NCG140006_COMPLETE FILE - HISTORICAL_20150323

STaRMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v �yDbO�
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ �n� 5 0 3 � 3
YYYYMMDD

i
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 U G
FACILITY. NAME:
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: �20 i
SAMPLE QUARTER: ❑Jul -Sept ZOct-Dec E]Jan-March: —]April-June
COUNTY: %(/G c✓_ %����yc,— _�_
PHONE NO, iU , 4— 7.5
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
QWali No.
Date Sam Ee
PI '
Collected.-
(mm/ddYYr}
+; - — r
7YPe of Wastewater
z� _
T11f x�
z _ _= ,
z' pH_
:- -. - .
-
Total Suspended :
r- Solids
_
! Settleable
1
s: Sohds
` 1
T H usrng
;, r„
1 method 1664A
-
iSGT HFIVIs
Discharge `
_
Duration
_. _
f
Total Flower
_ u 7._
.(gallons/day)
6.
77-
-
= -
(15}
i
.
y6, I V C I.a./
Bwc�
'`rLEs
/ _
v T
yj I
��rION
I
E
' If wastewater systems have not discharged in this quarter- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
a pal limits are 6-9 S.U. for wastewater discharges to freshwaters, and 5.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. '
Permit Date: 7/1/2010-06/30/2015, Last Revised 07/13/11
Page 1 of 2
i

6 Process wastewater discharges shaIf only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. i
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittee3-who discharge wastewater to HQW waters shall•ebtaln a Summe? ;VQ10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flour far the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis. j
YOU MUST SIGN THIS CERTIFIC4TION FOR ANY INFORMATION REPORTED:
"I certify, ender 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 in of the person or persons whIo 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 .imprisonmi nt for knowing
r'
violations. T.
(Signature of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015. , Last; Revised 07/13/11
.D-nqe 2 of 2
E

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCGli
FACILITY NAME:��7c�G
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
' Lab #
LIMIT VIOLATIONS? YES O NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: []Jul' -Sept WOct-Dec Alan -March []April -June
COUNTY:
PHONE NO. ^ iU
ADD TO LISTSERVE? []YES ONO EMAIL: ' I
DISCHARGING TO CLASS: OSA OHQW • OPN! ❑Trout []Other
OPTIONAL INFO:
Outfall No.
to
Da mp
`old
C I e
�min/dd%yr) ti
T e.of Wastewa#er
t -
E z
{11E, RM,'MDj� }(standard)={gal[ons/day)p'-
, fi
pH;
��, z
-::Total Sus ended
�Y ,;-
:a Solids•
` Settleatile�
= '
:Solids
.TPH t
method.1664,4
�� t
�
-UL
- pischar e
g
fluration
t
+Total Flow.
ti.:_
-
�.
.
i
.
AA2
r
v 7
a 12 CYJ
'
I
I
S
1 If wastewater systems have not discharged in this quarter— report "No Flow' or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3if an'effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges #o,freshwaters, and 6.8-85 S.U. for discharges to saltwaters..
s T55 limits are 20 mgJL for wastewater: discharges to HQ W waters, 10 mg/L for Trout and PNA waters, and 3D mg/L for all other water classifications.
Permit Date: 7/1J2010-06/30/2015; 1 Last Revised 07/13/11
Page 1 of 2

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow -as per 15A
NCAC 028.0224. Permitteeg who'discharge wastewater to HQW waters shall,obtain a Summee ;VQ10 flow and report this information to DWQ. Ifthe permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on of rase -.by -case basis.
F •
. 1
MAIL ORIGINAL AND ONE COPY. OFTHIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT>OF SAMPLE OR
AT FNn ni` mrw-rnR1Nr n im rncir nG ,Nn ri nW") Tn• !'
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: _
" I certify, under }penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified persorinel prpperly 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of.fines and imprisonment for knowing
violations.,=...
(Signature of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015.
Last.Revised 07/13/11
.page 2 of 2

