NCG140242_MONITORING INFO_20120112

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv C& /9 oQq)
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑
YYYYM M D D

0
1O\,1-
W.Ww+O� C.n
Stormwater Discharge Outfall (SDO)�
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o enr state nc us/eu/Forms Uocuments.ntmilnuselo
Permit No.: NIC191 11 AJI o 1 v/ zD/ o l or Certificate of Coverage No.: NIGGILI �l o/X l al Zl
Facility Name: e d_-
County: GU4er-,
Inspector• e",
Date of Inspection:
Time of Inspection:P-
No. 91q- fqo -13-Z4>
Total Event Precipitation (inches): / • bD
Was this a Representative Storm Event? (See information below) EZYcs ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours Q days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this
accurate and complete to the best of my knowledge:
(S onap e of Permittee or Designee)
/ D
1. Outfall Description: JJ
Outfall No. �_ Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the io lustrial activities that occuy witlyin the out�0 dr;ain;lge area:
2. Color: Describe the color of the discharge using basic c
(light, medium, dark) as descriptors: 'A
brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may hav i.e., smells strongly of oil, weak
chlorine odor, etc.): �1W
Page 1 of 2
SWU-242-112608

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

Form GA READY MIXED CONCRETE COMPANY
PLANT # / DATE: zo 11
North Carolina Qualitative Monitoring Report
Certificate'' o''f//Coverage No. NCG 1400 Plant Name: tir 111d1e15
-County:
Inspected by:�i✓rciGU��i
Date of Inspection:
By this signature, I certify tha is r port is accurate and complete to the best of my knowledge:
(slg�ture)
STORMWATER DISCHARGE OUTFALL (SDO) VISUAL MONITORING REPORT
1 Outfall Description ( attach SDO Visual Monitoring Report for each add'I SSOOj
Outfall No. SDO Structure (pipe, ditch, etc. )
Receiving Stream:
Describe the Indus
2 Color
CL.1 '
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark, etc)
3 Odor
Describe any distinct odors that the disch a may have (i.e. smeiis strongly of oil, weak ohiorin e odar,
etc.) l✓
4 Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3 4 5
7
5 Floating Solids
10

Choose the number which best describes the amount of solids in the stormwater discharge
where 1 is clear and 10 is extremely muddy:
1 2 3 4 5
6 7 6 9 10
6 Floating Solids
Choose the number which best describes the amount of solids in the stormwater discharge
where 1 is clear and 10 is extremely muddy:
1 2 3 4 5
6 7 6 9 10
7 Foam
Is there any foam in the stormwater discharge? YES NO.
B Oil Sheen
is there any oil sheen in the stormwater discharge? YES
9 Other Obvious ndicators of
List and dsecribe
Pollution
NOTE:
Low clarity, high solids, and/or presence of foam or oil sheen may be indicative of pollutant exposure.
These conditions may warrant further investigation.

;YA1
DISCHARGE OUTFALL MONITORING REPORT
NCDENR GENERAL PERMIT NCG140000
(All sample data shall be reported no later than 30 days after receipt of lab results)
Certificate of Coverage
NCG14
Certified Laboratory.# -(a
Facility.Name
_
.Person Collecting Sample(s)
County.
Collectors Signature� .
-
Phone Number
IZ
Sample Information
`m
Permit Term
Year
Year Start/End Dates
-
rPI check mark to indicate .
applicable sampling period.
Discharge Type (check as appropriate)
Stormwater l
Wastewater
1
August 1, 2009 to July 31, 2010
❑
❑
[�
❑
❑
2
August 1, 2010 to June 30, 2011
Other
B -L - 2b J t- o /n -JL2
Part A: Stormwater Discharge Monitoring Data (For stormwater not combined with process wastewater)
Storm Event Characteristics
Date. -
Total Event Precipitation (inches)
.Event Duration (hours)
�i-15-Ze
Stormwater Discharge Monitoring
Outfall
No.
Date Sample
Collected
-(mo/dd/ r)
Total Flow -
(MG)
- Total Event
Precipitation
.(inches) -
Event Duration
(hours)
pH
(Std.. nits)
Total
-Suspended
Solids
(m ) -
--Zei
o J
.DD
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
oil per month? El Yes [C;3"No If yes, complete information below.
Stormwater Discharge Monitoring from Vehicle Maintenance Areas
Outfall
No.
Date Sample
Collected
(mo/dd/ r)
Total Flow
(MG)
Total Event
Precipitation
(inches)
Event
Duration
(hours)
New
Motor Oil
Usage
('.al/mo)
pH
(Std. Units)
Total
Suspended
Solids
(m p)
Oil and
Grease
(mg/l)
S WTJ-241-080109 Page I of 2
�� ,P� N

