NCG140382_MONITORING INFO_20190305

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /v U& l�-/D J?sp)
i
rDOCTYPE El HISTORICAL FILE
MONITORING REPORTS
DOC DATE ❑ �O J / � 3 CJS.
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE'
General Permit No. NCG140000
Calendar Year 2018
`Deport ALL WASTEWATER monitoring data on this form (include "No Flow"/"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 ©3❑
Facility Name: Swannanoa
County: Buncombe
Phone Number: (828 ) 254-7176
Certified Laboratory Pace Analytical
Lab #
Lab #
Total no. of outfalls monitored 1
Wastewater (WW) Discharge Outfall No. 001
Does this outfall discharge WW to SA waters? Yes ❑ No ❑✓
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No 0
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ✓❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑✓
Were there any limit violations in the calendar year? Yes ❑ No 0
Outfall No.
Daily Flow Rate,
cfs
pH,
SU
TSS,
mgll
SS,
mlll
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mgll
if applicable
Standard
Effluent
Limitations
Daily Maximum
HQW or ORW
50% of 7Q10
Indicate NO FLOW if
applicable
freshwater
6.0-9.0
saltwaterLv
6 .8-8.5
30
HQW
20
HQW 1 ORIN and Tr, or
10
HQW, ORW, SA,
se, PNA, or any
Trout
5
No Limit
Samples above Benchmark
subject to Tiered Rasponses
15
Date
Sample
Collected ,
molddlyr
��.'F k b 1Y 49 8+
a
tip t- $ ig� 4 S_ }
3�
rya 4
6
3� �•
p
Et 6 Yk°,Y !Yy tkt
i
.� `
t
f lc # i{i�,�,�
SaC }
- 4ii
ay=<-_
A P 1. 6 F yi•ICx \Y43 i '4�},4 r�av
Y ip r i 3 pp.
Zb� 3
f s9.
CE I 11c
6/26/2018
NO FLOW
MA o u
913012018
NO FLOW
:,r•nirti , Fri frS
., kAIR qE T10N
12/3112018
NO FLOW
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG14 ®FCF
CERTIFICATION
I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.22]
Signature
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 811/2017 — 6/3012022
Last Revised 8-22-2017

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA, MONITORING REPORT (DMR)1 SPPP Annual Update DATA, REVIEW FORM
Calendar Year 2018
Individual NPDES Permit No.
Certificate of Coverage (COC) No.
or MAR 0 6 2019
CENTRAL F11 Cr
This monitoring report'summary of the calendar year should be kept orr flfelon=site finthe facility SPPP,
Facility Name: CAROLINA READY MIX AND BUILDERS SUPPLY, LLC
County: Buncombe
Phone Number: 828 646-3040 Total no. of SDOs ronitored 1
Outfall No. 001
Is this outfall currently in Tier 2,(monitored monthly)? Yes ❑ No Ej
Was this outfall ever in Tier 2 (monitored monthly) during the.past year? Yes ❑ No x❑
If this outfall was in.Tier 2 last year, why was monthly montoring'discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
- Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
-
,�.,
01
. z-- _ - �- - -r- � _. : _ � �. Parameter,, units • _ -
PH
TS$ 'y.
EVNT -m
_
Rainfall,.
i] URi4TI ON M
h
�(S7ANDARD)
lit If
.Benchmark
NIA -g
a100 —
Date -Sample
Collected,
mmlddlyy
6.30.18
x x
x x
no discharge
tis 6.month pe iod
SWU-264 - Generic Annual DMR
Last ravii6d 5/ kO18

` Additional�Outfall Attachment
Outfall No, nla
Is -this outfall currently in.Tier 2 (monitored monthly)? Yes-[-] No ❑
Was this outfall ever in Tier 2.(monitored monthly),during the past year? Yes- ❑ No ❑
If this outfall was in Tier 2 last year,,why was:monthiy monitoring discontinued?
.Enough consecutive samples below benchmarks.to decrease frequency ❑
Received approval from DWO to re..duce.monitoring frequency ]
Other
Was this SDO monitored because of vehicle maintenance activities? Yes El No ❑
OW l
srameter' units
a
inches
Benchmark
N/A
Date'Sample
Collected,
mmlddlyy
SWU-264.- Generic Annual DMR
Cast revised 510212018

E
°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 subrriitted. Based on;my inquiry of the person
or persons who manage the system, or those personsdirectly responsible for gathering the information, the information submitted: is, to the
best`of my knowledge and belief, true, accurate, and.complete. I am aware that there are significant penalties for submitting false information,
including the possibility of tinescand imprisonment for knowing violations."
Signature
Date
For questions, contact your local.Regional Office:
€]WQ Regional Office Contact Information:
610 East Center Avenue/Suite 301
2090 US Highway 70
225 Green Street.
Swannanoa, NC.28778
Systel Building; Suite 714
Mooresville, NC'281 15
[phone]
Fayetteville, NC 28301-5043
(704) 6634699
[phone]
943 Washington Square Mali
127 Cardinal Drive. E:�tension-
3800 Barrett:Drive
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405=2845
[phone]
[phone]
(9 t 0) 796-7215
450 Hanes Mill Rd, Suite 300
Winston-Salem. NC 27105
4
1617 Mail Service Center
Raleigh; NC 27699-1617
'?o reserve' protect
t an enhance
336) 776-9800
'(914 80.7-6300
`N�rth CanolE,ra s tv8ter ,'"r
SWU-264'- Generic Annul DMR
USI reVlsEd SOV20 f 8

r; --,
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
'Report ALL STORMWATER monitoring data on this form (include "No Flow"1"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14
Facility Name: Swananoa
County: Bumcombe
Phone Number: ( 828 ) 646-3080
Certified Laboratory
Lab #k
Lab #
Total no. of SDOs monitored 1
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No ❑✓
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 0
Was this outfall ever in Tier 2 during the past year? Yes ❑ No 0 RECEIVED
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? 4 2019
Yes, enough consecutive samples below benchmarks to decrease frequency ❑AR Q
Yes, received approval from DEMLR to reduce monitoring frequency 13 CENTRAL HLE3
Other Il DWR SECTION
Outfall No.
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
m 1lI
pH,
SU
Non -polar O&G
PA Method
(Ee
16(E SG HEM
( ))r
mgll (VMA)
if applicable
New Motor Oil
Usage (gallmo.)
lrapplicable
Stormwater
Benchmarks
Indicate NO FLOW it
applicable
Circle Benchmark
1,60150
6.0-9.0
15
>55 gallmo. average ruqulrea 7SS and
Non -polar OaG monitoring
Date Sample
Collected,
molddl r
� t < r
r
f lit
r s• r�
{ i' .�l 1.
��
,t.n_ rS LSw 93-
�a �.� ,;�_p
dry a
6/26/2018
NO FLOW
9130/2018
NO FLOW
12/31/2018
NO FLOW
Permit Date 8/1/2017 — 6/3012022
Last Revised 8-22-2015