PROCESS WASTEWATER— Quarterly Discharge MonitoringReport
GENERAL PERMIT No. NCG140000
. i
CERTIFICATE OF COVERAGE NO. NCG14 0 Ufa
FACILITY NAME: ,;91Z C �Zt�st�c /-� r✓L
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #. .
LIMIT VIOLATIONS? YESFJNO [K
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2G 1
SAMPLE QUARTER: Jul -Sept ❑Oct -Dec QJan-March []April -June
COUNTY: i(1C4,J e',�
PHONE NO. C7/u
ADD TO LISTSERVE? YES QNO EMAIL:. _ -f
DISCHARGING TO CLASS: QSA ❑HQW ❑PN, QTrout QOther G : S-L J
OPTIONAL INFO:
Dutfall No.
`Date Sample E '..
1 �.:
Collected
-
[min
Type R Wastewater ,
_ z r
VE` RM= MD
� 'jE` � .�
-� ' T
H
_ #_P=:� _
i- standard 6
�r'rY
'tal usJ
S_ p
5olids ,
¢ r "
E- _ - k—. ��� +t--:;
Sett eab!
—
;Solids
}
-��-
-TPH using `
method I664A' :
SGT HENIfi;:
_
_[rng/l.}� ] _
Discharge
>_
Duration
[m�nutesjzr
�-. 3--�.r��.i
- 7otal_Flow
-_ =
allons da '=
y}
6.
6 9
YYx 3
-£�53 4
Y (13}6
r
i
r
c
v
i
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
' pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-9.5 S.U. for discharges to saltwaters..
s fSS lirri.its are 20 mg/L for wastewater discharges: to HQW waters, 10 mg/1' for Trout and PNA waters, and 30 mg/L for all other water classifications. ,
Permit Date: 7/1/2010-06/30/2015� LastRevised07/13/11
Page 1 of 2
t

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B :0224. Permitteeg-who'discharge wastewater to HQW waters shall obtain a Summe? 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
I
report on a.case-by-case basis. j
MAIL ORIGINAL AND ONE COPY,OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS! OFRECEIPT-OF SAMPLE
AT END OF MONITORING `PERIOD IN CASE OF "NO FLOW"] TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center �{
Raleigh, North -Carolina 27699-1617
[phone] - =
YOU MUSTSIGN THIS CERTIFIG4TION FOR ANYINFORMATION 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 eyaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those, persons directly responsibl0or 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
.
I
(Signature of Permittee)
(Date)
Permit. Date: 7/1/2010-06/30/2015. I Last.Revised 07/13/11
.page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14-2 6) 0 L
FACILITY. NAME: /? )1)1c CGzt,,�PL-T
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #.
LIMIT VIOLATIONS? YES NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 20 j�
SAMPLE QUARTER: Jul -Sept ❑Oct -Dec M.Ian-March [April -tune
COUNTY: C44_/
PHONE NO. Cj/u 67 /
ADD TO LISTSERVE? DYES DNO EMAIL'- -;.I.
DISCHARGING TO CLASS: DSA ❑HQW ❑PN i DTrout DOther G : Sc.�J
OPTIONAL INFO:
Outfall No.
.. - ! .- _
Date Sarni 'Ie f
' Collected
_
�, _ -?, f -`
-= *•_
T e_af_Wastewater
YP� '- z
i-€=�'
-
"-
ptl` -s y
-
=(staiicfard}s �
_ -2G
Total Susended
P- Fs
"5ol�dsJ
'��`
n�.T _ (b�_-• 9rrs _
rSettlealzle
-'Solids
_� (
F =�:r
method,1664A (-
= �`� 9;
SGTHFNIG
(
`
,Dtschar e
l; I
` Duration
Total'Flow
I
I
. 1
.
I
1 if wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. far discharges to saltwaters. I
i
sTSS limits are 20 mg/L for wastewaterdi*charges: to N,QW waters, 10 mg/L` for Trout and PNA waters, and 30 mg/L"for all other water classifications.
Permit Date: 7/1/2010-05/30/2015 . Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured contin6ously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Sumner 7Q10 Flow as per 15A
NCAC 02B :0224. Permittee� who:dischargelwastewater to HQW waters shall obtain a Summer ;7Q10 flow and report this information to DWQ. if the permittee cannot
obtain a Summer. 7Q10 flaw; for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
}
i
MAIL ORIGINAL AND ONE COPY.OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DA
AT END OF MONITORING,PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality _ .,. _�..
Attn: DWQ Central Files
1617 Mail Service Center:
.Raleigh, North -Carolina 2.7699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that'qualified personnel properly gather and evaluate'the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsiblerf9 gathering the information, the information submitted is; to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of.fines and.imprisonment for knowing
violations... �.. .:
(Signature of Permittee)
Permit_ Date: 7/1/2010-06/30/2015.
(Date)
Last:Revised 07/13/11
p-ge 2 of 2

