NCG140037_MONITORING INFO_20190131

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV C,,& jq C)b �j I
DOC TYPE
❑HISTORICAL FILE
�L, MONITORING REPORTS
DOC DATE
❑ �01 1 013 �
YYYYMMDD

Mid Atlantic
Engineering & Environmental Solutions
January 22, 2019
NC Department of Environmental Quality
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: ANNUAL SUMMARY DISCHARGE MONITORING REPORT
409 Rogers View Court
Raleigh. NC 27610
office 919.250.99t8
facsimile 919.250.9950
MAAONLINE.COM
NOTIFICATION OF NON -SAMPLING
CONCRETE SERVICE COMPANY PLANT NO. 9
R
401 N FAYETTEVILLE AVENUE
DUNN, HARNETT COUNTY, NORTH CAROLINA
�p,N �1p19
NPDES PERMIT NO. NCG140037
GNIL �-Ss
MID -ATLANTIC JOB NO. OOOR1944.10
�WR SE
To Whom It May Concern:
On behalf of Concrete Service Company, Inc., this letter serves as notification that a stormwater
sample was not collected during the previous calendar year (2018). During this timeframe, it is
our understanding that a stormwater discharge did not occur from the designated site outfall
during a measurable storm event at a time when a stormwater sample could be safely collected
(i.e. during business hours when the facility was occupied, and preceded by 72 hours with no
measurable storm event). Stormwater flow will continue to be monitored during the upcoming
monitoring periods (January -June and July -December 2019) and, in the event of a discharge,
stormwater samples will be collected per the permit requirements. If you have any questions or
need additional information, please contact me at 919-250-9918.
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
Charles B. Hoffman, P.G.
Principal Geologist
Attachment: Annual Summary Discharge Monitoring Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE

ANNUAL SUMMARY DISCHARGE MONITORING REPORT
(DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
*Report ALL STORMWATER monitoring data on this form (include "No Flow"1"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 9 of each year.
Certificate of Coverage No. NCG14
Facility Name:
Service Company Plant #9
Concrete
County: Harnett
Phone Number: 910237-1791 Total no. of
SDOs monitored 1
Certified Laboratory Lab # Pace Analytical Services, Inc. 12
Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfali? Yes 1 ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontird?
Yes, enough consecutive samples below benchmarks to decrease frequency
Yes, received approval from DEMLR to reduce monitoring frequency l
Other
Non -polar O&G
Total
pH,
(EPA Method
New Motor Oil
Outfall No.
Total Rainfall,
inches
Suspended
Solids (TSS),
m gll
SU
1664 (SGT-HEM)),
mgll (VMA)
Happflcablo
Usage (gallmo.)
It applJcable
Stormwater
Benchmarks
indicate NO FLOW If
applicable
Circle Benchmark
100150
6.0-9.0
r
16
>55 gallmo. average requires TSS and
Non -polar OSG monitoring
Date Sample
Collected,
molddlyr
No Discharge
0613012018
No Discharge
No Discharge
No Discharge
NIA (<55 gaUmo average)
12131/2018
No Discharge
No Discharge
No Discharge
No Discharge
NIA (<55 gallmo average)

Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015
Certificate of Coverage No. NCG14 0 0 3 7
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 4A CFRI12221
Signature
Date a4 I Iq
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct -- Central Files is housed in D WR (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: (919)
707-9220

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
CERTIFICATE OF COY
FACILITY NAME:
PERSON COLLECYING
CERTIFIED LABORATC
LIMIT VIOLATIONS? YES ❑ NO
GENERAL PERMIT NO. NCGI40000
N5G14 !7 3 7
Part A: Wastewater Monitoring Requirements
Lab #
Lab #
SAMPLE COLLECTION YEAR:
SAMPLE QU TER: pJul-Sept Oct -Dec []Jan -March []April -June
COUNTY: —
PHONE NO.
ADD TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS:
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE; RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1654A
SGT HEM'
(mg/L)
Discharge
Duration
(minutes)
Total Flow
,
(gallons/day}
6-93,4
303.5
53
H
/
!
c
r
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 (RNi), 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.
4 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/i/2010-06/30/2015
Date of last pH meter calibration:
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_
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 1SA
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHI_N_30 DAYS OF RECEIPT_ OF SAMPLE JOR
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]
YQU MUST SIGN THIS CERTIFICATON FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complet" am,,awarfy t there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
of Permittee)
Permit Date: 7/1/201"6/30/2015
a- (Date)
Last Last Revised 07/13/11
Page 2of2

ti
PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14_L*_ o 3 -7
FACILITY NAME: �.� _ GL 5-
PERSON COLLECTINGSAMPLES:
CERTIFIED LABORATORY: /V/I#f Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: �l l
SAMPLE QWTER: f4Jul-Sept [_]Oct -Dec Dian -march ❑April -June
COUNTY:ryz�
PHONE NO. hJ
ADD TO LISTSERVE? []YES ONO EMAIL:
DISCHARGING TO CLASS: er
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
z
{VE, RM, MD)
pH
(standard{
Total Suspended
Solids
(mg/L)
Settleable
Solids
(m1/L)
TPH using
method 1664A
SGT (mg/L)
Discharge
Duration
(minutes)
Total Flow
7
{gallons/day]
-
-
-
64.,
303,5
53
e
-
WE D
4 ,
CENTRAL
F
SECTION
1r
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 (W), 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 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
Date of last pH meter calibration:
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 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 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE g,QPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE-1 WITHIN 30 DAYS QF RECEIPT OF SAMPLE (OR
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 AOFUSTSIGN THIS ER77F N FOR Y INFORMATION REPORTED:
"l 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 arn�are tajat the re significant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing
violations." / / / � � /
(Date) `
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

