NCG160218_MRO Copy MONITORING REPORT_20201230

Geological Resources, Inc.
December 21, 2020
Ms. Lily Kay
Land Quality Division
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
Mooresville Regional Office
610 E. Center Ave. Suite 301
Mooresville, North Carolina 28115
RE: Discharge Monitoring Report — November 2020 (Second Semi -Annual Period of 2020)
Stafford Street Asphalt Plant
225 Stafford Street Extension
Monroe, Union County, North Carolina
General Permit Number NCG160000
Certificate of Coverage No: NCG160218
GRI No. 4629
Dear Ms. Kay:
On behalf of Boggs Materials, Inc. (Boggs), please find attached results of stormwater outfall
sampling that was conducted on November 12, 2020 for the Stafford Street Asphalt Plant facility in
Monroe, Union County, North Carolina. Water samples were collected from the outfalls SDO-2
through SDO-7 by Boggs personnel on November 12, 2020 in accordance with the SWPPP and
sampling requirements of the permit. Please note that per Boggs personnel, there was no
discharge from outfalls SDO-1 and SDO-8. Therefore, no samples could be collected from these
outfalls. Water samples were analyzed for total suspended solids (TSS) and non -polar oil and
grease. The November 2020 sampling results indicated that the TSS levels exceeded allowable
permit levels in SDO-6. Detectable concentrations of TSS and/or oil and grease that did not exceed
allowable permit levels were also reported in samples collected from outfalls SDO-2 through SDO-
7. The Stormwater Discharge Outfall Monitoring Report is included in Appendix A, the Stormwater
Discharge Outfall Qualitative Monitoring Report is included in Appendix B, and a complete
laboratory analytical report is included as Appendix C.
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] • Fax [phone]

Discharge Monitoring Report— November 2020 (Second Semi -Annual Period of 2020)
Stafford Street Asphalt Plant
Monroe, Union County, North Carolina
Certificate of Coverage No: NCG160218
Page 2 of 2
The next sampling event is scheduled to be conducted between January and June 2021 during a
representative rainfall event. Please do not hesitate to contact me at [phone], if you have
any questions or comments.
Sincerely,
Rohit Shetty, P.E.
Senior Engineer
cc: Michael Ramirez, Boggs Materials, Inc.
Division of Water Resources Central Files, NCDEQ, 1617 Mail Service Center, Raleigh, NC
27699-1617
file
enclosures
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] • Fax [phone]

