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HomeMy WebLinkAboutNCG140386_MONITORING INFO_20190130STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v 1 DOC TYPE ❑HISTORICAL FILE f9 MONITORING REPORTS DOC DATE ❑ �Dl � o 13� YYYYMMDD 409 Rogers View Court Mid Atlantic Raleigh, NC 21 office 919.2.250.999918 Engineering & Environmental Solutions facsimile 919.250.9950 MAAONLINE.COM January 22, 2019 - NC Department of Environmental Quality GG`� Division of Water Resources Attn: DWR Central Files LPN 1617 Mail Service Center Raleigh, North Carolina 27699-1617 DWIRS�C Subject: ANNUAL SUMMARY DISCHARGE MONITORING REPORT NOTIFICATION OF NON -SAMPLING CONCRETE SERVICE COMPANY PLANT NO. 2 1081 REILLY ROAD FAYETTEVILLE, CUMBERLAND COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG140386 MID -ATLANTIC JOB NO. 00OR1944.10 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 period (January -June 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. -�t Charles B. Hoffman, P.G. Principal Geologist Attachment: Annual Summary Discharge Monitoring Report EXPERIENCED CUSTOMER FOCUSED INNOVATIVE ANNUAL SUMMARY DISCHARGE MONITORING REPORT r (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG140000 Calendar Year 2018 'Report ALL STORMWATER monitoring data on this form (include "No Flow"I"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 #2 Concrete County: Cumberland 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 Outfall? Yes 1 No Q Is this outfall currently in Tier 2 for any parameter? Yes ❑ No Was this outfall ever in Tier 2 during the past year? Yes Cl No If this outfall was in Tier 2 last year, was monthly monitoring discontiffed? Yes, enough consecutive samples below benchmarks to decrease frequency 13 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, Suspended SU 1664 (SGT-HEM)), Usage (gallmo.) inches Solids (TSS), mgll (VMA) ----- Mg/1 N applicable Nappllcable Stormwater Clrcle Benchmark Benchmarks indicate NO FLOW It 100150 6.0-9.0 >65 gallmo. average requires TS8 and applicable 16 Non -polar Oa<O monitoring Date Sample Collected, molddlyr 08/30/2018 No Discharge No Discharge No Discharge No Discharge NIA (<55 gallmo average) 12/31/2018 No Discharge No Discharge No Discharge No Discharge NIA (<55 gallmo average) Permit Date 8/1/2017 — 6/3012022 Last Revised 8-22-2015 Certificate of Coverage No. NCG14 0 3 8 fi 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 fal§q information, including the possibility of fines and imprisonment for knowing violations." [Required by Q FR §122.221 Signature Date Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DWR (riot 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 409 RogersVtuw Court Mid Atlantic office all3ce 919.Z30.R9lA Engineering & Environmental Solutions lacslmh 9191%9950 MAA ONLINE.COM January 4, 2018 RECEIVED NCDEQIDWR JAN 2 5 2018 Attention: Central Files OENTRAL TES 1617 Mail Service Center DWR SECTICA! Raleigh, North Carolina 27699-1617 Subject: NOTIFICATION OF NON -SAMPLING CONCRETE SERVICE COMPANY PLANT NO.2 1081 REILLY ROAD FAYETTEVILLE, CUMBERLAND COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG140386 MID -ATLANTIC JOB NO. 00OR1944.04 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 final monitoring period (July -December) of 2017. During this timeframe, a measurable storm event did not occur 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). Concrete Service Company, Inc. personnel will endeavor to collect representative stormwater samples during the current monitoring period (January -June 2018). 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 Attachments: Discharge Outfall Monitoring Report EXPERIENCED CUSTOMER POCU5ED INNOVATIVE STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 0 3 8 6 FACILITY NAME: Concrete Service Co. Plant No. 2 PERSON COLLECTING SAMPLES Winnie Jenkins CERTIFIED LABORATORY Pace Analytical Lab# 12 Lab # OPTIONAL INFO: Part A: Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR: 2017 SAMPLING PERIOD: X❑ July -December © January -June COUNTY Cumberland PHONENO. 910 323-9198 ADD TO LISTSERVE? ❑YES X❑NO EMAIL: DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ®Other C; NSW Outfall No. Date Sample Collected (mo/dd/yr OR t NO FLOW] pH (Standard Units} TSS (mg/L] Duration urati (minutes) Total a Rainfall (in) in Ter 2 Monthly Monitoring? (y/n) # of Months in Tier Z 2 Sampling - - & 100 2.3- - - - 001 No Sample No Sample No Sam le No Sample No Sample No Sam le No Sample 1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. P If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I. ° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year. • > Outfall Sample `�� pH ;;. TPH usrsg`method �.: Total Suspended Event , ..: Total .. ;. New Motor Oil '1n Ter 2 # of Months No: Date Collected __ (Standard = - 1664A SGT HEM :- Solids Duration.::; Rainfair usage Monthly Monito�irig? inTier 2+. (moJdd/yr)1 .- U,mts} (mg/L) (mglLl (minutes) (in} _. (gal/month)":` . {Y/n} I: Sampling 6-9 is 1W,, HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑X HAVE YOU CONTACTED THE REGION? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Paul E . Rawls, Fayetteville Regional office Mail Original and one copy of this DMR(including all "No Flow" & "No Discharge" reports) 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 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 roperly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons dire re s n le for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware tha t are g icant penalties for submitting false information, including the possibility of fi94s an imprisonment for knowing violations." (Signature o Renni ) (Date) Q 4 Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 0 3 8 6 SAMPLE COLLECTION YEAR: 2017 FACILITY NAME: Concrete Service Co. Plant No. 2 SAMPLING PERIOD: ❑ July -December © January -June PERSON COLLECTING SAMPLES Winnie Jenkins COUNTY Cumberland CERTIFIED LABORATORY Pace Analytical Lab# 12 PHONENO. 910 323-9198 Lab # ADD TO LISTSERVE? ❑YES X❑NO EMAIL: OPTIONAL INFO: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [—]Trout ®Other C; NSW Part A: Stormwater Monitoring Requirements Outfall No. Date Sample Collected - ( mo/dd/yr OR NO FLOW)1 pH (Standard Units) TSS (mg/L} Event Duration (minutes) Total 4 Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 2 Sampling - - 6-9 1002.3 - - - - 001 2 15 17 6.9 53.4 240 0.64 N NA s� y ® - r LIAR n '�_4s! MAR 02 2011 DWR SECTION 1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. 2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TS5 benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I. 4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year. Outfall No. Date Sample Collected i (mo/dd/yr) PH (Standard units) TPH using method 1664ASGT--HEM (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total a Rainfall (in) New Motor oil Usage (gal/month) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Sampling= 6-92 is 100 2.3- - - - - HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO 0 HAVE YOU CONTACTED THE REGION? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Paul E. Rawls, Fayetteville Regional Office Mail Original and one copV of this DMR(including all "No Flow" & "No Discharge" reports) within 34 days of receipt of sample or at end of monitoring eriod in case of "No Flow") to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, u r penal law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure th q li#ied er onnel prop y gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those a on dire y sponsible or gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am wa th t ther significa enalties for submitting false information, including the possibility off es andimprisonment for knowing violations." P-3 (5 at of Pe ttee) (Date) Permit Date: 7/1W2 11-60/30/2015 Last Revised 7/13/11 Page 2 of 2 aceAnalytical www.pa&sb&= Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 February 21, 2017 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: CSC Plant #2 Pace Project No.: 92330217 Dear Chuck Hoffman: Enclosed are the analytical results for sample(s) received by the laboratory on February 16, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, 9g � without the written consent of Pace Analytical Services, LLC. Page 1 of 10 acmnalytical o www.pamiabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 CERTIFICATIONS Project: CSC Plant #2 Pace Project No.: 92330217 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification M 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 VirginiaNELAP.Certification #: 460222 North Carolina Drinking Water Certification #: 37712 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, LLC. Page 2 of 10 a ce Analj4ical xavw.pacelaha.co" SAMPLE ANALYTE COUNT Project: CSC Plant #2 Pace Project No.: 92330217 Pace Analytical Services, LLC 9000 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92330217001 Outfall #1 SM 2540D CJH1 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 10 aceAnalytical www.pamlaftcom Pace Analytical Services, LLC 9800 Kinney Ave. Suite 100 Hunteraville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: CSC Plant #2 Pace Project No.: 92330217 Sample: Outfall #1 Lab ID: 92330217001 Collected: 02/15/17 10:05 Received: 02/16/17 09:43 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 25400 Total Suspended Solids 53.4 mg1L 7A 1 02/21/17 04:08 Date: 02/21/2017 05:36 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Ll-C. Page 4 of 10 ace Analytical www.p"Iabs.com Pace Analytical Services, LLC 9800 Kincey Ave. Suits 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: CSC Plant #2 Pace Project No.: 92330217 QC Batch: 349077 Analysis Method: SM 2540D QC Batch Method: SM 25400 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92330217001 METHOD BLANK: 1936583 Matrix: Water Associated Lab Samples: 92330217001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 02/21/17 04:02 LABORATORY CONTROL SAMPLE: 1936684 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 260 104 90-110 SAMPLE DUPLICATE: 1936585 92330213010 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L ND ND SAMPLE DUPLICATE: 1936586 92330217001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 53.4 54.3 2 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 02/21 /2017 05:36 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 10 a c8 Analytical" ~.pangiba.c" Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huniefsville, NC 28078 (704)875-8092 QUALIFIERS Project: CSC Plant #2 Pace Project No.: 92330217 DEFINITIONS OF - Dilution Factor, If reported, represents the factor applied to the reported data due to dilution of the sample aliquot. NO - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit, PQL - Practical Quantilation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration, Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/21/2017 05:36 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 10 Pace Analytical Services, LLC ® 9800 Kincey Ave. Suite 100 acmnalytical Huntersville, NC 28078 wwwpacelabs.com (704)875-9092 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: CSC Plant #2 Pace Project No.: 92330217 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92330217001 Outfall #1 SM 2540D 349077 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/21/2017 05:36 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 10 Document Name: Document Revised: Sept. 21, 2016 4 Sample Condition Upon Recei t SCUR Page 1 of 2 aceAnalytica! Document No.: Issuing Authority: F-CAR-CS-033-Rev.01 Pace Quality Office Laboratory receiving samples: Asheville ❑ Eden❑ Greenwood ❑ Huntersville,0 Raleigh[] Mechanicsville[] Sample Condition Upon 1 Client Name: PraJectil WO# : 92330217 Courier: Effed Ex OUPS []LISPS _ T Client II� (I I �� � I1 �I� ❑ Commercial []Pace [--]Other:— 92330217 Custody Seal Present? ❑Yes PNo seals Intact? ❑Yes [ANo Date/Initials Person Examining Contents-6A-2,1, { � Packing Material: []Bubble Wrap ❑Bubble Bags ,®None ❑Other: Thermometer: �T 1-- - Type of ice: vet []Blue❑None Samples on Ice, cooling process has begun JAIA Gun ID: Correction Factor: Cooler Temp Corrected VC): 2 .3 Biological Tissue Frozen? ❑Yes E2fgo ❑N/A Temp should be above freezing to 6°C USDA Regulated Soil (;-4N/A, water sample) Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source inciudina Hawaii and Puerto Ricol? ❑Yes I Chain of Custody Present? Lames r1No rlN/A 1 1. 1 Arrived within Hold Time? id Time Analvsls i<72 hr.}' Rush Turn Around Time Ri Sufficient Volume? Correct Containers Used? -Pace Containers Usea? Containers Intact? Samples Field Filtered? Sample Labels Match COC? -includes DateMme/iD/ Headspace In VOA Vials (n5 Yes No N A 4. es []NO N/A 5. p'es []NO ❑N/A 6. Yes QN0 N/A 7. Yes o N A $, _ []Yes 2(No ❑N/A 9. s Matrix: ? ❑Yes nNo 01VA 10. Trip Blank Present? Trip Blank CustodVseals Present? CLIENT NOTIFICAT16N/RESOLUTION Person Contacted; Comments/Sample Discrepancy; []Yes [:]No (3NJA 1 11. Note If sediment Is visible In the dissolved container Field Data Required? ❑Yes ❑No Date/time: Project Manager SCURF Review: I U M ' ` � Date: Project Manager SRF Review: Date: 9J J Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i,� Out of hold, incorrect preservative, out of temp, Incorrect containers) f Page 8 of 10 w rn m io 0 d 3 m 0 1 v O ro m c I = C 0 0 1 n � -- n tl. a � m � m N m � � rt o; r o rm3 a A ~ M Q � w fD M m rD CL Q- N to fl � m y 0 il-T a � ri M 0 sr M Vy A W N F+ N " Q ttem# xzzzzzzxzzzzBMU-125 mL Plastic Unpreserved (N/A) (CH BP3U-250 mL Plastic Unpreserved (N/A) BP2U-500 mL Plastic Unpreserved (N/A) BP1U-1 liter plastic Unpreserved (N/A) BP3S-250 mL Plastic H2SO4 (pH < 2) (Cl-) 811314-250 mL plastic HNO3 (pH < 2) SP3Z-250 mL Plastic ZN Acetate & NaOH (>9) BP3C-250 mL Plastic NaOH (pH > 12) (CI-) MIGM-Wide-mouthed Glass jar Unpreserved AG1U-1 liter Amber Unpreserved (N/A) (Cl-) xVx/XVVxxZZ -.. AG1H-1 liter Amber HCl (pH < 2) AG3U-2S0 mL Amber Unpreserved (N/A) (Cl-) AG2S-1 liter Amber H2SO4 (pH < 2) AG3S-250 mL Amber H2SO4 (pH < 2) AG3A(DG3A)-250 mL Amber NH4Cl (N/A)(CI-) D69H-40 mL VOA NCI (N/A) VG9T-40 mL VOA Na2S203 (N/A) VG9U-40 mL VOA Unp (N/A) DG9P-40 mL VOA HSP04 (N/A) VOAK (6 vials per kit)-5035 kit (N/A) V/GK 13 vials per kit)-VPH/Gas kit (N/A) SPSi-125 mLSterile Plastic (N/A —Lab) SPZT 250 mL Sterile Plastic (N/A— lab) U/IMIIMI/II/I%UM � y y < f'1 S O CL r« O r{ O tT "a 3 X fn 7 0 h C OCr m O 3 3 = Cr n rD flr = fD Q � � m 0 � 3 � Cr 2 r0.-►r O n m m 3 M. p! T n O rr f7 7 3 � O C w � w .» o Z O 3 rD C . ro O rD M '• R O � n n rr 2t 0 M 4 ` N rD M rr m • Cn M c v M N /A J2 m rD \1/ an CQ s N �nfD� N py ^ Q O /� L r a a . o N a CF m y e IJ r ;_lp.