Part B: Process wastewater discharge monitoring data
Sample #
Effluent Source(s) for this sample /
Vehicle / Equipment Cleanin ❑
Raw Material Stock -pile Wettin ❑
Mixing Drum Clean -out ❑
Recycle System Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/1
Settleable Solids
ml/1
Sample #
Effluent Source(s) for this sample
4
Vehicle / Equipment Cleaning
❑
Raw Material Stock -pile Wetting
❑
Axing Drum Clean -out
❑
Recycle System Overflow
❑
Parameter
Unit
Data '.
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
PH
Std. units
TSS
mg/1
Settleable Solids
ml/1
Mail original and one copy to:
Atm: Central Files
Division of Water Quality
DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
Sample # _
Effluent Source(s) for this sample
Vehicle / Equipment Cleanin ❑
Raw Material Stock -pile Wettin ❑
Mixing Drum Clean -out ❑
Recycle System Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
out
Settleable Solids
ndA
Sample #
Effluent Source(s) for this.sam le. 4
Vehicle / Equipment Cleaning ❑
Raw Material Stock -pile Wetting ❑
Mixing Drum Clean -out ❑
Recycle System Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/1
Settleable Solids
mIA
"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."
44,4 V �Soui
(Print Name of Perminee or Designee)
AIV &///—
(Signaloc of Permittee or Designee) [(Date)
SWU-241-080109 Page 2 of 2

d
AM
NCDENR
./1
DISCHARGE OUTFALL MONITORING REPORT` ,�
GENERAL PERMIT NCG140000 j \
(All sample data shall be reported no later than 30 days after receipt of lab results)
Certificate ofCoverage
NCG14[E®®2j
Facility Name
County
Phone Number
a _
Laboratory #
jPerson Collecting Sample(s) I It t b /ti an,v./—r
Signature
Sample Information
Permit Term
Year
Year Start/End Dates
Place check mark to indicate
applicable sampling period
Discharge Type (check as appropriate)
Stormwater
Wastewater
1
August 1, 1999 to July 31, 2000
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
2
August 1, 2000 to July 31, 2001
3
August 1, 2001 to July 31, 2002
4
August 1, 2002 to July 31, 2003
5
August 1, 2003 to July 31, 2004
Part A: Stormwater Discharge Monitoring Data (For stormwater not combined with process wastewater)
Storm Event Characteristics
Date
Total EventPrecipitation inches
Event Duration hours
0 '2—
Stormwater Discharge Monitoring
Outfall
No.
'Date Sample
Collected
mo/dd/
Total Flow
G
Total Event
Precipitation
inches
Event Duration
o )
pH
Std. Units
Total
Suspended
Solids
m 1
_ Z
4
7-
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
oil per month? ❑ Yes ❑ No If yes, complete information below.
Stormwater Discharge Monitoring from Vehicle Maintenance Areas
Outfall
No.
Date Sample
Collected
(mo/dd/
Total Flow
G
Total Event
Precpitation
inches
Event
Duration
oars
New
Motor Oil
Usage
mo)
pH
Std. Units)
Total
Suspended
Solids
m
Oil and
Grease
m )
SWU-241-080199 Page lof 2

'art B: Process wastewater discharge monitoring data
ample # _
Sample #
Effluent Source(s) for this sample
chicle / Equipment Cleaning ❑
.aw Material Stock -pile Wetting ❑
.lixing Drum Clean -out ❑
:ec cle System Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Sid. units
TSS
mg/1
Settleable Solids
m]/I
:iample #
Effluent Source(s) for this sample J
Vehicle / Equipment Cleaning ❑
law Material Stock -pile Wetting ❑
Aixing Drum Clean -out ❑
lec cle System Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std units
TSS
ing/l
Settleable Solids
ml/1
Mail original and one copy to:
Attn: Central Files
Division of Water Quality
DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
Effluent Sources for this sample
Vehicle / Equipment Cleaning ❑
Raw Material Stock -pile Wetting ❑
Mixing Drum Clean -out ❑
Recycle System Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
horns
pH
Sid. units
TSS
mg/I
Settleable Solids
mm
Sample # _
Effluent Sources for this sample
Vehicle / Equipment Cleanin
❑
Raw Material Stock -pile Wettin
❑
Mixing Drum Clean -out
❑
Recycle S stem Overflow
❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Sid. units
TSS
mg/l
Settleable Solids
ml/I
"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."
(Print Name of Permittee or Designee)
(Signature of Permittee or Designee) (Date)
SWU•241.090199 Page 2 of 2

