NCG140366_MONITORING INFO_20190528

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMITNO.
DOC TYPE
❑ HI570RICALFILE
(MONITORING REPORTS
DOC DATE
YYYYMMDD

S
Envft�fjienm
- Qu....�i
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit hM2s-.//deg.ne.gov/about/divi�ons/,energy--min-er—al4aiLd--
r-csources/enM-mineral-lan�erm ts/stormwater-per n!t h/ des-industrial-swt�#tab-4 . d
Permit No.: NIG I I�l or Certificate of Coverage No.: NIGGI,LI ll �l,l� Itl
Facility Name: PL ! 6mgA � r _ _ a 4 V N-1
County-- ►�l� S� - — -Phone No.
Inspector: K-Z-#A n H
Date of Inspection:
Time of Inspection: O
RLULIV L
Total Event Precipitation (inches): aS� MAY 2 8 2019
CENTRAL FILES
DV'IR SECT10,N.
All permits require qualitative monitoring to be performed- during a `measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hom-s prior. The 72 hour storm
interval does not apply if the permrittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
/ V
�w
{ gnature of Permittee or Designee]
1. Outfall Description: '
Outfall No. Structure (pipe, ditch, etc.): �(1Yl l� CP--6
Receiving Stream: lan
Describe the industrial activities Pat Occur within the outfall drainage area:
Page 1 of 2
SwU-242, Last modified 07ag/2o17

2. Color: Describe the color of the
(light, medium, dark) as descriptors: j
3. Odor: Describe any distinct odors that th
chlorine odor, etc.): _ A'0 b
colors (red, brown, blue, etc.) and tint
may have (i.e., smells strongly of oil, weak
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
--_5. Floating,Solids: _Choose.the number which best descrlbes.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 to �>JAP'F--2
6. Suspended Solids: Choose the number which best -describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Q. Yes ; No -A""
SG
8. Is there an oil sheen in the stormwater discharge? oyes o 10 ^g 0 SSG
9. Is there evidence of erosion or deposition at the outfall? A Yes ��SC
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
swU,242, L=modifled 07/28/2017

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 O 6 p
FACILITY NAME: ui
SAMPLE COLLECTOR: )JO
CERTIFI ED LABORATORY W I'(2C, r?_A Q-__ Lab#
f Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: a0f 4
SAMPLING PERIOD: July -December January -June
COU NTY
PHONE N0.j o / O L0U
ADD TO LISTSERVE? ❑YES 0 EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [—]Trout her
NSW
;i, (� •�r..i' �.' - F S.
F' � ..•n
.�r.•.���� :,
::�•:Outfall}No":�Et�, a
ir`
Fr`y ti ye
j'; w2N ✓.a$''i:•!!.`1L4ilf.
'fair`' .h+
� jWte Sample � yi
,. ,:'In,Teri-2
., ti 'f ` ...
Gollected���:
tr.;r'"z N.
d/yrOR�
,1 = n����pp�
f 'n'{J!i71'I��f I:V•771r'Nr x.. A".>:s"S-�SL1t�
+^1 r: ::�'� '+Y
�r;..�''��.�.�" ,�,1?S :� •�,r
a r
��..: pH�"�
l<�: yr�
x (Standar&LI It"s
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5:1�4.:�'r-• :i"';'i"-:;;•,yam
+iiv ':!��ll".. :�?�i.�.���.7�
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�t ��"
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f r�
a d.Fi wil:�ii..SjY..a`
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�r....
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t ". � �. g 4,kr,
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.*
Fi•^ %�'+'ij.' {j, t..-+.
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1'. 4�14:fr.,,f .�.�'1 �'k ��
i. ,. g-.
a~•-.• .-
Monthfy,•Morntonng7)
'a:' ,�I /v_5 � �rsr,
3s nc
Ill !
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T..,!,ltA1F54�rIC.;.iM..r� +
_ ��c's' "2„°�,r,,r7 y�_s
.��;k�i'..�.ti.q`�' �..r 3•.;. t�„ * : ,..v"t1,.
+n.. v�r.
of,Months.In Ter2=
r-
a ' �%;�? Sampling� .
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. T 'S .[ '/J: .;,'W
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4 .�,�.. + y _ i.. .y J-
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' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are SO mg/I.
° For each sampled measurable storm event the total precipitation must be recorder
Permit Date: 8/1/2017-6/30/2022
C
using data from an on -site rain gauge.
c
Last Revised 07/27/17
Page 1 of 2 C

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
I y', ti�aTAl�
r.
,Outfal!
Tj.:
x; No:
`
��4R+.T,
,
�yUate 5anipEe s •
t }�
Colkectedr°, t
a,, .r. r;.
a'(mo/dd/yr)4
•u-' n!.
z,.�
,ppH f,
(Standard:'
',
uhits)►.'
cap
yTA,�'�1 .--.. _ , .
'•.�l'fony Polar} O
,
,400I& Grease usFng�tF
} F" — _;
rriethod,1664�
r t =,
SGT=HEM'
S,r 'w r.—, ' _. "u-
4r. �i
,Total
�n
Suspended
Solftfs i };
i `'�., ,...
... Vr !'
�,
Total
;" 4 .
Rainfalls
�._
i(�n)
�. - 7"". v-Y :^'r 0 T"
S v- c..� i.•'in lY��1l�p.R.
' . ,
:New Motor OIlUsage,
E's
(gal%mohtfi�); ,�z
�, -1 ;.,
- a -
Jh;Tler2�*
' Monthly}4,
ri
Monitoring7r
a� g?i
{Y/n)-
'P­}-i-.Ym{a
#.`bf Monfhs ih Tie12 ,;
-
► t5ampling2 �-
sir .� � •<
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L �'' 6 9 . t
2
.: r15-
�--z
( 100?
N , - -" - —__
':�" '
.T
c
c
i
i
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN S AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? I
YES ❑ NO
REGIONAL OFFICE CONTACT NAME;
within
case of "No Flowcase of "No Flow")
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
m
"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 direietz"
esponsiinformation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware thatare signubmitting false information, including the possibility of Z
s and i prisonment for knowing violations."
U s
(Signature of ermittee) (Plate)
Permit Date. 1/2017-6/30/2022 Last Revised 07/27/17
C C Page 2 of 2 C

A)
OMICROBAC
• Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9E0233
PLT Concrete Services
Mr. Rick Proctor
3214 Tumage Road
Wlson, NC 27893
Case Narrative
Rocky Mount- Water Temperature, 730 F, Air 659 F pH 8.5
Zebulon - Water Temperature, 790 F, Air 640 F pH 8.4
Selma - Water Temperature, 710 F, Air 650 F pH 8.6
Wilson - Water Temperature, 740 F, Air 66° F pH 9.3
Analytical Testing Parameters
Project Name: Stormwater Samples
Project / PO Number: N/A
Received: 05/15/2019
Reported: 05/17/2019
Client Sample ID: Rocky Mount PLT, Grab
Sample Matrix: Slormwater Collected By: Parrish/Eastwood
Lab Sample ID: K9E0233-01 Collection Date: 05114/2019 11:19
Wet Chemistry Result RL Units Dilution Note Prepared Analyzed Analyst
SM 2540 D-2011
Total Suspended Solids 17.0 8.20 mg1L 1 05116/19 0816 TMC
SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 1 05/16119 0915 TVIIC
Client Sample{ ID: Zebulon PLT, Grab �
Sample Matrix: Slormwater �` Collected By: Parrish[Eastwood
Lab Sample ID: KgE0233-02 Collection Date: 05/14/2019 10:07
Wet Chemistry Result RL Units Dilution Note Prepared Analyzed Analyst
SM 2640 D-2011
Total Suspended Solids 4.83 4.17 mg1L 1 05/16/19 0816 TMC
SM 2640 F-2011
Settleable Solids <0.10 0.10 mUL 1 05116/19 0915 TMC
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 283061 910.864.1920 p I www.microbac.com Page 1 of 3

�MICROBAC(&
Microbac Laboratories., Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9E0233
Client Sample ID: Wilson PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: KgE0233-03 Collection Date: 05/14/2019 10:40
Wet Chemistry Result RL Units Dilution Nato Prepared Analyzed Analyst
SM 2540 D-2011
Total Suspended Solids 4.83 4.17 mg/L 1 OSr16119 0816 TMC
SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 1 05/16/19 0915 TMC
Client Sample ID: Selma PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: K9ED233-04 Collection Date: 05/15/2019 10:24
Microbiological Parameters by Result RL Units Dilution Note Prepared Analyzed Analyst
Membrane Filtration
SM 9222 D-2006
Conform, Fecal 12 1.0 per 100 mL 1 05/15/19 1535 TMC
Definitions
RL: Reporting Limit
Report Comments
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated
in the footnote are present and an authorized signature is included.
Reviewed and Approved By:
Jeanne Overstreet
Client Relationship Specialist, Environmental
Reported: 05117/2019 09:08
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www microbac-corn Page 2 of 3

Fayetteville Divislon 2592 Hope MIlis Road -- Fayetteville, NC 28306 (910) 864-19201864-8774 fax
VMICROBACO
CHAIN OF CUSTODY RECORD
PAGE 1 OF 1
CLIaNtNAME AADDREes:
PLT Concrete Services
3214 Turnage Road
Wilson, NC 27893
Pas
PAoJeCT1LUCAT10N
Storm Water sites
to
In
LL`.Q.SDdietrgl0:.ti.i`;.'•s:l'>
TYPE
OF
ANALYSIS
PRESERVATION CODE
N
aa
C3
Lu
CODE. B'C ONLY , •:
:p ./1•- t . ... ....:.....�
i3 A.11103,(phc?) + <e c • `.: i. `_ • ; .::_
:;'i_�,N2Soa:�ph<2}t,cs'��.•;�:,;
±. �': Y� ....:.• . .+ 1', . :i
`_; �: 4Pt��lg
14':\' `'
;`'t;':.is:':�::i:��';i`.:�`',�4.:F.'..i.
CONTACT PON ERS
I
Mr. Rick Proctor
PHONE: !
262.293.0500
9AMPLLR: en,,L( �°f�l&R-i Sj-.
DATEIMETHDDOFSHIPMENT:
LAB ID #
SAMPLE
Sample rt 31�
Date
Sample
Start Time
Sample
Stop Date
Sample Stop
Tlme
COUP
GRAB
Lab pH
Field
pH
ramp Water
.F
Alr Temp
F
Rain "
#
Ro M
5-1q-(�,
��.`�
5••!Y-ig
�i� 1}�
X
A
$S
7
d
Z-
l'Zebulon Plant)
' �14
p:0 (o
•j -1
0: a'7
X
A
:#>t
- f�''
6
9-f
d �/U
X
A
y
son ant
Selma Plant
io L
•15'11
D'
-15- 1
X
1
IF
S'
A10
f
f
1
1
RellaqulahNd by -
DaleTbm
Dab
+ma
8o-s+,� 1'15119
Ato•r5'�
z
Ral nqu a i
0.1.
7k..
Recalwad byz gnamro
ale
ma
3
e qu
me
5
rW%
�
jR*"tVWtV'.(6tV1*WM)Dala
6
pH Field:
Temp Field 1:
anTs air DS- eSda/H ds:
Wpt`AV4%'
IS DATA FOR REG. COMPLIANCE PURPOSE?
YES NO ,NHICH. Dui

Fsrviranmentaf
.— quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit h s:/Ide .nc. ov/about/divisions/ener -mineral-land-
resources/enerev-mineral-land-vermits/stormwater-nermits/npdes-industrial-sw#tab-4 .
fJJ
Permit No.: N/CI_I I I I I ! I or Ceztificate o P�geNo.: N/C/G/,�,/ Jl 6l3/4 I_l
Facility. Name: PLT County: A* Sk Phone No. _ L� _ YO Icr
' 1I m - -- .
Inspector: K z-A n!l P.1masi .
Date of Inspection:°� I q— Time of Inspection: _1 O : O Co
Total Event Precipitation (inches): - -R
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from, the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the pezznittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the gerrnittee obtains approval from the local DENfLR
Office.
By this signature, I certify, that this report is accurate and complete to the best of my knowledge:
V
of Permittee or Designee)
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.):
Receiving Strean2
Describe the industrial activities that gccur within the outfall drainage area:
Page 1 of 2
swv-242, Last modified 07/U/2017

2. Color: Describe the color of the
(light, medium, dark) as descriptors: i
3. Odor: Describe any distinct
chlorine odor, etc.):
colors (red, brown, blue, etc.) and tint
APO P.
that the, discharge may have (i.e., smells strongly of oil, weals
4.. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
D
5.-- Floating Solids: Choose -the number which best describes th"t 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
G. Suspended Solids: Choose the number which best'describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stonnwater discharge? p. Yes
S. Is there an oil sheen in the stormwater discharge? gYes D +sue
9. Is there evidence of erosion or deposition at the outfall? A Yes 10 A36
1.0. Other Obvious Indicators of Stormwater Pollution:
List and describe _ _..LUD�
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, L= modified 07/ZM017