a-
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO NCG14?
FACILITY NAME: l�Sd¢
PERSON COLLECTING MPLES:
CERTIFIED LABORATORY: -/Y* Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitorinz Requirements
SAMPLE COLLECTION YEAR: -2D1 %
SAMPLE QUARTER, []Jul -Sept ❑Oct -Dec ❑Jan -March April -June
COUNTY:
PHONE NO. [�
ADD TO LISTSERVE? ❑YES ❑NO EMAIL: '
DISCHARGING TO CLASS: Other
OPTIONAL INFO:
OutfalI No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
[mg/L]
Settleable
Solids
(MLA)
TPH using
method 1664A
S m�L�
Discharge
Duration
[minutes)
Total Flow
,
(gallons/day)
-
-
-
6-93'4
303.5
53
(15),
-
-
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 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
n. 4 _r7,._+..0 +­

•
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 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE COPY -OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
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 CERTIH 77ON FOR ANY INFORMA T1¢N 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 respoiislble for gathering the Information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware Pat there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violation ."
(Sign re of Permittee) (Date)
Permit Date. 7/l/2010-06/30/2015 last Revised 07/13/11
Page 2 of 2

•
_ PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COV RAGE NO NCG14,� 7 SAMPLE COLLECTION YEAR:!
FACILITY NAME: SAMPLE QUART R: ❑Jul- ept []Oct-Decan-March ❑April -June
PERSON COLLECTING SAMPLES: COUNTY:�,v�
CERTIFIED LABORATORY: A)1,4 Lab # 7• (��
_Lab # AD b ISTSERVE? ❑YES ❑N4 EMAIL: i
LIMIT VIOLATIONS? YES ❑ NO ❑ AVK X Ali&URGING TO CLASS:
CENTRALOr FL�!AL INFO:
Pan A. Wastewater Monitoring Requirements n1AIGt ;r:r^Yinr.,
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)x
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(MLA)
TPH using
method 1664A
SGT NFHIs
{mg/L)
Discharge
Duration
{minutes)
Total Flow
�
(gallons/day)
-
-
6-93''
303 s
S3
(15)6
-
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.
a 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 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
Page 1 of 2
Date of last pH meter calibration:

0 0 0
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. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE COPY OF TH15 ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END_OFMONITORING 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 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 r risible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. 1 are ere significant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing
violations%
--31-i7
(Si ure of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14Q17
FACILITY NAME: / 1
PERSON COLLECTING SAMnES: ,Z ie liwr
CERTIFIED LABORATORY: _ %-9G Lab # 37
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: a01 7 i
SAMPLE QUARTER: Jul -Sept ❑Oct -Dec Jan -March ❑Apra! -lone
COUNTY:
PHONE NO. (4p) SLFr-"ll
ADD TO LISTSERVE? DYES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout 30ther LL . ,...
OPTIONAL INFO:
Outfall Na.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingmethod I
664A
SGT HEO
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
6-93''
30"'
53
(15)6
-
v
JV
t
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 (RIN), Mixing Drum
Cleanout (MO). 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 6.8-8.5 S.U. for discharges to saitwaters.
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
Date of last pH meter calibration:

s 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 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS Of -RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FL,QW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU A01USTSIGN THE$ CERTIFIC4110N FORANY INMRMA7701V REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for knowing
violations." `-- % _
of Permiittee)
Permit Date: 7/1/2010-06/30/2015
3 -3/ -1 7
tDate)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
FILE COPY
CERTIFICATE OF CO E N . NC G -Q 3 2 SAMPLE COLLECTION YEAR:
FACILITY NAME: rf SAMPLE 4UAR R: Q)ul-Sept Oct -Dec ❑Jan -March []April -June
PERSON COLLECTING SAWPLES.• t COUNTY: f'
CERTIFIED LABORATORY: of Lab # PHONE NO. �]
Lab # ADD TO LISTSERVE? ❑YES [—]NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NOO DISCHARGING TO CLASS: Trout Other
OPTIONAL INFO:
),art A: Wastewater Monitoring Requirements
- It wastewater systems have not discharged in this quarter — report "No Flow" or -No Discharge- here. Please make sure to mark the sample q uarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: VeNcie 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 saitwaters.
s T55 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 ciassifications.
Permit Date: 7/1/2010-06/30/2015 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,
w but instead is subject to benchmarks and provisions of part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to"of the Summer 7Q10 Flow as per 15A
NCAC 026 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAI! ORIIGINAL AND ONE COPY OF THIS ANNUAL SU WARYONEWDING ALL "NO FLOW-, "NO DISCHARGIM_WiTMN. 30 DAYS OF RECEIPT OF SAMPLE IOR
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 TFAS CER77EIG4170N FOR ANY INFORMATION REPORTED:
"t 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
compl. 1 am awake that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
of Permittee)
Permit Date,7/1/2010-06/30/2015
l a 31/-
JDate)
last Revised 07/13/11
Page 2 of 2

•
PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
CERTIFICATE OF C
FACILITY NAME:PERSON COLLECTIN;RA
SA
CERTIFIED LABORATORY:
LIMIT VIOLATIONS? YES
. NCG
LES:
NO
Part A: Wastewater Monitoring Requirements
GENERAL PERMIT NO. NCG140000
7 SAMPLE COLLECTION YEAR: ��201 1
SAMPLE QUAR ER: Jul -Sept ❑Oct -Dec Dian -March ❑April -June
COUNTY:
Lab # PHONE NO. (_ 1
Lab # ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS:
OPTIONAL INFO:
I
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
5GT-HENI'
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day}
-
-
-
6-93.4
303.s
53
4
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.
: 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 saitwaters.
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
eOMM
W6.

