NCG140170_MONITORING INFO_20190415

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
CDiMONITORING REPORTS
DOC DATE
❑ @oIq V 7
YYYYMMDD

PRO CESS f ASTEWATER -- Quarterly Discharge Monitoring Report �
GENERAL. PERMIT NO. NCG140000 APR4M 2019._r
CERTIFICATE OF COVERAGE NO. NCG14_Q
FACILITY NAME:
PERSON COLLECTING SAMPLES: t �;r c a
CERTIFIED LABORATORYLab tl _-S`/
,^ Lab 11
LIMIT VIOLATIONS? YES [] NO
Part A. Wastewater Monitoring Requirements
CEN RAL
SAMPLE COLLECTION YEAR: - ?Q lL :
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ��lOri
]Jan -March ❑April -Lune
COUNTY: — f- ,0;Z SY-H4
PHONE NO- (33�'
ADD TO USTSERVE? ❑YES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ❑Other
OPTIONAL INFO:
Outfali No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
VE, RM, MD z
}
pH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
using TPN us
i
method 1664A
5GI HI:l
(mB/LI
Discharge
Duration
(minutes)
Total Flats
(gallons/day)
-
-
-
6-53,4
303,5
53
(15)d
1
5oi 9
b• b
G O I
Q O
APR
15
C;ENTR
AL FILES,
L1V i•Z
__t.; I Vi J
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 (IRM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent ffmit 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
—3 `�'
Date of last pH meter calibration: ____

,•
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 7Q1D Row 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 CQPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW. "IUD DISCHARGE") WITHIN 30 D1��F 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 Mi:I5T SIGN THI5 g RTIFICATION FOR ANY IMFORMATIpN REPORTED;
"I certify, under penalty of law, that this document and all attachments were prepares{ 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 Permittee)
Permit Date. 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

RESEARCk L ANAlyi6W
mt�. .05
For: Ready Mixed Concrete Company (Williamson)
1590 Williamson Street
Winston-Salem, NC 27107
Attn: Danny Rathbone
Report of Analysis
3/29/2019
� 4•+
a ..
a �y NC#34 Z. R
S NC437701
a
Client Sample ID: #1 6237 Lab Sample ID: 64553-01
Site: Ready Mixed Concrete Collection Date: 3/26/2019 6:15
Parameter Method Result Units Rep Limit Anal st Analysis DatelT€me
pN SM 4500 N+6-2000 7.46 Std- Units 3/26/2019 0615
Settleable Matter SM 2540 F-1997 <0.1 mlll 0.1 AW 3/26/2019 1030
Total Suspended Solids (TSS) SM 2540 D-1997 6.6 mg1L 5 AW 3/2712019
NA - not analyzed
P.O- Box 473 106 short street Kernersville. North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com� Page 1
ral cua basic vSd

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report,
GENERAL PERMIT I40. NCG140000
CERTIFICATE OF COVERAGE NO. NCG141) _gl .
FACILITY NAME: o,�'tca.: M
PERSON COLLECTING SAMPLES: i
CERTIFIED LABORATORY:Ry Lrt r,r_l,cL( it e&) Lab # 34
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A:.Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: []Jul -Sept [YOct-Dec ❑Jan -March
COUNTY: =��5
PHONE NO. (_V1 ''7 S
ADD TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout
OPTIONAL INFO:
[]April -June
❑Other
Outfall No.
bate Sample
Collected'
(mm/dd/yr)
Type of Wastewater
VE, RM, MD Z
)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
5aiids
(mL/L)
TRH using
method1664A
5� HEM6
(mg/L)
Discharge
. Duration
(minutes)
Total Flow
(gallons/day)
-
-
-
6�-'793'
303"
53
-
-
f(15)6
P
C
Il l 7lliq
rr_l'y,
L. FILES
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 (RIVi), Mixing Drum
Cleanout (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 sta€f
notifies you to continue monitoring. i .
G 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:7/1/2010-06/30/2015
Date of last pH meter calibration: /--2- ',:90 -/ 0
Last Revised 07/13/11
Page Iof2

w
4 Process wastewater discharges shall only be monitored for TPH when cornmingled,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.
1z
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
1919) 907-6379
YOU MUST S16N THIS 5'ER77F CATION EQR ANY 1NFQRMATION 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 respanslble for gathering the information, the information submitted Is; td 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 possibllity.of fines and imprisonment for knowing
(Signature of Permitteel
j - 30
(Date)
Permit hate: 7/1/2010-06/3012015 Last Revised 07/13/11
Page 2 of 2

i
RESEARC i & ANA1yYACA1
QUQ LABORATORIES, INC.
000
For: Ready Mixed Concrete Co (ARGOS)
1491 Brookford Road
Kernersville, NC
Attn: Danny Rathbone
Report of Analysis
1 /3/2019
NCi134 0•in�
x: Z
w = NC.t37701
�7RECTO5
P•'•�Gs
• ,
.*';'/i0Ai
Client Sample 1D: 623711 Lab Sample ID: 60735-01
Site: Ready Mixed Concrete -Argos Collection Date: 12/20/2018 12:30
Parameter Method Result Units Rea Limit Analyst Analysis Date/Time
_j
pH SM 4500 H-1-E3-2000 7.76 Std, Units 12/20/2018 1230
Settleable Matter
SM 2540 F-1997
Total Suspended Solids (TSS) SM 2540 D-1997
<0.1 mllt
<5.0 mg1L
0.1 SK 12/20/2018 1600
5 AW 12/27/2018
NA = not analyzed
P.O. Box 473 106 Short Street Kernersvilie, North Carolina 27284 Tel: [phone] Fax: 336-996-Q326 vN i.randalabs.com Page 1
rat COS bas;c vId

PROCESS WASTEWATER —Quarterly Discharge !Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO, NCG14 O I �
FACILITY NAME, ,5,_.Kj M r'iC
PERSON COLLECTING SAMPLES: I rr'r.
CERTIFIED LABORATORY:&A41 'e,z.1 Lab # 3q
Lab #
LIMIT VIOLATIONS? YES gNO ❑
Part A: Wastewater Monitoring -Requirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: ❑Jul -Sept [OOct-Dec ❑Jan -March
COUNTY:
PHONE NO.
ADD TO LiSTSERVE7 ❑YES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑gout ❑Other
OPTIONAL INFO:
[]April -June
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
2
(VE, RM, MD)
pH
(standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
methodlb54A
5G7 NENId
(mg/L)
Dlscharge
Duration
(minutes)
Total Flood
y
(gallons/day)
-
-
6-93a
303,s
53
(15)r
_
U —
$•`7
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 forum
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 5. 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: 1, ��g-s�-
-

r '
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 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") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (UR
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 MU5T SIGN TH15 ELRTIFIL&TIM FURY HOURMAIlUty REPUKIW:
"I certify, under penalty of law, that this document and alliattachments 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 lnforniation, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties far submitting false Information, including.the possibility of fines and imprisonment for knowing
violations."
(Signature of Permittee)
Permit Date. 7/1/2010-06/30/2015
J
{Date)
Last Revised 07/13/11
Pare 2 of 2

PROCESS ASTEll WATER — Quarterly Discharge Monitoring Report
GENERAL, PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 d 1 t
FACILITYNAME- og&os
PERSON COLLECTING SAMPLES:. 77,-,
CERTIFIED LABORATORY:W�circ6,14 Lab # 34
Lab #
LIMIT VIOLATIONS? YES 52'NO
Part A: WastewaterMonitoring Requirements
SAMPLE COLLECTION YEAR: C i,
SAMPLE QUARTER: ❑Jul -Sept [Oct -Dec ❑Jan -March []April -June
COUNTY:
PHONE NO.
ADD TO LISTSERVE? DYES ❑NO EMAIL:
DISCHARGING TO CLASS- ❑SA ❑HQW []PNA []Trout []Other
OPTIONAL INFO:
j
Outfall Na.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT-HEAP
(mrg/L)
Discharge
Duration
(minutes)
Total Flow
�
(gallons/day)
'
6-93'9
303's
5'
(15)s
_
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,
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MO). 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 saitwaters.
5 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/l/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2
Date of last pH meter calibration: — 1,�p - O

a 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, Yncluding the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset 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 5UMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE LOR
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 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 aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing
violations." ,
(Signature of Permittee)
Permit Date:7/1/2010-06/30/2015
—30 19
(Date}
Last Revised 07/13/11
Page 2 of 2

1 R - RESEARCh & ANA1YTiCA1
LA ORATORIES INC*
For: Ready Mixed Concrete Co (ARGOS)
1491 Brookford Road
Kernersville, NC
Attn: Danny Rathbone
Report of Analysis
1/3/2019
iss1611+ly+ls
�►`'��+b' R�ALYTj +'�i
6..
.r. 0 r
w NC 4 701
f�41!!!t[t1►*fit
Client Sample ID: 623614 Lab Sample ID: 60734-01
Site: Ready Mixed Concrete -Argos Collection Date: 12/20/2018 11:45
Parameter Method Result units Rep Limit An_ alyst Analysis Date l7ime
pH SM 4500 H+B-2000 8.67 Sid, Units 12/20/2018 1145
Settleable Matter SM 2540 F-1997 <0.1 1111/1 0.1
Total Suspended Solids (TSS) SM 2540 D-1997 52.7 rng1L 5
SK 12/20/2018 1600
LP 12/24/2018
NA = not analyzed
P,O, Box 473 106 Short Sireet Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www,randalabs.corn Page 1

r
i
PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF CO ERAGE NO. NCG14 C) k � b
FACILITY NAME:Z
PERSON COLLECTING SAMPLES:-e a 5
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A. Wastewater Monitorinu Reouirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: ®iul-Sept []Oct -Dec ❑ian-March ❑April -June
COUNTY: FVk_-Z `J
PHONE NO. (�>j
ADD TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout []Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected)
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)z
pN
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(rnL/L) .
TPH using
method 1b64R
SGT-HENf
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)7
-
6-93,4
303.5
53
(15)s
02alZLIE
2041�,
co
gyp.`
D.b9 �►
i 17 wi-�IOf
1;�-I-)
UL 1 :6
r•` G:rl"Cs A i r
JD�hfP Cif Z
ink,
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 (Rli ) 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 permiittee 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.S 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

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 beset to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer7Q10.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,
.i
I
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 9LRT1F1CAT1QN FOR ANY INFORMATJON 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 responslble 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."
(signature of Permittee)
Permit Date:7/1/2010-06/30/2015
11.
(Date)
Last Revised 07/13/11
Page 2 of 2

STORMWA°TFR.DISCNARGF'DU7FALL:�SDO) Semi-Annual.MONITORIN.G.FORM'::
GENERAL PERMIT NOAC.G140000
CERTIFICATE OF COVERAGE NO. NCG14 i '_7: SAMPLE COLLECTION "YEAR:
FACILITY NAME:1Z �S SAMPLING PE_RIO.D: " July -December ❑ January -June"_
PERSON COLLECTING SAMPLES" COUNTY /
CERTIFIED LABORATORY ,6, Cab # PHONE NO.
Lab'# ADD TO LESTSERVE? ❑YES ❑NO EMAIL:.
OPTIONAL INFO: DISCHARGING TO..CLASS: ❑SA ❑HQW ❑PNA []Trout ❑Other_
Part A: Stormwater Monitorine Reouirements
Cutfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)t
PH
(Standard
Units)
TSS
- ""
(mg/L);
Event
Duratio n . •.-
.. (minutes] .:
: Total
,
Rainfall -.
•
(in)
In Tier 2
: Monthly
Monitoring?.
(Y/n):_....,
# of Months in Tier
. •z . -
2 Sampling
6_9z ...
.... 100zs
-
i 8
a y I
/il +;:
1
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/I, except when discharging to ORW, HQW,.Trout, and PNA waters where they are 50 mg/l.
"For each sampled measurable.5torm 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 °:
,Date 5am le
>: p a
'
rno dd
( ../
p H `
Standard
Units
TRH usin �mertiod"
9
_,1664A5GTNEM
m /L
TotalSus "' nded
Pe _
Solids •
4 m /L
- "� g )
'-r =F'Event
Duration
minutes
{ }
ir' ,',.7 [
oia a r
Rainfall
in '
{ )
New.Motor 0}1.
Usage
al month
{g / ) 3
In Tier 2
IVlonthl
t Y
Monitorin ?
g
tX
f Month
° s
in Tier2 ;.
:.Z
Sam lin
A g
ira
R`
r
HAS YOUR FACILITY HAD 4 QR MORE BENCHMARK EXCEEDENCES AT ANY OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED T4REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
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: I
Division of Water Quality j
Attn: DWQCentral 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 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 gathe ing the information, the information submitted is; to the best of my knowledge and belief; true, accurate, and 'complete
arR-auaaFe i there are si nificaA pe al s for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(signature of Permittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