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG 14 0 6 16
T
FACILITY NAME: 'Y C (QC
SAMPLE COLLECTOR: f )JM
CERTIFIED LABORATORY IDaj= . 0- Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: � 0 ( ` 11-1
SAMPLING PERIOD>[Lj�."ryy December January -June
COUNTY I� �f A t�Y1�t 1'
PHONE NO. (a ] o' \0
ADD TO LISTSERVE? [—]YES 0 EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout her
NcS V
OEJtfalk No., •
a. }r v G
'Date Sample'
Collected
(mrn/ddfiFOR ,
t.
NO.FCO
pH'
L' (5tandar8'Units) �
. d i. 4? i..jt.,,
..r
TSS " f
ti r r
;, (mg/t} t
R ! !y - 7L R4.t f._
"Total:
: '�
; Rainfall4 4
�;' ��. ,
�E ,:t_,
.' InTier•2
Monthly.•Monitbeing7
.r`�. �' :Si,
'# of,Months m Ter 2
r
5amplingz s
e 5 {',i ♦n.��, i ,i;!,_
'+• - •r.�' F.
., f _ ��
R' 'xo�c+'�:a6 9�`
NRY-
Y,rf„,i ,.. ZRM23ty".f
J.. dFY R.
�J :�� r, "''7'
t•��i.t 'C� 15YFF.4'i
' L
•-
1 • 3
43, V 4 L
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
"For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 8/1/2017-6/30/2022 Last Revised 07/27/17
Page 1ofz

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
•
OUtfal(•A ''
No.
... - - R
'
Date Sample
Collected '
(mo/dd/yf)?
PH
(Standard
Units)
Non -Polar �'
.Oil &. Grease using ,`
method 1664
SGTHEM
(mg/L)
�
Total
Suspended
Solids
{mgl�) r
�
,
TO
a
Rainfall'
(in)
n
a
New Motor OII Usage
(gal month)
�4
In Tier`2L
Monthly ,r ; -
Monitoring?
r
# of Months in, Tier 2 '
Samplingz -
6-9Z
152
10013
-
t
C
c
�n
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN SAT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YEs ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period in
case of "No Flow") to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those
persons directly responsibleAor gatherin the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that t are signifi nt pena i o submittinIse information, including the possibility of fin s and i prisonment for knowing violations."
UU g a
(Signature of ermittee) ( ate)
Permit Date. 1/2017-6/30/2022 Last Revised 07/27/17
• Page 2 of 2

VMICROBACc'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9E0233
PLT Concrete Services
Project Name: Storrnwater Samples
Mr. Rick Proctor
Project 1 PO Number: NIA
3214 Turnage Road
Received: 05/15/2019
Wilson, NC 27893
Reported: 05/17/2019
Case Narrative
Rocky Mount- Water Temperature, 730 F, Air 650 F pH 8.5
Zebulon - Water Temperature, 790 F, Air 64Q F pH 8.4
Selma - Water Temperature, 710 F, Air 65' F pH 8.6
Wilson - Water Temperature, 741 F, Air 66' F pH 9.3
Analytical Testing Parameters
Client Sample ID: Rocky Mount PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: K9E0233-01 Collection Date: 05/14/2019 11:19
Wet Chemistry Result RL Units Dilution Note Prepared Analyzed Analyst
SM 2540 D-2011
Total Suspended Solids 17.0 8.20 mg1L 1 05/16/19 0816 TMC
SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 1 05/16/19 0915 TMC
Client Sample' ID: ` Zebulon PLT, Grab
Sample Matrix: 5tormwater Collected By: Parrish/Eastwood
Lab Sample ID: K9E0233-02 Collection Date: 05/14/2019 10:07
Wet Chemistry Result RL Units Dilution Note Prepared Analyzed Analyst
SM 2540 D-2011
Total Suspended Solids 4.83 4.17 mg1L 1 05/16/19 0816 TMC
SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 1 05/16/19 0915 TMC
Microbac Laboratories, Inc.
2692 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 of 3

�MICROBACe
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9E0233
Client Sample 1D: Wilson PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample iD: K9E0233-03 Collection Date: 05/14/2019 10:40
Wet Chemistry Result RL Units Dilution Note Prepared Analyzed Analyst
SM 2640 D-2011
Total Suspended Solids 4.83 4.17 mg/L 1 05/16/19 0816 TMC
SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 1 05/16/19 0915 TNIC
Client Sample ID: Selma PLT, Grab
Sample Matrix: Stormwater Collected By: ParrishlEastwood
Lab Sample ID: K9E0233-04 Collection Date: 05/15/2019 10:24
Microbiological Parameters by Result RL Units Dilution Note Prepared Analyzed Analyst
Membrane Filtration
SM 9222 D-2006
Coliform, Fecal 12 1.0 per 100 mL 1 05/15/19 1535 TMC
Definitions
RL: Reporting Limit
Report Comments
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless alt pages indicated
in the footnote are present and an authorized signature is included.
Reviewed and Approved By:
�,�Q./L e3tLei
Jeanne Overstreet
Client Relationship Specialist, Environmental
Reported: 05/17/2019 09:08
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 283061 910.864.1920 p I www.microbac.com Page 2 of 3

i
i
Fayetteville Division 2592 Hope Mills Road -• Fayetteville, NC 28306 (910) 864-19201864-8774 fax
CHAIN OF CUSTODY RECORD
PAGE '! OF 1
GUENTNAMEdADDRESS:
PLT Concrete Services
3214 Turnage Road
Wilson, NC 27893
PO•
PROJECTiLOCATION
Storm water sites
w
�
m
U.
O
TYPE OF ANALYSIS
PRESERVATION CODE
�
FU-
Q
�
CODE:
: a =•HNO3 (phc2 + We
C=,1-12s04:(PW t�B:G'..;;
�•;kD-.NaOi{ +.4fi'C .\ . •'.'i a.
"• 7!y PcetatB + "6*C
``: ` ... `-" : ':;, .':; ;,;:•.,.:.a:: ,
CONTACTPE
Mr. Rick Proctor
PHONE.
252.293.0500
sauPLER:/fEV) n Y P r � -.
Dort n T'e wit-..Yra�
DATE fMETHOD OFSHWMENT:
LAB ID ft
SAMPLEE
Sample Start
Date
Sample
Start Time
Sample
atop Data
Sample Stop
Time
Cake
GRAD
Lob pH
Field
PH
water
Temp
Air Temp
°F
RaIR „
Ro . MLPJant~
-r �!- (q
1 r.r
y�rlY� t
�I r
X
A
2.
Zebultin Plant
�! `�
D :8 (o
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8 : 4?
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X
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A
4
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Selma Plant
'1,S-t`
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--
%J' ' �}
X
1
Relfnqubhad by:
Tirna
R ad by: (Sl aue
Data
!me
tl nqu a
ate
Time
Rene a (Signature)ate
me
3
4
Da a
etR r pnetute
Date
me
rollngulshed
5
fi
mmmoleimmmmozol
PH Field:
-Tamp Field !:
e'nTs oar- uS-eclal�Hazd ZO L6'
IL
IS DATA FOR REG. COMPLIANCE PURPOSE?
YES/ NO NHICH: Doi

Environmental f
Qudury 1
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit htEps://de4 _nc.Qov/about/ divisions/energy-
mineral-land-
Permit No.: N/C/� l� l / I I or Certificate of Coverage No
Facility Name:-,T G&4s
NICIGIJI_V PI5I bk
County: t As 8 1. Phone No. �� ��f yQ V2-
Inspector: (497yo -1 ,P �
ct—
Date of Inspection:
Time of Inspection:
—2 S
O 1lr)
Total Event Precipitation (inches):
FILES
CENTRAL
WR S CT ON
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event' is a storm event that results in an actual clischarge from the permitted site
outfall. The previous measurable storm event must have been at least 721hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter ! interval is representative for
local storm events during the sampling period, and the permittee obtains Iapproval from the local DEMLR
Regional Office. 1
By this signature, I ce that this report is accurate and complete to they best of my knowledge:
of Permittee or Designee)
1. Outfall Description:
Outfall No.
Receiving Strearng .
Structure (pipe, ditch, etc.)
Describe the industrial activities tWt or -cur a outfall drainage az(':a:
Cy is -in C.
- i
Page I oft
SWU-242, Last modified 07/29/2017

2. Color: Describe the color of the discharge
(light, medium, dark) as descriptors: AJ Q
3. Odor: Describe any distinct odors t
chlorine odor, etc.): �
colors (red, brown, blue, etc.) and tint
the discharge may havc: (i.e-, smells strongly of oil, weak
4. Clarity: Choose the number which best describes the clarity otthe discharge, where 1 is clear
and 5 is very cloudy:® r
1 2 3 4 5
5. Floating Solids: Choose the nutdber 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
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy_
1 2 3 4 5!
7. Is there any foam in the stormwater discharge? q, Yes Q No.
E
8. Is there an oil sheen in the stormwater discharge? oYes f No. Mo D t 5 C .
9. Is there evidence of erosion or deposition at the outfall,? 4P Yes 0- No. At 6
10. Other Obvious Indicators of Stormwater Pollution:
List and describe �j o
Note: Low clarity, high solids, and/or the presence of foam, oil
indicative of pollutant exposure. 'These conditions warrant f¢ri
Page 2 of 2
m, or erosionldeposition, n$ay be
i investigation_
swU-242, Last modified 07/2=017

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 ay_6 6
FACILITYNAME: CLA U i C
SAMPLE COLLECTOR: OG
CERTIFIED LABORATORY-jqLC U&C _ Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: d ilk
SAMPLING PERIOD: July -December ❑ January -June -X q
COUNTY_Aj,ftjtEr
PHONE NO. J:R%
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout []Other
z�
- +
Date Sampler:
+:Vt
Collected -
{mm/dd/yrOR
,NO,FLO,Wjl -
:.. _ .... .;
.
;pH�� r.,F
L`a{Standard Units)•.
'Y' RE w�'^r 4tk
:ri:--:.F':x r _ fz'. -.
tit
x s
TS5 �t r
..•._ ; '; f r �; F�
L} �;:
�+-3
9:. �`^.. ,1�J+�4. 1 ;
w rt .. a5''vr.-.�.. ,Y�....
".:�
_ `Total.
'; :,:ur;; r
: 6061l'
,�
r.. Iin}
i5ssy - .} t` ' : r
�. r,..-•,�-tr/;`F
5..
r., �In g ere 2
�,
s =Monthly Monitoring?>
fY/rij
y ., i
yr.,
a=
F 'r rr fi ; ,
'#'of Ilitonths �n.Tier.2:
�mplmgZ?a
Y �r
�1- �,' r?• $ 'S ; k':
a.
_ :,
•
„� :;�;5'x 6 92� f";+.� �:,�
�4 5 ` � ` 100� 3+ L' �'Y
, z _
r
r , ;- �4 .�, 5
!G
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
"For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 8/1/2017-6/30/2022
Last Revised 07/27/17
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
7-ri {r?.
'rCK V'� ry+T�
:xt''.,«,:,.;.�;
.�.
',€R:
OutFall'
N
L•
kss,�•
`.ya-''*. ." ^)`c':w�
'1�i. L &�
k: -�
, �,� , G,,: i
"Date Sam le
F�= - <s
�'y� 1 M.
:{mo�d/yrj��..
�2. .;y,!,',�/�' .�
4-1
`. c., :`e;
r'-Sid�"/`�Cy`',.1:
,.�' +��
�"
w,. f:a H I= '�
r
, Standard
{,
.,t
s -.2.yt.•xr-
,69 .rS,sfi-#a:15
i ,i• .... .,^�. J k'
�. .1 r. 1.
,, Non-Polar5.
, t'- s.:
soil &Grease usrn .•r
>, fY v� 9'
I� �'.i»ethod`1 664 r
YaS .HEM ;,r
{� a =
� ,•�� �' - (tng/L) �,
a
�,s
a`r�,
--
vN_
a!�
.,, . , gin. ' w
"Suspended
a ;
dr .
Solids -
..:.�;
'='
�t�►glE) ".f
3:CYyWik't
4"r100� _
�n' w'.3r,'".¢
a
b+ rr ,;rrr�'n`L^
hx„ �'` :.,.
4�Tvtah 'l�
- =
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=ter'
ry� in : t
g �fY {.:;t�
u w
',t°=rn•. �.t ''
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rg'/'y! k;•�')7_
;
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.� :
'• NewiMator 011 Usa e
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. f n ag / , . y
+�. al month),
a:-•� ..
,.. T'Y
„ �'s'�:,,
r"R.;•x� ,;�,_ :('i:. �''""...
-•TY. ia'
" �n• +�q�
i�'iaij - a71
."?a; In Tier;2r
,� ..:� .a'•5
"Lhilbnthl =1-f k
-Y.±
{.'.jr
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t n 7 r
. y s
iy {�4.. a.':C)Rl
�F ``
1.
,,.,_.,�r�r=w «� - �[q
ri,` ri �!" .. !�:."YI`n
i't^r; II:{,1 �.y -y,� l..,,�,x
lh1R"Ei: yX .W,4
>. i ,
rr
°�y"Y of�Mvnths,in Tier'r2''
E. ? [
f wr5ampling2 n
NLY h.C""r/n �C[3
ry�y��
'aq` rot 'SA.,,i G':+�•,.:a.-r ,�+.'
i::� .Y "i.� 1C wi �7}�•
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN S AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO EV
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring_ period in
case of "No Flow") to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFIG4TION 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 t informat' n, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are sign ific penalties o submitt' false infoV.rP.
tion, including the possibility of fi es a d imprisonment for knowing violations."
(Signature of Perrnittgcj (Date
Permit Date: 8/1/2017-6/30/2022
Last Revised 07/27/17
Page 2 of 2