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 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 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE1 WITHIN 30 DAYS OF RECEIPT OF SAMPLE JOR
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 SJ N THIS CER77ELCATION FORANYI&WRMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
comple,W.)l an) awayghat there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
(SigAture of Permittee)
Permit Date: 7/1/2010-06/30/2015
4 ?,?
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF C2YERA No. NCC3A4 U 3 �_
FACILITY NAME:,'Y//.��7�1�
PERSON COLLECTING SAMPLES:Jf91l�Gy►' _
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: c�247/S_
SAMPLE QUXA410,&E
ER: Jul- ept ❑Oct -Dec ❑Jan -March �pril-June
COUNTY: _c„_
PHONE NO (_ _ __1
ADD TO LISTSERVE? DYES []NO EMAIL: _
DISCHARGING TO CLASS: A Trout ❑Other
OPTIONAL lNFO:
Outfall Na.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method
method 1664A
SGT HEA4'
{mg/LI
Discharge
(minutes)
Total Flow
>
(gallons/day)
-
-
6-93,4
303,5
53
(15
CENTRAL
FILSE
r
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 (R[ A), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f an effluent limit is exceeded twice in a raw, 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.
5 T55 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

•
c "s 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 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE-) WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
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&GN THIS CERTIFICATION FORANY INFORMATION REPORTED:
"l 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. IAm aware t" there are significant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing
of
f
JDate)
Permit Date: 7/1/201"6/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
dr GENERAL PERMIT No. NCGI40000 RECEIVED
APR" 1 3 2015
CERTIFICATE OF COVERAGE NO. NCG14 D 1)3 7
FACILITY NAME: r;
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:— A(/egLab #
L _ _Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: ��1� CEI�t`T'RAL Fi
SAMPLE QUARTER: ❑Jul Sept ❑Oct -Dec '7yf F 1-J priIAune
COUNTY:
PHONE NO.1__j
ADD TO LISTSERVE? ❑YES ONO EMAIL:
i
��r+
f
DISCHARGING TO CLASS.
N
Trout
OPTIONAL INFO:
�r,
Total Suspended
Settleable
TPH usurp
method IS64A
Discharge
Total Flow
� 0
Solids
Solids
Duration
,
=114
Outfall No.
Date Sample
i
Collected
(mrn/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
(mg/Lj
(MLA)
5GT HEM"
(mg/L}
(minutes)
jgallons/day}
-
-
5-93 `
303,5
53
(15)5
-
-
AIN
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.
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.
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
Page 1 of 2

0 0 0
6 Process wastewater discharges shall only be monitored for TPH when commingled with starmwater 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 continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
IICAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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 nutify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL 5UMMARY ONCLUDING ALL "NO FLOW" "NO DISCHARGE1 WITHIN 30 DAYS OF RE EIPT OF SAMPLE OR
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 gRTIRCATION FORANY INFORMATION REPORTED:
"I certify, under penafty 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. 1 am aware that th a are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." n 1 � r
(Signature of P ittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE r$p. NCG14_a O Y _�7 J
FACILITY NAME: ode S .gyp T
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
�/ r¢ Lab #
uMTT VIOLATIONS? YES ❑ NO ❑
,arc w: wascevvacer nnonnornng
SAMPLE COLLECTION YEAR: v2Dl44�
SAMPLE QUARTER: QJul-Sept [goct-Dec Dan -March ❑April -June
COUNTY: -
PHONE NO. i ?
ADD TO LISTSERVE? [YES ❑NO EMAIL:
DISCHARGING TO CLASS:
OPTIONAL INFO:
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). Re0ort 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 SM. for wastewater discharges to freshwaters, and 6.".5 S.U. for discharges to saltwaters.
S T5S 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: 7/1/2010-06/3012015 Last Revised 07/11/11
Page 1 of 2

f 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.
3 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 025.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW,-NO_DISCHARGE71 WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
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 CER77RC47701V FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under tray 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 response 1e for gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. artyS�rare thatare significant penalties for submitting false information, including the possibility of lines and imprisonment for knowing
violations." ��// l
Permittee)
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
CERTIFICATE OF CO RAI
FACILITY NAME:
PERSON COLLECTING SAP
CERTIFIED LABORATORY:
LIMIT VIOLATIONS? YES
GENERAL PERMIT NO. NCGI40000
NO. NCG14_0 (' 3 -7 SAMPLE COLLECTION YEAR:
ld SAMPLE QUA ER: Jul -Sept ❑Ott -Dec ❑Jan -March ❑April -June
LES: COUNTY:
Lab # PHONE NO. (____J -
Lab # ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
j NO ❑ DISCHARGING TO CLASS: NA Trout Ot er
OPTIONAL INFO: _
Part A: Wastewater Monitorine Reauirements
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)
PH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method Ififi4A
SGT NE)
(mg/L)
Discharge
Duration
(minutes)
Total Flow 7
(gallons/day)
-
-
-
6-93,4
303.5
53
F
�F
0t'CTjCFW
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.
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.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 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

