NCG140444_MONITORING INFO_20171012

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMITNO.
fvD�I 7.7
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ 'oc �JI
YYYYMMDD

Division of Energy, Mineral & Land Resources
0w�q.
Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
Energy, Mineral RESCISSION REQUEST FORM
and Land Resources
ENVIRONMENTAL QUALITY
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
SEP 17 2018
r.
, ,- r E S
Please fill out and return this form if you no longer need to maintain your NPDES storinV1a0JTWk1
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N C 5 'N I C I G 1 1 1 4 0 1 4 4 4
2) Owner/Facility Information: * Final correspondence will be marled to the address noted below
Owner/Facility Name: McCarthy Improvement Company/ McCarthy Henderson Concrete Batch Plant
Facility Contact
Street Address
City
County
Telephone No.
Kevin Crusa
3950 US 1
Henderson State NC ZIP Code 27537 _
Vance E-mail Address [e-mail]
[phone] Fax: [phone]
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
® Facility closed or is closing on 8/26/2017 . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
LF
❑ Facility sold to 7 = on 1 . If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true, complete and accurate.
Signature
Date O 17
,Kevin Crusa Project Manaqpr
Print or type name of person signing above Title
Please return this completed rescission request form to
NPDES Permit Coverage Rescission (RECEIVED
Stormwater Permitting Program OCT 2��7
1612 Mail Service Center 12
Raleigh, North Carolina 27699-1612 0ENRzLAI%1D QUALITY
STORMWATO PgRMIiTING

PROCESS WASTEWATER —Discharge Monitoring Report.
GENERAL PERM[T NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140448 SAMPLE COLLEC71ON YEAR: Z 018
° a 6 FE I V E l SAMPLE PERIOD: July -December []January -June
FACILITY NAME: MacLeod Construction, Inc. —North Pointe"Plant .,,�
SAMPLE COLLECTOR: ACE PAJALSAMPLE FREQUENCY: Quarterly Semi-annually ❑
CERTIFIED LABORATORY: Lab # W 17 2018 COUNTY: Me6denbure
Lab #-r pwr-m A : .-, S PHONE NO.: 704-483-3580
`•' ` - '0 ` `'ADD TO USTSERVE? YES NO EMAIL
LIMIT VIOLATIONS? YES NO ❑ � � SEC 10 ❑[]NO
TO CLASS: []SA ❑HQW ❑PNA ❑Trout ZOtherC
OPTIONAL INFO- _
Part A. Wastewater Mon€torine Reuuirements
Oiitfall >�Io..
bate urnpte .
allecte
Irnrr:Jdd/yrj
Tgie off Wastewater
_
, iv10 ..
P
f taridar�) .
Toial 5uspeii�ied':
$o(ids
(riig(tj
_ �st1Lf :
°
APP �!r bl for
©ll &'G%ea$e
: uirng meth�i .
i[ss4 �G 4EAV
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{ rnintrte"s)IalsJe
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{ga[k�r�sJd?jr}
Apo .:
for:
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f wastewater systems have not discharged in this ouarter— report "No Flow nr "No Discharge" here- Please make sure to mark the sample ouarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Geanout (MD). Report more than one type if the waste -stream is commingled.
Permit Date: 8/1/2017-06/30/2022 Last Revised 08/09/17
Page 1 of 2

31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
s Process wastewater discharges shall only be monitored for TPH when commingled.with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMIPLE 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
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
9 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Signature of Permittee)
Permit Date: 8/1/2017-06/30/2022
(Date)
Last Revised 08/09/17
Page 2 of 2

.0001
,��aceA alytiwl e
www.pw[eiabs.com
August 16, 2018
Mr. Michael Houser
MacLeod Construction
PO Box 320
4304 N. Pointe Ind Charlotte
Denver, NC 28037
RE: Project: DP-1 - Plant
Pace Project No.: 92394171
Pace Analytical Services, LLC
9800 KincPy Ave $u ile 100
Huntersville, NC 28078
(704 )875-9092
Dear Mr. Houser:
Enclosed are the analytical results for sample(s) received by the laboratory on August 02, 2018. The
results relate only to the samples included in this report. Results reported herein conform to the most
current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where
applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
R, ` , , I-fcuAn(
Angela Baioni
[e-mail]
[phone]
Project Manager
Enclosures
ACO
t
qeo��
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 12

01,01
a(ceAnalytica!
www.pecelabs.cam
Project: DP-1 - Plant
Pace Project No.: 92394171
Pace Analytical Services, L.Ld
oa00 Kincey Ave. Suite 100
Huntersvilie, NC 28078
[phone]
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
LouisianalNELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky LIST Certification #: 84
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #; 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the wrinen consent of Pace Analytical Services, UC. Page 2 of 12

axAnalytical.
www.pacefabs.c=
Project: DP-1 - Plant
Pace Project No.: 92394171
Lab ID Sample ID
92394171001 DP1
Pace Anatytical Services, LLd
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Method
Analysts
Analytts
Reported
Laboratory
EPA 1664E
JMs
1
PASI-C
SM 2540D-2011
CEH
1
PASI-A
SM 2540E-2011
CEH
1
PASI-A
EPA 9040C
RLO
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the wntten consent of Pace Analytical Services, LLC. Page 3 of 12

aceAnalytrcal.
www.peualabs.com
ANALYTICAL RESULTS
Pate Analytical Services, LOf
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: DP-1 - Plant
Pace Project No.: 92394171
Sample: DPI
Lab ID: 92394171001 Collected:
081D2/18 06;50
Received: Q8102118 08:57 Malrix: Water
Parameters
Results Units Report
Limit
OF
Prepared Analyzed CAS No. Oual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
NO mg/L
4.8
1
08/16118 03:49
25400 Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
32.0 mg/L
4.3
1
08/03118 22;58
254OF Total Settleable Solids
Analytical Method: SM 254OF-2011
Total Settleable Solids
NO mL/Uhr
0.10
1
08/02/18 23:20
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
8.5 Std. Units
0.10
1
08/10118 2227 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced. except in full,
Date: 08/16/2018 12:43 PM without the written consent of Pace.Analytical Services, LLC. Page 4 of 12

aceAnalytical'
nww.patelabs-=n
Project: DP-1 - Plant
Pace Project No.: 92394171
QC Batch: 425254
QC Batch Method: EPA 1664B
Associated Lab Samples: 92394171001
METHOD BLANK: 2351578
Associated Lab Samples: 92394171001
Parameter
Oil and Grease
QUALITY CONTROL DATA
Analysis Method: EPA 16648
Analysis Description: 1664 HEM. Oil and Grease
Matrix: Water
Blank Reporting
Units Result limit Analyzed Quaiif9ers
mg/L ND 4.8 08116118 03:47
LABORATORY CONTROL SAMPLE:
2351579
Parameter
Units
Oil and Grease
mglL
MATRIX SPIKE SAMPLE:
2351580
Parameter
Units
Oil and Grease
mg/L
Spike LCS
Conc. Result
38.5 36.5
92394679008 Spike
Result Conc.
ND 40
Pace Analytical Services, LJ-C
9800 Kinsey Ave. Suite 100
Huntefsviile, NC 28078
[phone]
LCS % Rec
% Rec Limits Qualifiers
95 78-114
MS MS % Rec
Result % Rec Limits Qualifiers
39.2 95 78-114
Results presented on this page are In the units indicated by the "Units" column except where an alternate unit is presented to the "tit of the result,
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced. except in full,
mate: 0811612018 12:43 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 12

aceAnalytical
www.Pacerabs.m r;
QUALITY CONTROL DATA
Project: DP-1 - Plant
Pace Project No.: 92394171
QC Batch: 423077 Analysis Method: SM 2540D-2011
QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92394171001
METHOD BLANK: 2341177
Associated Lab Samples: 92394171001
Parameter
Units
Total Suspended Solids
mg1L
LABORATORY CONTROL SAMPLE:
2341178
Parameter
Units
Total Suspended Solids
mg1L
SAMPLE DUPLICATE: 2341179
Parameter
Units
Total Suspended Solids
mg1L
Pace Analytical Services, LLC
9800 Kincey Ave, Suite 100
Huntersvitle, NC 28078
(704 )875-9092
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 08/03/18 22:53
Spike LCS LCS % Rec
Conc Result % Rec Limits Qualifiers
250 252 101 90-110
92394167002 Dup
Result Result RPD Qualifiers
177 175 2
SAMPLE DUPLICATE: 2341180
92394138001 Dup
Parameter Units Result Result
Total Suspended Solids mglL 10.8 15,6
RPD Qualifiers
36 D6
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right at the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 08116/2018 12:43 PM without the written consent of Pace Analytical Services, LLC, Page 6 of 12

