NCG160055_MONITORING INFO_20150910

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE.
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ 015 D O
YYYYM M DD

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year �,q0/5-
Revised 9/17/2014
General Permit No. NCG160000
Certificate of Coverage No. NCG16❑© ❑o ❑O [S ❑S
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name:
County: L
Phone Number
2yo-591z.
Total no. of SDOs monitored
Part A. Outfall No. (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
U0
4TotaLRairifall
a
y,mches
TSS, mg/L,
'i ,�t
N/A�.-:
- 50H00
. NBFen�yc�hmark �k�
%�ate E 3llft "' l-w
IDate Sample�Collected,
Fmoldal`r
1't�, r..IN
.25-20i5
L
- .3 -.?D/S
o �ll
A
rrt f �3
-0
(D
�
S
M
L 1
o
cn
0
ika
t
Page.1t

Part B. On -Site Vehicle Maintenance Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?.
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Y
j4 �;Outfall u�'i s�11�u�'e
y
Total Rainfall`r
inches
00530
00556, 1t
TSS;mg/L+�,I�
u H',`
'.t;NonpolarOil&�t
k Grease mg/L,
Benchmark
N/A
50110.0'.
15'
DateSample Collected
S ri
Wo/dd/y,
I
Yes ❑
Yes ❑
No ❑
No ❑
Page12

" 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 igferRiation, including the possibility of fines and imprisonment for knowing violations."
Signature
Date 9
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
(919) 7914200
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
Page 13

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year d20/,11
General Permit No. NCG160000
Certificate of Coverage No. NCG'I6�N®©ae
This monitoring report summary is due to the DWQ Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: UJI90Z50 LbR8120'9770.1/ _ 14VFdCD IPOiVAJL�
County: LEv-
Phone Number: (21 290-6?12 Total no. of SDOs monitored
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Outfall
"Total Rainfall, inches'MS,
00530
00400
00556
rrig1L
pH s.u.
-Total Petroleum
Hydrocarbons, mglL
Benchmark
N/A
100
6.0 - 9.0
15
Date Sample Collected
mo/dd/ r
y
:17�_t
x
NIB
- 3- /Y
1,75'
«.ems
SW U-250NCG 16-051709

Additional Outfall Attachment
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Outfall _
Total Rainfall, inches
00530
00400
00556
TSS, mg/L .
pH, s.u. ,
Total Petroleum
Hydrocarbons, mg/L
Benchmark
N/A
100
6.0 - 9.0
15
Date Sample Collected,
mo/dd/yr .
s
rs�hi
k '"
,�'�
`-4.+. a
. r
tli� 0 > tti b S �"viti.a➢
SWU-250NCG16-051709

r
"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 fai�e-ifffb�mation, including theiossibility of fines and imprisonment for knowing violations."
Signature
Date 1l
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
(919) 7.91-4200
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street .
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
610 East Center Avenue/Suite
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
SW U-250NCG 16-051709

A
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year s2e/;;
General Permit No. NCG160000
Certificate of Coverage No. NCG 16 O❑ O� fl❑❑S
This monitoring report summary is due to the DINO Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: --�>. /,
County: 4E7�—
Phone Number: (Q2S;
Total no. of SDOs monitored
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Yes ❑ Not
Yes ❑ No-R
Outfall
Total Rainfall, inches
00530
00400
00556
TSS, mg/L
pH, s.u.
'Total Petroleum
Hydrocarbons, mg/L
Benchmark
N/A
100
6.0 - 9.0
15
Date Sample Collected,
mo/dd/yr�
w
�'
� ,n� h
SW U-250NCG16-051709