-;aceAna lytical - ..., Section A Required Client Irdotmabon: CHAIN -OF -CUSTODY I Analytical Request Document The Cha"-Custody is a LEGAL DOCUMENT AD nAevaru fields must be cowlefed acaaatefy. Section B Section C Required Project Information' - Invoice Womnation: 0 0 i Page: of I m a Company; Mid -Atlantic Associates, Inc. Report To: Chuck Hoffman (choHman@maaonline.com) Attentrom Chuck Hoffman Address 409 Rogers View Court Copp Tv Company Name. Mid -Atlantic Associates. inc. REGULATORY AGENCY Raleigh. NC 27610Address: 409 Rogers View Court. Raleigh. NC — NPDES i GROUNDWATER i DRINKING WATER t UST I— RCP.A OTHER EmaA To, choffman@maaonline.eom Purchase Order No: R1944.04 Pace Owls — Refcence. Ph-- 919-250-9918 Fax. 919-250-9950 Prayed Name: CSC Plant #2 Pace Prole ct Nicole Gasiorowski Site Location ranaw, STATE: NC Requested Om DateiTAT: Standard ProyeC Nwnber: R 1944.04 Pace Profile If — Requested Analysis Filtered (YIN) Section D Valid Maerrz Codes 8 a r z Required Gienl+Momf=m MATRIX COPE • s COLLECTED Preservatives > N DA Nw WG W�TLA OW.' U Z WATER WT WASTEWATER WW S n [.7 COSIPMTE Copp sin O r- N � 2 PRODUC.1 P do START ENQQ1" W 0 SOMAOuD SL SAMPLE ID WIPE WP �_ w a m } T- om AR (A-T.I}9I.-) o;r+EA o p u! F a w ro ~ t Sars+ple Os MUST BE UNIQUE TrSAJE Ts U 0. W Z r ~ O m O a to w ~ a v4i DATE TIME gA7E Tit--; z O a r= a x z x U x m z m z m O Q r 14 m Pace Project Nat Lab I.D. t Outfall No. 1 WT G O trs , x Rainfall inches ; 2 H: (o . 3 QU 4 6 t75 t 8 9 10 11 12 ADDITIONAL COMMENTS RELDICNI HED BY I AFFILIATION DATE TIME ACCEPTED BY I AFFILIATION DATE TIME SAMPLE CONDITIONS SAMPLER NAME AND SIGNATURE ? 2 n z Z m EA `e Z m `> RIN PT Name o1 R: SIGNATURE o1 DATE -IMPadanf NOW BY 5 9MV Rqs farm you are auep" Face's NET 30 day Paymerd Terms and agreeing to Lft Charges of 7.51i per rnoeCh fa - s Paid wahin ao days. — F-ALL-0-020rev.08. 12-Oct-2007 - r STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 0 3 8 6 SAMPLE COLLECTION YEAR: 2016 FACILITY NAME: Concrete Service Co. Plant No. 2 SAMPLING PERIOD: X❑ July -December ® January -June PERSON COLLECTING SAMPLES Winnie Jenkins COUNTY Cumberland CERTIFIED LABORATORY Pace Analytical Lab# 12 PHONENO. 910 323-9198 Lab # ADD TO LISTSERVE? ❑YES X❑NO EMAIL: OPTIONAL INFO: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other C; NSW Part A: Stormwater Monitoring Requirements OutfalE No. Date Sample Collected (mo/dd/yr OR NO FLOW)z pH _ (Standard Units) TSS (mg/L) Event Duration (minutes) Total Rainfa[i` (in) In Tier 2 Monthly Monitoring? (y/n) p of Months in Tier 2 2 Sampling - - 6-9 100 2,3- - - - 001 No Sample No Sample No Sample No Sam le No Sample No Sample No Sample REGEIVEn - ji CENTRAL F1 ES uvv I iV ' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. Z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I. 4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oillmonth — averaged over a calendar year. Outfall : . l Datem Sape - pH TPH using method - Total Suspended Event Total . New;IVlotor Oil In Tier Monthly... R of Months No ' Collecte+i (Standard 1664A SGT HEM; Solids` Duration Rainfall' Usage.. - Monitoring. m:Ter 2 ' " - z (rno/dd/YrJ' Un"31 (mg/LJ (Mg/L) (minutes) .. n1 "gall Sampling _ A.::. Cr9: ' =15ZRA. lOD HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO 0 HAVE YOU CONTACTED THE REGION? YES [:]NO REGIONAL OFFICE CONTACT NAME: Paul E. Rawls, Fayetteville_ Regional Office Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, ypder penalty of aw, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure t lified elone! properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those p o dire re nsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am a t t the ar i ificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." REA 5Yi#.uS:ia3JiLiifiNl�y i � . - Permit Date: 7/1/201Y-60/30/2015 Last Revised 7/13/11 Page 2 of 2 409 Rogers View Court Raleigh. NC 27610 Mid Atlantic office 919.250.9918 Engineering & Environmental Solutions facsimile 919.250.9950 MAAONLINE.COM July 8, 2016 JUL 2 0 ZoI6 CENTRAL FILES NCDEQIDWR DWR SECTION Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: STORMWATER SAMPLING RESULTS CONCRETE SERVICE COMPANY PLANT NO. 2 1081 REILLY ROAD FAYETTEVILLE, CUMBERLAND COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG140386 MID -ATLANTIC JOB NO.00OR1944.04 To Whom It May Concern: On behalf of Concrete Service Company, attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above - referenced facility. A stormwater sample was collected from Outfall 001 on June 28, 2016 and analyzed for pH and total suspended solids (TSS). As indicated on the attached DMR, all parameters were reported below their benchmark values or within them benchmark range. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. px" Charles B. Hoffman, PG 0 Project Geologist 0 Attachments: Discharge Outfall Monitoring Reports OV Laboratory Analytical Reports 004 EXPERIENCED CUSTOMER FOCUSED INNOVATIVE STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 0 3 8 6 FACILITYNAME: Concrete Service Co. Plant No. 2 PERSON COLLECTING SAMPLES Winnie Jenkins CERTIFIED LABORATORY Pacg Analytical Lab # 12 Lab # OPTIONAL INFO: Part A: Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR: 2016 SAMPLING PERIOD: ❑ July -December X❑ January -June COUNTY Cumberland PHONENO. 910 323-9198 ADD TO LISTSERVE? ❑YES X❑NO EMAIL: DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ®Other c;Nsw Outfall No. Date Sample Collected (mo/dd/yr OR 1 NO FLOW) pH (Standard Units) TSS (mg/Li Event Duration (minutes) Total Rainfall~ (in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 SamplingZ - - 6-4 10e, - - - - 001 6 28 16 8.1 66.5 300 0.33 No NA 1 if "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. 2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Ter 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I. "For each.sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year. Outfall No. Date Sample Collected (mo/dd/yr}1 PH (Standard Units) TPH using method 1664A SGT-HEM (mg/L) Total Suspended Solids (mgJl) Event Duration (minutes) Total s Rainfall (in) New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Z sampling 6-9 2 is 2 100" - - - - - HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO Qx HAVE YOU CONTACTED THE REGION? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Paul E. Rawls, Fayetteville Regional Office Mail Original and one copv of this DMR (including all "No Flow" & "No Discharge" reoorts) 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 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 q lified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those pers irectl responsible for gath ing the inf rmation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am awar t t here re signifi nal ' s r su fitting false information, including the possibility of fines and imprisonment for knowing violations." r0 -2 ,1 (o - (Signatur o, ermi e) (Date) Permit Date: 7/l/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 aceAnalytical Wmpacmaba.00M July 02, 2016 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: CSC Plant #2 Pace Project No.: 92303445 Dear Chuck Hoffman: �1C'C �yo3� Pace Analytical services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)B75.9092 Enclosed are the analytical results for sample(s) received by the laboratory on June 30, 2016. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 9 acmnalyticalo www.pacelabl=n Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: CSC Plant #2 Pace Project No.: 92303445 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification M E87648 Massachusetts Certification M M-NC030 North Carolina Drinking Water Certification M 37712 CERTIFICATIONS North Carolina Wastewater Certification #: 40 South Carolina Certification M 99030001 VrginiaNELAP Certification M 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 9 aceAnalytical www.p=Oabs.com Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 SAMPLE ANALYTE COUNT Project: CSC Plant #2 Pace Project No.: 92303445 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92303446001 Outfall No. 1 SM 2540D MJP 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 9 aceAnalytical www.paoefaba.com Pace Analytical Services, Inc. 