6) M ICROBACa.
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8J0450
PLT Concrete Services
Mr. Rick Proctor
3214 Tumage Road
Wilson, NC 27893
Case Narrative
Rocky Mount- Water Temperature, 620 F, Air 651 F, Field pH 9.1
Zebulon - Water Temperature, fit° F, Air 550 F, Field pH 8.9
Selma - Water Temperature, 610 F, Air 550 F, Field pH 9.4
Wilson - Water Temperature, 61° F, Air 621 F, Field pH 9A
Analytical Testing Parameters
Project Name: Stormwater Samples
Project / PO Number: NIA
Received: 10/24/2018
Reported: 11 /02/2018
Client Sample ID: Rocky Mount PLT, Grab
Sample Matrix: Stormwater Collected By: ParrishlEastwood
Lab Sample ID: KaJ0450-01 Collection Date: 10/23/2018 11:59
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: SM 2540 D-2011
Total Suspended Solids <4.17 4.17 mglL Z10 10/25/18 1314 MT
Method: SM 2540 F-2011
Settleable Solids <0.10 0A0 mUL 10/25/18 0850 MT
Client Sample ID: Zebulon PLT, Grab
Sample Matrix: Stormwater Collected By: PardshlEastwood
Lab Sample ID: K8J0450-02 Collection Date: 10/23/2018 10:11
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: SM 2640 D-2011
Total Suspended Solids 7.16 6.17 mg1L Z10 10/25118 1314 MT
Method: SM 2540 F-2011
Settleable Solids
<0.10 0.10 mUL
10/25/18 0850 MT
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 of 3

&)MICRQBACS
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8J0450
Client Sample ID: Wilson Pl_T, Grab
Sample Matrix: Stormwater Collected By: ParrishlEastwood
Lab Sample ID: K8J0450-03 Collection Date: 1 D123/2018 10:58
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: SM 2540 D-2011
Total Suspended Solids <4.17 4.17 mg1L Z10 10/25/18 1314 MT
Method: SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 10/25/18 0850 MT
Client Sample ID: Selma PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: K8J0450-04 Collection Date: 10/24/2018 10:26
Microbiological Parameters by Membrane Result RL Units Note Prepared Analyzed Analyst
Filtration
Method: SM 9222 D-2006
Coliform, Fecal 3.0 1.0 per 100 mL 10124n 8 1409 MT
Definitions
RL: Reporting Limit
Z10: Only one i L bottle was provided for both the Total Suspended Solid and the Settleable Solid tests. The Settleable Solid
was run first, followed by the Total Suspended Solid. During transfer of sample between tests, some sample was likely
lost.
Report Comments Reviewed and Approved By:
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated Jeanne Overstreet
in the footnote are present and an authorized signature is included. Client Relationship Specialist, Environmental
Reported: 11 /0212018 13:04
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com
Page 2 of 3

r
0
0
r
0
0
a
m
n
s
a
p
9
C
D
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1-
It
pH Field:
Temp Field t:
.o -
4
LL
•
OMICFZOBACR
Fayetteville Division 2592 Hope Mills Road — Fayetteville, NC 28306 [phone] / 864-8774 fi
CHAIN OF CUSTODY RECORD
�A�iu�imo�
CLF- rKMEaADDREM
Concrete Services
3214 TumageRoad
W Il son, NC 27893
Pas
r0'rW' fLOCAT"
torn water sltes
dy
r=
TYPE OF ANALYSIS
PRESERVATION CODEPLT
y
(0u
J
U
CODE- n=.
' � � =.k�tas (��?i+ �s•c • ` ; �` �.�'
T
a$xpd1k1celhateip
i. `• �.y' o�; tl �:.`ti •.i
eaNr�trrEusare
Mr. hide Proctor=,H2SC?4A�ph<2)
PROM.
x
snMP�252.293,0500
Arfw+yi
DATE f MErHOD OF SH ENi:
LA8 ID ffi
SAMPLE
Same Stem
Date
Sample
Start Time
Sample
.stop Date
Sample Stop
Time
coot
reins
�b pH
Field
PH
W mp
�F
� Temp
'F
Rain
•3
Rocky ML Plant
iD��3
!f
1D-2r14
! 1 • �
X
A
I
I
I
q. l
.5
-4 0
Z.el ulon Plant
j�'Z I `�
ld.'to �;,
G-�3-1'
fl3i /!
X
j
A
N o
Wilson Plant
�g
l00
X
A
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to' 1
b Z.
N C
Selma Plant
I X
t
F
' `f
j
S
J.i b
ram
whi --ffifflot"N.,
WAN
Comments or Soecial Hazards: F&&-W E D
AN
IS DATA FOR REG. COMPLIANCE PURPOSE7
YES ZNO NHICH., t
Page 3 of 3

Kc-
Envimnmenftd r \ 1 V
_ Q�rallty
Stormwater Discharge Outfall (SDO) MAY 01 2018
Qualitative Monitoring Report DWR� CTI FILES
For guidance on filling out this form, please visit jittpMe nc. ovlaboutldivisions/ener -mineral-laad-
resourcaslener -mineral-land- ermitslstormwater- ermits/ des-industrial-sw#tab-4
Permit No.: N/Cl� 1 I 1 / I I or Certificate of Coverage No.: NICIG16111 al31461
Facility Name: f &)n "Al :�?A - -y
County. N. A S H _ _ Phone No.-
%spector n
Date of bWection: L(- L — I S _
Time of Inspection O s 2
Total Event Precipitation (inches): _
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfalL The previous measurable storm, event must have been at least 72 hours prior. The 72hour 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 DEN LR
Regional Office.
By this signature, I cettifyAhat this report is accurate and complete to the best of my lmowledge:
�ignature of Permittee or Designee)
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the indusinal activi 'es th4 occur within the outfall drainage area:
Page 1 of 2
sWU 242, last modified 07r=017

2. Color: Describe the color of the
(light, medium, dark) as descriptors:
3. Odor: Describe
chlorine odor, etc.): I
is colors (red, brown, blue, etc.) and tint
that the discharge may have (i.e_, smells strongly of oil, weak
4. Clarity: Choose the number winch best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: l �� 6� rr�,• �.a,,, ,� _
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 d 5 �tj 0"1-5
G. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stonxrwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? p Yes 9 No. AiQ
8. Is there an oil sheen in the stonnwater discharge? 97Yes o No. m') 0 L
9. Is there evidence of erosion or deposition at the outfall? o Yes g) No. ko FS .
10. Other Obvious Indicators of Stoxmvvater-Pollution:
List and describe V-0f� Q
Note: Low clarity, bigh 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 of2
SWU-242, Last moMed o7nS=17

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 G 6 6
FACILITY NAME: 1 LGN i C:2. k
SAMPLE COLLECTOR:CQIu ij`4 Pa1uu S K - D G'Nui 2r Lk -TAU orb
CERTIFIED LABORATORY M t CR_0 r3AC_ Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: a G I a
SAMPLING PERIOD: ❑ July -December January -June
COUNTY
PHONE N0. 0sa7 �q3. GS`00
ADD TO LISTSERVE? []YES [aNO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Other
I" v
. - Outfall No it.
,ti d
.R r4 t
,.
}.
t;
Collected w • `
r
(min/dd/yr OR, z
�..
NO.FLO�l�App1 4
{ rri . '7"
k , pH T,r' s
kt Standard Units)'
_. 1.1- T�i.�
F , c =r•r� .f osf%.
# t
:r4TSS irk: f " �;
.4.,
W; a(m L); 1»
i"%-r'• ?i GT•
s'. • 1i...
Totals.
' 'r*u ` ,.r =
Rainfall° ' r'
s 1 '
S i!(�nl�.: y''1
l
"�. r `;'
r 1n�Tie'r2t
,
'Mont Monrtonng7,
, ,
(l/11} 'f j
:r 7
i
_
'# of Months-in'Xier 2G'_
Samplingz' A
ESL f
h...+�,k:•' #, 'rr
,• �;
` 6 92 `i
' ; cr 5 1pW3
c
.O
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
Z if a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 8/1/2017-6/30/2022 Last Revised 07/27/17
Page 1 of 2

Part 8: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
,
Outfall :
No. " "
4�
�.
Date Sample
Collected
(mo/dd/Yr)1
w�
H
(Standard.
'Units)
Non -Polar . 9.
011.& Grease win s
mr thod 1664
SGT HEM
(mg/L)
Totai
Suspended
Solids
(mg/L)
Total
RainfaN a .
(in)
M' , =
New Motor 011 Usage
(gal/month).
:.
In Tier 2
`" Monthly
Monitoring?
(y/n)
,
a +
# of Months in Tier 2
,
Sampling2
92
Q I OJL
u i C
G
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN FSrAT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO []
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period in
case of "No Flow") to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those
persons directly responsibl r gatheri g the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware tha t e ena ies r submitting false information, including the possibility of fin s and i / risonment for knowing violations."
} !�
(Sigyrature of Permittee) (D te)
rmit Date: 8/1/2017-6/30/2022 Last Revised 07/27/17
OPage 2 of 2

&)MICROBAC-
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8D0380
PLT Concrete Services
Mr. Rick Proctor
3214 Tumage Road
Wilson, NC 27893
Case Narrative
Rocky Mount- Water Temperature, 68' F, Air 61' F pH 9.3
Zebulon - Water Temperature, 64' F, Air 54' F pH 9.0
Selma - Water Temperature, 63' F, Air 49' F pH 9.1
Wilson - Water Temperature, 680 F, Air 58' F pH 8.9
Analytical Testing Parameters
Project Name: Stormwater Samples
Project/ PO Number: NIA
Received: 04/17/2018
Reported: 04/19/2018
Client Sample ID: Rocky Mount PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: K8D0380-01 Collection Date: 04117/2018 11:57
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: SM 2640 D-2011
Total Suspended Solids 52.7 8,33 mg1L 04/18/18 0931 MT
Method: SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 04117/18 1541 MT
Client Sample ID: Zebulon PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: KBD0380-02 Collection Date: 04/16/2018 10:44
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: SM 2540 D-2011
Total Suspended Solids <4.17 4,17 mglL 04/18118 0931 MT
Method: SM 2540 F-2011
Settleable Solids <0.10 0.10 mUL 04/17/18 1541 MT
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 of 2

0MICROBAC'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K8D0380
Client Sample ID: Wilson PLT, Grab
Sample Matrix: Slormwater Collected By: Parrish/Eastwood
Lab Sample ED: KBD0380-03 Collection Date: 04/16/2018 11:20
Wet Chemistry Result RL Units Note Prepared Analyzed Analyst
Method: SM 2640 D-2011
Total Suspended Solids 61.0 7.55 mg1L 04118/16 0931 MT
Method: SM 2640 F-2011
Settleable Solids 0.10 0.10 mLIL D4117118 1541 MT
Client Sample ID: Selma PLT, Grab
Sample Matrix: Stormwater Collected By: Parrish/Eastwood
Lab Sample ID: K8D0380-04 Collection Date: 04/17/2018 10:24
Microbiological Parameters by Membrane Result RL Units Note Prepared Analyzed Analyst
Filtration
Method: SM 9222 D-2006
Coliform, Fecal <1 per 100 mL 04/17/18 1551 JR
Definitions
RL: Reporting Limit
Report Comments
Samples were received in proper condition and the reported results conform to
applicable accreditation standard unless otherwise noted.
The data and information on this, and other accompanying documents, represents
only the sample(s) analyzed. This report is incomplete unless all pages indicated
in the footnote are present and an authorized signature is included.
Reviewed and Approved By:
Jeanne Overstreet
Project Manager
[e-mail]
04/1912018 17:38
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 2 of 2

T.
o
o Fayetteville Division 2592 Hope Mills Road -• Fayetteville, NC 28306 [phone] / 864-8774 fax
IL CHAIN OF CUSTODY RECORD
PAGE 1 OF 1
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CUENTMAMEBAOGRM:
PLT Concrete Services
3214TurnageRoad
Wilson, NC 27893
Po/ PROJECT I LOCATION
IStorm water slles
�
m
ll_
TYPE OF ANALYSIS
PRESERVATION CODE
U
CODE; A.=.�s•c•oNi.Y,�;°�•:•:;;,,;.:•'• ,::.::•.; °:
�a•HNO3•(phS2}+wc_� t
CH2SO4
D.=.Na0H +,cg•ry
•;` �;
'-• : •'•,`.f = $Gd1Unl7tilu. ` 5:; •', i
1
CONTACT PERSON:
Mr. Rick Proctor
PHONE:
252.293.0500
ar'}•I�1�
DATE! METHOD OF SHIPMENT:
LAB ID 9
SAMPLE
Sample Start
Date
Sample
Start Tama
Sample Sample Stop
Stop Date Time
caMP
GRAB
Lab pH
field
pH
Tamp
I
Alr Temp
f
Rain "
RoDky Mt. Plant
y 16 1A
/ ,-5-9- T,
4/-16 rl ; .57 /"
X
A
9 r
�<j
IV O
Zebulon Plant
��' l
tp,'ya n
-� a `f
X
A
C� ,
10 y
5�
U
Wilson Plant
����'i
�l 1`l�
�l /� 1 rr; zv ,��,
X
A
N a
Selma Plant
�7`�
tt�12
�/ 17d
lfl�y /ia.I
X
4
F
p
7
l�l d
fI
P quLLMtl by:
Dah
ma
RacaMatl by: (ilpnawra)
Data
Time
1
l
Rel nqo
tla
a
Raca va : e grmtura
sU
me
3
4
qua
a e
T
Reca v gnawre
Drt1
Time
5
6
pH Field :
Tamp Field 1:
Comments or Speclal Hazards:
IS DATA FOR REG, COMPLIANCE PURPOSE?
YES ;%NO NHICH;