Additional Outfall Attachment
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? YesEl NoEl
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes 0 No 0
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency F-1
Received approval from DWO to reduce monitoring frequency ❑
Other ❑
OutfallTotal
r.
Rainfall, Inches 7
00530-
00400:- .a
� V556
1SS mg/L
sm."
'71rbtal Petioleuhv'
Hydrocarbons; ffib/L
Benchmark'
NIA
400
6.0-9.0'
Date Simple Colle6tei ,
rfio/do/y'
r
il I
MAR 10 2014 j
SWU-250NCG16-051709

ilk
" 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 f mfor ation, includir)g the po)(sibility of fines and imprisonment for knowing violations."
Sign;
Date
Mail Annual DMR Summary Reports to:
DWO Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
a�xa e;dra, ire
horlN Garolirta�S :eater:.." I
SW U-250NCG16-051709

1

i
STORMWATER DISCHARGE OUTFALL (SDO) 3 Zp13 /
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) 1,0
Calendar Year it-/-z
General Permit No. NCG160000
Certificate of Coverage No. NCG16© Q1 S00❑
This monitoring report summary is due to the DWO Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: 5 T WDOTL-7y S,JFo0p ASPbV&,r'
County: L.Eer
Phone Number: (c2S1) o296 - 59/2- Total no. of SDOs monitored
Outfall No. - I
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Outfall
Total Rainfall, Inches
00530
00400 -
00556
TSS, mg/L
pH, s u
=Total Petroleum '
HydrocaFbohs, mg/L
Benchmark
N/A
100
6.0 — 9.0
15
Date SampleCollected,
_
moddtyrMail
21511"V
�ffiv4
�yJy
"
yt..
rG�tpp�`
3-3- 21
75*
AJ, D 1
J9.6'
A40,
SW U-250NCG16-051709

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
Date
Mail Annual DMR Summary Reports to:
DWO Reoional Office Contact Information:
Asheville Office ....
Fayetteville Office .
Mooresville Office .
Raleigh Office ......
Washington Office
Wilmington Office .
Winston-Salem ....
Central Office ......
[phone]
[phone]
[phone]
[phone]
...[phone]
[phone]
[phone]
...[phone]
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
(336) 77 t-5000
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square M
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
/ �1 "iopreserve,p+otec,
�G aodenMance
nuali
SW U-25ONCG 16-051709

I SM A R7 EIt '1'0 O AY I
GREENE10 ONIORRONV
Raleigh Regional Office
3800 Barrett Drive
Raleigh NC 27609
August 23, 2010
Subject: DMR Summary Report
S. T. Wooten Corporation
Sanford Asphalt Plant
Permit # NCG160055
Dear Sir or Madam,
Enclosed is the storm water out fall monitoring report for Sanford Asphalt.
Should you require further information, please give me a call
Office 252-291-5165
Cell 919-868-9209
Cell 252-290-5912
Email iamcs.washburn a>.stcacorp oom
Sincerely,
S. T. Wooten Corporation
�iU
Jame';'I ashburn
Envirental Compliance Manager
rN,

4
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year o?D/O
General Permit No. NCG160000
Certificate of Coverage No. NCG169F0 OQ00
This monitoring report summary is due to the DWO Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: S % 6t%DOMA) 69,0404770A/ 0/h9 7—
County:
Phone Number: (Z.t) 0290 - 59/2--
Total no. of SDOs monitored
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No DO
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWO to reduce monitoring frequency ❑
Other ❑
Outfall
Total Rainfall inches
;^00530
00400 `
00556 ;
�TSS, mg/L
pH, s u
TotafPeJroleum'` '
-Hydrocarbons, mg/L
Benchmark
100
6.0 — 9.0
15
Date Sample Collected,
mo/ddr r
Y.�,F
,...a.
�jN/A
{N 1v4, �`✓y' "�� 4gs�vak"1''td
x A R'Sq,S 3tst'
h � .'4,,v�a ✓ D'i"
yes` fia4 #'t 1 it
p TL
�y q b�"R%
ji H..S iF
lllT 1 FN
�r � ._�!Lw
M M, ..a 4i .F'. C.s ,W 4T,
Y-
3 N )MI ID 4�
oo...r 6
- a - oio
s�/o
Soo
SW U-250NCG16-051709

