WQ0032519_Regional Office Historical File Pre 2018

resville, NC 28115 to 8299 Kensington Dr, Waxhaw, NC 28173 - Goo... https://www.google.com/maps/dir/E+Center+Ave,+Mooresville,+NC+28115/8299+Kensi..
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2 of 4 1/28/2020, 4:27 PTV.

PPresville, NC 28115 to 8299 Kensington Dr, Waxhaw, NC 28173 - Goo...
E Center Ave
Mooresville, NC 28115
Get on 1-85 S in Concord from NC-3 N and Odell School Rd
23 min (15.8 mi)
t 1. Head east on E Center Ave toward Rankin St
r 2. Turn right onto NC-3 N
r 3. Turn right onto Odell School Rd
r 4. Turn right to stay on Odell School Rd
r 5. Turn right onto Poplar Tent Rd
0.6 mi
6.9 mi
2.5 mi
4.3 mi
0.1 mi
"1 6. Use the left 2 lanes to turn slightly left toward
Poplar Tent Rd
489 ft
41 7. Use any lane to turn left onto Poplar Tent Rd
0.9 mi
r 8. Use the right lane to stay on Poplar Tent Rd
0.2 mi
9. Use the right lane to take the Route 85 S ramp
0.3 mi
Take 1-485 Inner to NC-16 S/Providence Rd in Providence.
Take exit 57 from 1-485 Inner
A 10. Merge onto I-85 S
27 min (30.6 mi)
3.4 mi
https://www.google.com/maps/dir/E+Center+Ave,+Mooresville,+NC+28115/8299+Kensi..
3 of 4
1/28/2020, 4:27 PIv

ppresville, NC 28115 to 8299 Kensington Dr, Waxhaw, NC 28173 - Goo...
e 11. Use the middle 2 lanes to take exit 48 for Inner
Interstate 485/Outer Interstate 485 toward
Matthews/1-77 N/Huntersville
0.3 mi
12. Keep left at the fork, follow signs for 1-485 Inner
S/Matthews and merge onto 1-485 Inner
26.7 mi
f' 13. Take exit 57 for NC-16/Providence Road toward
Weddington
0.3 mi
Follow NC-16 S/Providence Rd to Kensington Dr in Sandy
Ridge
14 min (7.8 mi)
*1 14. Use the left 2 lanes to turn left onto NC-16
S/Providence Rd
S Pass by Bank of America Financial Center (on the right
in 5.1 mi)
7.6 mi
r' 15. Turn right onto Kensington Dr
f) Destination will be on the left
8299 Kensington Dr
Waxhaw, NC 28173
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause conditions to
differ from the map results, and you should plan
your route accordingly. You must obey all signs or
notices regarding your route.
0.2 mi
https://www.google.com/maps/dir/E+Center+Ave,+Mooresvi I le,+NC+28115/8299+Kensi..
4 of 4
1/28/2020, 4:27 PM

resville, NC 28115 to 8299 Kensington Dr, Waxhaw, NC 28173 - Goo... https://www.google.com/maps/dir/E+Center+Ave,+Mooresville,+NC+28115/8299+Kensi
Pr
Google Maps E Center Ave, Mooresville, NC 28115 to 8299 Kensington Dr, Waxhaw, NC Drive 54.3 miles, 1 h 9 min
28173
l of 4 1 /28/2020, 4:27 P1V

610 E Center Ave, Mooresville, NC 28115 to 8299 Kensington Dr... https://www.google.com/maps/dir/610+E+Center+Ave,+Mooresvil...
GoNle IL
8 610 E Center Ave, Mooresville, NC 28115 Drive 57.0 miles, 1 h 20 min
- to 8299 Kensington Dr, Waxhaw, NC 28173
C 828-260-3583 Bart Farmer
610 E Center Ave
Mooresville, NC 28115
Map data 02020 Google 2 mi l I
t 1. Head south on Evergreen St toward E Center Ave
- 17 s (197 ft)
Take NC-3 N, Odell School Rd, 1-85 S and 1-485 Inner to your
destination in Vance
-- 54 min (44.0 mi)
01 2. Turn left onto E Center Ave
0.6 mi
r 3. Turn right onto NC-3 N
6.9 mi
1 of 4 -- - - — — --- -- 1 /6/909.0 9.57 AM

610 E Center Ave, Mooresville, NC 28115 to 8299 Kensington Dr... https://www.google.com/maps/dir/610+E+Center+Ave,+Mooresvil...
r 4. Turn right onto Odell School Rd
-- 2.5 mi
5. Turn right to stay on Odell School Rd
- - -- _ 4.3 mi
r 6. Turn right onto Poplar Tent Rd
- - 0.1 mi
'1 7. Use the left 2 lanes to turn slightly left toward
Poplar Tent Rd
489 ft
*1 8. Use any lane to turn left onto Poplar Tent Rd
- - - 0.9 mi
1'' 9. Use the right lane to stay on Poplar Tent Rd
- - - - 0.2 mi
10. Use the right lane to take the Route 85 S ramp
0.3 mi
11. Merge onto 1-85 S
3.4 mi
12. Use the middle 2 lanes to take exit 48 for Inner
Interstate 485/Outer Interstate 485 toward
Matthews/1-77 N/Huntersville
- 0.3 mi
13. Keep left at the fork, follow signs for 1-485 Inner
S/Matthews and merge onto 1-485 Inner
_ - - - 18.5 mi
14. Take exit 49 for Idlewild Rd
-- - - - 0.3 mi
*1 15. Turn left onto Idlewild Rd
4P Pass by AutoZone Auto Parts (on the right in
2.0 mi)
-..... ... -. -_ -_.. --_- L.51T11
t 16. Continue onto Secrest Short Cut Rd
---- - - --- ---- ----- -- --- 2.2 mi
r 17. Turn right onto Unionville - Indian Trail Rd W
- 0.5 mi
t 18. Continue straight onto Sardis Church Rd
_ 0.6 mi
ro 19. Turn right
I* Destination will be on the right
1 min (0.3 mi)
4/6/2N2 - 9-52 AN/

610 E Center Ave, Mooresville, NC 28115 to 8299 Kensington Dr...
https://www.google.com/maps/dir/6 I O+E+Center+Ave,+Mooresvil...
55 min (44.4 mi)
4015 Sardis Church Rd
Monroe, NC 28110
t 20. Head northeast toward Sardis Church Rd
1 min (0.3 mi)
Take Wesley Chapel Stouts Rd, Wesley Chapel Rd and NC-84
W/Monroe-Weddington Rd/Weddington Rd to Lester Davis
Rd in Wesley Chapel
15 min (7.6 mi)
r 21. Turn right onto Sardis Church Rd
-- --- — - — 0.4 mi
r 22. Turn right onto W Hwy 74
0.2 mi
41 23. Make a U-turn at Sun Valley PI
--- -------- -- — _ 0.2 mi
r 24. Turn right onto Wesley Chapel Stouts Rd
1.2 mi
t 25. Continue onto Wesley Chapel Rd
19 Pass by Wells Fargo Bank (on the right)
2.4 mi
26. At the traffic circle, continue straight to stay on
Wesley Chapel Rd
-- 1.0mi
N 27. Turn right onto NC-84 W/Monroe-Weddington
Rd/Weddington Rd
2.2 mi
41 28. Turn left onto Lester Davis Rd
2 min (1.5 mi)
& 29. Turn right onto New Town Rd
33 s (0.2 mi)
41 30. Turn left onto Cuthbertson Rd
— — - -- -- --- ----- 5 min (2.9 mi)
t 31. At McDonald's, continue onto Kensington Dr
0 Destination will be on the left
1 min (0.2 mi)
2n�d — --- --- t1GLantAlt.ca_AWX

610 E Center Ave, Mooresville, NC 28115 to 8299 Kensington Dr...
https://www.google.com/maps/dir/610+E+Center+Ave,+Mooresvil...
25 min (12.7 mi)
8299 Kensington Dr
Waxhaw, NC 28173
These directions are for planning purposes only.
You may find that construction projects, traffic,
weather, or other events may cause conditions to
differ from the map results, and you should plan
your route accordingly. You must obey all signs or
notices regarding your route.
d „fa --- - -- - - - 1/6/2020. 9:57 AM

Water Resources r
Environmental Quality
L
March 17, 2017
Mr. Edward Goscicki, P.E., Director via Email
Union County Public Works
500 N. Main Street, Suite 500
Monroe, North Carolina 28112
Subject: Non -Discharge Permit Inspections
WQ0007486: Land Application of Residuals
W00032519: Twelve Mile Creek Reclaimed Water System
W00032520: Crooked Creek Bulk Reclaimed Water System
Union County
Dear Mr. Goscicki:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
Staff of the Mooresville Regional Office (MRO) conducted compliance inspections for the referenced
permits on March 2nd, 2017. The MRO would like to thank Danny Smith and Henry Eudy for their time
during the inspections.
All permit renewal dates are included below for your convenience:
W00007486 - Land Application - Expires on 06/30/2020
WQ0032519 — Twelve Mile Creek - Reclaimed Water System — Expires on
12/31/2016. The renewal with modification is in process with permitting staff at our
Central Office (CO) in Raleigh.
WQ0032520 — Crooked Creek - Bulk Reclaimed Water System — Expires on
12/31/2016. Reclaimed plumbing has been removed. The renewal is in process with
Permitting staff at our CO in Raleigh.
The attached report should be self-explanatory; however, I may be reached by phone [phone]) or
email (maria.schutteCcD_ncdenr.gov) with questions.
Sincerely,
Maria Schutte, Environmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
Attachment: Inspection Report(s) — March 2017
CC: Andrew Neff, P.E. Water & Wastewater Division Director, Union County (email)
Danny Smith, Crooked Creek WWTP Supervisor (email)
Henry Eudy, Twelve Mile Creek WWTP Supervisor (email)
Dawn Padgett, Program Supervisor, Charlotte Water (email)
David Schlobohm, CO-NDPU (email)
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704 663 1699

State of North Carolina Department of Environmental Quality
Division of Water Resources
Roy Cooper, Governor
Michael S. Regan, Secretary
S. Jay Zimmerman, Director
NON -DISCHARGE COMPLIANCE INSPECTION
GENERAL INFORMATION
City/Town/Owner: Union County County: Union
Permit No.: W00007486 RLAP Issued: 07/20/2015 Expiration: 06/30/2020
Permit No.: WQ0032519 Twelve Mile Reclaimed Issued: 12/11/2013 Expiration: 12/31/2016
Permit No.: W00032520 Crooked Creek Reclaimed Issued: 07/21/2008 Expiration: 12/31/2016
Permittee: Edward Goscicki, P.E. (Executive Director) Telephone: [phone]
Permittee Contact: Andrew Neff, P.E. (Water & Wastewater Division Director) Phone: [phone]
Email: andy.nef[@co.union.nc.us
LA ORC Name: Vaughn Stevenson LA#998746 (Bio-Nomics) Telephone: [phone] Cell: 704-930-8886
12 Mile Creek ORC: Henry Eudy (Charlotte Water) Cell: 980-214-5977 email: [e-mail]
Crooked Creek ORC: Danny Smith (Charlotte Water) Telephone: [phone] email: [e-mail]
Additional Contact: Dawn Padgett (Charlotte Water) Cell: 704-497-8377 email: [e-mail]
Reason for Inspection
X ROUTINE COMPLAINT FOLLOW-UP OTHER
Type of Inspection
Collection System Spray Irrigation X Sludge X Other
Inspection Date(s): March 2, 2017
Inspection Summary: (additional comments may be included on attached pages)
These inspections included a review of the proposed irrigation sites at the Twelve Mile Creek facility, and a records
review and inspections of the Crooked Creek and Twelve Mile Creek WWTPs residuals storage facilities and reclaimed
water systems. There is currently no reclaimed plumbing to view at the Crooked Creek WWTP.
Supporting records and data are maintained on computer to reduce paper copies. Management at the facilities can access
the information for inspections; however, a hardcopy of all permits, including spill and O&M plans should be maintained
at all facilities, in a location accessible to all staff. The MRO reviewed permits on -site and data for the land application
permit via the 2016 Annual Report.
Please note:
• WQ0032519 - Crooked Creek Reclaimed Permit is currently in the renewal process. Union County may
propose a major modification pending the results of a feasibility study to provide reclaimed water for a park in
the Town of Indian Trail.
WQ0032520 - Concerns discussed with James Struve (Hazen & Sawyer Consulting) during the meeting for the
Twelve Mile Creek Reclaimed Modification were relayed to David Schlobohm (CO-NDPU) for inclusion in the
additional information request/permit renewal. Please contact David.Schlobohm(&ncdenr.2ov with
questions.
• The MRO should be informed of any changes to the contact information noted above.
Is a follow-up inspection necessary? yes, X no
Inspector Name/Title: Maria Schutte, Environmental Specialist
Telephone No.: 704-663-1699 Fax No. 704-663-6040
Date of Inspection: 03/02/2017