Nfc�_
Environmental
Quality
Stormwater Discharge Outfail (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit hops://deg.tic.gov/about/divisions/energy-mineral-tand-
resources/energy-mineral-land-permits/stonnwater-permits/npdes-industrial-sA, #tab-4
r fl % if
Permit No.: N/CI_I I_I_l_I I_I or Certificate of Coverage No.: N/C/G/ 1 l�l 17/1 tsl So/
Facility Name: P1 % Cemc,� d, - 5'ILwf CDS
County:
Inspector
Date of Inspection: 10--1 1 r
Time of Inspection: NECJ=tx/cn
- �. f_,f
j1 OCT � 7 z���
Total Event Precipitation (inches): - 0u CEN7-RAL F1Le3
DWR SECTION
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfail. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Office.
By this signature, I certify t t this 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.):
Receiving Stream: �,�``
/I�I�,
Describe the industrial activities t at o cur within the outfall drainage area:
C�2 �
Page I of 2
SWU-242, last modified 07t2V2017

2. Color: Describe the color of the discharge using
(light, medium, dark) as descriptors: i
colors (red brown, blue, etc.) and tint
D1sa
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells
chlorine odor, etc.): AJO I
of oil, weak
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: � 0 r�5'4"
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids-
1 2 3 4 5
Xtv �o I SM
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: /J 01Z-,
1 2 3 4 5 M�--
7. is there any foam in the stormwater discharge? o Yes O No. 06 0 r4 .<
8. Is there an oil sheen in the stormwater discharge? oYes o No. /V t YJ VSc
9. Is there evidence of erosion or deposition at the outfall? Q Yes O No. '8 J
10. Other Obvious Indicators of Stormwater Pollution:
N List and describe o
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5wU-242, Last modified 07/28/2017

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 3 10 b SAMPLE COLLECTION YEAR: oZ
FACILITY NAME: /Jgffg 2 O_ C, SAMPLING PERIOD: July -December ❑ January -June
SAMPLE COLLECTOR: COUNTY M64
CERTIFIED LABORATORY G CG Lab # ! [ PHONE NO. sal 93 • CiS`4 0 _
Lab # ADD TO LISTSERVE? ❑YES E�JKO EMAIL:
OPTIONAL INFO: DISCHARGING TO CLASS: [_]SA ❑HQW ❑PNA [—]Trout Other ,t
Part A: Stormwater Monitoring Requirements � v 6_ f,1
f {
'e• .Outfall No _
-i•. r � ^.lr' 1
k� `.i' �
Uate'Sample',=
•.R�s:„ red �,_�=Totals;r.4.
Collected
_ �.<-
(mm/dd/yr OR
w� CJ .Ww1.1,:. , Y
.1. vI'IO:ri.Q •!./.r "
j.. •L•:ri�Sii •."J-a".!iti''}'"`r�.':x
a t, C..
_
��� pH�.}: _
r(Standard Units1Y
•-.,:<•r �';h•..• -a?''s
�. .7� . �ti:�'a�.}• ,��.3t
r�.�P �•-'r.�+mr. i.7_..�-�-;n trc
;i 5<, - '•..t.,'�•s.:� rr
, ,ys4=••,, I,. Ott(.
; �r� <TSS 4 tr
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..`�,�. .y. '}�r��.(„x,,,rp �O,�
in...�. .=3tiv'a'i�'K"
r �c�:.'.�w.?'F.:.�r��.••,':��`_:7Gti: i_'.•-'�.sS,
�.'t•yy:{,nsr.: •r �,�' �.y
- ,ir :;'
c.• ;4:
�u rainfall
�;,. :�{� �n'�;.`r.,t a'•,
'.i.T, 'r�. ;J3(. ��j � { ...+-
r'�'. y:. 7,=�:�h .'r .I�T7l�.� ;
Z'y' *_'. ^7:'' i
, -r,.tx
InTier2 a
_ sr
>;Monthly Monitor
�y �- �„ti,rV n"y
�i - r� �ll/ f; � ��•'i'�.
�'i .-s � y•I. f L_:'rr
- -•' rya �"; •�,•
pp w< .J/,�,,
c 'Sn. � s.-
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�,rr ;r�r .s--�: i
,Sam Im ,.Jrf r
� ..Y a�; p �^,,�,�a,� «,`�.a:
t �Y-�;;y'iaYl'�Y.•:1 rn�rlwM
;I' �rz.•e�.:Yd":'���}�:�:.�-�.�!.:��
- �i
`j,, d
dr H`f.4 W
iF•h�. `..• 9 M..'f
v: '+a� r - 2 3 /) �"
'C'� Iti F.4 -�W Y.kY,% 1..�
- -•' "'
-c.I {%�.' r
- ,� . - . y
f = t1r �' ')- J "�
-.,+I �,e - a
{J f�' /, t•• V'�S Lr .
3
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 8/1/2017-6/30/2022
Last Revised 07/27/17
Page 1 of 2

PartB: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month —averaged over a calendar year.
2" .#
Ls%
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Outfail !e°"`
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r P i
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f�^• r-' _'ti'�.' ._" 'a
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`Standard
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it$�
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+01�; _, 9>
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,methai 1b64
; .'SG l =NEM ,.,'
-+i°
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N �:_ . �:J� , �
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zi 4soliiis
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+
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ski;,<a
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- .; `
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� � � �y �, u - J.� . - �, ,.
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r P: �. Ih Tier 2.;
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-
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wa
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� �" �, �'�'lt"�."" - -;!�-
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a it Y+__'.. t.^•
t�:�?� $ `�s�.�
-r. e....
f: s
'ipr.�ro
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
� Mail Original and one copy of this DMR(including a No Flow" & No Discharge" reports within 30 days o recei ,.t of sample (or at end of monitoring period in
case of "No Flow") to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUS►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 i mation, he information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significan n 'tting f se ' formation, including the possibility of fines d impri onment for knowing violations."
+!
(signature of Permittee)(Oat)
Permit Date: 8/1/2017- 30/2022 Last Revised 07/27/17
Page 2 of 2

OMICRQBAC"
Fayetteville Division_
Certificate of Analysis
PLT Concrete Services Date Reported: 10/18/17
Mr. Rick Proctor Project: Stormwater Samples Date Received: 10/12/17
3214 Turnage Road Date Sampled: 10/12/17
Wilson NC, 27893 Sampled By: Parrish
Rocky Mount PLT, Grab
K7J0454-01
I Analyte Result Units Analyzed Analyzed By Method _ Qualifier J
Wield Data
pH 9.0 pH Units 10/11/17 10:27 Parrish pH
Temperature 76 °C 10/11/17 10:27 Parrish Field
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids <0.10
Total Suspended Solids 7.72
mL/L 10/13/17 09:19 JR SM 2540 F-1997
mg/L 10/16/17 11:15 TAB SM 2540 D-1997
Zebulon PLT, Grab
K7J0454-02
I Analyte
Result \
Units
Ana
Analyzed By
Method Qualifier
Field Data
PH
8.3
pH Units
10/11/17 11:30
Parrish
pH
Temperature
73
°C
10/11/17 11:30
Parrish
Field
Analyzed by: Microbac Laboratories, Inc.
- Fayetteville
Settleable Solids
0.10
mL/L
10/13/17 09:19
JR
SM 2540 F-1997
Total Suspended Solids
3.64
mg/L
10/16/17 11:15
TAB
SM 2540 D-1997
Wilson PLT, Grab
K7J0454-03
Analyte._ Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH 8.7 pH Units 10/11/17 11:01 Parrish pH
Temperature 75 °C 10/11/17 11:01 Parrish Field
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids 0.10 mL/L 10/13/17 09:19 JR SM 2540 F-1997
Total Suspended Solids 21.9 mg/L 10/16/17 11:15 TAB SM 2540 D-1997
Selma PLT, Grab
K7J0454-04
Microbac Laboratories, Inc.
Page 1 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.corn

PLT Concrete Services
Mr. Rick Proctor
3214 Turnage Road
Wilson NC, 27893
OMICRoeAC'
Fayetteville Division
Certificate of Analysis
Project: Stormwater Samples
Date Reported: 10/18/17
Date Received: 10/12/17
Date Sampled: 10/12/17
Sampled By: Parrish
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH 9.2 pH Units 10/12/17 10:25 Parrish pH
Temperature 75 °C 10/12/17 10:25 Parrish Field
Analyzed by: Kcrobac Laboratories, Inc. - Fayetteville
Coliform, Fecal
8.0
per 100 mL 10/12/17 16:35 TAB
SM 9222 D-1997
QC Batch Run - (Microbac Laboratories, Inc. - Fayetteville)
Analyte
Result
Units Source
RPD Limit
Total Suspended Solids
24.7
mg/L K7d0457
24 5
Total Suspended Solids
5000
mg/L K7J0316
0 5
State Certifications:
NCDNR 411
NCDOH #37714
Respectfully Submitted
�.Gaft.c� C/tt Pil.d��
Jeanne Overstreet, Project Manager
Thank you for your business. We invite your feedback on our 1"I ofservice to you. Please contact the Division Manager, Rob Dermer at 910-864-1920 with any
questions. You may also contact J. Trevor Boyce, President at [e-mail]
Microbac Laboratories, Inc.
Page 2 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com

0
[V
Fayetteville Division 2692 Hope Mies Road — FayedeviEle, NC M06 (910) 864-19201864-877i
CHAIN OF'CUSTOOY RECORD
I1Ip1l1911110u
car w s�aa s
PLT Concrete Services
14 Tuinage Road
fison NC 27893
Po s
r cr �oc�rop
Storrs wales sPtes
tu
--TYP E OF ANALYSIS
PRESERVATION CODE
a}.
?�
Q:�
U
coD• a=.�s'c oN[ X? `_ `:,: `; ;;.;
�•RFr••.:!rti!'�'" �l .�;
�'::'i:: n1 P•=,�,� :'�
Mr. Riak:Pmctor
262.293.0500:
An
,�,
ate.
SAKPLM
ur
TE1pETHgPCFB!{IPiiElfTt -
LAB ED 0
SANPLE
Semple Sit
Dale •
Sample,
SWA •11nm
Sample
Slop Dela �
5arriple Step
Tim -
cow
rase
Labw
Weter, .Air Temp
7�.
F IF
Ram -
Rack Mt Pliant
I>o 11-r"10—
,7
(g=lj-1
10
X
A
=
�u¢,
ZebWon Plant
!D i 7
1A
id7�1-r
.li"'3�
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4
i.
Wilson Plant
1'i'J
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Lg4i4l
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Ulm
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Selma Plant
O.
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;
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Temp Bald t:
0
ANN
CommenIS or Soecial Hazin r
IS DAT� RM C[TNU 1JA[UCE PU,RPOSE7
YE=S mc) IVHtQt
REVIEWED
ED
ld:r
Page 3 of 3

em koh,
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring.Report
Fa rtzi t 1�Io� NtC1 / I_t I_! I t ar C�ificate of Coverage No- N! of I!! �•I' t bl T
Facility Name_ �-R-�.�..x- 5z —
county_ Phone, No_
Inspector: S
Date, of Inspection_
By this Signannr, I ccrtif`y this re rt. is accaratc and complete to the best of my knowledge:
(Si,gnam'= of Pexmittec or Designer-,)
L OutfaU Dcscripfion
Ouifall No- Stxnctlrre (pipes ditch, - �-
gcccaving Stream:
Descn-be the industnal activiticA that ooarr wiihiq the opffaU drainage area'
Z Color -
Describe the color of the discharge using basic colors Ved, brown., blue, etr-) and tint (I 61r medium,
dark)'as desc dptom " _ . ?'Jo � - -- - —
3_ Odor
Descdba any -distinct odors drat the drsdmrgc may haye (x-e , smells strongly of oil, weak chioribe. odor, -
etc-)
4_ Clarity,
C1100se the number which best describes the clarity of the discb=ge where 1 is clear and 10 is very
cloudy: 0 (✓t-�^`'� `��
1 2 3 4 5 6 7 a 9 10
pagC I
SWU-242-101599

a
i r .
S. Floating Solids
Choosc the number which best describes the amount of floating solids in the stormwatcr discharge where
l is no solids and 10 is the surface covered with floating solids:
1 2 3 4• 5 67 8 91 10
6_ Suspended Solids jt j� •� �S L`,a-�i-t'�
Goose the number which best desctzl-bes the amount of suspended solids in tli-, sto=waw discharge
where 1 is no solids and 10 is cxtre�ly muddy_
I 2 -3 4 5 6 •7 8 9 10 '
7_ Foam
1s thcm any foam in -the stoxmivater disch ? Yes No
8_ Oil Sheen
is ahem an oil sheen in the stormwater e? Yes No'
�� N
9. Other Obvious Indicators of Stouter Poflut�on
List and descaribc
Not= I.ov r clarity. high solids, and/or the pmsehm of foam or o l-sheen may be ndi'rarive of pollutant
exposure- These conditions may warrant forrtther investigation.
Page.2
C'Qn I'I A-% \A. fM

STORMIMATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 d 3 6 .6
FACILITY NAME: J.T GMCiEFP, ZTJW cgQ.
PERSON COLLECTING SAMPLES I QMA.q NMR-fc : _
CERTIFIED LABORATORY M i C_ ZQ R A C _ Lab # 11
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLING PERIOD: July -December `January -June
COUNTY,4l�iS!
PHONE NO. a2sa} �q3r dSQO
ADD TO LISTSERVE? []YES [—]NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ❑Other NS W
SAMPLE COLLECTION YEAR:
.•Outfall-No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
{Standard
Units} '
TSS.
(mg/Lj
Event
Duration
(minutes}
Total
a
Rainfall.
(in)
In Tier 2 .•
Monthly.
Monitoring?,
(y/n)
# of Months -in Tier
2
2 Sampling
-
-
6-9
100
a
s
so
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range {for pH}, you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark rangd.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
"For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
r
Se�AV—
so�j4�
Permit Date: 7/1/2011-50/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month - averaged over a calendar year
Outfall
Y
Date Sample =
Collected
{mo/dd/yrj1 '
pH '
[Standard .
�.. ;SUmtsj-
TPH using method.
1664A' HEM
, �m�E)
' Total Suspended
_
Solids , F
�mg/L� .
-.Event. '+
= :.`
',Duration
Iminutes]
Total'
- a'
Rainfall
(in)
New Motor Oil
Usage
„gal/month] ,
In Tier. 2.
Monthly
Monitoring?
, ' IY/n1
# of Months'.
in tier 2,
z
Sampling =
6-9.
15
. '100
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDE CES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL'OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receiot 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'Car'olina 27699-1617
YOU MUST SIGN THIS -CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify; under penalty of law, that this document and all attachments were prepared under my direction or supervision in'accordance with a system designed to
assure that qualified:personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons.who manage the system, or
those persons directly. responsi a for Bath ring the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware tha are signi c nt penal ies or submitting false information, including the passibility o fine and imprisonment for knowing violations."
IY
(Signature ermittee) (D te)
Permit eate: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

OMICROBAC&
Fayetteville Division
Certificate of Analysis
PLT Concrete Services
Date Reported: 04/28/17
Mr. Rick Proctor Project: Stormwater Samples
Date Received: 04/25/17
3214 Turnage Road
Date Sampled: 04/25/17
Wilson NC, 27893
Sampled By: Parrish
Rocky Mount PLT, Grab
K7D0803-01
Analyze Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH 9.4 pH Units 04/24/17 15:31 Parrish pH
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids <0.10 mLIL 04/26/17 08:45 TAB SM 2540 F-1997
Total Suspended Solids 61.3 mg/L 04/26/17 09:00 TAB SM 2540 D-1997
Zebulon PLT, Grab
K7D0803-02
Analyte
Result
Units Analyzed
Analyzed By
Method Qualifier
Fielda
pH
9.4
pH Units 04/24/17 14:01
Parrish
pH
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids
0.10
mL/L 04/26/17 08:45
TAB
SM 2540 F-1997 1
Total Suspended Solids
8.75
mg/L 04/26/17 09:00
TAB
SM 2540 D-1997
Wilson PLT, Grab
K7D0803-03
Analyte
Result
Units Analyzed
Analyzed By
Method Qualifier
Field Data
PH
9.4
pH Units 04/24/17 14:34
Parrish
pH
Analyzed by: Microbac laboratories, Inc.
- Fayetteville
Settleable Solids
<0.10
mLIL 04/26/17 08:45
TAB
SM 2540 F-1997
Total Suspended Solids
18.0
mg/L 04/26/17 09:00
TAB
SM 2540 13-1997
Selma PLT, Grab
K7D0803-04
Analyte
Result
Units Analyzed
Analyzed By
Method Qualifier
Field Data
PH
10.1
pH Units 04/25/17 10:44
Parrish
pH
Microbac Laboratories, Inc.
Page 1 of 3
2592 Hope
Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774
f I www.microbac.com

PLT Concrete Services
Mr. Rick Proctor
3214 Turnage Road
Wilson NC, 27893
6)MICROBACR
Fayetteville Division
Certificate of Analysis
Project: Stormwater Samples
Selma PLT, Grab
Date Reported: 04/28/17
Date Received: 04/25/17
Date Sampled: 04/25/17
Sampled By: Parrish
K7D0803-04
Analyte Result Units Analyzed Analyzed By Method Qualifier
Analyzed by: Mlcrobac laboratories, Inc. - Fayetteville
Colifotm, Fecal 28 per 100 mL 04/25/17 14:47 TAB SM 9222 D-1997
QC Batch Run - (Microbac Laboratories, mr- - Fayeaerme)
Analyte
Result
Units Source
RPD Limit
Total Suspended Solids
113
mg/L K7130800
0 5
Total Suspended Solids
25.2
mg/L K7D0783
5 5
Total Suspended Solids
10.3
mg/L K7130771
3 5
Rocky Mount- Water Temperature, 680 F, Air 590 F
Zebulon - Water Temperature, 66° F, Air 600 F
Selma - Water Temperature, 64' F, Air 66' F
Wilson - Water Temperature, 65o F, Air 600 F
State Certifications:
NCDNR #11
NCDOH #37714
Respectfully Submitted
Jeanne Overstreet, Project Manager
Thank you for your business. We invite your feedback on our level ofservice to you. Please contact the Division Manager, Rob Dermer ar 91 D-864-191D with any
questions. You may also contact J. Trevor Boyce, President at [e-mail]
Microbac Laboratories, Inc.
Page 2 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 t I www.microbac.com

- 1 7 W.WA
OF —Mai M-
Iwo
1640- RIM
1==
fryr
1==
mommommoommummal
ummummummummosul
ommoommummommomi
ENUMMEMEMSEEMBEI
issmommommol
IMEMEMEMENEI

RECEIVED
Nov W&WwA TER
CENTRAL FILES
DWR SECTION
DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG1.4 &O '6' 6,
FACILITY NAME: PKT Co IA ST9u1 CE, 1k C
PERSON COLLECTING SAMPLES . j<_eMA -i__ p&gg kyN
CERTIFIED LABORATORY M I C.LZQ RftC_ Lab # 11 _
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION Y R. 0z0
SAMPLING PERIOD: July -December ❑.January -June
N COUNTY CS'
PHON£ NO.P Sa j �q3f b5`C3©
ADD TO LISTSERV£? OYES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Other
- Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW);
pH
(Standard
Units)
TS5
(mg/0
Event
Duration
(minutes)
total
Rainfall 4
{in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Z Tier
2 Sampling
-
6-9
100
1f11 r
-1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 if a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit, Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
"(SS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
S�M_A,6I_L
Soros
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
-
Outfall-
-
Date Sample
Collected
1
(mo/dd/Yr)
PH
(Standard
units)
TPH using. method
1664A;SGT-HEM
(mg/L)
Total:Suspen'ded
Solids
(mg/Lj,
Event
° ''
° Duration
(minutes)
Total''.
a
Rainfall
.(in) -
New Motor Oil
Usage
.-(gal/month)
In Tier 2
Monthly
Monitoring?
# of Months
in Tier 2
z
Sampling
6-9
15
100 '
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDE CES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gatl, ering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there ar ificant ,!,for su mitt' g false information, including the possibility of Ines a d imprisonment for knowing violations."
_ �o �6
(Signature of Permitt ) (Da e)
Permit Date: 7/1/2011'-60/30/2015 Last Revised 7/13/11
Page 2 of 2

RECFNEID
_ 4 2016
CENTRA`I- F1L.ES
DWR SECTION
Stormwater Discharge Outfa l (SDO)
Qualitative Monitoring. Report
Permit No_: MC / 1 I_I ! / I I or Certificate of Cov e No.:
Facility Name:
County: '—N1 kS 1,. Pbonc No. -
inspedtor_ w -
Date of bispection:
By this signature, i certifythat is rcFo is cctrrate and complete to the best of my knowledge:-
. (Signature of rs xnittct or Designer)
1. On Descripfioa
Outfall No. Structure (pip', ditck r-tc.) Pato
Receiving Stream: 4-
Describe- the industrial activities that within the outfall drainage area
007A �3C1 7n' e �-
Z Co1or � •
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, -medium,
dark)'as descriptors: ' AJ O S 41 A?-
3- Odor
Describe any. distinct odors that the discharge may have CLe_, smells strongly of oil, weak chlorine odor, .
etc.) Ls C- Llk/� t
4. Clarity.
Choose the number which bth best describes the clarity of e discharge where 1 is clear and 10 is very
cloudy: r 1D -of 5C{lA-"
1 1� 2 3 4 S 6 7 8 9 1.0
Page 1
S-"-242-101599

3
�
J
5. Floating. Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids: N0 D j 5 C3,(k it � e
I 2 3 4, 5 67 8 9. 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in d= stormwater discharge
where i is no solids and 10 is extr uely muddy. foe 5 C��k I z-
1 2 -3 4 5 6' -7 8 9 10
7. Foam .
Is there any foam in'the stormwater discharge? Yes No t,3 v •i ' �' `
8_ Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No- v D r 5
9. Other Obvious Indicators of Stormwater Poliuion
List and describe / ! ik- . '
Note: Low clarity, high solids, and/or the presence of foam or oil -sheen may be-indi -adve of pollutant
exposure. These conditions may warrant further investigation.
Page.2
CILYt -I Y1 -n•-

c
OMICROBAC"
Fayetteville Division
Certificate of Analysis
PLT Concrete Services
Date Reported: 10/25/16
Mr. Rick Proctor Project: Stormwater Samples
Date Received: 10/18/16
3214 Turnage Road
Date Sampled: ]0/18/16
Wilson NC, 27893
Sampled By: Parrish
Rocky Mount PLT, Grab
K00564-01
Analyte Result Units Analyzed Analyzed By Method Qualifier
■�ti�LJ��
PH
8.9
pH Units
10/17/16 12:46
Parrish
pH
Temperature
71
°C
10/17/16 12:46
Parrish
Field
Analyzed by: Microbac Laboratories, Inc.
- Fayetteville
Settleable Solids
0.20
mL/L
10/19/16 09:27
JR
SM 2540 F-1997
Total Suspended Solids
9.00
mg/L
10/19/16 11:14
JR
SM 2540 D-1997
Wilson PLT, Grab
K6J0564-02
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
PH
Temperature
9.1 pH Units
76 QC
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids <0.10 mL/L
Total Suspended Solids 8.00 mg/L
10/17/16 13:21 Parrish pH
10/17/16 13:21 Parrish Field
10/19/16 08:56 JR SM 2540 F-1997
10/19/16 11:14 JR SM 2540 D-1997
Zebulon PLT, Grab
K6J0564-03
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH
8.5
pH Units
10/17/16 13:56
Parrish
pH
Temperature
72
OC
10/17/16 13:56
Parrish
Field
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids
<0.10
mL/L
10/19/16 08:56
JR
SM 2540 F-1997
Total Suspended Solids
2.80
mg/L
10/19/16 11:14
JR
SM 2540 D-1997
Selma PLT, Grab
K6J0564-04
Microbac Laboratories, Inc.
Page 1 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1 910,864.8774 f I www.microbac.com

0
O M ECROBACO
Fayetteville Division
Certificate of Analysis
PLT Concrete Services
Date Reported: 10/25/16
Mr. Rick Proctor Project: Stormwater Samples
Date Received: 10/18/16
3214 Turnage Road
Date Sampled: 10/18/16
Wilson NC, 27893
Sampled By: Parrish
Analyte
Result
Units
Analyzed
Analyzed By
Method
Qualifier
Field Data
pH
10.1
pH Units
10/18/16 10:42
Parrish
pH
Temperature
74
°C
10/18/16 10:42
Parrish
Field
Analyzed by: Microbac laboratories, Inc.
- Fayetteville
Coliform, Fecal
<1.0
per 100 mL
10/18/16 16:16
JR
SM 9222 D-1997
QC Batch Run - (MicrobacLaboratories, Inc. -Fayetteville)
Analyte
Result
Units
Source
RPD
Limit
Total Suspended Solids
21.0
mg/L
K6J0581
40
5
Total Suspended Solids
6.80
mg/L
K6J0572
11
5
Total Suspended Solids
10.0
mg/L
K6J0558
0
5
Rocky Mount- Water Temperature, 710 F, Air 820 F
Zebulon - Water Temperature, 72' F, Air 82' F
Selma - Water Temperature, 741 F, Air 701 F
Wilson - Water Temperature, 761 F, Air 82a F
State Certifications:
NCDNR #11
NCDOH #37714
Respectfully Submitted
Jeanne Overstreet, Project Manager
Thank you for your business. We invite yourfeedback on our level of service to you. Please contact the Division Manager, Rob Dermer at 910-864-1920 with any
questions. You may also contact J. Trevor Boyce, President [e-mail]
Microbac Laboratories, Inc.
Page 2 of 3
2592 Hope Mills Road I Fayetteville, IBC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com