e Process wastewater discharges shall only be monitored for TPH when commingled with starmwater 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 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONIT2RING 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 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 are that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." 117 1 i) i
(Date(
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
CERTIFICATE OF C�
FACILITY NAME:
PERSON COLLECTING
CERTIFIED IABORATC
LIMIT VIOLATIONS? YES i I NO
GENERAL PERMIT NO. NCG140000
NCG14 D Q T I SAMPLE COLLECTION YEAR: c22 l
-xc— SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March XAprll-June
COUNTY:
Lab # PHONE NO
Lab # ADD TO LISTSERVE? ❑YES QNC1 EMAIL:
DISCHARGING TO CLASS: i
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall Na.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD) :
pH
(standard)
Total Suspended
5alids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT-NEW
(mg/L)
olscharge
Duration
(minutes)
Total Flow
,
(gallons/day)
-
-
6-91,4
W,"
53
(15)6
-
-
fV
V
Jul 18 Nib
1fU
'«
' 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 RD 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 saitwaters.
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

0-Iiiii 0 9
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 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE COPY OF THIS ANNIJAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE-) WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
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 INFORM 77ON REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and
camplety-, I am awar�that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
(Sign4iore of Permittee)
Permit Date: 7/l/2010-06/30/2015
6 --?dr//0
jDatej
Last Revised 07/13/11
Page 2 of 2

i
PROCESS WASTEWATER — Quarterly Discharge MonitoviD9 Report
GENERAL PERMIT NO. NCG140000 t*keco
CERTIFICATE OF CO RA NO. NCG. 4 540—:3— SAMPLE COLLECTION YEAR:
O/
FACILITY NAME: ,�, SAMPLE QUARTER* ❑Jul -Sept ❑Ott -Dec Jan -March April -June
PERSON COLLECTING SA PLES: r`4 COUNTY:
CERTIFIED LABORATORY: Lab # PRONE NO. (_,__-_]
Lab # ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ❑ DISCHARGING TO CLASS• rau ter
OPTIONAL INFO:
Part A. Wastewater Monitoring Requirements '
Outfall No.
Date Sample
Collected'
[mm/dd/yr)
Type of Wastewater
(VE, RM, MD)z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(MLA)
TPH using
i
method 1664A
(mg/L)
(mg/L)
Discharge
Duration
{minutes)
Total Flow
(gallons/day)
•
-
-
6-9 3,4
303,5
53
i'
Q
DWR
mrWIAIATION
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.
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.
4 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 rng/L for all other water classifications.
Permit Date: 7/l/2010-06/30/2015 Last Revised 07/13/11
Page 1of2

•
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 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY JINCLUDING ALL "NO FLOW" "NO DISCHARGE" Wi-THIN 311 DAYSF RECEIPT gF SAMPLE MIR
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 THU CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I arryQwar A
that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." //fj -
( ig lak�t'u'reOf Permittee) jDate)
Permit Date. 7/1/2010-06/30/2015 Last Revised 07/23/11
Page 2of2

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COIgRAG"o. NCG14,fl,�21 2
FAClUTY NAME: . �s
PERSON COLLECTING SA LES:
CERTIFIED LABORATORY: Lab #
Lab #
umrr vmmiolsls? YES [:]NO
'ar[ A: wastewater montoring
SAMPLE COLLECTION YEAR:�f _
SAMPLE QUA R: ❑Jul -Sept g0ct-Dec []Jan -March ❑April -June
COUNTY:
PHONE NO. L�
ADD TO USTSERVE? ❑YES ❑NO EMAIL•
DISCHARGING TO CLASS: er
OPTIONAL INFO:
1 if wastewater systems have not discharged in this quarter— report "No Flow' or "No Discharge" here. Please make sure to markthe sample quarter above.
Reportthe 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.
° 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/i/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Prctess 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 020.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW- "NO DISCHARGER? WITHIN 3Q DAYS OF RECEIPT OF SAMPLE [OR
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 CERTIFIC,4 TTON 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 property 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
comple". rn aware that ftre are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
(Signature qT Permittee)
Permit Date: 7/1/2010-06/30/2015
/"� - 7/ -� �/
(Date)
East Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF C E No. NCG14_a U _L7
FACILITY NAME:
PERSON COLLECTING PLES: e +!
CERTIFIED LABORATORY: Lab #
/✓ os. Lab #
LIMfT VIOLATIONS? YES ❑ NO
'art A: Wastewater
SAMPLE COLLECTION YEAR: _ 2y 1 T
SAMPLE QU ER: VJUI-Sept F]Oct-Dec Dan --March QApril-June
PHONE NO.
ADD TO USTSERVE? AYES []NO EMAIL:
DISCHARGING TO CLASS SA Other
OPTIONAL INFO:
' If wastewater systems have not discharged in this quarter — report "No Floyd 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
Ueanout (MD). Report more than one type if the waste -stream is commingled -
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-
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L far all other water classifications.
Permit Date: 7/1/2010-06/30/2015
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 continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 1SA
NCAC 026.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". NO DISCHARGE"] WI1HIN_30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITOiUN>u_PERIOD IN CASE OF "NO FLOW-1 TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIRC4TION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I amay
e that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations. " / A7 /
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 2 of 2

-
PROCESS WASTEWATER — Quarterly Discharge Monitoring RRECEIVED
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF CO ERAGE NO. NC614-2D
FACILITY NAME: ./ �4/' C�
PERSON COLLECTING SAMPLES: 1d
CERTIFIED LABORATORY: &f d Lab #
/1Jli� Lab #
LIMIT VIOLATIONS? YES ❑ NO
rarz A: wastewater nnonnortng
JUL 14 O'd
CENTRAL FILE -
SAMPLE COLLECTION YEAR: ate/ DWQIBOG
SAMPLE QUARTER- Jul -Sept ❑Oct -Dec []Jan -March April -June
COUNTY: ly6cw le 11-4-- —
PHONE NO. (21 )y ZI.-2 -�j / Y
ADD TO LISTSERVE? []YES ONO EMAIL:
DISCHARGING TO C
OPTIONAL INFO:
If wastewater systems have not dischareed in this auarter— report "No Flow" or "No Discharee" here- Please make'sufe to mark the samnlr nuartPr ahnvP
a 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 to freshwaters, and 6.8-85 S.U. for discharges to saltwaters.
5 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/i/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH wheri commingled with stormwater discharges from VNIA 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 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. Permittees who discharge wastewater to HQW waters shall obtain a Summer 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.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL ONO FLO1N" "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
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 UST SIGN THIS CER7IFlCA77ON FOR ANY INFOR AT7ON 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 property 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. Yqawye thAthere are significant penatties for submitting false information, including the possibility of fines and imprisonment for knowing
Of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF CO ERA ENO. NCG14Q D 7 % SAMPLE COLLECTION YEAR: O`
FACILITY NAME: .)r > l' ,� „(- �a SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec Jan -March ❑April -June
PERSON COLLECTING SAMPLES: ;, COUNTY:.,..., ---
CERTIFIED LABORATORY: Lap;# PHONE NO. L�
A11111-1 Lab # ADD TO LISTSERVE? ❑YES []NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ❑ DISCHARGING TO CLASS: PN ro
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
ONES=
n waaLCW;L=I nYxcula I10vc OWL uuumi6ev nl calla c{aal j.rl — tCIJUI L cvc� rlvw ale jvu uuu ION gC jjCIC. IFMOaC nronc awc w IIIGIIA UM aaj n}nc lival Lr4 auuvc.
Reportthabbreviation 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 TS5 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

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 continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NC4C 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 71110 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.
MAIL O8IG18 tT AND, ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE-) WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW"1 TO:
Division of Water Quality
Attn: DWQ Central Fles
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN TW1 CFJt FlC4170N FOR NfORMA ON REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted.. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowiedge and belief, true, accurate, and
complete. I am aware that tlile are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations_" � � J ,
)Date)
Permit Date:7/1/2030-06/30/2015
Last Revised 07/13/11
Page 2 of 2

STORMWATER tdSCHARGE OUMALL (SDO)
MbNrrOKc4G R§705rr
GENERAL PERMIT NICL NCG14sm SAMPLES COUZACM DURW, CALENDAR YEAR: 19q
CKICI IF CATE OF COVERAGE NO. NCGm� 00 57 (A samples edbefed d ming a cakudw year sbA be reported no bder dum
Junuf=7 31 ordw Wknwirg Yaw)
FACTUTY NANW. ee (&4torl) cotww-.
PERSON COIAX.CMG S&H-LE'4s) PBQWNO.(41/D) 89.Z-S//&
W.4;m
CEWfMED LAROKATO]tym. ae" i& --1-Rb 2-
Lab
I Vp -Do/ (SIGNATURE OF P9XMrffEK 02 DEMGNM
By this skmduv, I cerdry that this report is occur ate
conq*ft to the beA of uty kmowledg*
Part A: Sp wffk Manituring Requhmnegib
oath � �. � � s
���: �:-.
PH,4
r7 7
ign,
MC
? 92
eg go "LL
iwre diw'35 ganchs of new numor on Per m0wh? — yes --po.,
(if ym emplew Pan 19)
Fart B.- Veldde lWaluteumm Acdvft Momborhm Kew* 1 -
RECEIVED
JUL 0 9 1991,
FAYETTEVILLE
REG. OFFICE
As
'Wobibeii On
STORM EVENT' CHAIUCTERISrW&
Date RUH Ov*bW and one copy to:
Attn: CccW Files
Ev,mt Duradw (hows): 3.75 DERM
Division of EwhumnenW Mgt.
(4 nwm Wan one amour cvcm was goo** P.O. Box 29533
Date Raleigh, NC 77626-M35
Total Event Pru#ftodom (Infebes):
Event Duration (borers):
Page I of 2
Form MR'.

FaKi XMM:
I }lplira only for facilitics at which fueliRg oocOrty
i Dcwrgm monikwing is roWinA only at facilitics which condmi vchiciccicaning op=lios.
m "I certify, under pceafty of law, thM this-dortiirw6f aiid prepared curler my direction ar saper.i4m in accordmwe-wfth a.
synsew designed to awmre That qualified permmnel properly gather and evaluate the Wormmation submitted. Based cm my inquiry of the perm
or pw"ns who nwmage the systern, or those permns directly respom l& for gathering the infarsmtkx% the inrarmation subndtted is, to the hest
of rnr knowledge and belief, it e; accurate, and coeeeplete. I am aware that there are signitrkant psnatties for submitting false information,
including the Vemilility of fines and imprisommeut for knowing viiola ' »
(Signature of Permittee) {Date)
Pagr..2 of 2
Form MR 14

JP\1N1 Y S E q`�
0 fi
a� v
4 PA I A 9P`
R E P 0 R T
Southern Testing& Research Laboratories, Int.
3809 Airport Drive
of A N A L Y S I S
[phone] • Fax: [phone] '
' F
I�
SAMPLE No.:
# Date Reported:
.a
Wilson, NC 2789b
r
F8409-001
05/15/97
Preston Satterfield 4 a
Ready Mixed Concrete Company
P.O. Sox 1067 Phone:[phone]X
Dunn NC 283341;, Fax: [phone]
4.
I;
P. 0.. #22
Client Sample ID: DUNN PLANT #22
Marks: Outfall #001 Grab
Collected: 04/27/97 17:40 Mae'rix: STORMWATiR
Received: 05/01/97 14:40 Classification: ENV
CAT No. ANALYSES
EW-034 pH (Laboratory)
EW-040.1 Solids: Total Suspended
n,
t. .
j�
�i
II
r
�i
I�
q:
3!
�r
COMMENTS:
MDL
4
RESULT ". UNITS
9.06 SU
644 mg/L
Laboratory Contact(s): Reviewed and ppr ved b :
Debbie Collins J s S. Co I
Marketing Specialist age,, Environmental Dept.
Page 1 of 1 F8409R.856 /`l (MR1:V2R07.2) d5/15/97 14:09
Chemical and Microbiological Analyses: Environmenial Industrial Hygiene • Agrochemical • Foods • Pharmaceuticals

wM-
Jt SOUTHERN TESTING
& RESEARCH LABORATORIES, INC.
3809 Airport Drive • Wilson, NC 27896
• �.�' 919-237-4175 • Fax: [phone]
CHAIN OF CUSTODY -
& ANALYSIS REQUEST PAGE Of t
SEE REVERSE FOR INSTRt,)CTIONS
l DQOED IN By
_=.r.:',
Q ORIGINAL REPORT TO: (Company and adivKkA
�En�1 Mlx-i� (�►.-_ � Co-•--------------------- ----------------
-i~nY�Tf` i �� �vt<•
11J I.l. •.C. . _ 2 -.')`� -
= CONTACT PERSON (Report)
1;�-•i�,�_y n�.���=;f tom:
aP+ IoNE a (Reuel%3Ki) 2 -5f SCE
1
FAX o (9fo) QQ ry ; 4??rig
..,: � . ;
12-Mm"40l
*l
R_ EG Qtti ICES
iN� i r
(D ADDITIONAL ADDRESS OnVOCe a Report)
i'. O. }X75� 10(arr
s CONTACT PERSON/PHONE a (Add'n)
L�oF. :nTTr
(')iq
T, s=
Requested Turnaround Time:
Normal (2 weeks)
❑ Rush (1 week};
❑ Emergency Ruslii (ASAP)*
QPROJECT NAME
I)u Al1J D n LI T. t) -
Sample Container Info Analyses Requested (Please use Catalo_ #Is)
r
ti �' off' v! •t.
o� �v
h + a �" <('
(D PRCUECTO / PO +[
iL 2.
Q QUOTE 9
Sample
o Start 0 End Comp Crab TypeDescription
iietll�
f
�rF;X.�
t ^Y•
-. �. �_��
,�.'.Y�F'
� '-Yfi"S.,r
xa
.•...�'._
E�+��
�...ayf'a�,_ �j{,•°y-.
> i2 '.
S�
T - 6--5`•
3 -
,rim
� • £�-.`il�.i,'m..
- t
4,11
.2•:Sa'.. .A �:+k. `,�y��
µ .. b
5 .
.a
�-��
!?' 6
�.ii
f
X�MNG
.. 1Y:•
�'°+�
� . _ ��
�` /
�'
�£.
3, Y �.:tc3.�,"r
.�
-
t11+[ !�
� ;
ws��^�
�
-"'.'ro'J'°rfpaYv
�:...
�
'� -�
-•p.�
�"
,..F j� -r".
-�biTl(l1dtlt6"Tw-fi.--•
�.�-�'Y,1��:
- -- 9'f
{ : 55 j m
7�97
r: �, r : R
C(trt f)s-L 11 �1C'1 i
�'
�
I,--.
TES
----------
- ----
-
---- ---
------
-----------------------
-----------------------
TRANSFER 4 .
_+ BY
DATE r TIME
MCErVED 13Y
DATE / TIME
Q PLER SIGNATURE-
c�, y'
�` t l
r I ` ?
. �MEJ�TS: r
3
SAM • F001'(t/97) *ADDITIONAL CWMGES WILL APPLY. r n pv