Certificate of Coverage No. NCG 14 O�Cw
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false informatior}, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CF,R §122,22]
Signature
Date
i jj
Mail Annual Summary Stormwater DMR to, the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Fifes Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit bate 8/1/2017 — 6/3012022
Last Revised 8-22-2015

Stonnwater Discharge Qutf:all (SDO)
(qualitative Monitoring Report
For plidance on fiRilg (rtlt dii,)' / nva, please visit: hith�//It2cl,cnr.slatc.nc_uS/su/1 ornts DO(;LUltcltts.hllrtltn►i.tcfflrnls
Permit No.: N/Cl l�l l�l_ I I I or Certificate of Coverage No,: NICICI J 1 W 0/31SIa-1
I acilily Name: KuL�,,.... �Qd4 /him f '.tiers
County:S i&—rl Phone No. ga&- GY& - 3oYb T_ -
lll.tipl C[O] : VL
ITtle of 111spection: � LL. DI P-)
�I�IrTIe l)1' lrltipCCtil)Il: __ �'• o-�- ._•
/I
Tolal Fvcnt Precipitation
Was this a RepresenUttive Siorrn Event'? (See information below) Yes ❑ t4o REC EIVED
JAN 10 2019
Ple(ue check vole- permit to vc t-ifi/'Qualitative Monitoring mt(.rl be pelforrned during a representcrlive
stern] elnrlt ()'CC]!NI'e'1!!L'1N.1' !'G1 }). CENTI A� FILESDWR SECTION
j A "Rcpresen1a6ve Storrs EvenC' is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hotirs (3 days) in which no Storm event ineatirlring greater than 0.1 'inches has
occ.iu'rc(l. A Single Vorm event nrty contain up to 10 consecutive hours of no precipitation.
By this Signature, I M-tify_ 111;11 (Ili.. report is accurate and complete to the best of my knowledge:
(,Signature (.f Permittae or Designee)
1. Uutf.111 Ucscriptiole: ��ii,, r j
Outt'all No. __ __._._ 5Ir-ttc:tnre (pipe, Glitch. ctc.)J!•9
Receiving Stream:
Describe the rndtTSlriat aCliVltr['s I11,1t occur within the outfall drainage area:
2. Color': Describe the color of the discharge using basic colors (red, brown, hlue, etc.) and tint
(fight, medium, dark) as descrip(ors:
3. Oclur: Describe .troy clistincl odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor. cic.):--
C';tbe t o1'2
sw] )- ,r_ r 12c,ut1

4. Clarity; Choose the n(jnil)cr which host describes [lit; clarity or the dinhup, wucrc i Ia ci�ui-
mid 5 is very cloudy:
A))A 1 2 3 4 5
S. Floating Solids: Cltotnc 111c number which bc,St describes the amount or floating solids in tit;
storlttwa[er discharge, where I is no solids and 5 is the surface covered with floating solids:
N/A 1 2 3 4 5
6. Suspended Solids: Choosc the number which best describes the amount of suspended solids in
the stormwater discharge, whore 1 is no solids and 5 is extremely muddy:
N)A 1 2 3 4 5
7, is there any I'mmi in the stormwatcr discharge? Yes No
N1A
S. Is there an oil Sheen in Ilw, storntwater discharge? Yes No
N)A
9. Is there evidence of erosion or deposition at the Qntfall? Yes No
P)A
10. Other Ohvioos Indicators ol'Storrnwater Pollution:
List and describe Jr) Q ng— _';-p L1 I ka jN V C 1-Q n — h C, re 9i d at,
F n n 9A r n i .L.^: r.. ►.in P... - ^ J:- CJ o AA 1 . , u n �
Note: Low clarity, high solicls, 'mid/or the presence or foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant Further investigation.
Page 2 of 2
swtl-247.1 12.6419

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NrC�G14 0 3 S IrL
FACILITY NAME: C'A F_A t +% a` ty2of kf 193 t , L = C.
PERSON COLLECTING SAMPLES IU V%
CERTIFIED LABORATORY ?ArGE Lab # qO
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: +P 0 /
SAMPLING PERIOD: KI July -December ❑ January -June
COUNTY ?LlnIr,,l 6- _ _
PHONE NO. ( 0
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout Other r�y
Dutfall 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
100 ,
-
-
-
-
Eld t.J
—
—
'S
' 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 T55 benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
a For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
_ Permit Date: 7/1/2011-60/30/2015 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. I
Date Sample
P
Collected 1
(mo/dd/yr)
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Ddration
(minutes)
Total
Rainfall°
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling2
6-9
15
100 '
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE5 AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ N0.®
REGIONAL OFFICE CONTACT NAME: M)f}
Mail Ori,2inal and one coon of this DMR (includinP all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitorine period
in case of "No Flow') to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am 4mare that t�es nt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
_� �a� q
(Signat f Permittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

East Asheville Plant:
606 Old US 70
Swannanoa, NC 28718
(8281686-3840
South Asheville Plant:
264 Mills Gap Rd.
Fletcher, NC 28732
18281684-1920
www.carolinareadymixinc.com
July 3, 2018
Attn: Central Files
North Carolina Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Storm Water Qualitative Monitoring
Carolina Ready Mix and Building Supply, Inc.
Swannanoa Concrete Plant, NCG140382
Dear Sir or Madam,
North Asheville Plant:
3809 US Highway 25/70
Marshall, NC 26153
(8281649-1016
RECE ED
JUL 0 9 2018
DVVR4�AL FILES
SECTION
Please find the attached Stormwater Discharge Outfall Qualitative Monitoring Report (SDO) and
Stormwater Discharge Semi -Annual Report for first period 2018 reporting.
Sincerely,
Gary Kicker
Environmental Compliance Manager
Carolina Beady Mix and Builders Supply, Inc

