L)
Duration
(minutes)
Total Flow
7
(gallons/day?
-
-
-
6-93,4
303'5
53
(1S)6
-
-
PAZ&11_k__VC.&M.Mn
13
(d,37
3le a
i05 33
/P
1
MAR
3 pis
CENr
a, r,
wR sEr
I If wastewater systems have not discharged in this quarter-- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U_ for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/l./209.0-06/30/2015
Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Fiow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 020 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 70.10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW" TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."_ A r`
ignature of Permittee
3/ZS-/, 4 -
/plate
le: 7
Last Revise -'/13/11
2of2

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000�
CERTIFICATE OF COVERAGE: NO. NCGm,�2 3a,(2
FACILITY NAME:
PERSON COLLECTING Lcli� �� C7i bd
CERTIFIED LABORATORY:_ Z&J !, f7-1c _ Lab #
_ Lab It
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: U
SAMPLE QUARTER: ❑Jul -Sept ct-Dec ❑Jan -March ❑April -June
COUNTY:
PHONE NO. ( S ) S37
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout they
OPTIONAL INFO:
Outfail No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
{standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
a
SGT HFM
{mg/L)
Discharge
Duration
(minutes)
Total Flow
7
{gallons/days
-
-
-
6-93'4
303'5
53
(15)6
-
-
lZg,2
3
S3
f
4
C.'AiYi-.
Q
FILE,-
1 1UN
If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
ITSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1./201D-06/30/2015 Last Revised 07/13/11
Page 1 of 2

G Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD 1N CASE OF "NO FLOW") TO:
Division of Water Quality^
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST 51GN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." n
of Perm
1-te:7/1/20
Last Revisers `1/13/11
2of2

PROCESS WASTEWATER — Quarterly Discharge
~. GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140, 3 3 D
FACILITY NAME: _�,gh1�jl�y�,r f �L�c JCS,, 1.yC-
PERSON COLLECTING SAAMPL& / -1665
CERTIFIED LASORATORY:_%')') r`Cro 601C_ tab #
_ Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring; Requirements
Monitoring Report
` V
RECLI Y ED
SEP 2 4 2015
SAMPLE COLLECTION YEAR: ��O/ CENTRAL FILES
SAMPLE QUARTER: Wul-Sept ❑Oct -Dec ❑Jan -Ma{ 9'13 gffXIarfiGJ6ne
COUNTY: ��l `�u5e
PHONE NO. (25z) 3 7 —
ADD TO LISTSERVE? ❑YES 2lqO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA []Trout then
OPTIONAL INFO:
Outfall Na.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
x
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
¢
SGT-HEM
(mg/L)
Duration
(minutes)
Total Flow
,
(gallons/day)
-
-
-
6-93,4
303's
53
(15)s
-
-
E
G O, /p
4--6
b
3
' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are G-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/34)/2015
Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR _
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: t
Division of Water Quality M_
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SfGN 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 eva[uate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." /) —
ignature of Perm
(Date)
r-:
PeK;i --te: 7/1/2010-0400/2015 Last Reviser ^-7/13/11
�2of2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
_ GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14z2 .3 3 eD
FACILITY NAME: I`
PERSON COLLECTING SAMPLES: 4/7'- 11663
CERTIFIED LABORATORY: Lab#
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 249I15—
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec
COUNTY:
PHONE NO. (,Z.J-Z) S37-3Z23
ADD TO LISTSERVE? ❑YES Qi�O EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout then.
OPTIONAL INFO:
[]Jan -March
pril-June a
Outfall No.
':.
Date Sample.
I :
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM,•MD)Z
.:pH
(standard)
Total Suspended
Solids
(mg/L),
-Settleable
Solids
(mL/L),
TPH.usrng ,
method 1664A
SGT-HEAR'
-7.{mg/L)z
Discharge-
Duration
(minutes)
Total Flow
(gallons/day)
-
-.
-
6-93A
303s ..
53
S a
G le Pn
�v, a
G s p
o
3 soca
R
t~
ION i�,gr)r�.sc
.
14!
1 If wastewater systems have not discharged in this quarter -- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RQ staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water clas�Jfications.
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VNIA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224, Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE) WITHIN 30 DAYS OF RECEIPT -OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or, supervision in accordance with a system designed to J
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
.s ,Q s—
"a te)
Last Revised 07/13/11
�2of2