RESEARCh & ANA1YTiCA1
QQ LAbORATOR1ES? INC.
000
For: Ready Mixed Concrete Co (ARGOS)
1491 Brookford Road
Kernersville, NC
Attn: Danny Rathbone
Report of Analysis
10r3r2018
t{tttttltr��0
to NC 1134 x;
w NC 1137701
i O� Q.•
Client Sample ID: #i 6237-1W Lab Sample ID: 56740-01
Site: Ready Mixed Concrete -Argos Collection Date: 9/27/2018 9:15
Parameter Method Result Units Rep Limit Analyst Analysis Daterrime
pH SM 4500 H+13-2000 8.41 Sid. Units 9/27/2018 0915
Settleable Matter
SM 2540 F-1997
Total Suspended Solids (TSS) SM 2540 D-1997
<0.1 mlll 0A AW 9127/2018 1630
11.8 mglL 5 AW 1011/2018
Client Sample lD: #1 6237-1 S Lab Sample ID: 56740-02
Site: Ready Mixed Concrete -Argos Collection Date: 9/27/2018 9:15
Parameter Method Result Units Rep Limit Ana Analysis Analysis DatelTime
pH SM 4500 H+B-2000 8.41 Std, Units 9/27/2018 0915
Total Suspended Solids (TSS) SM 2540 D-1997
13.4 mglL 5
AW 10/1/2018
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] m%r%v.randa labs. com Page 1

PROCESS WASTEWATER —Quarterly Discharge Monitoring Rep6'A 660VED
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 v / 7 _Z
FACILITY NAME: Y-s US i���CL krU4 l P
PERSON COLLECTING MPLES: ..� e? e �tXcV�
CERTIFIED LABORATORY: 19[ e 294g, I SfnS Lab # 2— --
_ Lab #
LIMIT VIOLATIONS? YES ❑ NO E9--
Part A: Wastewater Monitoring Requirements
JUN 14 2018
CENTRAL FILES
DWR SECTION
SAMPLE COLLECTION YEAR: del i
SAMPLE QUARTER' ul-Sept []Oct -Dec ❑Jan -March 2DApfll-June
COUNTY: -5-1_C l
PHONE NO. I2myj 5 22 v
ADD TO LISTSERVE? []YES [�ft0 EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ❑Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected
(mm
Type of Wastewater
z
{VE, ltM, MD)
pH
(standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method IS64A
SGT NE)
(mg/L/dd/yr}
Discharge
Duration
(minutes)
Total Flow
{gallons/day}
-
6-9;'4
303,s
53
(15)6
-
-
C}=
G
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 (RIVI), 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 5.U. for discharges to saltwaters.
5 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:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2
Date of last pH meter calibration:

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 TH15 ANNUAL SUMMARY IINCLUDING ALL "NO FLOW "NO DISCHARGE-) WITHIN 3UAY5 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 A&Y 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 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violatio S.I.
(Si ture 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 COVERAGE NO. NCIS 14 0 L 2 Z
FACILITY NAME: -s Q 9
PERSON COLLECTING MPLES: _ k1ek^ eyu tx,, it _C_
CERTIFIED LABORATORY: LP_ - Lab # L i
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Reauirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: Jul -Sept []Oct -Dec [�an-March
COUNTY:
PHONE NO.
ADD TO LISTSERVE? []YES Bib EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout (71Other
OPTIONAL INFO:
[]April -June
Outfall No.
Date Sample
Collected) —
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)
MD)'
PH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usfntg
method 2664A
SGT-HEV
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)
-
-
6-93'4
30315
53
(15)6
2 OIt
vAm
4 oh JL
Z 0.1 *I
fl.
G
d
(0
n
n!"'Iiw /r
6." i_Iv E,
ADD 1
C
=NTIRAL FILI
fi
R 5ECT10
d
f
1 If wastewater systems have not discharged In this quarter — report "No Now" 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.
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: 7/112010-06/30/2015 Last Revised 07/13/11
Date of last pH meter calibration:
2 _�r�a! PageIof2

11 a 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 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"1 WIIHlh1 30 DAUOF RECEIPT OF SAMPLE (OR
AT gND OF MgNLT0RING.UflI0D IN WE OF -NO FLOW-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 CER77Fl 77GN F ANY I NFORMAT I0N 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 Permittee)
Permit Date: 7/1/2010-06/30/2015
rZo1�
(Date)
Last Revised 07/13/11
Page 2 of 2

10/6/2017
Division of Water Quality
Water Quality Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Submission of Process Wastewater -Quarterly Discharge Monitoring Report.
Argos Ready Mixed Concrete Co. — Statesville (Iredell County): General Permit
NCG140000; Certificate of Coverage No. NCG140172.
To Whom It May Concern,
We respectfully submit the enclosed original and one copy of the Process Wastewater -
Quarterly Discharge Monitoring Report for Argos Ready Mix Concrete - Statesville
(Iredell County): General Permit NCG 140000; Certificate of Coverage No. NCG 140172.
If you have any questions or comments regarding this submission, please contact me at
your earliest convenience.
Sincerely,
Larry Palmer
Operations Manager
Piedmont Division
Argos USA
RECE �
UL, l zorz
Ce rRAL p
0�,R SECILES
PON
2289 Salisbury Hwy.
Statesville, NC 28625

PROCESS, WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 ­� % Z ?-
FACILITY NAME: _ l�✓�a� uS 14 } ks+.,l (�_ -.-
PERSON COLLECTING�AMPLES: /f+t-r S n� r✓�
CERTIFIED LABORATORY: Lab f# a25—
Lab #f
LIMIT VIOLATIONS? YES ❑ NO
Part A; Wastewater Monitorine Requirements
SAMPLE COLLECTION YEAR: 59, e /.-?
SAMPLE QUARTER: [{]Jttf-Sept ❑Oct -Dec Dan -March ❑April-lune
COUNTY: "12 c - -
PH0NEN0-(7v ) �72•--`tS—��
ADD TO LISTSERVE? []YES ❑NO EMAIL: '
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []trout []Other
OPTIONAL INFO-
Outfall No.
Date
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)z
pH
(standard)
Total Suspended
solids
(mg/L)
Settleable
solids
(mL/L)
using
method 1664A
SGT-HEM'
(mg/L)
Discharge
Duration
{minutes)
Total Flow
,
(gallons/dayj
•
-
6-93'4
303,5
53
(15),
-
-
a'--te�r
1 ru
. p 1
s� l
o
o. Z L g
i
1 If wastewater systems have not discharged in this quarter — report "No Flaw" 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 (RMi , Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3I€ 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,
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

a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TRH 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 7Q1D 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 COPJ OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHM 10 PAYS 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 MYRSIGN THIS ER12E(fATION FORoSUYINFORMATIONY 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 imprisonmentfor knowing
re of Permitteej
Permit Date: 7/1/2010-06/30/2015
v- �9,Za/7
(Date)
Last Revised 07/13/11
Page 2 of 2

10/6/2017
Division of Water Quality
Water Quality Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Submission of Process Wastewater -Quarterly Discharge Monitoring Report.
Argos Ready Mixed Concrete Co. — StatesvilIe (Iredell County): General Permit
NCG 140000; Certificate of Coverage No. NCG 140172.
To Whom It May Concern,
We respectfully submit the enclosed original and one copy of the Process Wastewater -
Quarterly Discharge Monitoring Report for Argos Ready Mix Concrete - Statesville
(Iredell County): General Permit NCG140000; Certificate of Coverage No. NCG140172.
If you have any questions or comments regarding this submission, please contact me at
your earliest convenience.
Sincerely,
Larry Palmer
Operations Manager
Piedmont Division
Argos USA
2289 Salisbury Hwy.
Statesville, NC 28625

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 O j 21--
FACILITY NAME:
PERSON COLLECTING`SAMPLES: vLn
CERTIFIED LABORATORY: LQ , /l. c.L,v Lc b ab #
» Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A. Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: dol /
SAMPLE QUARTER: �]}ul-Sept ❑Ott -Dec Dian -march
COUNTY: . t er.2 a- /Z
PHONE NO. r%Ur/) Y 7 'Z_ S' 4 T _
JOL 2 C117
CEN7'RA 1 DWR SEC-r1c
MAOIA'I'A
ADD TO USTSERVE? RYES ❑NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VERMMDz }
, ,
PH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L}
TPH using
method 1664A
SGT-HEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
,
(gallons/day}
6.93'4
303,5
53-
�`
�L.✓
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.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RtAl , Mixing Drum
Cieanout (MO). 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 ] of 2
Date of last pH meter calibration, r� 2Uj "7

E Process wastewater discharges shall only he monitored for TPH when commingled with stcrmwater 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 shalt 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 focation, the permittee shall notify DWQ, and the DWQ Regional Office may require an anrual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHAIRGE"I 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 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 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
Permittee)
Permit Date: 7/1/2010-06/30/2015
2e)
(Date)
Last Revised 07/13/11
Page 2 of 2

7/ 19/2017
Division of Water Quality
Water Quality Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Submission of Process Wastewater -Quarterly Discharge Monitoring Report.
Argos Ready Mixed Concrete Co. — Statesville (IredelI County): General Permit
NCG140000; Certificate of Coverage No. NC6140172.
To Whom It May Concern,
We respectfully submit the enclosed original and one copy of the Process Wastewater -
Quarterly Discharge Monitoring. Report for Argos Ready Mix Concrete - Statesville
(Iredell County): Genera'.` ermit-NCG140000; Certificate of Coverage No. NCG140172.
If you have any questions or comments regarding this submission, please contact me at
your earliest convenience.
Sincerely,
Larry Palmer
Operations Manager
Piedmont Division
Argos USA
2289 Salisbury Hwy.
Statesville, NC 28625

PROCESSWASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF C VERAGE NO. NCG14 0_L 1Z
FACILITY NAME:MNA
U. _s
PERSON COLLIE MP E5: Cr-lJ
CERTIFIED LABORATORY: Lab p Z7
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: +Q
SAMPLE QUARTER: Jul -Sept ❑Oct-Dec�n-Marct
COUNTY.
PHONE NO. 126 E() %Z—
ADD TO LISTSERVV ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []trout
OPTIONAL INFO:
❑April -lure
[]Other
Outfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
Z
(VE, RM, Mbj
pH
(standard)
total Suspended
Solids
(mg/0
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT-HEAe
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)
•
6-93'4
303.5
53
(15}6
-
-
n"loll
.
CE I t•
� �.
T\ U
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.
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.
° pH1imits are 6-9 5.1J. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 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: 7/1/2.030-06/30/2015 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
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 CERIVICATION FOR ANY INFORMATION REWRTED:
"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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment far knowing
of Permittee)
Permit Date: 7/1/2010-06/30/2015
S-10"Aa/
(Date)
Last Revised 07/13/11
Page 2 of 2

