NCG160214_MONITORING INFO_20190108

_........ .
STORMWATER DIVISION CODING SHEET
NCG PERMITS
-------------------
PERMIT NO. �v �� I la bA 1 `/
DOC TYPE ❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE ❑ a 0 D
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted I .11,170ig
CERTIFICATE OF COVERAGE NO. NCG16214
FACILITY NAME Rogers Group, Inc. Henrietta Asphalt
COUNTY Rutherford
PERSON COLLECTING SAMPLES Joe Conley
LABORATORY Pace Analytical Lab Cert. # 40
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _2018
SAMPLE PERIOD ❑ Jan -June ® July -Dec
R����� �rC or ❑ Monthly' (month)
" ` DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
JAN 0 B 2019 ❑Zero -flow [_]WaterSupply ❑SA
❑Other
DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
® No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks =__>
-
-
100 mg/L or 50 mg/L4
001
No Flow
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
i For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No dischornp this nprind22
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 5o mg/L4
Not Applicable
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly 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)
7 20 tq
( at) '
Permit Date:10/1/2014-9/31/2019
SWU-2521 last revised 9/17/2014
Page 2 of 2

ROGERS
GROUP,.
FEDEX OVERNIGHT DELIVERY
January 7, 2019
Attn: DWR Central Files
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Rogers Group Inc. — Annual Summary DMR
Burnsville Asphalt — NCG160192
Hendersonville Asphalt — NCG160150
Henrietta Asphalt — NCG160214
To Whom It May Concern:
JPNogti019
oW o1�
RGI is submitting an original and one copy of the Annual Summary Data Monitoring Reports as
required by Section E.2 of permit NCG160000 for the above referenced facilities. While this
annual summary was originally submitted on October 19, 2018, RGI is submitting an updated
summary to certify that no changes to the original occurred after the October submittal date.
If you have any questions concerning this correspondence, please contact me
alisa.hatmakerorogersgrouoinc.com or by phone at [phone].
Sincerely,
Alisa Hatmaker
Environmental Manager
Rogers Group Inc.
Attachments
421 Great Cirde Road phone [phone]
Nashville, TN 37228 rogersgroupine.eom

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2018
Revised 911712014
General Permit No. NCG160000
Certificate of Coverage No. NCG 16 0❑ 2❑ 1❑®❑
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name: Henrietta Asphalt
County: Rutherford
Phone Number: (828 ) 458-5156
Total no. of SDOs monitored 1
Part A. Outfall No. 001 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Q
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 ❑
00530
Total Rainfall,
Outfall 001 inches TSS, mg/L
Benchmark N/A 501100
Date Sample Collected,
molddlyr
No Flow
Page I I

Part B. On -Site Vehicle Maintenance Outfall No. NA
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 n
Outfall
Total Rainfall,
inches
00530
00556
TSS, mg
Non-polar Oil &
Grease, mg/L
Benchmark
N/A
501100
15
Date Sample Collected,
molddlyr
Page 12

N 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."
• 17�Y154ru L
Mail Annual DMR Summary Reports to:
DEMLR 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]
_ASHEVILLE REGIONAL OFFICE_
FAYETTEVILLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
2090 US Highway 70
225 Green Street
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFF_ ICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONALOFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALEM REGIONAL
——'_OF_FICE ---- ---
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Page 13

• STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2018
Revised 911712014 RECEIVED
General Permit No. NCG160000 OCT 2 3 2018
Certificate of Coverage No. NCG16 0❑Q 1❑®❑ CEIN-1RAL FILES
DWR SECTION
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name: Henrietta Asphalt
County: Rutherford
Phone Number: (828 )458-5156
Total no. of SDOs monitored 1
Part A Outfall No. 001 (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 n
00530
Outfall 001 Total Rainfall,
inches TSS, mg/L
Benchmark N/A 501100
Date Sample Collected,
mo/ddlyr
No Flow
Page I I

Part B. On -Site Vehicle Maintenance Outfall No. NA
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 ❑
Outfall
Total Rainfall,
inches
00530
00556
TSS, mg/L
Non -polar Oil &
Grease, mg/L
Benchmark
N/A
501100
15
Date Sample Collected,
mo/ddlyr
e�
Page 12

" 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."
Sigma
Date
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
ASHEVILLE REGIONAL OFFICE
F_AYETTEVILLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINC'fON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
tWINSTON-SALEM REGIONAL
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Page 13