F
on-Discharge Inspections
WQ0007486, WQ0032519 and WQ0032520 — Union County
Type of Residual
X Land Application (class B)
Record Keeping
Distribution and Marketing (class A)
Y-yes N-no N/A -not applicable N/E-not evaluated
Crooked Creek WWTP Twelve Mile Creek WWTP
pg. 2
* Y
* Y
Copy of current permit available at residual generating site
* Y
* Y
Current metals and nutrient analysis (see permit for frequency)
Y
Y
TCLP analysis, Y SSFA (Standard Soil Fertility Analysis)
* Y
* Y
Nutrient and metals loading calculations (to determine most limiting
parameter) YTD
Y
Y
Hauling records (# gal and/or ton hauled during calendar year to date)
Y
Y
Field loading records, NE Field site maps and information
Y
Y
Records of lime purchased
* Y
* Y
Pathogen & Vector Attraction Reduction
* Comments: Current residuals analyses and lab data were reviewed at the MRO via the 2016 Annual Report
(AR). Answers to soil analyses and field loading sheets are also based on data reviewed in the 2016 AR.
Potential on -site recordkeeping issues are noted on the I" page of this report.
The MRO recommends keeping a "printed" copy of the permit, including the O&M and spill plans, in a
location where all employees have access. MRO staff brow httccopies of allpermits to the inspection sites.
Pathogen & Vector Attraction Reduction (PVAR) records
Crooked Creek WWTP Twelve Mile Creek WWTP
Fecal coliform
X X SM 9221 E (Class A or B)
(Class A, all test must be <1000 MPN / dry gram)
(Class B, Geometric mean of 7 samples/monitoring period
<2.0* 106 CFU / dry gram)
SM 9222 D (Class B only)
(Geometric mean of 7 samples/monitoring period for Class B
<2.0* 106 CFU / dry gram)
Salmonella (Class A, all tests must be < 3MPN / 4 grams dry
Time / Temp records
Digester (MCRT) Compost Class A lime stabilization
X X Volatile solids calculations (see comments)
Bench -top aerobic/anaerobic digestion results
X X pH records for lime stabilization (Class A or B)
SOUR calculations
Comments: Per the previous inspection report, the %VS analyses are performed in-house by Charlotte Water
and maintained on computer. When %VS cannot be met, lime stabilization is the alternative for VAR, which is
now performed by the LA contractor (Bio-Nomic Services). These records also need to be available for review
during aciliby inspections and not held by the contractor until the annual report is completed.

Non -Discharge Inspections pg. 3
WQ0007486, WQ0032519 and WQ0032520 — Union County
Treatment
X Aerobic digestion Autothermal Thermophilic Aerobic Digestion
_ Anaerobic digestion Drying beds (may not meet 503's)
Alkaline Stabilization Lime Other -describe
Comments: Per previous inspection reports, liquid residuals are stored in 1MG tank( ). On -site loading
equipment is no longer used; instead the contractor (Bio-Nomic Services) uses their own equipment to load
trucks. Odors and vectors were not detected at the time of inspection.
Treatment (check treatment type(s) used)
X Aerobic digestion
Auto -thermal Thermophilic Aerobic Digestion
Anaerobic digestion Drying beds
X Alkaline Stabilization Lime Other -describe
Transport There was no active land application taking place at the time of inspection.
Spill control plan in transport vehicle? NE
Does transport vehicle appear to be maintained? NE
Storage
Number of days/weeks/months of storage: Per previous inspection reports:
Crooked Creek has est. 4-6 months in 4 aerated digesters.
Twelve Mile Creek est. 4-6 months in 3 aerated digesters.
Describe storage: Both plants have storage for liquid residuals. No odors or vectors were detected in the
residuals areas.
Odors present N Vectors present N
Sampling
Describe Sampling: Samples are collected by LA contractor prior to land application event.
Is sampling adequate? NE Is sampling representative? NE *-Sampling should be adequate if the instructions
noted in the "Sampling Plan" are followed.
Field Sites (end use for class B biosolids) NA — There was no active land application occurring in NC at
the time of inspection.
Monitoring wells) Y/N: NA - This permit does not require groundwater monitoring.
Other noted conditions: There has been no activity under either of the reclaimed water permits
(W00032519 or W00032520) in recent years. NDMRS have been received and reflect no flow or no
distribution.
Concerns discussed with James Struve (Hazen & Sawyer Consulting) during the meeting for the Twelve Mile
Creek Reclaimed Modification were relayed to David Schlobohm (CO-NDPU) for inclusion in the additional
information requestlpermit renewal (also noted on the 1S` page of this report).

UNION COUNTY
DEPARTMENT OF PUBLIC WORKS
500 North Main Street Suite 500, Monroe, NC 28112
Phone:[phone] • Fax:(704)2%-4232
January 31, 2017
Mr. Wes Bell
NCDENR DWQ — Mooresville Regional Office
610 E Center Avenue, Suite 301
Mooresville, NC 28115
Subject: Signatory Authority, Discharge and Non -Discharge Permits
Union County Public Works
Dear Mr. Bell,
Please accept this letter as an official delegation of signatory authority to the position of
Water and Wastewater Division Director Andrew Neff. `1be signatory authority should
encompass:
• All NPDES permits, current and future, as well as associated applications, reports,
correspondence and the like. Current permits include NCO069841 (Crooked Creek
WWTP), NCO085359 (12 Mile WWTP), NCO069523 (Tallwood WW T), NCO072508
(Hunley Creek WWTP), NCO085812 (('massy Branch WWTP)
+ All Non -Discharge permits, current and future, as well as associated applications, reports,
correspondence and the like. Current permits include WQ0011928 (Olde Sycamore
WWTP), WQCS00054 (Collection System), WQ0007486 (Land Application),
WQ0032519 (12 Mile Reuse), WQ0032520 (Crooked Creek Resuse).
Should you require additional information, please do not hesitate to contact me at 704-296-4212.
Sincerely,
r
Edward Goscicki, PE
Executive Director
Union County Public Works
600 North Main St., Suite 500 • Monroe, NC 28112-4730 • Phone: [phone] • Pax: [phone]

January 31, 2017
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
CROOKED CREEK RE,E,CLAI KATION FACILITY
NPDES Permit Number NCO069841
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all
pernnit applications, discharge monitoring reports, and other information relating to the operations at
the subject facility as required by all applicable federal, state, and local environmental agencies
specifically with the requirements for signatory authority as specified in 15A NCAC 213.0506.
Individual #1
Naive: Andrew Neff
Water & Wastewater Division
Title:
Director
Mailing Address: 14600 Goldmine Rd Monroe Nc 28110
Physical Address:
(c different)
Email Address: [e-mail]
' Office Phone: 704 - 296 - 4215
Mobile Phone: 407 - 437 - 4379
Individual #2 (if applicable)
If you have any questions regarding this letter, please feel free to contact me at
[e-mail] or 704-296-4212.
Sincerel J
Edward Gosci k
Executive Director Public Works
500 N Main St. Ste 600 Monroe Nc 28112
[e-mail]
704-296-4212
cc: Mooresville Regional Office, Water Quality Permitting Section

January 31, 2017
Wastewater Branch
Water Quality .Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
TWELVE MILE'WATER RECLAIMATIOIN FACILITY
NPDES Permit plumber NCO085359
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all
permit applications, discharge monitoring reports, and other information relating to the operations at
the subject facility as required by all applicable federal, state, and local environmental agencies
specifically with the requirements for signatory authority as specified in 15A NCAC 2B.0506.
Individual 41
Name: Andrew Neff
Title;
Water & Wastewater Division
Director
Mailing Address:
4600 Goldmine Rd Monroe Nc 28110
Physical Address:
of different)
Email Address:
[e-mail]
Office Phone:
704 - 296 - 4215
Mobile Phone:
407 - 437 - 4379
Individual 42 (if applicable)
If you have any questions regarding this letter, please feel free to contact me at
[e-mail] or 704-296-4212.
Sincerely,
Edward Goscicki
Executive Director Public Works
500 N Main St. Ste 600 Monroe No 28112
[e-mail]
704-296-4212
cc: Mooresville Regional Office, Water Quality Permitting Section

February 1, 2017
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
OLDE SYCAMORE WASTEWATER TREATMENT PLANT
NPDES Permit Number NCO072508
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all
permit applications, discharge monitoring reports, and other information relating to the operations at
the subject facility as required by all applicable federal, state, and local environmental agencies
specifically with the requirements for signatory authority as specified in 15A NCAC 2B.0506.
Individual #1
Name: Andrew Neff
Water & Wastewater Division
Title: Director
Mailing Address: 14600 Goldmine Rd Monroe Nc 28110
Physical Address:
(f different)
Email Address: [e-mail]
Office Phone: 704 - 296 - 4215
Mobile, Phone: 407 - 437 - 4379
Individual #2 (r 'applicable)
If you have any questions regarding this letter, please feel free to contact me at
[e-mail] or 704-296-4212.
Sincerely,
Edward Goscicki
Executive Director Public Works
500 N Main St Ste 600 Monroe Ne 28112
Edward.Goscicki [e-mail]
704-296-4212
cc: Seiect a region Regional Office, Water Quality Permitting Section

January 31, 2017
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
GRASSY BRANCH WASTEWATER TREATMENT PLANT
NPDES Permit Number NCO085812
To Whom 1t May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all
permit applications, discharge monitoring, reports, and other information relating to the operations at
the subject facility as required by all applicable federal, state, and local environmental agencies
specifically with the requirements for signatory authority as specified in 15A NCAC 213.0506.
Individual #1
Name; Andrew Neff
Title: Water & Wastewater Division
Director
Mailing Address: J 4600 Goldmine Rd Monroe Nc 28110
Physical Address:
({ dlerent)
Email Address: [e-mail]
;Office Phone: 704 - 296 - 4215
Mobile Phone:' 407 - 437 - 4379
Individual #2 (if applicable)
If you have any questions regarding this letter, please feel free to contact me at
[e-mail] or 704-296-4212.
Sincerely,
f,.
Edward Goscicki
Executive Director Public Works
500 N Main St. Ste 600 Monroe Ne 28112
Edward.Goscicki(a Unioncountync.Gov
704-2064212
cc: Mooresville Regional Office, Water Quality Permitting Section

January 31, 2017
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
TALLWOOD ESTATES WASTEWATER TREATMENT PLANT
NPDES Permit Number NCO069523
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all
permit applications, discharge monitoring reports, and other information relating to the operations at
the subject facility as required by all applicable federal, state, and local environmental agencies
specifically with the requirements for signatory authority as specified in 15A NCAC 2B.0506.
Individual # 1
Nance: Andrew Neff
Water & Wastewater Division
Title: Director
Mailing Address: 14600 Goldmine Rd Monroe Nc 28110
Physical Address:
Cf different)
Email Addrb�: [e-mail]
OfcOhone: 704 - 296 - 4215
Mobile'Phone: 407 - 437 - 4379
Individual 42 (if appucabie)
If you have any questions regarding this letter, please feel free to contact me at
edward.goscicki@,uiiioncountync.gov or 704-296-4212.
Sincerely,
Edward Goscicki
Executive Director Public Works
500 'N" Main St. Ste 600 Monroe Nc 29112
Edward.Gosoicki(a Unioncountyne.Gov
704-296-4212
cc: Mooresville Regional Office, Water Quality Permitting Section

Page 1 of 7
It
Contact Us
Services by Phone.
Dial 311 or 70 336-7600 to:
• Request Water to be Turned On or Off
• Change Addresses
• Ask a Billing Question
• Check Current Balance
• Report a Water Leak or Sewer Spill
Online Services:
7
n
Z
Yuck!
Pouring kitchen grease, fat or oils
down the drain
can lead to expensive
plumbing repairs.
Be GREASE FREE. ■
• Pay Bill using Online Portal (on this website, including Paperless Billing)
• Pay Bill with Online Banking (on bank website, including Paperless Billing)
• Start Automatic Bank Draft
• Use Credit Card (Western Union)
• Find Drop Off Locations
V
4/28/2016

