WQ0035749_Project Completion Report_20231221

Initial Review
Reviewer
nathaniel.thornburg
Is this submittal an application? (Excluding additional information.) *
Yes No
If not an application what is the submittal type?* Annual Report
Residual Annual Report
Additional Information
Other Project Completion Report
Permit Number (IR) * W00035749
Applicant/Permittee North Carolina Department of Transportation
Email Notifications
Does this need review by the hydrogeologist? * Yes No
Regional Office
CO Reviewer
Admin Reviewer

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
...................................................................................................................................................................................................................................................................................... ... ... ... ... ... .. ... ... ... ... ..
Name* Justin Johnson
Email Address*
[e-mail]
Project Information
.........................
Application/Document Type*
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Project Completion Report
Phone Number*
704-380-6050
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
N DAR-2
Residual Annual Report
Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https:Hedocs.deq.nc.gov/Forms/NonDischarge Monitori ng_Report
Permit Type:*
Wastewater Irrigation High -Rate Infiltration
Other Wastewater Reclaimed Water
Closed -Loop Recycle Residuals
Single -Family Residence Wastewater Other
Irrigation
Permit Number: *
WQ0035749
Has Current Existing permit number
Applicant/Permittee Address*
1536 Mail Service Center, Raleigh NC 27601
Facility Name *
NCDOT DGS and HOS Class A Residuals Program
Please provide comments/notes on your current submittal below.
The Lane Construction Corporation is submitting the monitoring and reporting data for the Subject Project for 2023. Per the North Carolina
Department of Transportation (NCDOT) Permit No. WQ0035749, this report is to be submitted at project completion for work accomplished by our
firm on this project report using data gathered by our staff and/or contractors during the compliance year for diamond grinding slurry.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
2023 Project Completion Report - Lane Construction -
2.1 MB
13819B.pdf
Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* By checking this box, I acknowledge that I understand the application will not be accepted for pre -review until the fee (if required) has
been received by the Non -Discharge Branch. Application fees must be submitted by check or money order and made payable to the
North Carolina Department of Environmental Quality (NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
C�JQir C�a%rJAY

Submission Date

2023 Project Completion Report
Prepared 12/20/2023
NC Department of Transportation
Permit #WQ0035749
Prepared For:
NC Department of Transportation
1536 Mail Service Center
Raleigh, North Carolina 27601-1536
The Lane Construction Corporation
6125 Tyvola Centre Drive
Charlotte, NC 28217
Project TIP # 1-3819B
Project Contract # 204163
1-40 / 1-77 Interchange Project, Statesville, NC

12/20/2023
NCDEQ-DWR
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attention: Information Processing Unit
Reference Land Application Project Completion Report for Project TIP 1-3819B, C204163
NC Department of Transportation
Permit No. WQ0035749
Non -Discharge Compliance Unit:
The Lane Construction Corporation is submitting the monitoring and reporting data for the
Subject Project for 2023. Per the North Carolina Department of Transportation (NCDOT) Permit
No. WQ0035749, this report is to be submitted at project completion for work accomplished by
our firm on this project report using data gathered by our staff and/or contractors during the
compliance year for diamond grinding slurry.
If additional information is required or if there are questions concerning this project status report,
please contact my office for assistance at: [e-mail] or 919-279-7264.
Sincerely,
CasePDigitally signed by Casey
y, P. Hurley
023.12.21 11:03:23
Hurley 05'00'
Casey P. Hurley, PE, PLS
Project Manager
Enclosures

NC DEPARTMENT OF TRANSPORTATION
LAND APPLICATION OF DIAMOND GRINDING AND HYDRODEMOLITION OPERATION
SLURRY
PERMIT NO. WQ0035749
2019 LAND APPLICATION SUMMARY
CONTRACTOR DOT PROJECT PROJECT TYPE (DGS OR YEAR APPLIED
NO. LOCATION HOS)
The Lane TIP# 1-3819B
Construction Contract # Statesville, NC DGS 2023
Corporation C204163

TABLE OF CONTENTS
SECTION NO. TITLE
Diamond Grinding Slurry (DGS) Analyses
II. Diamond Grinding Slurry (DGS) pH and Land
Application Logs

SECTION I
DIAMOND GRINDING SLURRY (DGS) ANALYSIS
NC DEPARTMENT OF TRANSPORTATION
DGS ANALYSIS
Permit No.WQ0035749
The Lane Construction Corporation
140/177 Interchange, Statesville, NC
Date Sampled
Parameter
Calcium Carbonate
Eq.
07/11 /2022
Solids: 11.9%
pH: 12.54
Mg/Kg Dry Weight
(% x 10,000)
6.2 62,000
Pounds/Dry Ton
(mg/Kg x 0.002)
124

SECTION II
DIAMOND GRINDING SLURRY (DGS) pH AND LAND APPLICATION LOGS

HYDRODEMOLITION OPERATION SLURRY / DIAMOND GRINDING SLURRY
Project Name
(Source of HOS/DGS):
Project Location:
Project Description:
Land Application
Operator in Responsible Charge:
Vo /11-77
Sf4esVrIlPo
Th+tVC40.1-We-
pH LOG
Date pH Sample Collected
Date pH Analyzed / Reported
Lab or Field Sample
pH Measurement
Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
71AS/z3
7/d(�d3
���GkM
i��G
ld, � `
i"cic
067- 0076
� R�
lu=SCAM
7� /a3
to 5'6 4M
Flel
� 1.71
T &-(jGK
0 C7 - 0 W�
I 1-,VAj q
7/d5'�3
11-�-J �Aj
PTCI�
l (- Q
TVa{K
G U — 0 (3 �
7lxS/23
fa_3J M
7403
r . )� PIVI
Ftelcl
1 [ . 66
TVuc1C
0 (7- OC1 7
7/� 5� 3
q-q#p,0
44$43
gapm
Fl-f0
+ 1-q
TYt,,cIc
W- 60q(
1.31PM
2603
1:3 f PM
Fefd
11.5-C
'"v;,K
067- 0(�q
3
3:G PM
7%V�3
3,St( PA
FTA
t I- 5�
'TYt'('�-
N 7- 0 (3 6
7/z/�S
�:-g5-PM
7/�9a3
-[:qs em
F.-c0
I [ rib
TrULK
(%7— 00 � (
7A5/-z3
�=WM
?*/- a3
`f:N pIq
F eft
[,SS
Tr,,ck
60 - o Uq
7%S%3
1:56PAA
?/1�fa3
4=�'f PM
F;-ft�
I"vLick
067- 0017
7/ZCe/2,S7(a: 33 7/to/43
<e:33 ,.
Ft/c/
�[ . (oi
VvcA
o&7—oi(36
P:1TransportationlPrajects\Road\NC-DOT1201616480166142-Statewide
2019.doc
Land Application PermitTelive rablMGuidelines\NCDOT comments 48191combine docs\Attachment
C - formslpH LOG - March

HYDRODEMOLITION OPERATION SLURRY / DIAMOND GRINDING SLURRY
pH LOG
Project Name
(S ource of H o S/D G S):
Project Location:
Project Description:
Land Application
operator in Responsible Charge:
5?Rrle.,rs ller .. AIC
v4ei r,�a *-. 4 -r-
4ag,e-eM
Date H Sample Collected Date H Anal zed / Reported Lab or Field Sample pH Measurement Unit Sampled
p P p Y p (Truck, Frac Tank, Dewatering Box, etc.)
71244 f
�� r1 F i►f
71Z C0? ;F
�� ��s d�
O ��
ff 76
6J (b 7— 0a J'
71-e&le 7
1'S.I✓�®t �!4
P�'A��i
�" r
F �i4� 0677- o Z V
-2 z &1zS
-?Iz&AZT 6>-%zGGc
/;'uG C]�p�" c) 9f
?J •
i J s
7 2 to/2 3
6 a
7/L6,/Z
w :,..
A! ' Id
�
J to {'
3-•
- Y i� �K'- YN
'" 3
P:\Transportation\Projects\Road\NC-DOT\2016\6480168142-Statewide
Land
Application Perm itlDeiiverable\Guidol ines\NCDOT comments 4819\combine docs\Attachment C - forms\pH LOG - March
2019,doc