i
i
PROCESS WASTEWATER --- Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 D G G G
FACILITY NAME: /i�li7 L C
PERSON COLLECTING SAMPLES:i�
CERTIFIED LABORATORY: Lab #
Lab #.
LIMIT VIOLATIONS? YES [] NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 70
SAMPLE QUARTER: ❑Jul -Sept ❑Oct=Dec QJan-March April -June
COUNTY: /L��G✓ f�/�-.err�'z _tr
PHONE NO.
ADD TO LISTSERVE? ❑YES QNO EMAIL:
DISCHARGING TO CLASS: QSA ❑HQW - ❑PNA ❑Trout QOther G 1 SLtJ
OPTIONAL INFO:
Outfall:No.
Date Sam !e
-.P `
CoUectedl
{min/dd/Yr)
= :' T e ofsWastewater
YAz " z
(VE, RM. MD) $�
- -'
H
P_"
: {standard] -
s ,,
Total Sus ended =
p
Solttls
-_
SettleafjEe
-
Solids
=
TPH using !
'�
me#had`1669A'
-
SGT !4EW_
_
PNZhar e
�g,j,
Duration
=
Total -
-_ is
1[gallons/day)
-L3 4
I
G
i
.i
1
i
1 If wastewater systems have not discharged in this quarter-- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six_ months, unless DWQ RO staff
notifies you to continue m6nitori6g.
' pH limits are 6-9 S.U. for wastewater discharges 46freshwaters, and 5.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L: for Trout and PNA waters, and 30 mg/L for all other water classifications. '
Permit Date: 7/1/2010-06/30/2015; I Last Revised 07/13/11
i Page 1 of 2

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B A224. Permitteei who discharge -wastewater to HQW waters shall obtain a Summe? WQ10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer7Q10 flow: for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis. i
MAIL ORIGINAL AND ONE COPY.OF.THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPTOF SAMPLE [
AT END OF MONITORING -PERIOD IN CASE OF "NO FLOW" TO: �.
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North -Carolina 27699-1617
[phone]
i
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
thosepersons directly responsiblefor 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.imprisonm nt for knowing
violations.';
(Signature of Permittee) (Date) II
i
Permit -Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2
I

i
PROCESS WASTEWATER — Quarterly Discharge Monitoring'Repbrt
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 D G ej G
FACILITY NAME:
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab
Lab #
LIMIT VIOLATIONS? YES ❑ NO
i �Requirements n Part A: Wastewater Matorn e
SAMPLE COLLECTION YEAR:
CJ J
SAMPLE QUARTER: [:]Jul' -Sept ❑Oct -Dec ❑i Jan -March XApril-June
COUNTY:
PHONE NO.
ADD TO LISTSERVE? ❑YES ❑NO EMAIL: 1
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PN ' ❑Trout [Other G Sc4_)
OPTIONAL INFO:
OeJtfallNo.
_
D` to Sarii Ie.
a P
Collectetll
Mm
3
- '-
T e,af;Wastewaterh
r.. fy_._
Y VE`RM'MD ,�:
'- }-
a y -
;pH -
f`f standard
r
`Total'Sus 'ended'
, P
t
e _ =:H
;Settleable.
=
,TP
method 166aA`
* ^SGr__:HENfG•,_.:.
g�
s_ Tota[ Flow
--
alEdrtis da '?
-
i
G
;
i
f
1
1 If wastewater systems have not discharged in this quarter— report "No Flov/' or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8 ,5 S.U. for discharges to saltwaters.
s TS5 limits are 2D mg/L for uvastewafer df�charge "to HQW waters, 10 mg/L for'Trout and PNA waters, and 30 mg/L for all other water classifications. '
Permit Date: 7/1/2010-06/30 2015 Ij Last Revised 07/13/11
Page 1 of 2
i
i
!

a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the - iered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittee3.who'discharge wastewater to HQW waters shall obtain a Summe?,7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow, far the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office inay require an annual flow
report on a,case-by-case basis.
1
MAIL ORIGINAL AND ONE COPY,OF.THIS ANNUAL SUMII
AT END OF MONITORING -PERIOD IN CASE OF "NO FLOW
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North -Carolina 27699-1617
[phone]
inL7
OF
YOU MUST SIGN THIS CER►IFIC4TION FOR ANY INFORMATION REPORTED:
N certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure thatyualified personnel properly gather and evaluate the information submitted. eased 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
(Signature of Permittee) (Date) l
Permit. Date:7/1/2010-06/30/2015
Last'Revised 07/13/11
.D�ge 2 of 2