Pnviro: rnaen tat
l uatlty
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mitierlil-land-
res0urceslenergy-m ineral-land -permit slstormwaler-permitsluPdes-ind ust vial-sw#tab-4
Permit No.: NICI l_l�l l_l�l_I or Certificate of Coverage No.: NICIG1j1y1Ja1319-19—?J
Facility Name: CRQaLinia �ea ��, J�%I i f / G
County: 'BW n[r 0 -vt _ Phone No.
Inspector: (,4 0,1 ! L-k-e iz-
Date of Inspection: 4 - g
Time of Inspection:
Total Event Precipitation (inches): . 7<
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature ofArmittee or Designee)
1. Outfall Description: Alo Berm QtoUlld PSAeHIO
Outfall No. hQ j Structure (pipe, ditch, etc.): _ C�j 0 �q� y�y) ctj �'} nFF
Receiving Stream:
SZ✓c;».00Y7DA �0/1.L. " W0
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
5WU-242, Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ti/ 14
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Nf A-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5 A11A
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5 N/A-
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where i is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes a- o.
8. Is there an oil sheen in the stormwater discharge? OYes
9. Is there evidence of erosion or deposition at the outfall? o Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 07/28/2017

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14_0 338
FACILITY NAME: eAry i ! n, ct r►Y! :�1.
PERSON COLLECTING SAMPLES *rz-il lLJ�p
CERTIFIED LABORATORY - v) A. _ Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: c)O/s
SAMPLING PERIOD: ❑ July -December © January -June
COUNTY S V r Cum)-,�
PHONE NO. (oat 'l `J - UG 3 a
ADD TO LISTSERVE? YES [-]NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other
Outfall Na.
Date Sample Collected
(mo/dd/yr OR
NO FLOW ]1
PH
(Standard
units)
TSS
(mg/L]
Event
Duration
(minutes)
Total
4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 SamplingZ
-
6-9
100 ,
-
001
ND l`/otJ
A-
oh±
D a
_1
NO JQijr_A0VAX-
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: 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 1
(mo/dd/yr)
pH
(Standard
Units)
TPH using method
I664A SGT HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
,
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling2
6-9
15
100
No Now -
1V D
D,-s Y
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]NOR]
HAVE YOU CONTACTED THE REGION? YES ❑ NO E
REGIONAL OFFICE CONTACT NAME:
Mail Orieinal and one coov of this DMR fincludine all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample for at end of monitorine period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware t there are sig if nt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
-1
(Signature o rmittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

East Asheville Plant:
606 Old US 70
Swannanoa, NC 28778
[8281686-3040
South Asheville Plant:
264 Mills Gap Bd.
Fletcher, NC 28132
18281684-1920
www.carolinareadymixinc.com
January.22, 2018
Attn: Central Files
North Carolina Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Storm Water Qualitative Monitoring
Carolina Ready Mix and Building Supply, Inc.
Swannanoa Concrete Plant, NCG382
Dear Sir or Madam,
North Asheville Plant:
3809 US Highway 25170
Marshall, NC 28153
18281649-1016
RECEIVED
JAN 2 9 2018
CENTRAL FILES
DWR SECTION
Please find the attached Stormwater Discharge Outfall Qualitative Monitoring Report (SDO) and
Stormwater Discharge Semi -Annual Report for second period 2017 reporting.
Sincerely,
1�
Gary Kilker
Environmental Compliance Manager
Carolina Ready Mix and Builders Supply, Inc

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: Itttlt: is I)ocunicnts.htinffmiscforms
Permit No.: NICI_I_I_I_I_l_1 1 or Certificate of Coverage No.: NICICILI j1j lyj1,B1 g
Facility Name:irec.�; 1 dei"S Cf , nil{ i �tj!
County: 1��.,n L fnnn 1p,Q _ _ Phone No.
Inspector: CACz�j ►--le.ttZ-
Date of lnspcction:
Time of Inspection: . t 3 O A-VV- r
Total Event Precipitation (inches): . q a —
Was this a Representative Storm Event? (See information below) [�l Yes ❑ No
Please check vorcr permit to verif>> if Qualitative Monitoring imist be petformed during a representative
storm event (requirements vury).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 7211ours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A sin„le storm event may contain up to 10 consecutive hours of no Precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
ignatL[6<t f Permittee or Desionce)
1. Outfall Description: N p r S ChW —rN at,r t�""� Pe r } �A�
OUtfall No. — Structure (pipe, ditch, etc. a t PV rf R 0 S t I C
Receiving Stream: _ '�t.�70� 2J1_CL 00 C�-- t Uf_ rL
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(fight, medium, dark) as descriptors: Nf A,
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): N k
Page I of 2
Swu-242-1 r2cos

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4 5
A)It4
5. Floating Solids: Choose the number which beast describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
l 2 3 4 5
6. Suspended Solids:- Choose the number which best describes the amount of suspcndcd solids in
the storm water. discharge, where I is no solids and 5 is extremely muddy:
r
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes CN
S. is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes N
111. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oiI sheen, or erosion/deposition may be
indicative of pollutant exposurc. These conditions warrant. further investigation.
r
Page 2 of 2
S W U-242-1 120 18

STORMIMATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT N0. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 01 i� 8 a -
FACILITY NAME: tVc�aal r•uac%„ (Yl `,x eu� �crs Sum_
PERSON COLLECTING SAMPLES �r�rz►-t k �L1�E�
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLING PERIOD: ® July -December ❑ January -June
COUNTY�Iy tiff LV I-`YZ
PHONE NO. ( X%)��''
ADD TO LISTSERVE? ©YES ONO EMAIL: IC �LK�e-C tQ;k,INC.
DISCHARGING TO CLASS: [—]SA ❑HQW LjPNA ❑Trout ©Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)t
pH
(Standard
Units)
TSS
(mg/L}
Event
Duration
(minutes)
total
a
Rainfall
(in)
In Tier 2
'Monthly
Monitoring?
(y/n)
# of Months in Tier
z
2 Sampling
-
6-9z
100213
-
-
-
NCA
C
N1,4
dLf v
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.
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: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample p
Collected
(mo/dd/yr)�
PH
(Standard
Units)
using method
F1664ASGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall°
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
SamplingZ
6-92
15Z
1002,
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO JR
HAVE YOU CONTACTED THE REGION?: _ ,.YES 0 NO ❑
REGIONAL OFFICE CONTACT�NAME:
Mail Original and one copy of this DMR (includinl? all "No Flow" & "No Discharge" reports] within 30 days of receipt of sample for at end of monitoring Deriod
in 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: t
"1 certify, under penalty of law, that'this document.and ail attachments were prepared under my direction or supervision Ln accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiryof the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am a re that they signific penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature ermittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