01
STORMWATER DISCHARGE OUTFALL (SDO)
QUALITATIVE MONITORING REPORT
Certificate of Coverage No. NCG
r2
Facility Name, Ic 2
-7-
/Y
County: Phone No.: 07
Inspector. tA )-/7
Date of
By this signature, I certify that this report is accurate and complete to the best of my
knowledge:
r A
(Signature of Permittee or Designee)
1. Outfall Description
. r
Outfall No. :-- Structure (pipe, ditch, etc.),
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area.
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
dark) as descriptors:
3. Odor
Describe any distinct odors that the discharge may have (i.e. smells strongly of oil, weak
chlorine odor, etc.):
11/17197

4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and
10 is very cloudy:
1 2 3 4 5 6 ;7 8 9 10
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater
discharge where]j=1"is no solids and 10 is the surface covered in floating solids:
1 j23 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the
stormwater discharge where 1 is no solids and 10 is extemely muddy:
1 { 1=.2; 3 4 5 6 7 8 9 10
i
7. Foam
Is there any foam in the stormwater discharge? YES I YO
8. Oil Sheen f �a
Is there an oil sheen in the stormwater discharge? YES NO;'
`V
9. Other Obvious Indicators of Stormwater Pollution:
List and describe:
NOTE: Low clarity, high solids and/or the presence of foam or oil sheens may be
indicative of pollutant exposure. These conditions may warrant further
investigation.
11/17/97

TRITEST, INC.
3909 Beryl Road
Raleigh, NC 27607
Telephone: [phone] NC/WW Cert.#: 067
Fax: [phone] NC/DW Cert. A 37731
Laboratory Report
--- Prepared for --- 1 of 1
LYMAN AUSTIN Report Date: 10110/02
READY MIXED CONCRETE CO. P.O. BOX 27326 Date Received: 9/27102
RALEIGH, NC 27611 Work Order#: 0208-01103
Project ID:
Project ID:
PLANT 1
PLANT #1
Cust.
Cust.
Code: RE1520
P.O.#:
No. Sample ID
001 OUTFALL 1
Date Sampled Time Sampled Matrix
9/26/02 09:20 SW
Condition
4n2oC
Test Performed
Method
Results
Analyzed Qualifier
Total Suspended Solids
EPA 160.2
60 mg/L
10/2/02
Report Certified by:
for Tritest, Inc.

Tritest, Inc.
3909 Beryl Road, Raleigh, NC 27607
ph: [phone] tax: [phone]
NCWW CERT# 7, NCOW CERT#37731
Report Results To
Company: READY MIXED CONCRETE CO.
Address: P.O. BOX 27326
RALEIGH, NC 27611
Attn: LYMAN AUSTIN
Phone: [phone] _ _ Fax:
Sampled by (signature):
919-981-0910
Chain of Custody
Bill To:
READY MIXED CONCRETE CO
P.O. BOX 27326
RALEIGH, NC 27611
Tritest W.O. # 0208-01103
Project Reference: Stormwater
Project Number: PLANT 1
Purchase Order #:
❑ Standard Report Delivery
0 Rush Report.Dellvery (w/surcharge)
"Rush 1.i.0 x2lugltl 1a Gam: 1Vr .l qM. WWr.tM
Requested Due Date:
Sample Description
composite
Grab
Start Date
End Date
Matrix
W .Dw
SW,GWS
Analyses Requested
Tritest
Sample
Start Time
End Time
OUTFALL 1
Grab
SW
WC-TSS
001
OUTFALL 2
Grab
SW
WC-TSS
No
002
OUTFALL 3
Grab
SW
WC-TSS
003
Relin
uis b
(signature) _
Received by (signature) p
.�trti�
Date
Time
lin i e by ignature)
Received b (slgnatu e)
Data
Time
Relinquished by (signature)
Received by (signature)
at
Tirne
Receipt Conditions (Lab Use Only): x
1/
Res. Chlorine 1 Absent []Present ❑nta
Acid preserv. c2? OYes ❑No .a/n/a
Base preserv. >12? ❑Yes ❑No An/a