Page 2 of 7
RESIDENTIAL
Start, Transfer, or Stop Water and/or Sewer
Service
Call 311 or 704-336-7600 during business hours
Drinking Water Quality Concern
Call 311 or 704-336-7600. After normal business
hours say or select 'water emergency.'
Ask a Billinci or General Ouestion
COMMERCIAL
Start, Transfer, or Stop Water and/or Sewer
Service
Call 311 or 704-336-7600 during business hours
Drinking Water Quality Concern
Call 311 or 704-336-7600. After normal business
hours say or select 'water emergency.'
Ask a Billing or General Ouestion
Emails are received by CharMeck 311 and forwarded Emails are received by CharMeck 311 and forwarded
to the appropriate group. Call 311 or 704-336-7600 if to the appropriate group. Call 311 or 704-336-760C
you need immediate attention, to start service, or you need immediate attention, to start service, c
if you have questions about your bill.
Update Your Billing Phone Number or Account
Mans (asbuilts)
if you have questions about your bill.
Update Your Billing Phone Number or Account
Mans (asbuilts)
Maps showing drinking water or sewer pipes, Call 704- Maps showing drinking water or sewer pipes, Call 70
399-2221 399-2221
Confidentiality agreement must be filled out before
receiving maps
Rate our customer service or submit a
compliment.
Call 311 if a current issue needs to be resolved
c
Confidentiality agreement must be filled out before
receiving maps
Rate our customer service or submit a
compliment.
Call 311 if a current issue needs to be resolved.
0
4/28/2016

Page 3 of 7
19
Wastewater Odor- Regarding wastewater plants or
pipes.
• If you see or suspect a sewage overflow or spill, call
311 - 24 hours a day, seven days a week and report a
"sewer emergency."
• If you have an odor concern regarding drinking
water, call 311 or 704-336-7600 immediately and
say or select 'water emergency.'
New Connection or Tap
Email if you need to apply for physical connection or
tap.
n
Wastewater Odor- Regarding wastewater plants of
pipes.
• If you see or suspect a sewage overflow or spill, c:
311 - 24 hours a day, seven days a week and repor
"sewer emergency."
• If you have an odor concern regarding drinking
water, call 311 or 704-336-7600 immediately a
say or select 'water emergency.'
New Connection or Tap
Email if you need to apply for physical connection or
tap.
Call 311 if you want to start, transfer, or stop service Call 311 if you want to start, transfer, or stop service
at a location
Backflow Prevention and Irrigation
Call 311 or 704-336-7600 during business hours.
Construction Project
Call 704-399-2221
0
at a location.
Backflow Prevention and Irrigation
Call 311 or 704-336-7600 during business hours.
Hydrant Rental and Tanker Truck Permit
Call 311 or 704-336-7600 during business hours.
Laboratory Services
Available lab services, accreditation status, or pricinc
Call 704-336-2854
lJ
4/28/2016

Page 4 of 7
Webmaster
Report page errors or ask website questions.
Storm Water Change of Ownership
To change billing for storm water fee if property
changes hands.
CLTWater Facility Addresses and Phone Numbers
Webmaster
Report page errors or ask website questions.
Storm Water Change of Ownership
To change billing for storm water fee if property
changes hands.
Please call 311 or 704-336-7600 for customer and other questions. Please use below phone
numbers if you need to reach a specific person at the location.
Administration, Environmental Management Administration, and Laboratory Services:
4222 Westmont Dr., Charlotte, NC 28217
Phone Number: 704-336-4407
Engineering and Customer Service:
5100 Brookshire Blvd. Charlotte, NC 28216
Phone Number: 704-399-2221
Drinking Water Treatment Plants:
Franklin Water Treatment Plant
5200 Brookshire Blvd. (Hwy 16) Charlotte, NC 28216
Phone Number: 704-399-2426
Lee S. Dukes Jr. (North Mecklenburq) Water Treatment Plant
n
..
►;
4/28/2016

Page 5 of 7
7980 Babe Stillwell Rd., Huntersville, NC 28078
Phone Number: 704-948-6954
Vest Water Treatment Plant
820 Beatties Ford Rd., Charlotte, NC 28216
Phone Number: 704-336-2100
Catawba River Pump Station
12548 Pump Station Rd., Charlotte, NC 28216
Phone Number: 704-399-2331
Field Operations:
Zone 1
11609 Hord Dr. Huntersville 28078
Phone Number: 704-378-6632
Zone 2 and Field Operations Administration
5730 General Commerce Dr., Charlotte 28213
Phone Number: 704-378-6632
Zone 3
12131 Park Rd., Charlotte, NC 28226
Phone Number: 704-378-6632
7nna a
v
4/28/2016

Page 6 of 7
4100 W. Tyvola Rd., Charlotte, NC 28208
Phone Number: 704-378-6632
Wastewater Treatment Plants:
Mecklenburg County
Irwin Creek Wastewater Treatment Plant
4000 Westmont Drive, Charlotte 28217
Phone Number: 704-336-2570
Mallard Creek Water Reclamation Facility
12400 Hwy. 29N, Charlotte 28262
Phone Number: 704-547-0680
McAlpine Creek Wastewater Treatment Plant
12701 Lancaster Highway, Pineville, 28134
Phone Number: 704-542-0736
McDowell Creek Wastewater Treatment Plant
4901 Neck Road, Huntersville, NC 28078
Phone Number: 704-875-6443
Sugar Creek Wastewater Treatment Plant
5301 Closeburn Rd., Charlotte 28210
Phone Number: 704-553-2124
11ninn (minty
V
4/28/2016

Page 7 of 7
Twelve Mile Wastewater Treatment Plant
8299 Kensington Drive, Waxhaw, NC 28173
Phone Number: 704-201-8284
Crooked Creek Wastewater Treatment Plant
4015 Sardis Church Rd., Monroe, NC 28110
Phone Number: 704-400-7535
Grassy Branch Wastewater Treatment Plant
1629 Old Fish Rd, Monroe NC 28110
Phone Number: 704-634-3389
Tallwood Wastewater Treatment Plant
488 Brief Road West, Indian Trail NC 28079
Phone Number: 704-634-3389
Olde Sycamore Wastewater Treatment Plant
1699 Rock Hill Church Rd (located on Persimmon Creek Drive)
Matthews NC 28205
Phone Number: 704-634-3389
4/28/2016

��A
PV is ��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory Thomas A, Reeder John Skvarla
Governor Director Secretary
October 7, 2013
Mr. Michael Moler, Water and Wastewater Operations Division Manager
Union County Public Works
500 North Main Street, Suite 500
Monroe, North Carolina 28112
Subject: Non -Discharge Permit Inspection(s) - Union County Public Works
Land Application of Residuals — Permit No.:W00007486
Twelve Mile Creek - Reclaimed Water System — Permit No.-WQ0032519
Crooked Creek — Bulk Reclaimed Water System — Permit No.:W00032520
Union County
Dear Mr. Moler:
The Mooresville Regional Office (MRO) conducted a records review and inspections of the
Crooked Creek and Twelve Mile Creek WWTPs residuals storage facilities and bulk reclaimed water
systems, on September 18th, 2013. New fields associated with the land application permit
modification were also visited.
Permit renewal dates are included below for your convenience:
WQ0007486 - Land Application - Expires on 08/31/2015 — Modification for the addition of
new fields is currently in process, with our Central Office in Raleigh.
WQ0032519 — Twelve Mile Creek - Reclaimed Water System — Expires on 12/31/2016
Modification for proposed new reuse areas is currently in process, with our Central
Office in Raleigh.
WQ0032520 — Crooked Creek - Bulk Reclaimed Water System — Expires on 12/31/2016
The MRO understands that Union county is currently undergoing some management/operational
changes at the wastewater treatment plants, and requests updates of key personnel contact
information as these changes are finalized.
The attached reports should be self-explanatory; however, if you have any questions, please contact
me at [phone].
Sincerely,
Maria Schutte
Environmental Specialist
Division of Water Resources / Mooresville Regional Office One 610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115 NorthCarolina
Phone: [phone] Fax: [phone] Customer Service: 1-877-623-6748 Internet: www.ncwaterquality.org Naturally
u ally
An Equal Opportunity 1 Affirmative Action Employer

Attachment(s): WQ0007486, WQ0032519 & WQ0032520 Inspection Reports
cc
"IN
Barry Overcash, Crooked Creek WWTP Supervisor (email — WQ0007486 & WQ0032520 only)
Patrick Moore, Twelve Mile Creek WWTP Supervisor (email — WQ0007486 & WQ0032519 only)
Brent Collins, EMA Resources (email — WQ0007486 attachment only)
Kim Hinson, Hazen & Sawyer, Contractor for Union County (email)
Chonticha McDaniel, Residuals Management, CO-LAU (email — WQ0007486 attachment only)
Nathaniel Thornburg, Reclaimed Water, CO-LAU (email — WQ0032519 & WQ0032520 only)

tate of North Carolina
Department of Environment
and Natural Resources
Division of Water Resources
Pat McCrory, Governor
John Skvarla, Secretary
Thomas A. Reeder, Director
NCDENR
NON -DISCHARGE COMPLIANCE INSPECTION
Recycle/Reuse/Reclamation Systems
GENERAL INFORMATION
City/Town/Owner: Union County County: Union
Permit No.:W00032519 Issued: 06/12/2009 Expiration: 12/31/2016
Permittee Contact: Michael Moler, Division Manager Telephone No.: 704-296-4215
ORC Name: WWTP ORC is Patrick Moore #986255 Telephone No.: 704-771-9084 (cell)
B/U ORC: WWTP BU is James Curlee #988589 Telephone No.: 704-506-0464 (work)
Reason for Inspection
X ROUTINE COMPLAINT FOLLOW-UP OTHER
Inspection Date(s): September 18, 2013
Inspection Summary: (additional comments may be included on attached pages)
This inspection included a site visit to Twelve Mile Creek wastewater treatment plant - Bulk Reclaimed
Distribution system and a review of the proposed modification.
The bulk distribution has not been utilized since 2009 and plumbing lines have been removed. Copies of
NDMRs are maintained at the plant, and submitted to NCDENR-DWR, in accordance with permit
requirements.
This permit is currently under review for a proposed modification, which would expand the on -site reuse
to include irrigation of ornamental plants, in four landscaped areas. An additional information request
letter was mailed from our central office (CO) in Raleigh on October 3rd, 2013. Should you have any
questions concerning this modification, you may contact Maria Schutte at the MRO or the CO reviewer at:
Nathaniel.T'[e-mail].
Is a follow-up inspection necessary _des X no
Inspector(s): Maria Schutte - Environmental Specialist
Telephone No.: 704-663-1699 Fax No.: 704-663-6040
Date of Inspection: September 18th, 2013

Residuals Inspection
WQ0032519 Union County - Twelve Mile Creek - Reclaimed Water Permit
Type
Wastewater Recycle/Reuse
Y Reclaimed Water for Irrigation
Y Reclaimed Water for Bulk Distribution
Other
Treatment
Disinfection
Y Is the system working? Y Is the system properly maintained?
Tablets Gas Liquid X UV
If tablets, proper size? Present in Cylinder(s)?
If gas/liquid, does cylinder/tank storage seem safe?
Y If bulbs, are replacement bulbs on hand?
Y Is contact chamber free of sludge, solids and growth?
Flow Measurement — Effluent
'iN
Comments: This section currently is Not Applicable. The bulk distribution system has not been utilized since
2009, and all bulk distribution lines have been removed. Flow and Turbidity meters will need to be re -installed
to meet conditions of the proposed modi ied permit, and adequately monitor irrigation rates at the four
receivinjz fields.
NA Is the flowmeter calibrated annually?
NA Is the flowmeter operating properly?
NA Does the flowmeter monitor continuously?
NA Does the flowmeter appear to monitor accurately?
Record Keeping
Y-yes N-no NE -not evaluated NA -not applicable
Twelve Mile Creek WWTP
Y Is permit available upon request?
Y Are flow rates less than permitted flow?
Y Are monitoring reports present: Y NDMR NA NDAR
Y Are operational logs present? Y Complete? No bulk distribution has taken place since 2009
NA Are lab sheets available for review?
NA Do lab sheets support data represented on NDMR or NDAR?
NA Are all samples analyzed for the required parameters?
NA Are annual soil reports available?
NA Did the last report indicate a need for lime? Was it applied?
NE Records of lime purchased
Y Is the operation and maintenance manual present? Complete?
N Has DWR received any complaints regarding the facility in the last 12 months?
Comments: Lab data (available with the NPDES records) was not examined during this visit, as there was no
bulk distribution.

