NCG080455_COMPLETE FILE - WSRO HISTORICAL_20190115

-- STORMWATER DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO.
DOC TYPE
ILE -HISTORICAL
L]' COMPLETE FILE-'
DATE OF
RESCISSION
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 1/8/19
CERTIFICATE OF COVERAGE NO. NCGO80455 RECEIVED
FACILITY NAME _Pilot 6955
COUNTY Graham JAN 15 2019
PERSON COLLECTING SAMPLES RSW 1L FILES
LABORATORY _SGS Lab Cert. #t �346 nVilp SECTION
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or C] Monthly' (monthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow []Water Supply [:]SA
[]Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? `yes _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil usage,
Annual average gal/me
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfa I I
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0 — 9.0
001
11/07/18
<5.0
1 6-2
8.82
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April I I, 2013
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date �11/07/18 (first event sampled)
Total Event Precipitation (inches): _>0.1_
Date (list each additional event'sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1; Tier 2, or Tier responses. See General Permit text.
FOR PART A AND PART 8 MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE -SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY'HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Moil 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 Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, undevpenalty of taw, 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."
(Sig re Permittee) (Date)
Additional copies.of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw##tab-4
SWU-250 last revised April 11, 2013
Pane 2 of 2

ATTACHMENT II
Laboratory Certificates of Analysis
and Chain -of -Custody Documentation

SGS_
Dayton,
The results set forth herein are provided by SGS North America Inc. e-Hardeopy 2. 0
Automated Rej)orf
Technical Report for
Pilot Travel Centers LLC
ACVAR: #6955, 1044 Jimmy Kerr Road, Haw River, NC
768490-040
SGS Job Number: JC77542
Sampling Date: 11/07/18
Report to:
Apex Companies, LLC
7724 Garland Circle
Roanoke, VA 24019
[e-mail]
ATTN: Robert Wagner
Total number of pages in report: 14
Test results contained within this data package meet the requirements
of the National Environmental Laboratory Accreditation Program
and/or state specific certification programs as applicable.
B n McGuire
General Manager
Client Service contact: Tammy McCloskey 732-329-0200
Cerlifications: NJ(12129), NY(10983), CA, CT, FL, IL, IN, KS, KY, LA, MA, MD, Mr, MN, NC,
0[1 VAP (CL0056), AK (UST-103), AZ (AZ0786), PA, RI, SC, TX, UT, VA, WV, Doi) FLAP (ANAB L2248)
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. - 2235 Route 130 - Dayton, NJ 08810 - tel: [phone] - fax: [phone]
v ,1 � ° > �'� � c 1 " ••F c ti 1 � � 1 1 § I �1<c ,h•� �c �ow� 'dc s about Si;S is t.hc ..�rlc uuthurit}� lc 1 <ntr111 1 iitns� r<Iq, ur m � 1fu<a n, ti [Ills 1 [� ct tr1e11t, � . .0 y 1 n. —SG
�
LYna[[tlISlri7Cll 11111dil'icationhll 1111: repo1Y is strictly Prohibited. how \Ve can serve you better at:
Kcviz.tivs[andard terms lit:]ltlJ):+rti4\1�ti.'ti.COmiCn1[iF'flli-ilnCl-COndl[IUr15 EIIS.I S.CustorneiCarc` tg,s,com r—
iof14
JC77542

Sections:
Table of Contents
_1_
Section1: Sample Summary...................................................................................................
3
Section2: Case Narrative/Conformance Summary..............................................................
4
Section3: Summary of Hits....................................................................................................
5
Section4: Sample Results........................................................................................................
6
4.1: JC77542-1: OUTFACE-001.....................................................................................•--.
7
Section5: Misc. Forms............................................................................................................
5.1: Chain of Custody...........................................................................................................
8
9
Section 6: General Chemistry - QC Data Summaries..........................................................
6.1: Method Blank and Spike Results Summary
11
1
6.2: Duplicate Results Summary ..........................................................................................
13
6.3: Matrix Spike Results Summary.....................................................................................
14
2 of 14
S _G
Jcns42

SGS North America Inc.
Sample Summary
Pilot Travel Centers LLC
Job No: JC77542
ACVAR: #6955, 1044 Jimmy Kerr Road, Haw River, NC
Project No: 768490-040
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample ID
JC77542-1 11/07/18 12:25 RW 11/09/18 AQ Water OUTFALL-001
1 3 of 14
_SGS'_
JC77542

CASE NARRATIVE 1 CONFORMANCE SUMMARY
Client: Pilot Travel Centers Lt,C Job No JC77542
Site: ACVAR: #6955, 1044 Jimmy Kerr Road, Haw River, NC Report Date 11/19/2019 9:30:25 A
On 11/08/2018, 1 Sample(s), 0 Trip Blank(s) and 0 Field Blank(s) were received at SOS North America Inc. at a maximum
corrected temperature of 1.8 C. Samples were intact and chemically preserved, unless noted below, A SOS North America Inc. Job
Number of JC77542 was assigned to the project. Laboratory sample 11), client sample ID and dates of sample collection are
detailed in the report's Results Summary Section.
Specified quality control criteria were achieved for this job except as noted below. For more information, please refer to the
analytical results and QC summary pages.
Compounds qualified as out of range in the continuing calibration summary report are acceptable as per method requirements when
there is a high bias but the sample result is non -detect.
General Chemistry By Method EPA 1664A
Matrix: AQ Batch ID: GP17406
■ All samples were prepared within the recommended method holding time.
■ All method blanks for this batch meet method specific criteria.
a Sample(s) JC77582-IMS, JC77582-2DUP were used as the QC samples for HEM Oil and Grease
Matrix: AQ Batch ID: GP17415
■ All samples were prepared within the recommended method holding time.
All method blanks for this batch meet method specific criteria.
• Sample(s) JC77582-IMS, JC77582-2DUP were used as the QC samples for I IEM Petroleum Hydrocarbons.
■ RPD(s) for Duplicate for HEM Petroleum Hydrocarbons are outside control limits for sample GP174IS-D1. RPD acceptable
due to low duplicate and sample concentrations.
General Chemistry By Method SM2540 D-11
Matrix: AQ Batch ID: GN88143
■ All samples were analyzed within the recommended method holding time.
■ All method blanks for this batch meet method specific criteria.
■ Sample(s) JC77582-2DUP were used as the QC samples for Solids, Total Suspended,
SGS North America Inc. certifies that data reported for samples received, listed on the associated custody chain or analytical task
order, were produced to specifications meeting the Quality System precision, accuracy and completeness objectives except as noted.
Estimated non-standard method measurement uncertainty data is available on request, based on quality control bias and implicit for
standard methods. Acceptable uncertainty requires tested parameter quality control data to meet method criteria.
SGS North America Inc. is not responsible for data quality assumptions if partial reports are used and recommends that this report
be used in its entirety. Data release is authorized by SGS North America Inc indicated via signature on the report cover
Monday, November 19, 2018 Page 1 of l
4of14
s _G
r JC77542

Summary of Hits Page I of I
Job Number: JC77542
Account: Pilot Travel Centers LLC
Project: ACVAR: #6955, 1044 Jimmy Kerr Road, I -law River, NC 11111111111101
Collected: 1 1/07/18
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
JC77542-1 O UT FA L L-001
Solids, Total Suspended 6.2 4.0 mg/1 SM2540 D-11
5ot14
_S.GS
r JC77542

SGS,r
Dayto
Sample Results
Report of Analysis
Section 4
�I
6of14
_SGS,
JC77542

SGS North America Inc.
Report of Analysis
Client Sample 1D: OUTFALL-001
Lab Sample ID: JC77542-1 Date Sampled: 11/07/18
Matrix: AQ - Water Date Received: 11/08/18
Percent Solids: n/a
Project: ACVAR: #6955, 1044 Jimmy Kerr Road, I -law River, NC
General Chemistry
Analyte Result
HEM Oil and Grease < 5.0
HFM Petroleum Hydrocarbons < 5.0
Solids, Total Suspended 6.2
RL = Reporting Limit
Page I of 1
RL
Units
DF Analyzed
By Method
5.0
mg/l
1 11/16/18 11:00
too EPA 1664A
5.0
mg/l
l 11/16/18 11:00
JOo FPA 1664A
4.0
mg/l
1 11/09/1815:21
RC SM2540D-1I
-SGSr
7of14
JC77542

SG -Sr
Daytoi
Section 5
Misc. Forms
Wd
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
8of14
_SGS
r JC77642

crmc�
CHAIN OF CUSTODY PAGE I OF
W-9N. A--ice..-n.N- P9-oiI 15 rof
t�l�J�
TEL. 732-329,0200 FAX [phone]
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sate LDIN+5f.mmm.N::-ii—%�'" % r"R° Mti^--'- G��6sn'J
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Ftx SM08"3C(m-tmdN12/18)
httpft.— ps..-V.V e...d-OY40 n.
JC77542: Chain oi'Custody
Page 1 of 2
—V G Vy_
9of14
JC77542

SGS Sample Receipt Summary
Job Number: JC77542 Client: APEX COMPANIES, LLC
Date 1 Time Received: 1118l2018 9:30:00 AM Delivery Method:
Cooler Temps (Raw Measured) °C: Cooler 1; (2.4);
Cooler Temps (Corrected) °C: Cooler 1: (1.8);
Cooler Securltv Y
1, Custody Seats Present: R
or N
❑
3, COC Present:
2. Custody Seals Intact: W
❑
4. Smpl DateslTime OK
Cooler Temperature
1. Temp criteria achieved;
Y or
Wj
N
❑
2. Cooler temp verification:
IR Gun
3. Cooler media:
Ice (Bay)
4. No. Coolers:
1
Quality Control Preservation
1. Trip Blank present 1 cooler:
Y or
❑
N NIA
+9 ❑
2. Trip Blank listed on COC:
❑
® ❑
3. Samples preserved property:
W
[]
4, VOCs headspace free:
0
❑ 2
Test Strip Lot #a: pH 1-12: 216017
Rev. Date 12f7117
Y or N
® ❑
n ❑
Project: ACVAR: #6955, 1044 JIMMY KERR ROAD, HAW
Alrblll Vs:
1. Sample labels present on battles:
2. Container labeling complete:
3. Sample container label 7 COC agree:
1. Sample recvd within HT:
2, All containers accounted for
3. Condition Df sample:
Samole lntearity --Instructions
1. Analysis requested is dear:
2. Bottles received for unspecified tests
3. Sufficient volume recvd for analysis:
4. Compositing instructions clear:
5. Filtering instructions clear:
pH 12+: 208717 Other: (Specify)
Y or N,
❑
Y or N
Cr7 ❑
nI ❑
Intact
Y or N NIA
1Wi ❑
❑ W1
(WJ ❑
❑ ❑ .
❑ ❑ W
JC77542: Chain o!'Custody
Page 2 of 2
' 14of14
—Vcc .�r
JC77542

SGS
Day,
General Chemistry
QC Data Summaries
Includes the following where applicable:
• Method Blank and Blank Spike Summaries
• Duplicate Summaries
• Matrix Spike Summaries
Section 6
11 of 14
_sGs�
JC77542

METHOD BLANK AND SPIKE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: JC77542
Account: PILOTSS - Pilot Travel Centers LLC
Project: ACVAR: 06955, 1044 Jimmy Kerr Road, Haw River, NC
MR Spike BSP BSP QC
Analyte Batch ID RL Result Units Amount Result %Recov Limits
HEM Oil and Grease G217406/GN88468 5.0 0.0 mg/1
HEM Petroleum Hydrocarbons GP17415/GN88470 5.0 0.0 mg/1
Solids, Total Suspended GN88143 4.0 0.0 mg/1
Associated Samples:
Batch GN88143: JC77542-1
Batch GP17406: JC77542-1
Batch GP17415: JC77542-1
(•) outside of QC limits
Page 1
39.8 37.7 94.1 78-124%
19.9 17.8 89.4 64-132%
1
_SGS
~
12of14
JC77542

➢UPLICATE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: JC77542
Account: PILOTSS - Pilot Travel Centers LLC
Project: ACVAR: 06955, 1044 Jimmy Kerr Road, Haw River, NC
QC Original DUP QC
Analyte Batch ID Sample Units Result Result RPD Limits
HEM Oil and Grease GP17406/GN8B468 JC77582-2 mg/l
HEM Petroleum Hydrocarbons GP17415/GU88470 JC77582-2 mg/1
Solids, Total Suspended GNEB143 JC77582-2 mg/l
Associated Samples:
Batch GN8B143: JC77542-1
Batch GP17406: JC77542-1
Batch GPI7415: JC77542-1
(*) Outside of QC limits
(a) RPD acceptable due to low duplicate and sample concentrations.
Page 1
0.0 0.0 0.0 0-188
2.2 0.0 200.0(a) 0-34%
0.0 0.0 0.0 0-17%
- SG�[�1ffj� 13 of 14
JC77542

MATRIX SPIKE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: JC77542
Account: PILOTSS - Pilot Travel Centers LLC
Project: ACVAR: #6955, 1044 Jimmy Kerr Road, Raw River, NC
QC Original Spike MS QC
Analyte Batch ID Sample Units Result Amount Result SRec Limits
HEM Oil and Grease GPI7406/GN88468 JC77582-1 mg/1 0.0 39.0 35.9 96.2 7B-1148
HEM Petroleum Hydrocarbons GP17415/GN88470 JC77582-1 mg/1 2.2 19.9 15.0 64.3 64-132%
Associated Samples:
Batch GP17406: JC77542-1 p�
Batch GP17415: JC77542-1
{•} Outside of QC limits
{N) Matrix Spike Roc. outside of QC limits
Page 1
c1
—SG Cr
14 of 14
JC77542

1
APEX
.luly 5, 2018
Division of Water Quality
Attention: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Discharge Monitoring Report —January to June 2018
Pilot #6955
1044 Jimmy Kerr Road
Haw River, North Carolina
Permit NCG080455
Dear Sir/Madam:
RECEIVED
JUL 13 2018
I'RAL FILES
TAIR SECTION
Attached is the January - June 2018 Discharge Monitoring Report (DMR) prepared for the above
referenced site. The laboratory analytical data for this round of sampling is also attached. If you
have any questions, please feel free to contact me at [phone].
Sincerely.
Robert S. Wagner
Program Manager
Attachments
cc: Melody Mayville, Pilot 1= lying .I
Apex Companies, LLC • 7724 Garland Circle • Roanoke, VA 24019
T 540.563.4920 - F 540.563.4921 • apexcos.com

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 7/5/18
CERTIFICATE OF COVERAGE NO. NCGO80455
FACILITY NAME _Pilot 6955
COUNTY Graham
PERSON COLLECTING SAMPLES RSW
LABORATORY—SGS Lab Cert. # �346
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
[]Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period'
"
outfaII
No
t 4 `i "vs�:
: z�} ;Date
5ample`Collected,
-<: mo/dd/yr �,
y' U0530
F2 R
00400 E E
::E:" 4 42 F
`� 0055fi
Total. Suspended
: ,: Solids, mg/i
pH,
SStandard inits , ;.r
Non -Polar Oi nd.Grea a ..., I i PA
Method 1664 (SGT HEM};=mg/L�:
F New=Motor:,Qil Usage;,
` Annual average gal/mo-,
Benchmark
,.
._ - �..
50,or 10D see�perm.if
With,m�6 D �9. 0 :..
�__ �15.:. -
f a
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
_
:Date
.P
Sam Ie�Collected
mo/dd/,yr
�+ 0U556
w00530
A0400
Non Polar Oi1d�Gr- e� a e PH EPAMeLhod`7oial5
/T
1564Q[SGT; HEM), mg/L
ended Solids
P
mg/L �. '' ,;_ ?
H
P��
Stan"darnunits
Permit`Limit
.,' 50xor-100,,see: ermit
6 0;§9.' ,
001
6/26/18 1
<5.4
<4.0
8.85
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
page 1 of 2