NCDENR
DISCHARGE OUTFALL MONITORING
GENERAL PERMIT NCG140000
REPORT
All le data shall be reported no later than 30 days after receipt of lab results) `��% 1 ``/
( samp
Certificate of Coverage
NCG14E]a[j][K
Facility Name
County
Phone Number
qlq.al
Laboratory #
Person Collecting Sample(s) I L. 1, Im,4
Signature
Sample Information
Permit Term
Year
Year StartlEnd Dates
Place check mark to indicate
applicable sampling period
Discharge Type (check as appropriate)
Stormwater
Wastewater
1
August 1, 1999 to Jul 31, 2000
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑
2
August 1, 2000 to July 31, 2001
3
August 1, 2001 to July 31, 2002
4
August 1, 2002 to July 31, 2003
5
August 1, 2003 to July 31, 2004
Part A: Stormwater Discharge Monitoring Data (For stormwater not combined with process wastewater)
Storm Event Characteristics
Date
Total Event Precipitation inches
Event Duration hours
3- -o
Stormwater Discharge Monitoring
Outfall
No.
Date Sample
Collected
mo/dd/
Total Flow
G
Total Event
Precipitation
inches
Event Duration
ours)
pH
Sid. Units
Total
Suspended
Solids
m
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
oil per month? ❑ Yes No If yes, complete information below.
Stormwater Discharge Monitoring from Vehicle Maintenance Areas
Ourfall
No.
Date Sample
Collected
mo/dd!
Total Flow
G
Total Event
Precipitation
inches
Event
Duration
ours
New
Motor Oil
Usage
( mo)
pH
Std. Units
Total
Suspended
Solids
m 1
Oil and
Grease
m )
SWU-241-090199 Page lof 2

'art B: Process wastewater discharge monitoring data
ample #
Effluent Sources for this sample J
chicle / Equipment Cleaning❑
aw Material Stock -pile Wettin ❑
.Iixing Drum Clean -out ❑
:ec cle System Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/I
;ettleable Solids
min
:iample #
Effluent Source(s) for this sample
Vehicle / Equipment. Cleaning ❑
law Material Stock -pile Wetting ❑
vlixing Drum Clean -out ❑
lec cle System Overflow ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/l
Settleable Solids
mm
Mail original and one copy to:
Attn: Cenral Files
Division of Water Quality
DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
SWU-241-080199
Sample #
Effluent Source(s) for this sample
Vehicle / Equipment Cleaning
❑
Raw Material Stock -pile Wetting
❑
Mixing Drum Clean -out
❑
Recycle Sys e Overflow
❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/I
Settleable Solids
ml/1
Sample # _
Effluent Source(s) for this sample
Vehicle / Equipment Cleaning
LiRaw
Material Stock -pile Wetting
❑
Mixing Drum Clean -out
❑
Recycle System Overflow
❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/1
Settleable Solids
min
"I certify, under penalty of law, that this document and all attachment, 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 posjibility if fumes and imprisonment for knowing
Name o Permittee Desigtxe) '3- 3a
urc of Permittee or Designee) (Date)
Page 2 of 2

T1",iE AUG -05 F3 TH) i5:19 nEADY ivl1XED P 001
AKALD""'r
MIXED
CONCRETE
COMPANY
P.O. Box 27326
Raleigh, N.C. 27611
919-790-1520
919-790-1512 Fax
DATE 8/5/03
TO; Myrl Nisley
NCDENR
FROM: Larry Spence
Myrl here is the results of NCG140242 Plant # 1 Knightdale.
If you need to call me, my numbers are: office # (919)-790-1520, Fax # [phone],
Mobile # [phone]
E-moil larry,[e-mail]
NUMBER OF PAGES INCLUDING COVER SHEET 02
3610 Rush Street Raleigh. N.C. 27611