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
Project Name
(Source of H 0 S/D G S);
Project Location:
Project Description:
Land Application
Operator in Responsible Charge:
:::2=4yo /.. '
pH LOG
Date pH Sample Collected
Date pH Analyzed/ Reported
Lab or Field Sample
pH Measurement
Unit Sampled
(Truck, Frac Tank, Dawatering Box, etc.)
F-1
T
7: Z co m4
8z7
K vzz
7: Z -7 awx
00q(P
7/nbjr 8:ozak
-217,1z3
6?,-oSe. 4h
-7/z 7A 'S 6'- `2® arc,
Fiwd
go a- 7 - o 17, Y
'7
ffs
o &-7 013C.
7/Z -71-e3 12:va.
71z -7/-- ?
12: 3 i-,a,*
Ic?O
11,57
Zice 7 - 00
1-7
2 71-2,?
71z7le-r
12.-MeAp
q6?
'7& 2 - 9
1:020ao*
71,e -;�12;;
/ �o&w
rle-let oro 7 - 0
7/217/Z5 Z:S$W*t
71Z -7 A -9
2 : 54p 0 #VL
A; -eolcy
17ve k 06 7 — 013 &
P:1Transportation\Projects\Road\NC-DOT\2016\6480166142-Statewide Land
2019.doc
Application Permit\Deliverable\Guidelines\NCDOT
comments 48191combirie docs\AttachmentC -forms\pH LOG - March

HYDRODEMOLITION OPERATION SLURRY/ DIAMOND GRINDING SLURRY
pH LOG
Project Name
(Source of HOS/DGS):T����tq�lQ�1
r
-
Project Location:
Project Description:
Tevr1AAq e
Land Application
Operator in Responsible Charge:
Date pH Sample Collected
Date pH Analyzed / Reported
Lab or Field Sample
pH Measurement
Unit Sampled
(Truck., Frac Tank, DeWatering Box, etc.)
7/2-7/z-1 5;c,8eo,
-7,;:L&- 6 V - 38 ctl
4,
06-2 aley
212 71Z 3 gllap,
ff %)
6 7— oo 97
717&3 Y% 2sph
712 713 Y: Z6 p�
�G%C�
��� .S7J
��� d G 7-6 /2- V
-7: 3gaM
7�2��'�3 `7: ler�►
, 000an
7 Z6)r
.71zellZ3 �E �a�
���"�z3 �',So�rh
c�
. �S
�f.�& 067
I / (�c4 C*C'
71Z e
i 4
d ` C% 4
s
�-,• V __ {.Jos i
•lt®� �4+. .,/U f/�i
s
f ��/ L ! /Z"/l A
f • ��
/1�
if. + i �
/ �/ %}��r �_
P:1TransportattionlPrrojecttslRoadlNC-DOT1220 t616480166142-Statewide Land Application Permit0eliverable\Guidelines\NCDOT
2019.doc
comments 48191combine docslA.tttachmlent C - formslpH LOG - March

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
pH LOG
Project Name
(Source of H0S/DGS): =q61-�777 _T,,4er Akeledi&A_?Z
Project Location: Vd1& Ile
Project Description:
Land Application
Operator in Responsible Charge:
Date pH Sample Collected' Date pH Analyzed/ Reported
7/3/ 1;eS `7 : �S� �, 7131123 7 :
Lab or Field Sample pH Measurement Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
Feld' ct>Cf 7
7/5'A-3 8-',qVDa,
Fc&
7; IC c_�,
�131 �Z3 �.` (P4i lrR
?'7123 /0 .' 3,'a�,
c
(%
-truce o Co7 - 0
-71s112.X 1J.n.C&r
7/,v I lr-.r �/
(/Z
7,�;UCle 6 C7 -009?
SSS
P:1Trlansportation\PrVojeciss\Road\NC-DOT1201616480166142-Statewide
2019Aoc
Land
Application Perm it)➢eliverable\Guidelinos\NCID OT comments 481 ftombine docs\A-tt✓achhment C - formslpH LOG -March

HYDRODEMOLITION OPERATION SLURRY / DIAMOND GRINDING SLURRY
pH LOG
Project Name
(Source of H0S/DGS):
Project Location:Frcrrl
Project Description: ;
Land Application
Operator in Responsible Charge:
Date pH Sample Collected Date pH Analyzed / Reported Lab or Field Sample pH Measurement Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
���1f23
�:����
�®`���
�./®per►
�%e/�
% ��
�% ���-��9�
���r �23
2 .' 33,E
'7/3 c A3 .' 3.i'aO
vCo 7 — 0I
7/31AJ? 3.'5Wp.
L
-3= Vo*
r�1�
�` .* �
77/vc,le ck;i, -7 - o /z q
7�3���3�Cr'iZ
��e d67 -0/a/
91ollZ5
-7"z
a /a
112,'7:2��
616(/23
-7'..-
T
-5bck o6�� -odgq
`61 0 12-3
12-3
S, �
-,
12 2-5
Tit_)c_k- c) coy oo
%10
2 - ,0
7�rQ)C-1 axo-1 0 13 6
P:1TransportationlProjects\Road\NC-DOT1201616480166142-Statewide
2019.doc
Land Application Permit\DeliverablelGuidolines\NCDOT comments 48191combine docslAttachment C - formslpH LOG - March

HYDRODEMOLITION OPERATION SLURRY / DIAMOND GRINDING SLURRY
pH LOG
Project [dame
(Source of HOS/DGS):
Project Location:
Project Description;
Land Application
Operator in Responsible Charge:
Date pH Sample Collected Date pH Analyzed / Reported Lab or Field Sample
pH Measurement Unit Sampled
(Truck, Frac Tani, Dewatering Box, etc.)
F,/Ct/2-3
12, ZO
0cr,—I— 0 1 ®t
(C)i
Z' Li —I-
0t �Z
c 0
11,93
3/©1 %z',
'Z'S(Cqw,
-S �, /z3
°Z:S� A--
�F,
—rp�C-t
a�i`-����
�102z1 ��
SIC)z 1 z�
, o��
icy
ca
��-ULt�
®�,� —�
�31®-z � 23
I0 r 106-
'81 r)2-17-2
1 z s
71ru, C-
o-1
P:\Transportation\Projects\Road\NC-DOT\2016\6480166142-Statewide
2019.doc
Land
Application Permit\DeliverabielGuidelines\NCDOT comments 48191combine
docslAttachment C - forms\pH LOG - March

HYDRODEMOLITION OPERATION SLURRY / DIAMOND (-
pH LOG
Project Name �-
(Source of H0SIDG5): �� /17 �s1, ��� � � \\-\ --'
Project Location: � p��j�,M e 1�
Project Description:���.�
Land Application
Operator in Responsible Charge:
Date pH Sample Collected Date pH Analyzed I Reported Lab or Field Sample pH Measurement Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
Z.
-�"t E�c�
•
A+Ct'�Gk-
Vi
poop
P:1Transportation\Projects\RoadlNC-DOT120
1616480166142-Statewide Land Appfication Perm itTeliverabie\GuidelineslNGDOT
comments 48191combine docslAttachment C - formslpH LOG, - March
2019.doc