STORM EVENT CHARACTERISTICS:
Date _6/26/18 (first event sampled_ )
Total Event Precipitation (inches): ><0,1
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event. Precipitation (inches):.
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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES,:HAVE'YOU CONTACTED THE DWQ REGIONAL OFFICE? 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 Quality ^
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST�SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify,.under penalty bf 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.informationsgbmitted 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 imprison ment.for knowing violations."
(Sign
7- 5-- /F
(Pate),
Additional copies of this form r-hay be.downloaded at: hti ortal.ncdenrair web .w ws su n dessw#tab=4
SWU-250 last revised April 11, 2013
Page 2 of 2

ATTACHMENT II
Laboratory Certificates of Analysis
and Chain -of -Custody Documentation

CGS-
u
The results set forth herein are provided by SGS North America Inc.
Technical Report for
Pilot Travel Centers LLC
ACVAR: #6955, 1044 Jimmy Kerr Road, Haw River, NC
768490-040
SGS Job Number: JC68853
Sampling Date: 06/26/18
Report to:
Apex Companies, LLC
7724 Garland Circle
Roanoke, VA 24019
[e-mail]
ATTN: Robert Wagner
Total number of pages in report: 14
e-Mirrlcopy 2.0
Atitoinated Report
p�FO
Test results contained within this data package meet the requirements Nancy Cole
of the National Environmental Laboratory Accreditation Program Laboratory Director
and/or state specific certification programs as applicable.
Client Service contact: Tammy McCloskey 732-329-0200
Certifications: NJ(12129), NY(10983), CA, CT, FL, IL, IN, KS, KY, LA, MA, MD, ME, MN, NC,
014 VAP (CL0056), AK (UST-103), AZ (AZ0786). PA, RI, SC, TX, UT, VA, WV, Dal) ELAP (ANAB L2248)
This report shall not be reproduced, except In its entirely, without the written approval of SGS.
Test results relate only to samples analysed.
SGS North America Inc. • 2235 Route 130 • Dayton, NJ 08810 - tel: [phone] • fax: [phone]
SGS is the sole uuthori€y fir authorizing edit; or modifications to dtis document. Please share your ideas about
Unaulluxized n oditiealioi iii'lhis report is strictly prohibited, how we c:m serve you better at: -SGS,_
Review standard tests at: H IS.US.CustorneiCare{ sgs.corn
i of 14
JC66853

Sections:
Table of Contents
1
Section 1: Sample Summary................................................................................................... 3
Section2: Case Narrative/Conformance Summary.............................................................. 4
Section3: Summary of flits.................................................................................................... 5
Section4: Sample Results........................................................................................................ 6
4.1: JC68853-1: OUTFALL-01........................................................................................... 7
Section5: Misc. Forms............................................................................................................ 8
5.1: Chain of Custody........................................................................................................... 9
Section 6: Cencral Chemistry - QC Data Summaries.......................................................... .11
6A : Method Blank and Spike Results Summary.................................................................. 12
6.2. Duplicate Results Summary.......................................................................................... 13
6.3: Matrix Spike Results Summary.............................................................................I....... 14
SS.[s I
2of14
JC68853

SGS North America Inc.
Sample Summary
Pilot Travel Centers LLC
Job No: JC69853
ACVAR: #6955, 1044 Jimmy Kerr Road, Haw River, NC
Project No: 768490-040
Sample [Collected - _ - J Matrix Client
Number Date Time By Received Code Type Sample ID
CJC68853-1 --1 06/26/18 12:40 RSW 06/27/18 AQ Water i UTFALL-01
LI
3of14
S' -S_G,_
JC68853

CASE NARRATIVE / CONFORMANCE SUMMARY
Client: Pilot Travel Centers LLC Job No JC68853
Site: ACVAR: #6955, 1044 Jimmy Kcrr Road, Haw River, NC Report Dale 7/3/2018 9:42:05 AM
On 06/27/2018, 1 Sample(s), 0 Trip Blank(s) and 0 Field Blank(s) were received at SGS North America Inc. at a maximum
corrected temperature of 2 C. Samples were intact and chemically preserved, unless noted below. A SGS North America Inc. Job
Number of IC68853 was assigned to the project. Laboratory sample ID, client sample ID and dates of sample collection are
detailed in the report's Results Summary Section,
Specified quality control criteria were achieved for this job except as noted below. For more information, please refer to the
analytical results and QC summary pages.
Compounds qualified as out of range in the continuing calibration summary report are acceptable as per method requirements when
there is a high bias but the sample result is non -detect.
General Chemistry By Method EPA 1664A
Matrix: AQ Batch ID: GP14187
= All samples were prepared within the recommended method holding time.
All method blanks for this batch meet method specific criteria.
* Sample(s) JC68843-1DUP, JC69051-1 MS were used as the QC samples for HEM Oil and Grease.
Matrix: AQ Batch ID: GP14189
■ All samples were prepared within the recommended method holding time.
= All method blanks for this batch meet method specific criteria.
■ Sample(s) JC68843-IDUP, JC69051-1MS were used as the QC samples for HEM Petroleum Hydrocarbons.
General Chemistry By Method SM2540 D-11
Matrix: AQ Batch ID: GN82141
■ All samples were analyzed within the recommended method holding time.
■ All method blanks for this batch meet method specific criteria,
= Sample(s) JC68775-IODUP were used as the QC samples for Solids, Total Suspended.
SGS North America Inc. certifies that data reported for samples received, listed on the associated custody chain or analytical task
order, were produced to specifications meeting the Quality System precision, accuracy and completeness objectives except as noted.
Estimated non-standard method measurement uncertainty data is available on request, based on quality control bias and implicit for
standard methods. Acceptable uncertainty requires tested parameter quality control data to meet method criteria.
SGS North America Inc, is not responsible for data quality assumptions if partial reports are used and recommends that this report
be used in its entirety. Data release is authorized by SGS North America Inc indicated via signature on the report cover
Tuesday, July 03, 2018 Page I of 1
4of14
au _s�
JC68853

Summary of Hits Page 1 of I
Job Number. JC68853
Account: Pilot Travel Centers LLC
Project: ACVAR: #6955, I044 Jimmy Kerr Road, Haw River, NC
Collected: 0606/ 18
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
JC68853-1 OUTFA LL-01
No hits reported in this sample.
1 5 of 14
_SGS,-
JCb8b53

Sample Results j
Report of Analysis
Section 4
1 6of14
S.G
r ,rteeesa

SGS North America Inc.
Report of Analysis
Client Sample ID: OUTFALL-01
Lab Sample ID: JC68853-1 Date Sampled: 06/26/18
Matrix: AQ - Water Date Received: 06127/ 18
Percent Solids: n/a
Project: ACVAR: #6955, 1044 Jimmy Kerr Road, Haw River, NC
Central Chemistry
Analyte Result
RL
Units
DIEM Oil and Grease < 5.4 Y
_ 15.4
mg/l
HEM Petroleum Hydrocarbons < 5.4
i 5.4
mg/1
Solids, Total Suspended 1 < 4.0
14.0
mg/l
RL = Reporting Limit
Page I of
DF Analyzed
By
Method
1 07/02/18 13:00
TM
EPA 1664A
1 07/02/18 14:30
TM
EPA 1664A
1 06/29/ 18 12:20
RC
SM2540 D-1 >
E 7 of 14
-cGS,,_
JC68853

_SGS'�
W
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Section 5
�±c 8 of 14
JC68853

C�`C CHAIN OF CUSTODY
.[.7 rSGS Attb+en-Dry—
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JC68853. Chain of Custody
Page f of 2
v+
L
_SGSr
9of14
JC68853

SGS Sample Receipt Summary
Job Number: JC68853 Client:
Date I Time Recelved: 6/27/2018 9:40:00 AM Delivery Method:
Cooler Temps (Raw Measured) °C: Cooler 1: (2.0);
Cooler Temps (Corrected) °C: Cooler 1: (2.0);
Cooler Security -Y
i. Custody Seals Present: ®
or N
❑
Y or N
3. COC Present: +9 ❑
2. Custody Seals Intact: 6Z
❑
4. Smpl DateslTime OK ❑
Cooler Temperature
1. Temp criteria achieved:
Y or
®
N
❑
2. Cooler temp verification:
IR Gun
3. Cooler media:
Ice (Bag)
4. No, Coolers:
1
Quality Control Preservation
1. Trip Blank present 1 cooler:
Y or
❑
N N!A
® ❑
2. Trip Blank Ilsted on COC:
❑
i? ❑
3. Samples preserved propedy:
6 ji
❑
4. VOCs headspace free:
❑
❑
Test Strip Lot NS: pH 1-12: 216017
Comments
SM08303
Rev. pate 1217/17
Project:
Airbill Ws:
Sample Intearity - Documentation
1. Sample labels present on bottles:
2. Container labeling complete:
3. Sample container label I COC agree:
1. Sample recvd within HT:
2. All containers accounted for.
3. Condition of sample:
Sample Integrity - Instructions
1. Analysis requested ks clear:
2. Bottles received for unspecified tests
3. Sufficient volume recvd for analysis:
4. Compositing instructions clear:
5. Filtering instructions clear:
pH 12+: 208717 Other: (Specify)
Y or N
® ❑
® ❑
Y or N
❑
El
Intact
Y or N NIA
� fl
❑ FVj
® ❑
❑ ❑
❑ ❑
JC688.53: Chain of Custody
Page 2 of 2
10 of 14
JC66853

:v'
General Chemistry
QC Data Summaries
Includes the following where applicable:
Method Blank and Blank Spike Summaries
Duplicate Summaries
Matrix Spike Summaries
Section 6
� 11 of 14
-SGJC68853

METHOD BLANK AND SPIKE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: JC68853
Account: PILOTSS - Pilot Travel Centers LLC
Project: ACVAR: #6955, 1044 Jimmy Kerr Road, Haw River, NC
MB Spike BSP BSP QC
Analyte Batch ID RL Result Units Amount Result 9Recov Limits
HEM Oil and Grease
GP14187/GN82254
5.0
0.0
mg/1 40.3 31.9 78-114%
HEM Petroleum Hydrocarbons
GP191891GN82263
5.0
0.0
mg/1 20.13 19.0 69.5 64-132%
HEM Petroleum Hydrocarbons
GP14189/GN82265
5.0
0.0
mg/l 20.13 13.3 66.1 64-132%
Solids, Total Suspended
GN62141
4.0
A0.0
—
mg/l _
C)
Associated Samples:
�A
Batch GN82141: JC68853-1
Batch GP1418: JC6853-1
Batch GP14189: JC68653-1
•
(') Outside of QC limits
Page 1
1 12 of 14
_SGS;_

DUPLICATE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: JC68853
Account: PILOTSS - Pilot Travel Centers LLC
Project: ACVAR: 06955, 1044 Jimmy Kerr Road, Haw River, NC
QC Original DUP QC
Analyte Batch ID Sample Units Result Result RPD Limits
HEM Oil and Grease
GP14187/GN82254 JC68843-1 mg/l 0.0
0.0 0110-184
HEM Petroleum Hydrocarbons
GP14189/GN82263 JC68843-1 mg/1 D.0
1010"0
0.0 0
0-34%
Solids, Total Suspended
GN82141 JC68775-10 mg/l 4.0
4.0
_ 0-17%
Associated Samples:
Q)
Batch GN82141: JC68853-1
Batch GP14181: JC68853-1
Batch GP14189: JC68853-1
{•} Outside of QC limits
Page 1
13 of 14
JC68853

MATRIX SPIKE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: JC68853
Account: PILOTSS - Pilot Travel Centers LLC
Project: ACVAR: #6955, 1044 Jimmy Kerr Road, Haw River, NC
QC Original Spike MS QC
Ana Iyte Batch ID Sample Units Result Amount Result %Rec Limits
HEM Oil and Grease GP14187/GNS2254 JC69051-1 mg/l 0.0 40.3 32.5 ;60.6 78-114%
HEM Petroleum Hydrocarbons GP14189/GN82263 JC69051-1 mg/1 0.0 20.13 16.4 J1�5 a 64-132%
Associated Samples:
Batch GP14187: JC68853-1
Batch GP14189: JC68853-1
(•) Outside of QC limits
(N) Matrix Spike Rec. outside of QC limits
ohm
Page 1
14 of 14
JC68853

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
April 17, 2017
Mr. Alan J. Fass, P.G.
Dynamis, Inc.
P.O. Box 50636
Knoxville, TN 37950
ROY COOPER
Governor
MICHAEL S. REGAN
secretary
TRACY DAVIS
Director
RECEIVED
APR IS 2017
CENTRAL FILES
DWR SECTION
Subject: NPDES Stormwater Permit NCG080455
PFJ Southeast LLC
Formerly Speedway LLC
Alamance County
Dear Mr. Fass:
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained
in the General Permit remain unchanged and in full effect. This revised Certificate of
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and
the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at [phone].
Sincerely,
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Winston-Salem Regional Office
Mr. Joey Cupp, Pilot Travel Centers, LLC
Stormwater Permitting Program Files
Central Files
Stale of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
512 N. Salisbury Street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
919 707 4200

STATE OF NORTH CAROLINA
. DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No. NCG080455
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
PFJ Southeast LLC
is hereby authorized to discharge stormwater from a facility located at:
PFJ Southeast LLC
Jimmy Kerr Road & 185
Graham
Alamance County
to receiving waters designated as Back Creek, a class C NSW stream, in the Cape Fear River
Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts 1, I[, III, and IV of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective April 17, 2017.
"Phis Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 17, 2017.
MI-11
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

0-01 q Woc
P"�r5 0� �a
90atoot/ ` l
IDUnamls,Inc.
P.O. Box 50636, Knoxville, TN 37950
Phone: [phone] Fax: [phone]
February 10, 2017
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Transmitted via: Federal Express # 7784 0336 2389
RE: Request Transfer of Permit NCG080000 for 5 Facilities
Sir or Madam:
FEB 20»
STORM WATER
WATER QtraI Y
PER,VtITTlNG
Please find enclosed facility participation forms for the following facilities:
Facility Name
Permit Number.
Facility Address
Pilot-6955
NCG080455 d
Graham, NC
Pilot-6978
NCG080716 A-
Candor, NC
Pilot-7971
NCG080428 t l VI 11
Conover, NC ✓
Pilot-7976
NCG080170 t 11
Troutman, NC
Pilot-7983
NCG080896
Salisbury, NC
This letter is written on behalf of PFJ Southeast LLC and serves as a formal notice of
transfer of ownership from Speedway LLC (successor by merger with Wilco Hess LLC),
to PFJ Southeast LLC. The deeds are attached for Pilot-6955, Pilot-7971, and 7976. We
are waiting on the deeds for Pilot-6978 and Pilot-7983. These deeds will be transmitted,
upon receipt. Attached are the appropriate forms and/or documentation required to
complete the permit transfer process. If you have any questions or require additional
information, please contact me at 865-588-5422 ext. 208.
Sincerely,
ian �JFSJ,P.G.
Environmental Program Manager
Dynamis, Inc.
al an fassOwd ynarn i s-i nc. corn

Attachments
Cc: Mr. Joey Cupp, Sr. Environmental Manager, Pilot Travel Centers LLC,
5508 Lonas Dr., Knoxville, TN 37909
Mr. Keith Carlton, Environmental Project Manager, Pilot Travel Centers LLC,
5508 Lonas Dr., Knoxville, TN 37909