" 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 thepossibility of fines and imprisonment for knowing violations."
Signature
Date 8-
Mail Annual DMR Summary Reports to:
DWO Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481.
Wilmington Office ...
[phone]
Winston-Salem ......
(336) 77T-5000
Central Office�.........
[phone]
2090 US Highway 70
Swannanoa,'NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
lINS7QN-,SAI iM RL(;IONRI:
� GFN7RAl}4wOFFI( F.
uFr1CN
585 Waughtown Street
1617 Mail Service Center
Raleigh, NC 27699-1617
F7/ o preserve prWeeY )
W • L 60derina+ce
Winston-Salem, NC 27107
[phone]
[phone]
I
SW U-250NGG16-051709

Microbac Laboratories Inc.
Southern Testing & Research Division
3809 Airport Drive, Wilson, NC 27896
Phone: [phone] ' Fax: [phone]
Wabsite „therntesti
CHAIN OF CUSTODY
and Analyses Request
----------------------------
Lab Use Only 1
Rush Approval By: IDate/Time:
,'Dept r
.. o......................................._.__...
Original Report To:
S T, Ltho Co!'i-
Address: I /�
�0. r�QX VV08
Cooled Person:/Sample
Tilrr�s s�t�i/�9✓
Phone # C
�5a—o7/0' J�c1/'L
#
rRec'd on Ice?
❑ Yes ❑ No
Acct. # Transport: 11
Temp: Res. Cl. pH:
Invoice Address: // '' // yy n p , / Fax # S C
litJ/L.5et �V' 1. tY 7U �7 t2.- t��7- �7D�
Bernpled By: Project ID:
Requested Turnaround Time
.❑ Normal (2 weeks) ❑ Rush (3-5 days) ' PO k STRL QUOTE #
❑ Emergency Rush (ASAP)' ADDITIONAL CHARGES WILL APPLY
CALL FOR APPROVAL Client Requested Due Date: 0
Item Start End Comp Grab Sample
# Date/Time Date/Time Type'- Description/Sample Marks
ISAMPLING CHARGES:
rTime:������
'
Ile _Other:
Analyses Requested
-
7-�?7-/0
7 _.77_i4,
C
[
✓
---------------------
----------------------
----------------------
----------------------
RELINQUISHED
BY
DATEMME
RECEIVED
BY
DATEMME
NOTES:
�
��/� S !�/9st/ rv/ln�
7-�y-�o
� i�% :r,,.n�,�`--�-
� • 2 9 - ! cJ
2
/�1
(/
3
Field Res. CL.: Field Conductivity: Field Temp: Field PH: Field D.O.:
IS DATA TO BE USED FOR REGULATORY COMPLIANCE PURPOSES?
❑ YES ❑ NO IF YES, WHICH REGULATORY AGENCY:
"See Reverse for Codes
SAMVUI.VI (ii06)
FIELD COPY