5/ 10/2017
Division of Water Quality
Water Quality Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Submission of Process Wastewater -Quarterly Discharge Monitoring Report.
Argos Ready Mixed Concrete Co. — Statesville (Iredell County): General Permit
NCG140000; Certificate of Coverage No. NCG140172.
To Whom It May Concern,
We respectfully submit the enclosed original and one copy of the Process Wastewater -
Quarterly Discharge Monitoring Report for Argos Ready Mix Concrete - Statesville
(Iredell County): General Permit NCG140000; Certificate of Coverage No. NCG140172.
If -you have any questions or comments regarding this submission, please contact me at
your earliest convenience.
Sincerely,
Larry Palmer
Operations Manager
Piedmont Division
Argos USA
2289 Salisbury Hwy.
Statesville. NC 28625

;i
i-,
PROCESS WASTEWATER —Quarterly
A
GENERAL PERMIT NO.
Discharge Monitoring Report
NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 ¢ i SAMPLE COLLECTION YEAR: D 1
FACILITY NAME: ( SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dee ❑Jan -March QApril-June
PERSON COLLECTING SAMPLES: COUNTY. --
CERTIFIED LABORATORY:2AC� LN&cc,a4 , ,'r„51 Lab # /s [ ^ 3q PHONE
Lab ItADD TO LIST5ERVE? []YES❑NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO © D15CHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑"front ❑Other
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
{VE, RM, MID)
i z
pH
(standard)
Total Suspended
Solids
{mg/L)
Settleable
Solids
(mL/L)
TPH using
method1664A
S mgf L
Discharge
Duration
(minutes)
Total Flow
7
(gailonsjday)
6-93'4
303.s
53
(15)s
-
Ar "'
I
i PrF_IVH)
JUL
13 Z09
I
UCsV i ;
CrNL rii.CJ
F'
..r
I
I
i
I
I
'
If wastewater systems have not discharged in'this quarter— report "No Flow" ar "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 (RNA}, Mixing Drum
Cleanout (MO). Report more than one type if the waste -stream is commingled.
3lf 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 RQ 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 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/l/2010-06/30/2015 '' last Revised 07/13/11
r. Page 1 of 2
fy .

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 02B .022q. 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.
i
AT END OF MONITORING PERIOD IN
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
"I certify, under penalty of la'w, that this document an
assure that qualified personnel properly gather and ei
those persons directly responsible for gathering the it
complete. I am aware that there are si nificant penal
r
violations." /> 1
ure of Permittee)
Permit Date: 7/1/2010-06/30/2015
2
all attachments were prepared under my direction or supervision in accordance with a system designed to
luate the Information submitted. Based on my Inquiry of the; person or persons who manage the system, or
irmation, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and
:s for submitting false information, including the possibility of fines and imprisonment for knowing
(Date)
Last Revised 07/23/11
Page 2 of 2

STOR.MWA..TER,. DISCHAR.GE`OCITFALL (SDO) ,- Sem'I-Annual,-M:O;N•ITO'.RIN•G\F.IDRM
GENERAL PERMIT NON 9140PO .... '•-
R.:.:
CERTIFICATE OF COVERAGE NO. NC.G14a _1_ : Q SAMPLE COLLECTION YEAR: a01 Af'R;..O 2. 2018
FACILITY NAME: �4gaS ,;, X SAMPLING' PERIOD.''❑July-DecemberJanuary-Juae `N!TRAL FILE;
PERSON COLLECTING SAMPLES %tt COUNTY" [%.WR SECTION,
CERTIFIED LABORATORY (� _Lai�ol+t-i o-�7eS Lab # /�iC PHONE NO. E } 781,
Lab'# ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
OPTIONAL INFO: DISCHARGING YO_CLASS: [:]SA❑HQW ❑PNA ❑Trout []Other
Tart H: �)tormwater ivionnoring-Kequirements
Date Sample
` ..
In Tier 2
,
Collected
p li
7S5
Event' ' "
Total .
, Monthly
# of Months in Tier
Outfall No.
(mo/dd/yr OR
(Standard
(mg/L).; •
Duration -:..
- Rainfall
.'.".
Monitoring?:
z ..
2 Sampling
NO FLOWjl
Units)
{minutes} ....
, •:...:-.{in}
(Y/n)' .....`.
90
..ro
I - 1 __ III - v IJ1..I1M I,IV L, LIILGI ITV I LWWV U1 . 1VW L21JLf,IMI\VL I 1 CQL11 UULIPII I-. 11G_ J IIIQN,;,a UI G LV IIIQI A LI IG �QIII�IIG � ', - Ci i/ .
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. fie 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. t
I
Permit Date: 7/1/2011-50/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Mairitenah6e Activity -Monitoring: Requirements for facilities. 55 Ral.of. new motor oil/month—averaeed over a calendar vear
rOutfall
I No�''
F
-. i wl
J
Date- Sam 1 '
,.� P e
lescte
s S r -gin
pH
k(5tandard
, ^,Units` .
`:-
i- :,.i• �" 7 X
1 Ya'.
TP,Husrngmethod
:u1664ASGT HEM `�
m L .
'. .1-
_ ,r Ma"
f�=rt4.:tire
[r
7otal5us ended>.,
f solids r
r "` m :L. r
--t .1
.a
Events
{ Duratlan
�w::r1lPnrnutes r.,
f`� "f1..k-%�
Total
Rarnfall4
1Irn1
NQw,[ViotarrOil
Usa e A
1IQal mognth`1;
f-•!n. jl
r;, ,
Manitorrrntg"�.
#'of.Morths
rn Trer2
2
-
- 4 ,
",. ..• r
:
s .
-
N
HAS YOUR FACILITY HAD 4`011 MORE BENCHMARK EXCEEDENCES AT ANY OUTFALL (INCLUDING VEHICLE MAINTENANCE)?' YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES []NO
REGIONAL OFFICE CONTACT NAME:
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 monitorine period
in case of "No Flow") to.'
Division of Water Quality
Attn-. OWQ 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 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 aw�atare s iiican ' Iti miffing false information, including the possibility of fines and imprisonment far knowing violations."
f
(Signature of Permittee)
Permit Date: 7/1/2011-60/30/2015
s.
s
(Date)
Last Revised 7/13/11
Page 2 of 2

A PROCESS WASTEWATER — Quarterly Discharge (Monitoring Report ;
GENERALEPERMIT Ko�N, Ct G140000
APR 02 2018
CERTIFICATE OF COVERAGE NO. NCG14 o L SAMPLE- COLLECTION YEAR: ti
FACILITY NAME: [ 1/1 R SES.AMPLE QUARTER: ❑Jul -Sept _]Oct -Dec ®Jan -March April -June
PERSON COLLECTING SAMPLES:. f -S"IC COUNTY:
PHONE NO. (33(, �$S-�f5'75 '
CERTIFIED LABORATORY: (� �cYA L.yr r,' Lab # �C -3�t --- • '
Lab # ADS TO LISTSERVE? ❑YES ONO EMAIL.
LIMIT VIOLATIONS? YES F1 NO ® DISCHARGING TO CLA55: []SA ❑HQW ❑PNA QTrput ❑Other
OPTIONAL INFO- -
Part A: Wastewater Monitoring Requirements
- — —
Outfall Ne.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
VERM, , MD z
)
pH
(standard)
Total Suspended
solids
(mg/L)
Settleable
Solids
(MLA)-
TPH using
method 1664A
SGT-HEM'
(mg/L)
Discharge
Duration
(minutes)
— -
Total Flow
,
(gallons/dayj
-
-
-
6-93'4
301-1
53-
oL/,0A
I:
' If wastewater systems have not discharged In'this quarter— report "ND 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 far six months, unless DWCQ RO staff
notifies you to continue"monitoring.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.S 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
f

� Y
a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have .0imit for wastewater,
7 but instead is subject to benchmarks and provisions of Part 1V, 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, x
i r
1
MAIL:ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE
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 MU5T51GN THLLCERTIFICATION 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 sysierii 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 beligf, 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."
0,V• 1 i�
F �=W
of Permittee)
Permit Date:7/1/2010-06/30/201S
a -a`7 -) 9-
(Date)
Last Revised 07/13/11
Page 2 of 2

RESEARCh & ANALyTiCAL
LABORATORIES, INC.
For:,.,,. Ready„Mixed Concrete Company,(Williamson),
1590 Williamson Street
Winston-Salem, NC 27107
Attn: Danny Rathbone
Report of Analysis
3/14/2018
` tptt:tirii��i
fe
tt`q NC tt34 may-;Zn
% NC437701 ?
C't`C4% r�Gs �.%
;ED pNP�';5��.
t��n113110%
Client Sample ID: 6237-S1 Lab Sample ID: 47464-01
Site: Ready Mixed Concrete -Argos Collection Date: 3/6/2016 9:00
Parameter Method Result Units Rep Limit Analyst Analysis DatelTime
pH SM 4500 H+8-2000 7.20 Std. Units 3/6/2018
Total Suspended Solids (TSS) SM 2540 D-1997
<5 mg/L 5 AA 3R/2018
Client Sample ID: 6237-W1 Lab Sample ID: 47464-02
Site: Ready Mixed Concrete -Argos Collection Date: 3/6/2018 9:00
Parameter Method Result Units Rep- Limit Analyst Analysis Dateaime
pH SM 4500 H+13-2000 7.20 Std. Units 3/6/2018
Settleable Matter SM 2540 F-'1997 <0.1 ml/I 0.1 AA 3/6/2018 1530
Total Suspended Solids (TSS) SM 2540 D-1997 <5 mg/L 5 AA 3/7/2018
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page t

F w RESEARCb . & ANAlyT1CAL
CHAIN,OF CUSTODY,. RECORD:
LAbORATORIEs" INC.
Analyticall`Praaess- Consultations.
Phone [phone]
WATCG lWA G-MWATPD d11Gf`
STREETADDRESS-
CONTACT PHONE
IMENNUMMEMSEMBE
iiiiiiei�iieimi

PROCESS.WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL. EPAIT NO. NNCG140000
JAN 19 2�ii3
DVYP 4r'nr�r+
CERTIFICATE OF COVERAGE N0. NCG14 C> i TAMLE COLLECTION YEAR:
FACILITY NAME: bS � ! "
y�.x _ M����Q,�JI�RTER: []Jul -Sept Oct -Dec Dian•-tVlarch []April -June
PERSON COLLECTING SAMPLES: COUNTY: J`c+zS
CERTIFIED LAB 0RATORY:?gr,,d O&,�, fchi Lab tl —3� PHONE NO.
Lab # ADD TO LISTSERVE? ❑YES ONO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® DISCHARGING TO CLASS: []SA []HCtW ❑PNA ❑Trout ❑Other
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
(mL/L)
TPH using
method 1664A
SGr HEMS
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day) r
-
-
-
6-93'4
303.5
53
(15)6
-
d
i If wastewater systems have not discharged In -this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quartdr.above. .
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RKiI), 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 DINQ RO staff
notifies you to continue monitoring.
a N limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
p g g
s T55 limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L forirout and PNA waters, and 30 mg/L for all otherwater classifications.;,;
Permit Date: 7/x/2010-06/30/2015 Last Revised 07/13/11
Page I of 2

a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have alimit 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 beset to 50% of the Summer 7Qf0 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7CL10.flow and report this information to DWQ, If the 'ermittee 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.
i
I
i
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
1611 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
a
YOU MUST SIGN THIS CERTIOrATION FOR ANY INFORMATION REPORTED.
N 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 responslble 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 possibillty of fines and imprisonment for knowing
violations."
(Signature of Permittee) (Date)
Permit Date:7/1/2o10-06/30/2015
`,'Last Revised 07/13/11
Page 2 of 2
�• r