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
pH LOG
Project Name
(Source of HQS/DGS):
Project Location:
Project Description:
Land Application
operator in Responsible Charge:
C'-k 6e- o'
Date pH Sample Collected
hate pH Analyzed / Reported
Lab or Field Sample
pH Measurement
clog z3
q:g7o-
Vf0S.45
11:
�g/oq/Z5
12'03esa+-
VC-1h 5
`4/4q!"Z3
Z:G5�'W-
I/oq1 'Z
:�� «v"`
ie1d
!�a 0
Unit Sampled
(Truck, Frac
Tank, Dewatering Sox, etc,)
'noll 9
P:1Transportation\Projects\Road\NC-DOT1201616480166142-Statewide Land Application Permit\Deliverable\Guidelines\NCDOT comments 48191combine docs\Attachment C - formslpH LOG - March
2019.doc

Project Dame
(Source of HOS/DGS):
Project Location:
HYDRODEMOLITION OPERATION SLURRY/ DIAMOND GRINDING SLURRY
pH LOG
IqO' /-77
+- & � %" k1
Project Description: njey'c e—
Land Application
Operator in Responsible Charge:
Date pH Sample Collected Date pH Analyzed / Reported
Lab or Field Sample
pH Measurement
Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
IT/10f23
S"141loo-
3 !"-4of "
'peke
`%tIL
0('-1 - 00q9
1,--lee-
q; Bay-
rbo4-3
y, r (4da--
rt fId
i��
OV, '01 Di
f 1-0
v! Zopn&
'8 j10123
11 : i
F7fe
Trt)c
6(6-1 - 60'�
v
/ei l 3
i : [� a�
`'s(t r
° d Z cti,�.-
elci
1 L�
°r►� I�
4--7 - 0 114
a
I/lt
3`7
%f o /Z3
/.`3�
`eIcl
�� ,
rvoc.k-
010i
LA
1/rl1?-3
��i�.�
9/li/2
". l0 �w�
�(��� 013L
S/rr/23
q= MAP-
1/1, /Z3
q , 20
Z'J'a
Tr'oC'
o,111/e-3
CJ ° Z Z c�A--
q to
-ry 1 _ L
VC -1 m
P:1Transportation\ProjectslRoadlNC-DOT1201616480166142-Statewide
2019.doc
Land Application Permit\Deliverable\Gu€delineslNCDOT
comments
48191combine docs\Attachment C - formslpH LOG - March

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
pH LOG
Project Name
(Source of HOS/DGS):
Eli
Project Location:
Project Description:-�2"�L�.
Land Application
g V Operator in Responsible Charge:
P- Date pH Sample Collected
Date pH Analyzed / Reported
Lab or Field Sample
pH Measurement
Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
a�''57—
643
rl°
���-1-050q�
11q 12, 3
1 2 ,' 5 e- &—
iy l 7, 3
dz ` Cj
r Z . 7
T uc�k.
g%Litx3 z `. 39-f"
:{-i0ae��S►�
)�.
�1"��
Off- y ®�i-
-6/ie4l 3
2: g l y a+w
5'r,412.3
•' `I rt,�
.@ l eA
t `2 0 �.
�i'U
i1J141Z3
3: ?-SrLw`--
IS/fLIA3
0.
e-
12. 31Tv-
0r-k
o(O'A - a
8J1LjJ23
:yIa,
-9�JrgJz3
3?42,a,"-
peka
q
TV-0c'k-
oc,-1_ 00cicA
4,4/2l
10 s q 3pov,
514%23
® Q per`
4
t 1-19
L,
cod
S JH /13
L4 0
12,36
Tv�ct
06-1
� � �
151,0
IZ 33 c.\A-
e
1 Z e 32
'rvv
j/d6/`3
1 i l
®®®
6%®5�6I
(
1, LA %`L
l
9
r
i
Tru C 4r
6dt ®®q @
P:1TransportationlProjectslRoad\NC-DOT1201616480166142-Statewide
Land
Application PermitlDeiiverablelGuidelines\NCDOT
comments 48191combine docs\Attachment C - formslpH LOG - March
2019.doo

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
pH LOG
Project Name
(Source of HOS/DGS):
Project Location:
Project Description:
Land Application
Operator in Responsible Charge:
1 \e yn�n 3 C
Date pH Sample Collected Date pH Analyzed / Reported Lab or Field Sample pH Measurement Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
Z-
11519 3
e 1,,�
12,33
'lir Uc
e� � � -- ► � �
: I3 et
d
S/IS/23
C�: 33aYM-
S115123
w 3uoiv-
T �'eId
VoCr
D(01- oa9 9
_o
Sldle3
y'52 a$-
g�i3123
.:�.
i'cld
/2. 3 3
Truck.
04.'►- otz4
t1:,sVaax
f/lf/x3
y%59a
die ld
!2- Za
Trutt
�^
2'37a
��d���3
g % 3a2p
d
I . a rv-
'iR ci
rl r { &
49 �
G✓vl- a<1 7
ti
.
g�t1,�23
; llo►sw-
I
��Eto�23
: JZ°t
eld
10,17
-CYUCG�
db�_p 13 b
ft 3
" i C
Ti` C�
92.E L ®
Tf od,
7 - 0
ff i@
Flf�
Bf� /21 4q
�I
�ii`lJt�l
60-7-b'IC1
Y(01Z3
lk.`L1to
-Iod
P:1TransportationlProjectslRoad\NC-DOT1201616480166142-Statewide
2019.doc
Land Application Permit\Deliverable\Guidelines\NCDOT comments
48191combine docs\Attachment C - formslpH LOG -March

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
pH LOG
Project Name
(Source of HOS/DGS):
Project Location:
Project Description:
Land Application
Operator in Responsible Charge:
11/0 l '7 7 lfi &CAO�ge
<Va �:11,e
/n •7em-c_k a-
�
Date pH Sample Collected Date pH Analyzed / Reported Lab or Field Sample pH Measurement Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
IW Z3
LI-,50� �`
P'-ek
�z 02
��C.�
otc'-7_ 0e5g19
�//7/2 3
10: 7- � - r Ji -7/ 23
i
:P e l 8
12.30
Tr oc do
�li -7 /13
aL
ool
Is) E3
2A,� /4/2
Z
Tor4) r
/4/13
L I 4-P— Thslf-s
-' `- "L-r--
-P e- t d
Z - 7- -1
T4-,vJi-
c, (,v-7 -0 ct -7
P:1TransportationlProjectslRoad,NC-DOT1201616480166142-Statewide
2019.doc
Land
Application Permit\Deliverable\Guidelines\NCDOT
comments
48191combine docs\Attachment C - formslpH LOG - March

Project Name
(Source of HOS/DGS):
Project Location:
HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
/77
S4,4 sv1- tie.
Project Description:
Land Application
Operator in Responsible Charge:
Date pH Sample Collected Date pH Analyzed/ Reported
pH LOG
klereh&Aye
PC -
Lab or Field Sample
ir/NA3
Pie-14
q//C/2.3
Vs t(a d-r--
retch
it .• o 3 r?A- '84 0 3
I'D q P"
Fe id
/: dye 4Jt1/z3
I : o5a.0.1
:+c.1d
! : 4sA.,L- 'T/Z! Al 3
1: s(v*.,A.
� , e I ,4(
............
pH Measurement Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
/ J. o t�
0(07, 01 Z 40
12. 3®
Iru�-k-
0(al- 010 1
12 , I5
7r-ctd
®C,77 _ 009'7
1 Z. Z Z
-rW ct
o(o-) - 010 A
1L. 23
vrvLt
0(01- cstzq
d 1941 l Z-3
3: 5 6dLv'- 112-1 l ZS
I: 510-0
g;-C�4
! Z. L4
Tirtie-L
a (,°I - 0 C- i I
$ nnit Z t f 'L 3
55: f Z 4 r- .
-i'c l d
r 2 .18
o 10 l
94 ��2y �Z3
r,:5ga+� g/z� /ZS
�;5gott+�-
elc)
11 . �) 9
T� JL, bio�- o 1 214
°°sit,
®r°a71 �f �� J �
r�=asp -
��d
e �. r�
-,��L
ool-0aar
��-et
�
t z..�
�����
oa-1 -o��
. b'Z-L(
P:ITransportation\Projects\Road\NC-DOT1201616480166142-Statewide Land Application Permit\Deliverable\Guidel ines\NCDOT comments 48191combine docslAttachment
2019.doc
C - formslpH LOG - March