** Codes
Container Type: P = Plastic, G = Glass, AG = Amber Glass, V = 40 raL, EPA purgeable vial, AV = Amber Vial. Etc.
Sample Type: W W = Wastewater, G1V = Groundwater, SW = Surface Water, DW = Drinking Water. STW = Storm Water, S = Soil.
SI, = Sludge. U = Unknown, V = Vapor, F = Fiber or Fabric, S = Solvent. or Fuel
Como = Time Composited Sample, (trall = A Grabbed Sample
Preservation = Indicate Yes/No or indicate the type of preservation used: NI = Nitric Acid, H = Hydrochloric Acid, S = Sulfuric Acid
NA = Sodium Hydroxide. See STRI., supplied container for type of preservation.
Terms and Conditions
,$.1mples Submitted for Analysis Must Includes'
I. Complete analysis (including catalog numbers) and billing instructions on Southern Testing Chain of Custody Form. Sample Submission Form,
company tettedhead or purchase order, signed and dated by person or agent with authority to submit samples for the client.
2. Idenlifying.nt:rks on each sample and on accompanying paperwork.
3. Name and address for reporting, and for billing (ifdifferent).
4. Telephone numher and contact name, in case we have questions.
5.. Any special instructions, requested turnaround time. additional contacts to receive results.
'on -Routine Anal,ySyS - Some inf equeiuly requestedl (analyses may require setup fees. Foranalyses not listed in our fee schedules, samples are accepted
subject to prior approval of the manager of the appropriate technical department.
1parnaround Tinrq,3_TATZ-Our goal is to meet your TATneeds. Unless you indicate otherwise, our target TAT will be 10 business days or leas for most
routine analyses listed in our fee schedule. TAT is based on business date otl'ceeipt of sample at the laboratory. Any sannples received, tnrstandard TAT.
alter 4 p.m. on regular business clays, or on weekends or holidays, will be assigned the next business day as the receipt date.
RUSH (5 business days) analyses if available is at 50% surcharge above list fee.
EMERGENCY RUSH (2 business days, samples received after 12:00 noon will be considered received the next busi ness day) if available is at a 100'(,,
surcharge over list fee.
RUSH and EMERGENCY RUSH service must be approved by the Department Manager prior to submission.
Recheck Analysis - If a client-)equesicof recheck confirms the original test results, the client is charged for additional analysis. If recheck results do not
confirm the original results, the client is not charged for recheck analyses.
payment Terms - If credit has not been established with STRL payment in advance is required. Payment must be made in cash, money order.
MasterCard/Visa. peaonal check or certi f ied check. For clients with approved credit, terms are net 30 days from date of invoice for completed work. An
interest charge of 1.5fs, per month applies to all overdue balances. A $25.00 charge will apply to all returned checks. Non -transfer: The client ntav not
tranafer or assign the arcvrunt relationship without the written (rnrsent nl So churn Testing & Research Dirision.
Fees and Discounts - Fees listed in our Schedules of Services are based on current costs of performing analyses and may be changed without prior notice,
except where bound by contract. Discounts may be offered based on the guaranteed work volume on a project -by- project, or annual contl act basis. All
discounts from standard fee schedules are given subject tocompliance with ourstndard payment terms. Discounts are automatically revoked as invoices
become past clue. unless other arrangements are made in advance.
Sample Pickup Service - A sample pickup lee of $20.00 per stop (10 minutes or less) is charged when we pick up samples on our regularly scheduled
routes. Sample pick up, on weekdays other than our scheduled routes, is available for an additional charge, provided at least 24 hour notice is given prior
to date of requested pickup. If a sample pickup is requested that is not on a regular route, we can arrange for a drop/pickup site at one of regularly
scheduled stops. If a meeting site cannot be arranged we can provide pickup based on Time (S50.00/hr) and Mileage ($.50/mile).
Samolg/Data Retention- Unless prior arrangements are made, any portion of samples not used for analyses will be held by the laboratory after reporting
analysis results, and then properly disposed of, according to the following schedule:
Potable water..............Discarded same day analyzed Fond/Perishables.......... 7 days
Wastewater/Sludge ....... 7 days All other samples....... 30 days
Any sunples suspected of being hazardous will be returned un the client at his/her expense. Alternatively, we can arrange for proper dispos:il of hazardous
s(unplcslorafee. Clients may request that non -hazardous samples be returned at his/her expense if so desired. The client retains ownership of all samples
submitted to Southern'festing for analysis. If Dam Retention requirements are greater than 5 years arrangements must be made with Southern Testing.
'onRde ttt hji iyy,- All work will be performed in strict confidence. Results are released only to die client or his/her designated agent. Confidentiality
agreements will gladly be provided and executed upon request.
Warranty anll Limits of Liabil (y - Our wairapiy is limited to the accuracy of analyses of samples as received. We assume no responsibility for the
fnrposeg for which the client uses the test results, not liability for any other warranties, expressed or implied. including warranties of fitness for a
particular propose or for merchantability made by?the client. These terms and conditions shall supersede any conflicting terms and conditions stated on
any,.;purchasc order, or other order of work stf6milted by the client.
Additional Fees aunt Legal Case - By Sohn dg samples for analysis, the Client agrees that our analysis fees do no include the cost of any additional
of iii&idental services that may become associated with the analytical restdts. such as but not limited to interpretation of results to the client or a third party
or participation in any legal case, includingpredords retrieval and reproduction, attorney's fees , or depositions or court testimony by any Southern
Tenting employee. All such additional costs will be billed separately to, or paid in advance by, the client or his/her designated representative. at the sole
discreti(inbf Southern Testing, at the time additional services ore requested.
� .r