s
aceAnalytrcal
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QUALITY CONTROL DATA
Project: DP-1 -Plant
Pace Project No.: 92394171
QC Batch: 422811 Analysis Method: SM 254OF-2011
QC Batch Method: SM 254OF-2011 Analysis description: 254OF Total Settable Solids
Associated Lab Samples: 92394171001
METHOD BLANK: 2339885
Associated Lab Samples: 92394171001
Parameter Units
Total Settleable Solids mL/Lfhr
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 08/02/18 23:20
SAMPLE DUPLICATE: 2339886
92394171001 Dup
Parameter Units Result Result
Total Settleable Solids mLILlhr ND ND
RPD Qualifiers
Pace Analytical Services, L,LC
98D0 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Results presented on this page are In the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 08/16/2018 12:43 PM without the wnhen consent of Pace Analytical Services, LLC.
Page 7 of 12

R
aceAnalytical
w*W.pacalabs.="
QUALITY CONTROL DATA
Project: DP-1 -Plant
Pace Project No.: 92394171
QC Batch: 424234 Analysis Method: EPA 9040C
QC Balch Method: EPA 9040C Analysis Description: 9040 pH
Associated Lab Samples: 923IJ4171001
SAMPLE DUPLICATE 2346699
Parameter
pH at 25 Degrees C
SAMPLE DUPLICATE: 2346700
Parameter
pH at 25 Degrees C
92394219001 Dup
Units Result Result RPD Qualifiers
Std. Units 6.9 6.9 1 H6
92394239001 Dup
Units Result Result
Std. Units 7.2 7.2
RPD Qualifiers
0 H6
Pate Analytical Services, Ll.0
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result,
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced. except in full,
Date: 08/16/2018 12:43 PM without the written consent of Pace Analytical Services, LLC.
Page 8of12

acMnalytical
1vww.pacelabs wm
QUALIFIERS
Project: DP-1 - Plant
Pace Project No.: 92394171
DEFINITIONS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL - Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific anatyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethytvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis ofAcrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodipheriylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
REPORT OF LABORATORY ANALYSIS
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Date: 0811612018 12:43 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 12

e
aceAnalyfical
www.pacwabs.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: DP-1 - Plant
Pace Project No.: 92394171
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(7C4)875-9092
Lab ID
Sample lD
QC Batch Method
QC Batch Analytical Method
92394171001
DPI
EPA 1664B
425254
92394171001
DPI
SM 254OD-2011
423077
92394171001
DPI
SM 254OF-2011
422811
92394171001
DPI
EPA 9040C
424234
Date: 08/16/2018 12:43 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced. except in full,
without the written consent of Pace Analytical Services, LLC.
Analytical
Batch
Page 10 of 12

Document Name:
Document Revised: February 7, 2018
Ana"cal-
aceAr7 Ci3�A
Sample Condition Upon Recel t(SCUR
Page 1 of 2
No.:
Issuing Authority:
F-CAR-CS-033-Rev.06
Pace Carolinas Qua lity Oftice
Laboratory receiving samples:
Asheville ❑ Eden[] Greenwood ❑ Huntersvllle /" Raleigh[] Mechanicsville❑
ME Client Name: WO# : 9239417 i
J� Project #:
Courier: ❑Fed Ex ❑UPS ❑USP�S i� �Cla t HIM 1111111111111 H
❑ Commercial ❑Pace ❑Other. 92394171
Custody Seal Present? []Yes �KNo Seats intact? Dyes f o
Gale/Initials Perton fxarnWng Contents; Ell
Packing Material: ❑Bubble wrap �eubble Bags ❑None ❑ Other GlologlcaI Tissue Frozen?
Thermomete . ❑Yes []NO 9N/A
511 Gun ID: 92TO40 Type al ice: Pwet Blue []None
Cooler Temp ('C): r? - _-7' Correction Factor: Add/Subtract ('C) +0,4
� Temp should be above freezing to 6'C
Cooler Temp Corrected ('C): - ��" '' "` ' ❑Samples out outemp criteria. Samples on Ice, co_ol_ins process
has begun '
USDA Regulated Sall (( N/A, water samplel
Did samples on®inate In a quarantine tone within the United States. CA, NY, or SC {check maps)? Did samples originate from a foreign source (Internationally,
rlYes R.I n inrl. dine %4—il and Puertn Alcel? FlYes r o
Comments/Discrepancy:
Chain of Custody Present?
Yes
No
N/A
1.
Samples Arrived within Hold Time?
Yes
ONO
N/A
2.
Short Hold Time Analysis 1<72 hr, ?
21yes
Q No
ONJA
3.
Rush Turn Around Time Requested?
Yes
No
N/A
4.
Sufficient Volume?
vet
ONO
N/A
5.
Correct Containers Used?
-Pace Containers Used?
21Yes
Yes
❑No
No
❑N/A
N/A
6.
Containers Intact?
gfYes
QNo
NIA
7.
Dissolved analysis: Samples Field filtered?
Elyes
❑No
/A
8.
Sample Labels Match COC?
-includes DateiTime/ID/Analysis Matrix:
1TXYYees
tN l
©No
❑N/A
9.
Headsoace in VOA Vials (>5-6mm)?
❑Yes
Np
NIA
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
Yes
[-]NO
No
N/A
NIA
11.
i
COMMENTS/SAMPLE DISCREPANCY
CLIENT NOTIFICATION/RESOLUTION
Lot ID of split Containers:
Field Date Re4ulred? []Yes []No
Person contacted: Date/Time:
Project Manager SCURF Review: _ _ Date: I
Project Manager 5RF Review; _ •� � _ Date: r �_
Page 11 of 12

PaceArnalytical c
CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chain-of•Custody is a LEGAL DOCUMENT. All relevant fields must be cvmpletod accurately,
Page: of Cn
Section A Section B Section C
2240884
Required Client Iniormation: Required Project Informalian: Invoice Mformaliow
C ] RoPnrl To• AEtention:
,_,�� CwtiS; _ Vr j t�Y=, _%fir irk
3
Copy To:
o "Y N C
REGULATORY AGENCY
V ' VC— GNU
!V J'� •hS �/
NPDES f— GROUNDWATER j— DRINKING WATER
r UST j RGRA OTHER
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purcha..e Order No.: f /
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Manager:
S7A 7E.
Requested Due DaferrAT:
Projoc+Number: n `r
Raw Prof'N tl:
Requested
Analysis
Filtered
(Y1N}
Section D Matrix Codes
Roqulrad Clk:nt lnln aiwn MATRtx r ccmE
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COLLECTED
Preservatives
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ADDITIONAL COMMENTS
RELINOU SHED BY l AFFILIATION
DATE
TIME
ACCEPTED BY I AFRUATION
DATE
TIME
SAMPLE CONDITIONS
SAMPLER NAME AND SIGNATURE
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PRINT Name of SAMy�,
PLER: %4 + •MR
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' rani Nola: By a thre Iorn+ you pre accepting P:+cu'c N£7 30 day paym+mt Imms ar+e n0rrraunj to L'+xi ctu+nxs of 1.5!: put rnunth IAi nby invoicos not p'u;p w1110 30 iiiw. f F-ALL-Q-020rev.07, 15-May-2007