�.
•w � � STWA7cu��
F'
AUG 0 3 2017
Stormwater Discharge Outfall (SDO) CENTRAL FILES
Qualitative Monitoring Report DWR ST`CTInN
For guidance on filling out this foam, Meuse visit: httn://h2o.enr.state.nc.us/su/Dorms Doc unients.httn#rniscforttts
Permit No.: N/CI_I_I_I_I_I_I_I or Certificate of Coverage No.. NICIGI1,I q10 131(91094
Facility Name: 0�r2d I rNA 240.du th -k 9- -gt&; Idy-ms Su npI u INL
' County: c o Phone No. 15a-S- -7-7�- 0� 3 Q-
Inspector: G A Tz.�,
Date of Inspection:
Time of Inspection: ie' • c] AYV\
Total Event Precipitation (inches): ,-I5
Was this a Representative Storm Event? (See information below) 2/yes ❑ No
Please check Tour permit to verif, if Qualitative Monitoring trust Lie perfotnted clrrritrg cr representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rain Fall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of eermittee or Designee)
1. Outfall Description: Tv 0 Ci scgr S e-rm re-4 t ry S I-kn . o 4- 6Yl Sf
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream: SwG n n Q n D GL 2- t
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, rnediurn, dark) as descriptors: N 1 A _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): - rJ I_/\
Page l of 2
S W U-242-1 12609

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
! 2 3 4 5 �+ n
ll�
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. is there an oil sheen in the stormwater discharge? Yes Q
9. is there evidence of erosion or deposition at the outl'all? Yes lo�j
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-242-112608

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVkRAGE NO. NCG14 n 3 a- SAMPLE COLLECTION YEAR: O +
FACILITY NAME: ,2a1_,_ N A hd�, �Y1 � _ SAMPLING PERIOD: ❑ July -December January -June
PERSON COLLECTING SAMPLES COUNTY
CERTIFIED LABORATORY IvIN Lab # PHONE NO. ( ac&)
Lab# ADDTO LISTSERVE? ®YES [:]NO EMAIL: k,L� CCv'Cl�er� reak7~C'
C-0rv�
OPTIONAL INFO: DISCHARGING TO CLASS: ❑SA ❑HQW PNA [—]Trout F]Other��
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
1
NO FLOW)
PH
(Standard
Units)
TSS
(mg/L)
Event
ura
Duration
(minutes)
Total
4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplingz
-
-
5-9
100 '
-
-
-
-
►
No �j-4C
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.
4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected 1
{mo/dd/yr)
pH
(Standard
Units)
TRH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfalla
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
{y/n)
# of Months
in Tier 2
Z
Sampling
6-9
15
100 '
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION?- YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copv of this DMR (includine 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
• •5 .
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware hat there are ignificant nalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of mittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

STORMWA. TER DISCHARGE OUTFALL (SDO)
GENERALPERMIT NO.
CERTIFICATE OF COVERAGE N.O. NCG14 0 3 $ 7-
FACILITY NAME: M�XII�b�rr4Ag�kuruti �a�+r
PERSON COLLECTING SAMPLES —T{LoY 5Hets'rrL
CERTIFIED LABORATORYP Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
- Semi -Annual MONITORING FORM
NCG140000
SAMPLE COLLECTION YEAR: 20 15
SAMPLING PERIOD: [-July-December ❑ January -June
COUNTY /►�►�lSdJ
PHONE NO. (97,S) Z32- - 4 70c,
ADD TO LISTSERVE? DYES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout NOther
Outfa[I No.
Date Sample
Collected
{mo/dd/yr OR
NO FLOW)t
pH
{standard
Units)
TSS
(mg/L) ;
Event
Duration
(minutes)
Total
4
Rainfall
{in)
In Tier 2
Monthly
Monitoring?
{y/n}
# of Months in Tier
2 Samplingz
-
-
6-9
100 '
-
-
-
1l
O CPOT VgTtcltD
yao
. 39
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.
Z If a value is in excess of the benchmark, or outside the benchmark range (for pN), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
f
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.
a For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
ON
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B; Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)1
PH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
�
Duration
(minutes)
Total n
Rainfall
(in)
New:Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(v/n)
4 of Months
in Tier 2
z
Sampling
6-9
15
100 '-
N A
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow"_& "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoriniz 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 MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons Aectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
a a th h significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
0-Mg-nature of Per tee) (DI ate)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

d ATZ n
3 RECEIVED
4 2015
CEN' "r AL FILES
Stormwater Discharge Outfall ECTION
Qualitative Monitoring Report
Forguidance onfilling out thisfonn, please visii' httpp//h2o.enr.state.nc.us/su/Forms Documents.htrnftiscforms
Permit No.: NICI 1�l hl I_I_I or Certificate of Coverage No.: NICIGI f I'll Q131$1 2_/Facility Name: CAooLt_%* ?-4A�i 1\tA r-b fsti
County: Aurms.�j Phone No,
Inspector: SHRt�Cz
Date of Inspection: _ 1! [I'll 2s-15 —
Time of Inspection: 9 k 12- kr.
Total Event Precipitation (inches): t . S9
Was this a Representative Storm Event? (See information below) Eryes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
stortn event (requirements vary).
A "Representative Storm Event" is^a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
—By this_sia re,.Lce that -this report.is accurate and complete -to the best. of--my-knowledge:-
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. I Structure (pipe, ditch, etc.)
Receiving Stream: TD P-Iy-C �--
Describe the industrial activities that occur within the outfall drainage area:
c ,�-< VIA 0
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, mcdium, dark) as descriptors: �L.t t-t�T 7 Re..� _3
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): o -) F
Page 1 of 2
i SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
10 3 4 5
5. FIoating 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:
Ol 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:.
2 3 4 5
7. Is there any foam in the stormwater discharge?
S. Is there an oil sheen in the stormwater discharge?
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Storinwater Pollution:
List and describe
Yes NO
Yes No
Yes No
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.
Paae 2 of 2
Swtl-242-112608