STORNIWA��TER�.DISCHA�R.GEY4U,TFAL$L�°�SDO)�-��Sem�i-Annual:,=M:O:.N-iT4.RIN.:G�FORM:��. �:..:...
GENERAL PERMIT NO NCG�140000
EIVi
CERTIFICATE OF COVERAGE IVO.-NCG14 0 I.. -1: QCT 18 2617SAMPLE COLLECTION YEAR: a l
FACILITY NAME: Pr � [ ih ?yC - SAiVIRLiNG' PEF31gb: R luly-December ❑ lanuaryAune
PERSON COLLECTING SAMPLES c.LA_Iic— 'EN I KAE FlLEfao.UNTY
CERTIFIED LABORATORY r�ur_vl do ,4;T1�] -; � -Lab #ljv�HONE-NO.
ADD TO•LISTSERVE?.❑YES []NO EMAIL:.
. Lab. # _
OPTIONAL INFO:- DISCHARGING TO.CLASS: []SA ❑HQW ❑PNA, []Trout ❑Other
Part A: Stormwater Monitoring.Requirem ents
Outfall No
Date Sample . :.
Collected ..
... ..
(mo/dd/yr OR :.
1. .:
NOT.L"OW)
PH
(Standard :.
Units)
TSS ' � �,
:. - . _
(mg/L) . • .
t ..
Event
�:-..Monthly.:,...
.Duration ...
:..{m.inutes) .; .:...__:.':::.
Total
<Rainfap°....
(in1 :.
.In Tier 2 :.
Monitoring?,
(y/n)' ..;.
fk o h n.7ier
f Months i
2 Sampling.
&9 :.....::
..... 100Z
l . Is
3 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, oroutside the -benchmark. range (for pH), you must Implement the Tler.l 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 T5S benchmark values are 10p 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 I of 2

Part 13: Vehicle Mairitenairice Activi.tyN4onitoring,Rpquirements- for facilities using > 55 gal:jaf new motor oil/month — averaged. over a calenclarve'air
a te� arnp
o I I e:ct 1J,
P H
5 t a n d a r
Unm
Y' gr":
'T, P Kusingpernpdg�
��,qr
664A�Z77.*.tilL
.5 rotalf5uspend'
X5.,WUrj CIO ri'�o
I I I I I I U Lr
'r
Fg.taligzM
Kai wal 11
(gall.LM o nth
ft
n
S
9
-
W,I'm5
nONwo�!
HAS YOUR FACILITY HAD 4'OR MORE BENCHMARK EXCEEDENCES AT ANY -ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ No FA
HAVE YOU CONTACTED THE REGION? YES NO
REGIONAL OFFICE CONTACT.NAME:
Mail Original and one cape 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 systeir designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manag6':the system, or
I those persons directly responsible for gathering the inform—atiori, the information submitted is; to the -best of my knoWl edge and. belief; true, accurate, and corriplete.
am aware that there are sijil� %ant�'pe s or. submitting false information, including the possibility -of fines and imprisonment f6r knowirig:violations."
(Signature of Pergittee) V (Date)
Permit Date; 7/1/2011-60/3 0/2015
Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 I %�
FACILITY NAME: _17j;�'�y+� (ma c
PERSON COLLECTING SAMPLES: K ".. Q+=YC[s
CERTIFIED LABORATORY: e@ I �% Lab # .3
Lab #
LIMIT VIOLATIONS? YES []NOS
Part A: Wastewater Moriltorine Reouirements
SAMPLE COLLECTION YEAR: AD) '7_ _ t
SAMPLE QUARTER: ®Jul=Sep.t ❑Oct -Dec Dan -March
COUNTY: 1-oeeSYfk
PHONE NO.
ADD TO LISTSERVE? []YES ❑NO EMAIL: I +`
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑TrOu"t
OPTIONAL INFO:
❑April -June
❑Other
Qt�tfafl No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
x
(VE, RM, M17}
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1654A
SG%NENJS
(mg/L)
Discharge
�-
Duratlun
(min uies)
Total Flow
7
(gallons/day}
•
-
-
6-93'4
303,s
53
!
Id r
4-i
la•4
0 1
6
CENTRAL FILES
3 if wastewater systems have not discharged In'this quarter— report "No Flow' or "No Discharge" here. Please make sure to mark the sample qua rter.above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing arum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
a 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. 3,
" pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s 7S5 limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L far aI1 other water classifications,;;
Permit Date: 7/l/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

4 Process wastewater discharges shall only be monitored forTPH when commingled with stormwater discharges from VMA areas. TPH does not have a:iimit 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 to 50% of the Summer 7Qi0 Flow as per 15A
NCAC 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer7Q10_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.
i
i
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW" TO:
Division of Water Quality f,
Attn: DWQ Central Files
1617 Mall Service Center
Raleigh, North Carolina 27699-1617
[phone]
'I
• .i i
ii
YOU MUST SIGN THIS ERT191 AT1 N 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 responslble 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 oifines and imprisonment for knowing
violations."
(Signature of Permittee) (Dale)
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 N0. NCG14 0
FACILITY NAME: G ;al�x �� }Ze+��Y
PERSON COLLECTING SAMPLES:-�i2,-A%v.e--
CERTIFIED LABORATORY: cg&�, Lab # �
Lab #
LIMIT VIOLATIONS? YES 0 NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: [Jul -Sept ❑Oct -Dec QJan-M'arch April -June
COUNTY: E-t,2sg-t -�-
PHONE N0. (�_) (�'-SO {
ADD TO LISTSERVE? []YES ONO EMAIL: t r
DISCHARGING TO CLASS: ❑SA DHQW ❑PNA QTraut []Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
VE, RM, MD z
( }
pH
(standard)
TotalSuspended
Solids
(mg/L)
Settleable
Solids
(MLA)
TPH using
method 1664A
5GT-HE&f
(mg/L)
Discharge
Duration
(minutes)
Total Flow
r
(gallons/day}
-
6-93'4
303 s
53
L iJ, C UT
y,
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.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (Rlvij, 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.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. w
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/l. forTrout 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 provislons of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured contlnuousSy or calculated. Flow limits For wastewater discharges to HQW waters shall beset 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.
I
I
.l
i
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 .t
Raleigh, North Carolina 27699-1617
[phone] t`
YOU MUST SIGN THIS ERTIFI AT! N FOR ANY WFORMATION 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." /
(Signature of Permittee) (Date)
Permit [late: 7/1/2010-06/30/2015 Last Revised 07/13/11
r Page 2 of 2

STORMWA°TER-:DISCHARGE, OUTFALL(SDOYSemi-AnnuaVM.O:NITGRING-.FORM, -
GENERAL PERMIT ND..NCgI4.0000 y.
- .. .
CERTIFICATE OF COVERAGE NO. NCG14_a 1 �7 d SAMPLE COLLECTION YEAR:
FACILITY NAME: �c SAMPLING PERIQD: ❑-July-December [January -June-
PERSON COLLECTING SAAPLES COUNTY
CERTIFIED LABORATORY .tsc lc'L1 �iC A��!} � 'c4ab # 34 PHONE NO.
Lab # ADD TO LISTSERVE? [YES ❑NO EMAIL:
OPTIONAL INFO: DISCHARGING TO..CLASS: [:]SA ❑HQW ❑PNA ❑Trout []Other
Part A: Stnrmwater Monitorine Reouirements i
Outfall No.
Date Sample
Collected
(mo/dd/yr•blt
NO FLOW)'
pH
(Standard
Units)
—
TSS
(mg/L}Monitoring?
-
Event .....
Duration--. •
(minutes)
=
:Total=
� a
- - Rainfall--
_ (In)'(y/n)......
to Trer.2
Monthly
# of Months in Tier
z =
25an p'16,.
6-92
1002,3
-
-
-
No h I O L
Ppr
n o .•
C' -I'JT
ZAl FIII Irq
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 thebenchmark 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.
s TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW,.Trout, and PNA waters where they are So 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.
-
0
Ouffall
No
_ t
Date Sam le'
p
Collected',
;.II
H
PMonthl
5#andard
(-
Umts);
TP, Fi usrn ;method'
3654ASGT-NEM
(mg].L)
Total>5us ended
Solids '
(mg/L), ,
fr Event
T Duration
(minutes)
?^rota[ °,
Rainfall=
(in]
New?Nlotorp�l.+
sage
g
(gat/ionth)
Y ,
Monrtormg?
#:of Months--
:inTier2.
:'Z
li yam n
ci ?
.
wA
ji
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coav of this DMR (including all "No Flow" & "No Discharge!' reports) within 30 days of receipt of sample for 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 properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage'the system, or
those persons directly responsUe for gathering the information, the information submitted is-, to the best of my knowledge and belief; true, accurate, and complete
am aware that there are significant-penaly ?f 'submitting false information, including the possibility -of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

• -S,
n Z`
STORMVI' TER DISCHARGE,000TFAL�Ll� SDO) --Semi-Annual=M: :N1TORiNG{F®R'M
GENERAL PERMIT NO NCGZ40000E$ g
:CCN1ki.��'<ES
CERTIFICATE OF COVERAGE NC►. N{�CG14 I �r7 4 SAMPLE COLLECTION YEAR: �'O 1 r7 DWR. E�'�'ION
FACILITY NAME:. T�c.J ,ke� teefi_ C6_7 SAMPLING PERIQD: ❑duly=December ®January -June"
PERSON COLLECTING SAMPLES---�p'TT-5 --�: COUNTY -
- PHONE NO. ( �J loses] `.SZnn� C>
CERTIFIED LABORATORYRS h,�e_ y j"0 ,cGi 1 Lab # . - _ 3(.4 _
Lab # ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
OPTIONAL INFO: :. DISCHARGING TO.CLASS: ❑SA ❑HQW ❑PNA. ❑Trout ❑Other
Part A: Stormwater Monitorine.Rea uirements
Outfall No,
: Pate
Collect Collected
(mo/dd/yr OR
N �1
pH (Standard `.
Units)
TSSEV6ht
(mg/L)
.:Duration
-
(m.inutes) , , .
_ Rainfalll4
,. ...:: {inl :. :
Monthly
y :
Monitoring?
# of Months mZ ier
2 Sampling
6:9x -....:
...,... 10023.:
:::... ... ..
If "NO FLOW" or "NO -DISCHARGE. Enter. "NO FLOW" or "NO
DISCHARGE" for each outfall here. Please.makesure to mark
the samole period above.
z !f 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`dohe until 3 consecutive samples are below the benchmark or within the benchmark range.
3 T55 benchmark values are 100 mg/I, except when discharging to ORW, HQW,.Trout, and PNA waters where.they are 50 mg/l.
a 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 Jr Last Revised 7/13/11
Page 1 of 2
t`.