APPENDICES

APPENDIX A
STORMWATER DISCHARGE OUTFALL MONITORING REPORT

z"
a ❑
❑
A
z
Z a
3
CL
�
O N
F' L
El
m
W
cj El
—''
Li
❑ 3
■"'
� L
N
o
aJ
� N O
N
�
m
E EIEIE
,
W C O N
z 1 g
O ❑❑
U �
O
L �
J
O
Z
00 a
C7
J J
a a
Q
=
H
Vaf N
�
0
N z
O I
lG a
r ^!-1 J
V Q
u=
d
Z a
O W
LLI
Z01
W ~
CO
0
UJ o
W W
O�
V U)
02
ui
ua
Q Z
LL
J
LU LU Q
U LL
Z
O
z
Z
D
0
u
W L
� U
J �VI
d >`
.J f6
W �
m
U O
O C
N V O
J E U
a E �
Q
Q u
c� Z a
Z Q'
G(D m
J � c
cc O
V 0 Ln
C
Z < O
m E
M u
Ph
W
Q'
W
W
W
Z
0
Z
C9
Ln
0
H
W
LU
ui
cc
w
Q
w
J
a
�
�
a
J
O
w
N
E
a
ar
O
C
Ln
L
N
t`
M
CO
N
O
O
w
U�
t`
N
Lo
IZ
J
I-
d
V
V
7
h\D
Ln
E
m
O
O
O
�
F
m
E i m
M
ar
30
co
z
L L
rt
V
d'
'V'
V
c1'
y
O E O
O
i @
O
z
N
N
N
N
O
'O A
Y
N
O
O
N
O
O
O
N
m
N
N
N
N
N
N
N d
N
N
N
N
N
N
N O
m u E
n
O
Z
II
N
M
LO
co
ti
r
O
O
O
o
0
0
0
G
m
au
N—
�
rp
L O
O
�
O
Ln >
N
biQj
n
Q)
m
>
ate-+ •L
t
Cn
O a)
s
v
o
v L
+J
O
p c
v
Q
Z s
a!
E
y
a,
+�
L v
0
L
0
Q) n
m
L
0)d
E
4- X
X
Q
a)
E
3
1
O
3
3
°
J
L O
O a
a1
N
c
v
`+- v
O
E
c
v
u
m X
LO
-0
Ln
aJ +'
>
Ln
E
v E
E
U
L
= E
� aJ
v
°1
O
3
v
E
a t
a!
N
@
O
vn
a-+
> :Em
> +
E
O
O
O
V
O N
7
C
L
O _
tw
N
G
H
O N
c>
C
3
O Ln
N E
L
O
.0
v
Ln
,
c
v
E
+'
+� >
O
a1
v
o
)
.E
3�
E
.=
c
a)E
O
O
LL
-0 .�
_c
m
c
-W U U
•Q
..O W
m
aJ
N
E
� N
c
O m
E >
cu
30 O
aj
c tin -0
+.�
E a,
fO c`o
o
ai
c c
E V
v
4,
E
cu N
v
E
-a ✓S
O O
L
w
aN
t
O c
O
a
O v_
m L
C. L —
+; !
E
L c on
3
E n o O >�
on O m ++ > I?
r •L 4• a) IACL V) E
U E EE to
m e" c = o E
N Q a) 3 4—
>' CL co E m c
t E+ v N C •0 ,g
c Ln O c ,� a! U
O L cu aai ° o E v
ti N m v m Z c O
C)
O
N
0
O
rn
0
4i
>
L
` V) N
o
a °
N da
_Qj
a
Ul
aj
H
v
O
h.
i
M
v
L
O
N�
Q,
rl
t
N
I�
OJ
E
3
3
Rl
a
E
U
01
Qj
0
H
u
x
C
.v
N
� N
a �
� N
rn
Q. n
a C?
tm o,
c-I
C O
0J 0\0
i o
O
ice+
O
z a

s
d�
O
E
CL
O
O
Lit
Ln
n
txo
i
tko
�V
fL
0
a®
O
®J
cc
dQ
O
CO
C
RO
K
cu
V
fC
C�
C
V
O
C
u u
a0
a �
2 `d
L O O
O a
EC
i® Q mb�0
�
O O
J O bn
Z m
u
Z
J
S �
O
to
S N
E
U)
O
Id
to
L
N
r
c-)
7 S
O
_j
I-
co
V
l0
V
=
V
O
O
O
F-
e
Lu
w
w
•006
e
O
E
°'
fS
O Lo
�
a 1D
w
!m �
O
Z
w
L o
v
v
v
O' E
r
N
d
N
O
O
u
O
O
O
N
O1 O
U E
n
o
Z
°
N
M
�y
i
®
00
U)
Cn
Cn
®
a
a
C)
41
�l
s
O
h
tD L O
I� M N Lrj
O
N�
Qj
L
�-i
>m
iz
E
0� 05 N M
Sri
v
h
L`
a
V
v
00
41 L� in O OL;,
M O vn N N �L
O_ N oj --
srq
�LL
K
+d v U
� = z
Q O
� a =
O Z
' 4 O
a F-aluu0
oj
O L- Za
�w
a
® a
a.
O
Ll- LL
•
K
O
Z
El
W
LL
J
J
Q
O
LLJ
of o
z }
W Q El
LLJ ~Q Z
2 w�
L H y
W w W
N 2 r
LU
w 2
� N a
w =
J m
a
O
LL
LU
2 w
O v
w Z
a o cc
In w N
LL, U a
wLu
U
Q = LL
a o
LU
LU a
LL 2 Z
Q w
K m w
Qa w R
LL, o
Q w
V) = O
w O w >-
H O �
Q
O 2 w J
LL
U
J a w
cr u z a
z LL O Z
w o O} f-
w
U }
a a > o
2 a W
w 2 U
w M H LL
LU LL
_u W o
y LL a
o
3
z
5
a
c) m
rn
� u �
o) _) c c
O LL U O
.0 U
® o v
u N 0
p = Z
v C)txo
'v
N
O O u
+� a
v o
E + 6.0
u u '+
u
u O
O C C w
N
3 3 y o
U Y
C O L
� O � O
N
u Q
U � u
C C u 0
- O OD 0
O
n {1 0
O
o
E
L
O O c
O a
O 0
E
} O _O 'N
vi O
u ._ a
a� -a u
m
c E
0
� o _
3 m o
Ec
C O O O
u S s O
u O —
(6 Y
i N
ro y CO
a
0 _p O
v ,� E
y -0 W
Z5
t L
E O O
O M
-a m
n a aA c
u L 4J
Q O Q
�a O (U
co
c nn
�O V) Q 'v
} v v
Q)
.Q)
o
a
i v u 3
u N O E
Ln
3E
O
N
O
rn
0
u
u