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG16OOOO - Asphalt
Date submitted
CERTIFICATE OF COVERAGE NO. NCG16214 Ppr(
FACILITY NAME Rogers Group, Inc. Henrietta Asphalt ���/�t1
COUNTY Rutherford BAN �//
PERSON COLLECTING SAMPLES Joe Conley
LABORATORY Pace Analytical Lab Cert. q 40 INFnnj DlVRSECT
Comments on sample collection or analysis: Sample Number 4 .1Mr10NPgrl� S/MGUNI-
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow [_]watersupply [:]SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
® No discharge this period?'
-. Outfell No.
_
Date'Sample
Collected,
_
(mo/dd/yr),
. 24 hour iainfall
amount
a
_-Inches
J_ Total Suspended. Solids -:
-
Bendimarks - >-
- _
- 100 mg/L or'So mg/L" =- -
001
No Flow
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part F;: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this periodj2
Outfall No :, "-
T _
Date Sample _°-
Collectedly
::'. (mo/dd/yr)Inches;-�.
24-hour rainfall_.
.amount
Nohapolar O&G by EPA
-.. 1664:(SGT-HEM)-
- - -
Total Suspended Solids
Benchmarks--'-_". -_
-_'
_ -
--- `15 mg/L _
100 mg/L or'50 mg/0-
Not Applicable
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly 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."
of Permittee)
b
(Date)
Permit Date: 10/1/2014-9/31/2019
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Per it No. NCG160000 - Asphalt
Date submitted % Zb 1 %
CERTIFICATE OF COVERAGE NO. NCG16214
FACILITY NAME Rogers Group, Inc. Henrietta Asphalt
COUNTY Rutherford
PERSON COLLECTING SAMPLES Joe Conley
LABORATORY Pace Analytical Lab Cert. p 40
iComments on sample collection or analysis: Sample Number 6
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ® Jan -June ❑ July -Dec
�/�++
or ❑ Monthly/ (month)
RECE0IYfOGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Watersupply []SA
$6 29
1
7
❑Other
CENTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
® No discharge this period?'
Outfall No.
Date Sample
Collected'
(ma/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
Benchmarks ===>
-
-
100 mg/L or 50 mg/O
001
No Flow
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
,For sampling periods with no discharge at any'single outfall, you must still submit this discharge monitoring report with a checkmark here.
3;The total precipitation Imust be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
^,See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Nate: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non-
n6merical format. When results are below the.applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detect on limit, reporting limit, quantitation limit, etc. in mg/L.
IVite: If you report a sample value in excess of the benchmark, you must implement Tier 1; Tier 2, or Tier 3 responses. see General Permit text.
i
Permit Date: 10/1/20149/31/2019 I SWU-252, last revised 9/17/2014
P 1 !! I Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
2664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L'
Not Applicable
Footnotes from Part`A also'apply to`this`Part B -,
tlr2q' d��"ra It
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly 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."
7
(Date)
Permit Date:10/1/2014-9/31/2019
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted
CERTIFICATE OF COVERAGE NO. NCG16214
FACILITY NAME Rogers Group, Inc. Henrietta Asphalt
COUNTY Rutherford
PERSON COLLECTING SAMPLES Joe Conley
LABORATORY Pace Analytical Lab Cert. # 40
Comments on sample collection or analysis: Sample Number 4
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or []Monthly' (month)
R �C I /[DID HARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
C V C ❑Zero -flow ❑Water Supply ❑SA
JAN 1 0 Z017 ❑Other
CENTS C7 ON FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
© No discharge this period?'
Outfall No.
-
Date Sample
Collected'
(mo/dd/yr) _
24-hour rainfall
amount,
inches'
Total Suspended Solids
Benchmarks =__> -
- -
- -
100 mg/L or 50 mg/O
001
No Flow
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
' See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle MAintetidnce Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No: -
Date Sample
Collected` _'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks===>
-
15 mg/L -
100 mg/L or 50 mg/0
Not Applicable
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. see General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Permit Date:10/1/2014-9/31/2019
SWU-252, last revised 9/17/2014
Page 2 of 2