A
® Microbac Laboratories Inc.
Southern Testing & Research Division
3009 Airport Drive, Wilson, NC 27896
Phone:[phone] • Fax:[phone]
Website: www.southerntesting.com
1
9
CHAIN OF CUSTODY �_____r.
r0 Lab Use Only 0
and Analyses Request ;Rush Approval By: Daterrlme: I
10apt: ! f
Orl I
Re ort To: C
00
I. Per on: /Sample # Acct. # Transport:
Rec'd on Ices Temp: Res. Cl. PH:
�� ❑ Yes ❑ No
Ad—ssj ,
Phone &AP'�
In Ic A as$, 1 . G . p� Fax f! or Email SAMPLING CHARGES: d
rl g 13 �Tlme: Mlla�e: Other. I
rww_rrrrrr rr_wrr-r r r_rim_
Sampled By: Project ID: Analyses Ra uested
Retested Turnaro nd• me
LL..II Normal (2 weeks) ❑ Rush (3.5 days) • tv �1 c�
PO # STRL QUOTE #
❑ Emergency Rush (ASAP) ' C� C
' ADDITIONAL CHARGES WILL APPLY Q} 00
CALL FOR APPROVAL. Client Requested Due Date: J Vti �Ca
Item Start End Comp Grab .Sample
# Dalerrlme Oaterrime Type'" Description/Sample Marks
--------
--------
---------------------
0 ---
1TITZ6•
---------
----------
'ea
----------
--------
-r
-------
--------
�_ 'W�o_
A
b! a
---------
-------
i
f
RELINQUISH!
BY
DATElTIME
RECEIVED BY
DATElTIME
NOTES:
2
3
Field Res. Cl.: Field Conductivity: Field Tamp: Field pH: Field D.O.:
IS DATA To BE USED FOR REGULATORY COMPLIANCE PURPOSES? &KYES ❑ NO IFYES,WHICH REGULATORY AGENCY:LZ
"See Reverse for Codes 11r08

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM 1�
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 Q 3 6. 6�
FACILITY NAME: PkT CG KI CRC ( O t S (C_�-r . 1 b e.
PERSON COLLECTING SAMPLES fCeMKq P1p
CERTIFIED LABORATORY M l CZO. AC- Lab # u
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YFAR:� { 6
SAMPLING PERIOD: [] July -December 51,january-June
COUNTY
PHONE NO. [�2o1j ,43, Q3'Q
ADD TO LISTSERVE? ❑YES ❑NO EMAIL: --_�
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout []Other NSw
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
{Standard
Unitsj
T55
(mg/L)
Event
Duration
[minutes)
Total
a
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling
-
-
6-9
100 '
-
-
-
-
AjG
1 If "NO FLOW" or "NO DISCHARGE, Enter " f 0 FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/l/2011-60/30/2015 Last Revised 7/13/11
Pa PP 1 of J

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfail-
No.
Date Sample
Collected
(mo/dd/yr}1 =
pH
(Standard
,Units)
TPH Using.method
1564A SGT-HEM
(mg/L)
Total Suspended
•Solids
(mg/L)�„ :.,,-; .
Event i
Duration
(minutes),
Total,
4
Rainfall
(in)
`New Motor Oil
Usage
,,(gal/month} ,.
In Tier 2
Monthly
Monitoring?
. " (Y/n}
# of Months
in Tier 2
2
Sampling
6-9
is
100 '
U ICU
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDS CES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original.and one copv of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and,all attachments were prepared under my direction or supervision in"accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of -the person or persons,who manage the system, or
those persons dimly responsibleAr gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that
(Signature 9f Permittee)
Permit Date. 2011-60/30/2015
naltieyfor submitting false information, including the possibility o fine and imprisonment for knowing violations."
ti
( te)
Last Revised 7/13/11

' /ap 1s,-"
_ RECEIVE®
NOV 302015
s CENTRAL FILES
DWR SECTION
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring. Report
Permit No.: 1',1C/ 1 l
Facility Name: —W
County: ' . &J
Inspeetar: ��
Date of Inspection:
By this signature, I certify
or Certificate of Coverage No.: NICJGI� /1 d13Ie- � 1
'1 Phone No_ 9/9: 90p 4— 4(/ -2-
this port is accurate and complete to the best of my knowledge:
(Sign 'e of Permittce or Designee)
1. Outfall Description
Outfall No. Structure (pil , ditch, .etc.) Al —
Receiving Stream: C I
Describe the industrial activities that occur within the outfall drainage area:
21 Golor
Describe the color of the discharge u ing basic colors {
dark)'as descriptors.
3. Odor
brown, blue, etc.) and tint (light. medium,
Describe any -distinct odors that the discharge ma have (i.c., smells strongly of oil, weals chlorine odor,
ehtc.) �-
4. Clarity .
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy: x 1 t-r,
1 2 3 4 5 6 7 8 9 l0
Page l
SWU-242-10 t599

5. Floating Solids
Choose the number which best describes the amount offloating solids in the stormw ter discharge where
1 is no solids and 10 is the surface covered with floating solids: 'Af O
I 2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the nurnber which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely, muddy: f"SXA
I 2 .3 4 5 6' .7 8 9 10 '
7. Foam,
1s there any foam in* the stormwater discharge? Yes No ! V V i i C--
8. Oil Sheen
Is there an oil sheen in the stormwater discharge?
Yes No, f V o
9. Other Obvious Indicators of Stormwater Paliution
List and describe
Note: Low clarity, high solids, and/or the presence of foam or oil. sheen maybe -indicative of pollutant
a
exposure. These conditions may warrant further investigation.
Page-2

PLT Concrete Services
Mr. Rick Proctor
3214 Turnage Road
Wilson NC, 27893
OMICROBAC�
Fayetteville Division
Certificate of Analysis
Project: Stormwater Samples
Date Reported: 11/06/15
Date Received: 11/03/15
Date Sampled: 11/03/15
Sampled By: Parrish
Rocky Mount PLT, Grab
K5 K0096-01
Analyse Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH 9.6 pH Units 11/02/15 12:01 Parrish pH
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids <0.10 mL/L 11/04/15 11:04 SW SM 2540 F-1997
Total Suspended Solids 87.3 mg/L 11/05/15 21:33 SW SM 2540 D-1997
Wilson PLT, Grab
K5K0096-02
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH 9.2 pH Units 11/02/15 11:25 Parrish pH
Analyzed by: Miaobae Latoratories, Inc. - Fayetteville
Settleable Solids <0.10 mL/L 11/04/15 11:04 SW SM 2540 F-1997
Total Suspended Solids 20.7 mg/L 11/05/15 21:33 SW SM 2540 D-1997
Zebulon PLT, Grab
K5K0096-03
Analyte
Result
Units
Analyzed
Analyzed By
Method Qualifier
Field Data
pH
8.6
pH Units
11/03/15 07:10
Parrish
pH
Analyzed by: Microbac Laboratories, Inc.
- Fayetteville
Settleable Solids
<0.10
mL/L
11/04/15 11:04
SW
SM 2540 F-1997
Total Suspended Solids
3.00
mg/L
11/05/15 21:33
SW
SM 2540 D-1997
Selma PLT, Grab
K5K0096-04
Analyte Result Units Analyzed Analyzed By Method Qualifier
Fief Data
pH 10.2 pH Units 11/03/15 11:10 Parrish pH
Microbac Laboratories, Inc.
Page 1 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1 910.864.1920 p 1910.864.8774 f I www.microbac.com

0 M ICROBAC'g
Fayetteville Division
Certificate of Analysis
PLT Concrete Services
Date Reported: 1 I /06/15
Mr. Rick Proctor Project: Stormwater Samples
Date Received: 11/03/15
3214 Turnage Road
Date Sampled: 11/03/15
Wilson NC, 27893
Sampled By: Parrish
Selma PLT, Grab
K5 K0096-04
Analyte Result Units Analyzed Analyzed By Method Qualifier
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Coliform, Fecal <1.0 per 100 mL 11/03/15 15:45 AFO SM 9222 D-1997
QC Batch Run - (Microbac Laboratories, Inc. - Fayetteville)
Analyte Result Units Source RPD Limit
Total Suspended Solids 296 mg/L K5K0222 7 5
Total Suspended Solids 1.25 mg/L K5K0144 0
Total Suspended Solids 6,00 mg/L K5K0103 8
Total Suspended Solids 206 mg/L K5K0091 8
Rocky Mount- Water Temperature, 650 F, Air 620 F
Zebulon - Water Temperature, 621 F, Air 601 F
Selma - Water Temperature, 661 F, Air 64° F
Wilson - Water Temperature, 661 F, Air 641 F
State Certifications:
NCDNR #II
NCDOH #37714
Respectfully Submitted
C GI-- �11riL 1-11 e
Jeanne Overstreet, Project Manager
Thank you for your business. We invite yourfeedback on our level ofservice ro you. Please contact the Division Manager, Rob Dermer al 910-864-1920 with any
questions. You may also contact J. Trevor Boyce, President [e-mail]
Microbac Laboratories, Inc. Page 2 Of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1 910-864,8774 f I www.microbac.com

Microbac Laboratories Inc.
Southern Testing & Research Division
3809 Airport Drive, Wilson, NC 27896
Phone:[phone] • Fax:[phone]
Websile: www.southemtesting.com
9
CHAIN OF CUSTODY r�r--_r_r�r_-_-a-r_r-.--,w - - - - -
and Analyses Request � Rush Approval BLab Use Only y. Date/Time; i
EDept: 11
O ' ' T To: C
1G
P
t Perso /Sample # Acct. # Transport: 10
Rec'd on Ice: Temp: Res. Cl. pH: i
I❑ Yes ❑ No 1
[nJ2 Ad Fax # or Emaii SAMPLING CHARGES:
i G � Time: Milea�c ems: Other.
r �►ir r�rrrrr�r�r�i rr �r�,rr�
Sampled By! ` Project ID: Ana es Re uested
Requpp&d Turn roux me
Normal (2 weeks) ❑ Rush (3.5 days) '
❑ Emergency Rush (ASAP)' PO 0 STRL QUOTE #
' ADDITIONAL CHARGES WILL APPLY
CALL FOR APPROVAL Client Requested Due Date: M -• �� J O a
O �� �� •
Item Start End Comp Grab SampleOti Q �O
# DateMme DatelTime Type'. Description/Sample Marks
--------
-------
0
��
2 q
f
---------
----------
izf
Air Co
j-
- ----
n-,
k [v
"
---------
------_
E-G(
----------------------
---------------------
RELINQUISHED BY
DATE)TIME
RECEIVED QY
DATEMME
NOTES:
1011,
If
3
y
Field Res, Cl.! Field Conductivlty: Field Temp: Field pH: Field A.O.:
IS DATA TO BE USED FOR REGULATORY COMPLIANCE PURPOSES? YES ❑ NO IFYES,WHICH REGULATORY AGENCY:
r
"See Reverse for Codes 11/08

lu
RECEIVE®
SEP 15 2015 C QUU
CENTRAL. FILES
DWR SECTION
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring, Report
Permit No.: NICI I 1�1 I 1 1 / or Certificate of C
Facility Name: Pl r Co.R
o ne-i -e L4e 9 - Z
County: ' W k S �_/ - Phone No.
lnspeelor: �* P�'L+ �v e
i
Date of inspection:
ye No.:
NIGGI 1 Iq1 d 1 U!( I
UALi
'ill
By thi signature. I ce t th report is accum and mplete to the best of my know ledge:
L,
(Si a of Permitter or Desigriee)
1. r��OlrutfaIl Description
Outfall No. Stmaure (pipe, ditch, etc.) 41V A121"--
Rccciving Stream: _411Q CA4 :�, rt1_ r _
Describe the industrial activities that occur within the,outfall drainage arcs
2. Color
Describe the color of the discharge using basic colors (red, brown, blur, etc-) and tint (light,.rnedium,
da.rk)'as descriptors: -Alb--
3. Odor
Describe any -distinct odors that the discharge may bavc (i.e., smells -strongly of oil, weak chlorine odor, .
etc.)
4_ Clarity.
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy: Ab I115 y"ef
1 1 2 3. 4 S 6 7 8 9 10
Page t
5W0-242-101599

S. Floating Solids
Choose the number which best describes the amount of floating solids is the storm water discharge whcrc
I is no solids and ID is the surface covered with floating solids: A16 p cWo2-1 -�
I 2 3 4_ 5 6 7 8 9 la
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and lq is extremely muddy- Jc% © IK—hArlye--
l 2 - 3 4 5 6 .7 8 9 to
7. Foam .
Is there any foam in'the stormvvater discharge? Yes No -4/601 5r-h'9�
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No AP y �`
9. Other Obvious Indicators of Stormwvater Pollution
List and describe �Jo
Note: Low clarity, high solids, and/or the presence of foam or oil, sheen Tnay be -indicative of pollutant
exposure. These conditions may warrant further investigadoh-
Page.2
sw�-�a2-t41599