STORMI M. TER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERALPERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 3a _L
FACILITY NAME-: CAKoc-t,-A TtZaa? AlIY Ia AX14 As*yjs_C.f '?LA i
PERSON COLLECTING SAMPLES —MOY '964et4ftL
CERTIFIED LABORATORY_PAc10— /.�aLerld,oI- Lab##
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2-01 5
SAMPLING PERIOD: M7 July -December ❑ January -June
COUNTY jAAD456.•3
PHONE NO. { OKS ). Z3 - —
ADD TO LISTSERVE? AYES ❑NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW OPNA ❑Trout Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)
pW
(Standard
units)
I
T55
(mg/L) ;
Event
Duration
(minutes)
Total a
Rainfall
(in)
IIn Tier 2
Monthly
Monitoring?
(y/n)
Itof Months in Tier
2 SamplingZ
-
-
:6-9
loo
-
-
-
-
tl t9 2a� i
$ . 3
p CaaT v4TS rtn
�{ �O
1.39
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO MSC! IARGE" 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/i, except when discharging to ORW, HQW, Tr out, and PNA waters where they are So mg/l.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — avdraged over a calendar year.
Outfalt
No.
Date Sample
Collected
(mo/dd/yr)1
PH
(Standard
Units)
TP14 using method
1664A SG7-HEN!
(mg/L)
Total Suspended
Solids
(mg/L)
i
]went
i
Duration i
(minutes)
Total
Rainfalla
(in)
New: Motor Oil
"Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
It of Months
in Tier 2
SamplingZ
6-9
15
100-
N A
HAS YOUR FACILITY HAD A OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR f incluclinR 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 property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons #ectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
avyar tha hfe ar�F'significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
( ignature of Per tee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o,enr.state.nc.us/su/Forms Documents.htrnkrdscforms
Permit No.: NICI I I I 1 1 1 / or Certificate of Coverage No.. NICIGI I I tl ID13 IS Z/
Facility Name: C,aaoLt_. ^ i` AQ� Mt,c Ob&Tii A5 eA ij l4Lt 26aj i
County: jAk A i5 0 ,-) Phone No.
Inspector:-N-7-ol? SKRtJt0z-
Date of Inspection: L ! It2-1
Time of Inspection: _ 9 11 1 2 _k/_.
Total Event Precipitation (inches): . 39
Was this a Representative Storm Event? (See information below) eyes ❑ No
Please check your permit to verify if Qualitative Monitoring must be peifornzed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
-..-.--.-B_y- this- sigp*re,-LceAfy-that. this report -is accurate and complete -to the best of -my knowledge:- - - - -
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 1 Structure (pipe, ditch, etc.)
Receiving Stream: TR 1 B..rna-r4 -" Fn<x L4 $ (zaa.4 P-1,1t X-
Describe the industrial activities that occur within the outfalI drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have'(i.e., smells strongly of oil, weak
chlorine odor, etc.): o .3 F
Page 1 of 2
SWU-242-112608

0
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1) 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
�1 2 3 4 5 1
G. Suspended Solids: Choose the number which best descrbes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:,
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other 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
ji'U-242-112608

STORMWA. TER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERALPERMIT NO. NCG140000
RECEIVED
_
CERTIFICATE OF COVERAGE NO. NCG14 O3 SAMPLE COLLECTION YEAR: �l 5 APR 2 9 20,i�
�$ L p�
FACILITY NAME:CA2ot IAA R&Oj 1"I NORi14. 4 fV ILL Ts,�► SAMPLING P RIOD: ❑ July -December ,January -rune CENTRAL FILES
PERSON COLLECTING SAMPLES BNOL_ �ES�^t dr-I _ COUNTY �f�t-Se rs WR SECTION
CERTIFIED LABORATORY AGE Ar1AL'CT'IC/a L� Lab # PHONE NO. (87%) 7_32-- 4170 O
Lab ## �: ADD TO LISTSERVE? ❑YES ❑NO EMAIL: B
OPTIONAL INFO: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout Mother
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
{mo/dd/yr OR
NO FLOW)'
pH
(Standard
Units)
1
TS5
{mg/L} ',
�
Event
Duration
{minutes}
Total
a
Rainfall
{in}
In Tier 2
Monthly
Monitoring?
(y/n)
It of Months in Tier
z
2 Sampling
-
-
6-9
100 ' j
-
-
-
-
1
1
1 if "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/i.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 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. .w
Outfall
No.
Date Sample
Collected
(mo/dd/yr)1
PH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mgJL)
Total Suspended
Solids
(mg/L)
I
Event
i
Duration i
{minutes} I
E
Total
a
Rainfall
(in)
New. -Motor Oil
Usage
(gal/month)
in Tier 2
Monthly
(y/n) Monitoring?
It of Months
in Tier 2
Samplingz
6-9
15
100 '
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that thfs 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 dir tly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am �rRt t re scant penalties for submitting false information, including the possibilitV of fines and imprisonment for knowing violations."
zo /S
(Signs ure of &r 'Mitt
e (D te)
Permit pate: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms_Documents.htm#miscforms
Permit No.: NICI 1`1_I_1-1 I 1 or Certificate of Coverage No.: NIC/G/ 1 I +0131$121
Facility Naive: CP►Ro t1r3AVjAn t' M 1 x SA 5T AsH1cy 1 L1L1r �•�a.�t
County: '%urS Go Phone No. 167 aI 7-3Z - -H700
Inspector. %2, SEtir,
Date of Inspection- AAA Vz
Time of inspection: _:
o.J
t5
Total Event Precipitation (inches): 10
Was this a Representative Storm Event? (See information below) &111yoes ❑ No
Please check your permit to verify if Qualitative Monitoring must be perfornsed during a representative
storm event (requirenients vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
B-y_this-soy[ure,.I-cerbAthat. this report. is accurate and complete- to. th a bestof-my-knowledge:-------- --------- --
(Signature of Permittee or Designee) C
1. Outfall Description: N p iSGK A (LV 6 - SCRM 4TIAI1)S '�O+�)' 04� F 0r, J 1TE
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream: _ ��wAr2AA r,&A I --A Of- r
Describe the industrial activities that occur within the outfall drainaje area:
2. Color: Describe the color of the
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any istinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): IA
Page 1 of 2
S WU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4 5 ij JA
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5 JA
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 N14
7. Is there any foam in the stormwater discharge? Yes 0
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
to. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or crosion./deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S U-242-112608