Permit Name/Ownership Change Form &
Deed of Transfer of Ownership for
Pilot-6955
Troutman, NC
Permit No. NCG080455

Water Resources
ENVIRONMENTAL OUALITY
PAT MCCRORY
ri.n•rrmw
DONALD R. VAN DER VAART
&vroan,
S. !AY ZIMMERMAN
1 0,,•<,,,P.
PERMIT NAMEIOWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NCG4_E_1&1_Q_1515 or NCGS—I—I,_,_I 1
1. Facility Name,('�) cnn�
II. NEW OWNERINAME INFORMATION:
9. This request for a name change is a result of:
_)�_a. Change in ownership of property/company
b. Name change only
c. Other (please explain):
2, New owner's name (name to be put on permit):
t JL-C .
3. New owner's or signing official's name and title: o-ew
(Person legaliresponIbWfor permit)
Ljj i fin.\ M,n
o ✓1 6_�) (Title)
4. Mailing address:___5E)T:z �—l:d L� IU� City:
State:- Zip Code: ��� Phone: ( 6� i P9_FA)
E-mail
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State of North Carolina � Environmental Quality I Water Resources
1617 Mail Servico Center I Raleigh, NC 27699-1617
919 907 6300 919-807-6389 FAX
https://deq. nc.gov/abou Ud ivisions/watci,-resotirces/waler-resources-permits/wastewater-branch/npdes-wastc%vater-permits

NPOES Name & Ownership Change
Page 2 of 2
Applicant's Certification:
C--3—m A , attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this application are not completed and that
if all required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature: Date:
THE C ED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDORESS:
NC DEQ 1 DWR 1 NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 712016

3603
0748
FILED ELECTRONICALLY
ALAMANCE COUNTY NC
HUGH WEBSTER
FILED Nov 16, 2016
AT 08:22:41 AM
As of the Date of this Certification, On the Real Property
BOOK 03603
START PAGE 0748
described in this Deed, there are No Delinquent Taxes
END PAGE 0754
Owed which are (1) ad valorem County taxes, (2) ad
INSTRUMENT Ir 20049
EXCISE TAX $6,539.00
valorem Municipal Taxes collected by Alamance County
or (3) any other taxes collected by Alamance County
Date: 11 /15/2016
Deputy/Tax Collector: Tina Wheeler
NON -WARRANTY DEED
Excise Tax: 6,539.00
Tax Parcel ID No. 152897 Verified by
County
on the day of , 20By:
Mail to: first American Title Insurance Company, Attn: Hilda Barbosa, 30 North LaSalle Street, Suite 2700, Chicago, IL 60602
This instrument was prepared by: K. C. Lewis, Attorney -at -Law, Speedway LLC, 500 Speedway Drive, Enon, OH 45323-1056
Brief description for the Index: 152897
THIS DEED, made this the 15th day of November, 2016, by and between
GRANTOR: Speedway LLC (successor by merger with WilcoHess LLC), a Delaware limited liability company,
whose mailing address is 500 Speedway Dr., Enon, OH 45323-1056 (herein referred to collectively as Grantor)
and
GRANTEE: PFJ Southeast LLC, a Delaware limited liability company whose tax mailing address will be c/o Intax, Inc., P.O.
Box 54650, Lexington, KY 40555 (herein referred to collectively as Grantee) and
W 1TNESSETH:
For valuable consideration from Grantee to Grantor, the receipt and sufficiency of which is hereby acknowledged, Grantor hereby
gives, grants, quitclaims and conveys unto Grantee in fee simple the following described property located in the Township of Haw
River, County of Alamance, State of North Carolina, more particularly described as follows:
See Exhibit "A" attached hereto and made a part thereof.
Said property having been previously conveyed to Grantor by instrument(s) dated June 8, 2001, recorded in Book 1522,
Page 0194; dated June 8, 2001, recorded in Book 1522, Page 0197; and dated June 8, 2001, recorded in Book 1522, Page 0206 and
being reflected on plat(s) recorded in Map/Plat Book 53, page/slide 73. Less and except that portion conveyed by A. T. Williams
Oil Company to Blue Beacon International, Inc., by deed dated September 12, 1997, and recorded in Book 1121, Page 0271 all in
Alamance County, North Carolina.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
Unit #f 6955
Address: 1044 Jimmy Kerr Rd.
Flaw River, NC NCS 813735
Page I of 4 1 of 1 ch
Submitted electronically by "First American 'title Insurance Company — NC5"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Alamance County Register of Deeds.

.3603
0749
TO HAVE AND TO HOLD unto Grantee, together with all privileges and appurtenances thereunto belonging, in fee simple.
Grantor makes no warranty, express or implied, as to title to the property hereinabove described.
All references to Grantor and Grantee as used herein shall include the parties as well as their heirs, successors and assigns, and
shall include the singular, plural, masculine, feminine or neuter as required by context.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
SPEEDWAY LLC
a Delaware limited liability company
By:
Printed: Glenn M. Plumby
Title: Senior Vice President - Operations
State of Ohio
County of Clark
I certify that Glenn M. Plumby personally appeared before me this day and
acknowledged that he/she is the Senior Vice President of Operations of Speedway
LLC, a Delaware limited liability company, and that by authority duly given and as
the act of the company, the foregoing instrument was signed by Glenn M. Plumby,
its Senior Vice President of Operations.
Witness my hand and official stamp or seal, this 14: day of
WON) T�,kem , 2016.
Notary Public
Notary's Printed or Ty ed Name
My Commission Expires:3-(��t`Z
Unit 0: 6955
Address: 1044 Jimmy Kerr Rd.
Haw River, NC
Page 2 of 4
(Official(Notarial Seal)
KATHERINE S. BORGWALD
NOTAPY PUBLIC • STATE OF OHIO
My commission expires 3/16/19

3603
0750
EXHIBIT A
Speedway 6955
1044 Jimmy Kerr Rd.
Haw River, NC
PROPERTY
Tract One — A certain tract or parcel of land lying and being in Haw River Township, Alamance County, North Carolina,
adjoining the right of way of Interstate Highway 85/40, Ione Coffin and other property of Mellville Plastics, Inc. and
being more particularly described as follows:
BEGINNING at a new iron pipe in the Northern margin of the right of way of interstate Highway 85/40, a comer with
lone Coffin; running thence with the line of lone Coffin, N, 19 deg. 35' 2 1 " E. 201.55 feet to an existing iron pipe;
continuing N. 19 deg. 35' 2 1 " E. 9.64 feet to an existing iron pipe; continuing N. 19 deg. 35' 2 1 " E. 283.32 feet to an iron
stake; continuing N. 19 deg, 35' 21" E. 106.79 feet to an iron stake; continuing N. 19 deg. 35' 21" E. 99.78 feet to an iron
stake, a control corner between lone Coffin, Sandra C. Coffin and Melville Plastics, Inc.; thence a new line with Melville
Plastics, Inc., S. 70 deg. 43' 35" E. 319.30 feet to an iron stake, a control comer; continuing a new line with Melville
Plastics, Inc., S. I 1 deg. 2 P 06" W. 747.82 feet to a new iron stake set in the northern margin of the right of way of
Interstate Highway 85/40; running thence with the right of way of Interstate Highway 85/40, N. 67 deg. 01' 47" W.
108.72 feet to a new iron pipe; running thence N. 64 deg. 52' 02" W. 319.41 feet to the point and place of BEGINNING,
and containing 6,163 acres, more or less.
The foregoing description was derived from a survey by Alley, Williams, Carmen & King, Inc., entitled "Final Map,
Property of A. T. Williams Oil Company, Inc." dated June 22, 1995 and recorded in the Office of the Register of Deeds
for Alamance County, North Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantee by A. T. Williams Company, Inc. by deed dated 6-8-01, recorded in
Book 1522, Page 194, Alamance County Registry,
Tract Two
BEGINNING at iron state, corner with Bennie Rich (Lot No.29) in Press Wells' line; running thence with the line of Lot
No. 29, N. 70° 24' W. 315.6 feet to a point in the pavement of Kerr Road (iron stake on this line 30 feet from the corner
in the road); running thence along the pavement of Kerr Road, S. 5" 33' W. 102.9 feet to a point in the pavement and
being a new corner with Paul Donald Coffin; running thence a new line with Paul Donald Coffin across Lot No. 30, S.
700 24' E. 290.6 feet (iron stake on this line 30 feet from the comer in the road) to all iron stake, being a new comer with
Paul Donald Coffin in Press Wells' line; running thence with the said Wells, N. 19° 36' E. 100 feet to the BEGINNING
and containing 0.70 of an acre, more or less. This is a pan of Lot No. 30, Section 3 of the Riverside Farms as surveyed
and divided by W. T. Hall, C. E., and J. Mark McAdams, Surveyor, July and August, 1946. This is also a part of the
property conveyed by Arthur L. Cole and wife, Veda Iola C. Cole, to Paul Donald Coffin and wife, Iona C. Coffin, as per
deed recorded in Book of Deeds 180 at page 268 in the office of the Register of Decds for Alamance County, North
Carolina.
The above description was obtained by a survey made by W. T. Hail, C. E., April 28, 1966.
AND BEING the same property conveyed to Grantee by A. T. Williams Company, Inc. by deed dated 6-8-01, recorded in
Book 1522, Page 197.
Tract Three - A certain tract or parcel of land lying and being in Haw River Township, Alamance County, North Carolina,
adjoining in the right of way of Interstate Highway 85/40, the right of way of Jimmy Kerr Road, Sandra C. Coffin and
Melville Plastics, Inc., and being more particularly described as follows:
BEGINNING at a new iron pipe in the northern margin of the right of way of Interstate Highway 85/40, a corner with
Melville Plastics, Inc.; running thence with the line of Melville Plastics, Inc., N. 19 deg. 35' 2 1 " E. 701.08 feet to an iron
stake, a control comer between Melville Plastics, Inc., Sandra C. Coffin and lone Coffin; running thence with the line of
Unit 0: 6955
Address: 1044 Jimmy Kerr Rd.
Haw River, NC
Page 3 of 4

3603
0751
Sandra C. Coffin (Deed Book 511 at page 326), N. 70 deg. 43' 35" W. 254.09 feet to an existing iron pipe in the eastern
margin of the right of way of Jimmy Kerr Road; running thence with the eastern margin of the right of way of Jimmy
Kerr Road, S. 05 deg. 59' 14" W. 476.23 feet to a new iron pipe; continuing S. 09 deg. 49' 59" W. 75.73 feet to a new
iron pipe; running thence S. 12 deg. 29' 07" W. 100.04 feet to an iron pipe; running thence S. 13 deg. 29' 59" E. 65.75
feet to a right of way monument; running thence with the line of the right of way of Interstate Highway 85/40, S. 58 deg.
03' 03" E. 27.83 feet to an existing iron pipe; continuing with the right of way of Interstate Highway 85/40, S. 68 deg. 26'
12" E. 53.83 feet to the point and place of BEGINNING, and containing 2.743 acres, more or less.
The foregoing description was derived from a survey by Alley, Williams, Carmen & King., Inc. entitled "Final Map,
Property of A. T. Williams Oil Company, Inc.", dated June 22, 1995 and recorded in the Office of the Register of Deeds
for Alamance County, North Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantee by A. T. Williams Company, Inc. by deed dated 6-8-01, recorded in
Book 1522, Page 206, Alamance County Registry.
EXCEPTING OUT from the above described property: That portion which was conveyed to Blue Beacon International, Inc. by
General Warranty Deed, dated September 12, 1997, recorded in Book 1121, Page 271, Alamance County Registry as more
particularly described below:
A certain tract or parcel of land in Alamance County, NC adjoining Jimmie Kerr Road (SR 1928), Burnt Shops Inc. L&E
Enterprises, and others, and being more particularly described as follows:
BEGINNING at an iron pipe. in the eastern margin of the 60' right of way of Jimmie Kerr Road (ST 1928), a corner with L & E
Enterprises; running thence with the line of L&E Enterprises S. 69 deg. 48'42" E. 282.40 ft. to a point, a comer with Burnt Shops,
Inc.; running thence with the line of Burnt Shops, Inc. S 21 deg. 20' 12" W. 100.04 ft. to a point; thence a new line with A. T.
Williams Oil Company S. 70 deg. 43'35" E. 255.37 ft. to a point; thence S. 20 deg. 1 VI8" W. 34.30 ft. to a point; thence N. 69
deg. 48' 42" W. 191.53 ft. to a point; thence N. 62 deg. 53'08" W. 37.85 ft. to a point; thence N. 82 deg. 30'33" W. 224.40 ft. to a
point; thence N. 69 deg. 48' 42" W. 43.43 ft. to a point in the eastern margin of the right of way of Jimmie Kerr Road; thence with
the eastern margin of said right of way N. 05 deg. 59' 14" E. 73.16 ft. to a stake; thence N. 05 deg. 59' 14" E. 107.36 ft. to the
point and place of Beginning.
The foregoing description was derived from a survey by Simmons Engineering & Surveying, Inc. dated 3/14/97.
THIS INSTRUMENT FILED FOR RECORD BY FIRST AMERICAN
TITLE INSURANCE CO. AS AN A%OMMODATION ONLY.
IT HAS NOT BEEN EXAM14ED AS TO ITS EXECUTION
OR AS TO ITS EFFECT UPON TITLE.