>
VMICROBAC"
Fayetteville Division
Certificate of Analysis
PLT Concrete Services
Mr, Rick Proctor Project: Starmwater Samples
3214 Turnage. Road
Wilson NC, 27893
Date Reported: 09/10/15
Date Received: 09/04/15
[late Sampled: 09/03/15
Sampled By: Parrish
Wilson PLT, Grab
K510213-01
Analyte Result Units Analyzed Analyzed By Method Qualifier
Feld Data
PH
9.2
pH Units
09/02/15
16:00
Parrish
pH
Temperature
83.0
°C
09/02/15
16:00
Parrish
Field
Analyzed by: Miuobac Laboratories, Inc. - Fayetteville
Settleable Solids
<0.10
mL/L
09/04/15
13:41
NCH
SM 2540 F-1997
Total Suspended Solids
21.7
rag/L
09/08/15
14:16
NCH
SM 2540 D-1997
Zebulon PLT, Grab
K5I0213-02
L Analyte
Result
Units
Analyzed
Analyzed By
Method Qualifier
Field Data
PH
8.9
pH Units
09/03/15
15:10
Parrish
pH
Temperature
83
°C
09/03/15
15:10
Parrish
Field
Analyzed by: Mirrobac Laboratories, Inc.
- Fayetteville
Settleable Solids
<0.10
mLIL
09/04/15
13:41
NCH
SM 2540 F-1997
Total Suspended Solids
2,25
mg/L
09/08/15
14:16
NCH
SM 2540 D-1997
Selma PLT, Grab
K510213-03
Analyte
Result
Units
Analyzed
Analyzed By
Method
Qualifier I
Field Data
pH
9.2
pH Units
09/03/15 08.35
Parrish
pH
Temperature
80
°C
09/03/15 08:35
Parrish
Field
Analyzed by: MicTobac Laboratories, Inc.
- Fayetteville
Coliform, Fecal
3100
per 100 mL
09/04/15 15:53
AFO
SM 9222 D-1997
H
QC Batch Run - (MicrobacLaboratories,
Inc -Fayetteville)
Analyte
Result
Units
Source
RPD
Limit
Total Suspended Solids
31.8
mg/L
K51[0255
5
5
Total Suspended Solids
6.50
mg/L
K510253
81
5
Microbac Laboratories, Inc.
Page 1 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 j 910.864,1920 p 1910.864.8774 f f www.microbac.com

6)MICROBAC:"
Fayetteville Division
Certificate of Analysis
PLT Concrete Services Date Reported: 09/10/15
Mr. Rick Proctor Project: Stormwater Samples Date Received: 09/04/15
3214 Turnage Road Date Sampled: 09/03/15
Wilson NC, 27893 Sampled By: Parrish
QC Batch Run - (Aficrobac Laboratories, Inc - Fayetteville)
Analyte
Result
Units
Source
RPD
Limit
Total Suspended Solids
170
mg/L
K510185
10
5
Total Suspended Solids
8.75
mg/L
K510165
26
5
Total Suspended Solids
3.50
mg/L
K5I0153
67
5
Zebulon - Water Temperature, 83' F, Air 96' F
Selma - Water Temperature, 80' F, Alr 711 F
Wilson - Water Temperature, 83° F, Air 96' F
Notes and Definitions
H Analyte was prepared and/or analyzed outside of the analytical method holding time
State Certifications:
NCDNR #li
NC170H #37714
Respectfully Submitted
�.C2ytx� C�Lr-PiL4-Z%�.-eL�
Jeanne Overstreet, Project Manager
Thank you for your business. We tnviae yovrfeedback on our level ofservice to you. Please contact the Division Manager, Rob Dermer at 910-864-1920 with any
questions. You may also contact J. 7i'evor Boyce, President ar president [e-mail]
Microbac Laboratories, Inc.
Page 2 of 3
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com

e Microbac Laboratories Inc.
Southern Testing & Research Division
3809 Airport Drive, Wilson, NC 27896
Phone:[phone] - Fax: [phone]
Website: www.southerntesting.com
Page of
CHAIN OF CUSTODY r_______..�_.�___�_________..,,..�._�
(
and Analyses Request Lab Use Only
%Rush Approval By: Dater ime: f
1Dept: 1
Original
Contact
n:
�y
ISample #
Rec'd on Ice,
IElYes [INo
AGot, # Transport:
'Temp: Res. Cl, pH:
Inv Ic�r�gG / "��j Fax # or Email
►.�1. - v. ` 1
Sampled By: Project ID:
eque Turnaround Time
Normal (2 weeks) © Rush (3-5 days) ' PO #�
❑ Emergency Rush (ASAP) '
'ADDITIONAL CHARGES WILL APPLY -
CALL FOR APPROVAL Client Requested Due Date:
ttem &2rt. End Comp Grab Samala
# Daterrime Date/Time Type" DescriptloA/Sample Marks
�*
�� O
Ay¢'
ISAMPLING CHARGES:
!Tfine:
Mieac�e: Ocher.
ri�_�iwr_���_�iy
Analyses Requested I
s#0
----------------------
---------
-------- --
:Latr W64
1A r-
---------
---------
-------
-------
l
Y
--------
--------
'
--------
--------
!
i
RELINQUISHED BY
DATEITIME
RECEIVED.BY
DATEITIME
NOTES:
'
�cNJ,. e
4-3-1S
2
3
Field Res, Cl.: Fleid Condnctivtty. Field Temp: Field pH: Field D.O.:
IS DATA TO BE USED FOR REGUL.ATORX-COMPLIANCE PURPOSES? VYES ❑ N0
IF YES, WHICH REGULATORY AGENCY:
"see Reverse for Codes 11/08

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140 3 0 6
FACILITY NAME: 2KT CG
PERSON COLLECTING SAMPLES I QMWl
CERTIFIED LABORATORY M (C.iZO Q it C_ Lab # I
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
MONITORING FORM
SAMPLE COLLECTION Y R: 0 r
SAMPLING PERIOD: C7 -JanuarY July -December -June
Y
COUNTY
PHONE NO. ( IsJ 43, Q3-0C1
ADD TO LISTSERVE? []YES [-]NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout Other
Outfali No.
Date Sample,
' Collected
-4
NO FLOW)
pH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplingz
-
-
6-9
100 '
-
-
-
-
. '7
G
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
s TSS benchmark values are 100 mg/l, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
IVSW
< 0. f0
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month - averaged over a calendar year.
Outfall .
No.
Date Sample
Collected
(mo/dd/yr)1
pH :
(Standard
Units)
TPH using. method -
1664A SGT-HEM
(ing/L)
Total Suspended
,.,;Solid
(mg/L)
_ Event =
".Duration Duration
(minutes) .
Total .:
a
Rainfall
(in)
New Motor Oil
Usage =
(gal/month}
In Tier 2 .:.
Monthly
Monitoring?
(y/n)
-
# of Months
in Tier 2,
z
_ . Sam pEing
fi-9
15z
100z
(XV
WI
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDE CES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES •❑ NO [�
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (including all "No Flow" & "No Discharge" reoorts) within 30 days of receipt of sample (or at end of monitoring period
in case of "No -Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty -of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsibl for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that >har.-__iare;sj i t penal es or submitting false information, including the possibility of�nes a� imprisonment for knowing violations."
l'
(Signature ofPermittee)
Permit Date: 7/Tr2a�0/30/2015 Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi-Annual�MONIT,O.RING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 ,F � /�6-�
FACILITY NAME: 1.T CG h�1CRe��, S CUJ N Q, .
PERSON COLLECTING SAMPLES. jceMAy R&N(��
CERTIFIED LABORATORY M (CR0RA C_ Lab # 1
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION Y R:
SAMPLING ERIOD: [1July-December ❑,January -June
COUNTYNS�`I
PHONE NO. €SR�jg3
ADD TO LISTSERVE? DYES ❑NO EMAIL: A `� titi /
DISCHARGING TO CLASS: [—]SA❑HQW ❑PNA [:]Trout
Other l V �V
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
[Standard
Units)
TSS
(mg/L)
Event
Duration .
(minutes)
Total
4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
z
2 Sampling
-
-
6-9 2
100 2,3-
-
-
-
.6f7
300
.as
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
Z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
a TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
soy J DS
Permit Date: 7/1/2011-50/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr}1
pH
(Standard
.,,Units)
TPH using.method
1664A:SGT-HEM
,, • •{mg/!}
Total Suspended
Solids
. (mg/L) :-, ,•,.
Event
Duration
{minutes}
Total - •.
a
Rainfall
. �: (in)
New Motor Oil
Usage
,(gal:/month) _.
In Tier 2 .
Monthly
Monitoring?
(Y/n)
ft of Months
in Tier 2
Sampling z
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDE CES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (including all "No Flow" & "No Discharge" renorts) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsibieAor gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that esigni ' n penalti for submitting false information, including the possibility f fin71;�
mprisonment for knowing violations."
I !r7
(Signature of Permittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

,tsWr
RECEIVED
'OCR 2 9 2014
CFNTR,gL FILES
DWR SECTION
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring. Report
Permit No.: I!IIC/ 1_I _I l l / ! or Certificate of Coverage No_: N1CJGl y 1 f! q3l 4
FacilityName: L r' e Z-� 1 C, . e_
County:' h1 Phonc No. / V ` t f* i Z
_ lnspeaor: li e0 r` --
Date of Inspection -
By thisA4Qatu •ems t Z
rt is accurate and complete to the best of my knowledge:
ature of Pcrniittcc or Desi
1. Outfan Description
Outfali No. Structure (pipe,, ditch, .etc.) _ 8
Receiving Stream: O G in C�
Describe the industrial activities at occur wiibin the outfall drainage area''
C-01 =0 ,# e r� Cku C-e-
2. Color
Describe the color of the di
dark)'as descriptors: 'AC
3. Odor
ing basic colors (red, brown, blue, etc_) and tint N64 medium,
Describe any.distinct odors that the discharge may have (i.e., smUs strongly of oil, weak chlorine odor, .
etc.) D ON fL-
4. - Clarity.
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy: tuo
1 2 3 4 S 6 7 8 9 10
Page 1
SWU-242-101599

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormy%yater discharge where
I is no solids and 10 is the surface covered with floating solids: AJO
I 2 3 4 5 .b 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amoun[ of suspended solids in 0-;-- s[ormwater discharge
where I is no solids and 10 is extraeraely muddy: /U © D f Scll
1 2 .3 4 5 6 .7 8 9 to
7. Foam .
Its there any foam in'thc stormwater discharge? Yes No -- 'g IV O n
S. Oil Sheen
Is them an oil sheen in the stormwatcr discharge? Yes No AJ'v
9. Other Obvious Indicators of Stormwater Pollution
List and describeU
1
fII
S
Mote: Low clarity, high solids, and/or the presence of foam or oil, sheen may be indicative of pollutant
exposure. These conditions may warrant further investigadoh.
Page.2
S` Li-1a2-101599

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 G 36.6
/
FACILITY NAME: KT CG 1�1CR.e-I"t S CL1� I Aj Q, .
PERSON COLLECTING SAMPLES 1(�qMlVy N(�,
CERTIFIED LABORATORY M (Cn Q a C, Lab # It
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION2YAR: ' +SAMPLING PERIOD: July -December ❑-January-June
COUNTY
PHONE NO. (�Sa} aq3• G3Q
ADD TO LISTSERVE? ❑YES [:]NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout Other
!qS U�l
Outfall No.
Date Sample
Collected
(m OR
NO FLOW
pH
(Standard
Units]
T55
(mg/L)
Event
Duration
(minutes)
Total 4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
Z
2 Sampling
-
6-9
100 ,
r
s-©a
I
I If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit, Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
"For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
<3. iO
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part Bn Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfail •
No.
Date Sample
Collected
(mo/dd/yr)1
PH
(Standard
Units)
TPH using method
1664A•SGT-HEM
(mg/L)
Total Suspen'decl
Solids,
(mg/L)
Event'
,. Duration
'
(minutes)
Total =
a
Rainfall
(in)
New Motor Oil
Usage
g
(gal�morith)'
In Tier 2 .
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
z
Sampling
6-9Z "
15
23
100 '
UP
AQ
i
ZI
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDS CE5 AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO P/
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coot/ of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period '
in case of "No Flow'_') to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel pr erly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons di ectly responsibl or gathering thY e information; the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
"
am aware that th re r enalt' s f submitting false information, including the possibility o9fines a d i prisonment for knowing violations."
1 l
(Signatur, of Permittee) 7X (Da e)
Permit NtZj 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