CHAIN-OF-CUS- Y 1 Analytical Request Document
1 lPaceAna1ytica1 • The Chain -of -Custody is a LEt . .JCUMENT. All relevant fields must be completed accurately.
www.pacelabs.adm
Section A
Section B
Section C
Page: of
Required Client Information:
i
Required Project Information:
Invoice information:
224088
CAwtC
Report To
Attention: /J
V 1Y011
t �� U��
A „x
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Copy To:
/! �/f'�L�✓'
r/7� /� yam^ L
REGULATORY AGENCY
r NPDES r GROUNDWATER DRINKING WATER
E a T : p.'
st,-zAw1e✓JAc _ (j)m
Purchase Order ND.: ice) /
i< L. ' �r
Pace Quota
Reference:
UST r RCRA r OTHER
Project Name.
Pace Project
Manager:
Site Location
Profile #:
_ )�
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Requested Due Date/TAT:
Project Number: JAL +� 1
j I'T•N
Pace
STATE:
Requested Analysis Filtered (YIN)
Section D Matrix Codes
aequlredCreeunrarmalion MATRIX f
cooe
COLLECTED
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SAMPLE ID °wipe OL
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Sample IDs MUST BE UNIQUE Tissue TS
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Pace Proiecl No./ Lab I.D.
ADDITIONAL COMMENTS RELINQUISHED BY 1 AFFILIATION DATE I TIME ACCEPTED BY 1 AFFILIATION DATE I TIME SAMPLE CONDITIONS
SAMPLER NAME AND SIGNATURE
PRINT Name of SAMPLER: { 1� ��.
SIGNATURE of SAMPLER: //�J l n DATE Signed (y'
(MMIDDIYYy:
Importa. dy Signing this form you are accepting Pace's NET 30 day payment terms and agreeing to late charges of 1,5% per month to vices not paid within 30 days,
U a =
5+ Z C
d y CO 5 z_
rn
F-ALL-0-020rev.0', ay-2007

Instructions for completing Chain of Custody (COC)
1. Section A and B. Complete all Client information at top of sheet: company name;, address, phone, fax; contact (thee person to contact if there are
questions_ and who will receive the final report.), e-mail address (if available), PO#, Project Name and/or Project Number as you would like to see it
appear on the report.
2. Section C: Invoice: Information: Billing information is included in this section. This information should include the name and address of the person
receiving the invoice. ,
I Quote Reference should be completed it a quotation was provided by Pace Analytical. The Project Manager, and Profile No. will be completed by
Pace Analytical Services.
4. Site Location: A separate COC must be filled out for each day of sample collection. Record the two letter postal code for the US state in which the
samples were collected.
5. Regulatory Agency: List the program that is guiding the work to ensure proper regulations are followed.
6. Section D: Complete a Sample; Description in the; " SAMPI L' ID' section as you would like it to appear oil the laboratory report. "Hic: following
information should also be included: the sample matrix, sample type (G (grab) or C (composite). When collecting a composite, the start time and end
time should be documented in the respective boxes. 'llie collection time for a grab (G) sample should be entered in the bores marked 'Composite
End/Grab'), Sample temp at collection-(if:required by state), the total number of containers; and preservative used.
7. Mark if the sample was filtered in the field by marking Y or N in 'filtered' row by the Analysis requested.
8. Requested Anaivsis: List the required analysis and methods on the lines provided and place a check in the; column for the samples requiring the
analysis. Additional comments should be referenced in the bottom left hand corner or include attachments for extended lists of parameters.
9. The sampler should print their name in the space provided and sign their name followed by the date of the sampling event at the bottom of the COC in
the: spaces designated for'SAMPLER NAM]'.' AND SIGNATURE'.
10. When relinquishing custody of the samples to a representative of the laboratory or other organization, indicate the Item Numbers of those samples
being transferred; sign relinquished bv, date and time:, and include your affiliation.
*Important Note:
Standard Turnaround Time is 2 Weeks/10 business days. Results will be delivered by end of business on the date due unless other arrangements
have been made with your project manager.
Special Project Requirements such as Low Level Detection Limits or level of QC repotted must be included on the chain of custody in the Additional
Comments section.

STORMIMATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0444
FACILITY NAME: McCarthy Henderson Concrete Batch Plant
PERSON COLLECTING SAMPLES NA
CERTIFIED LABORATORY NA Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
R GEIVLD
SEP 27 2017
SAMPLE COLLECTION YEAR: 2017
SAMPLING PERIOD: ❑X July -December ❑ January -June ORAL ♦^ICES
COUNTY Vance County
uvvR SECT ION
PHONE NO. ( 864 j 630-0314
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout QOther WS-I11, B
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
PHEvent
(Standard
Units)
TSS
(mg/L)
Duration
(minutes)
Total
Rainfall'
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplingz
-
-
6-9
100 '
-
-
No. I
No Stormwater Disch
rge Storm water
commingled with wastewater,
This plant
ceased operations
as of August 2
, 2017. All e ui
ment and mater
als will be rerroved
from the s
te.
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.
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.
Outfall
No.
Date Sample
Collected
{mo/dd/yr)1
pH
(Standard
Units)
TPH using method
1664A 5GT-NEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
1n Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
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 ❑ NOR' NA
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 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 that there are signifi nt penalties for submitting false information, including the possibility of fo es a imprisonment for knowing violations."
!�
(Sign ure of Permittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

wr.
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0444 SAMPLE COLLECTION YEAR: 2017
FACILITY NAME: McCarthy Henderson Concrete Batch Plant > C4V SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June
PERSON COLLECTING SAMPLES: Kevin Crusa C UU1Vance County
CERTIFIED LABORATORY: Lab # 5y �' P�fUNE NTY: NO. ( 864 ) 630-0314
ADD TO LISTSERVE? ©YES ❑NO EMAIL: [e-mail]
Lab #
LIMIT VIOLATIONS? YES ❑ NO X❑ DWR SF -CD ISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [-]Trout [-]Other WS-III
OPTIONAL INFO: - P4eR4444:y Pege,= Augt4st 2017
Part A: Wastewater Monitoring Requirements
Outfafl No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT HEM'
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day),
-
-
6-93''
303,s
53
(15)6
-
I -
Waste
vater discharge is
rainfall driven and there
was not a qua
ifying rainfall even
during working
hours during
the month
Df August.
The
plant ceased oper
Lions as of August 26, 21017.
1 If wastewater systems have not discharged in this quarter- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

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

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0444 SAMPLE COLLECTION YEAR: 2017
FACILITY NAME: McCarthy Henderson Concrete Batch Plant SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec []Jan -March ❑April -June
PERSON COLLECTING SAMPLES: Kevin Crusa COUNTY: Vance County
CERTIFIED LABORATORY: Lab # PHONE NO. (864 ) 630-0314
❑
Lab #
ADD TO LISTSERVE? ©YES NO EMAIL: [e-mail]
LIMIT VIOLATIONS? YES ❑ NO ❑X DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ❑Other WS-111
OPTIONAL INFO: Monthly Monitoring Report; July 2017
Part A: Wastewater Monitoring Requirements
Outfall Na.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
i
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM'
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day)"
-
-
6-93,4
303•S
53
(15)6
-
-
Waste
ater discharge is
rainfall driven and theic
was not a qua
ifying rainfall event
during working
hours during
the month
f July.
f
iri
Lj
zor�
CC 17-c,
�WR •�f±r,
,��5
1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

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

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0444
FACILITY NAME. McCarthy Henderson Concrete Batch Plant
PERSON COLLECTING SAMPLES: Kevin Crusa
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO 0
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2017
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec
COUNTY: Vance County
PHONE NO.( 864 ) 630-0314
❑Jan -March ®April -June
ADD TO LISTSERVE? ©YES ONO EMAIL: [e-mail]
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other WS-111
OPTIONAL INFO: Monthly Monitoring Report June 2017
Outfall No.
Rate Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEV
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day),
-
-
-
6-93,4
303,5
53
(15)6
-
-
Waste
water discharge is
rainfall driven and the
e was not a qua
ifying rainfall even
during working
hours during
the month
of June.
JUL
�
MkL
FILES
1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

.y Y
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHI_N_30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MAST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
5M
of
Permit Date:7/1/2010-06/30/2015
-7!
(Date)
Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 0444
FACILITY NAME: McCarthv Henderson Concrete Batch Plant
PERSON COLLECTING SAMPLES NA
CERTIFIED LABORATORY NA Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 2017
SAMPLING PERIOD: ❑ July -December Q January -June
COUNTY Vance County
PHONE NO. ( 864 ) 630-0314
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Mother WS-11I, B
Outfail No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
(Standard
Units)
TS5
(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 ,
-
-
No. I
No Stormwater Disch
irge Storm water
commingled with u
astewater.
V .
Ut�NrRAI FILES
IN —
If
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 1 of 2