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WQ003251 a Facility Nama: Twelve Mile Creek VAV P Court Union r Momh: JULY Year. 2020
Flow 4toasuring Point: ❑ hdumt ❑F-u M Qlatlo..wnecmd
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Sampling Person(s)
Name: Charlotte Water Sample Technician
Name: Staff
Cerdi led Laboratories
Name; Charlotte Water Laboratory Services #192
Name:
Does all monitoring data and sampllmg frequencies meet the requirements in Attachment A of your permit? a coo, 0 Nw-canove
If the facility Is non•.compliant, please explain in tho space below the rea5on(s) the facility was not In compliance. Provide In your explanation the date(s) of the non-compliance and describe the wnecM aetion(s)
taken. Attach additional sheets if necossarv.
No Reuse water was dispensed during this report period, therefore no data submitted.
SEP 1 J 2020
WQROS
MOORESVILLE REGIONAL OFFICE.
Operator in ResponslUo Charge (ORC) Certification
Permittee Certlflcatlon
oRc: Jonathan Brian Jordan
n Penindo: union County PubUc Wcrks
certification No.: 997928
SIgning Official: Barter Farmer
Grade: IV Phone Numbcr_ 704-562-4542
igning Otnciar6 Titio: Water Reclamation FacLUes SLpenntoriaent
Has the ORC changed sineo the previous NOMR? Yn y� No
Phono Number. (70,11)295,4211 Pemlt Expiration: 313172022
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Permit NCOOSS359
Union County
Twelve Mile Creek WWTP
Nutrient Worksheet
NPDES Permit NCO085359
Reporting Month:
July-20
Beginning Month:
July-20 (!load, f)
Ending Month:
August-19 (Afoad, f2)
Monthly Average Total Phosphorus
pounds/day
Month 1
10.97
Month 2
12.02
Month 3
19.65
Month 4
32.74
Month 5
33.84
Month 6
18.11
Month 7
26.59
Month 8
17.79
Month 9
6.95
Month 10
6.88
Month 11
15.76
Month 12
6.22
12-Month Mass Loading
17.29
Note: The TP mass loadings for the current reporting month should be entered Month 1.
0
0
0
0
0
0
0
0
0
0
0
0
0.00

Reference
Laboratory Exception Report
July 2020
Twelve Mile WWTP, Effluent
Mr. Jonathan B. Jordan, ORC
The dissolved oxygen blank concentration depletion for the BOD analysis was incomplete on the
20t'. All other OC measures met acceptance criteria on this date.
Should you have any questions or require further information, please do not hesitate to call me at
[phone].
Sincerely,
Myra Zabec Thompson, Manager
Laboratory Services Division
Charlotte Water

} 10-Y-1 t J �"u) — --n l
W00032 19 FacilityName: Tweve Mlle Creek WWTP Coul
Flow Measuring Point: ❑ Inhumt ❑ewam 01oeuwgenarated Parameter Mon
eterCode
60(160:'
00400
50060
00310
U0610
00630
31618
OD076
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6
13
18
18
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21
22
23
24
26
26
27
28
29
Maximum: c V.
rling Type: I McC2Ce, Gri
Sampling Person(s) Certified Laboratories
Name: Charlotte Water Sample Technician Name: Charlotte Water Laboratory Services #192
Name: Staff Name:
Does all monitoring data and sampllmg frequencies meet the requirements in Attachment A of your permit? comp3an11 ❑ NonComp6snt
It the facility is non -compliant, please explain In the space below the reason(s) the facility was not In compliance. Provide in your exptanaton the dales) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
cou
No Re -use water was dispensed during this report period, therefore no data submitted. Q r La �029
Operator in Responsible Charge (ORC) Certification
Porminee Certification
Permfttee: Union County Public Works
ORC: Jonathan Brian Jordan
Certification No.: 997928
Signing Official: Badell Farmer
Grade: IV Phone Number: 704-562-4542
Signing Official's Title: Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NOMR7 Yea, No
Phone Number: 04)296.4227 Permit E iradon: 313MG22
7/21/202
%
stilitatiffe Date
Slgnalur Date
By his signature,(m* that this repel is accurate and compete to the best of my knomedgo
Ic bfty, under pen.ty of law, that IN. doeumentand a9attachments vmre propared under my rEmeton or supervision In accordanne vngr a system
designed to asnae ihel ell quatTed personnel propalygaiheied end evaluated the Information submitted. Based on myinqulrybl the parson or
0-cme who manage the system, a those persom ddecby responsible for gathering No Inlormstion. thelnfoimatien submitted IA to the best of my
knotAedge and betel, bull, amurale, and compiele. I am aware Met there are slgrAcant penalties for subre" false Information. Indudng me
posslb5ly of fines andimptsonment for ImmAw Ablations.

Permit NCO085359
Union County
Twelve Mile Creek WWTP
Nutrient Worksheet
NPDES Permit NCO085359
Reporting Month: June-20
Beginning Month: June-20 (Month1)
Ending Month: July-19 (Month12)
Monthly Average Total Phosphorus
pounds/day
Month 1
12.02
Month 2
19.65
Month 3
32.74
Month 4
33.84
Month 5
18.11
Month 6
26.59
Month 7
17.79
Month 8
6.95
Month 9
6.88
Month 10
15.76
Month 11
6.22
Month 12
10.62
12-Month Mass Loading
17.26
Note: The TP mass loadings for the current reporting month should be entered Month 1.

Laboratory Exception Report
June 2020
Reference: Twelve Mile WWTP, Effluent
Mr. Jonathan B. Jordan, ORC
The dissolved oxygen concentration of the blank for the BOD analysis exceeded acceptance
limits on June 4th and 5tn. The GGA standard recovery was low on the 3rd gtn 10th and 23ra 24th
and 26th. All other QC measures met acceptance criteria on these dates. The blank exceeded
acceptance criteria and the GGA standard recovery was low on the 22nd. The data quality is
questionable for both the influent and effluent samples collected on this date.
Should you have any questions or require further information, please do not hesitate to call me at
[phone].
Sincerely,
Myra Zabec Thompson, Manager
Laboratory Services Division
Charlotte Water

—- —"Z_V_Y[-7lo
PPI: 'Flow
Measuring Point: ❑ Innuem ❑Etlluenl iyllahawgenersted (
Parameter Monitoring Point:
Parameter Code
';;60060.„-•
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003t0
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26
27
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29
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Sampling Person(s) Certified Laboratories
Name: Charlotte Water Sample Technician Name: Charlotte Water Laboratory Services N192
Name: Staff I Name:
Does all monitoring data and samplimg frequencies meet the requirements In Attachment A of your permit? 14 compGent 0 Non-campcant
If the facility Is non -compliant, please explain in the space below the reason(s) the facility was not in compliance- Provide In your expianatIon the dates) of the non-compliance and describe the corrective actions;
rda�u. nua�rr auu�uona� a�roore n ��o..naaa�y.
r A ^^
✓(��`' a~/� RECEIVED/NCDENR/DWG
No Re -use water was dispensed during this report period, therefore no data submitted.
JUN
LIP C 2o�n
Operator in Responsible Charge (ORC) Certification
PermitteeCNQ39SVILLE REGIONAL OFFICE
Permittee: Union Courily Public Works
ORC: Jonathan Brian Jordan
certification No.: 997928
Signing Official: Barlett Farmer
Grade: IV Phone Number: 704-562-4542
Signing Officlal's Title: Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NDMR? Yea ,� No
Phone Number: (7041296.4227 Permit Expiration: 3/)31/2022
/
4
6/18/202
�p/1110
Signature Dale
Signature Date
ey ihh algnalure,I ceNty that this repaN is accurate and complete to the best at my knwAedge.
I«reay, mderpenaltyoflaw, thallhisdocumentandelabachmentoymrepreparedunde mydrectonolsupomiionin ttoidanceyAlhasystem
desienedlo assure mat allwaMedite eonnd property 9.1h.red and ar."ridthaliformell sabMAted. Basedan mylaquiryormepeisonor
peaana syho manage the system, a muse persons arsecry reeponslde for gathering the ndormation, the information submitted Is, to the best of my
knovdndpe and bee¢[ True, atturate, and wmp!elo. I wn aware mat Nere ere dgNficant psnaltlec fonuMn7Nng hlso irdormelron, Including the
possbdAy orlints and ImpbonaneN for knirMng Violations.

.No.: W00032519 Faclt Namo: Twelve l,Ve Creek WWTP Cou Union Month: February Year. 2020
Row Measuring Point ❑If&VA 00Lant ob"•-a� Parameter Monitoring Point Olnw. oEfttra t Artowonns Clancavvrav
Pdccmcter Cdd!
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Sampling Person(s)
Name: Charlotte Water Sample Technician
Name; Staff
CcriTfied Laboratories
Nome: Charlotte Water Laboratory Services #192
Name:
Does all monitoring data and samplimig frequencies meet the requirements in Attachment A of your permits comet" N�c� caYr
K IN faciTay is noncampllant please erpain in the space below the reason(s) the facruty was not In eompUnce. Provide In yo{rleVianalian the dale(s) of the non•corn*nce end desa iho corrective action(s)
taken. Attach adcHonai sheets if neces,swb
RECEIVED NMENRIDWR.
O S
77
APR 142020
No Re -use water was dispensed during this report period, therefore no data submitted.
o �
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77 WQROS
o \ MOORESVILLE REGIONAL OFFICE
Opomtor In Rosponsfblo Charge (ORC) Certification
Permittoe Certification
ORC. Jonathan Brian Jordan
Permitter. Union County Public Worm
Cert1fic"on No: 997928
Signing official: Barlett Farmer
Grade: IV Phone Ntmrber. 704-562-4542
Signing Onlctars Title: Water Reclamation Fani!!es Superintendent
Has the ORC changed strict the provtous NDMR7 ❑ Yo 21 Na
Phone Number. [phone] Permit Expiration: 1'31 Q22
3/26/2020
t 3�
S' lute Date
S13 Date
BydLS aovaaalcml•cwrnm�«:nemr.x e„e �ctamaTa ecea:,y rm,N,sd�
lWriny, unsu penm?'amay. wtcemu,:.nt.oaasarcnnt.rns,«.onorrn uw«n••r mewnwwv��i+�x...b,asra.�
Qask7fadbaaua hid w�tSea yasonndpvpap Q.7,aeC ve enuabi a,o trtJcr:oetai r:tbn+m.d Band on nrY k+Qay dt�e Damnar
ae:sors wfie assrJe da ayctua, m Nv:se ryr.•ans Cnc9r roopcnLWbr fa the M!erm,san, lM IVurnaWn aotnvtad b. b Ro aW d rnY
'k euNe'y and aerai wa acq[rama arM am,•ri.�e. I v+i aware Q+atAw ary p.ia7:aa terartlanP3g fa6e trtexmalar• trrc$Odrq fN
poa6,Gy of 6,tl rile mnj?AtlselRly �19�-'�1q Natt�ora

Pr
Laboratory Exception Report
February 2020
Reference: Twelve Mile WWTP, Effluent
Mr. Jonathan B. Jordan, ORC
The GGA standard for the BOD analysis was recovered outside the acceptance range on
February 191h, The blank read -back for this analysis was greater than 0.2 mgfL on the 25th. All
other QC measures met acceptance criteria on these dates.
The effluent sample collected on the 261h was analyzed using expired media and the result was
deemed invalid.
Should you have any questions or require further information, please do not hesitate to call me at
[phone].
Sincerely,
Myra Zabec Thompson, Manager
Laboratory Services Division
Charlotte Water

�■
vv Measuring■
,.t
■ ■-
Parameter Code ---
MENEM
Ulm,.
e
ME:"
CharlotteSampling Person(s)
r4ame; Staff
Certified Laboratories
•Laboratory Services #192
Name:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? A compllerd ❑ Nen-compaant
If the facility is non-compliart, please explain In the space below the reasons) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
RECEIVEDINCDENRIDWIR
No Re -use water was dispensed during this report period, therefore no data submitted. N1AR — 9 2020
WQROS
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jonathan Brian Jordan
Permittee: Union County Public Works
Certification No.: 997928
Slgnipg Official: Barlett Farmer
Grade: IV Phone Number. 704-562-4542
Signing Official's Title: Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NDMR? ❑ tea 22 No
Phone Number. [phone] Permit Expiration: 3i31r2022
2/19/2020
Sign tore Date
Sign ure Dare
aythlsslgnature,l certlfythatthis:aportisa .1.andcomplela tothe best orrayk—fledge.
earify, under penalty a lew. That this document andatatrch—,mr were prepared under my deecton or wpeivisi-In arzordanco withasyst—
deslgned to ass.m that all quatlfied m—nel property gathered and evaluated the Information submitted. Based on my Inquiry of the person or
parsons who manage dre systen, or those persons d1molfy responsible for gathering the inf—almn, the Infemtaaon submitted is. to the best of my
knowledge and We(, true, accurate. and complete. I am —that mere ma slgni[cant penalties for mlbmrdog Moo Information, Including the
posslblfny or fines ono :mpisonment for knovnng vloletlorts.