STORMI&A TER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO.
- Semi -Annual MONITORING FORM
NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 3 Z- (°� SAMPLE COLLECTION YEAR: O
FACILITY NAME: aua RSa M �� 5c�5H�I��E �"t-A�f SAMPLING PERIOD: ❑ July -December January -June
PERSON COLLECTING SAMPLES A-,L- o rJ COUNTY ?:k r,340M5E
CERTIFIED LABORATORY P CA Lab It PHONE NO. (9Z9) 237- q( 700
Lab #k ! ADD TO LISTSERVE? ❑YES [-]NO EMAIL:
OPTIONAL INFO: _ - DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑TroutOther C—
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
{mo/dd/yr OR
NO FLOW)
pH
{Standard
Units)
I
T55
(mg/L) i
Event
Duration
(minutes)
Total
Rainfa[I"
(in)
In Tier 2
Monthly
Monitoring?
{y/n}
it of Months inTierier
2 Sampling
-
-
:6-9
100 '
-
-
-
a A
40
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfalJ here. Please make sure to mark the sample period above.
Z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
a For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part 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
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
(vent
i
Duration I
(minutes) I
Total
Rainfalln
(in)
New: Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling2
6-9
15
100 '
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING QEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including ail "No flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitorinv 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 dirdction 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 persons or persons who manage the system, or
those persjh
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am a the e significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
! 5�
(Sign ureermit ee) (Da e)
Permit Date: 7/1/2d11-60/30/2015 Last Revised 7/13/11
Page 2 of 2

e STA7Z o-
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this folrn, please visit: http://h2o.enr.state.nc.us/su/Forms_Documents.htmrrmiscforms
Permit No.: NICI I 1 /_I 1 /`I or Certificate of Coverage No.: NICIGI 1 1 I/ 0I 3IB / ZI
Facility Name: CA%ai-14-A IREAOD Alf �)O - ASKE.v_tu. _
County: )IS"Phone No.
Inspector: A-uL- a -r-Or.)
Date of Inspection: AA P,p w 1 k 4 2_o 15 _
Time of Inspection:
Total Event Precipitation (inches): �2 •_ 110
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your pennit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event' is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
is accurate and complete -to the best of -my -knowledge:- -- - -- -
(Signature of Perini ttee. or Designee)
1. OutfaII Description:
Outfall No. I Structure (pipe, ditch, etc.) J�)tTcR _
Receiving Stream: _ �r3u� �a n -ro I RErYH 'J�go A A RLO
Describe the industrial activities that occur within the outfall drainage area:
�.JGRcT�/ � E A d f 1 �. ?L-A t! j
2. Color: Describe the color of the discharge usin basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: - 1 -t V i-� T_ 98 (La W nj_
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): LvOr�F
Page I of 2
5 WU-242-212608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 5
7. Is there any foam in the stormwater discharge? Yes DNID
�. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes 0
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
I
S U-242-112608

� p�4
IVED
Stormwater Discharge Outfaii (SDO) C APR 2 1014
Qualitative Monitoring Report DWQigo I Es
For guidance on filling out this fonn, please visit: httR://112o.enr.state.nc.us/su/Forms Documents.htm#miscforms
Permit No.: N/C/ l�l // 1 I l or
Facility Name: ~C LOLlaa RfAz,i M
County: u Mg -
Inspector: A0
Date of Inspection:
Time of Inspection
Ra—
Total Event Precipitation (inches): y�
of,Coverage No.-. N/C/G/ 1 /A/ 0/31-9/2/
one No. S M) L3 Z- — y-Zo 0
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that '
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A sin Ie storm e ent may contain up to 10 consecutive hours of no precipitation.
B.y_this.sZn/re,).certiAat-this resort -is accurate and complete -to -the best of my -knowledge:--.--- -- ----- -- -- - -
(Signature of Permittee or Designee)
1. OutfallDescription: J�d -�)t6Ci-lAg6F '�)EPW\'RF—TA10S F10d-OFr 0") SITF
Outfall No. Structure (pipe, ditch etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the
(light, medium, dark) as descriptors: --4
3. Odor: Describe
chlorine odor, etc.): #-
using basic colors (red, brown, blue, etc.) and tint
distinct odors that the discharge may have (i.e., smells strongly of oil, weak
SWU-242-112608
Page 1 of 2

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy: 11
1 2 3 4 5 OJ fA
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5 N�A
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stonmwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5 P �A
7. Is there any foam in the stormwater discharge?
8. Is there an oil sheen in the stormwater discharge?
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Yes oNo
Yes No
Yes To
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
8WU-242-112608

STORMIM ATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM ij
GENERALPERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 D 9 2, Z I SAMPLE COLLECTION YEAR: I -z4
FACILITY NAME: C ARoLtaA i�IFAO.? Mt yc EASTb64k&I,LE V,.fSAMPLfN ERIOD: ❑ July -December lanuaryAune
PERSON COLLECTING SAMPL S ja`,>� S62= -a _ COUNTYM16F_
CERTIFIED LABORATORY N _ _ Lab # PHONE NO. 7-3Z- 41 7 V
Lab # ADD TO LISTSERVE? []YES ❑NO EMAIL:
OPTIONAL INFO: DISCHARGING TO CLASS: [—]SA ❑HQW ❑PNA ❑Trout NDther�_
Part A: Stormwater Monitoring Requirements
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
2 Samplingz
-
-
6-9
10043
-
-
-
-
o T)15CI,; bf
r-3
ib0
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.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month -- averaged over a calendar year.
Outfall
No.
pate Sample
Collected
(mo/dd/yr)'
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mgJL)
Event I
I
Duration
(minutes) I
i
Total
Rainfalla
(in)
New Motor oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(Y/n)
# of Months
in Tier 2
Samplingz
6-9
15
100-
_ 5
r
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (including all "No Flow" & "No Discharge" reports; %4ithin 30 days of receipt of sarn ale (or at end of monitoring oeriod
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 qualifi# personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
tWrhnt
tly reess Bible for gathering the information, the information submitted is, to the nest of my knowledge and belief, true, accurate, and complete.
ae r` a significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
J-f '/ `7 �Z / /� �,/
(Signature of Permittee) (Date)
Permit Date: 7/1/2011-60/30/201S
Last Revised 7/13/11
Page 2 of 2