-n
SrArf
MPw
�V
�rn
" =in Stormwater Discharge Outfall (SDO)
rn z Z M Qualitative Monitoring Report
Fc Ruidance on filling out this form, please visit: htta:I/}i2o.enr.state.nc.uslsu/Forms Documents,htm"miscforms
r
Permit No.: N/C1�1�1_l_I I I / or Certificate of Coverage No.: NICIGIL/ S�I�I,�I I of
Facility Name: AUaz:X,;Ue- /e,. 15 1��'•
County:l Phone No. ZS 5.5 7- 3 z z 3
Inspector: 'bbs
Date of Inspection: ST/ate is
Time of Inspection:
Total Event Precipitation (inches)
o. 30
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storms event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0. t inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
/�1 /7/7
of Permittee or Designee)
1. Outfall Description: L /
Outfall No. Structure (pipe ditch, etc.) G1� 7 _
Receiving Stream: 73e1l5
Describe the industrial ctivities that occur within the outfall draina¢e area:xed
-¢-ruck �- ��v,Psi•e.�.�r�,�/,;i�,
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: All--A•c_.a.__ y
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page i of 2
SwU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clgar
and 5 is very cloudy:
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 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
-the stormwater discharge; where 'l is no solids and'5 is -extremely muddy:
I �7 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes 10
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious/Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosionldeposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
�- Page 2 of 2
SWU-242-1 12605

0
It
Rightmyer Machine Rentals, Inc
ME Walt Gibbs
497 Highway #48
Roanoke Rapids NC, 27870
�qMICROBAC°
Favetteville Division
Certificate of Analysis
Project: Wastewater Samples - Roanoke Rapids
Date Reported: 05/28/15
Date Received: 05/22/15
Date Sampled: 05/21/15
Sarupicu By: Gibbs
RR1, grab
K5E0812-01
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
Pul
8.2
pl3 Units
05/21/15
10:30
Gibbs
pl-i
Temperature
69.6
°C
05/21/15
10:30
Gibbs
Field
Analyzed by: Microbac Laboratories, Inc. -
Fayetteville
Oil & Grease (SGT-1lEM)
<5.00
mg/L
05/26/l5
16:00
MLW
EPA 1664
Settleable Solids
<0.10
ml/L
05/22/15
15:25
MLW
SM 2540 F-1997
Total Suspended Solids
17.4
mg/L
05/27/15
11:00
MLW
SM 2540 D-1997
Microbac Laboratories, Inc. Page 1 of 2
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910. 864.8774 f I www.microbac-com

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
- ' GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14Q 3 Z d
FACILITY NAME:
PERSON COLLECTING SAMPLES: Wel rT 6*4;d! u
CERTIFIED LABORATORY: Lab
LIMIT VIOLATIONS? YES ❑ NO
Part A. Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
�TSAMPLE QUARTER: Jul -Sept ❑Oct -Dec an -March ❑April -June
COUNTY: A4 l ' sr
- HONE NO. (ZTZ)
VADD TO LISTSERVE? ❑YES 2KO EMAIL:
APR 0 g 2015 DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout her
OPTIONAL INFO:
CENTRP.L F1ES
Outfall No.
Date Sample
i
Collected '
(mm/dd/yr)
Type of Wastewater .
(VE, RM, MD)z .
pH
'(standard)
Total Suspended '
Solids '
(mg/L)
Settleable.•
Solids' . -
(mL/L}r ,.
TPH.using�• .
method 1664A '
4 ,. SGT-HEM6
(rrig/L)
. Discharge,
.!Duration'
[minutes)
Total Flow
*(gallons/day)7 ,
,
D
F
x If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
TSS limits are 20 mg/L for wastewater discharges to HQW waters,10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2
pr,

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
_MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW) "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: ^
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for [mowing
violations I.
3 .-
P z(Signature of Per ' tee) ( to
ltate:7/l/2010 /30/2015
Last Revised 07/13/11
2of2

