NCG160081_MONITORING INFO_20190314

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
El HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report [DMR]
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted
CERTIFICATE OF COVERAGE NO. NCG16/,/) f �L
FACILITY NAME BLyry� AAFa,&looa
COUNTY
PERSON COLLECTING SAMPLES �' ?.�4✓S
LABORATORY i 1-fOf _ Lab Cert. # 079
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR All
SAMPLE PERIOD © Jan -June ❑ July -Dec
or ❑ Monthly'lmonth)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout UPNA
❑Zero -flow []WaterSupply []SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
❑ No discharge this period?z
Outfall No,
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks =__�
_
100 mmg/L�o/r mg/L
4
/] q/-
/50
a.
z
1,', ORA14 f `NEROCESSING UN!
T
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not reQort Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L" where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/l/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =_=>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICF�AS REQUIRED BY THE PERMIT? YES ❑ NOEI
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharae" reports) to:
Division of Water Resources
Attn: DWR 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, W 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
Permit Date: 10/1/2014-9/31/2019
10OAa
Oate)
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted /> - /J' • /8
CERTIFICATE OF COVERAGE NO. NCG16 O O 8 1
FACILITY NAME ROGJop�� S .YLGr
COUNTY
PERSON COLLECTING SAMPLES 1� �✓
LABORATORY 2�2r sot Lab Cert.
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 4&?i�
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly'_. (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
. ❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -3
❑ No discharge this period-?2
Outfall No.
Date Sample
collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks =_=>
_
-
100 mg/L or 50 mg/L
0 1
zo -/C?-
1.2
794f14
z
• v •j/sr
.0171
14
RECE—1VED
OCT 2 4 2M8
CpNTRAL FILES
L)\PJR SEC-TiON
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
` See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported 'in the format, "<XX mgjL", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =_=>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE_SAME OUTFALL TRIGGER TIER 2-REQUIREMENTS.
• TIER 3: HAS YOUR -FACILITY HAD 4 OR' MORE BENCHMARK 1XCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR+REGIONAL OFFICEA_ REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: -
Mail an original and one copy_ of this DMR, Including all "No Discharge" reQorts, within 30 days of receipt of the lab results (or at end of monitoring Period
in the case o "No Discha e" re arts) to:
Division of Water Resources
Attn: DWR 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 nd evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly, responsible far 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•penalties for.submitting,false°information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date:10/1/2014-9/31/2019
la if VX
(Date)
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General P� r it No. NCG160000 - Asphalt
Date submitted �1,�8 +.. .
CERTIFICATE OF COVERAGE NO. NCG16.0,0 3F L
FACILT Y NAME A XRmv mq
COUNTY /i1G�V%Ar�
��
PERSON COLLECTING SAMPLES Z>4(//.5-
LABORATORY �iPi41 Lab Cert. #� yr1
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 1f
SAMPLE PERIOD Jan -June ❑ July -Dec
or [] Monthly' (month)
DISCHARGING TO CLASS []ORW OHCIW [}Trout []PNA
Otero -flow ❑Water Supply []SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -1
Outfafl No.
Date
Date Sample
(rno/dd/yr)
Z4-hour rainfall
amount,
Inches"
Testa! Suspended Solids
Benchmarks =_=�
_
-
100 or S0 mg/L
/J
/Jmg//L
No discharge this period?-7
RECEIVED
MAY 14 2018
CENMAL FILES
DWR SECT1019
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
` See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported In numerical format. For example do not report Below Detection Limit, BDL, <PQL, Non -detect, Nil, or other similar non -
numerical format. When results are below the applicable limits, they must be a reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: !f you report a sample value in excess of the benchmark, you must Implement tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit bate: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
❑ No discharge this period:
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME.PARAMETER AT ANY ONE oUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an ariginal and one copy of this DMR, includfna all "No Discharae" reports. within 30 days of receipt of the lob results for at end of monitorina period
in the case of "No Dischame" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTER:
"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
am aware that there are significant penalties for submitting false information, including the possibility, of fine, and imprisonment for knowing violations."
of Permitte
Permit Date: 10/1/2014-9/31/2019
(Date)
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted X vi8
CERTIFICATE OF COVERAGE NO. NCG16 0.0 L
FACILITY NAME LINE A7RoA-;AoD
COUNTY 217eGL'(�c/8 Rq
PERSON COLLECTING SAMPLES ""'2 S
LABORATORY�iSm Lab Cert. # yO,Z
Comments on sample collection or analysis:
0/V
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR -,;&/?