�.5rATr
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h 2o. enr. state, nc.us/su/Forms Documents.htm#miscforms
Permit No.: N1C/_
Facility N e: C
County: IIA ID 15I I
Inspector: 1 A ljL.
Date of Inspection:
Time of Inspection:
or Certi�f''cate of Coverage No.:
o2r)LIMA 4RFA&4 Mr'L Nn9-T41 A[SIAF_V11--L
t�
Total Event Precipitation (inches): 1 • 541
Phone No. (.%Z% ] Z
N/C/G/ 11 q l 0131i;121
Was this a Representative Storm Event? (See information below) [Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this,s(gotur7, I cetrti(y that this rfport is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 1,—` Structure (pipe, ditch, etc.) ITCA
Receiving Stream: —V ;k i Su-rA P-Y "ro 'FR£r3GH 'moo A IS Rt i c '—
Describe the industrial activities that occur within the outfall drainage area:
C c, AA e,J
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C3RDW hl _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): NclaE T
Page i of 2
s WU-242.112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
i ZO 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1D 2 3 4 5
C. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 `.J 3 4 5
7. Is there any foam in the stormwater discharge? Yes fNq
S. Is there an oil sheen in the stormwater discharge? Yes oNo
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Law 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-242-112608

. dV
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140 3 $?_
FACILITY NAME: CAiQ) -iNA READY Aty- 1 otv A5Ftf-VI -E R.-An_
PERSON COLLECTING SAMPLES t:AOL-- P _
CERTIFIED LABORATORY t�-Ac - ArJA -Y"-i-1e-AL- Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: O
SAMPLING � PqERIOD: July -December January -June
COUNTY 1'_'�L�Z1So_
PHONE NO. ( L% 2-37-- 147ao
ADD TO LISTSERVE? OYES ONO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ROther
OutfaEl No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
(standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
## of Months in Tier
2 Sampling 2
-
6-9
100 '
-
-
-
-
1
�-I 2-'> I
.5
12-9
360
! . 54
1J
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: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
{mo/dd/yr)1
pH
(Standard
Units)
TPH using method._
1664A SGT-HEM
(mg/L)
.Total Suspended".
Solids
(mg/L)
Event
Duration
(minutes)
:Total:
a
Rainfall
(in)
New Motor Oil
Usage
.(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier Z
2'
2
Sampling
15
.100.'
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
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 for at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFIC4TION 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 qualifiV personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons dir tly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am a at ere re sE ificant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations."
(Signature of Permi e) '( ate)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

9

3. All soil that is soft, unstable, unsuitable, or saturated with water Q r 000000
(Drainage Area 4
shall be removed and the trench subgrade shall be stabilized with a �0 9 > "'�'�
granular material havinga maximumsizeof 2 inches. A concrete 4 __ �'
H cradle shall be provided to bridge highly unstable soils.
�V3_
4. Pipe to be installed above the existing ground level (in fill) shall v
c�
be installed in trenches excavated after the embankment has been
constructed to a minimum elevation of one -foot above the top of the Sao
proposed pipe.
,
5. Compacted granular backfill under and around the pipe shall be placed in 6" lifts and compacted to
obtain not less than 90% relative density, as determined by ASTM method D-2049. o
F
6. BACKFILL: All material used for backfilling trenches shall be free of excess amounts of deleterious
materials such as organic matter, frozen clods, and sticky masses or clay and gumbo which are difficult to
properly compact. Any rock.materials used for backfill will have no single dimension greater than 4" and
shall not be placed within 12" of the installed pipe in any direction. Material as specified for pipe bedding �, o� '
may be substituted for backfill material defined above from the top of pipe bedding to 12" above the top of
the pipe.
( A) Backfill shall be placed in 8" lifts from the top of the pipe bedding to a point at least 12" above K=2195.4'
D the top of the pipe. Above this point, backfill shall be placed in lifts suitable to achieve the
compaction as specified hereinafter.
(B) The lifts of backfill material will be compacted to a density of at least 90% of the maximum dry
density as determined by the AASHTO Standard Test T99 or other approved method wherever the
Electrical
C,
pipe is installed in open fields or areas which carry no vehicular traffic. The top portion of the Pedestal
backfill areas that are to be seeded or sodded shall be composed of topsoil at least 6" in depth and
corresponding to that of the adjoining areas. water
Pump
g (C) The lifts of backfill material will be compacted to a density if 95% of the standard Proctor K=2195.5' 6
within `+/- 2% wet of optimum under all pavements and in those areas subject to future pavements.
Pavement shall not be restored until the backfill material has been tested and determined to be
satisfactory according to the geotechnical engineer. Pavement restoration shall conform as NO APPARENT WETLANDS ARE BEING AFFECTED BY IMPROVEMENTS SHOWN ON THIS PLAN
closely as possible to the existing pavement section in the area of the trench. NO FORMAL WETLAND STUDY HAS BEEN CONDUCTED FOR SUBJECT PROPERTY.
,A
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 21
SW Tjo� iz�1 r�'1�3
23 1 24 1 25 1 26 1 27 1 28 1 29 1 30 1 31 1 32 1 33 1 34 1
00
o
00
co
0
SITE KEY
o
"b
`°
O 10' X 20' CONCRETE WASH PAD SEE DETAIL SHEET DT-1
O WASTEWATER COLLECTION BASIN, SEE DETAIL SHEET DT-1
3O 5 L.F. OF 8"0 PVC @ 0.50% (MIN.) IEin= 2201.00'; IEout=2200.96
4O 10,000 GAL WASTEWATER STORAGE TANK W/PUMP RATED AT 30GPM @
zo
0
25' TD; HIGH WATER ALARM SET @ 85% OF TANK CAPACITY. SEE TANK
in
Ln
DETAIL ON DETAIL SHEET DT-1.Cn
ME
5O f 150 L.F. OF 2"0 SCH 40 FORCEMAIN TO PLANT MIX OPERATION
:
0
a
6O PROPERTY LINE
(\
UJ
a
Z
O APPROXIMATE LIMIT OF 100 YEAR FLOODWAY
o
0
O EXISTING STORMWATER DETENTION PONDS (EXISTING STORMWATER BMP)
5;
L
U
O STANDARD 6" CONCRETE CURB. SEE DETAIL 6 SHEET DT-1.
�
W
W
Z
10 U.S. FOUNDARY NO.6245 FRAME AND USF 4625 GRATE OR APPROVED EQUAL.
o
'�
N
SEE DETAIL 7 SHEET DT-1.
11 SLOPE SLAB TOWARDS GRATE TO ENSURE POSITIVE FLOW.
z
12 6" PVC GRAVITY DRAIN LINE TO WASTEWATER COLLECTION BASIN.
MAINTAIN MIN. COVER OF V AND MIN. SLOPE OF 1%.
,.�`� �' . ..•••••••......
13 FLOOD PREVENTION DEVICE. SEE DETAILS 3-5 ON SHEET DT-1.
;� J`�' .:'��'
TO BE INSTALLED IN CASES OF POTENTIAL FLOODING.
_ 0 , C)
<� z;
`S.,•moo,
� \
ON ••.................
....... '•
PSsoc,
Q
sue,
L�LI ~ —I
O
I
O
U
V
U
T
S
f9
C
0
C,
0
N
y
0
~O
o
J
.-�
O
00
0
o ,I
M E
O
3
fn
Z
(/)
N
('') N ru
>
Ofa
EL
o
cn
(n
Q
C)
0
C
o
U
Z
N N can
N o
M
W
o0
00 N 2
Q
�"I
I�
,-i
-C
cn
Q
C X
o ra 3
U_
C
_
_
C6
a
E
N'
o
1
Q
v
o
Y
Q
;
0
LLI
a
4-1
K
U
cm
�
�«
O
cn
Cn
Q
�
U5 '
a�
U
j
O)
O
t/)
J
C
�
CD
CD
CD
•�
LU
O
O
W
� L
>
w
^
C/
O
a-
O
�
H
Z
J
O
�--
�
Q
G
U
XUJ
J
�
�
O
F
L.1
Q
�1
�
elf
Z
Q
Q
_
E
Z
J
_I
5
—
m
�
U:
Q
Z
W
D
DETAIL VIEW OF PROPOSED WASTEWATER RECYCLING SYSTEM
U
Q
0
0-
Z
Q
O
z
Z
C
Q
U)
Z
Q
J
B
n
o
4-1
U
o
�,
t�/
U
N
��
v!
A
O
LCD
0-
N
1
1
p
22 1 23 1 24 1 25 1 26 1 27 1 28=_ 29 3031 32
1
33
1
34