i
PROCESS WASTEWATER — Quarterly Discharge Monitoring -Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 a O a
FACI LITY NAM E: /Pm ee-
PERSON COLLECTING SAMPLES:��� �wrw
CERTIFIED LABORATORY: ivy% C!i !-A,7 Lab # yy
Lab #- : 3 77.2-'7
LIMIT VIOLATIONS? YES ❑ NO Pq
Part A: Wastewater Monitorins Reouirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec 19�an-March ❑April -June
COUNTY:N�✓
PRONE NO. (910) G
ADD TO LISTSERVE? ©YES []NO EMAIL -
DISCHARGING TO CLASS: ❑5A ❑HQW ❑PNA ❑Trout ❑Other �% s�✓
OPTIONAL INFO:
Outfall Na.
,.
Date Sam le :<..
fl.
Collected
min dd
_
Type of Wastewater
a -�
-
'- 3 �`
pH -
(standard}
—mot
- -
TotaiJSuspended
_
,may Solids
m L I
rt
Settleable .,-
�-
;Solids
mL L
TPH using
'I
method IS64A I
_ SGT HEMS
r- r.- ,{
-
Discharge
Duration
z
minutes
Total Flow
_ ,_
[gallons/day) .
_
I
i
i
I
1 If wastewater systems have not discharged in this quarter— report "No Flow' or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, u i less DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges: to HQW waters,,10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. ,
Permit Date: 7/1/2010-06/30/2015, Last Revised 07/13/11
- I .
Page 1 of 2
i
i
I

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permitteeg awho'discharge wastewater to HQW waters shall -obtain a Summe? 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a.case-by-case basis.
G
AT END OF MONITORING,PERIOD IN CASE OF "NO FLOW"] TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in ac6rdance with a system designed to
assure that`gualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons whIo manage the system, or
those persons directly responsible:far 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
i
{Signature of Permitteej (Date)
I
Permit. Date: 7/1/2010-06/30/2015 Last, Revised 07/13/11
page 2 of 2
1J

PROCESS WASTEWATER — Quarterly Discharge Monitoring -,Repo rt
- GENERAL PERMIT No. NCG140000
. i
I
CERTIFICATE OF COVERAGE NO. NCG14 U G O
FACILITY NAME: /Pm ��G �/� f/r ,✓ G
PERSON COLLECTING SAMPLES:�� �_7�i..,hJ _
CERTIFIED LABORATORY:iy✓� <_fi Lab #
Lab #- : 3- 7 7, '
LIMIT VIOLATIONS? YES ❑ NO FA
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 20 �y
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec
COUNTY: _ ,d/��'✓ %y,Vrvr Y
PHONE NO. [ `���) G Zr-- %g�57-1- !
ADD TO LISTSERVE? [YES ❑NO EMAIL�1y
DISCHARGING TO CLASS: ❑SA ❑H' , ❑PNb
OPTIONAL INFO:
an -March ❑April -tune
❑Trout ❑Other c Sk/
Outlall No.
Date Sample
1
Cogected
[mm/dd/yr}
= _
hype of Wastewater ,
-1 r z_=:
r _-[mg/L}
L
a_�:` PH-$__}method_1664A`
-+:. v,_
Total Suspended _5ettleable�
_ Solids
:', --_ �
r
5 lids
•�
_-- F =
,�-:
� -SGT H�Nls
Discharge rl
,t
Ruratian
{minutes}�
Tota! Flow
rZ
S�U/
jy
I/A
7 y.
.i
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 213 mg/L for wastewater discharges to HQW waters, 10 mg/L; for Trout and PNA waters, and'30 mg/L for all other water classifiations.
Permit Date: 7/l/2010-06/39/2015; , Last .Revised 07/13/11
Page 1 of 2
i
i

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured 'continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B :0224. Permittee3 who: discharge -wastewater to HQW waters shall•obtain a Summe? 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow forth receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office inay require an annual flow
report on acase-by-case basis.
MAIL ORIGINAL AND ONE COPY•OF.THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 ❑
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW"] TO:
Division of Water Quality ^
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone] :.
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 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'qualltled 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of.fines and imprisonment for knowing
violations." I
(Signature of Permittee)
Permit. Date: 7/1/2010-06/30/2015.
i
(Date)
Last Revised 07/13/11
_o-ge 2 of 2
IS