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111
1:0
Qa4
Sampling Person�s)
Name: Charlotte Water Sample Technician
Name: Staff
Certified Laboratories
Name* Charlotte Water Laboratory
Name.:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? A complied ❑ Non-C—pliant
If the facility Is non -compliant, please explain in the space below fie reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
WQROS
MOORESVILLE REGIONAL OFFICL_
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jonathan Brian Jordan
Permittee: Union County Public Works
Certification No.: 997928
Signing Official: Barlett Farmer
Grade: IV Phone Number 704-562-4542
Signing Official's Title: Water Rectamation Facilities Superintendent
Has the ORC changed since the previous NDMR? Elyeti No
Phone Number: [phone] Permit Expiration: 3/31/2022
1/27/202
/ p
Sign lure ,bate
Si ature Date
Byline signaWro. I witlfy that this report Is occumm and complete to the best of my knowledge.
I tieterry, under penalty of law. Yqt this doNment and at atteehments Wero prepared under my o nadw or supervhbn In accordance with a system
designed to assure "all quasned personnel properly gathered and mivatad the Information subnaeteC eased on my inquiryof the person or
peraons who manage the system, or Nose penxm daectly responsible tar gathering the Idomeaon, the Information sabmMad Is, to the best of my
knowledge and ballN. We, scouram, and pamplet0. I am aware that there are s ltnecant penalties for suMnYang raise mfolmaaon• InNlding the
possibility of fines and impiaanmentfor knowing wolarkme

..
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s�®_
_®_
MEN
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aim
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c • e
�'�®�®�®�®�
Sampling Person(s)
Charlotte•- Technician
Name: Staff
Certified Laboratories
Name: Charlotte Water Laboratory
Name:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment of your permit? till compliant " Ngn Corlpe.nt
It the fadlity is noncompliant, please explain In the space below the reasor(s) the facility was not in compliance. Provide in your explanation the date(s) of the noncompliarce and describe the corrective actior(s)
taken. Attach additional sheets if necessary.
IAN n % nn7r
4 J t-t„
No Re -use water was dispensed during this report period, therefore no data submitted. WQROS
MOORFMOLLE REGIONAL C>
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Permittee: Union County Public Works
ORC: Jonathan Brian Jordan
Certification No.: 997928
Signing Official: Barlett Farmer
Grade: IV Phone Number: 704-562-4542
Signing Official's Title: Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NDMR? Yes 21 N.
Phone Number: [phone] Permit Expiration: 3/,3 /2M
12/19/201
Sig,iatcre Date
6ate
By this signature,; caMfy that this repoM1 Is x_urate and complete to the bee: of my knowledge.
cercily, ::rider pansky of law, that the. document and all artach—es ware p,.parad under my dl, f ipri or super ldnn In accordan.. vAh a system
designed to assure that all quafrr d personnel properly gathered and waivated the Information submeted. Based on my inquky dthe person or
persons who manage the system, or those persona directly rasponaibla for gathering Me information, the Irdonnason submitted Is, to the best of my
.'M.dge and belief. ovc..c�, and complete. I am aware that there ue slgnKant penalties for submittlng false Information, Induding the
posdbley of lines and implsonmerd for knowing violations

a
■ : ■ .. ,, .
Kn.—'..easuring Point:...e
se��
m
'="
Sampling Type
Sample Frequency:
LaboratoryMEL
Certified Laboratories
Name: Charlotte Water
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? au compliant t,i c_bj_t
If the facility is non -compliant, please explain In the space below the reason(s) the facility was not in compliance. Provide in your explanation the eate(s) of the noncompliance and describe the coTective actor(s)
taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
IA,' 3 ^20
WQROS
MOORFSVILLE REGIONAL OF
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Permittee: Union County Public Works
ORC: Jonathan Brian Jordan
Certification No.: 997928
Signing Official: Barlett Fanner
Grade: IV Phone Number: 704-562-4542
Signing Official's Title: Water Reclamation Facl!i5es Superntendent
Has the ORC changed since the previous NDMR? yea 23 No
Prone Number: [phone] Permit Expiration: 3/31J2C22
12/19/201
% z 9
Signature Date
gna ure ate
By tHs signature, I coltfy that thla ripen Is —,We end complete es the beet of my knawledga,
-My. under penury of law. thrt this document and a aMac--ft were papered arbor my &tr =rt or suor-,.len In obe-kanea wth a aysism
deslyned N ase.s. that ar auarkd is.. n i prepeM gstnered and eva.ated the Informaflan submMed. Basso on my i why M. perwn or
persorK who re—gs the system. or thax penone directy respore Ne for gamemg no infomtabun, the Irdonnatlon subs Imi Is, to the beat of my
'cnasiedge and bole( but, x ate, and conp{ele. I om —to that there we 4miteart peregas for subrYt6ng foist Inf—Con, Indudlng are
pc-Uhry of ones and Implsmsnerd for knowing Nolatlone

Reference:
Laboratory Exception Report
October 2019
Twelve Mile WWTP, Effluent
Mr. Jonathan B. Jordan, ORC
RCCENED/NCDENRIDWR
CFI' - 9 ^r1q
1NQRU5
MOORESVILLE REC,IONALOFPICF
The GGA standard for the cBOD analysis exceeded acceptance criteria on the 22"d, 25tn 29tn and
301n. One of the three seed correction factor dilutions did not meet acceptance criteria on the 14tn
All other QC measures met acceptance criteria on these dates.
Should you have any questions or require further information, please do not hesitate to call me at
[phone].
Sincerely
Myra Zabec Thompson, Manager
Laboratory Services Division
Charlotte Water
. _ z
DEC 0 4 2019
9 Un C:L`w�OG' `»

Sampling Person(s)
Name: Charlotte Water Sample Technician
Staff
....Name:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? *G compliant '—' rvomcompWant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Permlttee:
Union County Public Works
ORC: Jonathan Brian Jordan
Certification No.: 997928
Signing Official:
Barlett Farmer
Grade: IV Phone Number: 704-562-4542
Signing Official's Title:
Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NDMR7 yes No
Phone Number:
[phone] Permit Expiration: 3/31/2022
11/20/2019Tw
Signatur Date
Signature Date
By me signature. I certify that This report is accurate and complete to the best of my knowledge
I certrfiy, under penalty of law, that tnis document
and all anschmenei were prepared under my directon or supervision In accordance with a system
designed to assure that all qualified personnel
properly gathered and evaluated —information submitted Based on my inquiry of the person or
persons who manage" system. or Nose persons directly responsible for gathenng the information, the inlormation submitted B, to the best of my
knowledge and belief, true, accurate, and
complete I am aware that there are significant penalties for s,bmftng false mformawn, including the
possibility of fines and lmpisonment for knonwng violations

��Wlow
Measuring Point:■innuent■Efruent 6AG�Oinfluent
OEffluent aroundwaterLowerng ■
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Sampling Person(s)
Charlotte..Charlotte.....
Name: Staff
Certifled Laboratories
Name:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? compiant Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets If necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
v V .1 tF L. U I:i
WQROS
MOORESVILLE REGIONAL OF
Operator In Responsible Charge (ORC) Certification
Permlttee Certification
ORC: Jonathan Brian Jordan
Permittee: Union County Public Works
Certification No.: 997928
Signing Offlclal: Barlett Farmer
Grade: IV Phone Number: 704-562-4542
Signing Officlal's Title: Water Reclamation Facilities Superintendent
Has hanged sinc�theprevlous � yoe � No
Phone Number: (704)296�227 Permit Expiration: 3/31/2022
�ORC
/
10/23/2019
10/23/2019
Signature Date
Sign ure Data
By Nis signature, I cerdy Nat thq report is accurate and compete to the best of my knowledge.
I c *. under penOy of law, mat mb tt.0 nt antl e9 attachments were prepared under my diredon or supery on In accordance w th a system
dealgned to aseure that N quallned pe,sonnal properly gamered and evaluated the information submelad. Based on my Inquiryof the person or
persons who manage the system, or Nona petaona directly responsible for gathering me Information, me Informatlon eubmated %, to the beet cf my
knowledge and belief, flue, aaurate. and compiete. I am aware mat mere are algnificant penalties for sub hang false Information, Inducting me
MmbWty of nnen and Impfaonment for knowing loistions

... IWA
t®
•
Sampling Persorl
Charlotte . • Technician
Name: Staff
Certified Laboratories
Name: Charlotte Water Laboratory
Name:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? 0 compluant u Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance, Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator In Responsible Charge (ORC) Certification
Permlttee Certification
Permlttee: Union County Public Works
ORC: Jonathan Brian Jordan
Certification No.: 997928
Signing Official: Barlett Farmer
Grade: IV Phone Number. 704-562-4542
Signing Official's Title: Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NDMR? El Yee 21 No
Phone Number: [phone] Permit Euplration: 3/31/2022
9/18/2019
,
Signature bate
Signatur Date
By this signature, I candy net Mu report is accurate and complete to the beat of my knowleage
i c mrry, under penally of law, Nat thb document end ell attachments were prepared under my dlrecbn or supeMelon In accordance wIM a system
dedgned to assure thatof qualified personnel property gathered and evWuated Me Information subnol Based on my Inquiry of Me person or
persons w . manage Me system, or Mose persons dUectty—ponsibie for gathering the Information, the Information submitted le, to Me best of my
knowliogo and oeuef, Ws, accurate and complete. I am aware Mot Mere are algnibcant penalties br aubmMdng false Information, Including Me
posspury of tines and impbonment for knowing violations.

Laboratory Exception Report
August 2019
Reference: Old Sycamore WWTP, Influent and Effluent
Mr. Danny L. Smith, ORC
High nitrate concentrations of the effluent samples collected on the 7th and 131h were more than
10 times the TKN concentration and may have suppressed that value.
Should you have any questions or require further information, please do not hesitate to call me at
[phone].
Sincerely,
`t
Myra Zabec Thompson, Manager
Laboratory Services Division
Charlotte Water

I l 0 If I
Flow Measuring Point: ■ influent ■ Effluent [Ao no, generated5
■ ■
Emu,
I-_�-----_-------
Sample Frequency:
a�a/m©�crr:»��©�■�m©��������
Sampling Person(s)
Charlotte Water Sample Technician
Name: Staff
Certified Laboratories
Name: Charlotte Water
LaboratoryName:
Name:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? 66 Compliant ❑ Non -Compliant
If the facility is noncompliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
CEIVED/NCbcivf�jbWF
SEP 4 ( 719
MOORFSWLLF RFO!()AiAL
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Permittee: Union County Public Works
ORC: Jonathan Brian Jordan
Certification No.: 997928
Signing Official: Barlett Fanner
Grade: IV Phone Number: 704-562-4542
Signing Official's Title: Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NDMR? ❑ yes 21 No
Phone Number: [phone] Permit Expiration:
3/31/2022
8/16/201
77
4
Signature Date
Signature
, Date
By this signaNro. ceMy Nat this r<port a ac<urate and complete to the bast of my knovAadga.
I cdrbfy, under penalty of law. that this document and all attachments wero prepared under my director, or
supervision in accordance with a system
designed to assure that aqua0fied personnel property gathered anti evaluated the Information submitted.
Based on my Inquiry of the person or
persons who manage the system, ar those persons directly responsible for gathering the Information, the information
submitted is. tp the best a my
knowledge and bellef, true, accurate. and complete. I am aware that Mere are significant penalties for submitting
false Information. Including the
possibility of fines and lmpnonment for knowing violations.

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�Name:
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Charlotte Water SampleSampling Person(s)
Name: Staff
Certified Laboratories
.Laboratory Services #192
Name:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? 66 compliant 0 Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
JUL 2 9 2019
WQROS
MOORESVILLE REGIONAL OFFICE
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jonathan Brian Jordan
Permittee:
Union County Public Works
Certification No.: 997928
Signing Official:
Barlett Farmer
Grade: IV Phone Number: 704-562-4542
Signing Official's Title:
Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NDMR? yes No
Phone Number:
[phone] Permit Expiration: 3/31/2022
7/15/201
% f /
Signature Date
Signal e Date
By this signature. I certify that this reportis accurate and complete to the best of my knowiedge
I certl y, under penally of law, that this document and all attachments were prepared under my arecton or supervision in accordance with a system
designed to assure that all qualified personnel property gathered and evaluated 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 implsonment for knowing vidabons.