APPENDIX B
STORMWATER DISCHARGE OUTFALL QUALITATIVE MONITORING REPORT

Environmental ,f
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:Hdeg.ne.gov/about/divisions/energy-mineral-land-
resources/energy-mineral-land -permits/stormwater-permits/npdes-ind ustri al-sw#tab-4
Permit No.: N/C/ 1 / 6 / 0 /0 /0 /0 /_/ or Certificate of Coverage No.: N/C/G/ 1 / 6 /0 /2 / 1 / 8 /
Facility Name: STAFFORD STREET ASPHALT PLANT
County: UNION Phone No. 704-995-9786
Inspector: Michael C. Ramirez
Date of Inspection: 11/12/2020
Time of Inspection: 2 30PM
Total Event Precipitation (inches): 4.
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 2 Structure (pipe, ditch, etc.): ditch
Receiving Stream:
structure Prohibited Runofff
Describe the industrial activities that occur within the outfall drainage area:
W Water drainage through rip rap and foliage
Page 1 of 2
SWU-242, Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: medium red
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): no cdc'i'
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
O 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
GD 2 3 4 5
7.
8.
9.
Is there any foam in the stormwater discharge? U Yes ® No.
Is there an oil sheen in the stormwater discharge? OYes O No. _
Is there evidence of erosion or deposition at the outfall? o Yes o No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S'AgJ-242, Last modified 07/28/2017

NZ
€')rvironmen t al
OmMy
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:Hdeg.nc.gov/about/divisions/energy-mineral-land-
resources/energy-mineral-1 and -permits/stormwater-penn its/npdes-ind ustrial-sw#tab-4
Permit No.: N/C/ 1 / 6 / 0 /0 /0 /0 /_/ or Certificate of Coverage No.: N/C/G/ l / 6 /0 /2 / 1 / 8 /
Facility Name: STAFFORD STREET ASPHALT PLANT
County:
UNION Phone No. 704-995-9786
Inspector: Michael C. Ramirez
Date of Inspection:
11/12/2020
Time of Inspection: 2 40PM
Total Event Precipitation (inches): 4
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I cei-tify that this repoil is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 3 Structure (pipe, ditch, etc.): ditch
Receiving Stream:
Str Structure Prohibited Runoff
Describe the industrial activities that occur within the outfall drainage area:
W e Water drainage through rip rap and foliage
Pagel of 2
SWU-242, Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light Brown
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): earth / dirt odor
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
CD 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
O 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
CD 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes ® No.
8.
9.
Is there an oil sheen in the stormwater discharge? oYes o No.
Is there evidence of erosion or deposition at the outfall? o Yes O No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe /
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 07/28/2017

