NCG020256_MONITORING INFO_20200121

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v b a
DOC TYPE
[I HISTORICAL FILE
❑^MONITORING REPORTS
DOC DATE
❑ Q bab b a
YYYYMMDD

DOC TYPE I ❑ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE 1 ❑
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year LL
Report ALL WASTEWATER monitoring data on this form (include "No Flow"/" No Discharge' and Limit Violations) from
the previous calendar year to the DEQ by lyfARCH`1 of AEcear.
Certificate of Coverage No. NCG02 ©©M JpN 21 2020
Facility Name: 1 fv S LU' c h
County: ilIc L e I u WR ,,rSE=C'� �
DT ION
Phone Number: ( &12Z L4b7 tr 03 Total no. of outfalls monitored
Certified Laboratory 6T5 04 1, ey,i 0e Lab #
Lab #
Wastewater (WW) Discharge Outfall No. S w r!
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No ❑
If so, what is the 7010 flow rate? or Tidally influenced waters,
70110 not available ❑
Does this outfall discharge WW to Trout jr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year?
Yes ❑
No ❑
Jl
Outfall No.
Sw
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
ml/Ibe
a
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
SA
Effluent
(Limitations
Mo. Ave l Daily Max,
HOW or ORW
50%of
7Q10
Indeefa NO FLOW
u applicable
heshwater
6.0-9.0
saltwater
6.8-8.5
Industrial Sand
25/45
HOWorORW
20/30
HOWor ORW
and Tr or PNA
10115
HOW, ORW,
SA, SB,PNA,
Of any Trout
0.1/0.2
No Limit
ClroleWater
Ouality tha applieaertl
50/25/10
N/A
Water Quality
Standard applies
N/A
WaterOuahty
Standard applie s
N/A
Date Sample
Collected,
mo/ddlyr
-■.■---�
I
oo
,NS
z-5
41
K
o o03
7t
o
3
o zZ
e,003
71
/-at
ti
U 3
7,
v.,
3
Permit Date 10/1/2015 - 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ©©0®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No. 5 in1 itI
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout jr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year reported?
Yes ❑
No ❑
Outfall No.
5 wI
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
aml/Iba
Discharge
Turbidity,,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
SA
Effluent
Limitations
Mo. Ave /Daily Mar.
HOW or ORW
50%of
7Q10
Indicate NO FLOW
1l applicable
freshwater
OM-0
aahwater
6•8'8•5
Industrial sand
25145
HOWorORW
20/30
HOW or ORW
andTr or PNA
10/15
How, ORW,
SA SB,PNA.
or any Trout
0.1 /0.2
No Limit
circle water
Quality Standard
that applies;
50/25/10
N/A
Water Quality
Standard applies
N/A
Water Ouahty
Standard applies
NIA
Date Sample
Collected,
mo/dd/yr i
I ?Ilq
MEMEMM
002—
7, S
45
u,3
3's
It
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

z5k
Certificate of Coverage No. NCG02027+
Supplemental parameters:
Outfall No.
Total Al,
..
..
..
911
.-
.-
continued
Permit Date 10/1/2015 — 9/30/2020
Revised 11-16-2015 for Additional Monitoring Specific to this COC

Certificate of Coverage No. N0002 9MM
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑
Does this 'outfall.discharge WW to'SB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No ❑
If so, what is the 7010 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year reported?
Yes ❑
No ❑
Outfall, No..
t. Sw l
•
Daily Flow
Rate, cfs',
... i
pH,
_. SU .
TSS,:
' r mgll..
` - SS,' ;
ml/I t'
Discharge
Turbidity,
NTU
,Upstream
(U) Turbidity,,
i
NTU .:
Uowristream
'(D) Turbidity,'
NTU
Fecal '€
Coliform
col/100 ml'
r
- SA =,
Effluent
I' Limitations
Mo. Ave I Daily Max.
HOW or ORW
50%of
7010 •
Indlole NO FLOW
If appllobb
fresh uer
6.09.0
aalwatar
6.8'6.5
Industrial Santl.
,25/45
HowaroRw
.20130
HOWor ORW
.and Tr or PNA
10/15
.HOW, oRW,.
sA. SR. PNA
or any Trout
0.110.2
NO'Lhrllt
olral.Water
Quality
alit Standard
50/25/10
'NIA ,,
Waterouallty
,,. Standard applies-
Y ..
N/A
Water Quality
•. Standard applies
. ..
N/A
„
{.. •• t
Date Sample
h Collected,
�I mo/dd/ r
.2.,
,o
j
2 SO
z0
2-00
)`10
04�1
OX0 2
7,7
26W
Gc,
LUO
10�
e 7 z.Z
L
5
�.
Z
7 Z
4 C)
Lc,1
340
I!
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

' zsk
Certificate of Coverage No. NCG02027*
Supplemental parameters:
•
.
..
.-
.-
continued
WR-
Permit Date 10/1/2015 - 9/30/2020
Revised 11-16-2015 forAdditional Monitoring Specific to this COC

O 2-5%
Certificate of Coverage No. NCG0202:74 -
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Required by 40 CFR §122.221
Signature S ,du" Vk
Date 2 20
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/3012020
Revised 11-16-2015 for Additional Monitoring Specific to this COC