■ i
. .,
MON
Sample Frequency-.
a�m©u©�©ate©emu©■:m©��������
Person(s)
Name: Charlotte Water Sample Technician
Name: Staff
Certified Laboratories
LaboratorySampling
Name: Charlotte Water
Name:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? ® comptarn ❑ Non-Comp,ant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
JUL - 8 2019
No Re -use water was dispensed during this report period, therefore no data submitted.
WQROS
MOORESVILLE REGIONAL OFFICE
. Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jonathan Brian Jordan
Permittee: Union County Public Works
Certification No.: 997928
Signing Official: Barlett Farmer
Grade: IV Phone Number: 704-562-4542
Signing Official's Title: Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NDMR? yes ® No
Phone Number: [phone] Permit Expiration: 3/31/2022
6/20/2019
Signat e Date
' nature Da
By this signature, I certify that thLs report Is accurate and complete to the best of my knowledge.
I mrtlfly, under penakyof law, that this document and at attachments were prepared under mydkecton or supervkion In a —dance who a system
designed to assure that all qualified personnel properly gathered and evaluated the Information submitted. Based on my hqulryof the person or
persons who manage the system, or those persons directly responsible for gathering the Intoorraeon, me Information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that mere are signhbare penalties for submitting false hforrnation, Including the
posstHity of fines and Impisonmerd for knowing violations.

m
.:t.
Mle
CharlotteMort
Sampling Persoi
..Charlotte.....
Name: Staff
Certified Laboratories
Name:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? VJ compliant ❑ Non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the pQp,�;cwgian¢eIMjiI•ective action(s)
taken. Attach additional sheets if necessary. iiii�C66++CCtt��r�C��
WN - 3
No Re -use water was dispensed during this report period, therefore no data submitted. WQROS
MOORESVILLE REGIONAL OFFICE
Operator in Responsible Charge (ORC) Certification
Pernittee Certification
ORC: Jonathan Brian Jordan
Permittee: Union County Public Works
Certification No.: 997928
Signing Official: Barlett Farmer
Grade: IV Phone Number: 704-562-4542
Signing Official's Title: Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NDMR? yes N�
Phone Number: (704)2964227 Permit Expiration: 3/31/2022
5/20/2019_4
512 2 /
Signature Date
Signature Date
By this signature. I certify that this report is accurate and compete to the best of my knowledge
I certri under penalty of law, Nat this document and all attachments ware prepared under my directon or supemvon in accordance with a system
Designed tonsure that all quakfied personnel property gathered and evaluated the information aubmated Based on my inquiry of the person of
wh
o ho manage the system, or those persons daectly responsible for gathering the information, the information submitted is. to the besl of my
knowledge and beset, true. accurate, and compete. I am aware that there are significant pension for submitting false mformabon, indudmg the
possibility of fines and impmonment for knowing violabons

•. Facility Name: Twelve Mile Creek WWTP
�■
Flow Measuring Point:■ ■
■
Code ---iai
SampleParameter
Sampling Person(s)
Name: Charlotte Water
Name: Staff
Certified Laboratories
.Laboratory Services #192
Name:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? b( Compliant u Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
WQROS
MOORESVILLE REGIONAL
Operator in Responsible Charge (ORC) Certification II Permittee Certification
Jonathan Brian Jordan
rication No.: 997928
fe: IV Phone Number: 704-S62-4S42
the ORC changed since the previous NDMR? ❑ vea
Union County Public Works
Official: Barlett Farmer
Signing Official's Title: Water Reclamation Facilities Superintendent
® No Phone Number: A [phone] Permit Expiration: 3/31/2022
Date
By this signature. I certify that this report a accurate and complete to the bast of my km -ledge cerlifiy, under penalty of lew, that this document and all attachments were ed .M,r m directon or su prapar y pervision in accordance wRh a syste,.
designed to assure Nat all qualified personnel properly gathered and evaluated me information submitted. Based on my inquiry of the person or
parsons who manage Me system, or Nose parsons directly responsible fw gathering Me information. Me information submitted is. to Me best of my
knowledgo and holier true. accurate. aM complete I am aware Nat Mere are sg,,fw t penalties V submdfing tale informaton, inclutling the
possibiWy of fines and impi—m— for knowing—Wtions
i_0 -Z `fit

NEZ�. gel...Facility Name: Twelve Mile Creek WWTP
■ ■ .
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..
• • • •
�®moo©®���������
Sample Frequency:
Sampling Person(s)
Name: Charlotte Water Sample Technician
Name: Staff
Certified Laboratories
Name: Charlotte Water Laboratory
Name:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? A compliant a N--compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INZ
No Re -use water was dispensed during this report period, therefore no data submitted ��
AC- CiVLDINCl7E'
APF
tnrn a:
Operator in Responsible Charge (ORC) Certification Permittee Certification
Ol Jonathan Brian Jordan Permittee: Union County Public Works
Certification No.: 997928 Signing Official: Barlett Farmer
Grade: IV Phone Number: 704-562-4542 Signing Official's Title: Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NDMR? 11vea ® N, Phone Number: [phone] Permit Expiration: 3/31/2022
Date
Signature
By this signature. I certify that this report is accurate and w plele to the bast of my knowledge carliny, under penalty of law, that this docurront aM all attachments ware prepared under my director or supem,m in accordance vnM a system
desigrwd W assure that all qualified personnel properly gathered and evaluated Ma information submitted. Baaad on my inquiry of the person or
parsons vrtio manage the system, ar those persona directly responsible for gathering the information, the informaton submaled n, to Me best of my
knoWsdge and babe(. true, accurate, and —plate I am aware that Mara are sigr&w panalbes for submiMrg false information. including tix
possibilRy of fines and impisonment for kno ,N vdabons

...
Person(s)
Name: Charlotte Water Sample Technician
Name: Staff
CharlotteSampling Certified Laboratories
Name: ...
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? NJ compliant Non -Compile.
If the facility is noncompliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
MCl-ACS V CLJ �ed pij
FEB � � 2019 zi
No Re -use water was dispensed during this report period, therefore no data submitted.
k4o11111wllon Prod+*/ 13ta
DVOOe 6 ( 2
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Permittee: Union County Public Works
ORC: Jonathan Brian Jordan
Certification No.: 997928
Signing Official: Barlett Farmer
Grade: IV Phone Number: 704-562-4542
Signing Official's Title: Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NDMR7 vea ® No
Phone Number: [phone] Permit Expiration: 3/31/2022
/J 2
2/19/2019
,
ignature ate
Sign re Date
By tN ejg_w . I wrtlfy Nat Nle report I. —to and complete to the beet of my knoWadoe.
I a.rer, under penalty of hw. Net m. document and o etochmanm were propane under my direcron w eupen,man In lo—ea a, wm, a eyamm
daslpned to ewun Net all Qualfied Iwnonnol properly DeNar,d erW owluatod Ne'�nlonnetion submitted. Bawd on n,"NuaY of the person «
parsons who —go the systole. e, Now po— 11-ty —I onoiblo for p tnarinp the Infomratlon, the informatlon submittod Is. to No beat of my
o,aMedgo and belief. true, euurata, erW wmplote. I am avnre Nat there ere slpnf —t panattlea for submttErq hlw Information, incluelnp Ne
pawib'lity of (nea end Implwnment for kwwlnp violations.
y

Perrrtit No.: WCr0032519 1 Facility Name: =Iva Mile Creek W WrP countv
PPI:
Flow Measuring Point CJ WYK4 CEIRMt Oto Ila. pcno .tad
Parameter Monitoi
Parameter Coda
l,50050:;
004e0
s50060.';
00310
1t0670;,
00530
'31616:;.
00076
E$8�
2
Union I Month: September Year
I POlat L]ho—t ;ZVau n LbmwwervwL9w p U—wc
171
24
19
19
. 08Q0_
24
20
21
7MW
zz
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A8
24
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IC,V
: -
23._0800-::
24
_:.77770
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24
,.0800:
24
.:, ., s0
:..
25
::0800.:'
26
.,,6800 ;:
4
77777
27
:; 800:
24
: ,o
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::0800,
24
29
::0800'..
24
30
;0800
1 24
Average:
Daily Maximum:
, , ,t. 0
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4-•. ,..:::..
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DailyMlnimum:
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-
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Type:
Metere
ra
A•
myreComSampling
ra
Monthly Limit
-
-
10
4;
S
14.
10
Daily Limit
000
9
10
M 4
S
Z5
10
:~
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Sample Frequency .
c• •on �.
al y
-
at y
a
al y
at y.
at y
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t. r:�q.
Sampling Persons) Certified Laboratories
Name: Charlotte Water Sample Technician Name: Charlotte Water laboratory Services #192
Name: Staff Name: CMUD-12 Mile Laboratory #5658
Does all monitoring data and samplimg frequencies meet the requirements In Attachment A of your permlt? 6d Campum O NonComptant
If the faa'r:ty is non -compliant, please explairl in the space below the reasen(s) the faarty was not In compliance. Provide to your ezplanatlon the date(s) of the non-compliance and describe the corrective
action(s)taken. Attach additlonelshuts Ifnecessary.
—MVeIVEDINCIDIEN,
No Re -use water was dispensed during this report period, therefore no data submitted. ^ `
Z WQROS
J� MOORESVILLE REGIONAL OFFICE
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jonathan Brian Jordan
Permittee: Union County Pubic Works
Certification No.: 997928
signing Official: Bariett Farmer
Grade: IV Phone Number. 704-S62-4S42
Signing official's title: Water Reclamation FadWes Supertntendert
Has the ORC changed since the previous NOMR7 ® Y� El No
phone Number, [phone] Permit Expiration: W3112022
/0 a
a
Signature ale
Slg re Date
p'/ Ctis s •saca, I eensy C Ccs regret b Mp/rat0 end ae+rtpra'a to Cie tart of ny b,oMedge.
I-*. —W wwy O lr«. rest tr" eoouraem and or =er—tz vane prepwm under my &mtm at suparNabn to oocotdMc* %0 a systw
dm+y:ed to msura hat ci q,tamed pusdn.•M property gamerad end evtluetod tiro hamueCan cbo�ed. Baud en a*1b4aH at he pawn m
pmso=who menage rho sysam, or those persons d racey resporu3to for guftMg the Lydon bon, the htomt0oa eubn*cd is. to tie test of my
Mwolodpa and botel true, oceureto• and c pfata I om ewuo that rhea ere zlgnalmni pc zWoe for ubrM re so hdonnalm k%duCng the
pom.1.Cty of Ma end Imphowca for be.Jng %ldg*ord.

•
a I . a
11 r•1•
. I I . 1
.�
��
®___�
Person(s)
Name: Charlotte Water Sample T echnician
Name: Staff
Geriffled Laboratories
LaboratorySampling
Name: Charlotte Water
Name:
F49
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? �ej c—y -
It the facilily is non -compliant- please explain in the space below the reason{si the facility was not in compliance. Frovide in }'our nat on the dales) of the non-compliance and describe the corrective
action(s) taken. Attach additicral sheets If necessa
RECIGENED/NCDENROWl
No Re -use water was dispensed during this report period, therefore ro data submitted. JA N — % 2019
Q1' WOROS
MOOPES' !LI-E REGIONA! „E
Operator In Responsible Charge (ORC) Cerliflcatian
Pennittee Certlfieatlon
Permltlea: Union County Public Wcrr.s
ORC: Jonathan Brian Jordan
Certification No.: 997923
Signing Official: Eadell Pamier
Grade: IV Phone Number: 704-562-4542
Signing Offfclal's Title: Water Reclamation Pacil.ties Sepenrtendent
Has the ORC changed since the previous NOMR7 —
® N,
Phone Number: (704)295--227 Permit Expiration:
Sigr W 0
Date
Signature Dale
ar M agnriva. I calif/ Cat fM.epxt a acarafa arq cm=aab to G-a eacl of mr Ymnle6ao
ceN'ry, u. Cn (x ti W Ian. cat itva doc�arwn� a.Y aE aU:anr�nla sera pra cd vrar'rry Gr.<:m n urrer�.:wm n ccacv+ce nrn a aro'a•n
a.agw m aaaua dn; ar c.ef!�ed rp.evvw a:n•tr yamaee .�d .:.��n:ed ua rfarmaadl smmnaf ea,x o, mr.pimy N me paaona
Mraorn w1n mvopa No %r%I , x Vw pma darwr •ea bL, fx 9-11V eta'n'amv[m, M inryma•,y..,y:T.ed e, b M bea: N my
In,.nteG-Ia :M la4ef, rtw. v..c., a.e, aM .rtikla I .m rnv. W[ mars u..p+furt pe•uA�a fx st:G•M:M hlu n'vmaCan, e�cv:»� :^�
q»sa:ry C •nsa and v'{r+srx^1 rx 4vn-np .wro•.s

Facility Name: Twelve Mile Creek VVVfTP
■ ■ ,
■ ■ ■
Parameter Code
.• r
�y,ra
a..a
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fr: r
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efa .
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Frequency:
Sampling Person(s)
Name: Charlotte Water Sample Technician
Name: Staff
Certified Laboratories
LaboratorySample
Name: Charlotte Water
Name: CMUD-12 Mile Laboratory
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? 21 compliant Non-complwt
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
DEC 10 2018
WQROS
MOORESVILLE REGIONAL OF
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Jonathan Brian Jordan
Permittee: Union County Public Works
Certification No.: 997928
Signing Official: Barlett Farmer
Grade: IV Phone Number: 704-562-4542
Signing Official's Title: Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NDMR? 63 vee Ne
Phone Number: [phone] Permit Expiration: 3/31/2022
if 2L
Signature to
Sign ture Date
By this signature, I tartly that this report is accurate and complete to the best of my knowledge
1cerpfiy. under penalty of law. that this document and all attachments were prepared under my diracton or supervision in accordance with a sy,t—
designed to assure Nat all qualified personnel properly gaNered and evalwtad Me intama4on submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the in/ormatwn, the information submMed is, to the best of my
41oMedge and belwf, true, accurate, arM complete. am aware that Ihere are significant penalties for sultmi lake inbrmation, inclutling the
possibility of fines and impisonment for knowing vidalions.