a

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
E •� �� � l � O �� � Date submitted
CERTIFICATE OF COVERAGE No.. NCCGl 16214
FACILITY NAME Rogers Group, Inc. Henrietta Asphalt
COUNTY Rutherford
PERSON COLLECTING SAMPLES Joe Conley
LABORATORY Pace Analytical Lab Cert. # 40
Comments on sample collection or analysis: Sample Number 4
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' /month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]Watersupply ❑SA
RECEIVED ❑Other
JUL 11 2016
CENTRAL FILES
DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE a
XQ No discharge
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Total Suspended Solids
Benchmarks =__>
-
-
100 mg/L or 50 mg/L4
001
No Flow
th�riod?'
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period ?2
Outfall No.
'
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
InchO,..
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_ -
-
15 mg/L
100 mg/L or 50 mg/L4
Not Applicable
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly 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."
� -1
(Signature of Permittee)
Permit Date:10/1/2014-9/31/2019
% % IW
(Date)
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted
CERTIFICATE OF COVERAGE NO. NCG160214
FACILITY NAME Rogers Group, Inc. — Henrietta Asphalt
COUNTY Rutherford
PERSON COLLECTING SAMPLES Joe Conley
LABORATORY Pace Analytical Lab Cert. it 40
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
REC[DFS9HR`GING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
JAN 19 2016 ❑Other
CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
® No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Total Suspended Solids
Benchmarks ===>
-
-
100 mg/L or 50 mg/L4
001
No Flow
Click here to enter text.
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/O
NA
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly 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."
/ 2 /
(Date)
Permit Date:10/1/2014-9/31/2019
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
�jIDate submitted
CERTIFICATE OF COVERAGE No. 4—
FACILITY NAME Rogers Group, Inc. Henrietta Asphalt
COUNTY Rutherford
PERSON COLLECTING SAMPLES Joe Conley
LABORATORY Pace Analytical Lab Cert. # 40
Comments on sample collection or analysis: Monitoring Period 2
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
nOther
JUL 2 4 2015
CENTRAL FILES
DAIR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
No discharge this period?Z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Total Suspended Solids
.Benchmarks.===>
-
-
100 mg/L or 50 mg/L°
001
No Flow
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2
im
C
W

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
t
❑ No discharge this period:
Outfall No.
-
Date Sample
Collected'
(mo/dd/yr),
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total,5uspended Solids
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/L'
Not Applicable
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly 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."
A IJ l-s-
(Date)
Permit Date:10/1/2014-9/31/2019
SWU-252, last revised 9/17/2014
Page 2 of 2

MRI

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
/C`ii � D� Date submitted
CERTIFICATE OF COVERAGE NOi�f UNCis16r21�'-'
FACILITY NAME Rogers Group, Inc. Henrietta AsphaltGroup, Inc. Henrietta Asphalt
COUNTY Rutherford
PERSON COLLECTING SAMPLES Joe Conley
LABORATORY Pace Analytical Lab Cert. # 40
Comments on sample collection or analysis: Sampling Period is
October 1, 2014 to December 31, 2014
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
SAMPLE PERIOD ❑ Jan -June N July -Dec
or ❑ Monthly' (month)
RECa\(,,G TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
JAN 27 2015 []Zero -flow ❑Water Supply ❑SA
CENTRAL FILES [:]Other
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
® No discharge this period?2
outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
Benchmarks =__>
-
-
100 mg/L or 50 mg/L'
001
No Flow
—C3
—C
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
' The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B'�-Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50mg/L'
Not Applicable
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copy of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly 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."
Yi /S-
( ate)
Permit Date: 10/1/2014-9/31/2019
SWU-252, last revised 9/17/2014
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG160000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG16©❑Z ❑I
FACILITY NAME Henrietta Asphalt
PERSON COLLECTING SAMPLES: Joseph Conley
CERTIFIED LABORATORY: Pace Analytical Lab # 40
Lab #
Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(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.)
COUNTY Rutherford
PHONE NO.( 828 1 657-4756 RECEIVED
S€P 2 2 2014
CENTRAL FILES
DWR SECTION
a0utfa1l
M-No
yes
�I)yte{ ��v
°Sample;C_Ale cted;
mo%dd/ r_y
-Total Rainfall,
=. iiicf,es ��'=�.P
'00530
'00400L'&r
00556��a3s
.Total Sus ended Sohd m
'yn kStandaLd.unitsc
� r-r '� pH;- - '..--`-"`
_
r �-TotallPetroleum'Hvdrocsfbons;Fmg/1
= 'EPA Method€1664'(SGTr.HEM)
.- o .M ii-
;Benchmarks
-+.--..oa- x
�',�.�`�:,___ �..�-.�"
sue^
���-�-''z:b.i�'z
z--�� _ s: ;100x4"-�'.> ti._
'
=���,�-=Within 6.0_�9:0�-r,L
=r-��
001
08/01/14
2.75.
114
7
<5.0
I If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit.
Mail original and one copy to:
Division of Water Quality
Ann: 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 that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
9/16/14
(Date)
SWU-252-051409
P.,or I of I