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG160000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG16910®® SAMPLES COLLECTED DURING CALENDAR YEAR: a010
(This monitoring report is due at the Division no later than 30 days from the date
the facility receives the sampling results from the laboratory.)
FACILITY NAME 7 Lt%007 SANiOl2 /Y3O<,hOtT COUNTY
PERSON COLLECTING SAMPLES �E3 Ii i4Sif76clP PHONE NO.
CERTIFIED LABORATORY /YJ/C.PORAC- Lab #
Monitoring Requirements
tOutfall"
No ="Sample,Collected;
4Date
moJdd/ .:"
x
Total Rainfall
-,,'tincties _
00530
00400
s 3t 00556 a ..,
Total Suspended Solids; mg/l
s �« :.
pH, +`
Standard units
4 TotabPetroleum Hydrocarbons, mg/I
EPAMethbd 1664.(SGT=HEM)
r
Benchmark
- v : -
_ /p
' �'. �t: ;
, ><:�100
S
_
�Within6.0""9.0
-
L S o0
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.
Mail original and one copy to:
Division of Water Quality
Attn: 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.
I am aware t_barMVe are significant penaltiff for submitting false information, including the possibility of fines and Imprisonment for knowing violations."
of
(Date)
SWU-253-051409
Page 1 of 1

Fayetteville Division
2592 Hope Mills Rd
8-B Wendy Court
Fayetteville, NC 28306
Greensboro, NC 27409
910.864.1920 Phone
336.856.9710 Phone
910.864.8774 Fax
336.856.9711 Fax
Certificate of Analysis
S.T. Wooten Corporation
Mr. James Washburn Project: Stormwater sample -Sanford Asphalt Date Reported: August 10, 2010
Post Office Box 2408 Date Received: July 29, 2010
Wilson NC, 27894 Sampled By: Mike Michaux Date Sampled: July 27, 2010
OFI, grab
1007890-01
Analyte Result Unit Analysis Datelrime Analyst Method Qualifier
Oil & Grease (HEM) <5.00 mg/L 8/3/10 7:45
Total Suspended Solids 5.40 mg/L 8/3/10 10:00
Qualifier Definitions
RAS EPA 1664
AMM SM 20th Ed. 2540 D
State Cer8fice6ons: Respectfully Submitted
NCDNR 011.#693 NCDOH #37714. #37795 - 6e. w. t M.t/44"
USDA #3787 R. W. Senders, VPManaging Director
Thank ywrorywrausinev. Weimiteyaurfeedbuckoaaurleretofmmketo Yvu. Plea<ecaewd the V➢Maav itg N) Ior, Rm,(6 nw 91"U-19I0,Jamee Na s. PmWeN, at
ino4eermicrobaccom ar Trc1v1 Hoye. CEO. at rborrddmicrvbac.rom with mry mmmew or sueeernons.