R1 D-JDTIhj! AUG. -05' 03(TH) !J: jO HIP P'i!.\EO u0:
- �F�vI►A
ti� DISCHARGE OUTFALL MONITORING REPORT
NCDENR GENERAL PERMIT NCG140000
(All sample data shall he reported no later than :o days aft, receipt of lab results)
Certificate.of Coverage
NCG14�C©�
Fatality Name
y
Lhon,
Number
I
Certified Laboratory p
t 3
Person Collecting Sample(s)
eouectors iSrgnarwe
Sample Information
Permit Term,
Y
Year StartfEnclBates .,.
Plard'dwk mark to,indicate
;appliat{blesampliog',perlod'
Dischar e Typb•(chedk as appropriate)
Smtaiweter;,l.
. 'Wavewater'-
1
August 1, 1999 to Julv 31, 2000
❑
❑
❑
❑
❑
❑
❑
I
(�
❑
2
August 1, 2000 to July 31, 2001
3
Au tst 1, 2001 to July 31, 2002
4
Au ust 1.2002 to July 31, 2003
5
1 Au t 1, 2003 to July 31.2004
Part A: Stormwater Discharge Monitoring Data (For slormwater not combined with process wastewater)
Storm Event Characteristics
Dare ' '.' , I �-.. :
-. •...•Ttita]•Evco[i'rtici' 'ffititin` iiidties •',
EvrnC;Durspbgl - iiiirs r .r. "'�
—
r
{I
Stormwater Dischar¢e Monitoring
Outfall
Date.Sample
Total Flow!:,
Total$'vrnN'1'EventDuranon
pH t
n Total •'
No:
Collected
a ; ,
Prcdlpi agoo
;I
Stis' waded
Snlids
Stri Its ,I.
ul' ". m 1)
.:
Z S�
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
oil per month? ❑ Yes 10 If yes, complete information below.
' Stormwater Discharge Monitoring from Vehicle Maintepance Areas
Outfall
No.
Date Sample
Collected
(mo dd!
Total Flow
4"1;ii:_,',,Prmpitanot}
(MG
Total —Event
(inches) 1.
;,; dEvent ' ,'
Duration:
(hours)
New
Mtitar oil
,Usage
mo
pH
(Std, Un is
Total
'Suspended
Solids,'
m )
Oil and,
Grease
(in
I
l
Swt:-241-0e0199 Page loft

R1 D:'.'TF/T1i4_ AUG. -05'03(TUR( 15:j9' READY N1i1 E D ?.003
Part B: Process wastewater discharge monitoring data
Sample #
Effluent Source(s) for this sample I
Vehicle / Equipment Cleanin ❑
Raw Material Stock -pile Wetting ❑
I Mixing Drum Clean -out ❑
I Recycle System Overflow ❑
Parameter ';
Unit
bats
Collection Date
mo/dd/yr
Total now
MG
Event Duration
hours
pH
Std. units
TSS
mg/I
Settleable Solids
ml/I
Sample #
"Bffluctif Soue-e(s)`for thts'S
Vehicle / Equipment Cleaning
Raw Material Stock -pile Wetting 0
Mixing Drum Clean -out ❑
Recycle System Overflow ❑
pPararneter% a
.'.,;.Umt is,
ti';;:s,yDa44
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mg/I
Settleable Solids
ml/I
Mail original and one copy to:
Attu; Central Files
Division of Water Quality
DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
Sample #
( .Effluent Source(s) for this sample j
j Vehicle / Equipment Cleaning ❑
I Raw Material Stock -pile Wetting ^
I ❑
Mixing Drum Clean -out 7
E 7
I Recycle System Overflow
Paatiietei : '
Unit .
Data
Collection Date
mo/dd/vr
Total Flow
MG
{
Event Duration
hours
PH
Std. units
TSS
mg/1
Settleable Solids
mIn
Sample # _
's;';k'iffhenf''Sbuiu`'e(s)'' foi'tlustyarriple��
Vehicle / Equipment Cleaning �I ❑
Raw Material Stock -pile Wetting n
I Mixing Drum Clean -out ❑
Recycle System Overflow ( ❑
yparanieter ; '
Utnt
Data .
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
pH
Std. units
TSS
mgA
Settleable Solids
ml/l
"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 an 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 penalues for submitting false
information, including the possibility of fines and imprisonment for knowing
' 3 -01
of Permittee or Designee) (Date)