-7
0
HYDRODEMOLITION OPERATION SLURRY / DIAMOND GRINDING SLURRY
pH LOG
Project Name
(Source of H0SIDGS):
Project Location: SA&A es J���� ��-
Project Description: t,.Aer�
Land Application
Operator in Responsible Charge:
Date pH Sample Collected Date pH Analyzed / Reported / Lab or Field Sample pH Measurement
Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
! = 7-40 - ��22�2�
`.13 ate-
,
��ue�v— 0%0 1 r»
?z%�3
s�ls*
s;1�&
Vn I/z.Vz3
/Z: It oo►-
]Fge\[
I�• -�
ue_� tS��Z- �1®
`
Sl
I: oo
I :of cow
:9z1dt
12A 3c�
'CCt �
I's
q �23afo' �I�31��
#4',24��-
d1.��
T � 04a�- 0 10 1
I fll: IL n
� �0 9 2 lZ,3
24
IZZ
.
Tru
6 f
P:1TransportationlProjectslRoadlNC-DOT1201616480166142-Statewide Land Application Permit%DeliverablelGuidelineslNCDOT
comments 4819\oomhine docsWtaehment C - formsipH LOG - March
2019Aoc

HYDRODEMOLITION OPERATION SLURRY/ DIAMOND GRINDING SLURRY
pH LOG
Project Name (Source of HDS/DGS): lqo 111-1
Project Location: A0� �'e\ C�
Project Description:
Land Application
Operator in Responsible Charge:
d
8
v Date pH Sample Collected
Date pH Analyzed / Reported
Lab or Field Sample
pH Measurement
Unit Sampled
(Truck, Frac Tank, Dewatering Sox, etc,)
®@ -6/ZS/ 3
V054
P!/��1��7
®� �100-
e
®Z . 33
0077-0 t ZLI
TroCk
• %12'5I23
50 010
I%Sfz3
g:d1
�, old
��, 3 I
-TVve.k-
CIVI-col®e
leg 12'.;
12 -'2ook
6/W 1Z,3
8leg,lu
/:/r,04
vh�'O/Z'-
fz�
_77V.1.
0 Co -7 — ci V
( 1Z91Z5
q, 00 U e it
Y 1'v13
9 V' �� i/�S/. �
4ko"
12. 34?
7I 'C f. t
V 6 7— 0 f V A
S-';rd ah-
t?1L9! 4-r
5W 4A,
eld
12e 0-f-
0 c
7 - e1j, 96
8�3&011-3
crupp-
g/80/t3
p
geld
if.19
T�rucl�
o�oi- ��tia
Z!Z('50-4"-
.®0
tot
3�1Z3
0soa,*-
3d1y3
W�0-7�•�-
�1
lZ.t�
Trot
oola 04=5ck4o
9/,l
VV6
/0 7-1Z3
00-D Mq
P:1Transportation\Projects\Road\NC-DOT1201616480166142-Statewide
2019.doc
Land Application Perm it\Deliverabl6Guidelines\NCDOT
comments 48191combine docs`Attachment
C - formslpH LOG - March

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
pH LOG
Project Name
(Source of H0S/DGS): 1% 72 —5 .
Project Location: rE Q
o
Project Description:
Land Application
Operator in Responsible Charge:
Date pH Sample Collected Date pH Analyzed / Reported Lab or Field Sample
G /0:71 fl°6
11-1 : r q I1014-3
910�6!3
Ll., 6/ff 0;r/is
104H-g /Oyh 3
I% ArX
Ll65 -ra
�!
Fred
3 : cya..,. rla eJal
S:`Cf r®
pH Measurement Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
17,.ak,
Tr
0\�'!r -aIri\
Z 6 ®
0L.I- or-096
ast
-Tru 4r
04j - 01 0
10.20
! ram v,
061-0/ZY
kZLa'A
O le -r- 01 O
910��2s
1�;ZLp�,,gjobl23
c vp
'F,G�
o, 3b
t�ewOG
9/09 /z,:s
t
1 Z " mwh,gl a'1Z 3
1 Z.. 1 qr,
_
QG �- O0 9 G
91oM 3
Z: `CZ �,,, ���%%�Z,
T : Li U,
01e.&A
17,25
1 rack at, -X - 0 10 t
7109A
3' 3 glj9r�3
3 'y'0
Tr 'o 01 Z-
9�09/��
$ s 3q � lz3
3 S S 14S4,
t .q I
P:\Transportation\PrcjectslRoadlNC-DOn2Cl616480166142-Statowide
2019.doc
Land
Application Perm itTeliverable\Guidelines\NCDOT comments 48191combine doc5Wtachment C - formslpH LOG - March

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
Project Name
(Source of H0S/DGS):
Project Location:ry
aster
Project Description:
A
Land Application
Operator in Responsible Charge:
Date pH Sample Collected Date pH Analyzed / Reported
pH LOG
I-Zh C—
Lab or Field Sample pH Measurement Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
"thI A
1/ ; 0 4 -- d� � �
) 2. 1 �
Tr e-V-
et'O'l ®®c ® 1
,111gIgq,,
Z/ dew'' 1 /1 /
Lt
111212 t5
/I ,3qy I /rl/23
iv, 31 p*-
p, t4
) 2. 1
7-rve 14
°� � 009%0
41/5/e. #3
J: /5.,..- 9/► s%3
! 5 av--
=� 1
l t • �'
Vork-
oc®�t - o I z y
�(�(3lZ3
2:Zl{a, l31z3
Z'.ZS a0'..
�e1d
12.z
Trvc.0
061
3pytl3=q5,t
�
/Z.33
e-AI14IS-3
®ayA.Q 13 1 ,73
Lla (P 4w,'
(+�
I � a �
��v
V(' sp 0I-LL
IN43
s: -q jl l��0
°®S dt�1
mid
!Z. Z�
u
owl - ®, 01
P:\Transportation\Projects\RoaMNC-DOT1201616480166142-Statewide
2019.doc
Land Application Perm MDeliverable\GuidelineslNCDOT comments 481 Moombine docslAttachment C - formslpH LOG - March

d
HYDRODEMOLITION OPERATION SLURRY / DIAMOND GRINDING SLURRY
Project Name
(Source of H0S/DGS):
Project Location:
Project Description:
Land Application
Operator in Responsible Charge:
pH LOG
11011-7-7 In4erA�a
r J
VIA
r
Date pH Sample Collected Date pH Analyzed / Reported
I/13/t0J
?/131vs
9/A&/leb
OfJ/ qA%
?//4/Z5
Lab or Field Sample
Pam"
2. e. ,11114/Z 3 2- z5a fe I A
pH Measurement Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
� Z.1 '7
TrJr
e OCR 40
ir.) ck
000-1.. are- o t Z1q
Z• 0
T r+v C k-
® (0`7
°1�%WIZ 3
/I: u 7Pfi-..
Jbvh s
rl : gtpo---
p a lei
/ . 2.5
Ti!v e-k
o(O ?- 0 t o 1
/S 7 ^,o-
-'�/
`
r•C 14(
i • o V
Tr ve-k-
q: ofa"L�
9/ ,����
�: �-raW
471 ell
12_. Ns
Trude.-
WA 06'to
�s z3�
P:1TransportationlProjectslRoadlNC-DOT1201616480166142-Statewide
Land
Application Permit\Deliverable\Gui
del ines\NCDOT comments 48191combine docslAttachment C - formslpH LOG - March
2019.doc