J �'r
t,nvlronmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:Hdeg.nc.gov/about/divisions/energy-mineral-land-
resources/enerey-mineral-land-permits/stormwater-permits/npdes-ind ustrial-sw#tab-4
Permit No.: N/C/ 1 / 6 / 0 /0 /0 /0 /_/ or Certificate of Coverage No.: N/C/G/ 1 / 6 /0 /2 / 1 / 8 /
Facility Name: STAFFORD STREET ASPHALT PLANT
County: UNION
Inspector: Michael C. Ramirez
Date of Inspection:
11 /12/2020
Time of Inspection: 2:50PM
Total Event Precipitation (inches): 4.
Phone No. 704-995-9786
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
pt"'e C
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 4 Structure (pipe, ditch, etc.): ditch
Receiving Stream:
g Structure Prohibited Runoff
Describe the industrial activities that occur within the outfall drainage area:
W e Water drainage through rip rap and foliage
Pagel of 2
SWU-242, Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: medium red
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): no odor
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
O 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
O 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7.
8.
9.
Is there any foam in the stormwater discharge? o Yes ® No.
Is there an oil sheen in the stormwater discharge? oyes o No.
Is there evidence of erosion or deposition at the outfall? Q Yes ® No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SwU-242, Last modified 07/28/2017

K�Izla
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deg.nc.gov/about/divisions/energy-mineral-land-
resources/energy -mineral-land -permits/stormwater-pennits/nodes-ind ustrial-sw#tab-4
Permit No.: N/C/ 1 / 6 / 0 /0 /0 /0 / / or Certificate of Coverage No.: N/C/G/ 1 / 6 /0 /2 / 1 / 8 /
Facility Name: STAFFORD STREET ASPHALT PLANT
County: UNION Phone No.
Inspector: Michael C. Ramirez
Date of Inspection:
11 /12/2020
Time of Inspection: 3:OOPM
Total Event Precipitation (inches): 4.
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 5 Structure (pipe, ditch, etc.): ditch
Receiving Stream:
St ff Structure Prohibited Runoff
Describe the industrial activities that occur within the outfall drainage area:
W Water drainage through rip rap and foliage
Pagel of 2
SWU-242, Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light Brown
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): earth / dirt odor
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
CD 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7.
8.
9.
Is there any foam in the stormwater discharge? 0 Yes 0 No.
Is there an oil sheen in the stormwater discharge? 0Yes O No.
Is there evidence of erosion or deposition at the outfall? o Yes ® No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe /
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 07/28/2017

Fe:t/
J
a
Ln vtt'or,/77h71 i-(it
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit htti2s:Hdeg.ne.gov/about/divisions/energy-mineral-land-
resources/energy-mineral-land-permits/stormwater-pennits/npdes-industrial -sw#tab-4
Permit No.: N/C/ 1 / 6 /0 /0 /0 /0 /_/ or Certificate of Coverage No.: N/C/G/ 1 / 6/0 /2 / 1 / 8 /
Facility Name: STAFFORD STREET ASPHALT PLANT
County: UNION Phone No.
Inspector: Michael C. Ramirez
Date of Inspection:
11 /12/2020
Time of Inspection: 3:10PM
Total Event Precipitation (inches): 4•
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 6
Structure (pipe, ditch, etc.): ditch
Receiving Stream:
S ff Structure Prohibited Runoff
Describe the industrial activities that occur within the outfall drainage area:
W Water drainage through rip rap and foliage
Page I of 2
SWU-242, Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: medium red
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): earth / dirt odor
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes ® No.
8.
V
Is there an oil sheen in the stormwater discharge? Oyes O No.
Is there evidence of erosion or deposition at the outfall? O Yes O No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe /
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conffive aff s"W& vfP0**5�*oRnd foliage
Page 2 of 2
SWU-242, Last modified 07/28/2017

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-
resources/energy-mineral-land-permits/stormwater-permits/npdes-ind ustrial-sw#tab-4
Permit No.: N/C/ 1 / 6 / 0 /0 /0 /0 / / or Certificate of Coverage No.: N/C/G/ 1 / 6 /0 /2 / 1 / 8 /
Facility Name: STAFFORD STREET ASPHALT PLANT
County: UNION
Inspector: Michael C. Ramirez
Date of Inspection: _11/12/2020
Time of Inspection: 3:25PM
Total Event Precipitation (inches): 4.
Phone No. 704-995-9786
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
ptx,P C4-7,
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 7 Structure (pipe, ditch, etc.): ditch
Receiving Stream:
s ff Structure Prohibited Runoff
Describe the industrial activities that occur within the outfall drainage area:
Water drainage through rip rap and foliage
Pagel of 2
SWU-242, Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: light brown
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): earth / dirt odor
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
CD 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
CD 2 3 4 5
7.
8.
9.
Is there any foam in the stormwater discharge? O Yes o No.
Is there an oil sheen in the stormwater discharge? oyes O No.
Is there evidence of erosion or deposition at the outfall? o Yes ® No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe /
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conri�P�lr�i{5nrva�811�age
Page 2 of 2
SWU-242, Last modified 07/28/2017