1 1 2 1 3
4 1 5 1
6
7
8 _
9
10 11
12
13
1
14
15
1 16
17
18 1 19
20
23
26 27 28 29 30 31 1 32 33 34
o co
N co 0
+-d I? w
Ln co
Q
N
u
T
S
N
M
I
K
CONCRETE WALL
T
1
Ef
F
E
I
c
B
A
-1 2
8'0 Knc
Imprinted On Tank:
SRPC
PT-156
3000 Gal
1/2" STEEL PLATE
10.84 LONG ' X 2' WIDE.
CAN BE FABRICATED BY
COMBINING TWO OR MORE
PIECES WITH WELDING
STANDARD 2" WIDE SEALING BUTYL
PIPE SEALANT. APPLY BEFORE PUTTING
FLOOD GATE IN PLACE. SEALANT MUST
MEET ALL ASTM STANDARDS FOR
SUSTAINABILTY
GROUND SURFACE
STANDARD 2" WIDE SEALING BUTYL
< PIPE SEALANT. APPLY BEFORE PUTTING
FLOOD GATE IN PLACE. SEALANT MUST
MEET ALL ASTM STANDARDS FOR PIPE
SEALANTS.
CROSS SECTION OF
�FLOOD WALL DETAIL
32.5" 32.5"
10.84'
9.50
811 QQ C C
2.0000
1611
4' FLOOD WALL LAYOUT
DETAIL
3 4 5 6 7 8 9
t
1(
PLAN VIEW
1(
1.00,
3 #5 bars continuous �.,r
& bottom
SECTION VIEW
WELDED #5 REBAR LIFT RINGS
MIN. WELD LENGTH OF 3" EACH
LEG OF RING. SPACE ACCORDING
TO LAYOUT DRAWING.
INNER 1/2" STEEL PLATE.
SIZE TO INNER DIMENSION
OF 9.5' LENGTH X 2' HEIGHT
FRONT SHEET OF 1/2" STEEL PLATING
TOTAL FLOOD WALL CAN BE FABRICATED
OUT OF SMALLER SHEETS. SIZE TO
OUTER DIMENSION OF 10.84' LENTH X T HEIGHT
FLOODWALL ISOMETRIC VIEW
�a
10 11 1 12 13 14 15 16 17 18 19 20
2 WASTEWATER COLLECTION
Z" BASIN DETAIL
.58"
Ily
6" CURB
r 6w" CURB STANDARD DETAIL
©P
21 1 22 1 23 1 24 1 25
es
FRONT VIEW
35
29 3/4 SQ.
-� 1 3/16—�
I �
1 1/2�
�- 35
C—l-1
V
cn
z
o
o
Lu
Ln
cn
z
w
u
m
in
cn
22 W
Q
z
z
a
OLL-
W
T
o
uj
0
�
a
Lu
w
n�
U
z
S
O
.-I
N
z
-�
a00
IA
z;
,.
Illlu1\\0\`�\
PSSaC,
Q
sue,
P
z
W ~ J
�
CI
O
O
U
�
0
I
0
W
^
a-
�
O
O
O ,--I E
I� M
~p
Q
LJ
000
?Mi O
3
(n
Z
Cn
N
CU
M N N
M
Q
o
0
Z
I
N M
(3
o0 o
OP r 0
L
=
rl
p
Q
O M
LL
=
L
•�'
Y
o
Y
� LLI
5.
-<
c)
a�
> cn
cn
u) J
N
c a�
ra:._.
'
wLu
C i
L
�
H
_Z
J
0
~
Q
U
G
0
a-
0-
Z
Q
W
(D
0�
z
=
Z
U
E
_Q
C/)
I
Omo
f)
Q
(n
Uz 0
D
Q
35 SQ.
----�
z
O
W
z
Q
W
28 SO.
12 7/8
= c
Z
Q
4
—T
�
J
U.S. FOUNDRY & MFG. CORP.
MEDLEY, FLORIDA
Q
NOTES:
~
1- MATERIAL:
ASTM-A48 CLASS 308 GRAY IRON.
USF 4625 FRAME & 6245 GRATE
W B
2- FRAME WT:
255 LBS. APP.
OWL On 1 8"=1" °""8 14 00
3- GRATE WT:
215 LBS. APP.
_N
A0462
26
z U _
SF FRAME AND GRATE DETAIL '-' Q °
`� U A
U) o
CL N
27 28 29 30 31 32 1 33 1 34
r