... - ..
■ ■ •.
■ Influent jjEffluent 03roundwater Lowering Elface Water
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ii
Person(s)
Name: Charlotte Water Sample Technician
Name: Staff
Certified Laboratories
LaboratorySampling
Name: Charlotte Water
Name: CMUD-12 Mile Laboratory
loes all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? 0 Compliant LJ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary. I
to Re -use water was dispensed during this report period, therefore no data submitted.
OCT s 2018
WQROS
MOORESVILLE REGIONAL OF
Operator in Responsible Charge (ORC) Certification I Permittee Certification
RC: Jonathan Brian Jordan
ertificatlon No.: 997928
rade: IV Phone Number: 704-562-4542
as the ORC changed since the previous NDMR? yes
S' natur
By this signature, I certify that this report is accurate and complete to the best of my knoWedge.
Union County Public Works
Signing Official: Barlett Farmer
Signing Official's Title: Water Reclamation Facilities Superintendent
❑ No Phone Number: [phone] Permit Expiration: 3/31/2022
9 �� 1-�5-
bate' Signature Date
I certify, under penalty of law, that this document and al attachment were prepared under my directon or supervision in accordance with a system
designed to assure that all quafified personnel property gathered and evaluated 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 beat of my
knoWedge and belief, true, accurate, and complete. I am aware that there are significant penal0es for submitting false information, Including the
possibility of fines and impisonment for knowing mlations.

�■
Flow Measuring Point: ■ Influent ■ Effluent t4N..
Influent Allfflu.m ■ .. ., L—wing ■
Daily Limit:
MOM
Sample Frequ
Sampling Person(s)
Name: Charlotte water Sample Technician
Staff
LaboratoryOEM
Certified Laboratories
Name: Charlotte Water
LaboratoryName:
Name: CMUD-12 Mile .
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? 4 cornptiam u N—Complum,
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of he non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
t7�rna•n n-,� as t.....�. r'a rr.,.
No Re -use water was dispensed during this report period, therefore no data submitted.
AUG 13 2018
WQROS
MOORESVILLE REGIONAL
Operator in Responsible Charge (ORC) Certification Permiftee Certification
ORC: Jonathan Brian Jordan Permittee: Union County Public Works
-ertification No.: 997928 Signing Official: Badett Farmer
3rade: IV Phone Number: 704-562-4542 Signing Official's Title: Water Reclamation Facilities Superintendent
qas the ORC changed since the previous NDMR? Yes No Phone Number: (704)296A227 Permit Expiration: 3/31/2022
Si nature Date Signature Date
By mis signature, 1,wtdy toot dve report is a«orate arM eamplele to the base or my k—ledge. I bwolly, underrity paof law. deed this document wed A adaehmenls were prepared under my director, or wp—i.- in accordance with a system
designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my Inquiry of the parson 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 sign,fi-m baronies far submitting false informashn. including the
possibility of fines and impisonmant for knawinq violations.

®
0 t :11
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•
1.
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i
/
!
t
i.
CharlotteSampling Person(s)
.le Technician
Name: Staff
Certified Laboratories
Name: Charlotte Water Laboratory
Name: /Laboratory
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? td1 Compliant " Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
WOROS
MOORESVILLE REGIONAL OFFICE
Operator in Responsible Charge (ORC) Certification II Permittee Certification
ORC: Jonathan Brian Jordan Permittee: Union County Public Works
Certification No.: 997928 Signing Official: Barlett Farmer
Grade: IV Phone Number: 704-562-4542 Signing Official's Title: Water Reclamation Facilities Superintendent
Has the ORC changed since the previous NDMR? ® Yes No Phone Number: A (704)2964227 Permit Expiration: 3/31/2022
Signature Date Signature i
By this signature, I certify that this report is accurate and complete to the best of my knowledge I certifiy, 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 all qualified personnel properly gathered and evaluated the information submitted Based on my inquiry of the person or
persons who manage the system, or Nose persons directly responsible for gathering the information, the information submitted is, to the best of "
knowledge and belief, true, accurate, and complete. I am aware that there are significant perishes for submitting false information, Including the
possibility of fines and impisonment for knowing violations

L¢-J b 'C `•f ,—/ Xr— ­�
...FaOi ity Name'. Twelve Mile Creek WWTP
,■
1125=6■ ■
fluent 61ffluent 03roundwater Lowenng ELrface Water
o
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Name: Charlotte Water SampleSampling Person(s)
Certified Laboratories
....
I►Laboratory
Does all monitoring data and samplimg frequencies meet the requirements in Attalo tIent A of yourpermit? I1'1 compliant t-I Non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in C �lpliance. Plfe in otCplanation the date(s) of the noncompliance and describe the corrective
action(s) taken. Attach "I sheet-neces
No Re -use water was dispensed during this report period, therefore no data I mitted.
Operator in Responsible Charge (ORC) Certification 11 Permittee Certification
Jonathan Brian Jordan
No.: 997928
Grade: IV Phone Number: 704-562-4542
Has the ORC changed since the previous NDMR? ® yes
By this signature. I certify that this report is accurate and complete to the best of my knowledge
❑ No
Date
Union County Public Works
Official: Barlett Farmer
I Official's Title: Water Reclamation Facilities Superintendent
Number: / [phone] Permit Expiration: 3/31/2022
:5/ 2l
certify, under penalty of law, that this document and all attachments were prepared under my drecton or supervision in accordance with a system I
designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.

•11
Flow Measuring Point: ■ Influent ■ Effluent r flow generated
Parameter Monitoring Point:•■ Ehroundwater Lowering Cleace Water
Parameter Code 0
momEmu
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Sampling Person(s)
Name: Charlotte Water Sample Technician
Staff
Certified LaboratZi9des
Name: Charlotte Water Laborato( rvices #192
T Name: CMUD-12 Mile ••
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit?,�� (J 'complien�, 'A/u Non -Compliant
If the facility is noncompliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explario H; Yate(s)jf , `n_or)-L nce R� NE®% r�RNRIDWF{
14
WflROS ��
��
No Re -use water was dispensed during this report period, therefore no data submitted. MQORESVILLE REGICINA
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dawn Kiker Padgett
Permittee:
Union County Public Works
Certification No.: 7463
Signing Official:
Andrew Neff
Grade: IV Phone Number: [phone]
Signing Official's Title:
Water and Wastewater Division Director
Has the OR anged since the previous NDMR? ❑ as
® No
Phone Number:
[phone] Permit Expiration:
3/31/2022
Signature I
Date
Signatu a Date
By this signature, I certify that this report Is accurate and complete to the best of my knowledge. I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a system
designed to assure that all qualified personnel property gathered and evaluated 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 impisonment for knowing violations.
OFFICE

..Facility Name: Twelve Mile Creek WWTP ��l
•rr
meter Monitoring Point: C3 influent Rkffluent 0-,roundmter Lowering 11face water
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Person(s)
Name: Charlotte Water Sample Technician
Name: Staff
Certified Laboratories
Name: Charlotte Water Laboratory Services #192
LaboratorySampling
Name: CMUD-12 Mile
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? VJ compliant U Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-EK4MME&NQWNRAWR
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
WQROS
MOORESVILLE REGIONAL
Operator in Responsible Charge (ORC) Certification II Permittee Certification I
ORC: Dawn Kiker Padgett
Permittee:
Union County Public Works
Certification No.: 7463
Signing Official:
Andrew Neff
Grade: IV Phone Number: [phone]
Signing Official's Title:
Water and Wastewater Division Director
Has the ORC anged since the previous N MR?. ❑ Yes No
Phone tuber:
[phone] Permit Expiration:
3/31/2022
Signaturd Date
Signature V1Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge ceNfiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a system
designed to assure that all qualified personnel property gathered and evaluated 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 impisonment for knowing violations.

KIN4 -7 10 \K'C.!—
•••Creek
Parameter Cod�
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CharlotteSampling Person(s)
Name: Staff
Certified Laboratories
•Laboratory Services #192
Name: tLaboratory
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? VJ compliant 0 Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
MAR 19
WOROS
MOORESVILLE REGIONAL OFFICE
Operator in Responsible Charge (ORC) Certification11 Permittee Certification
ORC: Dawn Kiker Padgett
Certification No.: 7463
Grade: IV Phone Number: [phone]
Has the ORC c anged since the previous NDMR? ❑vas 0 No
4��
Si azure Date
By this signature, I cedify that this report is accurate and complete to the best of my knowledge.
Union County Public Works
Official: Andrew Neff
Signing Official's Title: Water and Wastewater Division Director
Phone Numbe;,; [phone] Permit Expiration: 3/31/2022
z-u • I
Signature I Date
I certify, under penalty of law, that this document and all attachments were prepared under my deacton or supervision in accordance with a system
designed to assure that all qualified personnel property gathered and evaluated 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 impisonment for knowing violations.

�.
Facility Name, Twe�ller_Creek WWTP!Flow
Measuring Point: ■ El Effluent ao flav; generated
Parameter Monitoring Point: influent 61ffluent aroundwater Lowerfrig Elirface Water
MEN,
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Person(s)
Charlotte Water Sample Technician
Staff
Certified Laboratories
LaboratorySampling
Name: Charlotte Water
LaboratoryName:
Name: CMU D-12 Mile
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? I6a Compliant U Noncompliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the noncompliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
RECEIVED
No Re -use water was dispensed during this report period, therefore no data submitted. JAN 0 3 201E
Information Processing Unit
DWR Secton
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dawn Kiker Padgett
Permittee: Union County Public Works
Certification No.: 7463
Signing Official: Andrew Neff
Grade: IV Phone Number: [phone]
Signing Official's Title: Water and Wastewater Division Director
Has the OR changed since the previous NDMR? O yes
No
Phone Nu er: [phone] Permit Expiration:
Phone
3//31120222
n21
/
'
1 Zt PI
f Signature
Date
Signature
Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
I certifiy, under penalty of law, that this document and all attachments were prepared under my drecton or
supervision in accordance with a system
tlesignreed to assuthat all qualified personnel properly gathered and evaluated 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 befief 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.
E

�'1ir i� ,� � :IU

•
MIME "IffIffl.
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Sampling Type:10=01M
���
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Name: Charlotte Water Sample Technician
Name: Staff I
Name: Charlotte Water Laboratory
Name: /Laboratory #5658
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? b(J can=,,t
It the facility is non compliant. please explan in the space below the reasonf,$) thefacilily was not in compliance. Provide m your explanation the oatefs) cf the noncompliance and describe the correclive
actioni s) taien .Attarh additional sheets if necessary
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator In Responsible Charge (ORC) Certification
Permlhee Certification
ORC: Dawn Kiker Padgett
Permittee:
Union County Putlic S'+o-ks
Certification No.: 7463
Signing offfclal:
Andrew Neff
Grade: IV Phone Number, [phone]
Signing Official's Title:
Water and Wastewater Division D,reetor
Has the ORC changed since the pmvlous NDPA 7 0 ves
r+.
Phone NY ber.
(704)296A215 Permit Expiration:
3r3112022
.17t I.. I _Z1 *
1-7
-
• SignaWre
-
male
Signature
Date
er SR oynaarre. I refry aW. L'tS (CpCR G accwate Yid m :.yCs to (fA Cie: CI my knovaedpe i tt'rxy. ende. Ne j a j­ Ci' }Y Q1: a Inca slachnenh: w prepared 1 dv my drec- n Fr w:,en-an n eccerG^ce _" a C'V e
tle.syned to as+.:w t-at a Cuas.�etl per•mrnN p.ppeAy gamed and evauared Ne mfamapan wpn'ted Baetl m my nnury of [ne perw� o-
petso:svfie ma'eyefiCtys;cm, or M.v Ferpans G e jy:hxl ae fcr yat?eNd+et.lenh=h, the n•.�aJ'o fon SUI eied M to the boU Ifm.
kneMedGo ontl hetc(hue, arrca:e, o�d coo+pk:a. I mm e.YMe tha[IM:e are agnmcaM peMDLY br wtm�2ny brie udormocan, inGud.ng!hw
pctvbdfy of Inc! arA rnpizormer.l for knonery wSDom