2-0 l5--*,
ncrr 4oa �
(gMICROBAC`
Fayetteville Division
Certificate of Analysis
Rightmyer Machine Rentals, Inc Date Reported: 01/06/16
Mr, Walt Gibbs . Project: Wastewater Samples - Roanoke Rapids Date Received: 12/22/15
497 Highway #48 Date Sampled: 12/22/15
Roanoke Rapids NC, 27870 Sampled By: Gibbs
RRI, grab
K5L1063-01
Analyte
Result
Units
Analyzed
Analyzed By
Method Qualifier
Field Data
PH
8.3
pH Units
12/22/15 09:20
Gibbs
pH
Temperature
58
°C
12/22/15 09:20
Gibbs
Field
Analyzed by: Microbac Laboratories, Inc. -
Fayetteville
Oil & Grease (SGT-HEM)
<5.00
mg/L
12/31/15 14:40
SW
EPA 1664
Settleable Solids
<0.10
mL/L
12/22/15 15:40
DSK
SM 2540 F-1997
Total Suspended Solids
2.60
mg/L
12/23/15 11:00
CCR
SM 2540 D-1997
Microbac Laboratories, Inc.
Page 1 of 2
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com

_ Roanoke Rapids Stormwater/Wastewater Calculations
497 Hwy 48 Roanoke Rapids, NC 27870
Date Sample Taken: 12/22/2015
Date Lab Received: 12/22/2016
Date Lab Results Received: 01/06/2016
Site Map: Mid Atlantic Associates
Total Rainfall: 0.75 "
Sampling Period: 4th Quarter 2016
Drainage Area Approximate Square Feet
216,737 SF
216,737 SF
80% of site Impervious
20% Vegetated
173,390 SF
43,347 SF
0.563 Gal/SF Rainfall
0.563 Gal/SF Rainfall
97,618 Total Gal
24,405 Total Gal
0.95 Runoff Rate
0.25 Runoff Rate
92,737 Gal Discharged
6,101 Gal Discharged
98,839 Total Gallons Discharged by Storm Event
1 cu ft = 7.5 Gal/10 = 0.75 Gal per Inch
0.75 Gal/10 = 0.075 Gal per tenth of an inch
Sq-Ft.X Depth = Total Gallons X Runoff Rate =
Gallons Discharged Est. Runoff Rates
1110 = 0.075 Gal Inpervious = 0.95%
2/10 = 0.150 Gal Stoned = 0.70%
3/10 = 0.225 Gal Vegitated = 25%
4/10 = 0.300 Gal
5110 = 0.375 Gal
6/10 = 0.45 Gal
7/10 = 0.525 Gal
8/10 = 0.600 Gal
9/10 = .675Gal
10/10 = 0.75 Gal
Field Data Result
pH
8.3
Temperature
58
TPH 1664
<5.0
SS
<0.1
TSS
2.6
Limits
Compliant
6.0 - 9.0
Yes
None
Yes
15
Yes
5
Yes
30
Yes

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Itorguidance on filling our this form, please visit: ]ttt :Il4a2o.enr.state.nc.us:sn/Forn3s Documents.huriftmiseforins
Permit No.: NICI 1 1 1_1 I I I or Certificate of Coverage No.: N/ClG// 141fO1.313/01
Facility Name: r
County: a t
Inspector:
Date of Inspection:
Time of Inspection: .4/"
Total Event Precipitation (inches): ,-. 7 S
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be perforated during a representative
storm event (requiremenis vary)_
A "Representative Storm Event" is a storm event that measures greater tbatt 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0,1 inches bas
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify7bgt t4is report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. - / - Structure (pipe, ditch, etc.) _ di.X_e
Receiving Stream: .C�sc�llS C/Ccl
Describe the industrial activities that occur within the outfali drainage area: Rea v�, ",:real eklsk reX�
Pls vf;inlTPi�r<rNc c 5Lr pA. shaA Arn Prrfs torQ9 e , tJeL,, cl
frYt FF, c .ol frAek �r,�d�yrvi�rn�—if7o'- r'e Fu rl,.ttc7
If I
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _Zan/
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorirte odor, etc.):
Page 1 of 2
Slut-2.42-112608

4. Clarity: Choose the number which bust describes the clarity of the discharge, where i is clear `
and 5 is very cloudy: �.
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:
I 19 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the storFxlwater discharge, where 1 is no solids and 5 is extremely muddy:
1 p2/ 3 4 5
7. Is there any foam in the stormwater discharge? yes
S. Is there an oil sheen in the storniwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Storrnwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
Swig-242-112608
c