RX J;'.TEMP ,'!- :RUC -03' 05(TUE) 15 19 READY MIXED
00;
ST0104WATER DISCHARGE OUTFALL (SDO)
QUALITATIVE MONITORING REPORT
Certificate of Coverage No.
Facility Name;t�1 k�
Phone No.:
Date of Inspection;
OU
By this signature, I certify that this report is accurate and complete to the best of my
knowledge:
(Signature f Permittee or Designee)
1. Outfall Description
Outfall No.: Structure (pipe. '[c etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(ligh~'medium, dark) as descriptors:
3. Odor _
Descnbe any distinct odors that the discharge may have (i.e. smells strongly of oil weak
chlorine odor, etc.):

RX DATE/M.'!E :AUG. -03' 03 (TUE) 15 : ! 9 REEDY 1+! 11'ED
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and
10 is very cloudy:
1 2 l3 4 5 6 7 8 9 10
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater
discharge where 1 is no solids and 10 is the surface covered in floating solids:
2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the
stormwater discharge where 1 is no solids and 10 is extemely muddy:
0 2 3 4 5 6 7 8 9 10
7. Foam
1s there any foam in the stormwater discharge?. YES NO
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? YES NO
9. Other Obvious Indicators of Stormwater Pollution:
List and describe:
NOTE: Low clarity, high solids and/or the presence of foam or oil sheens may be
indicative of pollutant exposure. These conditions may warrant further
investigation.

R\ DATF M NE AUG.-05' 03�TU. !0:!3 RE;DY M!XPED
TRITEST, INC.
3909 Beryl Road
Raleigh, NC 27607
Telephone: [phone] Nc1WW Cart. #: 067
Fax: [phone] N=W Cert. #: 37731
Laboratory Report
--- Prepared for --- 1 of 1
LYMAN AUSTIN
READY MIXED CONCRETE CO, Report Date: 10/12101
P.O. BOX 27326 Date Received: 9125101
RALEIGH, NC 27611
Work Order #: 0109-01024
Project ID: Cust Code: RE1520
Project ID: KNIGHTDALE PLANTISTORMWATER Cust. P.O.#:
No. Sample ID
001 OUTFALLI
Date Sampled Time Sampled Matrix
9124101 15:40 SW
°.006
Condition
4$2 oC
Test Performed
Method
Results
Analyzed Quaiifier
Total Suspended So ids
EPA 180.2
285 mglL
9128101 --y-
Report Certified by:
for Tritest, Inc.

Tt'+rest, Inc. d/O�-a/O,:;2y
,!i909 Rrryl Road, Raleigh, NC 276G? Chain of Custody'I i1IE5 i '.i.O.a �(��t�im63 IT
o = ph: [phone] fax: (919) 834-b497
Sf.Y.I'I f_F.RT Y61, NCIXv CLnrGI))}t
0
Report Results T.
Company: READY MIXED CONCRETE CO
Add;ess P.O. BOX 2732E
RALEIGH, NO27611
Attn: LYMAN AUSiffNv
Bill To:
READY MIXED CONCRETE CO. Project Reference:
P.O. 13OX 27326 project Number:
RALEIGH, NC 27911
Phone: [phone]
Fax: [phone]
Sampled by (signature): _Lh
j CL c L
—otr
y-Z`t-ol
Purchase Order #
Slormwater
KNIGHTDAI_E PLANT
❑ Standard Report Delivery
❑ Rush Report Delivery(w/surcharge)
Requested Due fate'
Sample aascriplian
•J--__�
OUI FALL 1
Composite
Grab
_
Grab
Start eats
End Oate
h9atrlx
wv�.ow
s.v,rvrs
SW
Analyses Requested
WC-TSS
Tritest
Sample
001
Sl LL -UMn
_Ep�101e_
���
Relinggquishe (Si urea
—
Reifnquis by sign ure) - —
Re]] rshed b signa - j---------
�cei b -
y (sig to
Rec ved h --_
gfipynaa)
-Received t ----
y (slg na ure)
Date ��
-WU 1
()ate /
Z5 �1-
Da
Time
/�
Tint
Time
tme
t
Recelpt Condibans (Lab Use Qrtly):
0 412'C ;temp:
- Res. Chlorine DAhsent OF'resent XWE
Acid preseiv- <2? ❑Yes ❑Na p1;
easeprnse,rv.>127 Oyes ❑No rp_nl;