'
� .
�
Parta: Vehicle MaritmnahvcAcU»Vy/monhnnnu,nenuinementrLfor facilities. using > 55nuiofnew motor oil/month — averaged over. mcalendar vea,
7061
`
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EX[EEDENCESATANY-ONE OUTFALL(INCLUDING VEHICLE MAINTENANCE)?'
YES ElNO
HAVE YOU CONTACTED REGION? YES �NO F-1 �
REGIONAL OFFICE CONTACT `NAME:
Mail Original and one co6v of this DIVIR (including all "No Flow" & "No Discharge" reports) within 30 days of . receint of sarnole (or at end of monitorina oeriod
'
'
to -
Division mvWater Quality'
Attn: DVV(lCentral Files
l617Mail Service Center
'
Raleigh, North Carolina Z7s�S J61T
' '
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I' certify, under penalty of 1.6w,- that this document and all attachments were prepared under my directi6n.or-supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted, Based an my inquiry of.the person or persons whoLrranage'�the system, or
those persons directly responsible for gathering the ihforniat!66, the information subnittcdis-tothc-bes ofmyknowledge and belieknue, accurate, andcnmp|ete.|
am aware that there are significa p nalties for submittingfakeinfurmaton,indudingthepoosibiUty-uffinesandimprisonmentforknnwingviobdonc^
(Signatureof �
�
-
'
'
Permit Date: 7/1/Zo11-6U/4O/ZO15
�
!
� Last Revised 7/13/l1
' Pauezofz

HRESFARCh & ANA[yTICA1
®®® L.AbORATORiES, INC.
For: r Ready Mixed Concrete (Clemmonsville)
2439 West Clemmonsville Road
Winston Salem, NC 27127
Attn: Danny Rathbone
Report of Analysis
-1 /26/2017
e,
saw
NC#34 Z; Iwo
r
NC937701 f
ED Ao Jig
Client Sample IX _Outfali #1S
Lab Sample ID:
29936-01
Site: Ready Mixed
Concrete
Collection Date:
1/20/2017 8:30
param2m
Method
Result
u Irk Rep l-lml Analve Analrrsls Datemme
pH
SM 4500 H+B-2000
7.97
Std. Units
1/20/2017 0830
Total Suspended Solids (TSS)
SM 2540 D-1997
<5
mg/L 5
JB 1/23/2017
Client Sample iD: Outfall #1 W
Lab Sample ID:
29936.02
Site: Ready Mixed Concrete
Collection Date:
1/20/2017 8:30
Parameter
Method
Resul
Yam Rep Limlt Analy
leis a
pH
SM 4500 H+B-2000
7.97
Std. Units
.1/2012017 0830
Settleable Matter
SM 2540 F-1997
<0.1
Mhl 0.1
SK 1/20/2017
Total Suspended Solids (TSS)
SM 2540 D-1997
<5
mg/L 5
JH 1/23/2017
P..q. Box 473 108 Short Street KemenwIlle, North Carolina 27284
ral cos basic v1d
NA = not ondyzed
Tel:[phone] Fax:[phone] www.randalabs.com
Page 1

a
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report pr=rjzlVpr)
PEB 09 2017
FEB 0 9 2U17 ,CENTRAL FILES
CERTIFICATE OF COVERAGE NQ, NCG14 � 1 �7 �
SAMPLE COLLECTION YEAR: c2� ( i !�WR SECTION
FACILITY NAME: CENTRALSAMPU QUARTER: ❑Jul -Sept []Oct -Dec ZJan-March ❑April -tune
PERSON COLLECTING SAMPLES: ± DVVR SEtOUPAY:
CERTIFIED LABORATORY: &. Lab # 3t PHONE NO. (In } S 'S O
Lab # ADD TO LiSTSERVE? [DYES ❑NO EMAIL: t .4
LIMIT VIOLATIONS? YES ❑ NO DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑ _ dt ❑Other
OPTIONAL INFO: _
GEN E RA�ECEIvOE�N CG140000
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
UE, RM, MD
( )
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(ml/L)
TPH usingDiseEarge
method 1664A
5GT-NENi�
(mg/L)
fluration
(minutes)
Total Flow
7
(gallons/day)
-
-
6-93'4
303.s
53
(15)6
_
I 19_
Cs
' 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'j,` Mixing Drum
Cleanout (MO). 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 ?NA 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

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a)imit 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 7Q 0 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q1O,flow and report this information to DWQ. If thepermittee 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.
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]
:?a
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 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 there are signi cant penalties for submitting false information, Including the possibility o'ffines and Imprisonment for gnawing
violations."
C>
(Signature of Permi ee) (Date)
Permit Date. 7/1/2010-06/30/2015 ",,-Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quart
GENERAL PERMIT No. NCG140000
CERTIFICATE -OF COVERAGE N0. NCG14 0 1 `7 D
FACILITY NAME: b G,-Z .
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab # Zk
Lab #
LIMIT VIOLATIONS? YES ❑ NO E
Part A: Wastewater Monitoring Requirements
erly Discharge Monitoring Report
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec NJan-March —]April
COUNTY:
PHONE NO.
ADD TO LISTSERVE? []YES ONO EMAIL: I
DISCHARGING TO CLASS: ❑SA [❑HQW ❑PNA ❑Trout ❑Outer
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 1664A
S+( NEM�
(mB/Ll
Discharge
^ -
Duration
{minutes}
Total Flow
7
(gallons/day}
-
-
6-93,4
303,5
53
I
C]I ao as)
<b, l
n
yid
D
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 quart6nabove.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RMj, 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 forthat 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 saltwaters. `~
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L fortroiit and PNA waters, and 30 mg/L for all other water classifications.'=�:
Permit Hate: 7/1/2010-06/30/2015 LastRevised07/13/11
' Page 1 of 2

i.i
6 Process wastewater discharges shall only be monitored forTPH when commingled with stormwater discharges from VMA areas. TPH does not have - 11imit 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 beset to 50% of the Summer 7Q30 Flow as per 15A
NCAC 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a 5ummer7Q10.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"ermittee 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 MaH Service Center
Raleigh, North Carolina 27699-1617 -
[phone] _
YOU MU5TSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED. "r
"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 signi 'cant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing
violations."
(Signature of Permi tee) (Date)
Permit Date. 7/1/2010-06/30/2015 '.`:'Last Revised 07/13/11
Page 2of2

ST0RMWAi -- ' TERDISC FIDUTTA (SDO-)�,­Sdhi An'ubl ,.n -,�`M N, I -.,T 0. R I. G., F. 0R M N:
tD1S,
qi�NERATME .!T:N0`7.NCq.1
.7
-NC SAMPLE COLLECTION -YEAR CERTIFICATE OF COVERAGE NO -NC R
�' :SAM RLlNG;PERI0 D: Ju Y. -Decem er Jan 6ar �j une
JAN
FACIQTY:N4Mt:. 1
PERs6N.c0­LLECT.IN'G,SAMPLES 3 ..COUN . T . Y' ttNTRAL HLES�
CERTIFIED LABORATORY'(` 44,j�1�2�-P Lab C-PHONIE-NO. (3-3
DWI SECTION
ADDTOIISTSE 'IEMAIL...
Lab-# kVEZ--FjY'ES'E]NO�-
'�D$A. [:]HQW.- EjPNA. E]Trou 7F]Other,
OPTIONAL INFO: -
Part A' St6rmWW'r.M6hitori rig, Req ui rem e nts
fla#e•Sample
Tier
Eiv-'e"ht" Total T I
CollectedpH'..
TSS. Mbnthly-- # of Months.ih Tier.
;.lJurkio"n::1
(standard .Outfall,No.:
Monitoring? !,t 2 Sai�'
Units) ping.
rjotes).
(y/n)"­
6zg
100
C> txS
-------------
If "NO FLOW"'or"NO DISCHARGE; Eni'e.r."NO ;FLOW" or'."NO DISCHARGE" for each ou'tfaiI to-m- rk th6 sar iple-p&i6d'abbve.
2 If a value is in excess of the b4nic-1-imirk; 'c"r", outside t'616' 6enthm'ark..'ran _(f " H) �0',u �M­
or'p_ Usti m plerneiifthe 714. 1`& Tier 2: responses -in the Genera 1'Perrn it'. fle­r­2'..."
.Monthly sampling shall be done until 3 consecutive samples are below thebenchmark or within the benchmark range.
3
TSS benchmark values are 100 mg/l, except when discharging to ORW,HQW,.Tr'o'ut;_and PNA-waters whiere:they. are 50.mg/l.
4
For each sampled measurablQ:,storm event the total precipitation must be re6o&d using data from an on -site rain gauge.
Permit Date' 7/1/2011-60/30/2015 ..'Last Revised 7/13/11
Page I of 2

Part 13: Vehicle Mairitijna6'c6.Acti.vitv;Mdnitoring- Red uirements for facilities -using > 55. eal-of new motor oil/month — averaged over a cahihdar�vehr.'
t;41, Q��07J
V �; MR
t�, If-T �m',
jW4 AN
PH n:
it.
-P 1j., n -merhoWl
8
1411_�r,, 0 MIN,
rs I e
91
4 ­� e
®R
M, ota
-
�w"Mcittie'.'O.
11" M :
�w
I M0
i I 11-rs I
- -4 C
•$N�;�
W
6hth��Zl
-p Dzite a. 5 ril
on-
"UNA
olleded
-
-,*5 .1%.1JnitsnT-TI­,!,-
X01Z
hr tori'
`v
Vd.,
b
j
C.
A
HAS YOUR FACILITY HAD 4 611 MORE BENCHMARK EXCEEDENC'ES AT ANY-ONE-6UTFALL (I NCLU DI NGVEHICLE. MAINTENANCE)? YES NO I*:
HAVE YOU CONTACTED THE, REGION? YES'D NO [9
REGIONAL OFFICE CONTACT -NAME:
Mail Original and one copy of this DIVIR (includink all "No Flow" & "No NsLharge" reports within 30 days of receipt of sample (Or at ehd of fficiriltarifig period
in case of "No Flow.") -to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1.617.
YOU MUST SIGN THIS CERTIFICATION'FdR ANYINFORMATION REPORTED:.
"I certify, under penalty of law; that this document and all attachments were prepared under my-directi6n-or supervision in accordance with a system designed to
assure that qualified personnelproperly gather and evaluate the information submitted.' Based o . n my inquiry of the person or I persons who,manag6 - -..the system, or
those persons directly responsible fo.r ' the ringth e"ihf b, rm . ation the "info rmaticih'. subm itted, is,'to the_�bes.t.of my knowledge a ndl bel i'ef,,.t rue, . a6curate, and. complete. --I..
am aware that there are signific t nalties for submitting false.information, including the possbilityof fines -and imprisonment for,khowirig-mo
(Signature of Kermitte/e) (Date)
Permit Date: 7/1/2011-60/30/2015 Last 114�ised -7/13/11
Page 2 of 2

ED
Irt. RECEM
,:.PROCESS WASTEWATER QuatterlyDischarge Monitoring'-Repc. 1=
GENERAL PERMIT NO. NCGI40000 JAN 1-7 2017
CENTRAL FILES
DWR SECTION
5 SAMPLE COLLEqTL!9.N,yW:,
CERTIFICATE OF'COVERAGE N NE4,�J� '-7 0 T � (� — R: -Sept.'.: 30ct-Dec. []Jan-M'( ­[1�pHl-June'
, r � ��tr �jj.� . &) ; SAMPLEQUARTE .::E)Jul P
FACILITY NAME:' ktj�,t� V_e
PERSOMCOLLECTIN9 SAWPLP; Vs;_ S2(1_>_T7 < COUNTY. Fo,�_Sytll
..cr I 71AS
r
J
- OE]PNE]T X, Ej Ot r� h�
LIMMVlb­L­AT`IONS?- -Y1
......... ..... . OPTIONAVINFO. -
Part A,% astewater Moniltor�in�g:--Requiremeents -
outfall No.
Date SampW.
Coilected':
(mrri/ddlyr)
'Type of Wastewater
(VE, lzm,"MD
OFJ
(standard)''
Total Suspended
soilds.",­f
(rng/L)
.
Settleable'-~
Solids.
(m
. . TPH using
methodI664A
SGT-HM-.
(Mg/ Lj:'�-.
Discharge '.
1'.Flow
Durat,lo'n-
(mindt " 6Y
(g;)Ilohs/dayf
6-9-V
O LJ
—7
n 7
43-t
7
If wastewater systems have not dischareed
In this quarter— report 'No Flow' or "No
. arize. here. Please.make sure to mark the sampl
quarter 666ve.
Report the abbreyiation for the type of Authorized Wastewater Discharges here. Vehlc]6 and Equipment Ueanln, (VE), Raw Material Stock lies (Rrl Anxing arum' Cleanout [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 forsix months, L nless D11V4`.110 staff
PNJlrnfts'are 9 Sj U. for w"t6water.d1scharges to freshwaters, and 5.M.5 S.U. for discharges to saltwoters.
i&"QW4kjM I&M Ljor---T ut and-PNAwatersi'.ar)d,30Mk/L-fpralI other:water-classi
L�,aSt R
6.0 20-1`55 -;7,
Permit Date:,7 1/20 61�'DV evised 07/13/11
.:P�ge' J. of 2