STORMWATER DISCHARGE OUrFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14 dd 3?
FACILITY NAME / g,D$Z /%7/,rEb �pU�CI�ET� C'o. f �i_9 c 0
PERSON COLLECTING SA PLE(S) &_ C;q. S 5p6.� _
CERTIFIED LABORATORY(S) Lab 0Aw ao
rEi¢ Lab d lvc 8�
Part A: Specific Monitoring Requirements
Ootfail •`> �
Ihiie � � ��� -��
:50050 �_�-.� ""�
00400 : �
00545. � p
Saerri:le
Total
pH
Total-
.Collected.
Flow
s ,
SasPeidedz:
•,
, m - �F
Solids
:
mn/dd/ r
MG
unit
tne
a
a-/SL -
, a
-T.
as
SAMPLES COLLECTED DURING CALENDAR YEAR: /99,5—
(all samples collected daring a calendar year shall be reported no later than
January 31 of the following year)
COUNTY
PRO NO. e49
r
(SIGNATURE OF PERMITI EE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge .
/o- /b -Qs 'V/*- 1190 ��' /YoT�. • T c /2is,�sE ,�A i_,P Ic`; n(oTduR/N:_ .:fX4A h 6`✓67t17,
Does this facility perform Vehicle Maintenance Activities usmg mom dm 55 galleons of new motor oil per month? —yes
(if ycs, complete Part B)
Part B: Vehicle Maintenance Activity Manitorhm Requirements
Outfaila �}
N6 MI
;Date;'
,
`Sa le
=50050E
00556
01=
3i32d0rs`-
Bi1+100K
To1ad l�Yotir x
Oil aid Grease
i.ead, Told
Detet t�
pH � � � -
Nsv► Mobae Oil
'«,:.y _, ✓- :.
ma "`-yC. +.?`v;
M\T' i„# '>,
N'�.rt �✓''�. x
:. S rY 4 .,M,:
- :.F, -
�r
STORM EVENT CHARAGTEREMCS:
Date /O
Total Event Precipltatlon (inches)-i�/O
Event Duration (hours): _IL&jes /SitiiNVT6S
(if more than one storm event was Sampled)
Date
Total Event Preelp'l H n n (bwhes)-.
Event Duration (hours):
Mail Original and one copy to:
Attn: Central Mics
DEHNR
Division of Environmental Mgt.
P.O. Boa 29535
Raleigh, NC 27626-0535
Foray MR 14

: Footnotes:
I Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certiry, under penalty of law, that this document and all attachments were prepared under my direction or supervEdon in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry or the person
or persons who manage the system, or those persons directly responsible for gathering the information, the Information submitted is, to the hest
—A hrHef, true, �w-2te, and cr:n lete. 1 am awHre th--t there are significant 1tiK fnr suhmitting false inronr+atin o..:.y ..now � a.... p P� *+�
including the possibility of tines and imprisonment for knowing violations."
ignature of Perrni ) (Date)
Page 2 of 2
Form MR14

M
Figure 2
Slormwater Sampling Record N C q /44DDx;,
Smnpler's Name: 2��AY9� - OAX'7A�;-„ �' , .. ?21&Q7' cO
Date: io-IV- 9s Outfall Number: / Storm Begin Time: y33' arr>O)
I have verified that no storm event measuring greater than 0.1 Inches has occurred
In the 72 hours prior to this storm event acid that all information recorded herein
Is accurate and true to the best of my knowledge.
Signature: --�
Clow Begin Time: `1'J-b amED Grab Sample Time., S' is anio
pH Test Method: paper 1 meter p1j: To SE.W 1-14A13 F4-P— �s7
Storm End Time-, s` "" Storm Duration,• max- hours
Total Precipitation, inches

I
Figure 2
Stormwater Sampling Record
IUcg 1�c 37
Sampler's Name: aAx 7- C'0, 1014 ti °� a -
Date: 9 S,Outfall Number: c2 Storm Begin Time;
X have verified that no storm event measuring greater than 0.1 inches has occurred
in the 72 !lours prior to this storm event and that all information recorded herein
is accurate and true to the hest of m knowledge, '
Signature:
Blow Begin Time, am/(5) Grab Sample Time- ,5—. 05— al,�5
pH Test Metlsod: paper / meter pH:�7FS7-
Storm End Time-, 8 aE a*'m Storm Duradon� .� �a .hours
Total Precipitation inches
12

Figulre 2
Slorinwater Sampling Record AUCC5 //' 0, %
Sampler's Name: awVz2/ � �uY'.Px�� CIO
Date: /o; /419S—Outfall Number; I Storm Begin Time jA5- am
I have verified that no storm event measuring greater than 0.1 inches has occurred
in the 72 lkours prior to this storm event acid that all information recorded Herein
is accurate and true to the best of ny owledge. '
Signature:
Flow Begin Grab Sample Time: iL. /,I' aWO-
pH Test Method: paper / meter p1l: -70- IEw1 k4R /I?M,�'- 7�-51-r-
Storm End Time: e.' 04 anVO Storm Duration, !a- hours
Total Precipitation- inches
t r '
wu i is

Figure 2
Storinwater Sampling Record
Sampler's Name: 24=V Z&ZEO
Date: /o ./G- 9�rputfall Number: � -Storm Begin Time: N/4 amlpm
Y have verified that no storm event measuring greater than 0.1 inches has occurred
in the 72 fours prior to this storm event acid that all information recorded herein
is accurate and true to the best of my knowledge. '
Signature:
Clow Begin Time: anUpm Grab Sample 'I'itne:_: 16 . _pm
pH Test Method: paper / meter
Storm End Time: am/pm Storm Duration hours
Total Precipitation; N�i� inches
l�C 7 1-5Signa/0% &,O_5' /bZ 77
77e
13
,' ,