APPENDIX C
LABORATORY ANALYTICAL REPORT

(
E
The results set forth herein are provided by SGS North America Inc.
Technical Report for
GRI (Geological Resources Inc.)
Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC
4629
SGS Job Number: FA80833
Sampling Date: 11/12/20
Report to:
GRI
3502 Hayes Rd
Monroe, NC 28110
rshetty@geologicalresourcesinc. com; carriekennedy
"r@ eologicalresourcesinc.com; nml@geologicalres
TTN: Rohit Shetty
Total number of pages in report: 17
e-Hardeopy 2.0
Autontated Report
com
Test results contained within this data package meet the requirements Norm Farmer
of the National Environmental Laboratory Accreditation Program Teclmical Director
and/or state specific certification programs as applicable.
Client Service contact: Muna Mohammed 407-425-6700
com;
Certifications: FL(E83510), LA(0305I), KS(E-10327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AK, AR, IA, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
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. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: [phone] - fax: [phone]
4(,5 i!� tlr m'de authority fbr author:7in.,, edit, or modi fle t.iowa to this documeru:. i'ic tau share your idoas about ft
t ttautdx <,red modiiicatunt of ihi .:.ixnt is strictly }trohitritccl, .-
how w c can serve you beltcr at:
Revie,w standard terms, at: http., E:waysgs.cony%en:tcrn7-tud-conditit�ns F:HS.liS.C'tttitotttett atLrsit s.c-cnn
1 of 17
FAe0e33

Sections:
,Table of Contents
IF
Section1: Sample Summary................................................................................................... 3
Section2: Summary of Hits.................................................................................................... 4
Section: Sample Results .........................n..<........... ..........r>..<..<..........z......... ...r........ ...... ....... < 4
3. is FA80833-1: SDO-2....................................................................................................... 6
3.2: FA80833-2: SDO-3....................................................................................................... 7
3.3: FA80833-3: SDO-4....................................................................................................... 8
3.4: FA80833-4: SDO-5....................................................................................................... 9
3.5: FA80833-5: SDO-6....................................................................................................... 10
3.6.- FA80833-6: SDO-7....................................................................................................... 11
Section4: Misc. Forms............................................................................................................ 12
4.1: Chain of Custody........................................................................................................... 13
Section 5: General Chemistry - QC Data Summaries .......................................................... 15
5.1: Method Blank and Spike Results Summary.................................................................. 16
5.2: Duplicate Results Summary.......................................................................................... 17
2 of 17
FABOB33

SGS North America Inc.
Sample Summary
GRI (Geological Resources Inc.)
Job No: FA80833
Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC
Project No: 4629
Sample
Collected
Matrix
Client
Number
Date Time By
Received Code Type
Sample ID
FA80833-1 11/12/20 14:30 MR 11/14/20 AQ Water SDO-2
FA80833-2
11/12/20
14:40 MR
11/14/20
AQ
Water
SDO-3
FA80833-3
11/12/20
14:50MR
11/14/20
AQ
Water
SDO-4
FA80833-4
11/12/20
15:00 MR
11/14/20
AQ
Water
SDO-5
FA80833-5
11/12/20
15: 0 MR
11/14/20
AQ
Water
SDO-6
FA80833-6
11/12/20
15:25 MR
11/14/20
AQ
Water
SDO-7
A
3 of '17
FABO833