_ ROGERS GROUP, INC.
P.O. BOX 25250 Nashville, TN 37202-5250 Phone [phone]
September 18, 2014
Attn: Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Rogers Group, Inc.
DMR Submittals
To Whom It May Concern:
RGI is submitting the semiannual discharge monitoring reports for our Henrietta,
Burnsville, and Hendersonville Asphalt facilities. Due to a change in responsible official
at these facilities, RGI has missed the 30 day submittal period that is stated in Part III
Section E.1of the general permit for asphalt block plants. Rogers Group, Inc. apologizes
for submitting these DMRs after the required reporting date and has put processes in
place to better monitor our North Carolina division more closely.
If you have any questions or need any additional information please do not hesitate to
contact me at [phone].
Sincer y,
i
Van edlock
Director of Environmental Services
Rogers Group, Inc.
An Equal Opportunity Employer. M/F/V/D
www.rDgersgroupinc.com

I.Wi�sMEN IL1J�iIJ
CERTIFICATE OF COVERAGE
FACILITY NA
PERSON COI
CERTIFIED L
Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG160000
DISCHARGE MONITORING REPORT (DMR)
-IF] SAMPLES COLLECTED DURING CALENDAR YEAR: 2013
(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.)
COUNTY Rutherford RECEIVED
PHONE NO. [phone]
-es_O_ rcDo-
Lab# MAR 13 2014
# 40
CENTRAL FILES
DWQ/3UG
Outfall
'* No ..
f3yDate
Sample Collected,:
Total Rainfall,
°OOo30
00400
Total Suspended Solids; mg/1
4` = pH, r
_-.Standard units _
- T6ta1,Petr61eni °Hydrocarbon s, mg/I_a
rEI'A.Method=1664t(SGT.HEM) ; _T
`Bettchmat•kl
--
-100.y5
001
2/5/14
3/8
ND
ND
ND
1 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I 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 that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
3/5/14
(Date)
;I
SWU-252-051409
R,or l nfI

v

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year _2013
General Permit No. NCG160000
Certificate of Coverage No. NCG16❑❑❑❑❑
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: Henrietta Asphalt
County: Rutherford
Phone Number: [phone] Total no. of SDOs monitored
Outfall No. 001
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 ❑
a
�,
,r, ,., ,�, p
, :
Outfalll 001
., �V
�: e �, a�
Total Rainfall
r ,r',
Inches y F
1'00530) ir'
y 1 ,�i ui,n
,�
TSS m IL(:1
g
, �} 1
,'� 00400 ,n
i,i
a
p H s u
, s
, �,� o
rl
Ott, �I
Method 16,64A
, ,v
�� . (SGT-HEM)r��
'.Non -Polar
Total Petroleum
Hydrocarbons,
m ILi
� Vehicle
nliMaintenance.
Activities ,
New Motor Oil.
Usage,
I,'gal/month
,..�
Benchmark
N/A
100
6.0 — 9.0
15
N/A
Date Sample.ollected,l
molddlyr C
I
F =0'
2/5114
3/8
ND
ND
ND
Last Revised 7-1-2010

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
3/�/
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
ASHEVILL'EiBEGIONALTOFFW
FAYETTEV:IE'L'EREGIONALOF,FICE
MOORESVILLiDREGIONALOFFIGE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
_ALEIGHtREG10NAQOFFdt d
WASHINGTON:REGIONA'L LOF,FICE
WILMINGTONPREGIONALjOFFIg�
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTAN-SAUENI REGI_N_A
CENTRAUOFFICIl
OFFICE
1617 Mail Service Center
y' ��'hTo preserve'proteet' '"
585 Waughtown Street
Raleigh, NC 27699-1617
;'d andenhanca ''
Winston-Salem, NC 27107
[phone]
aN „n North Carollra s water ..
[phone]
Last Revised 7-1-2010

_ ROGERS GROUP, INC.
P.O. BOX 25250 Nashville, TN 37202-5250 Phone [phone]
March 5, 2014
N.C. Department of Environment & Natural Resources
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Rogers Group, Inc.
Henrietta Asphalt, Permit No. 160214
Annual DMRs for 2013, DMRs for Period 8/31/2013 to 2/28/2014
To Whom It May Concern:
Enclosed please find two (2) signed copies of the Annual and Semi -
Annual Discharge Monitoring Reports (DMRs) for the above -identified
facilities.
If you have any questions concerning this correspondence, please
contact met at 615-812-9589.
Sincerely,
Van Medlock
Director of Environmental Services
Enclosures
An Equal Opportunity Employer. M/F/V/D
www, ro ge rsgrou pi nc.co m