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or 0 Monthly" (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑zero -flow ❑Water Supply ❑SA
[-]Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
❑ No discharge this period?2
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount
Inches3'
Total Suspended Solids
Benchmarks
-
-
100 mg/L or SO mg/L
c7
RECEIVED
MAR 0 7 2o18
QwR SEC�lLES
ON
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirem nt.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the fo_rmat,_"<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Ter 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date:10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME- PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR induding all "No Discharge" regoorts, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR 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 gatherand 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.
am aware that there are -significant -penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
. .�/
(Efate)
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No. NCG160000 -Asphalt
Date submitted t y
CERTIFICATE OF COVERAGE NO. NCG160 o 'r
FACILITY NAME I-Aye- / RRos✓e�D
COUNTY /Ncc.Clec/i24
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR v��7
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' jmonthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [—]SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
X No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches'
Total Suspended Solids
Benchmarks ===>
-
-
100 mg/L or 50 mg/1.
JAN 10 2018
p+iyR SEGTION
INIFORMATIOIN PROGE15INO UN1T
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mgLL where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: if you report a sample value in excess of the.benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DM_R, including all "No Discharge" resorts, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" Le
portsl to: �!
Division of Water Resources
Attn: DWR 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.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
/ 411,eort
(D e}
Permit Date: 10/f/2014-9/31/2019
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Perm'PermV No. NCG160000 - Asphalt
Date submitted IN X&V
CERTIFICATE OF COVERAGE NO, NCG16_p 6 Y 1
FACILITY NAME 44i0 ' ,sM, Zal >
COUNTY
PERSON COLLECTING SAMPLES jj ��✓�
LABORATORY pll�s _ Lab Cert. # ` O 2.
Comments on sample collection or analysis:
OP7 Ill ee ,r.�'y 1-41.0T
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR ;�fl/
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' _ {month'
DISCHARGING TO CLASS ❑ORW ❑HCIW [—]Trout ❑PNA
❑Zero -flow [:]Watersupply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?Z
Outfall No.
date Sample
collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Total Suspended Solids
Benchmarks =_=>
_
-
100 mg/L or 50 mg/L
v
Of Z1,2 17
0.Yff
Q /�
Ole
Ae 040WAX a
RECLEi V D
SEP 2 5 2017
CENTRAL FILS,,�
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
" See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note. If you report a sample value in excess of the benchmark, you must implement Tier 1, tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 5WU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period??
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__?
_
-
15 mg/L
10D mg/L or 50 mg/L
Footnotes from Part A also apply to this Part 8
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTTED THE DEMLR REGIONAL OFFICE -AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, Including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center.
Raleigh, North Carolina 27699-1617,
YOU MUST SI_GN.THIS CERTIFICATION FOR ANY IN 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
am aware that there are'significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Permittee)
P( mit Date: 10/1/2014-9/31/2019
oliwl,e 1"de';7
ate)
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted _<
CERTIFICATE OF COVERAGE NO. NCG16D h JL
FACILITY NAME,4R�r,�oD
COUNTY
PERSON COLLECTING SAMPLES'��5
LABORATORY ` %&M Lab Cert. # yD2
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR �0/7
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
[]Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -i
❑ No discharge this period?'
outfall No.
Date Sample
collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks =-_>
-
100 mg/L or 50 rng/L
0.2s.�
L
/?A
1Z 2,17
lq,gt�
h4f2
RECEIVED
MAY 0 0 2017
CENTRAL FILES
DWR SECTION
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
' See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report, Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they -must be reported in the format, "<XX mg/0 where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?2
Outfall No.
a
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===>
-
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part S
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AAND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE..SAME,PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑.
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one covv of this DMR, includina all "No Discharge" reports, within 30 dovs of receipt of the lab results for at end of monitorina period
in the case of "No Discharae" reports) to:
Division of Water Resources
Attn: DWR 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.
am aware that there are•significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
J y o�✓/�
(Date)
Permit Date: 10/l/2014-9/31/2019
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report JDMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted IZZ &17
CERTIFICATE OF COVERAGE NO. NCG16 0 a l L
FACILITY NAME LAND eg01,57, /GTP11 �4iP�ucJooi� �l�E/VT
COUNTY /i2e°�ftl/
PERSON COLLECTING SAMPLES
LA130RATORY Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR��h -
SAMPLE PERIOD ❑ Jan -June ® July -Dec
Monthly'or 0 DISCHARGING TO CLASS QORW ❑HQW ❑Trout montN
[]zero-flow Water Supply ❑SA
[—]Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
© No discharge this period-?
outfall No.
date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
REcE j pD
JAN 0 g 2017
CEN"RAL Ft
DWR secrio/s
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifyingthe especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX m L" where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc, in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =_->
_
-
15 mg/L
i00 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Her 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN.A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVEYOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: I
Mail an oriainal and one copy of this OMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitorina period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR 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
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment foreknowing violations."