Process wastewater dischar'ge's.shall only be monitored for-TPH when commingled with 5tormw6tdr discharges frorn-VMA areas. TPH-does not have
but instead is subject to benchmarks and provislons of Part IV, Section A, inidJ16g, t6- tetej he ponse'Actlon,
'..Flow: be -measured continuously or calculated. Flow limits fo'
r wastewater dIsr-harges to"HQWwaters shall beset to 50% of the Summer 7Q1
I. 0213.0224, Perrit't'e'6- 'w'h`-6';discharge-wa5tewatvr tciAQW -obtain Summer7Q10 flow..andreport this information -to DWQ. If the�
.. . . . i..: '.. q L�L ` waters.�hal)
Q10 oW'f
.-plitainLa SUM"le'r7 flow 6r'th
e.receiving:waters i3t"fjl'6�'disc2a,ig(i,106 -nt:hc"piirffiitt�6vshill6iotifv;,-bWQ;;�6nd�the.-DW.,Q�tRe --Offi�e
tI'O
reporton a case- -'A j.- - I -L .- - Slonal,
ass.-
y-case:
K A A I I.- f% n I r I A IA I A ►I
6 etli.� are--t at -there arcMp -14 f]ficant pena ei�-far-'S"U&M' litiniiWe to
significant
violations. 'L
(Signature of ferin;Jtt �e'.
m4E1O.n,.1nC1Ud1ng1 -th6r-po.SSibit.1ty-oTflnes.-and:imprisonment for
�
Wiie)
Permit Date; 7/1/2010.706/30/2015
1-7
Emit. -for wastewater,
Flow as
Ire an annual flow
M
Last Revised 07/13/11
Page 2 of 2
0

J
1,
STORNII%VA-7FR-DISCHAR.GE:O.'U:TFAL;L"aSDOj:-.:Semi=Annual:LM:ONITO.RING .FOR'M
. GENERAL PERMIT NO..N0000
CERTIFICATE OF COVER GE NO.�NC T !-�:,� j SAMPLE COLLECTION YEAR:
i SAMPLING `PER IOD: ❑-July=December XJanuary-June
FACILITY NAME: c A4 c�
PERSON COLLECTING SAMPLES e
COUNTY.. p '
CERTIFIED LABORATORY 1.ab # 3q PHONE NO.
Lab'#.._ ADD TO LIST5ERVE?-❑YES []NO EMAIL:.
OPTIONALINFO,.1 DISCHARGING TO.CLASS: ❑SA ❑HQW ❑PNA. ❑Trout ❑Other
Part A: Stormwater. Monitoring Requirements
Date Sample_ In Ter 2
-• pH -. Event Total
Collected TSS a Monthly, # of Months in Tier
Outfall No (Standard Duration _ Rainfall Sampliz
(mo/dd/yr DR`.° . (mg/L) Monitoring?: 2 ng,
NO FL'OW)1': Units) ...... . ._ ,.: (minutes] ::.: (in).
6_9z... ,. 100 if \ FL ,RVEIJ
3�q I b 111 30 .A
APR 2.-7 2016
DWR SECTION .
INF DWATION PROCESSING UNIT
.f
77.
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 T5S benchmark values are 10D.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

�
partox Vehicle NairitenahxeActivity. wonitu,mg.Requinementsforfacilities using ^55 gal.pfnew motor oil/month —averaged over acalendar l%r.-.'
HAS YOUR FACILITY HAD 4 OR MORE BENCH MARK EXCEEDENtES AT ANY . ONEO . UTFALL (INCLUDING VEHICLE MAINTENANCE)?' YES NO '
HAVE YOU CONTACTED THE REGION? YES F-1 N0E-1
REGIONAL OFFICE CONTACT NAME:Mail Or . iginal and one copy of this DIVIR (including all "N2 Flow" & "No Dischar ge" reports ! within 30 daVs of re ceipt of sampl ! e (or at en� of mo nitoriny, P eriod
Division of Water Quality
Attn: DWQCentral Files
1617Mail Service Center
Raleigh, North Carolina 27699'1617
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
'
^| certify, under penalty nflaw; that this document and all attachments were prepared under mydirpctio'nnrsupervision hnaccordance With a system designed to
assure that qualified personnel properly gather ondeva|umethe|nfonnatonsubmitted. Based onmyinquiryoftheperson orpersons who.or
those directly ib| for h he iinform"ation, the information submitted ictothe best cfmyknowledge on'd be|ief;tme, accurate,andbrn`p|ete. |
am aware that there are: s, nifficar?t' '[ties forsubmitting false dudingthe poolbU��cf�nesand imphsonmentfor knowin��'olnx."
` `
pvp==°."".".^e" ` (wwuw
Permit Date: 7/z/Ioz1�60/30/J01S Last Kevised7/13/11
. � poQa % of
�

CERTIFICATE OF COVE GE,1V0: N G 4_c;� SAMPLE SAMPLE QUARTEtt N YEAR: _ I { . WLLECTiO.
FACILITY NAME:' []Jul -Sept'..: []Oct -Dec [ Jan -March , QApeil-June.. .
PERSONZOLLECTING SAMPLES: ,
PHONE'NO (33ta1
CERTIFIED LABORATORY � Lati:#
ADD TO1ISTSERVE? 01lES Qiyf3 =EMAIL €
Lab
LIMIT VIOLATIONS? YE5'NO Q a " DlSCHAifGING TO CLA55 05A1 QHQVd []PNA []Treat QOther
:OPTSUNALINFO. s...,. F"
F
Part A: Wastewater Monitoflne Renuirements ' � ! t '
Outfall No.
Date Sampi�-• .
1
Collected
{mni/dd/yr#;
Type of Wastewater
(Vi?, RM; Mb)� '
pH
(standard)''Solids.
Total Suspended
(mg/L)
5ettieabie
Solids'' .
�mU�)
TPH wslng .'
method I664A
'' . N
(rsig/L)
i r: u
Discharge
i
Dura ion
E
{minutesj`
'Total Flow
(gallons/day)7
-
-
6-9"
301.1
5g
{75)s
-
77777777 77
'If wastewater systems have not discharged in this quarter— report "No Flow" or ."No Discharge" here. Please. make sure to mark the sampf
Report the abbreviation for the type of AuthorizedWastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stock
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 forthat parameter for six months,
notifies you to continue rhonitdring.
" pH'famits'are Err9:5 U: for wastewater.discharges to freshwaters, and 6.8-8.5 5.U. for discharges to sal. aters.
s TSS limits are 20 mg/l, for wastewater`discharges to HQW waters, l0 mg/L for Trout and PNA waters ,-and.3a .m L,for all other water -class]
. Permit Date 7/1J2D1D-06/3D/21)L5
quarter above.'
les (RNi) ivtixing Drum
t
iless DWq RO staff
c r S
T fast Revised 07/.13/11
u E
-4
4 '
.Q '

PROCESSWASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF C VERAGE NO. N 14
FACILITY NAME: E Pik 66� v,g-[
PERSON COLLECTING SAMPLES: ✓�
CERTIFIED LABORATORY: j� 17• Lab # 2! 2 9--
Lab #
LIMIT VIOLATIONS? YES (]NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: []Jul -Sept []Oct -Dec n-March []April -tune
COUNTY: Lr " vl
PHONE NO. (Z�) -
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ❑Other
OPTIONAL INFO:
Outfall No.
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 1664A
SGT-HEM'
(mg/L)
Discharge
Duration
minutes)
Total Flow
(gallons/day(7
6-93'°
3.0
5
(15)6
-
-
�1
C]ge%r1:I1
rt
7 8_- r -
. V L.� V
MAY -
VVK 5
:U 11UN
�:rrunrvrH � tofu rr
;UI,t=J111Y{� Ui
I
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.
` Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (itM), Mixing Drum
Cleanout (MDI. Report more than one type if the waste -stream is commingled.
If 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 saitwaters.
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

c Process wastewater discharges shall only be monitored far 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 d2B .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 ANNWAL SUMMARY IIINCLUDING ALL "NO FLOW "NO DISCHARGE_) WITHIN 30 �qYS OF RF�CEIPT OF SAMPLE (OR
AT END OE MgNIITn1114NG PERIOD IN CASE OF "N„4 FIW"1 TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST" SIGN IBIS CERTIFLOMLM OR ANY I FORMATION 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 Permitteej
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 ❑f 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 4 '? b
FACILITY NAME: .Y Ffi'
PERSON COLLECTING SAMPLES: { 2M
CERTIFIED LABORATORY: liRcf j ( Lab # AIC-3
_ Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: a I ii
SAMPLE QUARTER: ZJul-Sept []Oct -Dec ❑Jan -March []April -June
COUNTY: FORSylif:
PHONE NO.
ADD TO LISTSERVE? []YES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout [—]Other
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 1S64A
SGT HEM'
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)'
303.5
53
(15)6
-
EZZ
r L 0Zui
CENTRAL.
f-ILt
L
ti VK Jt=L t 1tJ1
I
'If wastewater systems have not discharged ln•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.
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 6-4 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters, s
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.-:..h
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 61imit 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 7Q1p 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. „
i .
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUrviMARY IINCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DRiYS 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]
1
t
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: *'f
"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 fork - nowing
Violations." .,
(Signature of Permittee) [Date)
Permit Date: 7/1/2010-06/30/2015 ; Last Revised 07/13/11
Page 2 of 2

;PROCESS WASTEWATER -- Quareriy Discharge Monitoring Report.
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COV RAGE,N .-1ICG1�4 0 ='7 D SAMPLE COL[ CTiDN-YEAR:.. COI Co
FACILITY NAME; c�r�'� SAMPLE Ctl1ARTER nJul-Sept: ❑Oct -Dec ❑Jan -March ?�A;prif=lune
PERSON:COLLECTING SAMPLES: _ `a�.�Y - n-titiba c COUNTY: L1� _ f
CER;IFIEQIABORATORY-P. Lab-# PHOf1t2` i1i0 (r31� 1 G.�s-�•a24 111
.._ .. :,,. _ _ - f. ADDrTaJ lw15TSERVE7 ❑YES ❑NO EMIAIL
' Lab:# ; • - �-
UMITVIOLATIONS ther
`OPTIONQI,'INO
Part Ai Wastewater Monitoring. Requirements 1
Outfall No.
Date Sample • .
x'
Collected.
(mrri/dd/yr)
Type of Wastewater
(VE, RM; MD) z
pH
(standard]
'Total Suspended
Solids'-.!
(Mg/0 -
Settleable
Solids'' :.
' (mLjQ
. TPN usfrrg
method1664A
..
SG'7 NEAP:;
(mg/L)'
Discharge
s.
gu�ation.
r
[mina
1
:' Tatal.Flow
� 7
(gallons/day]
-
_
64-1
303's
5g
(15)6
,J
8.11
<o,l
-
,O
01
kJ
5
If wastewater systems have not discharged
In this quarter— report "No Flow" or "No
Discharge. here. Please.make sure to mark the sampi
quarter ebove.
Z Report the abbreviatlon for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stock Iles (RMj,-.: Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream Is commingled.
¢ if an effluent limit is exceeded'twice In a row, the permlitee is required to Institute monthly monitoring forthat parameter for six months, i niess Dw Ro staff "
notifies you to.continue monitoring.
`pH.limits are 6-9 5 Ufor wastewater discharges to freshwaters, and 5,M 5 S.U. for discharges to saltwaters.. 4
T5S 11-: ms are24 mg/L; for w2stewater:`disc:Iurges tb.-RQWrwatersj l0 for -Trout and -PNA waters;.and 34 meLfor,alLotherwater.-dassi ications.r;
Permit Date T/1/2a10 06J30/2015 s - 7J13J1 i Revised 0 1
Rage 1 of 2