S.'I�VL�Ien Corpuro�ion
GIRIEIElNFI�
NJ SLWCOfp CpfO
August 23, 2010
Raleigh Regional Office
3800 Barrett Drive
Raleigh NC 27609
Subject: DMR Summary Report
S. T. Wooten Corporation
Sanford Asphalt Plant
Permit # NCG160055
Dear Sir or Madam,
Enclosed is the storm water out fall monitoring report for Sanford Asphalt.
Should you require further information, please give me a call
Office 252-291-5165
Cell 919-868-9209
Cell 252-290-5912
Email james.washbumgstwcorp.com
Sincerely,
S. T. Wooten Corporation
James Washburn
Environmental Compliance Manager

i I'1l � � � j (f • �.
fU_ .i ( .�� �%i
iil II�;, .tl: J ..
r. r. .0 r .r �..1
.. Ali . i'' �J�� rii
. li
t 1
. � i .. I 'I. rl Ir. rlii�. ili' Ir I .1_ ,�I��.' �f+l�.t . �. r 1
_:! " .; i. � �.... it 1
:.�li: 1. . :.fJ�i• :� � '
'r�f. rtl:.. .: I:.i.
'ir Y_ '.rr. 1 ,. r .'�

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year o?0/0
General Permit No. NCG160000
Certificate of Coverage No. NCG160 O❑Q©©
This monitoring report summary is due to the DWO Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
7- /.c Facility Name: S. )007ZPJ 6?,F09477oA1 S,gVfo�Pp �SPi1r9L7^
County:
Phone Number: (arAj 0990 - 5972- Total no. of SDOs monitored /
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWO to reduce monitoring frequency ❑
Other ❑
outfall _�
Total Rainfall, Inches
00530
00400
00556
TSS, mg/L
pH, s.u.
Total Petroleum
Hydrocarbons, mg/L
Benchmark
N/A
100
6.0 — 9.0
15
Date Sample Collected,
mo/dd/yr
rit t 1A G Y
} Y kt > 54
�, e
1, ,
W,,
t i
n.
h 1, iy
S W U-250NCG 16-051709

Additional Outfall Attachment
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
,!
Outfall t r
Total Rainfall inches
,
00530
00400
00556 t
TSS m /L
' � 9
PN� s u
?, ,`
Total Petroleum
Hydrocarbons, mg/L
Benchmark
N/A
.100
6.0 — 9.0
15 f
Date Sample Collected,
{. AN
x.
�' G, � n
..^r P n xM F: n :i, t,.L a•.1�}:.. 6
SW U-250NCG16-051709

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 thepossibility of fines and imprisonment for knowing violations."
Signature
Date 6-
Mail Annual DMR Summary Reports to:
DWO Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481.
Wilmington Office ...
[phone]
Winston-Salem ......
(336) 77T-5000
Central Office .........(919)
807-6300
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
.'if3 preSEPor3:prtrtet'I
IDU and enhance
�„ n'rnv� Caro+;ra's ti�aler...'• I,
SW U-25ONCG 16-051709

Microbac Laboratories Inc Page of
CHAIN OF.CUST.ODY --- --
Southern Testings Research.Divlaton _ _ - -- -. -. I '� Lab USe'Dnly .
3809,AIrp6rt Dnve' Wltson- and Analyses Request
NC.27896 r - t
-
Phone:':252-237-4175 Rush Approval By IDate/Time: Fax.�252-237-9341- _ t'-- - - - _ - t
. -- WeDSRe WNw soumamrasnnV turn
Original ReportTo _ -. -✓ __
Contact Person ,,
•�
rSample a Y
> AccL a .: Transport: r
�'•
Read on Ice?. I ..
Temp: -- Res: CI. PH:
Address: ... ...
Phone 8 r _
S C•.. r ...
J5.-�'J❑Yes❑
No
.-I
„-QXt�2j
..
Invoice Address 7
_.
Fax a - q
ry�'
9 _ -
O•,1,1 OJ�..Z.'
ISAMPLING CHARGES
Tim e:— •._Mile
, .
rRe�� Other.Swrww .�— —� r
By; _ -, -, Project ID:
?
-
Analyses Re uested
RegV�ted Turnaround Time > n
' /
f'�S�"K7'
4
7- . d: �1 ire • -
0
-
.11 Normal (2 weeks) ❑ Rush (3 5 days) - 9
PO a -_
. STRL QUOTE a
Q � r OC
-
' El Emergency Rush (ASAP)
'
p} C O
O
- -
ADDITIONALCHARGESWILL APPLY
�O 0t�.
CALL FOR APPROVAL _. � Cliente9es Ruted Due Date :
-
C 0 e,
o: o. Q: •�0
���
P
-
Item Stan ' - End Comp Grab>_', Samp!e
•���
a Datemme -.'Data/Time Type**' c - Description/Sample Marks
7_ 77-/
y
7 .
✓,
f-
jet
✓_
_ NF�n
`fir=
G
�a
y 3G�
-
_
-------
ri.
h
yRELINQUISMED BY-- =
'. DATE/T1ME
RECEIVED
BY =
-
DATE/TIME
_
NOTES;
-
2
3
Field Res. CL.: Field Conductivity: '- Field Temp: Field DM: y. Field D.C.: -
IS DATA TO BE USED FOR REGULATORY COMPLIANCE PURPOSES?
❑ YES
NO. . IF YES, WHICH REGULATORY AGENCY:
-
-See Reverse for -Codes
-- -0AMUU I.VI IUVOI
a
FIELD COPY