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
' GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14Q -f 3
FACILITY NAME:
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: f' /? 1r_ohe21=_ Lab # l/
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
PH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: ❑Jul -Sept Ka -Dec Dian -March ❑April -June
COUNTY: _�%z/ �{ >e-
PHONE NO. 2(�S L) 6 -Z 7 - 3,
ADD TO LISTSERVE? BYES gi4b EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Cher
OPTIONAL INFO:
•
Outfall No.
Date Sample
1
Collected
(mm/dd/yr]
Type of Wastewater
2
(VE. RM, MD)
pH
(standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
6
SC(mg/ L) M
mg/
Duration
(minutes)
Total Flow
7
(gallons/day]
-
-
-
6-93,4
303.5
53
(15)6
-
-
//
n
7 t
CENTRAL
FILES
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO-DISCHARGE"I WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW" TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violation "
s.
(signature of Permittee) (Date)/ /
PE rm/Date: 7/1/2010-06 32 15 Last Revised 07/13 11
�� 2of2

�MiCROBAC'
Fayetteville Division
1�
Certificate of Analysis
Rightmyer Machine Rentals, Inc Date Reported: 12/04/14
Mr. Walt Gibbs Project: Wastewater Samples - Roanoke Rapids Date Received: 11 /18/14
497 Highway 948 Date Sampled: 11/17/14
Roanoke Rapids NC, 27870 Sampled By: Gibbs
RR1
K4 K0470-01
Analyte Result Units Analyzed Analyzed By Method Qualifier
field Data
PH
8.4
pH Units
11/17/14 14:30
Gibbs
pH
Temperature
60.6
°C
11/17/14 14:30
Gibbs
Field
Analyzed by: Microbac Laboratories, Inc. -
Fayetteville
Oil & Grease (SGT-HEM)
0.980
mg/L
11/26/14 08:00
JAO
EPA 1664 B
Settleable Solids
<0.10
m1/L
11/19/14 10:00
JAO
SM 2540 F-1997
Total Suspended Solids
3.50
mg/L
11/20/14 10:04
SW
SM 2540 D-1997 S1
l^)
Ces and Definitions
S1
Relative Percent Difference (RPD) outside accepted recovery limits
Detected in the associated Method Blank
Microbac Laboratories, Inc.
Page 1 of 2
2592 Hope Mills Road' Fayetteville, NC 28306 1910.864A920 p 1910.864.8774 f j www.microbac.com
4+

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCC3140000
CERTIFICATE OF COVERAGE NO. NCG14.,r a_j_ O
FACILITY NAME:
PERSON COLLECTING SAMPLE : L�
CERTIFIED LABORATORY; 4InjCY104aC Labe#
Lab 9
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAP._2 D/
SAMPLE QUARTER: ul-Sept ❑Oct -Dec []Jan -March ❑April -June
COUNTY, ZI► � c _
PHONE NO. (A15;4 7f &
ADD TO LISTSERVE? ❑YES O EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA Trout her
OPTIONAL INFO:
Outfafl No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
6
(mg/L) SG%HEM
Duration
(minutes)
Total Flow
(gallons/day)
-
-
-
6-93,4
303,5
53
(15)6
_
08
27 D
Zo?oa y'
l0l03 aS
-
E'
r
SECTION
' If wastewater systems have not discharged in this quarter -- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
' If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
a pil limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to FIQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE"] WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1G17 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
'Signature of Perr ttee) (Da�'
ermi e.7/1/2010-0G�0/2015
Last Reviser' "7113/11
j2of2

*MICROBAC")
Rightmyer Machine Rentals, Inc
Mr. Walt Gibbs
497 Highway #48
Roanoke Rapids NC, 27870
Fayetteville Division
Certificate of Analysis
Project: Wastewater Samples - Roanoke Rapists
RRl, grab
K410246-0 l
Date Reported: 09/11/14
Date Received: 09/09/14
Date Sampled: 09/08/14
Sampled By: Gibbs
Analyte
Result
Units
Analyzed
Analyzed By
Method
Qualifier
Analyzed oy: Microbac Laboratories, Inc. -
Fayetteville
Oil & Grease (SGT-HEM)
3.42
nig/L
09/11/14 07:20
JAO
EPA 1664
B
Settleable Solids
<0.10
mIIL
09I09/14 14:50
7AO
SM 2540 F-1997
Total Suspended Solids
2.50
nag/L
09/1 l/14 09:35
SW
SM 2540 D-1997
QC Batch Run-(tlicrrbacLaboratories.Ine.-Faycrreville)
Analyte
Result
Units
Source
RPD
[,unit
Total Suspended Solids
4.00
mg/L
K4I0335
6
5
"otal Suspended Solids
37.0
nig/L
K4I0252
16
5
Total Suspended Solids
129
tng/L
K4I0236
42
5
Notes and Definitions
B Detected in the associated Method Blank
State Certil"scatiorw
NCDt\IR M i
NCDOH '137714
Respectfully Submitted
Jcannc Overstreet, Project Mnnaci
Thank you for your business. lNe incite mur,phdb.rck nu orrr' lerr! o!'sen ice ro}-rra. Phase ennr.ret Me Division .ilanager. Rob Dermcr at 91 R-5h4-192R vote ant'
gricstions. }brr nrdl' also nnrlrrtr J. Trrrvr &!ec'. President atprrsidcrrlrii+nncr�b�re.cuur
Microbac Laboratories, fnc. I Page 1 of 2
2592 Hope Mills toad I Fayetteville, NC 28306 1910,864.1920 p 1910.864.8774 f I www.i-nicrobac.com