(Signature of Permittee)
Permit Date:10/1/2014-9/31/2019
� 3 ,Zoiy
(Date)
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted _ 1 4 12
7
CERTIFICATE OF COVERAGE NO. NCG16 e a Y L
FACILITY NAME L L�c�i87.� crt/ caD , 1.4oVT
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR A7/y"
SAMPLE PERIOD [] Jan -June ® July -Dec
or ❑ Monthly'_ (monthl
DISCHARGING TO CLASS QORW ❑HQW []Trout UPNA
❑Zero -flow ]Water supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE �
© No discharge this period?'
Outfall No.
date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
inches
Total Suspended Solids
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX MgjL where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
❑ No discharge this period:
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
200 mg/L or 50 mg/0
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copy of this DMR, Including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitorina Period
in the case of "No Discharae" reports) to:
Division of Water Resources
Attn: DWR 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 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:10/1/2014-9/31/2019
3 �-7
(Date)
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
- for North Carolina DEMLR General PeMilt No. NCG160000 Asphalt
Date submitted !?-2r dlD�w
CERTIFICATE OF COVERAGE NO. NCG16Q D y L
FACILITY NAME Z%E 4icl57 &tX-cast/ A RJZaG.,'aoD
COUNTY INGc�E'Lct/8�/iQ4
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 1?014�
SAMPLE PERIOD N Jan -June ❑ July -Dec
or ❑ Monthly) _ (month)
DISCHARGING TO CLASS ❑ORW - ❑HQW ❑Trout ❑PNA
❑Zero -flow []Water Supply []SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE
r rig
© No discha ge_thrs;pe a`d�. Op
Outfall No.
Date Sample
Collected
(mo/dd/yrj
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks =__�
-
-
100 mg/1 or 50 mg/L
15(;iPN5D
SUN 2 a to i�
G WR SEGO oN
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, i rer 1, or i er 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No dischorae this Deriod?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part 8
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A_AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO []
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copv of this DMR, includina all "No Discharae" reports. within 30 days of receipt of the lab results for at end of monitorina period
in the case of "No Discharae" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina.276994617
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 or the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that these a�e:significant penalties for submitting false'inforination,ipcluding the possibility of fines and imprisonment for knowing violations,"
Permit Date: 10/1/2014-9/31/2019
{Date}
SWU-252, last revised 9/17/2014
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG160000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG16®❑D ®[D
SAMPLES COLLECTED DURING CALENDAR YEAR: 2- 3 7-014
(This monitoring report is due at the Division no later than 30 days from the date
the facility receives the sampling results from the laboratory.)
FACILITY NAME r' A uc--rncowuo� air COUNTY M4alUnhyr� Le
PERSON COLLECTING SAMPLES 75A AAMM-S-u- _ _ PHONE NO.
CERTIFIED LABORATORY. -rlw Lab # 402-
Lab #
Monitoring Requirements
Outfali
No.
Date
Sample Collected,
mold
Total Rainfall,
inches
00530
00400
00556
Total Suspended Solids. mg/1
pH,
Standard units
Total Petroleum Hvdrocarbons, mg/l
EPA Method 1664 SG -HE
Benchmark
-
-
t00
Within 6.0 -= 9.0
15
001
2--7~I
.50
L
-7,2
t
00z
2- 5-14
.tio
14
7.1
If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit.
Mail original and one copy to: Division of Water Quality RECEIVED
Attn: Central Files
1617 Mail Service Center MAR 14 2W
Raleigh, North Carolina 27699-1617
CENTRAL TES
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: DWO/BOG
"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 significa t penalties f r submitting false information, including the possibility of fines and lmprlsonment for knowing violations."
e4w
_ 3 -1014 _
(Signatu�e of Permi" (Date)
S WU-253-051409
Page 1 of 1

PU-7,LABOROLTOMERISM
INC
Full -Service Analytical 8
Environmental Solutions
Lane Construction Corporation, The
Marcus Hackler
8205 Wilkinson Blvd.
Charlotte, NC 28214
NC Certification No. 402
SC Certification No. 99012
NC Drinking Water Can No. 37735
VA Certification No. 460211
DoD ELAP: L-A-B Accredited Certificate No. L2307
ISOMEC 17025: L-A-B Accredited Certificate No. L2307
Project: Arrowood Plant -SW
Lab Submittal Date: 02/03/2014
Prism Work Order: 4020018
Case Narrative
02/18/2014
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Narrative Notes:
The pH was reported by the client.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
Reviewed By Terri W. Cole
Project Manager
OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for TPH (SGT-HEM).