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG160000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NC13160 D❑®® SAMPLES COLLECTED DURING CALENDAR YEAR: aD l0
(This monitoring report is due at the Division no later than 30 days from the date
n the facility receives the sampling results from the laboratory.)
FACILITY NAME T A)007LT/ SRAJF-ORD AS�s�iotT COUNTY Lc�'
PERSON COLLECTING SAMPLES _�9A/ES f i4SiY6tJ4 PHONE NO. ( tom S21 -290 — S9 / 2
CERTIFPIED LABORATORY M l"06he' Lab #
Monitoring Requirements
Outfall
No.
Date
Sample Collected,
Tno/dd/yr
Total Rainfall.
inches
00530-
00400
00556
Total Suspended Solids, mg/l .
-
- ' pH. -.
Standard units
Total Petroleum Hydrocarbons, 1119/1
EPA Method 1664 (SGT-HEM) -
Benchmark'
100
-Within 6.0 "= 9.0-
.:., ,..: ........ ....15
/0
S,
G S o0
If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier l or Tier 2 responses in the General Permit.
Mail original and one copy to:
Division of Water Quality
Attn: 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 gatheri g the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware tba" i re are significant penaltieffor submitting false information, including the possibility of fines and imprisonment for knowing violations."
of
S -,73
(Date)
SWU-253-051409
Page 1 of 1

Fayetteville Division
2592 Hope Mills Rd 8-B Wendy Court
Fayetteville, NC 28306 Greensboro, NC 27409
910.864.1920 Phone [phone] Phone
910.864.8774 Fox 336.856.9711 Fax
Certificate of Analysis
S.T. Woolen Corporation
Mr. James Washburn Date Reported: August 10, 2010
Project: S[ormwater sample -Sanford Asphalt Date Received: Jul 29,2010
Post Office Box 2408 Y
Wilson NC, 27894 Sampled By: Mike Michaux Date Sampled: July 27, 2010
OFI, grab
1007890-01
Analyte Result Unit Analysis Dateffime Analyst Method Qualifier
snarpm w: mmoac - rayemsmie umsm
Oil & Grease (HEM) <5.00 mg/L 8/3/10 7:45
"total Suspended Solids 5.40 mg/L, 8/3/10 10:00
Qualifier Definitions
RAS EPA 1664
AMM SM 20th Ed. 2540 D
State Certifications: Respectfully Submitted
NCDNR #11, #693 ! l
NCDOH #37714, #37795 tv. W- >[]�Mb
USDA #3787 R. W. Sanders, VP/Managing Director
Thank you for your business. Wr imim wur firdhark on wr lncl ajsenice ro yw. Please conmm the VP Mamrging Draw. Rnn &,odd m m 91 MU-192n, James Makes, 1'e.,sidem, ar
inakis/o`micmbacrom or Terror Hovre. Ch'V. err thovrr:amirmhac.com with anv mmmems m meee.rtlans.