3603
0752
EXHIBITS
Delaware
The First State
Page 1
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF !MERGER, WHICH MERGES:
"WILCO FOOD SERVICES LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"HESS WILCO HOLDINGS, LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"WILCOHESS LLC", A DELAWARE LIMITED LIABILITY COMPANY,
"HESS RETAIL HOLDINGS LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
WITH AND INTO "SPEEDWAY LLC" UNDER THE NAME OF "SPEEDWAY
LLC", A LIMITED LIABILITY COMPANY ORGANISED AND EXISTING UNDER
THE LAWS OF THE STATE OF DELAWARE, AS RECEIVED AND FILED IN THIS
OFFICE ON THE TWENTY-SECOND DAY OF DECEMBER, A.D. 2015, AT 1:47
O'CLOCK P.M.
AND I DO HEREBY FURTHER CERTIFY THAT THE EFFECTIVE DATE OF
THE AFORESAID CERTIFICATE OF MERGER IS THE FIRST DAY OF JANUARY,
A.D. 2016 AT 12:01 O'CLOCK A.M.
1775076 8100M '�III,'i�'
5R# 20151490339
You may verify this certificate online at corp.delaware.gov/authver.shtml
s. . . . . . . . . . . .
Authentication: 201603793
Date: 01-04-16

3603
0753
Delaware
The First State
2775076 8100M
SR# 20151490339
You may verify this certificate online at corp.delaware.gov/authver.shtml
Page 2
Authentication: 201603793
Date: 01-04-16

3603
0754
State of Debwirt
Secretary of -State
Wrislon of Corporations
Dehered 01:47 Phi MMOIS
FM 01:47 Phi 11122015
SR 20151490339 - MlNuznber 2775076 S at Qfl)elawa
re
C Vrtificate -of Merger of
Domes#ic..ilnilied, Liabilit y Companies
Pursuant -to.Title 6,:SectionJ8-209 of the -Delaware Limited. L iability.-Company Aqt,,the undersignpid
firniteViability company executed 'the; f6jlowihg.-,Cd&ficate qf-.-Mergqr.
First: The name of the surviving Limited Liability Company is Speedway 4LQ.,,
a�dAhe -names of-Ahelitnited liabilfty-,cornpanlies . being-rn erged into.,this,s . urq'.�vi—n jedliabilfl
am t
g,
company ;are WitcoMess L-LQ Wilco Fo.O_.;-SqFyipes LLG, .Hess W..ijeb. Holdfia LL.C.- 'and.Hdt�
k t Wi 1 ­14 6 idi n g *s'' L.: L' C.
d -
The '-Agreerrlent-.of Merger has been approved, adoptedcrrtirfed., e*secute.dand
a6knowlOdgeAl
by each oftherantituent`•limit:liabil'itycompanies.
Third:.nenaineiof.the-survivipg.timited.liability.,Rotppany -is,-$peedway-LLC.
,
Fourth.- Tbe,merger,.is-to-becomc.cffmdve.on January 1,20.14:at 12:01.am.
Fifth- -The.. Agreement of Merger is on file, -at 500,Specd"y Drive, Enon, -Ohio 45323-1056, the
principalphkqq - df-businessof,.the.sur..viviiip-..'L-imited-Litkbitity Company.
vrpf,thc AZT=mcnt.of-Merger.wfll..bel4mished,:by.-the:su M.vinglulited
y oi. _q
uest, without:co'si,.tp:atry member:of.flee:constiiuetrtlitr►itetl :liability
companies.
IN WITNESS WHEREOF, said swNiving limited liability company has caused this, certificate
to -be:Siip4-', 20,1$.,
o Authrizedi go
... . I . �e ty
Name: Shane.T. Ffleiderer
Title: Assistant Secretary

Title Chain and Deeds of Transfer of Ownership for
Pilot-6955
Troutman, NC
Permit No. NCG080455

0-494
6955
1044 Jimmy Kerr Rd.
I -law River, NC
FILED
ROOKI PAGE 14
2001 JUN 19 P 2: 44
Prepared by and Mail to: David W. Bailey, Jr., Bailey & Thomas, P.A. MURIEL OFF OEEOELOS
REGISTER �
�7 P. 0. Box 52, Winston-Salem, NC 27102 ALAMANCE COt1NI Y, IX
Mail tax bill to: WilcoHess LLC, 5446 University Parkway, Winston-Salem, NC 27105
Excise Tax S-0- (Consolidation) N.C.G.S. 105-228.29(7)
NORTH CAROLINA
GENERAL WARRANTY DEED
ALAMANCE COUNTY
THIS DEED made this day of O, 2001, by and between
A.T. WILLIAMS OIL COMPANY, INC., aAZorth Carolina corporation with its principal office in
r-, Forsyth County, North Carolina, hereinafter referred to as "Grantor"; and WilcoHess LLC,
a Delaware limited liability company, hereinafter referred to as "Grantee";
WITNESSETH:
That the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, bargain, transfer and convey unto the
Grantee in fee simple, all that certain lot or parcel of land situated :in .Alamance County, North
Carolina, and more particularly described as follows:
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF.
Said property is being transferred and conveyed as a contribution to capital as pats of
the formation of a new limited liability company.
,-� TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee
simple, has the right to convey the same in fee simple, that title is.maritetable and free and clear of
all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all
persons whomsoever except for the exceptions hereinafter stated: Easements and restrictions of
record.
IN WITNESS WHEREOF, the Grantor has hereunto set their hand and seal the day and year
first above written.
A.T. S OI COMPANY, INC.
ATTEST:
'• ;::"r .� ., a ' Stephen T. Williams, President
[Ci1TQ&A'TF�.�iEAL]

STATE OF NORTH CAROLINA -- COUNTY OF S
1, , a Notary Public of the County and State'aforesaid, certify that
Roger S. FOP personally came before me this day and acknowledged that he is Secretary of A.T.
WIUJAM IL COMPANY, INC., a North Carolina corporation, and that by authority duly given
and as the act of the corporation, the foregoing instrument was signed in its name by its President,
sealed with its corporate seal and attested by him as its Secretary.
Witness my hand and rrificial stamp or seal, this day of , 2001.
My Commission Expires: Q
Notary Publ'
E. JUARIE DAVIS
iN1 NOTAHYPUSUC-NORTH CAFAXINA.
FORSYTH COUNTY
The foregoing certificate(s) of G . �3'�a N P of lbc govcrnme�tal units dcslgnafnd
is/are certified to be correct. This instrument and this certificate are duly registered at the date and
time and in the Book and Page shown on the first page hereof.
htl]R11=L W. YARpLEY By Zlr4
REGISTER OF DEEDS Depu istant- gister of Deeds
(�.�RL2--) COUNTY
r—.

� Niv 1522 P.- 4 0199
EXHIBIT "A"
A certain tract or parcel of land lying and being in Haw River
Township, Alamance County, North Carolina, adjoining the right of
way of Interstate Highway 85/40, Ione Coffin and other property of
Melville Plastics, Inc. and being, more particularly described as
follows:
BEGINNING at a new iron pipe in the Northern margin of the right of
way of Interstate Highway 85/40, a corner with Ione Coffin; running
thence with the line of Ione Coffin, N. 19 deg. 35' 21" E. 201.55
feet to an existing iron pipe; continuing N. 19 deg. 35' 21" E.
9.64 feet to an existing iron pipe; continuing N. 19 deg. 35' 21"
E. 283.32 feet to an ,iron stake; continuing N. 19 deg. 35' 21" E.
106.79 feet to an iron stake; continuing N. 19 deg. 35' 21" E.
99.78 feet to an iron stake, a control corner between Ione Coffin,
Sandra C. Coffin and Melville Plastics, Inc.; thence a new line
with Melville Plastics, Inc., S, 70 deg. 43' 35" E. 319.30 feet to
an iron stake, a control corner; continuing a new line with
Melville Plastics, Inc., S. 11 deg. 21' 06" W. 74 7. 82 feet to a new
iron stake set in the northern margin of the right of way of
Interstate Highway 85/40; running thence with the right of way of
Interstate Highway 85/40, N. 67 deg. 01' 47" W. 108.72 feet to a
new iron pipe; running thence N. 64 deg. 52' 02" W. 319.41 feet to
—� the point and place of BEGINNING, and containing 6.163 acres, more
or less.
The foregoing description was derived from a survey by Alley,
Williams, Carmen & King, Inc., entitled "Final Map, Property of A.
T. Williams Oil Company, Inc." dated June 22, 1995 and recorded in
the office of the Register of Deeds for Alamance County, North
Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantor from Melville
Plastics by deed dated 6-30-95, recorded in Book 943, page 0936,
Alamance County Registry.
12.

6955 Bf fiY r^ °1Ci DiS7 6J-q•5 &'� ff
1044 Jimmy Kerr Rd. i`�`"2 FILED
Haw River, NC
coop l53APAGE 197
2001 JUN I q P 2: 4 4'
MURIPrepared b and Mail to: David W. Bailey. Jr., Bailey & Thomas, P.A. EGGS L R F OEEDS
p Y D Y. Y REGISTER Of-' UEED�
P. O. Box 52, Winston-Salem, NC 27102 Ai.AMMICE COOKY, M'
Mail tax bill to: Wilc6Hess LLC, 5446 University Parkway, Winston-Salem, NC 27105
Excise Tax $-0- (Consolidation) N.C.G.S. 105-228.29(7)
NORTH CAROLINA
GENERAL WARRANTY DEED
ALAMANCE COUNTY
THIS DEED made this f!� day of , 2001, by and between
A.T. WILLIAMS OIL COMPANY, INC., a orth Carolina corporation with its principal office in
r, Forsyth County, North Carolina, hereinafter referred to as "Grantor"; and WilcoHess LLC,
a Delaware limited liability company, hereinafter referred to as "Grantee%
WITNESSETH:
That the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, bargain, transfer and convey unto the
Grantee in fee simple, all that certain lot or parcel of land situated in Alamance County, North
Carolina, and more particularly described as follows:
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF.
Said property is being transferred and conveyed as a contribution to capital as pan of
the formation of a new limited liability company.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee
simple, has the right to convey the same in fee simple, that title is marketable and free and clear of
all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all
persons whomsoever except for the exceptions hereinafter stated: Easements and restrictions of
record.
IN WITNESS WHEREOF, the Grantor has hereunto set their hand and seal the day and year
first above written.
ATTEST-
AojezA. Fuc"x..ecre
RP0MTF,.-SEAL]
A.T. W AM CO P NY, INC.
By:
tephen . Williams. President

STATE OF NORTH CAROLINA -- COUNTY OF Sd
a Notary Public of the County and State aforesaid, certify that
Roger S. F 1p personalIy came before me this day and acknowledged that he is Secretary of A.T.
WILLIAM OIL COMPANY, INC., a North Carolina corporation, and that by authority duly given
and as the act of the corporation, the foregoing instrument was signed in its name by its President,
sealed with its corporate seal and attested by him as its Secretary.
Witness my hand and official stamp or seal, this jf�:T4- day of , 2001.
My Commission Expires: Q
Notary Public
..r
MARIE DAVIS
NWARY "UC-N0WH CAWUNA
FORSYTH COUNTY
� F�+s..lildY 14.20pE
^ The foregoing certificate(s) of `� �4 N P of thegov==, dedpaW
is/are certified to be correct. This instrument and this certificate are duly registered at the date and
time and in the Book and Page shown on the fast page hereof.
ML1f21EL W. TA1tPLEY.
REEGISTER OF DEEDS Depu sis�gister of Deeds
COUNTY

a�n�1522 �:ri 0133
E"nom,
BEGINNING at iron stake, corner with Bennie Rich (Lot No.29) in
Press Wells' line; running thence with the line of Lot No. 29, N.
700 24' W. 315.6 feet to a point in the pavement of Kerr Road (iron
stake on this line 30 feet from the corner in the road); running
thence along the pavement of Kerr Road, S. 50 33' W. 102.9 feet to
a point in the pavement and being a new corner with Paul Donald
Coffin; running thence a new line with Paul Donald Coffin across
Lot No. 30, S. 700 24' E. 290.6 feet (iron stake on this line 30
feet from the corner in the road) to all iron stake, being a new
corner with Paul Donald Coffin in Press Wells` line; running thence
with the said Wells, N. 190 36' E. 100 feet to the BEGINNING and
containing 0.70 of an acre, more or less. This is a part. of Lot
No. 30, Section 3 of the Riverside Farms as surveyed and divided by
W. T. Hall, C. E., and J. Mark McAdams, Surveyor, July and August,
1946. This is also a part of the property conveyed by Arthur L.
Cole and wife, Veda Iola C. Cole, to Paul Donald Coffin and wife,
Iona C. Coffin, as per deed recorded in Book of Deeds 180 at page
268 in the office of the Register of. Deeds for Alamance County,
North Carolina.
The above description was obtained by a survey made by W. T. Hall,
C. E., April 28, 1966.
AND BEING the same property conveyed to the Grantor from Coffin by
deed dated 3-8-96, recorded in Book 997, page 438; Alamance County
Registry.
AND BEING the same property conveyed to Grantor from Coffin by
Quitclaim deed dated 4-19-96, recorded in Book 1021, page 792,
Alamance County Registry.
10.
r�
r--

6955
1044 Jimmy Kcrr Rd.
Haw River, NC
FILED
B0Ci(15RaPAGE 20(9
.-, 2001 AN 19 P 2: 45
Prepared by and Mail to:. David W. Bailey, Jr., Bailey & Thomas, P.A. MURIEL W. TARN-EY
P. O. Box 52, Winston-Salem, NC 27102 REGISTER C NFY, `
ALAI�IANCE. COl1NIY, JC
Mail tax bill to: WIIcoHess LLC, 5446 University Parkway, Winston-Salem, NC 27105
Excise Tax $-0- (Consolidation) N.C.G.S. 105-228.29(7)
NORTH CAROLINA
GENERAL WARRANTY DEED
ALAMANCE COUNTY
THIS DEED made this = day of , 2001. by and between
A.T.'WILLIAMS OIL COMPANY, INC., q&4Torth Carolina corporation with its principal office in
Forsyth County, North Carolina, hereinafter referred to as "Grantor"; and WilcoHess'LLC,
a Delaware limited liability company, hereinafter referred to as "Grantee";
WITNESSETH:
That the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, bargain, transfer and convey unto the
Grantee in fee simple, all that certain lot or parcel of land situated in Alamance County, North
Carolina, and more particularly described as follows:
SEE EXHIBIT "A" ATTACKED HERETO AND MADE A PART HEREOF.
Said property is being transferred and conveyed as a contribution to capital as part of
the formation of a new limited liability company.
,-, TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenances thereto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee
simple, has the right to convey the same in fee simple, that title is marketable and free and clear of
all encumbrances, and that Grantor will warrant and defend the title against'the lawful claims of all
persohs whomsoever except for the exceptions hereinafter stated: Easements and restrictions of
record.
IN WITNESS WHEREOF, the Grantor has hereunto set their hand and seal the day and year
first above written.
A.T. '. 4S OIL Ca IPAN'r , INC.
ATTEST 1
By
Stephen T. Williams, President
ti.

Rrr, ylV''"Gf 0:07
STATE OF NORTH CAROLINA -- COUNTY OF S
A a Notary Public of the County and State aforesaid, certify that
Roger S. Pulp personally came before me this day and acknowledged that he is Secretary of A.T.
WILLI OIL COMPANY, INC., a North Carolina corporation, and that by authority duly given
and as the act of the corporation, the foregoing instrument was signed in its name by its President,
sealed with its corporate seal and attested by him as its Secretary.
Witness my hand and official stamp or seal, this day of , 2001.
My Commission Expires: QS
E. MARIE DAVIS
�. N ARYPUBUC-NORTKCAROUNA
I -A FORSYTH00UNTY
*Commtss1w EvOmsJ414.205
^ The foregoing certificate(s) of
of the gowj--;==' r:aits d4S1-najed
is/are certified to be correct. This instrument and this certificate arc duly registered at the date and
time and in the Book and Page shown on the first page hereof.
WJRIEL, VV. TARPLEY
REGISTER OF DEEDS
COUNTY
Deputylfistant gister of Deeds

aIOY1522 w— OX8
EXHIBIT "A"
-'� A certain tract or parcel of land lying and being in Haw River
Township, Alamance County, North Carolina, adjoining the right of
way of Interstate Highway 85/40, the right of way of Jimmy Kerr
Road, Sandra C. Coffin and Melville Plastics, Inc., and being more
particularly described as follows:
BEGINNING at a new iron pipe in the northern margin of the right of
way of Interstate Highway 85/40, a corner with Melville Plastics,
Inc.; running thence with the line of Melville Plastics, Inc., N.
19 deg. 35' 21" E. 701.08 feet to an iron stake, a control corner
between Melville Plastics, Inc., Sandra C. Coffin and lone Coffin;
running thence with the line of Sandra C. Coffin (Deed Book 511 at
page 326), N. 70 deg. 43' 35" W. 254.09 feet to an existing iron
pipe in the eastern margin of the right of way of Jimmy Kerr Road;
running thence with the eastern margin of the right of way of Jimmy
Kerr Road, S. 05 deg. 59' 14" W. 476.23 feet to a new iron pipe;
continuing S. 09 deg. 49' 59" W. 75.73 feet to a new iron pipe;
running thence S. 12 deg. 29' 07" W. 100.04 feet to an iron pipe;
running thence S. 13 deg. 29' 59" E. 65.75 feet to a right of way
monument; running thence with the line of the right of way of
Interstate Highway 85/40, S. 58 deg. 03' 03" E. 27.83 feet to an
r-- existing iron pipe; continuing with the right of way of Interstate
Highway 85/40, S. 68 deg. 26' 12" E. 53.83 feet to the point and
place of BEGINNING, and containing 2.743 acres, more or less.
The foregoing description was derived from a survey by Alley,
Williams, Carmen & King., Inc. entitled "Final Map, Property of A.
T. Williams Oil Company, Inc.", dated June 22, 1995 and recorded in
the Office of the Register of Deeds for Alamance County, North
Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantor from zone C.
Coffin by deed dated 6-30-95, recorded in Book 943, page 933,
Alamance County Registry.
13.

3603
0762
EXHIBITS
Delaware
The First State
Page 1
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF MERGER, WHICH MERGES:
"WILCO FOOD SERVICES LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"HESS WILCO HOLDINGS, LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"WILCOHESS LLC", A DELAWARE LIMITED LIABILITY COMPANY,
"HESS RETAIL HOLDINGS LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
WITH AND INTO "SPEEDWAY LLC" UNDER THE NAME OF "SPEEDWAY
LLC-, A LIMITED LIABILITY COMPANY ORGANIZED AND EXISTING UNDER
THE LAWS OF THE STATE OF DELAWARE, AS RECEIVED AND FILED IN THIS
OFFICE ON THE TWENTY—SECOND DAY OF DECEMBER, A.D. 2015, AT 1:47
O'CLOCK P.M.
AND I DO HEREBY FURTHER CERTIFY THAT THE EFFECTIVE DATE OF
THE AFORESAID CERTIFICATE OF MERGER IS THE FIRST DAY OF JANUARY,
A.D. 2016 AT 12:01 O'CLOCK A.M.
2775076 8100M "�'.'{f�'
5R# 20151490339 ""
You may verify this certificate online at corp.delaware.gov/authver.shtml
N ania," aq I
000
Authentication: 201603793
Date: 01-04-16

3603
0753
Delaware
The First State
2775076 8100M
5R# 20151490339 NMV
You may verify this certificate online at corp.delaware.gov/authver.shtml
Page 2
Authentication: 201603793
Date: 01-04-16

3603
0754
Stitt of Debwait
Secrclarr of .9ute
DMIon of Corpontionj
Dikffd 0IA7 P1111212212'015
FILED 01:41FA112429015
SR 20151450339 - FfleNumber 2775076
Certificote'.0f Merger of
Domestic Limited, Liability Compopips
Purswant.to.Title 6,Section.4-82Mof the-DelawarelAnited-Liability.-.Conpany Act,•theundersigned.
fimite.fliability =hpany executed 'theIAowing,.Certificate. pf-Meiger..
First: The name of the surviving. Limited Liability Company is Speedwa L.. LQ.'
y
ai4-ihe names of-theAtmited. liabiliiy.-,compai�tes.beina..,mer into:-t�']'S.S'UM""ving*-"
merged limited liability
company :are WiliDoHess L-LO -Wii6o, Food. _ -q LLC,3pss ko.LLC- -
an fft�
Retail 1�n1t3ings.LLC.
$"d: Thq,Agreement.of--Merger has been -approved, adopted,.certified, executed,,and
kknqvAicdged;:.by-,cach-46tihe..consiituont. Ii-t-hiiedliabl. ifi-ti-y-;-CQtTVaMes.
Third:.The name!pf.0e.surviving.li ited.liabilit qpMpany-is;5pepd LLC.
y _:Way
Fourth: The -merger.,is-to-become,effectiveon January 1,.2016:at 12.0l,am.
Fifth- The.. Agreement of Merger is on,file.m. 500,:SpecdwaX Drive, Enon -Ohio 45323-1056, the
principal place. bf-busines&pf-the. survivihg-tinfited U011ity Company.
Siztb:,-A,wpy-Pf.Ahe Agrcernvat-of-Mer wilt
ger-wi I..befumished.:by.-the--sur.vi.ving limited
lidbjli�ty,�qm&pyoftv ep t,,to.,any.meniber..qfthe;consiituentliniiW.ii4bility
companies.
INWLTNESS WHEREOF, said surviving limited liability com .pany has, caused this. certificate- �01
Authorized.-Peilon
Name: ShaneT. Pfleiderer.
Title: AssistantSecretaq
j?AW2I.-ffF--1

SOSID: 0586362
Date Filed: 1/5/2016 10:40:00 AM
Elaine F. Marshall
North Carolina Secretary of State
C2016 004 01133
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF'
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF MERGER, WHICH MERGES:
"WILCO FOOD SERVICES LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"AESS WILCO HOLDINGS, LLC", A DELAWARE LIMITED.LIABILITY
COMPANY,
"WILCOHESS LLC", A DELAWARE LIMITED LIABILITY. COMPANY,
"HESS RETAIL HOLDINGS LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
WITH AND INTO ,SPEEDWAY LLC" UNDER THE NAME OF "SPEEDWAY
LLC", A LIMITED LIABILITY COMPANY ORGANIZED AND EXISTING UNDER
THE LAWS OF THE STATE OF DELAWARE, AS RECEIVED -AND: FILED: IN 'THIS
OFFICE ON THE TWENTY—SECOND DAY OF DECEMER, A-:D.--'2015, AT";I:.47
O'CLOCK P.M.
AND I DO HEREBY FURTHER CERTIFY THAT TBE EFFECTIVE: -DATE OF
THE AFORESAID CERTIFICATE OF MERGER IS THE FIRST DAY OF JANUARY,
A.D. 2016 AT 12: 01 O'CLOCK A.M.
,� �.n..r w, evwca srn.by w iimr
0
2775076 8100M , Authentication:201603793
SR# 20151490339 : _.. pate: 01 04-16
You may verify this certificate online at corp.delaware.gov/authver.shtml

2775076 8100M Nr
5R# 20151490339
You may verify this certificate online at corp.delaware.gov/authver.shtml
Authentication: 201603793
Date: 01-04-16

State 01 Dth are
slClP�a1}' 01 StAt!
Dhthn of COrporaf ont
DOend 01:47 Phi 121222015
FILED 41:17 At 12P 22015
SR' 20151440M FOOumber 2775076
Stag. O DeAWAiC
Cerflfcate •of.Nlerger of :
w>rnestac..Led Lbiliy Companies
Pursuiant•to:Title. G, Seciion:.l$-209 of the Delaware Limited Liahility..C.orn rany-Act,.the undarsi$Xd '
lirmitedIiability company exccutW t' a:.fa1lowing.ceAwcatC. of.Me eg r:
First: The narne of the surviving Limited Liability Cbrnpapy 'is .
;.tls s.sur�►i�ingplieenniwt,ady. ;l,a`�Lb LliCty;
-
n t e names of tie.:limited liai Y companies b�=Vd do
LcptnpanWLLCWiloFoad' SEviLC,' d Hce stg,Gyae
.Rea46 .
dinlp LLC.
Set**$: The.Agreement.of-Merger has been approved,.adc'pt4.certifirxl,:mr ccutpt.and
afatowleclged:by each of ttieconstihsant'limit:lialiilitycorrlpanics.
7'bfirll.:.'fhe uam�fs.of:the surviving,lid>lZal�iJity.•cornparly:is�pee�uayLLCc
:Foukh: The-merger.is to become,efftetive•on January 1,.201.60 12:01.a.m.
Fifth: The. Agreement of Merger: is oti filc:at' 50O.':S av Drive, Fnon, Ohio 4532-3-1056, tits
principal: ace:dbusiness of.the.surviving:Ijrz iWLiWility Company.
Sixth., A, copy.4the Agreement -of -Merger 3will.be:finashed.:by-the.sma-4ving-lirnited
liifliilitycgr>11�anY oh=requests �r�ititnut:.cost, tn.,ar►y:inerr>>�r:aftE;e ca»stitueltt;iimitai:liat�iiity
compagi S.
1 Wi7'I�IE$S Vt' UREOF, said surviving limited liability company has...causf:d this, cei�cate
to be.sigrred:#iy.•an'a ri p rsan,Ihe:22irt&day:ofb
Auft;fixed ..P .
dame; Shane•T. Pfteiderer.
TWe" : - sistant'ge&it�ry
{388o21:RTF }
�m

3603
0748
As of the Date of this Certification, On the Real Property
described in this Deed, there are No Delinquent Taxes
Owed which are (1) ad valorem County taxes, (2) ad
valorem Municipal Taxes collected by Alamance County
or (3) any other taxes collected by Alamance County
Date: 11 /15/2016
Deputy/Tax Collector: Tina Wheeler
NON -WARRANTY DEED
Excise Tax: 6,539.00
Tax Parcel 1D No. 152897
on the day of 20 By:
Verifted by
FILED ELECTRONICALLY
ALAMANCE COUNTY NC
HUGH WEBSTER
FILED Nov 16, 2016
AT 08:22:41 AM
HOOK 03603
START PAGE 0748
END PAGE 0754
INSTRUMENT # 20046
EXCISE TAX $6,539.00
County
Mail to: First American Title Insurance Company, Attn: Hilda Barbosa, 30 North LaSalle Street, Suite 2700, Chicago, IL 60602
This instrument was prepared by: K. C. Lewis, Attorney -at -Law, Speedway LLC, 500 Speedway Drive, Enon, OH 45323-1056
Brief description for the Index: 152827
THIS DEED, made this the 15th day of November, 2016, by and between
GRANTOR: Speedway LLC (successor by merger with WilcoHess LLC), a Delaware limited liability company,
whose mailing address is 500 Speedway Dr., Enon, OH 45323-1056 (herein referred to collectively as Grantor)
and
GRANTEE: PFJ Southeast LLC, a Delaware limited liability company whose tax mailing address will be c/o Intax, Inc., P.O.
Box 54650, Lexington, KY 40555 (herein referred to collectively as Grantee) and
WITNESSETH:
For valuable consideration from Grantee to Grantor, the receipt and sufficiency of which is hereby acknowledged, Grantor hereby
gives, grants, quitclaims and conveys unto Grantee in fee simple the following described property located in the Township of Haw
River, County of Alamance, State of North Carolina, more particularly described as follows:
See Exhibit "A" attached hereto and made a part thereof.
Said property having been previously conveyed to Grantor by instrument(s) dated .tune 8, 2001, recorded in Book 1522,
Page 0194; dated June 8, 2001, recorded in Book 1522, Page 0197; and dated June 8, 2001, recorded in Book 1522, Page 0206 and
being reflected on plat(s) recorded in Map/Plat Book 53, page/slide 73. Less and except that portion conveyed by A. T. Williams
Oil Company to Blue Beacon International, Inc., by deed dated September 12, 1997, and recorded in Book 1121, Page 0271 all in
Alamance County, North Carolina.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
Unil 9: 6955
Address: 1044 Jimmy Kerr Rd.
Haw River, NC
Page 1 of 4 NCS 813735
1oil ch
submitted electronically by "First American Title Insurance Company - NCS"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Alamance County Register of Deeds.

.3603
0749
TO HAVE AND TO HOLD unto Grantee, together with all privileges and appurtenances thereunto belonging, in fee simple,
Grantor makes no warranty, express or implied, as to title to the property hereinabove described.
All references to Grantor and Grantee as used herein shall include the parties as well as their heirs, successors and assigns, and
shall include the singular, plural, masculine, feminine or neuter as required by context.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
SPEEDWAY LLC
a Delaware limited liability company
By:
Printed: Glenn M. Plumby
Title: Senior Vice President - Operations
State of Ohio
County of Clark
I certify that Glenn M. Plumby personally appeared before me this day and
I
that he/she is the Senior Vice President of Operations of Speedway
LLC, a Delaware limited liability company, and that by authority duly given and as
the act of the company, the foregoing instrument was signed by Glenn M. Plumby,
its Senior Vice President of Operations.
Witness my hand and official stamp or seal, this � day of
V 12016,
Notary Public
Notary's Printed or T ed Name
My Commission Expires:3-Vo-tq
Unit #: 6955
Address: 1044 Jimmy Kerr Rd.
Haw River, NC
Page 2 of 4
(Official/Notarial Seal)
KATHERIKE S. BORGWALD
NOTARY PUBI..IC • STATE OF OHIO
My commission expires 3/16/19

3603
0750
EXHIBIT A
Speedway 6955
1044 Jimmy Kerr Rd.
Haw River, NC
PROPERTY
Tract One — A certain tract or parcel of land lying and being in Haw River Township, Alamance County, North Carolina,
adjoining the right of way of Interstate Highway 85/40, lone Coffin and other property of Mellville Plastics, Inc. and
being more particularly described as follows:
BEGINNING at a new iron pipe in the Northern margin of the right of way of Interstate Highway 85/40, a comer with
lone Coffin; running thence with the line of lone Coffin, N. 19 deg. 35' 21" E. 201.55 feet to an existing iron pipe;
continuing N. 19 deb. 35' 2 1 " E. 9.64 feet to an existing iron pipe; continuing N. 19 deg. 35' 2 1 " E. 283.32 feet to an iron
stake; continuing N. 19 deg. 35' 21" E. 106.79 feet to an iron stake; continuing N. 19 deg. 35' 2 1 " E. 99.78 feet to an iron
stake, a control comer between Ione Coffin, Sandra C. Coffin and Melville Plastics, Inc.; thence a new line with Melville
Plastics, Inc., S. 70 deg. 43' 35" E. 319.30 feet to an iron stake, a control corner; continuing a new line with Melville
Plastics, Inc., S. 1 I deg. 21' 06" W. 747.82 feet to a new iron stake set in the northern margin of the right of way of
Interstate Highway 85/40; running thence with the right of way of Interstate Highway 85/40, N. 67 deg. 01' 47" W.
108.72 feet to a new iron pipe; running thence N. 64 deg. 52' 02" W. 319.41 feet to the point and place of BEGINNING,
and containing 6.163 acres, more or less.
"The foregoing description was derived from a survey by Alley, Williams, Carmen & King, Inc., entitled "Final Map,
Property of A. T. Williams Oil Company, Inc." dated June 22, 1995 and recorded in the Office of the Register of Deeds
for Alamance County, North Carolina in Plat Book 53 at Page 73,
AND BEING the same property conveyed to Grantee by A. T. Williams Company, Inc. by deed dated 6-8-01, recorded in
Book 1522, Page 194, Alamance County Registry.
Tract Two
BEGINNING at iron state, comer with Bennie Rich (Lot No•29) in Press Wells' line; running thence with the line of Lot
No, 29, N. 70' 24' W. 315.6 feet to a point in the pavement of Kerr Road (iron stake on this line 30 feet from the corner
in the road); running thence along the pavement of Kerr Road, S. 5° 33' W. 102.9 feet to a point in the pavement and
being a new corner with Paul Donald Coffin; running thence a new line with Paul Donald Coffin across Lot No. 30, S.
700 24' E. 290.6 feet (iron stake on this line 30 feet from the corner in the road) to all iron stake, being a new corner with
Paul Donald Coffin in Press Wells' line; running thence with the said Wells, N. 19' 36' E. 100 feet to the BEGINNING
and containing 0.70 of an acre, more or less. This is a part of Lot No. 30, Section 3 of the Riverside Farms as surveyed
and divided by W. T. Hall, C. E., and J. Mark McAdams, Surveyor, July and August, 1946. This is also a part of the
property conveyed by Arthur L. Cole and wife, Veda Iola C. Cole, to Paul Donald Coffin and wife, Iona C. Coffin, as per
deed recorded in Book of Deeds 180 at page 268 in the office of the Register of Deeds for Alamance County, North
Carolina.
The above description was obtained by a survey made by W. T. Hall, C. E., April 28, 1966.
AND BEING the same property conveyed to Grantee by A. T. Williams Company, Inc. by deed dated 6-8-01, recorded in
Book 1522, Page 197.
Tract Three - A certain tract or parcel of land lying and being in Haw River Township, Alamance County, North Carolina,
adjoining in the right of way of Interstate Highway 85/40, the right of way of Jimmy Kerr Road, Sandra C. Coffin and
Melville Plastics, Inc., and being more particularly described as follows:
BEGINNING at a new iron pipe in the northern margin of the right of way of Interstate Highway 85/40, a corner with
Melville Plastics, Inc.; running thence with the line of Melville Plastics, Inc., N. 19 deg. 35' 21" E. 701.08 feet to an iron
stake, a control comer between Melville Plastics, Inc., Sandra C. Coffin and lone Coffin; running thence with the line of
Unil N; 6955
Address: 1044 Jimmy Kerr Rd.
Haw River, NC
Page 3 of 4

3603
0751
Sandra C. Coffin (Deed Book 511 at page 326), N. 70 deg. 43' 35" W. 254.09 feet to an existing iron pipe in the eastern
margin of the right of way of Jimmy Kerr Road; running thence with the eastern margin of the right of way of Jimmy
Kerr Road, S. 05 deg. 59' 14" W. 476.23 feet to a new iron pipe; continuing S. 09 deg. 49' 59" W. 75.73 feet to a new
iron pipe; running thence S. 12 deg. 29' 07" W. 100.04 feet to an iron pipe; running thence S. 13 deg. 29' 59" E. 65.75
feet to a right of way monument; running thence with the line of the right of way of Interstate Highway 85/40, S. 58 deg.
03' 03" E. 27.83 feet to an existing iron pipe; continuing with the right of way of Interstate Highway 85/40, S. 68 deg. 26'
12" E. 53.83 feet to the point and place of BEGINNING, and containing 2.743 acres, more or less.
The foregoing description was derived from a survey by Alley, Williams, Carmen & King., Inc. entitled "Final Map,
Property of A. T. Williams Oil Company, Inc.", dated June 22, 1995 and recorded in the Office of the Register of Deeds
for Alamance County, North Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantee by A. T. Williams Company, Inc. by deed dated 6-8-01, recorded in
Book 1522, Page 206, Alamance County Registry.
EXCEPTING OUT from the above described property: That portion which was conveyed to Blue Beacon International, Inc. by
General Warranty Deed, dated September 12, 1997, recorded in Book 1121, Page 271, Alamance County Registry as more
particularly described below:
A certain tract or parcel of land in Alamance County, NC adjoining Jimmie Kerr Road (SR 1928), Burnt Shops Inc. L&E
Enterprises, and others, and being more particularly described as follows:
BEGINNING at an iron pipe in the eastern margin of the 60' right of way of Jimmie Kerr Road (ST 1928), a comer with L & E
Enterprises; running thence with the line of L&E Enterprises S. 69 deg. 48'42" E. 282.40 ft. to a point, a corner with Burnt Shops,
Inc.; running thence with the line of Burnt Shops, Inc. S 21 deg. 20'12" W. 100.04 fl. to a point; thence a new line with A. T.
Williams Oil Company S. 70 deg. 43'35" E. 255.37 ft, to a point; thence S. 20 deg. 11'l8" W. 34.30 ft. to a point; thence N. 69
deg. 48' 42" W. 191.53 ft. to a point; thence N. 62 deg. 53'08" W. 37.85 ft. to a point; thence N. 82 deg. 30'33" W. 224.40 ft. to a
point; thence N. 69 deg. 48' 42" W. 43.43 ft. to a point in the eastern margin of the right of way of Jimmie Kerr Road; thence with
the eastern margin of said right of way N. 05 deg. 59' 14" E. 73.16 ft. to a stake; thence N. 05 deg. 59' 14" E. 107.36 ft. to the
point and place of Beginning.
The foregoing description was derived from a survey by Simmons Engineering & Surveying, Inc. dated 3/14197.
THIS INSTRUMENT FILED FOR RECORD BY FIRST AMERICAN
TITLE INSURANCE CO. AS AN ACCOMi:IODATION ONLY.
IT HAS NOT BEEN EXANINEU AS TO ITS EXECUTION
OR AS TO ITS EFFECT UPON TITLE.

3603
0748
As of the Date of this Certification, -On the Real Property
described in this Deed, there are No Delinquent Taxes
Owed which are (1) ad valorem County taxes, (2) ad
valorem Municipal Taxes collected by Alamance County
or (3) any other taxes collected by Alamance County
Date: 11/15/2016
Deputy/Tax Collector: Tina Wheeler
NON -WARRANTY DEED
Excise Tax: 6,539.00
Tax Parcel I No. 152897 Verified by
on the �mm- day of
20
FILED ELECTRONICALLY
AI.AMANCE COUNTY NC
HUGH WEBSTER
FILED Nov 16, 2016
AT 09:22:41 AM
BOOK 03603
START PAGE 0740
MW PAGE 0754
INSTRUMENT 20049
EXCISE TAX $6,539.00
County
Mail to: First American Title Insurance Company, Attn: Hilda Barbosa, 30 North LaSalle Street, Suite 2700, Chicago, IL 60602
This instrument was prepared by: K. C. Lewis, Attorney -at -Law, Speedway LLC, 500 Speedway Drive, Enon, OH 45323-1056
Brief description for the Index: 152897
THIS DEED, made this the 15th day of November, 2016, by and between
GRANTOR: Speedway LLC (successor by merger with WilcoHess LLC), a Delaware limited liability company,
whose mailing address is 500 Speedway Dr., Enon, OH 45323-)056 (herein referred to collectively as Grantor)
and
GRANTEE: PFJ Southeast LLC, a Delaware limited liability company whose tax mailing address will be c/o intax, Inc., P.O.
Box 54650, Lexington, KY 40555 (herein referred to collectively as Grantee) and
WITNESSETH:
For valuable consideration from Grantee to Grantor, the receipt and sufficiency of which is hereby acknowledged, Grantor hereby
gives, grants, quitclaims and conveys unto Grantee in fee simple the following described property located in the Township of Haw
River, County of Alamance, State of North Carolina, more particularly described as follows:
See Exhibit "A" attached hereto and made a part thereof.
Said property having been previously conveyed to Grantor by instrument(s) dated June 8, 2001, recorded in Book 1522,
Page 0194; dated June 8, 2001, recorded in Book 1522, Page 0197; and dated June 8, 2001, recorded in Book 1522, Page 0206 and
being reflected on plat(s) recorded in Map/Plat Book 53, page/slide 73, Less and except that portion conveyed by A. T. Williams
Oil Company to Blue Beacon International, Inc., by deed dated September 12, 1997, and recorded in Book 1121, Page 0271 all in
Alamance County, North Carolina.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
Unit N: 6955
Address: 1044 Jimmy Kerr Rd.
Haw River, NC NCS 813735
Page 1 of 4 1 of 1 ch
Submitted electronically by "First American Title Insurance company - Ncs"
An compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Alamance Country Register of Deeds.

•3603
0749
TO HAVE AND TO HOLD unto Grantee, together with all privileges and appurtenances thereunto belonging, in fee simple.
Grantor makes no warranty, express or implied, as to title to the property hereinabove described.
All references to Grantor and Grantee as used herein shall include the parties as well as their heirs, successors and assigns, and
shall include the singular, plural, masculine, feminine or neuter as required by context.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
SPEEDWAY LLC
a Delaware limited liability compan
i1
By: 40- - V —tw•-�
Printed: Glenn M. Plumby
Title: Senior Vice President - Operations
State of Ohio
County of Clark
1 certify that Glenn M. Plumby personally appeared before me this day and
acknowledged that he/she is the Senior Vice President of Operations of Speedway
LLC, a Delaware limited liability company, and that by authority duly given and as
the act of the company, the foregoing instrument was signed by Glenn M. Plumby,
its Senior Vice President of Operations.
Witness my hand and official stamp or seal, this Lq±day of
U0 v ftLbea— 12016.
—14XL,,-Notary Public
Notary's Printed or T ed Name
My Commission Explres:3-(164R
Unit 0: 6955
Address: I044 Jimmy Kerr Rd.
Haw River, NC
Page 2 of 4
(Official/Notarial Seal)
KATHERM S. BoRGwA%D
W)TARY PUBLIC • STATE OF OHiO
My commission expires 3/16/19

3603
0750
EXHIBIT A
Speedway 6955
1044 Jimmy Kerr Rd.
Maw River, NC
PROPERTY
Tract One — A certain tract or parcel of land lying and being in Haw River Township, Alamance County, North Carolina,
adjoining the right of way of Interstate Highway 85/40, lone Coffin and other property of Mellville Plastics, Inc. and
being more particularly described as follows:
BEGINNING at a new iron pipe in the Northern margin of the right of way of Interstate Highway 85/40, a corner with
lone Coffin; running thence with the line of lone Coffin, N. 19 deg. 35' 21" E. 201.55 feet to an existing iron pipe;
continuing N. 19 deb. 35' 2 ]" E. 9.64 feet to an existing iron pipe; continuing N. 19 deg. 35' 21" E. 283.32 feet to an iron
stake; continuing N. 19 deg. 35' 21" E. 106.79 feet to an iron stake; continuing N. 19 deg. 35' 21" E. 99.78 feet to an iron
stake, a control comer between lone Coffin, Sandra C. Coffin and Melville Plastics, Inc.; thence a new line with Melville
Plastics, Inc., S. 70 deg. 43' 35" E. 319.30 feet to an iron stake, a control comer; continuing a new line with Melville
Plastics, Inc., S. I 1 deg. 2 P 06" W. 747.82 feet to a new iron stake set in the northern margin of the right of way of
Interstate Highway 85/40; running thence with the right of way of Interstate Highway 85/40, N. 67 deg. 0P 47" W.
108.72 feet to a new iron pipe; running thence N. 64 deg. 52' 02" W. 319.41 feet to the point and place of BEGINNING,
and containing 6.163 acres, more or less.
The foregoing description was derived from a survey by Alley, Williams, Carmen & King, Inc., entitled "Final Map,
Property of A. T. Williams Oil Company, Inc." dated June 22, 1995 and recorded in the Office of the Register of Deeds
for Alamance County, North Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantee by A. T. Williams Company, Inc. by deed dated 6-8-01, recorded in
Book 1522, Page 194, Alamance County Registry.
Tract Tw
BEGINNING at iron state, corner with Bennie Rich (Lot No.29) in Press Wells' line; running thence with the line of Lot
No. 29, N. 70° 24' W. 315.6 feet to a point in the pavement of Kerr Road (iron stake on this line 30 feet from the corner
in the road); running thence along the pavement of Kerr ]toad, S. 5133' W. 102.9 feet to a point in the pavement and
being a new corner with Paul Donald Coffin; running thence a new line with Paul Donald Coffin across Lot No. 30, S.
700 24' E. 290.6 feet (iron stake on this line 30 feet from the corner in the road) to all iron stake, being a new corner with
Paul Donald Coffin in Press Wells' line; running thence with the said Wells, N. 19' 36' E. 100 feet to the BEGINNING
and containing 0.70 of an acre, more or less. This is a part of Lot No. 30, Section 3 of the Riverside Farms as surveyed
and divided by W. T. Hall, C. E., and J. Mark McAdams, Surveyor, July and August, 1946, This is also a part of the
property conveyed by Arthur L. Cole and wife, Veda Iola C. Cote, to Paul Donald Coffin and wife, Iona C. Coffin, as per
deed recorded in Book of Deeds 180 at page 268 in the office of the Register of Deeds for Alamance County, North
Carolina.
The above description was obtained by a survey made by W. T. Hall, C. E., April 28, 1966.
AND BEING the same property conveyed to Grantee by A. T. Williams Company, Inc. by deed dated 6-8-01, recorded in
Book 1522; Page 197.
Tract Three - A certain tract or parcel of land lying and being in Raw River Township, Alamance County, North Carolina,
adjoining in the right of way of Interstate Highway 85/40, the right of way of Jimmy Kerr Road, Sandra C. Coffin and
Melville Plastics, Inc., and being more particularly described as follows:
BEGINNING at a new iron pipe in the northern margin of the right of way of Interstate Highway 85/40, a corner with
Melville Plastics, Inc.; running thence with the line of Melville Plastics, Inc., N. 19 deg. 35' 21" E. 701.08 feet to an iron
stake, a control corner between Melville Plastics, Inc., Sandra C. Coffin and lone Coffin; running thence with the line of
Unit 9: 6955
Address: 1044 Jimmy Kerr Rd.
Haw River, NC
Page 3 of 4

3603
0751
Sandra C. Coffin (Deed Book 511 at page 326), N. 70 deg. 43' 35" W. 254.09 feet to an existing iron pipe in the eastern
margin of the right of way of Jimmy Kerr Road; running thence with the eastern margin of the right of way of Jimmy
Kerr Road, S. 05 deg. 59' 14" W. 476.23 feet to a new iron pipe; continuing S. 09 deg. 49' 59" W. 75.73 feet to'a new
iron pipe; running thence S. 12 deg. 29' 07" W. 100.04 feet to an iron pipe; running thence S. 13 deg. 29' 59" E. 65.75
feet to a right of way monument; running thence with the line of the right of way of Interstate Highway 85/40, S. 58 deg.
03' 03" E. 27.83 feet to an existing iron pipe; continuing with the right of way of Interstate Highway 85/40, S. 68 deg. 26'
12" E. 53.83 feet to the point and place of BEGINNING, and containing 2.743 acres, more or less.
The foregoing description was derived from a survey by Alley, Williams, Carmen & King., Inc. entitled "Final Map,
Property of A. T. Williams Oil Company, Inc.", dated June 22, 1995 and recorded in the Office of the Register of Deeds
for Alamance County, North Carolina in Plat Book 53 at Page 73.
AND BEING the same property conveyed to Grantee by A. T. Williams Company, Inc. by deed dated 6.8-01, recorded in
Book 1522, Page 206, Alamance County Registry.
EXCEPTING OUT from the above described property: That portion which was conveyed to Blue Beacon international, Inc. by
General Warranty Deed, dated September 12, 1997, recorded in Book 1121, Page 271, Alamance County Registry as more
particularly described below;
A certain tract or parcel of land in Alamance County, NC adjoining Jimmie Kerr Road (SR 1928), Burnt Shops Inc. L&E
Enterprises, and others, and being more particularly described as follows:
BEGINNING at an iron pipe, in the eastern margin of the 60' right of way of Jimmie Kerr Road (ST 1928), a corner with L & E
Enterprises; running thence with the tine of L&E Enterprises S. 69 deg. 48'42" E. 282.40 ft, to a point, a corner with Burnt Shops,
Inc.; running thence with the line of Burnt Shops, Inc. S 21 deg. 20' 12" W. 100.04 ft. to a point; thence a new line with A. T.
Williams Oil Company S. 70 deg. 43'35" E. 255.37 ft. to a point; thence S. 20 deg. 11'18" W. 34.30 ft. to a point; thence N. 69
deg. 48' 42" W. 191.53 ft. to a point; thence N. 62 deg. 53'08" W. 37.85 ft. to a point; thence N. 82 deg. 30'33" W. 224.40 ft. to a
point; thence N. 69 deg. 48' 42" W. 43.43 ft. to a point in the eastern margin of the right of way of Jimmie Kerr Road; thence with
the eastern margin of said right of way N. 05 deg. 59' 14" E. 73.16 ft. to a stake; thence N. 05 deg. 59' 14" E. 107.36 ft. to the
point and place of Beginning.
The foregoing description was derived from a survey by Simmons Engineering & Surveying, Inc. dated 3/14/97.
THIS INSTRUMENT FIRED FOP RECOPD BY FIRST AMERICAN
TITLE INSURANCE CO. AS AN y:COMi 10aA7ION ONLY.
IT HAS NOT BEEN EXAMINED AS TO ITS EXECUTION
OR AS TO ITS EFFECT UPON TITLE.