"ask:
SM
ANALYTICAL & CONSULTING
CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Wav • Wilmington, NC 28405
[phone] (Lab) • [phone] (Fax)
710 Bowsertown Road • Manteo, NC 27954
[phone]
NCDENR: DWQ CERTIFICATE #94. DLS CERTIFICATE 437729
Ready Mixed Concrete Date of Report: Apr 07, 2014
PO Box 11120 Customer PO #:
Wilmington NC 28404 Report #: 2014-03932
Attention_ E. B. Godwin Report to: E. B. Godwin
Project ID: Plant 62 Castle Mayne
Lab ID Sample ID: Castle Hayne Collect Date/Time Matrix Sampled by
14-09514 Site: 3/28/2014 4:40 PM Water EB Godwin
Test
Method
Residue Suspended (TSS) SM 2540 D
Comment:
Reviewed by: p /
Results Date Analyzed
6.4 mg1L 04/03/2014
Report #:: 2014-03932 Page 1 of 1

Way Wilmington, NC 28405
ENVIRONMENTAL CHEMISTS, INC OFFICE 91a 2.6223FAX[phone]
Analytical &Consulting Chemists
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info aa)environmentalchemists.com
COLLECTION AND CHAIN OF CUSTODY
CLIENT: .�.�z� K-� {_Ooc ✓t-
PROJECT NAME; y e .�r� l{ a
REPORT NO:
ADDRESS: !J 3I<
CONTACT NAME: 25.,6
PO NO:
•,fYG �� a
REPORT TO: 6
PHONEIFAX: F16
COPY TO: /4 .S,/d o 0 j
email: ZAk t-G
Samnled Bv: r-n SAMPLE TYPE: I = Influent, E = Effluent, W = Well. ST = Stream. SO = Soil. SL = Sludge. Other:
Sample Identification
Collection
m&
o
m ti
Un
n
o
0—
cCy
0 a
m
CJ
.2 E
o a
_ W
m g
g n
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
x
i
x
0
x
o
x
0
z
o
w
J:�S�k ZL
C
C-0
�
G
G
P
G
G
C
P
G
G
C
P
G
G
'
C
P
G
G
C
P
G
G .
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
DateMme
Received By:
DatelTime
2.
Temparature'when Received:_ 3`{0_Accepted: l Re.ecte Resample Requested:
Delivered By: it:",_ Received By: Date: q 3 Time: .1 S?,�
Comments: _ _ - - -- - TURNAROUND:

Environmental Chemists, Inc.
. I 6602 Windmill Way • Wilmington, NC 28405
[phone] (Lab) • [phone] (Fax)
sM 710 Bowsertown Road • Manteo, NC 27954
[phone]
ANALYTICAL & CONSULTING
CHEMISTS NCDENR: DWQ CERTIFICATE 494. D[S CERTIFICATE #37729
Ready Mixed Concrete Date of Report: Apr 07, 2014
PO Box 11120 Customer PO #:
Wilmington NC 28404 Report #: 2014-03932
Attention: E. B. Godwin Report to: E. B. Godwin
Project ID: Plant 62 Castle Hayne
Lab ID Sample ID: Castle Hayne Collect DatelTime Matrix Sampled by
14-09514 Site: 3/28/2014 4:40 PM Water EB Godwin
Test Method Results Date Analyzed
Residue Suspended (TSS) SM 2540 D 6.4 mglL 04/03/2014
Comment:
Reviewed by: 1
Report #:: 2014-03932 Page 1 of 1

Analytical & Consulting Chemists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY .
6602 Windmill Way Wilmington, NC 29405
OFFICE: 910-392A223 FAX [phone]
[e-mail]
CLIENT: lfooe ✓c_k
PROJECT NAME: vP
REPORT NO: — f✓
-I! 3
ADDRESS: 07c ��
CONTACT NAME: 2.6 c" Ww;,..
PO NO:
REPORT TO: -g- b • r.+e-4
PHONETAX: X4
COPY TO: ly.4 Sid a
0alli icu L7 4--• /V
'Gw
—I aau cans, .w OU11, a7L. — 01uvay C, VLIICI:
Sample Identification
Collection
am
rn S
a
a'
U
m
cL7
c o
U a'
m
C_j
L E
U
dIL
In
x
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
z
z
v
=
°`
x
p
x
p
z
o
w
o
G
G
P
G
G
C
P
G
G
C
P
G
G
'
C
P
G
G
C
P
G
G.
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
DateMme
Received By:
DatelTime
1.
2.
Tempzrature'when Received: `t '"" _Accepcea: meiecze rcesample mequesiea:
Delivered By: Z.,6 CL Received By: Date: Time: J S*h
Comments: TURNAROUND: