NCG140288_MONITORING INFO_20190224

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V CCU
DOC TYPE
El HISTORICAL FILE
�I MONITORING REPORTS
DOC DATE
❑ U � `� ��''� o�
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR —WASTEWATER
SUBMIT TO CENTRAL OFFICE
General Permit No. NCG140000
Calendar Year
'Report ALL WASTEWATER monitoring data on this form (include "No Flow'/"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 ®©®®
Facility Name:
BfTA
County: 5
Phone Number: 1
Certified Laboratory tL
Total no. of outfalls monitored
Lab#Le__3�-
Lab #
Wastewater (WW) Discharge Outfall No. Q0 I
RE C E IVE G
Does this outfall discharge WW to SA waters?
Yes ❑
No
FEB 2 4 2019
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No @
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No ®
CENTRAL t=11_E1q
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
I?N
7Q10 not availablej}�SffTior'
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No 0 ]
Were there any limit violations in the calendar year?
Yes ❑
No %
Outfall No. I
Daily Flow Rate,
cfs
pH,
Su
TSS,
mgll
SS,
mill
itapplicable
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mgll
Effluent
Limitations
Daily MAXImum
o QW a ORW
50% of 7010
lodlcaW!1
p k4bio
freshwater
6.0-9.0
sativraMr
6.8-8.5
Standard
30
HOW
20
HQW ! ORW Pry Tr, or
PNA
10
HQW. ORW. SA.
60,PNA, orany
Trma
5
No Limit
Samples above Benchmark
subject to Tiered Responses
15
Date
Sample
Collected,
molddl r
Q
a
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C�
r)
1
L Z
2
r
Le
12 Zt�
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Permit Date 8/1/2017 -- 6130/2022
Last Revised 8-22-2017

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Certificate of Coverage No. NCG14 0M[M®®
CERTIFICATION
" 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."
[Required by 40 CFR §122.22]
Signature I J
Date 07— I,X--.20,2O
C L(�
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 811/2017 — 6130/2022
Last Revised 8-22-2017

K & W Laboratories
1121 Hwy 24/27 W
Midland, North Carolina 28107
Tel [phone] Fax [phone]
Client: McGee Brothers Company
4608 Carriker
Monroe, NC 28110
Results Report
Date: 03-Jan-19
OrderlD: 18122005
Project: Process Waste Water Collect Date: 12/20/2018
Location: Outfall 00 t Collect Time: 8:15:00 AM
SAMPLE #
PARAMETER
RESULT
UNITS
METHOD
REPORTING
LIMIT
ANALYSIS
DATE
18122005-01
Oil&Grease
<6.2
mg1L
EPA1664B
6.2
113/2019
18122005-01
PH
6.9
units
SM4500H+13
0.1
12/20/2018
18122005-01
Settleable Solids
<0.1
mUL
SM2540F
0A
1212012018
18122005-01
SGT-HEM, TPH
<6.2
mg/L
EPA166413
6.2
113/2019
18122005-01
TSS
15
mg1L
SM25400
2.5
12121/2018
NC Certification: 559 SC Certification: 99051
Certified By 45, kri"ke-
G. Kraska 1 Lab Director

K & W Laboratories
1121 Hwy 24/27 W Midland NC 28107
name_ McGee Brothers Company
Reporting Address: 4608 Carriker
Monroe NC 28110
Contact Name: Don McGee
Phone: [phone]
Tel. [phone]
Fax [phone]
Email: [e-mail]
[e-mail]
Bill To: McGee Brothers
PO #: Concrete Plant
Sample Type: Process Waste Water
Site Location_ 13800 Bill McGee Rd. Midland NC 2810'
CHAIN OF CUSTODY RECORD
Remarks:
Matrix Type: DW. Drinking Water GW- Ground Water WW. Was:e Water SW- Stormtvater OT- Other
Sample Type: G- Grab C- Composite Type of Container: P - Plastic G - Glass
Sampled By:
T
w
a
o
U
o
Perservatives
Anal sis Re uested
d
0
=
Collected
lNo
Sample Description/ Location
a
x
V
m
m
�
p
rh
t"
h
N
n
Lab Log #
Date
Time
cn
i
1
Z)
z
=
O
i
a
i
a
rn
o
rn
1
Outfall 001
/ -,�o jr
G 1WW 1 `P
X
X X
122CX� S
2
Outfall 001
G www 11G
X
�X
3
Outfall 001
I
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I
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I
G ww 1 P
X
X
Relinquished Dat Timen d Date: T'me:
ail Temp:3. 2"
y i
Relinquished By: Date: Time: Received By: Oat& I Time:
Y
On Ice: 1 N

K & W Laboratories
1 121 Hwy 24/27 W
Midland, North Carolina 28107
Tel [phone] Fax [phone]
Client: McGee Brothers Company
4608 Carriker
Monroe, NC 28110
Project: Process Waste Water
Location: Outfall 001
SAMPLE # PARAMETER
19032103-01
Oil&Grease
19032103-01
pH
19032103-01
Settleable Solids
19032103-01
SGT-HEM, TPH
19032103-01
TSS
RESULT UNITS
<6.2
mg1L
6.4
units
<0.1
mVL
<6.2
mg1L
3.2
mg1L
Results Report
Date: 04-Avr-19
OrderlD: 19032103
Collect Date: 3/21/2019
Collect Time: 10:05:00 AM
REPORTING
ANALYSIS
METHOD
LIMIT
DATE
EPA1664B
6.2
3/25/2019
SM45001-1+13
0.1
3/21/2019
SM254OF
0.1
3/2112019
EPA1664B
6.2
3/25/2019
SM2540D
2.5
312112019
NC Certification: 559 SC Certification: 99051
Certified By
G. Kraske ! Lab Director

K & W Laboratories
1121 Hwy 24/27 W Midland NC 28107
Name_ _ _ _ _ - _McGee Brothers Campy _
Reporting address: 4608 Carriker
Monroe NC 28110 _
Contact Name: Don McGee
Phone: [phone]
Tel. [phone]
Fax [phone]
Email: —[e-mail]
— -
ckaraaounis3nomail, com
Bill To:
McGee Brothers
PO #:
Concrete Plant
CHAIN OF CUSTODY RECORD
Remarks:
Sample Type: Process Waste Water UhMx Type: DW- Drinking Water Gw- Ground water ww- waste water SW- stormwater oT- ott,er
Site Location: 13800 Bill McGee Rd. Midland NC 28107 Sample Type: G- Grab C- Composite Type of Ca Wner. P - Ptastic G - Glass
Sampled By: Perservatives Anal sis Re uested
Collected
Item ~ U U f4
No Sample Description/ Locationo N F) M B Lab Log #
W C n z U
Date Time N 2 z n z Z z s n o
— 1 Outfa!l001 o3lzi/,q lanS G !ww; lip X i j — ! X !X i �, IQ03 210
2 Outfall 001 G --_ J -i_ 'X
--------------- --- ----- - ----•------�------ - ---.ice_. i __ ._.-.i�.�_�� ! _ � � �--------------
3 Outfall 001 G iww ` lip X i I i i I_ _IX I
l I i i i j
Rellnquished By Date: Time: Received By. Date: Time:
/�� 03 z r l 9 , o l s- 1 Co . d-__ a 5 121 r'cJ 1015 TempA 0, o ' C
Relinquished By: Date: f Time: Received By: Date: Time:
On Y N

K & W Laboratories
1121 Hwy 24/27 W
Midland, North Carolina 29107
Tel [phone] Fax [phone]
Client: McGee Brothers Company
4608 Carriker
Monroe, NC 28110
Project: Process Waste Water
Location: Outfall 001
SAMPLE # PARAMETER
19062823-01
0118Grease
19062823-01
phi
19062823-01
Settleable Solids
19062823-01
SGT-HEM, TPH
19062823-01
TSS
Certified By �a�o----
G. Kraska I Lab Director
Results Report
Date: 22-Jul-19
Order ID: 19062823
Collect Date:
6/28/2019
Collect Time:
2:05:00 PM
REPORTING ANALYSIS
RESULT
UNITS
METHOD
LIMIT
DATE
<5.6
mg/L
EPA1664B
5.6
7118/2019
6.6
units
SM45001-1+13
0.1
6/211=19
<0.1
mUL
SM26QF
0.1
6/28/2019
<5.6
mg/L
EPA166413
5.6
7/18/2019
4.7
mg/L
SM2540D
2.5
7/1/2019
NC Certification: 569 SC Certification: 99051

K & W Laboratories
1121 Hwy 24I27 W Midland NC 28107
Name: McGee Brothers Company
Reporting Address: 4608 Carriker
— -- _ Monroe NC 28110
Contact Name: Don McGee
Phone: [phone]
Tel. [phone]
Fax [phone]
Email: Bono-WcGeeBrick.com—
[e-mail] -�
Bill To: McGee Brothers
PO #: Concrete Plant
CHAIN OF CUSTODY RECORD
Remarks:- ---
Sample Type: Process Waste Water Matrix Type: DW- Drinking water GW- Ground water WW- Waste water SW- Stormwater OT- Other
Site Location: 13800 Bill McGee Rd_ . Midland NC 28107 S8"`ple Type: tr Grab c- composite Type of container. P - Plastic G - Glass
Sampled By: w Perservatives Anal sis Requested
Collected o o = 9
ti V U 0
Item a `a O y Lab Log #
No Sample Description/ Location n $ Y s
04
Date Time CO 0Z z x s o o
I i
1. Outfall 001 _- fl��x�s.jt_ I 1405 G ww 1 P X _I - X �X_ I _ _� to o�2s-z- ---
2 Outfall 001 - -- _ G WW G iX'X
3 Outfall 001 _W G ww i 1,P X _ i I_— ? X
e
i
Relinquished C Date: j Trm : R
Q ��' (q Temp: 7-,+°G
Ratinquished [3y Date: jy fy Received B • t Time:
�eZ On2EnN

K & W Laboratories
1 121 Hwy 24127 W
Midland, North Carolina 28107
Tel [phone] Fax [phone]
Client: McGee Brothers Company
4608 Carriker
Monroe, NC 28110
Results Report
Date: 13-Sev-19
Order ID: 19090311
Project: Process Waste Water Collect Date: 9/3/2019
Location: Outfall 001 Collect Time: 12:12:00 PM
REPORTING ANALYSIS
SAMPLE #
PARAMETER
RESULT
UNITS
METHOD
LIMIT
DATE
19090311-01
011&Gresse
<5.6
mg/L
EPA16646
5.6
9112/20119
19090311-01
pH
6.5
units
SM4500H+B
0.1
9/3/2019
19090311-01
Settleable Solids
<0.1
mUL
SM254OF
0.1
9/5/2019
19090311-01
SGT-HEM, TPH
<5.6
mg/L
EPA16648
5.6
9/12/2019
19090311-01
TSS
4.0
mg/L
SM25400
2.7
91512019
NC Certification: 559 SC Certification: 99051
Certified By �, Kno�rccti
G. Kraska I Lab Director

K & W Laboratories
1121 Hwy 24/27 W Midiand NC 28107
Name: McGee Brothers Compan
Reporting Address: 4608 Carriker
Monroe NC 28110
Contad Name: Don McGee
Phone: [phone]
Sample Type: Process Waste Water Matrix Type: DW- Drinking water GW- Ground Water WW- wane water - SW- Sto mwater OT- Other
Site Location: 13800 Bill McGee Rd. Midland NC 28107 SampleType: G-Grab C-Composite Type orco=iner. P- Plestic G - Glass
Sampled By. C
c Perservatives alysis Requested
Tel. [phone]
Fax [phone]
CHAIN OF CUSTODY RECORD
Remarks:
Item Sample Description/ Location
No.
1 Outfall001 _
2 Outfall 001-
3 Outfall 001
Date
Bill To: McGee Brothers
PO #: Concrete Plant
v
C
'S
r]
"
CO)
a
cn
O
F-
p
Lab Log #
Collected
�g
Time
E
in
M
E
z'
H
a
D
z
0
z
i
�
=
ex
N
r
a
O
r
1
P
X
XX
rGWW
1
G
Ix
i
X
�X:1LP
Relinquished By:
(�
D r ..
Time:
Received ey
l�:
Tune:
Relinquished By.
Date:
Time:
Received By.
Date:
Time:
Temp 10 �3 `-
On iceY N

K & W Laboratories
1 121 Hwy 24r7 W
Midland, North Carolina 28107
Tel [phone] Fax [phone]
Client: McGee Brothers Company
4608 Carriker
Monroe, NC 28110
Results Report
Date: 13-Dec-19
Order ID: 19120603
Project:
Process Waste Water
Collect Date:
12/6/2019
Location:
Process Waste Water
Collect Time:
10:20:00 AM
REPORTING ANALYSIS
SAMPLE #
PARAMETER
RESULT
UNITS
METHOD
LIMIT
DATE
19120603-01
011&Grea5e
<6.2
mg/L
EPA1664B
6.2
12/12/2019
19120603-01
pH
6.9
units
SM4500H+B
0.1
12/6/2019
19120603-01
Settleable Solids
<0.1
m1/L
SM254OF
0.1
12/6/2019
19120603-01
SGT-HEM, TPH
<6.2
mg/L
EPA1664B
6.2
12/12/2019
19120603-01
TSS
11
mg/L
SM25400
4.2
12/6/2019
NC Certification: 559 SC Certification: 99051
Certified By
G. Kraska [Cab 01rector

K & W Laboratories
1121 Hwy 24/27 W Midland NC 28107
McGee Brothers Comp
Reporting Address: 4608 Carriker
Monroe NC 28110
Contact Name: Don McGee
Phone: [phone]
Tel. [phone]
Fax [phone]
Email:— _don@McGeeBrick_com _
gkaraaounis3@_q ail.com
Bill To: McGee Brothers
PO #: Concrete Plant
CHAIN OF CUSTODY RECORD
Remarica_--
sample Type: Process Waste Water nAaft Type: Dw- Drinking water GW Ground water ww- waste water Sw- Stcrmwater oT- other
Site Location: 13800 Bill McGee Rd. Midland NC 28107 sample Type: G• Grab c- composite Type of Container. P - Plastic G - Glass
Sampled By: r Perservatives atysis R tested
Collected o o r ti
lNo. Sample Description/ Location a 's i 1 0 a r, tab Log
Date lime in i z n i s x n r cn
1 Outfall 001 l2(��l9 ! 4'� G Iwwi 1P X I X X I ��-IaLYo 63
2 Outfall 001 I G .ww' 1 iG 'X lX
3 Outfall 001 G ,WWI lip X ; :X
� I ,
I i
k
RelirsquisNed BY
Date
Time:
Rece[ved eY
Date:
rim:
Retlnquisoed By.
Date:
Received By-.
Date:
Time:
Temp. S4' c~
On It; Y N