3603
0752
EXHIBITS
Delaware
Page 1
The First State
I, JEnNEY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO E MWBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF MERGER, WHICH MERGES:
"WILCO FOOD SERVICES LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"BESS WILCO HOLDINGS, LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
"WILCOHESS LLC", A DELAWARE LIMITED LIABILITY COMPANY,
"NESS RETAIL HOLDINGS LLC", A DELAWARE LIMITED LIABILITY
COMPANY,
WITH AND INTO "SPEEDWAY LLC" UNDER TIME NAME OF "SPEEDWAY
LLC-, A LIMITED LIABILITY COMPANY ORGANIZED AND EXISTING UNDER
THE LAWS OF THE STATE OF DELAWARE, AS RECEIVED AND FILED IN THIS
OFFICE ON THE TWENTY—SECOND DAY OF DECEMMM, A.D. 2015, AT 1:47
O'CLOCK P.M.
AND I DO HEREBY FURTHER CERTIFY THAT TEE EFFECTIVE DATE OF
THE AFORESAID CERTIFICATE OF MERGER IS THE FIRST DAY OF JANUARY,
A.D. 2016 AT 12.01 O'CLOCK A.M.
2775076 8100M
5R# 20151490339 xzwy
You may verify this certificate online at corp.delaware.gov/authver.shtml
a OF 0 A',,,
Authentication: 201603793
Date: 01-04-16'

3603
0753
Delaware
The First State
2775076 8100M
SR# 20151490339 \W%=w9r/
You may verify this certificate online at corp.delaware.gov/authver.shtml
Page 2
Authentication: 201603793
Date: 01-04-16

3603
0754
Stitt of Delaware
*01Y of State
DM611 of corpontlaw
Dthud 01:47BII21E24015
FM 01:47PA1121224015
SR 20151490339 - Fblftbcr 2775076
COOM1000. Of Merger of
1PepmPstic,LITn#eA Liability Q91ppani"
Pur=wt.to-TjtIc 6.,Section: I-S-M,,of-the-Delavmel.arnited-Liabil4.C-ornpany Ap%..the undersigned
limited;liability coMpany ex=ted--&'AdIavAhg CeftifiWo of Merger..
Fint. -Me name of the surviving. Himited Mabilfty Company, is Sjxvdway LLQ,
•
andbeing!p is,suMving limi Ac marnes of ihe limited Italmlity vomparies eroed into,
c Wikq FA44 111gs
.QMP -my .-w W-VOPM L M. U.-C .104644 4
ReUff Hdldhigsi1d.
$"_=O: Tho-Agreemew-OMeraer has bpep -a 4dqptecL.crrtified,. wtecut4,and
pproved,
TWA: - Thc mpnepf the survlving,fitnited)h eed -W.
ibility,qaMponyis,'S p L
Fourlh: The-merger.-is-to.become.effwdvc.on,January L-20J.6--at 12,01,am.
F,**h-.. TheAgreement. of Merger is on Beat- 500.:Speedway. Drive, Enon, Ohio 4532-34056, the
pfincipalplape, of buihmss of the sm-Aving timitpd 1. AA
-tympany..
Sixth-.,A:w ,py.pf-.theAg.mement..of:Mcrzer.will,behmished-by.-Ow�u M-ving:f1mited
DWIFty conVmyofireqbes%,,vAthoutwst.,ltoany member of the:cpnWb=t1iqdted IWIlity
IN WITJIMS VMEREOF said suraving firnited liability coMpany has..caused this. certificate
#n die kpod-ift, an %ffie=dd;dq .A , . ydfDeceFfibpr,.
Ap-5Z. -1-4-40001f
Name. Shane.T. Pficiderer.
Title: Assistant Se.creow
j3OOM-W�)

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
CERTIFICATE OF COVERAGE NO:,,NCG080455 SAMPLE COLLECTION YEAR 2016
FACILITY NAME A T Williams Oil Co — Alamance SAMPLE PERIOD ❑ Jan -June ® July -Dec
(Pilot Travel Center — Store 6955) or ❑ Monthly' (month)
COUNTY Alamance County DISCHARGING TO CLASS ❑ORW []HOW []Trout ❑PNA
PERSON COLLECTING SAMPLES Mike Cortese Mid -Atlantic Associates ❑Zero -flow ❑Water Supply ❑SA
LABORATORY ESC Lab Cert. # 375 ©Other Class C;—NSW
Comments on sample collection or analysis:
R�� �,��F,�I/IBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per tLL? e ©X no
(if yes, report your analytical results in the table immediately below) � s� ,'
CENTRAL FILES
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) DWR SECTION ❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
1 00530
100400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
100
6.0 — 9.0
Outfall No. 1
12/29/2016
<5.560
5.700
7.17
Outfall No. 2
12/29/2016
21.000
122.000
7.09
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
S%A'LJ-250 Iasi revised April 11, 2013
Page] of 2

STORM EVENT CHARACTERISTICS:
Date _ 12/29/16 (first event sampled)
Total Event Precipitation (inches): 0.211,
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 2, Tier 2, or Tier 3 responses. See. General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this AMR, including all "No Discharge" reports, within 30 dos of receipt of the lab results for at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsibl 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 ssignificant penaltiesffo'r•submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
2(-1:1 11 1
(Date)
Additional copies of this form may be downloaded at: htto://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W 11-250
last revised April 11, 2013
Page 2 of 2

oE,DArA,ACCIE55 c`
*ESC. ANALYTICAL REPORT
L•A•B S•C.I.E.N.C•4.$ January 09, 2017
Mid -Atlantic Associates, Inc.
Sample Delivery Group; L881508
i Samples Received: 12/30/2016
I
Project Number: R2876.00
Description: Speedway #6955
Report To: Mr• Trey Marchant
409 Rogers View Court
Raleigh, NC 27610
Entire Report Reviewed By: r
l
T. Alan Harvill
Technical Service Representative
.,Results relate only to the items tested or calibrated and are reported a$ rounded values. This test report shall not be
reproduced, except in full, without written approval of the laboratory. ,Where applicable. sampling conducted by ESC Is
performed per guidance pfaAded in laboratory Standard operating procedures; 060302, 0$0303, and 060304.
.,. '. liS t' i�R •i j'ti.

'ie.'.-,an.'+...-.r,.-.::s�:.Z.�.ss,n��'.L��... rftr�:ArMI;eMxe �Z`.s..:l•�leli=:htLr�i::•U`wa..:tlwrcyTABLE OF CONTENTS ONE LAB. NATIOWDE
;t,aa l'T�K.�ta�rr<-a•e .:,;ir=l�ue la «:vPr.:.: ru+v:-�t-�r, rvi)3ak,1 - •... r'.r.�'N ukr ,•. -n :- - 1-�7".. •..�Y .r.,S
Elltl
`Cp: Cover Page 1
2Tc: Table of Contents
2
3Ss: Sample Summary
3
4Cn: Case Narrative
4
3Ss
SSr: Sample Results
5
,
Cn
OUTFALL 1 L881508-01
S
OUTFALL 2 L881508-02
6
r qr
60c: Quality Control Summary
7
Gravimetric Analysis by Method 25-40 D-2011
7
6
O�
Wet Chemistry by Method 1664A
8
,
GI
7Gl: Glossary of Terms
9
"AI: Accreditations R Locations
10
9Sc: Chain of Custody
11
e
Sc
ACCOUNT: PROJECT: SDG: DATLI IME: PAGE:
Mid -Atlantic ASSOCI CS, IML, R2876.GO L881508 Ot/09117 11:332 of 12

SAMPLE
SUMMARY
ONE LAB. NATIONWIDE.
$�
Collected by
Collected daielhme
Received dateltime
OUTFALL 1 L881508-01 WW
Mike Cortese
12/2911610:00
12011609:00
Analyst
F
L�
Method
Batch
Dilution Preparation
Analysis
dateltime
dateltime
Gravimetric Analysis by Method 2540 D-2011
WG940458
1 01/05117 02:59
01105/17 03:35
JM
Wet Chemistry by Method 1664A
WG940659
1 01/05117 08:23
OV0511713:30
SHG
OUTFALL 2 L881508-02 WW
Collected by
Mike Conese
Cailected dateltime
1212911608:45
Received daiehiime
121301160900
Fn]
Method
Batch
Dilution Preparation
date/time
Analysis
dateltime
Analyst
s
St-
Gravimetric Analysis by Method 2540 D-2011 �—
_ . WG940458
1 01105117 02:59
01/05/17 03:35
_ — JM
Wet Chemistry by Method 1664A
WG940659
1 OV05117 08:23
OVOS/1713:31
SHG
QC
El
LA
9
5c
_.. _«........ y. .._�- ..--.. w-..�...»...�.. ........,.........n-....-..r- ........ ......_. ....�. w.�.,-....,...�.....�..,-
ACCOUNT: PROJECT; SDG: DATE/TIME: PAGE:
Mid -Atlantic Associates, Inc. R2876.00 1-881508 01/09/1711:33 3 of 12

CASE NARRATIVE ONE LAB. NATIONWIDE.
All sample aliquots were received at the correct temperature, in the proper containers, with the
appropriate preservatives, and within method specified holding times. All MDL (LOD) and RDL (LOQ)
values reported for environmental samples have been corrected for the dilution factor used in the R
analysis.. All Method and Batch Quality Control are within established criteria except where addressed
in this case narrative, a non-conformance form or properly qualified within the sample results. By my
digital signature below, I affirm to the best of my knowledge, all problems/anomalies observed by the Lislaboratory as having the potential to affect the quality of the data have been identified by the
laboratory, and no information or data have been knowingly withheld that would affect the quality of the
data.
Fr
G
T, Alan Harvill
Technical Service Representative
PC
ACCOUNT: PROJECT: SDG: DATEITIME: PAGE:
Mid -Atlantic Associates, Inc. R2876.00 L881508 OV0911711:33 4 of 12

O U T F A L L 1
SAMPLE R E S U L T S- 01
ONE LAB. NATIONWIDE.
Collected dateltlme: 12/29/16 10:00
L881508
Gravimetric Analysis by Method 2540 D-2011
r----;
Result
Qualifier RDL
Dilution Analysis
Batch
t j
Analyte ugll
ugll
dale 1 time
Suspended ScIZ 5700
2500
1 01105/201703:35
WG940458 Tc
Wet Chemistry by Method 1664A
FS1
Result
Qualifier RDL
Dilution Analysis
Batch
Analyte ugA
ugll
date ! t1we
a
Oil R Grease (Hexane Extr( IUD
—� 5560 ^
1T� 01105/201713:30
VJG940659
7 G!
rAl
4
Sc
ACCOUNT: PROJECT: SDG: DATEITIME:PAGE:
Mid -Atlantic Associates. Inc. R2876.00 L881508 01109J1711133 5 of 12

OUTFALL 2 SAMPLE RESULTS - �02 ONE LAB.N4TIONWIDE.
Collected dalellime: 12129116 08:45 L881508 '
Gravimetric Analysis by Method 2540 D-2011
Result Qualifier ROL Dilution Analysis Batch
Analyte ugA ugll date! time
Suspended Solids 122000 2500 1 01105/2017 03:35 WG940458
Wet Chemistry by Method 1664A
Result Qualifier RDL
Analyte ugll ugfll
Oil & Grease (Hexane Extr) _ 21000� 5560
Dilution Analysis Batch
date 1 time
1 011051201713:31� WG940659� — _—
ACCOUNT: -PROJECT: SDG: DATE/TIME: PAGE:
Mid -Atlantic Associates, Inc. R2876.00 L881568 01109/1711:33 6 cf 12

WG940458 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE.
Gravimetric Analysis by Method 2540 D-2011 L881508-01,D2
Method Blank (MB)
(MB) R3189385-1 01/05/17 03:35 El
MB Result MB Qualifier MB MDL M8 RDL
Anatyte ug11 ugA ugll F
Suspended Solids U 350 2500
L881376-01 Original Sample (OS) • Duplicate (DUP)
(OS) L881376-01 01/05/17 03:35 • (DUP) R3189385-4 01/05/17 03:35
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits
Analyte ugll ugli % %
Suspended Solids 262000 260000 1 6.64 J3 5
L881500-01 Orrginal Sample (OS) . Duplicate (DUP)
(OS) L881500-01 01/05/17 03:35 • (DUP} R3189385-5 01/05/17 03:35
Original Result DUP Result Dilution DUP RPD DUP Oualifrer DUP RPD Limits
Analyte ugll ugll % _ %
Suspended Solids 36500 35000 1 4.20 5 T
Laboratory Contro! Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3189385-2 01/05/17 0335 • (LCSD) R3189385-3 01/05/17 03:35
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Oualifier RPD RPD Limits
Anatyte u911 ugll ugn % % % % %
Suspended Solids 773000 908000 808000 105 105 85.0-115 �x^ 0.000 5
ACCOUNT: PROJECT: SDG:
Mid -Atlantic AssoCiazeS. Inc. R2876.00 L881508
DATEITIME:
OV09A711733
PAGE:
7af12

WG940659 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. �
Wet Chemistry by Method 1664A L881508-01.02
Method Blank (MB)
(MB) R3189097-1 01/05/17 13:27 E
MB Result MB Qualifier MB MDL M8 ROL
a
Analyte ugli ugn ugll -- --- — — — — — -- — TC
Oil & Grease (Hexane Exlr) U 1160 5000
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3189097-2 01/05/17 13:28 • (LCSD) R3189097-3 01/05/17 13:28
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte ugll ugll ug4 % % % % %
Oil & Grease (Hexane Extr) 40000 38700 40000 96.8 IN 78.0-114 3.30 20
ACCOUNT: PROJECT- SDG:
Mid -Atlantic Associates. Inc- R2876.00 L881508
DATE/TIME:
0 V0911711:33
PAGE:
8of12

GLOSSARY•U
Abbreviations and Definitions
SDG
Sample Delivery Group,
V DL
Method Detection Limit.
RDI_
Reported Detection Limit.
Nil
Not detected at the Reporting Limit (or MDL where applicable).
U
Not detected at the Reporting_ Limit (or MDL where applicable).
RPD
Relative Percent Difference.
Original Sample
The non -spiked sample in the prep batch used to determine the Reiative Percent Difference (RPD)
from a quality control sample. The Original Sample may not be included within the reported SDG.
Rec.
Recovery.
Qualifier Description
J3 The associated batch OC was outside the established quality control range for precision.
ACCOUNT: PROJECT; SDG: DATEMME:
Mid -Atlantic Associates, Inc. R2876.00 L881508 01/09/1711:33
PAGE:
9of12