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
pH LOG
Project Name
(Source of HOS/DGS): J L1r)1/ n-7 Infq�- 5\cxv--ey 1nAey\,�
Project Location:Q��esU+
Project Description: 1 VA-�ev-clkaxn4-7
Land Application
Operator in Responsible Charge:
Date pH Sample Collected Date pH Analyzed / Reported Lab or Field Sample
pH Measurement
Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
q/ '�" /
1®:2 -7!®S/ Z .3
%o: z 7eft
�R e-! (:A
/ Z . 18
-`ru ck-
®tv `s - '0a Z I
O, z3
cr/110523
12 43
d�1d
Z• 17
Truce
�J�1(e�Z3
334o.w
0�'J u1s3
S'.15
-Fi,i d
1 Z. 2 3
-Truc L
ow DC Zy
g�1g�Z3
.c.Jgr
9J23
11.yS��
��Ic1
! Z. a ti
True
o�o-t-aa9�
Q
12 : 3/a r
9 f 1 e,y 3
JZ : 32aw�i
£1 ca
l Z • 3 1
�rucrlc.
o e"
Sf ��-
�tglZ3
Z 32 °""�
-fie lc�
r �. �-
T�u��
®tea— b ! -2-1
qI IRi
'5:octw
0o1a1Z'--S
:Re`A
Oki-l- ®"C>
I ci ) ,Z
�;; 3 3
o 9 / Z'3
S".• S If
-- i -\4
!� Z • � �
�`r -tom
vC>1 - '* C5 at 6
P:1Transportation\Projects\Road�NC-DOT12016\e480166142-Statewide
2019.doc
Land
Application Perm it\Deliverabl
e\Guid elines\N CD OT comments 48191combine docs`Attachment C - formslpH LOG - March

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
pH LOG r
Project Name ) t
(Source of HOS(DGS): f1 — -71 l A ev-c� e Cat i an6ZAce-.
Project Location. .�4 Q,+esv N
Project Description: 1 iL` P—Y-Ckay. qe
Land Application �l
Operator in Responsible Charge:
Date pH Sample Collected Date pH Analyzed/ Reported
Lab or Field Sample
pH Measurement
Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
C1
I
C �
-�i e-1 dA
m ;
rUc.�-- C>�-t
zo/r-a
voomm C1 /Zo/es
kA
1 Z .1Z
ck Okol 4C::P®6t'v
a' 20/t3
!l : q1 p*- C 1 Jev/2,3
��' ya p,w
: ���
/ 2. Z`7
7 rvt- o 46-7 o z�
7/z
s: ri 11/Z
-`°tom
F-eiej;
�Z ®�
7plrek- ����- o1V4
3Sav- dv/z I Is a
5: 3Ro',lv►.
p ,eI
12. 2 e
TrveJC' o �-t - C tb1
0t2.4
of ����3
.���.
�1�J
2 . Z�
- ru C-\L
�'-o I -'� sh, '3
6.2-1
1 Z -
Troc.V- e>ke-T—
P:1Transportafion\Projects\Road\NC-DOT12016!6480166142-Statewide
land Application PermitlDeliverable\Guidelines\NCDOT
comments 48191cornbine docslAttachment C - forms\pH LOG - March
2019.doc

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
pH LOG
Project ]Name
(Source of HOS/DGS):
Ig01 1-77 /aloc6nqP,
we�v
Project Location:
&
�G
Project Description:kk�ojne
Land Application
Operator in Responsible Charge:
Date pH Sample Collected
Date pH Analyzed / Reported
Lab or Field
Sample pH Measurement
(Truck, Frac
unit Sampled
Tank, Dewatering Box, etc.)
1I$2JZ3
q; l2-
7! ZZ/Z3 1p
-p-eld
/Z. aLf
'j�tX-)a'
Vol- ®c7Ct
g7
"A Z/Z -S
Rem
T
I
q/y-7ez 3
Vly
-9: ®S r,�eof/aAs
r-y /?.-X/z
Cw
C�l
old
T
g1ZZ/Z3
%�/ P�
a 22/23 //+ %� r
R etd
Troc v-_
atnx- Oativ
043/Z3
/= 5�ar-
q f 2.343 1:52' 0"*''
F ��r%
1Z. 3 z
Trvc.
b, 2- 3
1495
Z i
°MIZ3/Z3 Z
��
f �d
TVuc.v-
ot-%
of U11's
Jrf00 ^-
of Z.3/t3 �'�®
F&-W
}
J' e-V,
C)L;.—Cn='9 (30
I J'Z'5/t 5
9/2-3/9-3
Fi el d
i Z
it-uc.k
P:1Transportation\Projects\RoadlNC-DOT1201616480166142-Statewide
2019.doc
Land Application Permit\Deifverable\GuideiineslNCDOT comments 48191combine
docs\Attachment
C - tormslpH LOG - March

HYDRODEMOLITION OPERATION SLURRY / DIAMOND GRINDING SLURRY
pH LOG
Project Name
(Source of H0S/DGS): I 1 _1 NA12N6\rkrC(e,
Project Location: teS07d�i �C' �j
Project Description:
Land Application
Operator in Responsible Charge:
Date pH Sample Collected
Date pH Analyzed/ Reported
Lab or Field Sample
pH Measurement
Unit Sampled
(Truck, Frac Tank, ❑ewatering Box, etc.)
3/Z3
12. 31
o-7-
e.
kz,4o)23
iz zto,
(4h\o)23
lZ'.z
Field
a
Ct��tZ
�.�
��Z�/Z
"��
�e�
�2. 2�
Tr
e�coZ i o a
'f�'�j
1'���
/ II�'�/}�y ,p��
` ��, �+V Q,r'
�J 1 r �%�y
yl (�r//` J
/t r /y�
! e 1 p
� p
l ! C _��
j s� 3
.l 4 . ` S
�y �.1
T lRll�
o t o t
PIS110
t2•
gIZI A5
/Z�4[
�iQ\A
ti.71
irucl'
T
-�� eld
�.
o
Fi e� A
z - C
P:1TransportationlProjectslRoadlNC-DOT1201616480166142-Statewide Land Application Permit\DeliverablelGuidelinesINCDOT comments 48Mcombina docs\Attachment C - formslpN LOG -March
2019_doc

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
Project Name
(Saurce of HO S/D G S):
Project Location:
Project Description:
Land Application
Operator in Responsible Charge:
vi* lie/aefagive
pH LOG
r,"a,ncer4en_
Unit Sampled
Date pH Sample Collected Date pH Analyzed/ Reported Lab or Field Sample pH Measurement (Truck, Frac Tank, Dewatering Box, etc.)
ot
View
�1f2`723
1l'�5p
9l2-7'L�
V
1�•�S
����
®(v'Z
®!/2"1�Z3
l ;eaip&.
q'/27/23
st��� �"`
a�l�
1i•�°f
rrvc�
� �'0 1z 14
q1tc61jS
�� s9��
1-n
2.00a&k
r1d
I/z2/za
S'.o2ato-
T-ie[C
It ch 6
1; "om auw—
c&PZ-ool&
012$ 2°�
��"
�ltg]Z'6
i/:P am-r
/
00 (a
leLS , ZS
I Z.J
�f e I C)
2. q57
lei�2�25
�;OQ�a�
�I��12
9'®��
��vG
��z��3�c�
C1lin In
em
�'e�i�
!2- �i'
�(�clG
04l,('-
P:1TranspartationlProjectslRoad\NC-DOT1201616480166142-Statewide Land Application Permitll)eliverablelGuidelines\NCDOT
comments 48191combine dots\Attachrnent C-formslpH LOG -March
2019.doc