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 ANALYTICAL RESULTS Project: CSC Plant #2 Pace Project No.: 92303445 Sample: Outfall No. 1 Lab ID: 92303445001 Collected: 06/28/16 11:18 Received: 06/30/16 09:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D Total Suspended Solids Total Suspended Solids Dale: 07/02/2016 04:25 PM Analytical Method: SM 2540D 66.5 mg1L 2.5 1 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. 07/01 /16 14:09 Page 4 of 9 aceAnaiXical www.paoeleba.tbnr Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 QUALITY CONTROL DATA Project: CSC Plant #2 Pace Project No.: 92303445 QC Batch: WET145976 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 923D3445001 METHOD BLANK: 1770927 Matrix: Water Associated Lab Samples: 92303445001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 07/01/16 14:02 LABORATORY CONTROL SAMPLE: 1770928 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 234 94 90-110 SAMPLE DUPLICATE: 1770929 92303398001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 21.0 17.0 21 D6 SAMPLE DUPLICATE: 1770930 92303428006 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 42.2 37.0 13 D6 Results presented an this page are in the units Indicated by the "Units" column exr:ept where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07/02/2016 04:25 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 9 Pace Analytical Services, Inc. aceMamicaI s 9800 ney Ave. Suite 100 Huntersville, NC 28078078 pacalaftcam (704)875-9092 QUALIFIERS Project: CSC Plant #2 Pace Project No.: 92303445 DEFINITIONS OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. NO - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PAST -A Pace Analytical Services -Asheville ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 07/02/2016 04:25 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 9 aceAnalytical" www.pac0ha.= QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: CSC Plant #2 Pace Project No.: 92303445 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92303445001 Outfall No. 1 SM 2540D WETI45976 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 07/02/2016 04:26 PM without the written consent of Pace Analytical Services; Inc.. Page 7 of 9 6;O e a ed 11 P' ceAnaVical Condition u on Recel t(SCUR) Page 1 of 2 Document No.: Issuing Authority: F-CHR-CS-003-rev.29 Pace Huntersvllle Quality Office Paen 9 of 7 fnr IntBrnal INo ONI Y Client Name: Project 9 WQ# : 92303445 Courier: ©ed Ex ❑UPS ❑U5P5 []Client ❑ Commercial [-]Pace ❑Other: 92303445 Custody Seal Present? ❑Yes [:]NO' Seals Intact? ❑Yes— ❑No �c Date/Initials Person Examining Contentstl \ (- Packing Material: ❑Bubble Wrap 09ubble Bags ❑None []Other. — Thermometer: T1505 Type of Ice: Pw6t ❑Blue ❑None ©a-m—ples on Ice, cooling process has begun Correction Factor: OVC Cooler Temp Corrected ('C); Biological Tissue Frozen? []Yes ❑No QWA— Temp should be above freezing,to 60C USDA Regulated Soll ( ©.N/A, water sample) Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source RinternationallY. MYes ONo� Including Hawaii and Puerto Rico)? ❑Yes ©Nr— Comments/Discre anc Chain of Custody Present? Yeses No N A 1. Samples Arrived within Hold Time? Y6 ONo N A 2. Short Hold Time Analysis <72 hr.)? Yes No' N/A 3. Rush Turn Around Time Requested? 0yes QNOwEINJA 4. Sufficient Volume? Yes 146� N A 5. i Correct Containers Used? DYes ❑No ❑N/A 6. -Pace Containers Used? Yes QNo N A Containers Intact? Yeses No N/A 7. Samples Field Filtered? OYes JJNo N/A' 8. Note if sediment Is visible In the dissolved container Sample labels Match COC? loye!r' []No ❑N/A 9. -Includes Date/Time/ID/Analysis Matrix: All containers needing acid/base preservation have been 10. HNO°H.! checked?-.----- _.- ---_- -.— _ -- - - - - ❑Yes []No .- ®N/A.All containers needing preservation are found to be in compliance with EPA recommendation? HisuyH.� (HNO% H,SO4, HCI<2; NaOH >9 Sulfide, NaOH>12 Cyanide) []Yes []No •CIN/A` NaOMPWII Exceptions: VOA, Coliform, TOC, OII and Grease, DRO/8015 (water) DOCLLHg QYes QNo N/A Samples checked for dechlorination? Yes nNo N/A 11. Heads ace in VOA Vials >5-6mm ? Yes QNO . N/9 12. Trip Blank Present? ❑Yes ❑No ❑NJA' 13. Trip Blank Custody Seals Present? Des []No ❑N1A� Pace Trip Blank Lot N ifpurchased): CLIENT NOTIFICATION/RESOLUTION Person Contacted: Comments/Sample Discrepancy: Date/Time: Field Data Required? ❑Yes ONO Project Manager SCURF Review: I " Date: - 0 (4L --- Project Manager SRF Review: AI J ,6 Date: � Jo Note: Whenever there is a discrepancy affecting North Carolina complia ce samples, a copy of this form will be sent to the North Carolina DEMNA Certification Office (i.e. Out of hold, Incorrect preservative, out of temp, Incorrect containers) �2eAnalytical- CHAIN-OF-CUSTODY I Analytical Request Document The Chain-at-CustadY is a LEGAL DOCUMENT, AN retevan; melds must be completed accurately, aecnon a Section C F Required Client IrMmnaDm ReWAMd Project Irdormatiore IrPage, L M domtaCh C—PaTtY Mid -Atlantic Associates, Inc. Report To: Chuck Hoffman (c3Taffman�maaonline.com) ttention: Chuck Holtman _ Address: 409 Rogers View Court Copy TO: ConVaM Name: Mid -Atlantic Associates, inc. REGULATORY AGENCY Raleigh, NC 27610 Addresv 409 Rogers Vtew Court, Raleigh, NC i NPDES I- GROUND WATER 7 DRINKING WATER !- UST RCRA r OTHER Jf— : Email To: Choffman@maaDNine corm Purchase order Na.: R4944.04 Pam 010e — Rmere : Phone- 919-250-9918 Fay 919-258-9950 Pmjw Na—: CSC Plant #2 ed Nicole Gasiorowski Site Location STATE: NC Rttquasted Duo paterrAT: su•,•r,M Project N4mmer. R1944.04 pace profiler — Requested Analysis Fittered (YIN) Section D VaUd Matrix Cades r J I tAWAra4t.'tiaratetarmobn AM�RZ S 0 0 COLLECTED Preservatives s' N LRNOG WAM OW V z WAT" Wr a tl U O WASTE WATER WW PRODUCT P " a LO�+rTE START tx ENDIGRAS t- z SOWSOLID SL OIL OL a U' i? to SAMPLE ID WIPE WPAM m AR (A-Z 0-9 1.I OTHER OT p tv a ¢ 13 m Sample IOs MUST BE UNIQUE TISSUE15 O a � F m m � L V U H Z Uor m p {O {�-✓L; 7�f� < O n� C n O z U 0,6 to N tD fi m L C W m m PATE TIME DATE TIME � a 1 2 2 � z z y 12 w Pace Project NoJ Lab I.D. 1 Outfall No. i wr G t I; 114A, x I I I I I I I I I I Rainfall (inches): 2 H: 1 3 4 5 6 7 a 8 10 11 12 ADOMNAL COMMENTS REUMOU35HED BY r AFRLIATtON DATE TIME,, 8Y I AFFILIAT'IO+N DATE TIME SAMPLE CONDnwNss ��A-;[xFPTED ` j p. SAMPLER NAME AND SIGNATURE v c r a^ e N c v ? ro = PRINT Nam o1SAlAPLER: e ~ E E SIGNATURo1SAMPLER p &r q! // YYf0D1Z 2,0l b ciu T - V to •Impwwt Note: By s*" this form you am accepting FacWs NET 30 may payawM corms and agreOV to Late charges er 1.5% per naoren Tar arty Imrdces not rttsdd F-ALL-Q-020rev.08. 12.00t-2007 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 �l CERTIFICATE OF COVERAGE NO. NCG14 0 3 8 6 FACILITY NAME: Concrete Service Co- Plant No. 2 PERSON COLLECTING SAMPLES Winnie .Jenkins CERTIFIED LABORATORY Pace Analytical Lab # 12 Lab # OPTIONAL INFO: Part A: Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR: 2015 SAMPLING PERIOD: X❑ July -December ❑ January -June COUNTY Cumberland PHONENO. 