: n.a. C. ..r Ww: ..:..':hrrr;'1r':..::; r.•s�.,+P::'"a:�2r.,.:�l::tirr1.'.Y.a:_.:_3?,&the =.vv. _^ie•1.an :.v r�.:�c.,. is.,,Ki'.1r54�JW"+Fr"'.,r.ii:.{-.S'.=er Y._tip: 'l' �:31. ,-:. :I i•,, �i. ,.. r', rr.�. 1-h. IACCREDITATIONS
f LOCATIONS L NATIONWIDE
ESC Lab Sciences Is the only environmental iatlorat:ry accredltedlceitified To supoor, your wort nationwide from one location. One phone call, one pelnt of contact, one laboratory. No other
lab is as accessible or prepared to handle your needs throughout the country. Our capacity and capability from our single location laboratory is comparable to the collective lotals of the
network laboratories in our industry. The most significant benefit to out "one location' design is the design of our laboratory campus. The model is conducive to accelerated productivity,
decreasing turnaround time, and preventing cross cantaminabon. thus protecting sample integrity. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE
' Not all cerifications held by the laboratory are applicable to the results reported in the attached report.
Stratc( Acc'f(�dilatit;rl5
Tr_
Alabama
40660
Nevada
TN-03-2002-34
3
Alaska
UST-080
New Hampshire
2975
'S
Arizona
AZ0612
New Jersey—NELA_P
TNO02
Arkansas
88-0469
New Mexico
TN00003
Fn]
California
01157CA
New York
11742
Colorado
TN00003
North Carolina
Env375
Conneticut
PH-0197
North Carolina
DW21704
s
5r
Florida
E87487
North Carolina'
41
Georgia
NELAP
North Dakota
R-140
f
Georgia'
923
Ohio—VAP_
CL0069
nC
Idaho
TNO0003
Oklahoma
9915
Illinois
200008
Oregon
TN200002
zGl
Indiana
C-TN-01
Pennsylvania
68-02979
Iowa
364
Rhode Island
221_
Kansas
E-10277
South Carolina
84004
Kentucky'
90010
South Dakota
Kentucky?
16
Tennessee"
2006
Louisiana
A130792
Texas
T 104704245.07-TX
Maine
TN0002
Texas s
LABO152
SC
Maryland
324
Utah
6157585858
Massachusetts
M-TNO03
Vermont
VT2006
Michigan
995$„_
Virginia _
109
Minnesota
047-999-395
Washington
—
C1915
Mississippi
TN00003
West Virginia
233
Missouri
340
Wisconsin
9980939910
Montana
CERT0086
Wyoming
A2LA
Nebraska
NE-OS-15-05
Third Party & Fodf-ral Acca-E?ClltcltionS
A21LA — ISO 17025 14EI 01
AIHA
100789
A2LA — ISO 17025' 146L02
DOD
1461.01
Canada 1461.41
_
USDA
S-67674
EPA—Crypto TN00003
'Drinking Walef ' Underground Storage Tanks ' Aquatic
Toxicity r Ch mnicallMicrobiological
s Mold - Accreditation net applicable
0111 l_Ocalio ns
ESC Lab Sciences has sixty-facr client support centers that provide sample pickup andlor the delivery of sampling Supplies. If you would like assistance f,om one of our support offices, please
contact our main office. ESC Lab Sciences performs all testing at our central laboratory.
iAT
IAGA
��� roc. O
52
Hi
I
f
y.5
ACCOUNT: PROJECT: SDG: DATEITIME: PAGE:
Mid -Atlantic Associates. inc. r R2876.00 L881508 01109/1711:33 10 of 12

Company Name/Address:
Billing Inform3tton:
AnalysiS
/
Container
/ Preservative
chain of cultoctv Page — CA
Mid -Atlantic Associates, Inc.
ESC
409 Rogers View Ct
•
Raleigh. NC 27610
z
41;
-A—L
Raporl to:
EmaiI Tu:
Chuck Hoffinan
choffMan@maaonlih1wC0M
J.11.1. IN 3712)
project
Speedway.#6955.
otyls late
DeScnpiion:
Collected;
—A
cd'em Projea
LatPfciecif
Phone:
6-
C21 8
Collected try prinw, Colle (
-IiAtelracility tp a:
P.O.'O
--W -
-.v
Te �n' -�J
C ollected by JsignaiuTe).
Date Results Needed
Day__
M''
CL
W
Next
ErQJ? -UG YCJ
T R:,,:
immediately
Two Dar
Three'
NO
FAX? No Yes-
-= -cm
'n
C
Packed on Ice N V
aay�_.!
f
ka.
Sample ID
COMP/Grab
Nwii.
C�plh
biee
n-'s
TFme
�O
'7 It
7�
V5
'Ma1rtx:'SS -Wl GW-*Groundwater writ -WasiiW4iE_ DW-Drinking Water OT - Other J PH Teenp
Flow 01her Hd RL 1
-Ae
ReliMuivhcdtiy,-(Sig hdtl
Date;
Time:
Received trr.[StjnTure) fi-7aotf
Samples returned via: - 0 UPS
"i(labuseo*
Az
Q1 "!;V, ❑0 C"outie, ❑0
.1
kelimu%Kt -d by (SkinztweMpe
Date;
Tierce:-.
Received byllsigr'
c'
:!b'—'
7 -
RAJ .1;J�
Date:
Time;D
pH Checked C-

• 0 167r Ret b 10 FO'
t li�►,t: T� Q'l 5€ ;Si_C;#'
{�cul�r Rrctivt:dJO�tnt�cl 4rt: Inc f 1{i f'crt1per.3ture EJ�n ltreriFtit:
°r
Received-By:J'q.,;0h Mvrt,.,
Receipt Check list
Yes No 'N/A
Were custody seals on outside of. cooler and intact?
Were custody papers;properly filled'oiit?
Did all bottles arrive in good:condition?
Were•correct bottles -used foi=aFie:arialyse's requested?'.
V,
-
Was`sufficiertt-amouiit'of'sample sent in each bottled
✓
,were a-lJ applicable sampld,'6htainers correctly pFeser e- d and
gbe'Cked,fo_r pre5erva#ion?,(Any ndt_ in accepted range noted,on COCj
-
If applicable, was an observable VOA headspace present?
1Von. onformance Generaii ted.,(If yes see attached NCF)

Semi-annual Stormwater Discharge Monitoring Report
,q46
for North Carolina Division of Water Quality General Permit No. NCG4844 `Z
Date submitted 12/2/15
CERTIFICATE OF COVERAGE NO. NCG080455 SAMPLE COLLECTION YEAR _2015 F1 .
c SAMPLE PERIOD Jan -June X Jul Dec ..r
FACILITY NAME Haw River Travel Plaza ��E���a Y-
i0j
COUNTY Alamance or Monthly' (month)
PERSON COLLECTING SAMPLES Lynne Hays DEC U 1 2015 DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ©PNA
LABORATORY R&A Lab Cert #34 Comments on sample collection or ❑Zero -flow ❑Water Supply ❑SA
analysis: CENTRAL FILES [—]Other
DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Vehicle Maintenance Areas Monitoring Requirements ❑ No discharge this period'
0utfall
No.
bate
Sample Collected,
mo/dd/yr
,.'Q0530 `; „.._.<
00400
.. 00556
= {_a
TotalISuspended°
Solyds, mg/L
pH,
.Standai_d units
Non=polaroil andi«srease/TPH EPA
Method 1664.(5GT #iEMj, ing/L
NewaMotorCli[sais g ,
(Annual averagegal/,mo,..
mBencli'iriark
=
5,0'orl0i7seepe�mit,';,.
W:ithm,60' 90
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes x no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
OutfaI F«DateU0530„
-= 0400
i*No.`Sam'lei'CollectedIVon=pala'Oil
tea:•-
p�
grid Grea�se�-TPHI=PA Method
-:.�,
Total�5 sende°d So ds .
z p ,..1
�anunfts
cicl/r1664
"
M mL
( },:
4Y
St
SHE . g ��
�- x �. mg/� �..
rr c
PermitsLimtt s
-',
_ 15
50"or?100..see p' a mrt
�_,6.0
SDO #1
10/27/15
.<5
57.2
7.4
SDO #1
10/27/15
<5
238
8.3
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25. 2012
Pa(ve I of 2

STORM.EVENI: CHARACTERISTICS:
Date 10/27/15 (first event sampled)
Total Event Precipitation (inches):.49
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PARE II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO x
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one co this DMR includin all "No Discharge" reports, within 30 days of receipt of the !ab results (or at end of monitoring period in
the case of "No Discharge" reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the inform ation.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."
ATWilliams Oil Co. INC. 121 V 15
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http.1/portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised October 25. 2012
Pa�w2of2

Semi-annual Stormwater Discharge Monitoring Report,'
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 2/9/15
CERTIFICATE OF COVERAGE NO. NCG080455
FACILITY NAME Haw River Travel Plaza
COUNTY Alamance
PERSON COLLECTING SAMPLES Lynne Hays
LABORATORY R&A Lab Cert #34 Comments on sample collection or
analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR _ 14
SAMPLE PERIOD Jan -June July -Dec
or Monthly` month
®® I RGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
Y�EcO❑Zero-flow ❑Water Supply ❑SA
MAR 2 7 2015 ❑other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
❑ No discharge this period'
y0utfall�
;No e�i
_
> Y Date
Safnple.Cailected,
._xr. mo/dd/yr.
00530T _
0400
00556:�
TataFSuapen ied � .
_ w 5oliclsmg/L�
� �- pN,
Standa'4units f
Non -Polar -Oil, and�Grease/T,PH EPA
A- Meth6d 1`664i(SGT-HEMj,.mg/L ,
aNew'' Mato'rOtl L7sage,
Annual average gal/mo ,
Beri'chmarkn
50 or 100`seepermit'Wtthin
6 0
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes x no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
:C►utfall
Date' .
00556,u,
00530�00400
No.
:f
Sample Collected,
Nori-Polar Oil and Grease%iPH EPA�IVlethod
Totalr5uspended�Solis:
` A pN;
yc
1664s(SG M), rng/L
; ' mg%L�
StaKda units:`
Ferr"nit Limit.
_ -
15 .�
.q'. r
50or 100`seepermtt
SDO #1
2/9/15
<S.O
70.2
7.8
SDO #1
2/9/15
5.54
91.5
7.3
t For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 fast revised Octobcr 25. 2012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 02/09/15 (first event sampled)
Total Event Precipitation (inches):. Il�
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO x
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this AMR, including aq "No Discharge" reports, within 30 days of recei t a the lab results for at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
A
ATWilliams Oil Co. INC.
(Signature of Permittee)
03 23 15
(Date)
Additional copies of this form may be downloaded at: httpJ/portal.ncdenr.org/web/­wq/ws/­su/­
npdessw#tab-4
SWU-250
last revised October 25, 2012
Paee2of2

Semi-annual Stormwater Discharge Monitoring Report
for North.Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 10/27/14
CERTIFICATE OF COVERAGE No. NCGO80455
FACILITY NAME Haw River Travel Plaza
COUNTY Alamance
PERSON COLLECTING SAMPLES Lynne Hays
LABORATORY R&A Lab Cert #34 Comments on sample collection or
analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR _2014
SAMPLE PERIOD Jan -June x July -Dec
or Monthly' ]O (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:)SA
RECEIVED ❑Other
NOV 0 4 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES ❑ No discharge this period'
DWR SECTION
LOutfal! :`
No
.',- ; Date
Sample Collected,
mo/dd/yr : -_
00530=.:
s
; 06400
:,00556
x_Tbtal 5uspencledy
Soi,ids, mg(L
pH,
:Standard units
Non:-PolarrOd and Grease/TPH EPA
Method.1664(SGT,HEM) ;Mg /L
New Motor "Oil Usage,
....
Annual average gal/mo:
`Benchmark
or-300see-permit?
lAlithiri=6
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes x no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
te3
2,, ,-:0055fi'A �'
`�� � x00530 :
f00400
y No
'> Sam le,Collected
p
Non=Polar Oilfand:Grease TP.H EPA Method
/
r Tatalc`Sias end'ed.'Salids�
p
^w �H"
p s
ifi64 L;^
y c: L�n:';:'Stand
F:
SGT=HEM ;4m
,, �m
ardun�tsr
Permit Limit
_ :
w"` �• y
50'or100:see�permit_
60 90
_.;
.15�:�'
SDO #1
09/29/14
<5.0
66.5
7.4
SDO #1
09/29/14
14.3
289
8.2
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25. 2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 09/29/14 (first event sampled)
Total Event Precipitation (inches):.17
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? xYES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO x
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 tab results for at end of monitorinq period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ms
an
ATWilliams Oil Co. INC.
(Signature of Permittee)
10/27/14
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#ttab-4
SWU-250
last revised October 25, 2012
Page 2 of 2

Semi-annual Stormwater_Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 4/8/14
CERTIFICATE OF COVERAGE NO. NCGO80455 SAMPLE COLLECTION YEAR _2014
FACILITY NAME Haw River Travel Plaza SAMPLE PERIOD Jan -June ❑ July -Dec
COUNTY Alamance or Monthly' (month)
PERSON COLLECTING SAMPLES Lynne Hays DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
LABORATORY R&A Lab Cert #34 Comments on sample collection or RECEIVED ❑Zero -flow ❑Water supply [:]SAanalysis: ❑Other
APR 10 2014
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
Part A: Vehicle Maintenance Areas Monitoring Requirements OW0180G ❑ No discharge this period'
Outfall005304.;
V f.. H-.�,•,g,.;
>Sample Collected,
;'.f" y� ay..s-,"
:'_
'Cai`:r - di. 1"f j.',e'
'00400, u, s.s::
'ti:.. A _ -sl .-]ram
.�f f �f;_':.-y £' -- - -K-i."'�.+.?a
,. •00556 `.
'.f:+ i. - _
�..y:',y per-. r. -
,.,:.�:
_ .i �.
Total4Suspended.>
J4;�. :.a-.`f..
5o_lids;rmg/Lw� ::
..s: .rL ,. 54.->. ,._.�F . ` �:5-6
e� .,pH, _'_,
fi
e�.. `x �i- sue. -'.c, 4' `�„
:�; 5tan'dard units'
- vc:.s s_s..f: -x -. - �_
Non=Polar 0itand Grease%TPH`EPA -
Ada:"'g 5."FY✓.7:- �.t°t.._ -1
Method T664_ [SGT HEM); mg/L ,„ ,,
�(r_....- _
New Motor.0ilsllsape,
ter, _D',�...�`!.
'��AnnuaLa�e_rag%gal/mo a
'- '4.- .. 'u`I
Benchmarks
R4- '{T �•_ otiL� �_: R... r:: ...:'
".t' ` ` I
.�' ,.' „F.
k50,ar360 seeEpermit
'�' •"� -:x r
kWit. in,6 0,' 9:U
,.w15
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes x no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
z`Outfall` `�
�� No
ate.' ' '
Sample C-ollected.$�
5Z
N.Noikf-�—, l OiFand Grease/ PHaEPAIMe#hod,
1664 (SGT-HAEMJ mg/,.L'
Total 5uspenderJzSolEds,
�.�mg/,L t� a
( � pHMn�t�
J "Standar
7 7-_�.�m„Yr
rx
Peimit-LiM
? °—.
v Wi
':t.� =. "L y
;o'er+ a -�+r+ i �
100 see er_ mtt
` ,{" -.0
Or �
SDO #1
03/16/14
<5.0
412
6.9
SDO #1
03/16/14
42.2
628
7.4
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 03/16/14 (first event sampled)
Total Event Precipitation (inches): .
Date _ (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO x
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? 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 o monitoring period in
the case of "No Discharge" report to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
I
ATWllliarns Oil Co. INC. 04/08/14
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw##tab-4
SWU-250 last revised October 25, 2012
Page 2of2

EnviroLinc
Environmental Compliance Solutions
April 8, 2014
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Stormwater Discharge Outfall Monitoring Report
A.T. Williams Oil Company
General Permit Number NCG080000
Please find enclosed the Stormwater Discharge Outfall Monitoring Report for A.T.
Williams site located at the intersection of Jimmy Kerr Road and I-85 in Haw River,
North Carolina. If you have any questions please contact us at [phone].
Yours truly,
Lynne Hays
io9 Gentle Pond Court • Winston Salem, NC 27107 0 Phone: [phone] • Fax: [phone]