Part 8: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected 1
(mo/dd/yr)
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 z
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 VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑ NA
REGIONAL OFFICE CONTACT NAME:
Mail Orlsinal and one coov of this DMR (includinP 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 that there are sign' "ca nalties for submitting false information, including the possibility of fines a imprisonment for knowing violations."
(Signature o ermittee) (Date)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0444
FACILITY NAME: McCarthy Henderson Concrete Batch Plant
PERSON COLLECTING SAMPLES: Kevin Crusa
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO 0
Part A: Wastewater Monitorine Reouirements
SAMPLE COLLECTION YEAR: 2017
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑X April -June
COUNTY:.__ Vance County
PHONE NO.( 864 ) 630-0314
ADD TO LISTSERVE? ©YES ❑NO EMAIL: [e-mail]
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other_
OPTIONAL INFO: May 2017 Monthly Sample
WS-111
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)Z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM'
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
6-93,4
303'5
53
(15)6
-
-
Outfall 1
5/22/2017
VE, RM, MD
7.9
26.3
ND
NA
2
QE
NTRAL F
SECTION
' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

�,•r
a
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality -
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." -.0 _.
of Perm
Permit Date: 7/1/2010-06/30/2015
- 714 W1 7
(Dat
Last Revised 07/13/11
Page 2 of 2

Z,rr
PROCESS WASTEWATER -- Quarterly Discharge Monitoring RepaeRcElven
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0444
FACILITY NAME: McCarthy Henderson Concrete Batch Plant
PERSON COLLECTING SAMPLES: Kevin Crusa
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑X
Part A: Wastewater Monitoring Requirements
MAY 19 2017
SAMPLE COLLECTION YEAR: 2017 CWR �C7-10 S
SAMPLE QUARTER: []Jul -Sept ❑Ott -Dec ®Jan-march�]April-June
COUNTY: Vance County
PHONE NO. ( 864 ] 630-0314
ADD TO LISTSERVE? ©YES ❑NO EMAIL: [e-mail]
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout []Other WS-III
OPTIONAL INFO: Monthly Monitoring April 2017
Outfail No.
Date Sample
Collected'
(mm/dd/yr}
Type of Wastewater
2
(VE, RM, MD}
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(ml/L}
TPH usingDischarge
method 1664A
SGT-HEM'
(mg/L)
Duration .
(minutes)
Total Flow
�
(gallons/day)
-
-
-
6-93,4
303,5
53
(15)6
-
-
Plant
operated duri
g the last half of
the month.
There were no q
alitfying rain
events d
ring that
time the
plant
was operating.
If wastewater systems have not discharged in this quarter— report "No Flow' or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2030-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Prpcess wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flaw limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. if the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality .
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU 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 property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." — —*-*' r,
(Signatdre of Permittee)
Permit Date: 7/1/2010-06/30/2015
/3/0
{Date
Last Revised 07/13/11
Page 2 of 2

E/VED
PROCESS WASTEWATER — Quarterly Discharge Monitoring RePOM 2 6 2017
GENERAL PERMIT NO. NCG140000 CENTpAL FILES
DWR SECTION
CERTIFICATE OF COVERAGE NO. NCG14 0444
FACILITY NAME: McCarthy Henderson Concrete Batch Plant
PERSON COLLECTING SAMPLES: Kevin Crusa
CERTIFIED LABORATORY:
Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑X
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2017
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec
COUNTY: Vance County
PHONE NO. 8( 64 ) 630-0314
®Jan -March ❑April -June
ADD TO LISTSERVE? ©YES ❑NO EMAIL: ][e-mail]
DISCHARGING TO CLASS: RSA ❑HQW ❑PNA ❑Trout ❑Other WS-III
OPTIONAL INFO: Monthly Monitoring March 2017
Qutfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPN usingDischarge
method 1664A
5GT-HEM'
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
-
6-93.4
303'5
53
(15),
-
-
No wastewater
flaw was recorded dLie
to plant clo
Lure. All materials
have been I
emoved from I
he site.
' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
S TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

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

RECEIVED
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
MAR 2 i 7011
GENERAL PERMIT NO. NCG140000
CENTRAL FILES
DWR SECTION
CERTIFICATE OF COVERAGE NO. NCG14 0444 SAMPLE COLLECTION YEAR: 2017
FACILITY NAME: McCarthy Henderson Concrete Batch Plant SAMPLE QUARTER: []Jul -Sept ❑X Oct -Dec []Jan -March ❑April -June
PERSON COLLECTING SAMPLES: Kevin Crusa COUNTY: Vance County ___
CERTIFIED LABORATORY:
Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑X-
Part A: Wastewater Monitoring Requirements
PHONE NO. 8[ 64 630-0314
ADD TO LISTSERVE? ©YES ❑NO EMAIL: [e-mail]
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other WS-III
OPTIONAL INFO: Monthly Monitoring February 2017
Outfall No.
Date Sample
r
Collected
(mm/dd/yr)
Type of Wastewater
z
RMMD)
(VE, ,
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-NEM6
(mg/L)
Duration
(minutes)
Total Flow
7
{gallons/day)
-
-
-
6-93'4
303,
53
(15)6
-
-
No was ewate
flow was recorded due
to plant closure.
All materiakl
have been I
emoved from I
he site.
3 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

L }
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224, Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
re of
Permit Date: 7/1/2010-06/30/2015
4ro a.o17
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Repot&E-CEIVED
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0444
FACILITY NAME: McCarthy Henderson Concrete Batch Plant
PERSON COLLECTING SAMPLES: Kevin Crusa
C4I0:-4i1AIApit F1.161:7c1%riIlyA
Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑X
Part A: Wastewater Monitoring Requirements
FEB 21 2017
CENTRAL FILES
SAMPLE COLLECTION YEAR: 2017 DWR SECTION
SAMPLE QUARTER: ❑Jul -Sept ❑X Oct -Dec ❑Jan -March ❑April -June
COUNTY: Vance County
PHONE NO. 864 630-0314
ADD TO LISTSERVE? ©YES ❑NO EMAIL: [e-mail]
terraconsultinbllc.com
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other WS-111
OPTIONAL INFO: Monthly Moni.toi.ng January 2017
Outfall Na.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM6
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day),
-
-
6-93'4
303'5
53
(15)6
-
-
Now st wa a
flow was recorded due
to plant closure.
All material
have been temoved
from
the site.
1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50%of the Summer 70,10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
nature of Permitteej
Permit Date:7/1/2010-06/30/2015
4 O /7
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring
\-
CERTIFICATE OF COVERArN0. NCG14 0444
FACILITY NAME: McCartHenderson Concrete Batch Plant
PERSON COLLECTING SA LES: Kevin Crusa
ERAL PERMIT No. NCG140000
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ❑Jul -Sept
COUNTY: Vance Cou
Report-9
❑Oct -Dec ❑Jan -March G..'p!ril-june
CERTIFIED LABORATORY: e Analytical # 40 PHONE NO.( 864 ) 630-0314
Lab # ADD TO LiSTSERVE? ©YES [—]NO EMAIL:
LIMIT VIOLATIONS? YES ❑X NO ❑ DISCHARGING TO CLASS: [:]SA ❑HQW
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
[e-mail]
terraconsultingllc.com
❑PNA ❑Trout ❑Other WS-111
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM'
(mg/L)
Duration
(minutes)
Total Flow
,
(gallons/day)
-
-
-
6-93.4
303,5
53
(15)6
-
-
No.l
06/17/2016
RM,.MD
11.1
87.4
IND
--
60
325
.�
A
i
J
�\
r r=k1l
i FUMES
\\ G6W__
_R"��(--Tlom
\\Il
U
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

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

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
n --A GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO: NCG14 0444 _
FACILITY NAME: McCarthy Improvement Iredell Cod
11;I.4&10IrK4114:141I►LORY1I►T1I14V
CERTIFIED LABORATORY Pace Analytica_I_ Services_ Lab # 12
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2016
SAMPLING PERIOD: ❑X July -December ❑ January -June
COUNTY Iredell County
PHONE NO. (563 ) 529-4430
ADD TO LISTSERVE? DYES ❑NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ®Other C
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
{Standard
Units)
TS5
(mg/L)
Event
Duration
(minutes)
Total
,
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2
2 Sampling
-
-
6-9
100 '
-
-
-
-
No. i
No Storrwater Disch
irge Stomt water
commingled with wastewater.RECTIVED
I
Litt
CENTRAL
1LES
QWR SEC
MON
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HOW, 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