910 323-9198 ADD TO LISTSERVE? ❑YES X❑NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HCIW ❑PNA ❑Trout ®Other C; NSW Outfall No. Date Sample Collected (mo/dd/yr OR NO FLOW)t PH (Standard Units) TSg (mg/L) Event Duration (minutes) Total Rainfall" (m) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Samplings - - 6-92 1002�3 - - - - 001 12 22 2015 7.6 61.2 960 1.38 No NA 1 if "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. 2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l. 4For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year. .- pH TPH using method sofa! Suspended Event Total New Motor Oil Tieh'2 # of Moths Outfall, Date Sample ,.-. ;�{Standard ': 16&4ASGTHEM: Solids` Duration ' Rainfalh Usage . fM ont_ly4 in.Tier�2 .No C611ected x (mo/dd/y) Units) {rng/L) (mg/L) (minutes) (in) (gal/month) Monitoring? IY/n);. sz Sampling ,15 1()0 . HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑g HAVE YOU CONTACTED THE REGION? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Paul E. Rawls, Fayetteville Regional office Mail Original and one copy of this DMR(including all "No Flow" & "No Discharge" reports) 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 YOU MUST SIGN THIS CER7IFICA7I0N FOR ANY INFORMA7I0N 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 tha ualified p rsonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those per ns dir ctl responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am r h t t r re significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." —ram — 1 (signature of er(ni ee) (Date) Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 Mid Atlantic Engineering & Environmental Solutions January 27, 2016 NCDEQIDWR Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 fift KIFICEt V ED FEB.a2 Cut, CENTRAL F'l . DWR SEC'S" IN Subject: STORMWATER SAMPLING RESULTS CONCRETE SERVICE COMPANY PLANT NO.2 1081 REILLY ROAD FAYETTEVILLE, CUMBERLAND COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG140386 MID -ATLANTIC JOB NO. 000R1944.04 To Whom It May Concern: 409 Rogers View Court Raleigh. NC 2 76 10 offte 919.250.9918 facsimile 919.250.9950 MAAONLINE.COM On behalf of Concrete Service Company, attached please find the Stormwater Discharge Monitoring Report (DMR) and analytical report for the sampling conducted at the above - referenced facility. A stormwater sample was collected from Outfall 001 on December 22, 2015 and analyzed for pH and total suspended solids (TSS). As indicated on the attached DMR, all parameters were reported below their benchmark values or within their benchmark range. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. Charles B. Hoffman, PG Project Geologist Attachments: Discharge Outfall Monitoring Reports Laboratory Analytical Reports EXPERIENCED CUSTOMER FOCUSED INNOVATIVE + wV4Analyfi4Ql s wwrpKeiobs.com December 28, 2015 Chuck Hoffman Mid -Atlantic Associates, Inc 409 Rogers View Court Raleigh, NC 27610 RE: Project: Concrete Service #2 Pace Project No.: 92280988 Dear Chuck Hoffman: Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 2807E (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on December 23, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Ron Davis, Mid Atlantic Associatees, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 9 aceAnalyh'caI° tinew.pecalabe.cmn Pace Analytical Servlcoa, Inc. 9900 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 CERTIFICATIONS Project: Concrete Service #2 Pace Project No.: 92280988 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification M 99030001 Massachusetts Certificatlon #: M-NC030 West Virginia Certification #: 356 North Carolina Drinking Water Certification M 37712 VirginiaNELAP Certification M 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 9 ceAnalytical www.pnceiaba.com SAMPLE ANALYTE COUNT Project: Concrete Service 92 Pace Project No.: 92280988 Pace Analytical Services, Inc. 9800 Kineey Ave. Suite 100 Huntensville, NC 28078 (704)875-9092 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92280988001 Outfall No. 1 SM 2540D MJP 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 9 Pace Analytical Services, Inc. ^G00a 9800 Kincey Ave. Suite 100 Huntersville,NC28078 WWW-pecefsa=r1 (704)875-9092 ANALYTICAL RESULTS Project: Concrete Service #2 Pace Project No.: 92280988 Sample: Outfall No. 1 Lab ID: 92280988001 Collected: 12122/15 08:32 Received: 12/23/15 11:45 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Total Suspended Solids Analytical Method: SM 2540D 61.2 mg1L 15.6 1 REPORT OF LABORATORY ANALYSIS 12/24/15 11:48 This report shall not be reproduced, except in full, Date: 12/28/2015 05:30 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 9 .aceAnalytical rww.plicallibsaom QUALITY CONTROL DATA Project: Concrete Service #2 Pace Project No.: 92280988 QC Batch: WET142173 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92280988001 METHOD BLANK: 1637248 Matrix: Water Associated Lab Samples: 92280988001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 12/24/16 11:39 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersviiie, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 1637249 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 246 98 90-110 SAMPLE DUPLICATE: 1637250 92281034001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L NO NO SAMPLE DUPLICATE: 1637251 92280964001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 3.2 CO 23 06 Results presented on this page are In the units Indicated by the "Unite" column except where an alternate unit IS presented to the right of the resull. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/28/2015 05:30 PM without the written consent of Pace Analytical Services, Inc.. Page 5of9 I eAnalytical" WWWPecdaha.oum QUALIFIERS Project: Concrete Service #2 Pace Project No.: 92280988 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL - Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville ANALYTE QUALIFIERS 06 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/28/2015 05:30 PM without the written consent of Pace Analytical Services, Inc., Page 6 of 9 aceAnalytr'ca! wwwpaod hL=n QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Concrete Service #2 Pace Project No.: 92280988 Paco Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92280988001 Outfall No. 1 SM 2540D WET142173 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/28/2015 05:30 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 9 iZ.!WC9A17a"C81* uocumentNarne".- vocyrnent L F-CHR-CS-00MV.17' Client Name: Project Courier. ffFed 9x [JOps LJUS Cllent OCommercial []Pace [jOther_ Pace HuntersvIlFeAdality.Office.' wo#:92280988 I�jIIIIIIIIIIIINI 88 Custody WI on Caoler/Box Present? []Yes Seats Intact? []Yes No vWN. Packing Material, []Bubble Wrap Xup []bbld Ballone ClOther: Thermometer P-6505 Used: Type of lent bNond'.- 49 dSi,dSiaiiu1 -Hcwhasb n - CoollerTemprAirve Bijilogical Tlssui.Fiozin?'­ EJY64 , /A 0K f Eaniini it 7-t 7--'> Temp should be above 0.0 6C _2ang to VC Correction Factor. Date and Inkle"tit of USDA le IPU NA water sample) Did samples oled So In a quarantine zone within the United States: CA, W, or SC (check maps)? Did id' indu ng IIeAill are) F Oyu 0 If Yes to either question, q(I out a Regulated sell Checklist and Indudo with)WItlop C aim p W��', :'- I'.: . ­' Chain of Custody Present? Yes Na [3N/A 1. 2. 