Summary of Hits
Job Number:
FA80833
Account:
GRl (Geological Resources Inc.)
Project:
Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC
Collected:
1 1 / 12/20
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA80833-1 SDO-2
HEM Oil and Grease
6.9
5.0
111g/1
EPA 1664A
Solids, Total Suspended
71.2
10
mg/I
SM2540 D-I I
FA80833-2 SDO-3
Solids, Total Suspended
48.7
1.0
mg/I
SM2540 D-1.1
FA80833-3 SDO-4
HEM Oil and Grease
6.4
5.2
mg/l
EPA 1664A
Solids, Total Suspended
< 5.3
5.3
ro.g/1
SM2540 .D-I I
FA80833-4 SDO-5
Solids, Total Suspended
47.6
10
mg/ I
SM2540 D-I I
FA80833-5 SDO-6
HEM Oil and Grease
5.2
4.9
mg/1
EPA 1664A
Solids, Total Suspended
122
25
mg/1
SM2540 D-1 I
FA80833-6 SDO-7
Solids, Total Suspended
35.0
25
mg/1
SM2540 D-I 1
Page I of 1
4 of 17
FABOB33

Qk (;rFKh
f"I
Sample Results
Report of Analysis
Section
�' 5of17
+fig....
FAL' M

SGS North America Inc.
Report of Analysis
'lient Sample ID: SDO-2
,ab Sample ID: FA80833-1 Date Sampled: 1 1/12/20
4atrix: AQ - Water Date .Received: 11/ 14/20
Percent Solids: n/a
'rojeet: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC
Page I of 1
General Chemistry
Analyte Result RI, Units DF Analyzed By Method
HEM Oil and Grease 6.9 5.0 mg/1 1 11/19/20 08:42 cs EPA 1664A
Solids, Total Suspended 71.2 10 mg/I 1 11/ 16/20 10:06 cs SM2540 D-1 I
RL = Reporting Limit
IIt ..
SS-
6 of 17
FA80833

SGS North America Inc.
Report of Analysis
Client Sample ID: SDO-3
Lab Sample ID: FA80833-2 Date Sampled: 1 1/12/20
Matrix: AQ - Water Date Received: 1 1/ 14/20
Percent Solids: n/a
Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC
General Chemistry
Analyte
HEM Oil and Grease
Solids, Total Suspended
RL = Reporting Limit
Page I of I
Result
RL
Units DF
Analyzed
By
Method
< 4.7
4.7
mg/I 1
11/19/20 08:42
cs
tPA 1664A
48.7
.10
11.1g/l 1
11/16/2010:06
cs
Sh42540D-11
7of17
FA80833

SGS North America Inc.
Report of Analysis
Client Sample ID: SDO-4
Lab Sample ID: FA80833-3 Date Sampled: l 1/12/20
Matrix: AQ - Water Date .Received: 11/ 14/20
Percent Solids: n/a
Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, ITC
Page 1 of I ,
Gene►•at Chemistry
Analyte Result RL Units DI< Analyzed By Method
HEM Oil and Grease 6.4 5.2 mg/l 1 11/19/20 08:42 cs EPA 1664A
Solids, Total Suspended < 5.3 5.3 mg/I 1 11/ 16/20 10:06 cs SM2540 D-1 t
RL = Reporting Limit
_ 8 of '17
FABOB33

SGS North America Inc.
Report of Analysis
Client Sample ID: SDO-5
Lab Sample ID: FA80833-4 Date Sampled: 11/12/20
„Ytatrix: AQ - Water Date Received: 11/ 14/20
Percent Solids: n/a
Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC:
General Chemistry
Analyte
HEM Oil and Grease
Solids, Total Suspended
RL = Reporting Limit
Page 1 of 1
Result
RL
Units
DF Analyzed
By
Method
< 4.8
4.8
rng/I
1 11 / 19/20 08:42
CS
EPA 1664A
47.6
.10
n.1g/1
1 1 1/ 16/20 10:06
cs
SN12540 D-11
Sof17
FA8D838

SGS North America Inc.
Report of Analysis
Client Sample ID: SDO-6
Lab Sample ID: FA80833-5 Date Sampled: 11/12/20
Matrix: AQ - Water Date Received: 11/14/20
Percent Solids: n/a
Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC:
Page 1 of 1
General Chemistry
Analyte Result RL Units DF Analyzed By Method
HEM Oil and Grease 5.2 4.9 mg/l 1 11/19/20 08:42 cs LTA 1664A
Solids, Total Suspended 122 25 mg/l 1 11/16/20 1 1:02 cs SM2540 n-1 i
RL = Reporting Limit
FABOB33