Process wastewater dlscha�ge-s shalt only be monitored for7PH when commingled With stormwater discharges from.VMA areas. TPH does not have'a;limlt for wastewater,
r but instead is sub]ectto benchmarks and provIslons of Part IV, Section A, indQirlg the 7idt• -d Response Action.. t i
Flow. rate can be measured. continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Qlp' Flow as perASA-:... .
NCAC 02B .02z4 Permlttees who dlscharge,wastewater to HQW waters shall obtain a 5ummeOC7 10 flow -and report this information to DWQ,.If the permittee cannot
obtain a Summer 7Q10 floui for th'e`recewing waters at the discharge lo6tlon, the'perrnitteeshall notify;bWO;,'ancl the:DWQ':Re ' onal;Offite, may_req:�53re an ann3ual flow
report on a case�6y-case.tiasis '-
�'.
EAATU:nDIF_'Ih1'A 1-pt.kim.—►,c�eana�

STORM WATER, `DISCHA'RGE,OU.TFALiL;(SDO) .= Sem'i-Annual,MONITORING FORM _
GENERAL PER
CERTIFICATE OF COVERAGE NO. NCG14 b J '7 O
FACILITY NAME., '&A4L� 4\1-' .j 0.0,11CA_01c _CQ
PERSON COLLECTING SAMPLES f�.sbli�cTI'S
CERTIFIED LABORATORY 1�4S�nn�IJ; �,CA I Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitorine Requirements
MIT NO."NCG140000,r,.. _ -RECEIVED
SAMPLE COLLECTION YEAR: Gib !S� ..,PEC to ajJ
SAMPLING PERIOD: July -December ❑ January -June CENTRAL FILES
COUNTY DWR SECTION
PHONE NO. (2L3�,) - .5 O
ADD TO LISTSERVE?-❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
fall,No.
Out.
Date Sample
-
Collected
_.- ..:
.(mo/dd/yr OR
:. NO FL0W]1...
_.. , pH
--(Standard ._
(
Units)_,
TSS _
(mg/L)
i
Event
Duration _..
(minutes). _
Total "....,.
_.,.. Rainfall°_..
(in) .' ..
In Tier 2
Monthly
Monitoring?-
(Y/n)`~."-` _
# of Months in Tier
2 Sampling2" "
_
6-9z
100�'
!
l�• r
8
3s
J��
!
oJ4
la
1 If "NO FLOW" or "NO D€SCHARGE, 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 106 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 1 of 2
A

M � �
Part B: Vehicle Mairitenance Activity Monitoring. Requirem ents for facilities using > 55 gal of new motor oil/month — averaged,over a calendar year.
k 'Ok utofall'�1r>t
3 N
'ia
- tS7-r Sw r r
';f$D(maCtooe/l:lSdaadctm/- eyFdp,r-.. }le1 ,_x
+7ti� -
S l,-ry
r
ph
a,�w.t,>:,,
(Sib ndard�
Units)
"�
�£:l; { � "` t -r-�
..; �.,._ a.•,'
r1664A-5GT�NE
�r,�' t^r• ,..
•� I
n ;4 :'3a^ n 4j.R
To
rN �'� �:�
i
'AO
� rl �' �
i4 . F�. C' - i. 9k
-...: � n :w �
a�kE�: e�n`;$
,Duation
�'"
_ 5 {.
:i .tA
9Y
Totl.
- ! -
- �
�� g� ..r i, "•',r
si
�y 3- M �L�'
I...- --rti '` :.5 '�1 q
L y4""�"L'�r5'S•Yk��.i*
Maonit rg
L u~
�� �t Y�Es-C' �"•b�
+�,, ^�l 7 & Sf
7.ri --•�i, f ' � .
#� ofM��' rornra
s°x
•iptalSuspene
Te,;-
2th:Z-: V.3
Samlin
1
t 'f 4"1 c a. j���'
� S ! �..: } .
6 �z t
..
a t s 152 s a# x
s�7 z 3 r V. y r
100 F
w� AS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)?
AVE YOU CONTACTED THE REGION? YES ❑ NO !7
REGIONAL OFFICE CONTACT NAME:
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 y
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YES ❑ NO'O'
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 managethe 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 awa a that there are siSnViga/t'penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature ofPermittee)
Permit Date: 7/1/2011-60/30/2015
l,-)�,II —/t5'.
(Date)
t
Last Revised 7/13/11
Page 2 of 2

.1,
PROCESS WASTEWATER -- Quarterly Discharge, Monitoring Report.
GENERAL. PERMIT No. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 b l _I 2
FACILITY NAME: ,2geE�e M :+Le.� !� arf-- Co
PERSON COLLECTING SAMPLES: r 12R-1it�x;,rt.t
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS?. YES ❑ NO Pg
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 120 r1
SAMPLE QUARTER: HJul-Sept ❑Oct -Dec []Jan -March ❑April -June
COUNTY:�-r1
PHONE NO.jj3tk1 "!SS`-'�S'`�S' _
ADD TO LISTSERVE7 []YES .❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HCIW ❑PNA ❑7rdut ❑Other
OPTIONAL INFO:
OutfalI No.
Date Sample
Collected 1
(mrri/dd/yr)
Type of Wastewater
(VE, RM, MD)2
pH
(standard)
Total Suspended
Solids
(mg/0
Settleable
Solids'
(mL/L)
TPH usfn#
method 1664A
5GT HEA1'
(mg/L)
Discharge
Duratlan
(minutes)
:
Total Flow
(gallons/day)'
-
64",
303 s
53
(15)6
•
�-. i.. L
.' n
w
t;.
I 1 HALFILES
uwM
Otz.0 I[ON
1 If wastewater systems have not discharged In this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sampl quarter above.
' Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stocki ices (RM) 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'permlttee is required to institute monthly monitoring for that parameter for six months, t nless DWQ RO 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 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 class[ iications.r'.
Permit Date: 7/1/201D-06/30/2015 + "Last Revised 07/13/11
+.. Page 1 of 2

Process wastewater dlscha�ges shall only be monitored for TPH when commingled with stormwi ter discharges from VMA areas. TPH does not have'a.11mit for wastewater,
but Instead is subject to benchmarks and provisions of Part IV, Section A, lncluding the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset 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 "NO FLOW" "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END QF:MONITORING PERIOD IN CASE„ELF "NO FLOW) TO: _
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU.MUST5IGN THIS CER77 WA77QN FOR ANY(NFURMAT(QN 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; accuryate, and
complete. I am aware that there are significant penalties for submitting false Information, Including the possibility of fines and Imprisonment for i iiowing
violations."
(Signature of Permittee), (Date).
Permit Date: 7/1/2010-06/30/2015 last Revised 07/13/11
Page 2 of 2
zz �.<Tc
/J
rl • Zi

PROCESS WASTEWAT€R — Quarterly Discharge Monitoring Report. , ���EIVEp
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVER6GE ND. NCG14Q J_ n Q
FACILITY NAME: 2a 4 X",ICO �Ma=A.
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #iC._3+#
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
JUL 09 z015
CENTRAL FILES
DWR SECTION
SAMPLE COLLECTION YEAR: A>L_,' - _
SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June
COUNTY:
PHONE NO. 4'4'3fc1�
ADD TO LISTSERVE? ❑YES [-]NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑H W ❑PNA []Trout ❑Other
OPTIONAL INFO: +F'z>V c i
i
Outfall No.
(late Sample
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, Md)z
pH
(standard)
Totat Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
S (mg/L)1�
mg/L)
Discharge
duration
(minutes)
Total Flow
7
(gallons/day)
6-9s..
303s
5'
(15)6
V
f�
I
11
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.
I Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RIN), 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.
A 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.r
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VIVA 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.
T 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 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 am aware that there are significant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing
violations."
of Permittee)
Permit Date: 7/1/20 10-06/30/2 0 15
-(e 30-/ S---
(Date)
Last Revised 07/13/11
Page 2 of 2

M
R ob. r QV a flV.--Vschqrg0�q,'m CESSMAS, WATER rba
)"MG140000
L NEUL-P-ERMUP'M
YEAR ;
�17CERTIFICATE-OFWV ERAGE N6.NCG 14 .0 ­ 7.-
'SAMPLERTEM
FACUA
ILITY COLLECTION
AITY,NAME.�'- p
''
rr,�
- COUNTY
Y:PERSO�iCbLLEtTi�G.SAMPLES.f
&'-HONE-\0.]EDIABORA LABORATORY L
ADDiOLUI S' YES W10LAT
6 CHARGING�X jIt.r Otft&!
IONSNM WpW,--QPNA D LIM. IT, EfS�E'N � - - - 7
L INFO
sP,art k....Wasiewaterivlb ni oring; equire
FF ,
OU,
Outti
6W a
e� M stewa
attlaable
ids
AN W "NON
D arge
N) Wura R
W.10TA it
A-1.
4RWMD)
0
SEEN..
mm 2�!
(gall
EggON
U
41
gf
RP
.1;
'Un
J
7
m
f­_' d ­' �' , carter --:re ­­-1., 6�­`­- " ' I ". "' ' "" r
�tterhsihave nof ­h'Lb
w8tewker s disc arge 0A mqI iW! h I k k­ h: samp e.,c port NoFo �or�';,NoDisc arge-h6re.-Tease�ma e1surel&mar t
luattena ove.'.,
1aVfSt­ "k—I �'Mi�!Q�
V W-Mate'r' oc pi es.�R E Drum
R06rt1h the_ abbreviation: fbr-th&',t�o�"of.-A6thcj�ii6d,W6�tL-WAtee.'.Di�Eh-a'rge's-';h-e'r'e":'IVehic'IF"'- '&E' 'hieU-Cleanihgi _a'Q,L �­q�lp
:comming e -6 Lit-- (Mb)'.�: ki�l5`dri m6re,thamone .tyo 1 6 ftheT�ii�ii�-_!�4earnls­
3
�labioffluehtitimitais,,,ekcebd6d�twi-ce'in-a:r-ow-�;',the permittee:is-r6�
fuir6d:td,institute.monthi'y.,m, o,.nt-to,r,:tng.T--di'�th�ai"parer�eter-f6Lr,!"XLin'o-�ths'--'Orij6's's�.b.W6RO,st-aff.'_�'
it,
-..,::.
A
­!;
p b 0 1 m its,. are o rma s ewa
Iihi'itsia-fd.20'HgjL�f6rLwastewateredisc arges!toAC "ff/htnrLT ut waters 4and! mm- E 6 on . s Mi'� i er �-A 6,1 j t r' 8 -,TSSr
X:Ut
T/20'1� -06Y30 Pdffiiif/ 1Ddt6.�.70'
v t!-:

. 1 .
. 5 ,; 1
- - r, r -
.-- Process:wastewater'discharges shall:onl be:monifored:for.TPM when commin l' 4 ':' -th stormwater disch�ar es from-VMA areas. TPKdoes:notF ave-a lirrij for wastewater, - a.
's S:p,. ':JS:m vF:"ram ci ::o '^tom .__:=r.--:,ys_�-., - 'ax _L g•,:er.e :.TE v.'. -g' i -� :,9iK ,- $--. .!
,butrnstead;is sublecfao benchmarks :and; rov s' ion! �6 - art]V, Section A :includln the.Tiered7Res'�`onse Action:' � `� '
,,,. _ . + g. P. vr._.,
I,.;-. Flow rate can"be measure,tltcontlnuouslyrorrcalculated'jFlowaEmrts',for�wastewater� ischarge"to HQW,watersisfiall beset;to;50% ofKthe Summer 7Q10:Flow as per;7.5A . _
b
-'S t �. A 1,`... ♦. ,.Y.'. :, C" 2 ---..Yj`, k, '7'':.'L:3: :r -..—'., _'.:., i'u-^ P. X'. '.j �..,: {:f?l3. ': . :1;'.:. .
NCAC 02BcQ22a Perniittees,who disi har erwast water'tolHQW waters=shall:o6tain;a Summer7Q10 flow and,re oct this mforiiatlon•to`DWQilfahe ermrttee cannof
�.,3 - g .,., a :K r n J 1 [?. ,,:_ v- A
b -, :.
obtains Summer 7Q 0 flow':for the recelvm ;waters°at the dEsehar a location the permittee shall"notl DW and the'DWQ Re _> ,_ a- g g fY _ 4r glo Offlc ay,requ
r nal e m ire an annual'flow
report onlajease by case,basls , , 1, ; t 1 _'., tzc 1�t x., : t' jE srr.k ,-_ - . Ai .izt.r ._ t r' .:fl.tr o: c ac A xlsc.lF s .i 4 ii r r,3Y r.4 -
. r
r. L rat. ='fi � � C. :.�s [ l:+' 'ras -i`'' f, y$., ,.: ('�!- t.'�,' .-F� }�-ear:: ( '. ?' sflS .a-- � 1 ,_'_API V;4 z , 2S` I.�, Jtk`riC fir_.-t.- afj ^y. -� -•lis
-� - --1 . :, dp ! 1 -i
k �. ! ><1 4 , '. c r I ter'.. -zY: ti..: r .e - '+' c.:.. .c.-. j' :S t :,.i_} 3 ijv" ;rj :;L a f s _ ri .;.-ir
- ..m .Y .:. ^- -
w -,- ,- -_ .
.
T
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:.`..w-._.4-rei:rra...,:w.w:.,M:•.1, +r.+�-ar...... -i r:�:�.. rr.::s.#,: Y:.ri,..w-^•'^_1.'!:- - - .,5 - -
rf /, I. - Vh !1 ,
I MAIL ORIGINAL' AND°ONE COPY-0F:THIS=ANNUAL'SUMMARY'{INCLUI]ING ALL :NQ;FLOW NO'DISCHARGE -I WITHIN.30 DAYS;QFrRECEIPTb0' ' MPLE (OR .
I,..sw,w,•.,-c•anr:n,«rww:wr,+.+•„•x:-,u-•-,-.y«.n..s,•_-:w,wr,.��ar-!.s .-.m.�,.-•n+ -, ..».... .. ,....,,r�.. rn r..:..x. T-n _.,,.1• ..y.'I-
,:A°TEND Oi .MON170R1NG:P.ERIOD_IN:CASE OF>r:N0-1LOW' �jTO `. '
..:,. , �',•, ,:».,.,,.+se...,,i, - '-7i .'fir .*'.".^• - : s ..: # - -, ;� - : t-• r. _' I y -
D.iv�slon of Water Qual�t ` " €'
r s y . L ' _ — � -I- k _
I- - '.i - _ - ._... -.j - c - ,
Attn DWQCentral:Files 'f 4.
_ 1617 Mall ;' i ice-Centerq E `
i '
';Raleigh, North,Carolina 27699 1617 44r -
[phone] " _
i t ,
r- -
- .: I __
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fi:.: - n °, -'.: •�y' S titn.3 f#..,=,....r t f� !d .. ,'r?: 5 :J _.a�"ex €.,p i'�t.�� �. fr5! �:. ..
! YOU MtISTrSIGN.THIS-CERtWlcA''F10N,"A5 NIKlNl:ORMATION:REPORTED: ; - _ -� ,� _ . * ;� + j J*
! .. _ ,..7='3["Y:: r •-a..-SYG'." .n:'Sd1+r"y +,wo yY:1.."!7�5 .'."'r` .3'; �w.+ '4`Y.,.., ?v �. r _
li .� - ..,..1 - it S.. _ „ S
#., I certify under.penalty of law; thatthis'document:and aR atfachmersts',were;pre .ared�untler my dlrecf�on o_r'su ervlsion,ln;accortlance with,a.'system designed,fo:r- .
i.i: r 3._ .,:._;,; .-,�-.'-:; ti. v:,-� ;,w,. v _ rs .rt.: - :i�=s l�i:.z ¢,: :€:. Trt.-: t rr s. .a.:c.':''
assure<that;quahfied ipersoryneLpropery_gather and evaluate'sth'e information ubmitted:PBased onfmy in ulry_pf the:personsor._persvns.whoimanage;ahea stem -or
t ':.r .-. ''f'""^ '`,u nyc :,rt -:., -ti, y :.-. �. �-_ .,tl''s'�vr' ;::1r--S -'� - - �. - '. a�'; e a
! Lthoseipersons�dlre, l res onsible` m, `atherin •the'info'�rnatlon 'the'infcrmation submitted!.1sY;ty the best ofam 'Anowled a°anda6elief?.true4'acturate and
_. s�:7'-, r-: t, r.F,. -at , Y ra f -c.... :, .dT.",M 3, 3 i:�z -.h {.f ,3. _
;complete I arii aware`,that there' 'ei'L'Ls! mficant;penaltiessforaubmittin false;informatlon indudm thee oss�ii I t is f:firies,arid im "risiinment for;knowm ''
II
.
'"rd ., E;�mres - -- g ;. ..::' g r e• g, p tY a ;wa x' as y
, n r , - - "' ?k x ra L' '. ': ,(,. •r».cy . i, .p„ � _'" -f`$ "s.r"i • ,- -
;'>violations rh „ . ;� r =�� . - ,
is_ -' - ri.+.� _ Fb ,y"'3 ,fF': �1 3tjl,xa :A. .f--s,,�$ ice. L -
1 . r � . . ., a-:�y-. ..
(Signature o eri* ee) (Date)
j: a e i i a a
i - - tit 1 $a" ,y? a i k' ih�1 ?, s t P. y I'i y ',_ ,! -
.:. ,S,r -: - .. .ya m•, ,...., d, fv.' a rr x ,`a dA 'Oj - i a,y or -
Permit:Date. 7 1- 2010- 30' 2015 • r4 :. ,.: i + a �: -i ev'
I' _ / / I �, .r,.. =i'- .(:x ':i , ` .- >r r �? .r! F •c -��- :� r ':s�'.,�;, " l:�StI , Ised':07/13/11
�: ,`i {g,> •s,• .F # ,ry r ` ,.+.,;a,Y.- r:=fsa •4hc kxv.'- 3 _ �.-'R ` -�,r .. nd.. >Si _ -
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x:' - - _ - Page 2 of 2'°
.. . .
. . _ .. -. - .
-
.. .
.
-

a'
PROCESS WASTEWATER —Quarterly Discharge Monitoring Report.
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 O i '7 o
FACILITY NAME: ?-0'? 0v.Z,2 &uc.�fc_.--
PERSON COLLECTING SAMPLES-, Y AA-A►6&ge
CERTIFIED LABORATORY:�iaPl;f,¢p/kgr Lab#
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A. Wastewater Monitorina Reouirements
SAMPLE COLLECTION YEAR: exot,5
SAMPLE QUARTER: []Jul -Sept []Oct -Dec ®Jan -March []April -June
COUNTY: FPS Y+tl _
PHONE NO. (3 } '1"S_ =-:Za_"`2S' �
ADD TO LISTSERVE? OYES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Outfall No,
Date Sample
1
Collected
(mm/dd/yr}
Type of Wastewater
(VE, RM, MD)'
PH
(standard)
Total Suspended
Solids
Solids
(mg/Lj
Settleable
Solids
(mL/L)
TPH using
1664A
gC,7' T-HE HfMs
(
Discharge
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
-
6-93A
303,5
53
(15)6 I
-
-
I
I
APR fl
A ' �.
I
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.
: 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 far six months, unless DWQ RO 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 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 otherwater classifications.;.
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

*I

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 beset 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 "NO FLOW". "NO DISCHARGE-) WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORIbIO,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 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." .r
of
JDate?
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

rtAPROCESS:
WASTEWATER' Quarterly Discharge
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO.- NCG14
FACILITY.NAM£:'' 1�Qiw�t`R; ��
PERSON CO LLECTING",SANIPLES-'
CERTIFIED LABORATORY]
1I1VIITMIOLATION5? YES',❑NO ❑
Part A: Wastewater Monitoring Requirements
i
Monitoring Report:
SAMPLE COLLECTION YEAR c20 1 4
<..."_ SAMPLE QUARTER: °: ❑Jul Sept ❑Oct=Dec.. •Man-March.;[]April-June
COUNTY
JL6 3 ` PHONE NO.
`•� 'c�'
ADD TO.,LISTtERVE?-'..E]YES: []ND=EMAIL:
DISCHARGING TO CLASS: SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO: \1 T. AcT6r,j.14 _110
i
- s' •_ +unTr .
--
t
;ri���
Qutfall=No,.�Collected
,:
��°[//[mm/dd
'�s�{
-
- ;3Cw ; . ',3f
i:�-� i�2'Ei°'
;Dates
5arnple y,
.` .. 1 �
. i - > ::
_ 1 �,I f -.�
d
-
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.. �. ram.
z �. E, : - 4-,
T e of£Wastewater
YPp
_;-.
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pg;, :VE•.RM4 MD . wl
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„r-= T ,,,e
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s 5- c H'
_
a-,,.,�-�
standard {:
= .�mp/LS111ymL�
�'-'1,
_lv._a»C�•R
_ ..T_ —
.r,r ,' c'_a
Total Suspended ny
y_
Solids;
t-
•.1 ,�IXL J
+}'�v.".
..
_,,
II"r,,`5ir
5-55_ IF `�,�
ett eaiale
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minute )
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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 (f2M), Mixing Drum
Cleanout (MD). Report morethanone type if the waste -stream is commingled.
a 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'•yotk to continue monitoring.
4 pH limits are 6-9 S.iJ: for wastewater disc arges�to freshavaters, I nd 5 8 8 5 5.0 for discharges to saitwaters :
s TSS`limits are 20. rrig/L-for wastewater d&ha-rges to`HQW:water's 10 meLforTf6bt'and•PNA"waters; and 30 mg/Vfar a11'other'watbftlassiflcations. -
Permit Date;:7/1'/2010-0(i/30/2015::.;_ ; Last Revised 07/13/11
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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 t -benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow: rate can Ere measured conti.nuousiy or caiculated Flow limits for wastewater:dischar"ges to.HQW waters shall'be'set to 50%of the"Summer'7Q- 10 Flow as per 15A
NCAC 02B`.0224 Perm"ittees'who dlscl arge wastewater to`HQW waters'shall obtain aSuS' Wier 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a.Summer7Qi0 f164 for-the:receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
. 'reporton a case -by -case basis,
' I _
MAIL-ORIGINALAN DL ONE.COPY-OF THIS-ANNUAL-SUMMARY-iINCLUDING ALL-"-N_ QTLOW "NQ''DISCHARGV1 WITHIN 30 DAYS OF_RECEIPTdOF-SAMPLE•(OR
i AT END -OF MONITORING PERIOD IN OF "NO FLOW"1T0: r
Division of Water Quality ! _
Attn:. DWQ Central -Files ! :....
1,617 Mail Service Center ; ......:... _.. _. _.. _ . _ _
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Raleigh; North Carolina 27699-1617 . ......... _ .__ w. ,
[phone].-
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! YOU MUST SIGN TH15 CERTIF1GAilON FQR'ANY-INFORMATION REiPOR7ED: -
!' "I certify, under penalty of law that this',document.and all attachments were prepared'und my`dlrection or supervision m accor`dance with a system"designed to
assure that qualified personhel,prope�ly_gather_and:evaluate.ati linformationsubmitted °iB"6d on my inquiry of the person or persons who manage the system, or
those persons'directly responsible for. gathering-the,informaOq—q;�themformation submit Fd is, to the best of my'know[edge and belief, true, accurate, and
complet e I am -aware that there are significant penalties,for submitting false information;;lniluding the,possibility�of fines andIMprisonrrient:for knowing
violations"
(Signature of Permittee) ! (Date)
�r
Permit Date: 7/1/2010-06/30J2015:. Last Revised 07/13/11
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