1. q Chain ofCustody Filled Out? No QWA .Chain of Custody RellnElshed? NaQQN/A Sampler Name and/or Signature on C00 illes 13NO EJN/A Sam pl�es Arrived Ahin Hold Time? fYes NaM- E3N/A Short Hold Time Anilysli (42 hr)? Yes Ufa ON/A 6., 7. Rush Turn Around Time Requested? OYes aQNA 7. Suffident'Volume? es No EINIA B. 7 .Correct ContBtqqs Used?,, esI❑No 13' N/A 9. -fameqrttalners Used? es M QN/V Contellners Intact? No QLA N 10. Filtered Volume Received for Dissolved Tests? ClYes No A 11. NOW If kdlim'ent Ii viii6le, 14 id1i" cohtafnar Sample Labels Match COC?' 0(m [3NP [3N/A 12. A, -1111143 D8tqMM4AD/ArI8015 Meft 'All colibiners needing add/baie,10reservatibn have bein checked? [3Yes [3ft QIN//A 19 All containers needing preservation are round to be In celmollance with EPA recommendifflort? (/A (HNN H04, HCI<% NaOH >9 Sulfide, NaOH>12 Cyanide) [3Yes 13No Q11 1 xceptlons: VOk Colftmr, WC, Oil and Grease, DRO/8015 (water) DOCARs E3Yes []No Samples checked for declilorization zles No N A 14 Headspace in VOA V141s (*ftm)? QY6 OW A 15. Trip Blank Present? OYes 13No QAVA Trip Blank Custody Seals Present? Oyds [3No 9WA Pace Trip Blank lot if purchased)- CUENTNOTIFICATI614/111.13011WITION' Person Contacted: Date/nine. Comments/Resolution: Project Mangar$WRF Revlew;. N`M�-1 Dahl Note- Wheneverthere Is a d1unpancy affecting NOfth Carollna COMPIMhCO ISM11101, a COPY Of this Win will be serif to hold, Incorrect preservative, Out of tamp, incorrect containers). Field , 1p North Ci rolina 5EHNR ;;d_"0fflc1 1111.6, out of Page 8 OV8 Y ITEM 0 lJ 14 -eA 0! r m I r%4 Im 41. 16b 1XCODE LE TYPE (G-GRAB C-Comp) d V. r7. rn ki LLECTION Unpmtiomed u? Him - I 1Y Ndo v,), Al 1, Suspended Solids z -'a —7, 30"1 � tffl'i z A": Reil&il Chl6flne (YIN) 7p ras (YIN) qU!tody 608MM - 1pagl 9ofg 4. STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG 14 0 3 8 6 FACILITY NAME: Concrete Service Co. Plant No. 2 PERSON COLLECTING SAMPLES Winnie Jenkins CERTIFIED LABORATORY Pace Analytical Lab# 12 Lab # OPTIONAL INFO: Part A: Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR: 2015 SAMPLING PERIOD: ❑ July -December ❑X JanuaryJune COUNTY Cumberland PHONE NO. ( 910 323 - 9198 ADD TO LISTSERVE? ❑YES X❑NO EMAIL: DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ®Other c; NSW Outfall No. Date Sample Collected ( mo/dd/yr OR 1 NO FLOW) pH (Standard Emits} TSS (mg/L) Event Duration (minutes} Total 4 Rainfall (in} In Tier 2 Monthly Monitoring. (y/n) # of Months in Tier 2 Sampling z - - 6-92 100'-3 - - - - 001 04 07 2015 7.8 6_0 NA 0.10 No None 1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l. `For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page Iof2 1�_ fA. Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gat of new motor oil/month — averaged over a calendar year. Outfall No. Date Sample Collected (mo/dd/yr)1 PH ; [Standard Units) TPH using method 1664,4 SGT--HEM (mg/L)_ Total Suspended Solids (mg/L) Event Duration (minutes) Total Rainfall° (in) New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? (Y/n) # of Months to Tier 2 Z Sampling 6-9 15 100 , - - - - - HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑X HAVE YOU CONTACTED THE REGION? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Paul E. Rawls, Fayetteville Regional Office Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED. "I certify, under Pena ty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualifieIl,Yp rson i properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons dire res ible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware that (Signature of Permittee penalties mitting false information, including the possibility of fines a d imprisonment for knowing violations." �zz 8 ' e ( Date) Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 6 Mid Atlantic Engineering & Environmental Solutions MAY 202015 May 11, 2015 CENTRAL FILES DWR SECTION NCDENRIDWQ Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: STORMWATER SAMPLING RESULTS CONCRETE SERVICE COMPANY PLANT NO. 2 1081 REILLY ROAD FAYETTEVILLE, CUMBERLAND COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG140386 MID -ATLANTIC JOB NO. 00OR1944.04 To Whom It May Concern: 409 Rogers View Court Raleigh, NC 27610 office 919.250.9918 facsimile 919.250.9950 MAAONLINE.COM Attached please find the Stormwater Discharge Monitoring Report and analytical report for the sampling conducted at the above -referenced site. A stormwater sample was collected from Outfall 001 on April 7, 2015 and analyzed for pH and total suspended solids (TSS). All parameters were reported below their respective benchmark values or within their benchmark range. If you have any questions or need additional information, please contact me at 919-250-9918. Sincerely, MID -ATLANTIC ASSOCIATES, INC. Charles B. Hoffman, PG Project Geologist Attachments: Discharge Outfall Monitoring Reports Laboratory Analytical Reports EXPERIENCED CUSTOMER FOCUSED INNOVATIVE aceAnalytical a www.pacelabs.com 1 April 24, 2015 Beverly Oglesby Mid Atlantic Associates, Inc. 409 Rogers View Court Raleigh, NC 27610 RE: Project: Concrete Service #2 Pace Project No.: 92244417 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Dear Beverly Oglesby: Enclosed are the analytical results for sample(s) received by the laboratory on April 08, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Nicole Gasiorowski nicole.gasiorowski@pacelabs.com Project Manager Enclosures cc: Darin McClure, Mid Atlantic Associates. Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 9 Pace Analytical services, Inc. ® 9800 KinceyAve. Suite 100 aceAnalytical Huntersville, NC 28078 www.pacelabsmm (704)875-9092 CERTIFICATIONS Project: Concrete Service #2 Pace Project No.: 92244417 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certfficatfon #: M-NC030 West Virginia Certification #: 356 North Carolina Drinking Water Certification #: 37712 VrginiafVELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 9 laceAnalytical- www�pacelabs.com SAMPLE ANALYTE COUNT Project: Concrete Service #2 Pace Project No.: 92244417 Lab ID Sample ID Method Analysts 92244417001 Outfall #1 - pH 7.8 SM 2540D MDW Pace Analytical Services, Inc. 0800 Kincey Ave. Suite 100 Huntersville, NC 28070 (704)875-9092 Analytes Reported Laboratory 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, inc., Page 3 of 9 1'741ace Analytical www.pacalabs.com 1 ANALYTICAL RESULTS Project: Concrete Service #2 Pace Project No.: 92244417 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 ' Sample: Outfall #1- pH 7.8 Lab ID: 92244417001 Collected: 04/07/15 06:01 Received: 04/08/15 09:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 6.0 mglL 3.3 1 04/13/15 10:35 Date: 04/24/2015 06:11 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 4 of 9 Client Name: Courier: ❑ %<Ax ❑ UPS❑ LISPS❑ Client❑ Commercial❑ Pace Other Custody Seal on Cooler/Box Present: ❑ yes EI no Seals intact: ❑ yes ❑ no �� Packing Material: ❑ Bubble V❑p ❑ Bubble Bags ❑ Q�lert'e ❑ Other _/ Thermometer Used: IR Gun T1401 Type of Ice: 0� Blue None 1 Samples on ice, cooling process has begun Temp Correction Factor T1401 No Correction Corrected Cooler Temp.:_ C Biological Tissue Is Frozen: Yes No UA A Date and Initial's Pf or r ining L contents: Temp should be above freezing to 60C Comments: Chain of Custody Present: es ❑No ❑NIA 1. Chain of Custody Filled Out: RfYes ❑No ❑NIA 2. Chain of Custod Relin uished: Y s ❑No ©NIA 3. Sampler Name & Signature on COC: 468 ONO ❑NIA 4. Samples Arrived within Hold Time: Yes []No ❑NIA 5. Short bold Time Analysis <72hr : ❑Yes o ❑NIA 6. Rush Turn Around Time Requested: ❑YeIdNo ❑NIA 7. Sufficient Volume; Yes []No ❑NIA S. Correct Containers Used: es ONO ❑N/A 9. -Pace Containers Used: JJ Zyes ONO 0NIA Containers Intact: es ❑No ❑NIA 10. Filtered volume received for Dissolved tests ❑Yes ❑N NIA 11. Sample Labels match COC: ❑Yes No ❑NrA 12. -Includes date/time/ID/Analysis Matrix: All containers needing preservation have been checked. ❑Yea ❑No NIA 13. All containers needing preservation are found to be in ❑Yes ONO R(IA compliance with EPA recommendation, ,,� exceptions: VOA, conform, TOG, 0&G, VV!