SGS North America Inc.
Report of Analysis
Client Sample ID: SDO-7
Lab Sample ID: FA80833-6 Date Sampled: 11/12/20
Matrix: AQ - Water Date .Received: 11/ 14/20
Percent Solids: n/a
Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, ITC
Page 1 of 1
General Chemistry
Analyte Result RL Units DF Analyzed By Method
HEM Oil and Grease < 5.3 5.3 mg/1 1 11/19/20 08:42 cs EPA 1664A
Solids, Total Suspended 35.0 25 mg/l 1, 11/16/20 11:02 cs SM2540 D-1 t
RL = Reporting Limit
UM 0�� 11 of 17
_...
FA80833

, LZ4�
Orlando, FL
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• chain of Custody
Section 4
S 12of17
G
FA80833

SC
S North America Inc - Orlando
'. I Chain of Custody
0808; 3
SGS- ORLANDOJOB#: PAGE--L-OF--L_
TEL.[phone] FAX: [phone]
�wwsr..cnm
SGS - ORLANDO Quote # SKIFF #
Client [Reporting ortin Information
Project Information
':: Analytic I Information
Matrix Codes
Company Name; —
Lao 5 m `S �-hG.
project Namo•
� -F- r� r
`^
1
•L
- Ur mg
Water
GWWalerund
WW - Water
SWWaterrace
so -sell
SL- Sludge
OI - Oil
LIO -Other Liquid
AIR - Air
O -Oth r id
Address:S}6,•� o r 1 C
r C/l
Streot1.2 5 5( / / r
T'4'i /+X d
City: State: ZIP:
Monroe Wr- 28110
e
p�1 y o
P�qJ ct ntacl: / Email:
fr! }r irnir2 !Xe r m' a Coy% .e{or M M}
Project#
(oZ
�G Scrv�at5 GO
Fox
Sampler(s) Name(s) (Printed)
Sampler 1: Sampler 2:
Client Purchase Order#
GS
OrSlando
Sam le #
Field ID / Point of Collection
COLLECT—
CONTNNER
INFORMATION
DATE
T1M.E
SAMGLED
BY:
naTNlx
TOTALp
OF
eornas
€
_
_
° ;
LAS USE ONLY
$ 2.
t v%-
r
H1G2
fvw
2
I
40
t
f
mta.OVAI
7
I
1
fJoK
5 P
wN
I
DOS
3 00 r
I muz
"A'
7-
t
)
O
-
4&
INN
I 2
t
I
Turnaround Time Business days)
-
Data
Deliverable
Information
Comments
!
Ramer
16 Day (8usinase Approved By I Date:
7 Day
5 Day
3 Day RUSH
2 Day RUSH
1 Day RUSH
Other
Rush T/A Data Available VIA Email or Lablink
COMMERCIAL "A" (RESULTS ONLY)
COMMERCIAL "B" (RESULTS PLUS QC)
E]REDT1 (EPA LEVEL 3)
[]FULLTI (EPA LEVEL 4)
[]EDO'S
M Vl.
•'"I s
Sample Custodymoat be r1ocurnanted
below each time samples
thane possession,Includingceuriar
delivery.
Relinquished by SamplerlAHllladon
yy�
i 1 rA
D to Tlme: Received B atlon
AID 2
Relinquished B lAHiliatlon
3 -- -
Dato Time:
r�J f ��£.
Received By/Affiliation
4
Relinquished by/AHllletion
5 "f
Dato Time: Receive By mil ion
6 0 C II
Relinquished By/Affillation
7
Date Time:
Received By/Affiliation
8
r�
Lab Use On) : Cooler Temperature (s Celsius (correct htnv sas tom/entlerms-and-cgnditiuns
URLU-SMT-UUU1-W-I-UHM-L:UC 14).XIS Rev 0313113
FA80833: Chain of Custody
Page f of 2
13 Of 17
FA80633