Pa Ahicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month —averaged over a calendar year.
v�
'.�
Outfall
No.
Date Sample
Collected
{mo/dd/yrjl
pH
(Standard
Units}
TPH using method
1664A 5GT-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
6-9
15
100 '
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO FN
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copv of this DMR (includins all "No Flow" & "No Discharee" 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 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
th se ersons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete,
arq a are that,ther?,are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
aturE(ol Iirmittee)
Permit Date:7/1/2011-60/30/2015
/-2_3 -.2-0/7
(Date)
Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. N rG144:4V
FACILITY NAME: McCarthy 1lenderpon Concrete Batch Plant
PERSON COLLECTING SAMPLES:in Crusa
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO X❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ❑Jul -Sept
COUNTY: Vance County
❑X Oct -Dec Dian -March ❑April -June
PHONE NO.( 864 ) 630-0314
ADD TO LISTSERVE? ©YES ❑NO EMAIL: [e-mail]
terraconsultingllc.com
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other WS-111
OPTIONAL INFO: Monthly Monitoing December 2016
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method
method 1664A
SGT-HEM'
(mg/L)
(minutes)
Total Flow
,
(gallons/day)
-
-
-
6-93,4
303,5
53
(15f
-
-
No wastewate,,
flow was recorded due
to plant c1gsure.
All material
ut=_ a
from
the site.
*�tutBf
tLj
DWR SE
N
1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here. Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." _ r,
(Signatu}e of Permitte
Permit Date:7/1/2010-06/30/2015
//4 l
(Dat
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
10
CERTIFICATE OF COVERAGE NO. CG14 0444
FACILITY NAME: McCarthy Hen erson Concrete B,
PERSON COLLECTING SAMPLES: evin Crusa /
GENERAL PERMIT NO. NCG140000
Plant
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO 0
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ❑Jul -Sept ❑X Oct -Dec ❑Jan -March ❑April -June
COUNTY: Vance County
PHONE NO. [ 864 j 630-0314
ADD TO LISTSERVE? ©YES ❑NO EMAIL: [e-mail]
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout []Other WS-111
OPTIONALINFO: Monthly Monitoring November 2016
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD) z
pH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1S64A
SGT
/L)NEV
(mg/L)
Discharge
Duration
(minutes)
Total Flow
>
(gallons/day}
-
-
-
6-93,4
303'5
53
(15)6
-
Now stew to
flow was recorded d
e to plant closure.
All material
have been
removed from the
site.
�e i V C
7
t.t
NTRAL FILE-,
"
v3� s�CTION
1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN_30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons 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
(Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

STORMIMATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
C
;�Y( V
CERTIFICATE OF COVERAGE NO. NCG14 0444 _
FACILITY NAME: McCarthyFI nd rson Concrete tch Plant
PERSON COLLECTING SAMPLES f1
CERTIFIED LABORATORY NA Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Reouirements
PE IT No. NCG140000
1
AMPLE COLLECTION YEAR: 2016
SAMPLING PERIOD: ❑ July -December ❑X January -June
COUNTY Vance County
PHONE NO.( 864 ) 630-0314
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ❑X Other WS-I11, B
Outfall Na.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
(Standard
Units)
TSS
(mg/L)
Event
D
Duration
(minutes)
Total
,
llfainRation
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
4 of Months in Tier
2 SamplingZ
-
6-9
100 ,
-
-
No. I
No Stormwater Disch
irge Storm wate
r commingled with w
stewater.
RAL
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.
i If a value is in excess of the benchmark, or outside the benchmark range (for pH); you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/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
n0s]
2017
FILES
TI N
Last Revised 7/13/11
Page 1 of 2

Part B: Y�hicle 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 2
2
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 copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample for at end of monitoring Deriod
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 that there are signi 'ant penalties for submitting false information, including the possibility of finesAnd imprisonment for knowing violations."
l
(Signature Permittee) (Da e)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0444
FACILITY NAME: McCarthy Henderson Concrete Batch Plant
PERSON COLLECTING SAMPLES NA
CERTIFIED LABORATORY NA Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2016
SAMPLING PERIOD: ❑N July -December ❑ January -June
COUNTY Vance County
PHONE NO. ( 864_] 630-0314
ADD TO LISTSERVE? ❑YES FIND EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW
❑PNA ❑Trout OOther WS-Ill, B
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
1
NO FLOWS
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'
-
-
6-9
1D0 '
-
-
-
No. I
No Stormwater Diseh
irge Storm water
commingled with wastewater.
IICT052016
D
R.g
1 If "NO FLOW" or DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 if a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit, Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
a TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
4For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B. Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)1
pH
(Standard
Units) .
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L]
Event
Duration
{minutes}
Total
4
Rainfall
(in]
'New Motor Oil
Usage
(gal/month]
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
2
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 (including all "No Flow" & "No Discharge" reports) within 30 days of receirat of sample for at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that t are si rnMpalties for submitting false information, including the possibility of fines 4pd imprisonment for knowing violations."
f'z1 6
(Signature of ermittee) (Dat
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0444
FACILITY NAME: McCarthy Henderson Concrete Batch Plant
PERSON COLLECTING SAMPLES: Kevin Crusa
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: X❑Jul-Sept
COUNTY: Vance
[]Oct -Dec ❑Jan -March ❑April -June
CERTIFIED LABORATORY: Pace Analytical Lab # 40 PHONE NO.( 864 ) 630-0314
Lab # ADD TO LISTSERVE? ©YES []NO EMAIL:
LIMIT VIOLATIONS? YES 0 NO ❑ DISCHARGING TO CLASS: ❑SA ❑HQW
OPTIONAL INFO:
Part A: Wastewater Monitorine Reouirements
[e-mail]
❑PNA ❑Trout ❑Other WS-I11
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
x
RMMD}
{VE, ,
pH
{standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
5GT HfNJG
(mg/L)
Duration
(minutes)
Total Flow
7
{gallons/day}
-
-
-
6-93,4
303'5
53
(15)6
-
No. 1
9/26/2016
VE RMI & MD
9.6
95.2
ND
'-
24.0 min.
230,000 gpd
PEI
If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

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

Permit Number NCG140444
Central Files: APS _ SWP
4/4/2016
Permit Tracking Slip
Program Category
Status Project Type
NPDES SW
In review New Project
Permit Type
Version Permit Classification
Ready Mix Concrete Stormwater/Wastewater Discharge COC
COC
Primary Reviewer�1>j
Permit Contact Affiliation
rick riddle
>r1
Coastal SWRule
APR O z111S
.
c�Nr
DwR
Permitted Flow
SEC7'0N
Facility
Facility Name
Major/Minor Region
McCarthy Henderson Concrete Batch Plant
Minor Raleigh
Location Address
County
3950 US 1
Vance
Henderson NC 27537
Owner
Facility Contact Affiliation
Jackie Congleton
PO Box1738
Carrollton GA 30112
Owner Name Owner Type
McCarthy Improvement Company Non -Government
Owner Affiliation
Warren Baker
3950 US 1
Dates/Events Henderson NC 27537
Scheduled
Orig Issue App Received Draft'lnitiated Issuance
2/19/2016
Public Notice IsSuel
y j
Eff t' a
#/h k
I
Exp' atio
Regulated Activities _ _
.
Requested !Received Events
Ready mixed concrete - stormwater discharges
RO staff report received
3128/16
RO staff report requested
2125116
Other agency comments requested
2/25/16
Other agency comments received
Outfall 1
Waterbody Name Streamindex Number Current Class Subbasin
Anderson Swamp Creek (Including Anderson Swamp Creek Arm of 23-8-6-(1) WS-III,B 03-02-06

Energy. Mineral
and Land Resources
ENVIRONMENTAL Ol1ALITY
April 4, 2016
Warren Baker
McCarthy improvement Company
590 Means Street NW
Atlanta, GA 30318
PAT MCCRORY
Cinvemor
DONALD R. VAN DER VAART
Secreion'
TRACY DAVIS
I]trector
Subject: General Permit No. NCG 140000
McCarthy Improvement Company
COC NCG140444
Vance County
Dear Mr. Baker:
In accordance with your application for a discharge permit received on February 19, 2016, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state — NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-
215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection
Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage (COC) is not transferable except after notice to the
Division of Energy, Mineral, and Land Resources. The Division may require modification or revocation
and reissuance of the certificate of coverage.
Please note that NCG 140000 contains effluent limitations for process wastewater discharges (see Part IV,
Section D). Wastewater discharges must meet the requirements of these effluent limitations. An
exceedance of any of these limitations is a violation of permit conditions.
Please note that the attached General Permit expires on June 30, 2016. Your COC will be automatically
renewed to cover the full 5 year term of the soon to be reissued permit. In the interim you must abide by
the terms of the expiring permit. You can review the proposed general permit changes once they are
posted at:
httpaldeg,nc.gov/abouUdivisions/energy-mineral-land-resources/energ --mineral-land-permits/stormwater-permitslnpdes-
industrial-sw
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
Resources, Coastal Area Management Act, or any other federal or local governmental permit that may be
required.
State of North Carolina I Envirommentai Quality; Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury street I Raleigh, NC 27699-1612
919 707 9200 T

If you have any questions concerning this permit, please contact Richard Riddle at telephone number
[phone].
Sincerely,
?2��?-Af-4o-q
for Tracy E. Davis, P.E., CPM
cc: Raleigh Regional Office
Central Files
Stormwater Permitting Program Files
Sere of \otzh Carol m I Environmental Qualin•I Enem; \fneral and Land Resources
161: \'hii Senice Center 1 512 \orth SaGsh=Street I Ra?eieh. \C'_7699.1612
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140444
STORMWATER and WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
McCarthy Improvement Company, Inc.
is hereby authorized to discharge stormwater and process wastewater from a facility located at
McCarthy Henderson Concrete Batch Plant
3950 US 1
Henderson
Vance County
to receiving waters designated as Anderson Swamp Creek, a class WS-III, B water in the
Roanoke River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, I1I, IV, and V of General Permit No. NCG 140000 as
attached.
This certificate of coverage shall become effective April 4, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 4, 2016.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

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��'Jt :�� ter, �. "� .s�" -v�� i.�-�./;A�� \\-��ti ��jlas'r: � �.5�••�\��1
•-:, � r= % ` �-. ; � � ,, 1 ✓ c, r a9 $roo s ton � ti ' 4- � r — —•__. . ��
McCarthy Concrete Batch Plant
r• �' C)
�a ���� �- �� �1� �1 � —•u 1.S�3
``,�y�
M If - - S2 • ~ _'h1f�` 4'u• °^ 1 1 t �i � `I L\1 ,� �� �I ��J n o S
e 5�a•�a ,� _.o�y tI51S.sr, ��.��e•.._. 1 ` �"�_% I �f 4
NCG140444
N
W E
S
Map Scale 1:24,000
McCarthy Improvement Company, Inc.
Henderson Concrete Batch Plant
Latitude: 360 22' 03" N
Longitude: -780 21' 29" W
County: Vance
Receiving Stream: Anderson Swamp Creek
Stream Class: WS-III, B
Index Number: 23-8-6- (1) (Roanoke River Basin)
Facility Location

Aria
Division of Energy, Mineral and Land Resources
Land Quality Section
NCDENRNational Pollutant Discharge Elimination System
Np — CaHO - OE T' 'T O
E—NOn MENT — NM— RESOURCE:
NCG 140000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
Certificate ofCovera e
cn c- 0 1 A4p4l !
Permit A s med to
JC
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG140000:
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code: 3273 and like activities - Ready Mixed Concrete
This NOI may be an application to discharge process wastewater. NCG140000 contains effluent limitations for
process wastewater discharges. Wastewater discharges must meet the requirements of these effluent
limitations. An exceedence of any of these limitations will result in a violation of the permit conditions.
For questions, please contact the DEMLR Central Office or Regional Office in your area. (See page 8}
(Please print or type)
1) Mailing address of ownerloperator (official address to which all permit correspondence will be
mailed): (Please print or type all entries in this application form.)
Legal Owner Name McCarthy Improvement Company
(Please attach the most recent Annual Report to the NC Secretary of State showing the current legal name. Alternatively this
permit can be given to an individual.)
Signee's Name (as signed for in question 29 below) Warren Baker
Street Address 590 Means Street NW
City Atianta State GA_ ZIP Code 30318
Telephone No. 864-630-3631 Email wbaker mccarth im provement.com
Alternate Contact Name Jim Rezac mail (if different) irezacCcDmccarthyimprovement.com
Alternate Contact Telephone (if different) [phone]
2) Location of facility producing discharge:
Facility Name McCarthy Henderson Concrete Batch Plant
Facility Contact Warren Baker, Project Manager
Street Address 3950 US 1
City Henderson State NC — ZIP Code 27537
County Vance Coup
Telephone No. 864 — 630-3631 Fax: NA
3) Physical location information:
Please provide narrative directions to the facility (use street names, state road numbers, and distance and
direction from a roadway intersection). From Raleigh travel north on US 1 for approximately 40 miles. Merge
onto US-1 N 1 US-158 E toward Norlina and travel 0.25 miles. Location is iust past Grevstone Road.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude 36° 22' 3" Longitude -78� 21' 29" (deg, min, sec)
5) This NPDES Permit Application .applies to the following (check all that apply):
Q New or Proposed Facility Date operation is to begin April 2016
❑ Existing Facility Permit #
7 3`f - i g- 3577�o
3� ( Page 1 of 7
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NCG140000 N.O.I.
6) Consultant's application information:
Consultant: Jacki Conqleton
Consulting Firm: Terr
Mailing Address: P.O
City: Carrollton
State: GA Zip Code
Phone: [phone] Fax: ( )
Email:
11
(Optional)
Staple Business Card Here:
7) Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary
industrial activity at this facility:
SIC Code: 3 2 7 3
8) Provide a brief description of the types of industrial activities and products produced at this facility:
(Attach a site diagram showing the process areas present at this facility.)
See attachment A
Stormwater Discharge, Wastewater Treatment & Discharge and Permitting Information
9) Discharge points 1 Receiving waters:
Number of discharge points (ditches, pipes, channels, etc.) that convey stormwater and/or wastewater from
the property:
Stormwater-only: _0 Wastewater -only: _Q Wastewater Commingled with Stormwater: _ 1
For new facilities: Expected date of commencement of discharge: April 2016
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges end up in? unnamed tributar ry to Anderson Creek
Receiving water classification(s), if known: Anderson Creek— WS-111, B
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer). NA
Will this facility discharge wastewater to SA (Shellfishing) waters? ❑ Yes 0 No
Note: Discharge of process wastewater to receiving waters classified as WS-II to WS-V or SA must
be approved by the N.C. Division of Water Resources, Public Water Supply Section. If DWR
does not approve, coverage under NCG140000 cannot be granted. No new discharges of
process wastewater are permitted in receiving waters classified as WS-I or freshwater ORW.
10) Each applicant shall provide the following information (attach additional sheets as necessary):
• Two (2) site plans depicting the facility or site with numbered outfalls which indicate stormwater and
wastewater outfalls. The plans shall legibly show. at a minimum, (existing or proposed):
o Outline of drainage areas with topographical lines and features
o Stormwater/wastewater treatment structures
o Location of numbered stormwater/wastewater outfalls (corresponding to which drainage areas)
o Runoff conveyance structures
o Areas and acreage where materials are stored
o Impervious area acreages
o Location(s) of streams and/or wetlands the site is draining to, and any applicable buffers
o Site property lines, North Arrow, and bar scale
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NCG140000 N.O.I.
o If applicable, the 100-year floodplain line
o Acreage of each stormwater and wastewater topographical area
o Each of the facilities' wastewater or stormwater source and discharge structures and each of its
hazardous waste treatment, storage, or disposal facilities
o Site location (insert)
Site plans shall be 24" x 36" in size.
• Line drawing and description: A line drawing of the water flow through the facility. A pictorial
description of the nature and amount of any sources of water and any collection and treatment measures.
• A narrative description and identification of each type of process, operation, or production area which
contributes wastewater to the effluent for each outfall, and a description of the treatment the wastewater
receives (or will receive), including the ultimate disposal of any solid or fluid wastes other than by
discharge. Processes, operations, or production areas may be described in general terms (e.g. "ash
silo").
11) Does the applicant have any unresolved Notice of Violations (NOVs)?
Q No ❑ Yes
Wastewater.
12) What types of wastewater does your facility generate or discharge?
Type of Authorized Wastewater
Generate
Discharge
Sent to WW
Treatment
System
Vehicle and equipment cleaning VE
Q
Q
❑
Wetting of raw material stockpiles (RM)
Q
Q
❑
Mixing drum cleaning MD
Q
Q
❑
Further explanation, if necessary: See Attachment A
13) Will your facility spray -down or actively wet aggregate piles?
❑ No Q Yes
14) Does the facility use any of the following on site?
❑ Phosphorus -containing Detergents
❑ Brighteners ❑ Other Cleaning Agents
❑ Non -Phosphorus -containing Detergents
❑ Other:
15) Are wastewater treatment facilities planned in the 100-year flood plain?
Q No ❑ Yes
16) Does your facility use or plan to use a recycle system, or recycle components in your treatment system?
Q Yes ❑ No
If yes, what size storm event is the system designed to hold before overflowing? (for example, 10-yr, 24-hr)
25 year (see Attachment A)
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NCG140000 N.O.I.
17) Will your facility build a closed -loop recycle system that meets design requirements in 15A NCAC 02T
i 1000 and hold your facilities' working volume'?
1
❑ Yes 0 No
Will your facility discharge wastewater to surface waters?
0 Yes ❑ No
If the facility's treatment system meets the design requirements of 15A NCACO2T .1000 (including
holding the 25-year, 24-hour storm plus one foot of freeboard), holds the working volume of your site,
and does not discharge wastewater to surface waters, you may not be required to obtain an NPDES
permit for wastewater discharges. If you believe this is the case, please contact DEMLR's Aquifer
Protection Section Land Application Unit Central Office Supervisor or staff (1636 Mail Service Center,
Raleigh, NC 27699-1636) for more information on obtaining the necessary permits or approvals. If you will
discharge wastewater or stormwater to surface waters, please continue to apply for a permit to discharge
associated with ready -mixed concrete or like operations under NCG140000. For further questions, please
contact DEMLR's Stormwater Permitting Unit Staff.
18) A wastewater treatment alternatives review is required by 15A NCAC 2H.0105 (c)(2) for any new or
expanding water pollution control facility's discharge in North Carolina. You may attach additional sheets.
a) What wastewaters were considered for this alternatives review? EVE O RM O MD
b) Connection to a Municipal or Regional Sewer Collection System:
i) Are there existing sewer lines within a one -mile radius? ..................................... ❑ Yes 0 No
(1) If Yes, will the wastewater treatment plant (WWTP) accept the wastewater? .... ❑ Yes ❑
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?*
c) Closed -loop Recycle System (must meet design requirements of 15A NCAC 2T .1000):
i) Are you already proposing a closed -loop recycle system (CLRS)? ❑ Yes El No
(1) If Yes, contact DEMLR's Aquifer Protection Section's Land Application Unit
(2) If No, is this option technologically feasible (possible)? Why or why not?*
see attachment A
(3) If No, is it feasible to build a CLRS on your site? Why or why not?`
see attachment A
(4) What is the feasibility of building a CLRS compared to direct surface water discharge?*
see attachment A
No
I See DWQ's Aquifer Protection Section Land Application Unit's Water Balance Calculation Policy for more information, on DWo LAU's
website http:ttportal.ncdenr.orcitweb/wglaps/lau/policies for more information.
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NCG140000 N.O.I.
d) Surface or Subsurface Disposal System (e.g., spray irrigation):
i) Is a surface or subsurface disposal technologically feasible (possible)? ....................2 Yes ❑ No
Why or Why not? See attachment A
ii) Is a surface or subsurface disposal system feasible to implement?* ........................ 0 Yes ❑ No
Why or Why not?
See attachment
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters?* See attachment
e) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?*... 0 Yes ❑ No
i) if No, contact DEMLR's Land Application Unit to determine permitting requirements.
f) If this review included all wastewater discharge types, would excluding some types (e.g. raw
stockpile wetting) make any of the above non -discharge options feasible? ............. .0 Yes 0 No
* You may be asked to provide further information to support your answers to these questions after the initial review.
Feasibility should take into account initial and recurring costs.
Stormwater:
19) Does this facility employ any best management practices for Stormwater control? ❑ No 0 Yes
If yes, please briefly describe: See Attachment A
20) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No 0 Yes
If yes, when was it implemented? The SPPP will be completely implemented before the commencement of
operations
21) Are vehicle maintenance activities (VMA) occurring or planned at this facility? 0 No ❑Yes
If yes, does your VMA area discharge into your wastewater treatment device? ❑ No ❑ Yes
Other/Permitting:
22) Does this facility have a Division of Land Resources Erosion & Sedimentation Control (E&SC) Permit?
0 No ❑ Yes
If yes, list the permit numbers for all current E&SC permits for this facility:
23) Is your facility subject to Phase II Post -Construction Area? ❑ Yes No
If yes, who is the permitting authority?
24) Is your facility located in one of the 20 Coastal Counties? ❑ Yes 0 No
Is your facility adding more than 10,000 ftz of built -upon area or CAMA Major Permit? ❑ Yes 0 No
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NCG140000 N.O.I.
25) Is your facility discharging wastewater (treated or untreated) such as water from wetting of aggregate piles,
drum rinse -out, or vehicle and equipment cleaning to a stormwater BMP? ❑ No Yes
If yes, please attach your approval from the permitting authority to do so.
26) Does this facility have any other NPDES permits? 0 No ❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
27) Does this facility have any Non -Discharge permits (ex: recycle permits)? 0 No ❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
28) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
0 No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
0 No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
0 No ❑ Yes
d) Type(s) of waste: used oil
How is material stored: in one (1) 75-gallon self contained double wall plastic tank
Where is material stored: in tank near the parts trailer
How many disposal shipments per year: one 1
Name of transport 1 disposal vendor: Safety-Kleen
Vendor address: 6225 Old Stage Road, Raleigh, NC 27603
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
0 Check for $100 made payable to NCDENR.
W; r 0 This completed application and all supporting documentation. See Question 10.
❑ If an Erosion & Sedimentation Control (E&SC) Plan is required from Division of Land Resources (DLR)
or local designee: documentation verifying applicant has developed and submitted that Plan to the
governing agency (required per 15A NCAC 02H .0138),
�t 0 Two (2) site plans depicting the site plan with numbered outfalls which indicate stormwater and wastewater
1F outfalls. See Question 10.
0 A county map or USGS quad sheet with location of facility clearly marked.
29) Signatory Requirements (per 40 CFR 122.22)
All applications, reports, or information submitted to the Director shall be signed and certified.
a. All notices of intent to be covered under this General Permit shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this permit, a responsible corporate officer means: (a) a president,
secretary, treasurer or vice president of the corporation in charge of a principal business function, or any other person who performs similar
policy or decision making functions for the corporation, or (b) the manager of one or more manufacturing production or operating facilities
employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million (in second quarter 1980 dollars), if
authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official.
Page 6 of 7
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Attachment A
NCG140000 N.O.I. Additional Information for Questions
McCarthy Improvement Company, Inc.
McCarthy Henderson Concrete Batch Plant
8) Description of Industrial Activities
The facility will be a temporary concrete batch plant located on a 4.5 acre parcel owned by S.T. Wooten
Corporation located near the intersection of Highway 1 and Greystone Road in Vance County. The site was
previous occupied by a ST Wooten Ready Mix plant. The McCarthy Improvement plant will provide the concrete
for a repaving project in Interstate Highway 85.
12) Type of Wastewater
A combination of wastewater and stormwater will be discharged from this facility's outfall intermittently during
the approximately 3.5 years the plant is expected to be located at this site. Wastewater will be comingled with
stormwater only when the plant is in operation. The plant is expected to be in operation 60 days in 2016, 60 days
in 2017, 30 days in 2018, and 30 days in 2019. On the days the plant is operating the wastewater described below
will be generated.
The concrete mixing drum will be washed out once per day when operating. Washing the drum will produce an
estimated 800 gallons of wastewater per day.
A lawn sprinkler and hose will be used for wetting the aggregate stockpile. The sprinkler is rotated around the
stockpile during the day to cover all parts of the pile. Wetting the aggregate stockpile is conducted to produce an
evaporative cooling of the stone. The evaporation of the water during this sprinkling process reduces the volume
of water that ultimately flows away from the stockpile. Wetting is not used on the sand stockpile. Per DOT
specifications both the aggregate and sand are washed prior to being delivered to the site, reducing the potential
fines in the runoff of the stormwater/wastewater mixture from the area covered by the stockpiles.
The plant anticipates using 15 to 20 trucks on this project and each truck will washout approximately four times
per day. Each washout will use approximately 50 gallons of water. The anticipated volume of wash water
generated will be approximately 4,000 gallons per day, which will be contained and recycled through the
recycling system until the loading of suspended soils is too high to recycle. At that point the wastewater will be
used for dust suppression on the vehicle travel routes on the site. Therefore the volume of water generated by
washing out truck beds is minimized. This system is described in question 16.
16) Recycling system
This plant will be using a mobile water recycling system designed to remove suspended solids from the
wastewater generated by washing out the truck beds of the dump trucks hauling the concrete. The recycling
system consists of two converted standard solid -waste roll -off boxes. One converted box contains a grit removal
chamber and a primary settling chamber, and the second smaller box contains a sand filter and an effluent pump
out chamber. The system has a design flow rate of 10 gallons per minute or 14,000 gallons per day. After
multiple passes through the system the residual suspended solids in the water build up to the point where it can no
longer be used in the washout area. At this point some of the water is used for dust suppression and fresh water is
added to the wash out system. The holding capacity of the system is approximately 9,000 gallons. The water in
the system is turned over approximately every ten day. An average of 900 gallons from the recycling system is
used for dust suppression daily. Solids removed in the grit removal and primary settling portions of the recycling