z
n
,v
00
w
0
rn
00
>u
0
00
bo
V
V
CLIENT NAME B ADDRESS:
POO PROJECT r LOCATION:
TYPE
OF
ANALYSIS
PRESERVATION CODE
C-A none
ODE;:
Rightmyer Machine
Qtrl Process 1 Waste Water Roa. Rap.
497 Hwy 48
w
-
9 HND3 (pH52} + c6 C:
CONTACT PERSON:
Roanoke Rapids, INC
Wait Gibbs
r
c H2SO4 (pH<2) + <6 C
27879
m
L.L
v
w
o
w
N
D NaOH } <6°C
ZN. Acetate
PHONs:
252-537-3223
Samplers Name
O
to:
�rI„
DATE 1 METHOD OF SHIPMENT:
Walt Gibbs
9/08/14 Bestwa
N
F—
N
to
O
f-
G :Sod um o
LAB ID #
SAMPLE TYPE
DATE
TIME
7:OOAM
COMP
GRAB
PH
FLOW
TEMP°C
RES.
CHLORINE
SULFIDE
S RR 1
TSS
9/8114
Y
1
Y
RR 1
SS
91$!14
7:OOAM
Y
1
Y
RR 1
TPH
918114
7:OOAM
Y
2
Y
C
__I_ I I I L__ I I
Lah Initialc_a� YPs
Relinquished by:
1
Date
Time
cal IgnalurW
z
Dale ,.,C
_`/
Time �}}
lei
Iln ulehed by:
Date
TI a
R v 5}gneture
Date
Tlm`a�
lR
Date
Time
RelMqu;shod by:
Date
Time
Received by: (51gnaturb)
51
6
0) pH Field: 7,
n Temp Field G 9,tij'
O
B
Turnaround time: REGULAR RUSH
Comments or Special Hazards:
IS DATA FOR REG, COMPLIANCE PURPOSE?
NO— YES X nHICH: DWQ-NPDES
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14D _ZQ
FACILITY NAME: 1RaG}/lfittu�r li1Ly+��;t/e Zg,�/14 c,
.r--
PERSON COLLECTI G SAMPLES: WS z/ f
CERTIFIED LABORATORY: 1Y7 /ero 6aC Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: aD/-'l
SAMPLE QUARTER: ❑Jul -Sept []Oct -Dec []Jan -March pril-lune
COUNTY,�z�aX
PHONE NO. Ste) 3 7- 3
ADD TO LISTSERVE? []YES R960 EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ther
OPTIONAL INFO:
outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM'
(mg/L)
Duration
(minutes) '•
Total Flow
� �
(gallons/day)
-
-
-
6-93,a
303 s
53
(1S)r
-
-
n 5'
tV
i
Z_`ell
/ill I
1UL I I hid
.. , %I -AL Fit
tS
I If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