SGS Sample Receipt Summary
Job Number: FA80833 Client: BOGGS MATERIALS INC Project: STAFFORD STR
Date / Time Received: 11/14/2020 9:45:00 AM Delivery Method: FEDEX Airbill Ws: 100963785651
Therm ID: IR 1; Therm CF: 0.2; #of Coolers: 1
Cooler Temps (Raw Measured) °C: Cooler 1: (2.0);
Cooler Temps (Corrected) °C: Cooler 1: (2.2);
Cooler Information
Y or
N
Sample Information
Y or
N
N/A
1. Custody Seals Present
❑
1. Sample labels present on bottles
❑
2. Custody Seals Intact
2. Samples preserved properly
❑i
❑
3. Temp criteria achieved
❑
3. Sufficient volume/containers recvd for analysis:
❑�
❑
4. Cooler temp verification
IR Gun
4. Condition of sample
Intact
5. Cooler media
Ice (Baa)
5. Sample recvd within HT
❑
6. Dates/Times/IDs on CDC match Sample Label
❑
Trio Blank Information
Y or
N
N/A
7. VOCs have headspace
O
❑
W
1. Trip Blank present / cooler
❑
W
❑
8. Bottles received for unspecified tests
❑
66
2. Trip Blank listed on COC
❑
Pi
❑
9. Compositing instructions clear
❑
❑
W or S
N/A
10. Voa Soil Kits/Jars received past 48hrs?
❑
❑
11. % Solids Jar received?
❑
❑
3. Type Of TB Received
❑
❑
G
12. Residual Chlorine Present?
❑
❑
FA
Misc. Information
Number of Encores: 25-Gram 5-Gram Number of 5035 Field Kits: Number of Lab Filtered Metals:
Test Strip Lot #s: pH 0-3 230315 pH 10-12 219813A Other: (Specify)
Residual Chlorine Test Strip Lot #:
:omments
sM001 Technician: KYRASA Date: 11/14/2020 9:45:00 A Reviewer: Date:
Rev. Date OU24117
A,80833: Chain of Custody
Page 2 sib' 2
z
14 of 17
FA80833

M
General Chemistry
QC Data Summaries
Includes the following where applicable:
• Method Blank and .Blank Spike Stunmaries
• Duplicate Summaries
• Matrix Spike Summaries
Section
SGS15 of 17
FA80833

METHOD BLANK AND SPIKE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: FA80833
Account: GRINCC - GRI (Geological Resources Inc.)
Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC
MB Sy)ike BSP BSP QC
Analyte Batch ID RL Result Units Amount Result %Recov Limits
BEM oil and Grease GP35658/GN86804 5.0 0.0 mg/1 40 38.4 96.0 78-114* CfF
HEM Oil and Grease GP35658/GN86804 mo/1 40 37.1 92.8 78-114% �
Solids, Total Suspended GN86784 2.5 0.0 mg/1
rt
Associated Samples:
Batch GN86784: FA80833-1, FA80833-2, FA80833-3, FA80833-4%
Batch GP35658: FA80833-1, FA80833-2, FA80833-3, FA80833-4, FA80833-5, FA80833-6
(*) Outside of QC limits
Page l
SGS16 of 17
FAR0833

DUPLICATE RESULTS SUMMARY
GENERAL CHEMISTRY
Login Number: FA80833
Account: GRINCC - GRI (Geological Resources Inc.)
Project: Stafford St Asphalt Plant; 225 Stafford St Extn, Monroe, NC
QC Original DJP QC
Analyte Batch ID Sample Units Result Result RP.) ',;.m is
Solids, Total Suspended GN86789 r^A80842-1 mg/1 0.0 0.0 0.0 0-5%
Solids, Total Suspended GN86785 FA80687-1 mg/1 0.0 0.0 1000.0(a) 0-5%
Associated Samples:
Batch CN86784: FA80833-1, FA80833-2, FA8O833-3, FA80833-4
Batch GN86785: PA80833-5, FA80833-6
(*) Outside of QC limits
(a) RPD acceptable due to low duplicate and sample concentrations.
Page 1
_ 17 of 17
FA80833