-DRO ater) []Yes No Samples checked for dechlorinatlon: ❑Yes ONO taNIA 14. Heads ace In VOA Vials >6mm : ❑Yes ❑No 04IA 15. Trip Blank Present: ❑Yes ONO 12<A 16. Trip Blank Custody Seals Present ❑Yes ONO Ld IA Pace Trip Blank Lot # if purchased): Client Notification/ Resolution: Field Data Required? Y 1 N Person Contacted: Datefrime: Comments/ Resolution: SCURF Review: ITVN Date: I "01,., SRF Revlew: 12M Date: Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office ( i.e out of hold, Incorrect preservative, out of temp, Incorrect containers) jW t # 9 2- 4�441 -, 82Z44417 Page 8 of 9 laceAnayical' CHAIN -OF -CUSTODY 1 Analytical Request DocumentThe Chain-vf-Custody isa LEGAL DOCUMENT. AO relevant Gelds must be aoffgftWd accurately. LL Section A Section B Section C Page: L of RequiredClient Information: Required Project information: kivoice Information: Company. Report To* Atteniiod: • C{u 1567533 + _Nodd�ph ; c r.� cGia.e. Copy Address; vim To:Clark ei CompanyMri •G REGULATORY AGENCY i 1W, eak 10 a �FS r GROUND WATER r DRINKING WATER — UST 1 RCRA rN OTHER CL1Grf'r HT ' e Purchase 1 Ae • Order No.: Pace Qvota Retetenoo: a50—pl l� t �y�arso s PQjW Name: Site L, ca;50n Requested Due DaterrAT: Project Number. Paw Praha e: ---, Requested Analysis Filtered (YIN) Section D Matrix Codes z Required Clem Inramatm wk-mix I = a 7 COLLECTED Preservatives Ddrodrtg Water pW r°s zz Water VV'r U Waste Water WW @ C rE CWE Product P - Z SOWS06d SL Y SAMPLE ID � OL v ;, (A-7- 0-9I : j Air AR W r a Z O Sample IDs MUST BE UNIQUE Tissue TS O 0. F m op L V a Other OT U X � to a Lu tit a z t7 0 t'_ m m i O C m 7. M Q�} (� u y 4 c rn Z U Om �, m m� Q m [ {► t `� PATE TIME DATE TIME 7 2 2 S z z O y Pace Project No Lab LD. 1 y� p � -7. O i5 :2 3 4 5 6 �7 8 � 9 �a a� s2 ADDITIONAL COMMENTS RELINQUISHED BY I AFFILIATION DATE TIME AC TED B TION DATE T 1ME SAMPLE CONDITIONS I b. 15 A SAMPLER NAME AND SIGNATURE PRINT Name of SAMPLER: !w n $ a ¢ ? _ SIGNATURE o15AhIP DATE Signed (MwDDrM; o� �7 fat) m F m E� VT� F-ALL•0-020rev.07. t 5-Mav-2007 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO N off .3` S FACILITY NAME: Concrete Service Co. Plant No. _ 2 PERSON COLLECTING SAMPLES Winnie Jenkins CERTIFIED LABORATORY Pace Analytical Lab #I 12 Lab ## OPTIONAL INFO: Part A: Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR: Z2.01.4• '• SAMPLING PERIOD: X❑ July iecember January -June COUNTY Cumberland PHONENO. 910 323-9198 ADD TO LISTSERVE? []YES ONO EMAIL: DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA []Trout ®Other C; NSw Outfall No. Date Sample Collected ( mo/dd/yr OR NO FLOW)1 PH (Standard Units) TSS (mg/L) Event Duration (minutes) Total Rainfall° (in) In Tier 2 Monthly ? Monitoring. (y/n) ## of Months in Tier 2 2 Sampling - - 6-92 1002', - - - - 001 No Sample No Sample No Sample No Sample No Sample No Sam le No Sample 1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. 2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I. "For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 rw� — I Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year. t,t _ Outfall No. Date Sample collected -. (mo/dd/yr)1 pH (Standard . Units) TPH using method 1664A SGT--HEM (mg/I_) Total Suspended Solids (mg/L) Event Duration. (mrn'utes) Total Rainfall' (in) New;Motor Oil Usage _(gal%in nth) In Tier 2 Monthly Monitoring? W/OSampling # of Months in Tier 2 Z. 6-9' .. is 1002-1 - - - - HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑x HAVE YOU CONTACTED THE REGION? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Paul E. Rawls, Fayetteville Regional office Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of samole (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 YOU MUST SIGN THIS CERTIFIG4TION 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 directl resp sib a for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that t re a si nifi nt penalties for submitting false information, including the possibility of fin�ees and imprisonment for knowing violations." • a O _M (Signature of Permittee (Date) Permit Date: 7/l/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 Mid Atlantic Engineering & Environmental Solutions January 28, 2015 Central Files Division of Water Resources 1617 Mail Service Center Raleigh, North Carolina 27699-1617 REFCEIVED JUN 18 2015 CENTRAL FILES DWR SECTION Subject: NOTIFICATION OF NON -SAMPLING CONCRETE SERVICE COMPANY PLANT NO.2 1081 REILLY ROAD FAYETTEVILLE, CUMBERLAND COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG140386 MID -ATLANTIC JOB NO. 000R1944.04 To Whom It May Concern: 409 Rogers View Court Raleigh, NC 27610 office 919.250.9918 facsimile 919.250.9950 MAAONLINE.COM On behalf of Concrete Service Company, Inc., this letter serves as notification that a stormwater sample was not collected during the final sampling period (July -December) of 2014. During this timeframe, a measurable storm event did not occur at a time when a stormwater sample could be collected (i.e. during business hours when the facility was occupied, and preceded by 72 hours with no measurable storm event). Concrete Service Company, Inc. personnel will collect representative stormwater samples during the current sampling period (January -June 2015). 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. Project Geologist Attachments: Discharge Outfail Monitoring Reports Laboratory Analytical Reports EXPERIENCED CUSTOMER FOCUSED INNOVATIVE STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 0 3 8 6 FACILITY NAME: Concrete Service Co. Plant No. 2 PERSON COLLECTING SAMPLES Winnie Jenkins CERTIFIED LABORATORY Pace Analytical Lab# 12 Lab # OPTIONAL INFO: Part A: Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR: 2014 SAMPLING PERIOD: ❑ July -December ❑X January -June COUNTY Cumberland PHONE NO. ( 910 323-9198 ADD TO LISTSERVE? ❑YES X❑NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other C;NSw Outfall No. Date Sample Collected (rrto/dd/yr OR NO FLOW)1 pH (Standard Units] TSS (mg/L) Event Duration (minutes) Total Rainfall° (in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Sampling2 - - 6-92 lo0 - - - - 001 12 31 2013 No Sample No Sam le No Sam le No Sample. No Sample No Sample LUG CENTRAL FILE DWQIBOG 1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. 2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmarkvalues are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l. ° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. ED Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 iI Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities us! ng > 55 ga! of new motor oil/month — averaged over a calendar year. Ou#fall No. Date Sample Collected 1 (mo/dd/yr) pH (Standard Units) TPH using method 1664A SGT-HEM (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total Rainfall' (in) New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Sampling 6-9 15 100 2,3- - - - - HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO Q HAVE; YOU CONTACTED THE REGION? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Paul E. Rawls, Fayetteville Regional Office Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) 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 YOU MUST SIGN THIS CERTIFICATIOB 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 perso s ire res onsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am away at her re nificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." •ate—i (Signature of Perm ee) (Date) Permit Date: 7/l/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 Mid Atlantic Engineering & Environmental Solutions July 22, 2014 NCDENRIDWQ Attention: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: NOTIFICATION OF NON -SAMPLING CONCRETE SERVICE COMPANY PLANT NO. 2 1081 REILLY ROAD FAYETTEVILLE, CUMBERLAND COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG140386 MID -ATLANTIC JOB NO. 00OR1944.04 To Whom It May Concern: 409 Rogers View Court Raleigh, NC 276 10 office 919.250.9918 facsimile 919.250.9950 MAAONLINE.COM On behalf of Concrete Service Company, Inc., this letter senses as notification that a stormwater sample was not collected during the first period (January -June) of 2014. During this timeframe, a measurable storm event did not occur at a time when a stormwater sample could be collected (i.e. during business hours when the facility was occupied, and preceded by 72 hours with no measurable storm event). Concrete Service Company, Inc. personnel will attempt to collect two representative stormwater samples during the current sampling period (July -December 2014). 1f 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. Project Geologist Attachments: Discharge Outfall Monitoring Reports Laboratory Analytical Reports EXPERIENCED CUSTOMER FOCUSED INNOVATIVE EIP = Existing Iron Pipe EPN = Existing Pin ER = Existing T—Iron ECM = Existing Concrete Monument SRB = Set Rebar PP = Power Pole DI = Drop Inlet Note: Boundary and Topography by Michael Tate, PLS 1, MICHAEL TATi certify that this map was drawn under my supervision from an actual survey made under my supervision, that the ratio of precision as calculated by computer is 1: 10000. This map does not conform to GS 47-30 as amended and is not intended for recordation, nor should a copy of this map be attached to a deed as an exhibit to be recorded per GS 9C-26. GHAEL 'WE, Profession -find Surveyor No. L-2450 �!,� Yes � SEAL 17' L-2450 o g G? 710P 499.79' IMV IN 496.71 li,'V OUT 496. 3 D Bronwyn Note- Street Tieline is to centerline of intersection of Railroad and Bronwyn Street. (60' Right-of-way) 1 l NOTES 1. ALL STORMWATER CONVEYANCES ARE SHOWN. 2. ALL WATER FROM TRUCK WASHOUT, TRUCK SPRAY AND PLANT WASH DOWN IS ROUTED TO SEDIMENTATION BASIN. ALL DRAINAGE CONVEYANCES INTO THE \ SEDIMENTATION BASIN TO BE FIELD ROUTED AND VERIFIED. 3_ AGGREGATE STORED IN SILOS. THERE WILL BE NO WETTING OF AGGREGATE. 4. DRAINAGE AREA 1 - APPROXIMATELY ],215 ACRES APPROXIMATELY 10t IMPERVIOUS) DRAINAGE AREA 2 - APPROXIMATELY ¢ 9g ACRES APPROXIMATELY ?Q2j IMPERVIOUS) 5. OUTFALLS DISCHARGE INTO DRAINAGE DITCH THAT BORDERS THE EASTERN PROPERTY BOUNDARY. DITCH -FLOWS SOUTH AND EVENTUALLY DISCHARGES INTO AN UNNAMED .TRIBUTARY OF BEAVER CREEK. 6. y SURFACE WATER FLOW DIRECTION. 7. PLANT FEATURES, DRAINAGE AREAS, FLOW DIRECTION LINES, OUTFALL DESIGNATIONS, SEDIMENTATION BASIN, ph ADJUSTMENT UNIT AND THE BERMS, CATCH BASINS AND UNDERGROUND PIPING ASSOCIATED WITH THE TRUCK SPRAY AREA ADDED TO THE TOPOGRAPHIC MAP PREPARED BY MICHAEL TATE. 8- EXISTING GRADES ARE TO BE FINISH GRADES WITH THE EXCEPTION OF MINOR GRADE CHANGES TO FACILITATE WASTEWATER DRAINAGE TO THE SEDIMENTATION BASIN. ORbibdlt9i!#gt� . O TFALL 1 Inv. 1 / Gravel Parking Area ��� w i w_ 1 01 �\ \\ 6�► I Existing 5 3 5 TO BE REPLACED 5 � o LPN • I �- Concrete f DRAINAGE 1 �66 6 Slob Asphalt DRAINAGE O Plant AREA � AREA TRUCK WASHOUT oad - � 2 Concrete � � ` 1 in V. Rer7iy PB 92,inPG rrPork 85 Siwalk V7 (ExIsting) (Existing) 2$ ti DRAINAGE AREA O CONCRETE ic 5�� , `�dC,JrJ 496.20' r g. i !k SCRGMMEL 2418 jj ° 2 BOUNDARY ?-PED ii V } C4 Office 8lk. Bldg. l 5� 50 AREA TO BE DISTURBED e� sl?RAY 171 ii N II 2-S-81k. N1 PROVIDED BY OWNER Richard R. Allen, Sr. Zj�PAD ELEV.A 1 lyl (Existing) 6"O g0�' �,.p Db 3542. P 670 O b 3rG1V II ; `� 5°��� 11.714 9 CONCRETE UCK �- I, / `1 Inv. r� �p AC Ob 7576. Pg 808 `, 435.97 cp LOADING ar1T I —� concretes 0.2$ AC 9497-44-4240 I I r 1 l 1 1� Fad (Exist.)�~ C� o r- SEDIMENTATION BASINARGING a 'a CONVEYOR i� ,f DRAINAGE �D / t)TFALL 2 Road industrial Park PS 92, PG 185 1 LPL Q�� +18'st4" N1'F DB 4268, PG 54 Shermon E. Halt and wife, l L� Ann Bowen Holt ^pB 2017, PG 176 3" O DB 2029, PG 90 501 \ E 171 O§ � 0.) PP ' % 0 -. rt a1 Existkr� / 501 c pad {° 01 \ mac^ Sp �� \ Nail Set ® !� o �\ 499 1 ' \ Base of i �7 � \\\ Disturbed 7 9� 1 \ 49l708 EPN o �� =6� E 12.61' (Total) EIP S5848'47 E ECM \ PP Inv (Ex) PP '06s 277.85' Exist. f 4s6-0 . II 49d.61' Sa a Concrete °r. Wafer t. 24' Block Wa!! 1 �2' te CHARGING CONVEYOR a y�� 1 Concrete Tank rs 'all 3, ¢ ��°,ai* 'Pad Ex) BIkx+Pu p sD2 p� \ Pod (Ex) LOADING CHAMBER�y .k \ 1 1� House s Inv �Q 0 p9 �y> 9)A 1 D1 j� 9a.7 ti --- 4-- —� sz. �- o� EXISTING PLANT / 50 AREA +`'°" SILOS do EEDING I i-- � CONVE ORD ELEV. L _ J ��'�� a UGG PP PUMP AGGREGATE Pod frx st PAD ELEV.— _ 499 STORAGE SILOS s 5D1 X. U ' — — O in v. 3 4�6 1, 5 509.53 sD��' P Concrete f rst) c;gnr Area r� h°°�o e— _9B=—"�98ztc�1= ... 94.az' Inv. in /j[ r EPN yam_ ^�.. �' -^`�� xs' an m ence°p0°� ERB / �� ,4Q8 MODTERLA5000-5 Ex. 6' Chain Link Fnce — — — EIP ( 494.27' r 11 DN 1 s Exist Draqysa Inlet (1( \ GP I 494,79 ` N 597J000A W 544.37' (TOTAL) \ 's, Top 499.97' �� ADJUSTMENT UOR 5000-SK NIT \ \ 1% ` —,09 \ `,o Inv. Out 494-85, r� !nvv. / ! 9 \ 499 �4g�I \ �498— ` 494.45' 0 O) qs (p Inv. 494.91 ' 4gg� i+.l �r -� \ Richard R. Allen, Sr. \ 499 -� Db 7576, Pg 808 00 496 \ \ \ /---497� N/F !� -- 46.67' N � Charles McBride � and wife, Virginia McBride TBM ERB \ N 59 OQ/D9 W / \ ERB m Virginia Db 2937. Pg 591 EXISTING REBAR ) t - -'c\ � 9497-43-3932 ELE. 495.10 ¢9 6 496 `497 Q APPr0%r6d Stofmwater Permit Documents or9a n in accordance With these documents is U uit0d by the stormwater p@rm t. North Carohna require that ft stoff ter system designer IY s !n dla*V 0MIStrUC60n; ray conformity W06 the pans and $ ; and mortify Compliance w#h the C�i stommater rules, �.y ��� NCt3#+aislori Of �€�a 3 � fty Shoat # Revislan Deb 2- ` Q W. T. Sanders DB 5945, PG 69 GRAPHIC SCALE 5E 50 0 25 50 100 200 ( IN FEET ) 1 inch = 50 ft. MT(. 9A FT. TA TF.' I I P e 4 e a 4 N EIP = Existing Iron Pipe EPN = Exis tin g Pin E77 = Existing T—lron ECM = Existing Concrete Monument SRB = Set Rebar PP = Power Pole DI = Drop Inlet Co ,,Wp Note: Boundary and Topography by Michoel Tate, PLS 19 a Ao v 'a SITE x p� o o r e � v OCINI TY MAP 1, MICHAEL WE, certify that this map was drawn under my supervision from an actual survey mode under my supervision, that the ratio of precision as calculated by computer is l: 10000. This map does not conform to GS 47-30 as amended and is not intended for recordation, nor should acopy of this map be attached to a deed as an exhibit to be recorded per GS 9C-26. CHAEL TATE, Profession Surveyor No. L-2450 #.SEAL L-2450 0 Dr TOP 499.79' INV IN 496.75 INV OUT 496. 0 PP J " � 3 4' In EPN r / TOP 499.79 1 r �30. h u-) 00 c� c� CN rn m a t U 0 c W a� Q W. T. Sunders DB 5945, PG 69 GRAPHIC SCALE 50 0 25 50 100 ( IN FEET i inch = 50 M SITE PLAN FOR RICHA RZ R. A L L. EN. RR SEVENTY-FIRST TO WIVS117P OWMERLA.ND COUNTY NORTH CAROLWA 200 MICHAEL TATE PROFESSIONAL LAND SURVEYOR DRA WN B Y.• GES CHECKED B Y M T 3521 CLINTON RD, FA YETTEVILLE, NC 28312 PHONE 910- 483- 7387 DATE. • . 08�-25- OS SCALE: 1 "= 50' PARCEL N9. 9497-44-4240 JJOB NO. 2237 DWG NO. 2237- SHEET 9