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

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14D 3 3 CJ
FACILITY NAME: aiaLrf/N c/
PERSON COLLECTING SAMPLE'S: ca/t G��'fafzS
CERTIFIED LABORATORY: Lab i#-
Lab #
LIMIT VIOLATIONS? YES [:]NO
0�
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec vJan-March
COUNTY: I �y-
PHONE NO. 5A) 5-37 = 3F-0�_3
ADD TO LISTSERVE? ❑YES PNO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [—]Trout DOther
OPTIONAL INFO:
❑April -June
Outfall Na.
Date Sample
s
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
c
SGT HEM
(mg/L)
Duration
(minutes)
Total Flow
�
(gallons/day)
-
-
-
6-93'4
303.5
53
(15)6
/
/
C �? s
a�;rv� i /►ram
D
DD �'Z
Z"W, 934-
33
�r",Cil
Ii�
V LL U
aF
P fi 9 ini A
ut
I HAL FILES
v G
' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
1 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
' If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pli limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-OG/30/2015
Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 0213.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 70.10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY [INCLUDING ALL "NO FLOW "NO DISCHARGE"? WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of -Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"i certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. i am aware that there are signif''cattfi,penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." e /I ( J
ature of Perm
-7/ / I-
( atej
it Date: 7/1/2010-06/�912015 Last Revised 07/13/11
vv P —2of2

r
r
ditch, erc.) -/ �f
e
x 5rA7Z
a �t
F
Stortmwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisforma, please visit: ht_p:I/il2o.er:r.st:a:.ne.:lsis�lii orlr.s Dceum�l]ts.liln�1n:i.ccforms
Permit No.: NICI / ! I_I 1 I_I or Certificate of Coverage No.: NICIGI /1 S�IO13/3/Ql
Facility Name: /49AC1Ii1l� iQ��7zf ls; Z-11�,c .
County: PhoneNo. S3�— 3aa3
Inspector: ]f a l �- _C��6As _
Date of Inspection: / 7 ra' a sZr
Time of Inspection: 3:30 1" 'd' 3 :no / /"
Total Event Precipitation (inches): _1,1 "vl D, 9
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative ll�onitoring tnatst be petfot naed dtrrit�g a representatiI e
stotln event (requirements vot-v).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours Q days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee.)
!. Outfall Description:
Outfall No. Structure
Receiving Stream:rz�'S C'r
2. Color: Describe the color of the discharge usimz basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: De$crlb, aaiw dlsrlllct odors th'it €he ulSt'h:Ir�'2 may l]a�ve (i.e.. smells su-onL,ly - oll, 1Seli
chlorine odor, etc.): 11-4 �- ��- `
PaL-e 1 of
S1VU-=;'_-11'_o(]s

4. Clarity: Choose the number which best describes the clarity of the discharge; where 1 is clear
and 5 is very cloudy:
0 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:
61 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is
no solids and 5 is extremely muddy:
p) 2 3 4 5
7. is there any foam in the stormwater discharge? Yes
8. is there an oil sheen in the stormwater discharge? Yes /Nq
9. is there evidence of erosion or deposition at the outfall? Yes l)
10. Other Obvious Indicators of StormGvater Pollution:
List and describe /� � O-z
Rote: Low clarity, high solids. and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions Wsrrant Further invesd2atio11.
pa--e2ef-1
C

Fayetteville Division
2592 Hope Mills Rd
Fayetteville. NC 28306
910.864.1920 Phone
910.864.8774 Fax
Certificate of Analysis
Rightmyer Machine Rentals, Inc
Mr. "fall Gibbs Project: WW Samples - Roanoke Rapids, Pt 1
497 Highway #48
Roanoke Rapids NC, 27870
RR1, grab
1403337-01
Date Reported: March 29, 2014
Date Received: March 18, 2014
Date Sampled: March 17, 2014
Sampled By: Gibbs
Analyte Result Units Analvzed Analyzed By Method Qualifier
Field Data
PH
8.1
pH Units
3/17/14
3:30
Gibbs
pH
Temperature
40
°C
3/17114
3:30
Gibbs
Field
Analyzed by: Microbac - Fayetteville Division
Oil & Grease HEM SGT
<5.00
mg/L
3/23/14
14:47
MSL
EPA 1664
Settleable Solids
<0.10
ml/L
3/19/14
7:30
JAO
SM 2540 F-1997 H
Total Suspended Solids
<2.50
mg/L
3/19/14
8:30
JTL
SM 2540 D-1997
Notes and Definitions
H Analyte was prepared andlor analyzed outside of the analytical method holding time
State Certifications:
NCDNR ill
NCDOH #37714
USDA =';787
Respectfully Submitted
Bonnie K. Sanders, Senior Project Ivlanagcr
4