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-800/629.6364 - Fax: [phone] Page 1 of 6

INP'LS M Full -Service Analytical S
REnvironmental Solutions
�iowes sic
Sample Receipt Summary
02/18/2014
Prism Work Order: 4020018
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
OUTFALL 1 4020018-01 Water 02/03/14 02/03/14
OUTFALL 2 4020018-02 Water 02/03/14 02/03/14
Samples were received in good condition at 4.4 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: 704l629-6364-Toll Free Number: 1-800t629-6364 - Fax., 7041626-0409 Page 2 of 6

P�R I S M I Full -Service utin
m3
EnvironentalW SolSolutioons
P'Feo�++mraa xc,
Lane Construction Corporation, The Project: Arrowood Plant -SW
Attn: Marcus Hackler
8205 Wilkinson Blvd.
Charlotte, NC 28214
Field Data
Laboratory Report
02/18/2014
Prism Work Order: 4020018
Laboratory ID Client ID Field Parameter Result
4020018-01 OUTFALL 1
pH 7.26
4020018-02 OUTFALL 2
pH 7.29
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: 704IS294364 - Toll Free Number: 1.8001522-6364 • Fax: [phone] Page 3 Of 6

Full -Service Analytical/-,,"PiR I S M Environmental Solutions
uaos.na�a nw
Laboratory Report
02/18/2014
Lane Construction Corporation, The
Attn: Marcus HaWer
8205 Wilkinson Blvd.
Charlotte, NC 28214
Project: Arrowood Plant -SW
Sample Matrix: Water
Client Sample ID: OUTFALL 1
Prism Sample ID: 4020018-01
Prism Work Order: 4020018
Time Collected: 02/03/14 09:30
Time Submitted: 02/03/14 12:45
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor ❑atelTme ID
General Chemistry Parameters
Oil & Grease (SGT-HEM) BRLOG mglL 5.0 1.2 .1 -1664A 2110/14 10:00 JAB P4B0147
Total Suspended Solids 68 mglL 12 0.90 1 'SM 2640 D 216114 13:46 JAB P4130081
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1.8001629-6364 - Fax: [phone] Page 4 of 6

APR I S M Full-Semico Analytical S
E n vimn m e n to 16o1 ut i on s
i.eoe+raucs we
Lane Construction Corporation, The
Attn: Marcus Hackler
8205 Wilkinson Blvd.
Charlotte, NC 28214
Project: Arrowood Plant -SW
Sample Matrix: Water
Laboratory Report
02118/2014
Client Sample ID: OUTFALL 2
Prism Sample ID: 4020018-02
Prism Work Order: 4020018
Time Collected: 02/03/14 09:45
Time Submitted: 02/03/14 12:45
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
General Chemistry Parameters
Oil & Grease (SGT-HEM) BRLOG m91L 6.0 1.2 1 '1664A 2/10114 10:00 JAB P4B0147
Total Suspended Solids 14 m91L 6.0 0.90 1 'SM 2"0 D 2104 13:45 JAB PQ0081
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Sprtngbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone]
Page 5 of 6

Full -Service Analytical f CHAIN OF CUSTODY RECORD
t� �A,1/A{i 8
,R S , ' ■ AEnvironmental Solutions. PAGE - OF - QUOTE N TO ENSURE PROPER 61Ll1NQr
LINC.
449 Springbrnok Road * P.D. Box 240543 * Charlotte, NC 28224-0543
Phone:[phone].W • Fax:[phone]
Client Company Name: Ln), TwGi iopu
Report To/Contact Name: :JLvr ro' Tr -1) r_l.t-
Reporting Address: _ J 2 I W iVATIG+ S _ 2IZ
Project Name:
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (No)
*Please ATTACH any project specific reporting (QC LEVEL 1 11 111 IV)
provisions and/or QC Requirements
Invoice To:
Address:
(D
O
W
Phone: _22t .hbif OZfzC,— Fax (Yes) : Purchase Order No.Billing Reference
Email (Yes) ODO Email Address Requested Due Date ❑ 1 Day 02 Days ❑ 3 Days ❑4 Days ❑ 5 Days
EDD Type: PDF Excel Other 'Working Days" U 6.9 Days ❑ Standard 10 days p Rush Work Must Be
Site Location Name; Arz12 W Pre -Approved
Samples received after 15:00 wdl be processed next business day.