Figure 3
Visual Monitoring Record /VC Q 1,11003 7
� �y C oA
Sampler's Name: 64I)v Al
Date: /a - i - 95' Outfall Number:
Visual Monitoring Results:
Describe the presence of any of the following parameters in the stormwater discharge.
Color: C/�-?,;z
Odor: Al o N
Clarity:
Floating Solids; IVO N 6—
Suspended Solids: /V d /0 6--
FORM: �o AJ G
Oil Sheen:
Other Obvious Indicators of Pollution: o

Figure 3
Visual Monitoring Record Nc,6�r /ado ,37
Sampler's Name: ��5"D.y/�2l_k ��Q )-,5—M: f 1�lUr
Date: /o —1— 9S Outfall Number: s: -._
Visual Monitoring Results:
Describe the presence of any of die following parameters in the stormwater discharge,
Color: G/ew/Z
Odor. NON 4---
Clarity: C �t"79/4
Floating Solids: %,� oA)
Suspended Solids: IVv tiJ G=
Foam: /t/p A
Oil Sheen:
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Other Obvious Indicators of Pollution:

Figure 3
Visual Monitoring Record /)C,($ /-3/a037
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Date: /D_1--7Outfall Number; 1-5 _
Visual Monitoring Results:
Describe the presence of any of the following parameters in the stormwater discharge.
Color: C 145-x4--
Odor; Aj rJ-r.. G
Clarity:
Floating Solids;
Suspended Solids: /10 A) c`
Poam: A-) G
Oil Sheen: k;6 /L) C
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Odner Obvious Indicators of Pollution:
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ARK

Industrial & Environmental Analysts, Inc. (IEA)
IEA Project f: 2169-003
IEA Sample #: 9510420-01 Hatrix: water
Client Names READY -MIXED CONCRETE CO. Date Received:l0/16/95
client Proj. I.D.:22 Date Sampled: 10/14/95
Sample I.D.: 22j1
Quantitation Date Date
Parameter Method Limits Results Prepared Analyzed Analyst
c-aa aaaasaaaaaaaaa aisaaaesaaaaaaexaawas�aaaaawaaaaamaapaaaaaaaeaawa axswaaaaxawaaaaaaaaaaaaacacvaaaa aaa
pH EPA 150.1 0.1 12.1 N/A 10/24/95* NB
TS EPA 160.3' 10 mg/L 1000 mg/L N/A 10/19/95 AM
Comments:
*Analysis date exceeded the protocol holding time specified by the method.
Sample was received out of protocol.
FORM RESP3 Rev. 030994

Industrial & Environmental Analysts, Inc. (IEA)
IEA Project #: 2169-003
IEA Sample #: 9510420-02 Matrix: Water
client Name: READY -MIXED CONCRETE CO. Date Received:10/16/95
Client Proj. I.D.:22 Date Sampled: 10/14/95
Sample I.D.: 22-2
Quantitation Date Date
Parameter Method Limits Results Prepared Analyzed Analyst
s�aacvasaaaaaaaaaaaeassmsaaamaesssassmaasamemaaemmmaevmsemasmmmmeaossssmoamsaaranaetnaaaxaaaaavaa
pH EPA 150.1 0.1 7.9 N/A 10/24/95* NB
TS EPA 160.3 10 mg/L 220 mg/L N/A 10/19/95 AM
Comments -
*Analysis date exceeded the protocol holding time specified by the method.
Sample was received out of protocol.
LF_P i "J, t"
FORM RESP3 Rev. 030994

Industrial & Environmental Analysts, Inc. (IEA)
TEA Project #: 2169-003
IEA Sample #: 9510420-03 Matrixt Water
Client Name: READY -MIXED CONCRETE CO. Date Received:10/16/95
Client Proj. I.D.:22 Date Sampled: 10/14/95
Sample I.D.: 22-3
Quantitation Data Data
Parameter Method Limits Raeults Prepared Analyzed Analyst
vanaanrs�zaaaaavvmmammamaeyammvvvvmammmmmmmavaavvavmmvavmmavmmrttmvvmvvavmrmvvvnnavvvvvnvvcdsaaaaaars
pH EPA 150.1 0.1 9.5 N/A 10/24/95* ND
TS EPA 160.3 10 mg/L 470 mg/L N/A 10/19/95 AM
comments:
*Analysis date exceeded the protocol holding time specified by the method.
Sample was received out of protocol.
FORM RESP3 Rev. 030994

Industrial & Environmental Analysts, Inc. {IEA)
IEA Project A: 2169-003
IEA Sample $: 9510420-04 Matrix: Water
Client Name: READY -MIXED CONCRETE CO. Date Received:le/16/95
client Proj. I.D.:22 Date Sampled: 10/14/95.
Sample I.D.i 22-R
Quantitation Date Date
Parameter Method Limits Results Prepared Analyzed Analyst
���=��oav=���naaaaaatzaaneaaaaeapmanaaapmaaamaaammmmpaaasapmmamamaapaaaamapapaamaaaaaeaaaaaaaama
PH EPA 150.1 9.1 9.0 N/A 10/24/95* Na
TS EPA 160.3 10 mg/L 120 mg/L N/A 10/20/95 AM
comments:
*Analysis date exceeded the protocol holding time specified by the method.
Sample was received out of protocol.
FORM RESP3 Rev. 030994