Roanoke Rapids Stormwater/Wastewater Calculations
r 497 Hwy 48 Roanoke Rapids, NC 27870
Date Sample Taken: 03/17/2014
Date Lab Received: 03/18/2014
Date Lab Results Received: 03/29/2014
Site Map: Mid Atlantic Associates
Total Rainfall: 1.10"
Sampling Period: 1st Qtr 2014
Drainage Area Approximate Square Feet
216,737 SF
216,737 SF
80% of site Impervious
20% Vegetated
173,390 SF
43,347 SF
0.825 Gal/SF Rainfall
0.825 Gal/SF Rainfall
143,046 Total Gal
35,762 Total Gal
0.95 Runoff Rate
0.25 Runoff Rate
135,894 Gal Discharged
8,940 Gal Discharged
144,835 Total Gallons Discharged by Storm Event
1 cu ft = 7.5 Gal/10 = 0.75 Gal per Inch
0.75 Gal/10 = 0.075 Gal per tenth of an inch
Sq Ft X Depth = Total Gallons X Runoff Rate =
Gallons Discharged / Tenths of Inch
1/10 = 0.075 Gal
2/10 = 0.150 Gal
3/10 = 0.225 Gal
4110 = 0.300 Gal
5/10 = 0.375 Gal
6/10 = 0.45 Gal
7/10 = 0.525 Gal
8/10 = 0.600Gal
9/10 = .0..675 Gal
10/10 = 0.75 Gal
Field Data
Result
Limits
Compliant
pH
8.1
6.0 - 9.0
Yes
Temperature
41
None
Yes
TPH 1664
<5.0
15
Yes
SS
<0.1
5
Yes
TSS
<2.5
30
Yes
Est. Runoff Rates
Inpervious = 0.95%
Stoned = 0.70%
Vegitated = 25%

Fayetteville Division
2592 Hope Mills Rd
Favetteville, NC 28306
910.864.1920 Phone
910.864.8774 Fax
Certificate of Analysis
Righ1myer Machine Rentals, Inc
Mr. Walt Gibbs Project: NVW Samples - Roanoke Rapids, Pt R
497 Highway 48
Roanoke Rapids NC, 27870
RRI, grab
1403592-01
Date Reported: March 29, 2014
Date Received: March 27, 2014
Date Sampled: March 25, 2014
Sampled By: Gibbs
Analyte Result Units Analyzed Analyzed By Method Qualifier
Analyzed by: Microbac - Fayetteville Division
Settleable Solids
State Certifications:
NCDNR rli
NCDOH #37714
USDA 43757
<0.10 mUL 3/27/14 13:40 JAO SM 2540 F-1997
Respectfully Submitted
Bonnie K. Sanders. Senior Project Manager
Page::.: 019

Roanoke Rapids StormwaterlWastewater Calculations
497 Hwy 48 Roanoke Rapids, NC 27870
Date Sample Taken: 03/25/2014
Date Lab Received: 03/27/2014
Date Lab Results Received: 03/29/2014
Site Map: Mid Atlantic Associates
Total Rainfall: 0.80"
Sampling Period: 1st Qtr 2014
Drainage Area Approximate Square Feet
216,737 SF
216,737 SF
80% of site Im ervious
20% Vegetated
173,390 SF
43,347 SF
0.6 Gal/SF Rainfall
0.6 Gal/SF Rainfall
104,034 Total Gal
26,008 Total Gal
0.95 Runoff Rate
0.25 Runoff Rate
98,832 Gal Discharged
6,502 Gal Discharged
106,334 Total Gallons Discharged by Storm Event
1 cu ft = 7.5 Gal/10 = 0.75 Gal per Inch
0.75 GaIll0 = 0.075 Gal per tenth of an inch
Sq Ft X Depth = Total Gallons X Runoff Rate =
Gallons Discharged / Tenths of Inch
1/10 = 0.075 Gal
2110 = 0.150 Gal
3/10 = 0.225 Gal
4/10 = 0.300 Gal
5/10 = 0.375 Gal
6110 = 0.45 Gal
7110 = 0.525 Gal
8/10 = 0.600Gal
9/10 = .0..675 Gal
10/10 = 0.75 Gal
Field Data Result Limits Compliant
pH 8.2 6.0 - 9.0 Yes
emperatur 46 None Yes
TPH 1664
SS <0.1 5 Yes
TSS
Est. Runoff Rates
Inpervious = 0.95%
Stoned = 0.70%
Vegitated = 25%
SS Had to be retaken because lab let 48hr holding time run out before sample was run