_ 6)MICROBAC`9
Fayetteville Division
Certificate of Analysis
PLT Concrete Services
Date Reported: 09/30/14
Mr. Rick Proctor Project: Stormwater Samples
Date Received: 09/25/14
3214 Turnage Road
Date Sampled: 09/25/14
wlson NC, 27893
Sampled By: Parrish
Zebulon PLT, Grab
K410842-01
] Analyte Result Units Analyzed Analyzed By Method Qualifier ]
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids <0.10 m1/L 09/26/14 07:20 JAO SM 2540 F-1997
Total Suspended Solids 5.00 mg/L. 09/29/14 08:50 SW SM 2540 D-1997
Wilson PLT, Grab
K4I0842-02
! Analyte
Result
Units
Analyzed
Analyzed By
Method Qualifier ]
_
T
Field Data
pH
8.1
pH Units
09/24/14 11:15
Parrish
pH
Analyzed by: Microbac Laboratories, Inc.
- Fayetteville
Settleable Solids
<0.10
m)IL
09/26/14 07:20
JAO
SM 2540 F-1997
Total Suspended Solids
6.25
nig/L
09/29/14 08:50
SW
SM 2540 D-1997
Rocky Mount PLT, Grab
K410842-03
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH 9.3 pH Units 09/25/14 07:02 Parrish pH
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Settleable Solids <0.10 ml/L 09/26/14 07:20 JAO SM 2540 F-1997
Total Suspended Solids 6.50 mg/L 09/29/14 08!50 SW SM 2540 D-1997
Selma PLT, Grab
K4I0942-04
Analyte Result Units Analyzed Analyzed By Method Qualifier j
Field Data
pH 9.1 pH Units 09/25/14 10:37 Parrish pH
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Coliform, Fecal 280 per 100 ml 09/25/14 15:40 JAO SM 9222 D-1997
Microbac Laboratories, Inc.
Page 1 6f 3 i
2592 Hope Mills Road I Fayetteville, NC 28306 1 910.864.1920 p 1910.864.8774 f ] www.microbac.com

PLT Concrete Services
Mr. Rick Proctor
3214 Turnage Road
Wilson NC, 27893
*MICROBAC`T
Fayetteville Division
Certificate of Analysis
Project: Stormwater Samples
Date Reported: 09/30/14
Date Received: 09/25/14
Date Sampled: 09/25/14
Sampled By: Parrish
QC Batch Run - (3ficrobac Laboratories, Ina - Fayetteville)
Analyte Result Units Source RPD Limit
Total Suspended Solids 6.50 mg/L K410886 7 5
Rocky Mount- Water Temperature, 70° F, Air 621 F
Zebulon - Water Temperature, 72° F, Air 58' F
Selma - Water Temperature, 701 F, Air 620 F
Wilson - Water Temperature, 721 F, Air 601 F
State Certifications: Respectfully Submitted
NCDNR #11
NCDOH #37714
Bonnie K. Sanders, Senior Project Manager
Thank you for your business. We invite your feedback on our level of service to you. Please contact the Division Manager, Rob Dermer at 910-864-1920 with any
questions. You may also contact J. Trevor Boyce, President [e-mail]
Microbac Laboratories, Inc.
2592 Hope Mills Road j Fayetteville, NC 28306 1910.864.1920 p 1 910.864.8774 f I www.microbac.com

Microbac Laboratories .Inc.
Wilson Division
3809 Airport Drive, Wilson, NC 27896
Phone: [phone] - Fax: [phone]
Website: www.microbac.com
CHAIN OF CUSTODY Page of
Lab Use Only
and Analyses Request 'Rush Approval By. �DatelTime:
Dept
Original Report To: a— � � C� � ,-
Address:
' aI� x LA���92 TL
Contact Person., osarnple # AtcL # Transport
��� �~ IRec'd on Ice, Temp: Res. Cl. pH:
Phone # �
--� 3— �500 !❑Yes❑ No
Invoice Address: t\jC . '--69 Fax # or Email SAMPLING CHARGES:
Time: ----�— Mileage: Other.
Sampled By: / C I Pro)ect ID: Analyses Requested
;S Turnaround T}me }
Nom:al 12 weeks) [� Rush(35days)' Emergency Rush (ASAP)' 41
PO # STRL QUOTE # QDDMONAL CHARGES WILL APPLY ALL FOR APPROVALCilerrt Requested Due Date: start E nd Comp Grab SampleQate�me Datemme Type'" DescriptiorVSample Marks
[Item
;oY
,.
;art. Pll• S. b
�'
��
---
---
r2o a,LA T t g. z '72 ! 1
_�
y
r6.1
W-4os PLT 4) 2.1
J6
v'L
ry1 ry� T Q 1J �..
0 I r r L�f / •jT•
hoz
----
--,r ,n 6 Z
RELINQUISHED BY
DATEMME
RECEIVED
BY
DATEMME
NOTES:
t
G�1VA/ re- 4- /
n g
('hj `l �1 /4 -57 A,
2
3
Field Res. Cl.: Field Conductivity; Field Temp: Field pH: Field b.0
IS DATA TO BE USED FOR REGULATORY COMPLIANCE PURPOSES? ES NO IF YES, WHICH REGULATORY AGENCY: D s
"5e RReverse for Codes 4 11/08

! Y 1
RECEIVED
MAY 0 2 2014
CENTRABaGF-S
D
Storznwater Discharge 4utfall (SDO)
Qualitative Monitoring Report
Pcrrnit No.: IVIG_I_ITI I_ _ I I I 'or Certificate. of Coverage No.: NIGGI! I ►1 d l 31 bl Ll
Facility Name: �y� %' Doc er
County: Af> k Phone No. q%Q -/-'l oq r 1 (J Z
inspector: e-Y► n r � d
Date of Inspection: �/� '/ Y _
By this ature, I ce t th report is accurate and complete to the best of my knowledge:
(Sign tore of Permitter- or Designee)
I. Outfall Description f
Qatfall No. Structure (pipe, ditch, etc. L2
Rcceiving Stream: DC.A S sir, CfL Lee-
Desthe industrial activities that occur within the outfall drainage area
2.. color
Describe the color of the dish r, us
dark)'as descriptors: NO r
basic colors (red, brown, blue, etc.) and tint (light, medium,
3. Odor 0 p
Describe any. distinct odors that the �rge may have (i.e., stneus strongly of oil, weak chlorine odor, -
etc.) �✓V
4. Clarity. G j
Choose the number which best describes the clarity of the di arge where 1 is clear and lO is very
cloudy: N) pf SCE Pt%2-? 'e—
1 2 3 C43N 5 6 7 8 9 10
Page I
SWU-242-101599

C.
S. Floating Solids
Choose the number which best describes the amount off loating solids in the stormwater dt�ge where
1 is no solids and 10 is the surface covered with floating solids.
1 2 3� 4. 5 .6 7 8 9 10
6. Suspended Solids Aim
Choose the number which best describes the amount of suspended solids Ln the stor�aater discharge
where 1 is no solids and 10 is extremely muddy-
2 4 5 6 .7 8, 9 10
7. Foam : C{},JiA
Is there any foam in•the storruwater d)t eKWge? Yes
S. Oil Sheen Jib
Is [here an oil sheen in the stormwazer disfarge? Yes LNo 1
9. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam or oil. sheen maybe indicative of pollutant
exposure. These conditions may warrant further investigation.
Page
5WU-242-101599

STORMIMATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG 14 C) 3 6 �C
FACILITY NAME: PkT C rG E,I C_— . �Q Ti 4 [ � . 1 ki Q_ .
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Lab # I
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: �Q r
SAMPLING PERIOD:. ❑ July -December January -June
COUNTY IV 81-N_ _
PHONE NO. (_Z5,-_�,] ? Ci 3, C-):5'Q ,
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Other
Outfall No.
Date Sample
Collected
( OR
NO FLOW)
pH
(standard
Units)
TS5
(mg/L)
Event
Duration
(minutes)
Total
Rainfall a
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 SamplingZ
-
6-9
100 '
-
-
-
-
i
1 If "NO FLOW" or "NO DISCHARGE, Enter NO FLOW" " 0 DISCH E" for each outfall here. Please make sure to mark the sample period above.
2 tf a value is in excess of the benchmark, or a bent mark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/1, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
°for each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
0-
A16W
s.�S.
-5 0. /0
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part-B- Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor.oii/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)1
pH
{Standard
Units}
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
2
Sampling
6-92
15
100 2,30
Y
AUC?C4
/U. C
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑Y
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (includine all "No Flow" & "No Dischame" reoorts) within 30 days of receiot of sample for at end of monitoring raeriod
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properl gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons direc I responsible for thering t e information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there r si p a r mitting false information, including the possibility -�fiin�es nd prisonment for knowing violations."
jv f
(Signature of Krmittee) (Date)
Permit Date: M/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

Microbac Laboratories Inc.
Wilson Division
3809 Airport Drive, Wilson, NC 27896
Phone: [phone] • ' Fax: [phone]
Website: www,microbac.com
I
CHAIN OF CUSTODY Page of —=—
r i ���� Lab Use Only � --- I
and Analyses Request !Rush Approval By: 11)ateftime:
joept
Original Report To: t G� 'or, � � 5-
Address: 3,:17-41�'n yq 2 e, /. .l
C2,7
Contact Persons � jSample # AccL # Transport:
!�/ Redd on Ice % Temp: Res. Cl. pH:
Phone # I�- 29 3 y7e, �"0 j ❑ ❑ Yes No
invoice Address: p_ �e— 1 q � Fax #or EmailS SAMPLING CHARGES:
!✓iJ ` fTime: 14{ifeac�e:_ _ r.
Sampled By �`� a 4�Anal�i'o Project10: ���—�l�� esR nested Other
e uested Turnaround Time r
Normal (2 weeks) ❑ Rush (3-5 days) ` q� Co
❑ Emergency Rush (ASAP)' PO # STRL QUOTE # Q •��` C .
ADDITIONAL CHARGES WILL APPLY C¢o� ,OO � +.
CALL FOR APPROVAL Client Requested Due Date:
Item Start find Comp Grab Sample
# Dateffime DateTtme Type" Description/Sample Marks
W; ��k A
,vi 1
M949J4
fDi�P
J,.
y(v
ELI-
I
RELINOU HED Y
RECEIVED BY
DATEff ME
NOTES:
/DATEIf1ME
2
3
Field Res. CI_: Field Conductivity: Field Temp: Field pH: Field D.O.:
IS DATA TO BE USED FOR REGULATORY COMPLIANCE PURPOSES? YES ❑ NO IFYES, WHICH REGULATORY AGENCY: t-l�
"See Reverse for Codes t vo8

® Fayetteville Division
2592 Hope Mills Rd
Fayetteville, NC 28306
910.864.1920 Phone
910,864.8774 Fax
Certificate of Analysis
PLT Concrete Services
Mr. Rick Proctor Project: Stormwater Samples
3214 Turnage Road
Wilson NC, 27893
Wilson PLT, Grab
1404431-01
Date Reported: Apri123, 2014
Date Received: April 21, 2014
Date Sampled: April 17, 2014
Sampled By: Parrish
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH 8.4 pH Units 4/16/14 9:46 Parrish pH
Analyzed by: Mic obac - Fayetteville Division
Settleable Solids <0A0 ml/L 4/21/14 10:30 JAO SM 2540 F-1997 H
Total Suspended Solids 30.5 mg/L 4/23/14 830 JTL SM 2540 D-1997
Zebulon PLT, Grab
1404431-02
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH 8.4 pH Units 4/16/14 10:17 K. Parrish pH
Analyzed by: Mio•obac - Fayetteville Division
Settleable Solids <0.10 rnVL 4121/14 10:30 JAO SM 2540 F-1997 H
Total Suspended Solids 7.50 mg/L 4/23/14 8:30 JTL SM 2540 D-1997 S1
Rocky iMount PLT, Grab
1404431-03
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
PH 8.9 pH Units 4/16114 10.50 Parrish pH
Analyzed by: Microbac - Fayetteville Division
Settleable Solids <0.10 mVL 4/21/14 10:30 JAO SM 2540 F-1997 H
Total Suspended Solids 6.75 mg/L 4/23/14 8:30 JTL SM 2540 D-1997
State Certifications: Respectfully Submitted
NCDNR #11
DOH 714 US
USDA #373787
Boaaie KC Sanders, Senior Project Manager

Fayetteville Division
2592 Hope Mills Rd
Fayetteville, NC 28306
910,864.1920 Phone
910.864.8774 Fax
Certificate of Analysis
PLT Concrete Services Date Reported. April 23, 2014
Mr. Rick Proctor Project: Stormwater Samples Date Received: April 21, 2014
3214 Turnage Road Date Sampled: April 17, 2014
Wilson NC, 27893 Sampled By: Parrish
Selma PLT, Grab
1404431-04
Analyte Result Units Analyzed Analyzed By Method Qualifier
Field Data
pH 9.6 pH Units 4/17/14 10:35 Parrish pH
Analyzed by: Mirrebac - Fayetteville Division
Colifotrn, Fecal <1.0 per 100 ml 4/21/14 13:55 JAO Slut 9222 D-1997 H
QC Duplicate Results
Analyte Result Units Source RPD Limit
Total Suspended Solids 5.75 mg1L 1404402 14 5
Total Suspended Solids 9.25 mg/L 1404431 21 5
Total Suspended Solids ND mg/L 1404468 5
Field Information
Rocky Mount- Water Temperature, 57' F, Air 44' F
2ebulon - Water Temperature, 56' F, Air 48' F
Selma - Water Temperature, 65' F, Air 46' F
Wilson - Water Temperature, 61' F, Air 41' F
Lab was closed on April 18, 2014 in observance of Good Friday. Client requested samples to be analyzed on Monday, Aprii 21, 2014.
Notes and Definitions
S l Relative Percent Difference (R.PD) outside accepted recovery limits
H Analyte was prepared and/or analyzed outside of the analytical method holding time
State Certificatiovs:
NCDNR #11
NCDOH #37714
USDA #3787
Respectfully Submitted
Bonnie K. Sanders, Senior Project Manager
`I:IAPage'2oi2"t