container are removed at predetermined levels of accumulation. The solids are dried and disposed of in an
industrial solid waste facility.
The trucks to be washed drive onto an elevated platform and park in an area surrounded by berms that divert the
wash water to a discharge point where it is conveyed by pipe to the recycling container. The inlet end of the pipe
is sealed when the plant is not in operation preventing stormwater falling in the washout area from entering the
recycling container. Since the plant cannot operate while it is raining no stormwater from the parking area will
enter the recycling container, therefore the only rainfall that enters the container is that which falls directly on the
container. A freeboard of 6 to 8 inches is maintained in the recycling container at all times, which would
accommodate the rainfall from a 10 year (5 inches) or 25 year (6 inches) storm event.
18) Wastewater Treatment Alternatives Review
c) Closed -loop Recycling System (15A NCAC 2T .1000)
(2) Construction of a CLRS meeting NC standards 15A NCAC 2T .1000 is not technologically feasible.
The small size of the site does not provide the space necessary to construct the CLRS to meet the NC
standards.
(3) Although the plant will be located at this site for approximately 3.5 years, it will only operate
approximately 180 days during that time. The limited operational time at the site does not justify the
expense of constructing the CLRS. Additionally, this project, as with most similar projects, has a fairly
short lead time and the six months or more that would be necessary for the design, approval, and
installation of a CLRS is not available.
(4) The time and disruption of constructed infrastructure required for the design, approval, and
installation of a closed -loop recycling system that will be utilized for the treatment of a limited amount of
wastewater generated no more than 180 days over the next two and a half years cannot be justified.
(d) Surface or Subsurface Disposal Systems
(i) Wastewater from the recycling system can be used for dust suppression and a detention pond can
reduce solids in the water discharged to the surface.
(ii) Water from the recycling system described in Question 16 will be used for dust suppression when the
residual suspended solids in the water make it impossible to continue recycling the water. Also, all
wastewater will be contained within a detention pond which will allow a significant portion of the
suspended solids to settle out before being discharged to the surface.
(iii) Both methods of surface disposal are feasible and will be implemented.
19) Best Management Practices (BMP)
(1) Perimeter containment/diversionary berms along the west and north edges of the site will direct the combined
stormwater and wastewater discharges to the detention pond.
(2) A detention pond at the north end of the site will contain the combined stormwater and wastewater to allow a
significant portion of the suspended solids to settle out of the water before being discharged.
(3) A perimeter diversionary berm along the south edges of the site will divert potential run-on from the area to
the south of the sites to the roadside drainage ditch. This will prevent the combination of stormwater and
wastewater discharges from this site from commingling with stormwater from the adjacent area south of the site.
Sediment fence will be installed along the north and south edges of the site to the outside of the containment
berms. Fencing will be installed, monitored, and maintained according the practice standards and specifications
contained in the North Carolina Erosion and Sediment Control Planning and Design Manual (section 6.62).
(4) All disturbed surfaces within the site boundaries will be stabilized with 4 to 6 inches of graded aggregate base
(GAB).
(5) All parts and maintenance oil, grease, and fluids will be stored inside the parts trailer at all times.
(6) Used oil from minor maintenance is stored in a 75-gallon double -wall tank.

Attachment B — Description of Processes Producing Wastewater
Three processes at this facility will potentially contribute wastewater to the effluent from the outfall.
Wastewater Source 1:
Wastewater Source 1 is the concrete batch plant drum. The drum on the plant will be washed out once
per day on days he plant is operational. The plant is expected to operate approximately 60 days in 2016,
60 days in 2017, 30 days in 2018, and 20 days in 2019. The wastewater produced from each washout is
approximately 800 gallons per day.
Wastewater Source 2:
Wastewater Source 2 is the truck bed washout used to washout the beds of the dump trucks used to
transport the concrete to the location being paved. The plant anticipates using 15 to 20 trucks on this
project and each truck will washout approximately four times per day when the plant is operating. Each
washout will use approximately 50 gallons of water. The anticipated volume of wash water generated
will be approximately 4,000 gallons per day, which will be contained and recycled through the recycling
system. This plant will be using a mobile water recycling system designed to remove suspended solids
from the wastewater generated by the concrete truck bed washout. The recycling system consists of two
converted standard solid -waste roll -off boxes. One converted box contains a grit removal chamber and a
primary settling chamber, and the second smaller box contains a sand filter and an effluent pump out
chamber. The system has a design flow rate of 10 gallons per minute or 14,000 gallons per day. After
multiple passes through the system the residual suspended solids in the water build up to the point where
it can no longer be used in the washout area. At this point some of the water is used for dust suppression
and fresh water is added to the wash out system. The holding capacity of the system is approximately
9,000 gallons. The water in the system is turned over approximately every ten day. An average of 900
gallons from the recycling system is used for dust suppression daily. Solids removed in the grit removal
and primary settling portions of the recycling container are removed at predetermined levels of
accumulation. The solids are dried and disposed of in an industrial solid waste facility. Wastewater
spilled or leaked from the recycling system or the washout area would flow to the detention pond and
ultimately be discharged to the surface.
Wastewater Source 3:
Wastewater Source 3 includes the aggregate and sand stockpiles. The aggregate stockpile will be wetted
using a lawn sprinkler and hose. The sprinkler will be rotated around the stockpile during the day to
cover all parts of the pile. Wetting the aggregate stockpile is done to produce an evaporative cooling of
the stone. The evaporation of the water during this sprinkling process reduces the volume of water that
ultimately flows away from the stockpile. Wetting is not used on the sand stockpile. Per DOT
specifications both the aggregate and sand are washed prior to being delivered to the site, reducing the
potential fines in stormwater runoff from the area covered by the stockpiles. Wetting of the aggregate
stockpile will be conducted up to 24 hours per day when the plant is operating. The wastewater from the
aggregate stockpile will consist of water from the wetting of the stone and stormwater that falls on the
pile. Wastewater from the sand stockpile will consist of only stormwater that falls on the pile.
Stormwater and wastewater from both stockpiles will flow to the detention pond and ultimately be
discharged to the surface.