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
Project Name
(Source of H O S/D G S):
Project Location:
Project Description: ) Mer6 e-
Land Application
Operator in Responsible Charge.
Date pH Sample Collected Date pH Analyzed / Reported
pH LOG
M
,Lab or Field Sample
pH Measurement Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
/
Truck.
0(02 —01
1Z• �7
�U�
� � t
TrvdL
04oz- 012.q
/ 9. L1o
7rVC_t
0 72 - 5 3'10
AZ• 20
Ty- uc,L
ow- 103
q /3a/ 1-%
9 /So/Z3
3
�:i-eA
02. 2-5
�`��c- 2-c--,+z14
9 /3c/ 2S
q:95 t
c, /ao/ _Z3
=��'�
F'i el d
i 2.3
irlXI�
/S0/2S
;rl.
` .e1C!
19. 2,0
ruc 07Z 5 3 - (
/O / Z- / Z� a
0.5c*
b /x /
In oem,
Fi,6
r2. 3v-Ty
uc-1c ? Z -Y ?C
P:1Transportation\ProjectslRoadlNC-DOT1201616480166142-Statewide
2019.doc
Land
Application Perm it\Del iverabl
e\Guid elines\N CD OT comments 48191combine docsLAttachment C - formslpH LOG - March

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
Project Name
(Source of HOS/DGS):
Project Location:
Project Description:
Land Application
Operator in Responsible Charge:
4341:Ile-
pH LOG
Date pH Sample Collected Date pH Analyzed / Reported Lab or Field Sample pH Measurement Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
/'O/Z /v5 /0
/Z . 3
d 67--- vv ?(0
16A5 145 l .' a.,
1a1113
l2(, ,,-
141-1-1-Tac'
b-1-:7F qd
a 7? - 5770
lD1rAV Z''3Ja,
`61514f
Z,�5
T /�i/L:
l �
Jb/ -5 ,3,36a_t.,
� es
G�
�N/T'
�2 ��
06I 7 —U /U/
1013 /�01 -5.° Zoft'
s : ZZatt.
Ae/d
06 7 -Uo ?o
�U� 3 5 , 3zea
��A3�.r
S.",.�ya *c
, "P�
�2��
p '%Z — J3?r1
/a � � ����
Ale
`� ��/.�
s /-f a
'y'
z2 4,T5--
07Z P- 5 3-1
�5y
1®131L-;
/®ot
d -
o 7 ® 5 3, 6
/,6/Z3 10 rr-oppm
IV/023
111'-0-7 pA4.
Pi-e 1
/Z• 3o
6r02-0(01
P:ITransportation\Projects\Road %NC-DOT201616480166142-Statewide Land Application Perm MDeliverable\Gaidelines\NCDOT comments 48191combine docsWttachment C - formslpH LOG - March
2019.doc

HYDRODEMOLITION OPERATION SLURRY / DIAMOND GRINDING SLURRY
Project Name
(Source of HOS/DGS)
Project Location:
Project Description:
Land Application
Operator in Responsible Charge:
117
Date pH Sample Collected Date pH Analyzed / Reported
pH LOG
/kevp ka.ng e
�C—
i f s -! ' li. ,;
Lab or Field Sample pH Measurement Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
1 J e l c
12. Z'S
I„ �V(
0107-- 60Jb (0.
Igglt3
via
ID/q/13
I g30L
eta
12. 3�9
Trvc.V—
C-1z- S311
10A/Z3
3' cy 4Lv'_
10141-3
. I E5 0.
; @Id1
Z.. 2 0
T
10/11'1-9
3, Zga0-
ID%143
3: 30am
p jei
Il. �55
7Tr11LL
N(P- Ib$3
la/ylt3
y: olds
to/gJzs
q.,o5
eId
12. yD
1d
12.
-Truc,IL
of �1f Z3
s� 3o�
IDIgf 23
s: 3S LV—
,z. 2�
-r uc,ic,.
a&Z-60 qh
101g1t3
,►,oq
tn/glz3
io,loplu
irk
/Z.UP
TrucL
OW- 1309,0
1 ajSl� 3
IZf al
ual5l2 3
ez: �®
Tj-,
� z • � �
i'�v'::'v
_ 01
lo�f/Z
1:Fop
t%/?
isI��
�r�
®
i�„
07Z-5371
t4/s;/23
_Z :03,vL m
li,/gI2.
Z:04oL
ie:IC1
it, Z15
ivvc.�
72- 3`70
P:1TransportationlProjects\RoadlNC-DOT1201616480166142-Statewide Land Application Perm it0eliverablelGuidelines\NCDOT comments
2019.doc
4819lcombine docslAttachment C - formslpH LOG - March

HYDRODEMOLITION OPERATION SLURRY / DIAMOND GRINDING SLURRY
pH LOG
Project Name
(Source of H0S/DGS):
Project Location:
Project Description:
Land Application
Operator in Responsible Charge:
Date pH Sample Collected
Date pH Analyzed/ Reported
Lab or Field Sample
pH Measurement
Unit Sampled
(Truck, Frac Tank, Dewatering Box, etc.)
1D /6' L
e �
70Wd(
! 2 . 2 l
ro �
J,.C6
`b%S�Z
d
�' ®fib mw.
r
,rieW
' g . s�
�1ri1G�
Clio Z �
to%6 A
'61 11w%x
-Meld
j-Z. sLA
%k-
01 Z �- �37
fi-e,c
12.
TV -VC
-7 2- t
i!
F64
1-2. 0
Trutt-
0(02 - 01 o t
101(plO
12:Y7et
�Df ��23
/Z:1 4OLrw,
Ftl
92• Z4t
T'rLX-lc-
0-12- 53, Z
Ib�loI23
'WA
�p�b�Z3
Z.S�a,"
_7 FJ�e.1I
(�)OCKO
qq
0,72
C41
'fa/40/23
3:Ni`
Vd
OWO
5'.o2-
p�3
S:a3
Field
I
®-7Z
P:ITransportationlProjeCts\RoadlNC-DOT1201616480166142-Statewide
Land
Application Permit\DeliverablelGuidelineslNCDOT comments 48191combine docs\Attachment C - formslpH LOG - March
2019.doc

HYDRODEMOLITION OPERATION SLURRY/DIAMOND GRINDING SLURRY
pH LOG
Project Dame
(S o urce of H 0 SID G S): 77 1A41rAAMC1e-
Project Location:,t,e-Salt
Project Description: �r1,�-,�*j�
Land Application
Operator in Responsible Charge:
Date pH Sample Collected
Date pH Analyzed/ Reported
Lab or Field Sample
pH Measurement(Truck,
Unit Sampled
Frac Tank, Dewatering Box, etc.)
t9V?-3
5�cq
W/4/ 2-3
1�
r✓t�G
0,02-0 %01
100123
S:U�
la�t�f��
�•��
��/�
f
Truck 0bZ
10/7i23
?
�
a► Z : 3�
f i6A
I�.3�
�,rve%
©�7�L3
: �3 �►
10/1/23
I.. zt4 et h
1.4
12. 2-17
TrV C �
t,bf Tl23
{®/7IZ3
2: 3clm1�
�ecet
Z . a7-
-True L
0(a2-- a09 (P
to/?its
]oil 1 3
3""' "
F'e,Id
1Z.-3'?
o6,ro -- tc�p-q
16/7/43
1/: Z/Am
01,7 JZ3
t(: Z2aLp—
-P—%A
j2. ZC7
T'L)C,
Ocoz- 0104
r"o
0 0,11 i®
4�Z j��
t-,1. a►�.
1� � �2�
�' 30
tie'14
12.3 q
c'k
oiv 0-7 2-� � 2
P:17ransportationlProjects\RoadlNC-DOT1201616480166142-Statewide Land Application PemiitlDeliwerablelGuidelines\NCDOT comments 48191combine docs\Attachment C - formslpH LOG - March
2019.doc

HYDRODEMOLITION OPERATION SLURRY 1 DIAMOND GRINDING SLURRY
pH LOG
Project Name
(Source of HOSIDGS): 401 7 f /tpy�P_
Project Location:
Project Description:���,
0
Land Application
Operator in Responsible Charge:
Date pH Sample Collected
Date pH Analyzed 1 Reported
Lab or Field Sample
pH Measurement
Unit Sampled
(Truck, Frac Tank, Dewatering Sox, etc.)
r_1. e.`a
11-3
��°��
j�J�� Z3
0"
F1 aIJ
12.
7rock-
0(2-at��
to 23
�.�b�.�r1��3
�ti1-
t��j2�2�
t ID(& -
10/1Z%Z3
1102 XYL-
,°ele$
AZ. 3e5
-rr0e-
®AZ. —en. g a
i p
y
P:1Transportaticn\Projects\Road\NC-DOT1201616480166142-Statew6de Land Application Permit\Deliverable\Guidelines\NCDOT comments 48191combine docslAttachment C - formslpH LOG -March
2019.doc

lane
1-40 / 1-77 Interchange Enhancement
redell County, NC
NCDOT C204263
The lane Construction Corporation
Project Name: 3gp_1
Contract: (A v 1-0 b 3
Date:
pH Monitorin;
Date Truck Number pH Before
��( Adjustment
S� 1 �.7�, S^
. aag il.
/ 37X_ ctl_
-f7o
I f Vey /2�/2 3 c�C�7 -� T • 70
-00 2V/93 vsro7-uio9? tl. &o
I�Z&,G�E
tz
I7/271Z3 pro?-�o9� i f .S
17/?7/Z3 067-00 7 I t- &O
17/Z7 (23 2(n7-o (Z V [Z._V
17/t7 ZS Ocid-0t 4 U. _T
7le7lZ3 067- /!- T 5
7/d7/LY - o /-
71071z3_Q(07-012 I L3 Et
7 Z 7-o 3 il. S-q
7 /27 /Z3 940 q1 i!. S'7
7/Z7 23 2 1l �v
17A? 13 0(Y ii.
I-zt? /�3 �� � Cxr' Q It.
/zg 3 o -urzci I{ . S'
%l9 ,�)4-013(p //. CFI
Amount of Muriatic pH After
Time
Acid Added (Gal) Adjustment44
d7•ddPWI
{IrI. Q4; f
--!. 4vv W S r7cti
i
/f•s2 3:dS�are
/{ t C/o yfllo�
si
((.s7 T�r(r.�.
Il • 58 .v w;
Comments
Verified By
)
U, I
x J I
I
�• I
� 1
I
>4 1

n
I-40 / 1-77 Interchange Enhancement
leedell County, NC
NCDOT C204263
The Lane Construction Corporation Project Name: 3T 3Y— 51 &4 1l4
t
Contract: Cz o q /7— (0
Date: 9 /�G S dw
pH Monitoring
Date Truck Number pH Before Amount of Muriatic pH After
Time
Adjustment Acid Added (Gal) Adjustment
7 Zf3 Z � 6G - tl 6-7
so
WIN�
I LA z CIN It s., =C'
7 � �Z � ��.i/ car d • l [� ��� I�EO v �9t3�
"7-or2v 1'j � l..�o f.lunai.
ple
of z i. 17
�r z --
I /®j 2_ 013 "�2s
to t^ n(01-41ZA.®�
tad i �tao —OO 12,
JQ01 t
I ia�s 23 ®'t312 i,a'3 ®
I z.� ®tp7•OCgq tZ. Zq — 12 • q
Comments
Verified By

Lane
1-40 / 1-77 Interchange Enhancement
Iredell County, NC
NCDOT C204263
The lane Construction Corporation
Project Name:
Contract:
Date:
pH Monitorin r
Date Truck Number pH Before
Adjustment
1-91&?.1?. 3 1No)
KO 9 MgO '01310 2 ,O �
l �
tcl:
1'
I� 0�1 JZ 3 0(0--01 ►Z.� {�
I19eq Z3 -0o t 2_.b
I-9 � z W-11
1'l 23 60,7�-043ty JL.04 �
I toy s 00 �-a s a t r�
IT/2-S c�1-01W i�.44
IT110 ft1 `7-cis(c uz, 05
9ia1-0 Vol-OM1 1Z0Z,2-
I fit0 {2 3 9PW -0og�
/O L3 �ZI
7-ar0i ��,
AIP`l
1� /2.3 :a(0i-6CP9
/rr Z bi7 o bd ra 1 Z c�q
I t1-3 00-013ic j) 4a
13h) Az3 MP-1-0134- 2• b
> `1-OiZA t-- to
04il - 001" 11 . q 10
/►31�.� -�C�ci
IiL_ -0101 17.W7
tad 13 11-v} zq a I. 3 b
I f Z �� p010 1 .- �1
[�[
Amount of Muriatic
AcidAdded(Gal}
pH After
Adjustment
It . GS 'IS
Time Comments Verified By
3 •.
p
I
2
LPSOAOm
1-1
.-
[�.03
CS
`"
��• 3Ca
3- ate.
L/''w
//"zf"
`
1 e 5,R
2" t am I
1*�
y:
�: 55 - I
11. 4-1
12:5 # 1
.
7 . 7.---
2, : Woo- 1

Lane
�e-
1-40/ €-77 Interchange Enhancement
Iredell County, NC
NCDOT C204263
The Lane Construction Corporation
Project Name:
Contract:
Date:
pH Monitorin I
Date Truck Number pH Before Amount of Muriatic pH After Time
Adjustment Acid Added (Gal) Adjustment
i1144 421,
60-6101 12• Z
il,.. �- �I�•1 q a
I OSI� OU7-010' e? l
WIN
Ci0-00e °7 0
g
tlAit .") h6l• A IC
17 ►i�1 i�i ��� •�� Ord 1i�,,
1 r O123 i9Ee� O1310 1"
l b Z I � -009q 2. q'L 0 ? f
Il OV7 '012q 1-Z 1 Z. t 2 AA'4'
�s- —
12 0
a Z /t.Oo �
2�
� o �oa®4 �. a
21 Z5 Ofv
_w ZI o1d1-012II !2. Z 3 12, Z3 1S."OL
Z �.3 Ob'i•ooml l 12.2q /2, Zt! 3: '1Am.
12..A2• 5•PZ&W-
9' r (gy0144 !J- A l�. 5.54
7*0097 12. zO 17.20 2*)q&l %
Z.
-01 to
� 2Z Z3
� T 2 ZJ2 0io?•d 0140 1/. W _ 1� �� Is:11�
Comments Verified By

FIE
Lane
pe-
1-40 / 1-77 Interchange Enhancement
Iredell County, NC
N CDOT C204263
The Lane Construction Corporation
Project Name:
Contract:
Date:
pH Monitorin ;
Date
Truck Number
pH Before
Adjustment
P*---CsJ7. �.da
FDiv1
1, 'tAD
IS', z.Lt Z"
OVO-OZ4
!; ' .1
UCH-1-o1®!
1 Z . y
axo?-Df�J
. 3 r
z i
rs�o7 _t2q
i ZG
r l
ptr'l- orol 1 0
�.'7-eo�� l�•/3
RXM-22.
2 3 0 -otiy 0, b
�! _. �i
1 �y3
-0�Z 0
1
PY 2
® . arL
1 i
. ofol-0101 t . l
1
O "7-d 1 t .Oto
z.
cot' -vial 12— Iq
OW7-oagw 12.2 3
12. Z3
(jam -mini 12 , 0-1
rZ 1�
!3/2S
Ow-calrs f Z
o(07-0r211 /1, iy
W 23
Dta7-0l01 /Z-2$
Amount of Muriatic pH After
Time
Acid Added (Gal) Adjustment
8Z• 2 AZT.
1, 1 ®74
'r S2 P reaw.
3Y
-- i .mod �+
no .-10 1 IL, 30 Ot
1 t
t2,.23
a 2.Ot
Comments Verified By