Site Location Phyaical Address: j 2-1!V A l F D6i 15 Turnaround time is based on business days, excluding weekends and holidays.
iR C_lkP_ Lo7L l �f ^ G 2 f (SEE REVERSE FOR TERMS 8 CONDITIONS REGARDING SERVICES
4..- J RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL.
Certifleation: NELAC USAC£ FL NC
SC____ OTHER NIA
Water Chlorinated: YES— NO—
Sam 18 Iced U on Goliection: YES NO
p P
CLIENT
SAMPLE DESCRIPTION
DATE
COLLECTED
TIME
COLLECTED
MILITARY
HOURS
MATRIX
(SOIL,
WATER OR
SLUDGE)
SAMPLE CONTAINER
PRESERVA-
TIVES
ANALYSES REQUESTED
rr__ S
Y V REMARKS
QL iC�
PRISM
LAB
ID NO.
*TYPE
SEE BELOW
NO.
SIZE
TFn
✓
L.
Samplers Si nature
Sampled By (Print Name) i C_.
Affiliation
- -- �'
Site AmvalTime <
Upon relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
submitted in writing to the Prism Project Manager. There will be charges for any changes after anatyses have been initialized.
e nquis y: ( nature
ecelved y: (Signature)
Date
a tary s
Additional Comments:
l I
Siis Qe artllre Ttrnp � �
lL
Relinquished By: (Signature)
Received By: (Signature)
Date
J Z
1_L / 1G
N.
Field Tech Fee ,
-
Relinquished By:•(Slgnat re)
Received Prism Labor�'1101 s
/s �
DDlate
Method o hipment: NOTE: ALL ER SOU E TAPED S USTODY aar c FOR TRAN RTATION TO THE LABORATORY.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST;9M UNTIL RECEIVED AT THE LABORATORY.
❑ Fed Ex O UPS ❑ Hand-dervered LIPrism Field Service ] Other
GO roue o.
j� C•
NPDES: UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: II GERCLA LANDFILL OTHER: '
❑NC ❑5C ❑NC ❑5CI ONO ❑5C ❑NC ❑SC ❑NG 05C I ❑NC ❑SJ ❑NC ❑SC ONO ❑SC pNC ❑SC .
*CONTAINER TYPE CODES: A = Amber C = Clear 0 = Glass P• = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http,//h2o.enr,state.nc.ustsu/Forms_Documents.htn i tiscforms
Permit No.: NICITI l_I ! 1 1_I or Certificate of Coverage No.: NICIGI I l—l_l—! 1
Facility Name-, __. A 21 nyQod LLP K-7t
County: L Phone No. _76N 5£s2- 626C� Inspector: h
Date of Inspection: - 1
Time of Inspection: 9330 -
Total Event' Precipitation (inches): , 50
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your pennit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0-1 inches has
occurred. A single storm.event may contain up to-10 consecutive hours of no precipitation,
By this signature, I certify-tltat'Ctk report'is accurate and complete to the best of my knowledge:
(Signature of Perfi%ittee or Designee)
1. Outfall Description:
Outfall No. � I Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that -occur within the outfall drainage area: 112yc ._ _trOT-ro - "b
P1_,a,1yr s 1T
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Ligh7 13wowr-L.)
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): . A" A,)
Page 1 of 2
SWU-242-112609

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 O 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
.2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foarn in the stormwater discharge? . Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfalI? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SwU-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.state.nc.ustsu/!~arms Documents,htm#miscforms
Permit No.: NIC/ - L I l I l / I or Certificate of Coverage No.: N1CIGl^l_f I I / 1
Facility Name: t,iO0
County: _ Phone No. 70N._-58�d o2G
Inspector: it>^'1_�
Date of Inspection: 2,- 3 / q _
Time of Inspection: O
Total Event- Precipitation (inches): 50 _
Was this a Representative Storm Event? (See information. below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm,event may contain up to-10 consecutive hours of no precipitation.
By this signature, I certify that n accurate and complete to the best of my knowledge:
t� -
(Signature of Penymltee or Designee)
1. Outfall Description:
Outfall No. 2 Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that -occur within the outfall drainage area: TRLXJ- �n+zltatag�
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ►J0rO7i
Page I of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy.-
1 02 3 4 5
7. Is there any foam in the stormwater discharge? Yes Na
8. Is there an oil sheen in the stormwater discharge? Yes CNo5
9. Is there evidence of erosion or deposition at the outfall? Yes Na
10. Other Obvious Indicators of Stormwater Pollution:
List and describe d1)OrO
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. TE ese conditions warrant further investigation.
Page 2 of 2
5 WU-242-112608