E
1-40 / 1-77 Interchange Enhancement
Iredell County, NC
NCDOT C204263
The Lane Construction Corporation
Project Name:
Contract:
Date:
pH Monitorin ;
Date
WIS ga a
1
W I
OS �
�! A.
Of
d9 Z15
Truck Number pH Before
Adjustment
�IV7-C ibl S
ff�► t-o1f56 �� �
OiQT-0161 i . o �.
667-4°1l. /. m
�6-01ilsa . Z
6W7-0&Jt&0 12, g
a01 12. �'►
,aw"aOaa 1 uq
netl�. os
Obi"nror-1 .3
olp-7 0101
12.6)
0O1O1
d .1
ab7-oeM16, 12.
am�- auq
lima -aM 1 1ld
O 407- OOZY 17. o S
AV) -airo 12. Lop
�tdl of I II . JrD
A*"1+000110 .04
&tz-%31C /
�7-oadO l Z
O`? WSS'll -12. V5
rO101
owl•00410 12. z
e2w,-6 41 l2- 3v
5.40 c e
Amount of Muriatic pH+f"r Time Comments Verified By
Acid Added (Gal) Adjustment
/2. 0Z A
t2 cp
ov
•A
1Z. o d are. A- dan1,= 3
2.�� ; 3Z �,a� n►.ntieu ne ec4 w
t 22.o f _ 5'/fie �vr. a ^e-,W Atcl -- 3
g2.44 il
t>"Q-A ^AeAf
/./7 /� . rw'- s§&o«s /Z . J_L ;: as Manaun
1 "1 1� . d1Onvon* oe i d o rdd ecd
( 5 :s,. feriwac �5r ae-1'c4 oLddde r 3
-17
j rtua r�,ev�aaur�►r Ltd mde� _.S
��: nn�. at.a+�e�u xds ati d_ ' 3
-- A. $ Id •' POI' tiKo�-
• ' wry.
12. O419 9 W�Sw�' atallo�ri}
f zq e.,00esaw vr►fi O
I . ba . 7Jr4w iE� =
d 2. d � JP etivoof l- &1d nAded:± 3
I Z. Z t a J 0h% afflburrk tld ek added c
--
d 3 Z PS aK q�prnk aLad r�ddert.

Lane
1-40 / 1-77 Interchange Enhancement
Iredel! County, NC
NCDDT C204263
The Lane Construction Corporation
Project Name:
Contract:
Date:
1
d 4
pH Monitorin ;
Date Truck Number pH Before Amount of Muriatic pH Afteff Time Comments / Verified By
Adjustment Acid Added (Gal) Adjustment
I�
p(0POPZ77 e
0 , a 1 B. S/ amount Oo d a�i �.
Z e Z-00� /�.. �z f id10U Qt
127 TV9 r k ee at �dl
ZS g7t•53� 02. s 2a wOL
Z 2 6a. C10l P d ?A fA'11fLOUAi- "ICA c1 PCA
v
•obi I®. 1. 122-1. 1 btmauos A41 -A z �
�i 2 i2-5u70 12. f ! 5f�
M23
�.'LtipZ_� i }. / i ��AA9et e1tXd1,DUY► �Gi �d.
2l 2 3 - t10�fo5 amewau�n4r d = 3
L Olo - 5 �" It. s NV rj�*1 rAlRaval- Oxci A � 3
-®t 11.®fR — a}.q9 II- �pMOW00A4-A61d A e� = +
7- lz-, P- 2: ®® -Aral
3 : ®Zdalv%. _ - - [
11D: Slatel i
2 / / N.3 ►ems I
S O . � `� 1 �• = I
-ate /Z. zb -
7 Y2 04
OWL 2a 7—
l� Z z.-r53 10 d 40
Z v I l.•l / �� p I
- I

Lane
1-40/t-77Interchange Enhancement
Iredell County, NC
NCDOTC204753
The Lane Construction Corporation
Project Name:
Contract:
Date:
PH Monitorin;
Date Truck Number pH Before
Ad- stment
(p Z l z (Va 7'-1)/ z �( �, o
A) l,R /11 _06'-a49& �2. �
0 3 Z3 o 2--51,-b /? . y�
1p 3- Z 3 a
�- Otr2- to i It.10
1 ob.titi� Jf�,10
b
10dr ZS -S C i 4�&
)v 23 072-S3'11 rL-.
ic Z3 AA. 00ft J -
-os�i
2til
VS
S 6U.-Salt, I I Z14
S . sn
10 O 7- O 12. ZIY
1101ul 93 aw- 0q 12. S 6
vo�
O - 1%
o t.! 61? -S 1 ?. 5
IP '1-°J
Jb tz.51
01
wlt'�-010I3_ _ _Q
AAd
Amount of Muriatic pH After Time Comments Verified By
Acid Added [Gal] Adjustment
/�. 3,5 /&,'if3 gam! v w
a A.
�- 17 �3v :�or►. � rr�� vim, d
/. Z .d
J � B
Ch, � ed
'r t Ll C6& C�.CA�lG'if
/ S% 41ar% .2, a. �GieU
I Z, ZT S.' aVA
-- I �. Z�! / �►� 3added
an' d ssc1
.. 1 Ell �"57woe. 3 S 0-e,
&-so sox ..'i ailed
J2.2-q S'17v.aa. _ �ggL. CLdclo�
12. q, 5 11: 03pok -1, _ . li cxd decA
12. I a 1�: SJs pw . t ad d e_ct
-- 12. 9 / 1Lllaj_a
1z.516 2.5la. 2 �d
. 40 3 % If 4a6ww-.
� .-A 3,4rgLv,- -A
/ 7.3 5 : ®3'0. t14
l,T. 3 faa �62 ®►
9� OF
to
eZ. n ;SSS0%oh. �J'kA l�

1 40/ 1-77Interchange Enhancement
Iredell County, NC
NCDOT C204263
The Lane Construction Corporation
Project Name:
Contract:
Date:
pH Monitoring
PH Before
Date I Truck Number Adjustment
2.
.tit
0
Amount of Wriatic pH After
Acid Added (Gal) Adjustment
-- B2.3Y
! . 2&
6 %.t'a�
Verified By

HYDRODEMOLITION OPERATION SLURRY / DIAMOND GRINDING SLURRY
LAND APPLICATION LOG
Project Name
(Source of HOS/DGS): I40/I77 Interchange Project. I-3819B C204163
Project Location: Statesville, NC
Project Description: I40/I77 Interchange Reconstruction & Improvements
Land Application
Operator in Responsible Charge. Lane Construction
Date of Land Location of Receiving Site
Application (Land Owner Name)
Casey Hurley - Project Manager
Receiving Site Address or Quantity Applied % Solids
Latitude / Longitude (Gallons or Dry Weight)
There was no land application on this project.
All slurry generated was processed by Lane's DGS Management System which was
approved via permit modification issued on July 13, 2023.
P:\Transportation\Projects\Road\NC-DOT\2016\6480166142-Statewide Land Application Perm it\Del iverable\Guideli nes\NCDOT comments 4819\combine docs\Attachment C - forms\LAND
APPLICATION LOG - March 2019.doc