Permit No.: WQ0032519
Facility Name: Twelve Mile Creek WWTP --l—County:
Union --r
—Month: September
Year: 2017
Ppl; lFlow
Measuring Point: 11 Influent E) Effluent ONo flow generited
Parameter Monitoring Point: Influent Affluent Groundwater Lowering ELface Water
Parameter Code
00400
00310
00610
00630
00076
r-> E 2
125N
0
-'a U)
.71H
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go,
0
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o
C) 00
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0
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hrs
Sul
mgIJ4
mg/L I"mgtL
mgiL
r., 14Q mL
NTIJ
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24
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2
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3
ARM
24
4
24
5
24
24
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7
8
24
9
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F
11
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16
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171;-
17
24
- Ot-
19
24
. . . . . . .
20
24
21
7
p
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221VRW
24
AN FIRM
23
24
10070 MCI,
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ME
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,
MINIM
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7
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IN
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1
77,
Average:
g W
SON
Daily Maximum:
0
aafKg �p
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Daily Minimum:
L —
I-0
'p
Sampling Type:
Meterec
Gr�b
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Comp
C
Comp
1
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Gra
Monthly Limit,
10
41-
4
10
Daily Limit:
6-9-
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10
-.75—n
Sample Frequency:
--D a i I y
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D --Tiy-
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-7-D-a-Ty-
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ally

Sampling Person(s)
Name: Charlotte Water Sample Technician
Certified Laboratories
Name: Charlotte Water Laboratory Services #192
Name: Staff I� Name: CMUD-12 Mile Laboratory #5658
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? R1 Compliant Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach aArfitinnal chmate if noroocen,
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification11 Permittee Certification
Dawn K. Padgett Permittee: Union County Public Works
ification No.: 7463 Signing Official: Andrew Neff
le: IV Phone Number: 704-497-8377 Signing Official's Title: Water and Wastewater Division Director
the ORC changed since the previous NDMR? Elyes No Phone Number: [phone] Permit Expiration: 3/31/2022
ASignat fDahe J Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certifry, under penalty of law, that this document and all attachments were prepared under my direclon or supervision In accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.

AI1AOV "Al r- (' n -n ! { -f j" f'
.��Facility Name: Twelve Mile Creek VVVVTP
Flow Measuring -. ■Iflu.11 INo flow gencraied.
-. ■ ■ ■.

Sampling Person(s)
Certified Laboratories
me: Charlotte Water Sample Technician
Name: Charlotte Water Laboratory Services #192
Name: staff 11 Name: CMUD-12 Mile Laboratory 45658
Does all monitoring data and samplim/
g frequencies meet the requirements in Attachment A of your permit? `" Compliant ❑ Non Con.Aian:
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
ORC: Henry Harrison Eudy
Certification No.: 986738
Grade: IV Phone Number: 980-214-5977
Has the ORC changed since the previous NDMR? ❑ Yes R No
oir2/
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
ermittee: Union County Public Works
igning Official: Andrew Neff
igning Official's Title: Water and Wastewater Division Director
hone Number: [phone] Permit Expiration: 3/31/2022
Signature Date
I cerf by, under penalty of law, that this ducurnent and all mtnrhmnnls were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated the information submitted Rased on my inquiry C.
the
parson or pursons who mannge Inn syslom, 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 thorn are significant penalties for submitting !also
information, inshidinn the possibility of fines and impisonmont for knowing violations.

Facility Name: Twelve Mile Creek VWVVVT
••'
11 1
11.11
11.1
11 1
11. 1
11 1
®
111 .
________
INN
5
HI.Si'i'so

Sampling Person(s)
Certified Laboratories
Name: Charlotte Water Sample Technician
Name: Charlotte Water Laboratory Services #192
Name: Staff II Name: CMUD-12 Mile Laboratory #5658
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? ® Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
ORC: Henry Harrison Eudy
Certification No.: 986738
Grade: IV Phone Number: 980-214-5977
Has the ORC changed since the previous NDMR? ❑ Yes ® No
66
Q4alure Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
rmittee: Union County Public Works
igning Official: Andrew Neff
igning Official's Title: Water and Wastewater Division Director
hone Number: [phone] Permit Expiration
Signature
3/31/2022
81rzsItI
Date
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.

�r
VVQ0032519 • • • •
WA
.f.S���
1 1 1
11 • 11
1 1. 1
1 1 1
11 . 1
11 1
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1 11 .
________,,
u

Sampling Person(s)
Certified Laboratories
Name: Charlotte Water Sample Technician
Name: Charlotte Water Laboratory Services #192
Name: Staff II Name: CMUD-12 Mile Laboratory #5658
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? ® Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
IORC: Henry Harrison Eudy
Certification No.: 986738
Grade: IV Phone Number: 980-214-5977
Has the ORC changed since the previous NDMR? ❑ Yes
re
rm ittee
igning Official
Signing Official's Title:
® No Phone Number:
Date
Perm ittee Certification
Union County Public Works
Andrew Neff
Water and Wastewater Division Director
[phone] Permit Expiration
!✓
3/31/2022
7,12�1,-I�
Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.

•Facifty�_e: Twelve Mile -Creek WWTP
Daily
-------_--_-_-_
li

Sampling Person(s)
Certified Laboratories
Name: Charlotte Water Sample Technician
Name: Charlotte Water Laboratory Services #192
Name: Staff II Name: CMUD-12 Mile Laboratory #5658
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? ® Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
ORC: Henry Harrison Eudy
Certification No.: 986738
Grade: IV Phone Number: 980-214-5977
Has the ORC changed since the previous NDMR? ❑ Yes ® No
i
43/►1
ature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
,rmittee: Union County Public Works
gning Official: Andrew Neff
gning Official's Title: Water and Wastewater Division Director
lone Number: [phone] Permit Expiration: 3/31/2022
L-, G z7 /
Signature WDate
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.

WQ0032519 I Facility Name: Twelve Mile Creek WWTP T -c-1.1ty Union Month: April Year: 2017
Flow Measuring Point: ❑ Influent ❑ Effluent j No flow generated
Parameter Monitoring Point: ❑Influent 6JEftluent ❑ Groundwater Lowering QSurface Water
m7C.dde�
50050
00400
50060
00310
00610
00530
31616
00076
,
>
Q
¢ E_
~
O
E
0
O
_O
LL
a
_
o _o
F N .L
tY U
O
m
E
E
Q
o '_
~( (n
D
E
LL 0
U
y
7
F
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#/100 mL
NTU
1
0800
24
0
UV
2
0800
24
0
3
0800
24
0
4
0800
24
0
5
0800
24
0
6
0800
24
0
7
0800
24
0
8
0800
24
0
9
0800
24
0
10
0800
24
0
11
0800
24
0
12
0800
24
0
13
0800
24
0
14
0800
24
0
15
0800
24
0
/J
16
0800
24
0
17
0800
24
0
18
0800
24
0
19
0800
24
0
20
0800
24
0
21
0800
24
0
22
0800
24
0
23
0800
24
0
24
0800
24
0
25
0800
24
0
26
0800
24
0
27
0800
24
0
28
0800
24
0
29
0800
24
0
30
0800
1 24
0
31
0800
24
0
Average:
0
Daily Maximum:
0
Daily Minimum:
0
Sampling Type:
Metere
Grab
N/A
Comp
Comp
Comp
Grab
Grab
Monthly Limit:
-
-
-
10
4
5
14
10
Daily Limit:
250000
6-9
-
10
4
5
25
10
Sample Frequency:
Orlt.
Daly
N A
Daly
Daly
—Da iTy
Daly
Dal y
raP"'

Sampling Person(s)
Certified Laboratories
Name: Charlotte Water Sample Technician
Name: Staff
Name: Charlotte Water Laboratory Services #192
Name: CMUD-12 Mile Laboratory #5658
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? ® Compliant
❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Henry Harrison Eudy
Permittee: Union County Public Works
Certification No.: 986738
Signing Official: Andrew Neff
Grade: IV Phone Number: 980-214-5977
Signing Official's Title: Water and Wastewater Division Director
Has the ORC changed since the previous NDMR? ❑ Yes
® No
Phone Number: [phone] Permit Expiration: 3/31/2022
e9-
51Zyj�
611-l14,-7
Signature Date
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
I certify, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.

Sampling Person(s)
Certified Laboratories
Name: Charlotte Water Sample Technician
Name: Charlotte Water Laboratory Services #192
I Name: Staff II Name: CMUD-12 Mile Laboratory #5658
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? ® Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Henry Harrison Eudy
on No.: 986738
le: IV Phone Number: 980-214-5977
the ORC changed since the previous NDMR? ❑ Yes ® No
os/2�J1
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
Permittee: Union County Public Works
ning Official: Andrew Neff
ning Official's Title: Water and Wastewater Division Director
>ne Number: [phone] Permit Expiration: 3/31/2022
Signature
Date
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.

"P W>a
VVQ0032519 Facility Name: Twelve Mile Creek VVVVTP County: Union
-. ■ ■ -I
. a. . -. ■ r ■ ■�
®
! : ! !----------------

Sampling Person(s)
Certified Laboratories
Name: Charlotte Water Sample Technician
Name: Staff
Name: Charlotte Water Laboratory Services 4192
Name: CMUD-12 Mile Laboratory #5658
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? ® Compliant
❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Henry Harrison Eudy
Permittee: Union County Public Works
Certification No.: 986738
Signing Official: Andrew Neff
Grade: IV Phone Number: 980-214-5977
Signing Official's Title: Water and Wastewater Division Director
Has the ORC changed since the previous NDMR? ❑ Yes ® No
Phone Number: [phone] Permit Expiration: 3/31/2022
Signature Date
ignature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.

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________
Sampling Person(s)
Name: Charlotte Water Sample Technician
Staff
LaboratorySampling
Certified Laboratories
Name: Charlotte Water
LaboratoryName:
Name: CMUD-12 Mile
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? IJ compliant u Non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Coy
Operator in Responsible Charge (ORC) Certification11 Permittee Certification
ORC: Henry Harrison Eudy
Certification No.: 986738
Grade: IV Phone Number: 980-214-5977
Has the ORC changed - e the previous NDMR? Cl Yea
Signature
By this signature, I certify that this report is accurate arld complete to the best of my knowledge.
Union County Public Works
Official: Andrew Neff
IlSigning Official's Title: Water and Wastewater Division Director
® No Phone ypmber: (704)2964215 Permit Expiration: 9/30/2015
Date I Signature I Date
I cerofiy, under panaky of law, that this document and all attachments were prepared uMar my dirsohn or supervision In accordance with a system
designed to assure that all qualified personnel properly gathered a,d evaluated the information submitted. Based oo my inquiryof the person or
pe_ who manage the system, or those persons directly responsible for gathering the intornatim, the infomradon submitted re. to the best of my
knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false Information, including the
possil ltty of fines and impisoomenl for knowing violations.
=FICE

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Sampling Person(s)
Name: Charlotte Water Sample Technician
Name: Staff
Certified Laboratories
Name: Charlotte Water Laboratory
Name: CMUD-12 Mile Laboratory
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? W cpmpr nt u mom-compliam,
If the facility is noncompliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
c bp`
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Henry Harrison Eudy Permittee: Union County Public Works
Certification No.: 986738 Signing Official: Andrew Neff
Grade: IV Phone Number: 980-214-5977 Signing Official's Title: Water and Wastewater Division Director
Has the ORC ch ed since 7revious NDMR? D Yea No Phone Number: [phone] Permit Expiration: 9/30/2015
✓ OZ/2"I n /
Signature Date Signature Date
By Nis signaNre, I certify that Nis report , acmrate and complete to the best of my k—ledge
I —tifiy wder penalty of law, that Na documerd and all attachments were prepared uM my deecton m supervision in accordance with a system I
designed to assure NNat all qualified pnel ersonproperly gath
ered and ev ed aluated thein e fotmatperson or on abmbted. Based w my inquiry of the
persons who manage Ne system, ar those persons dreotly respommN, for gat rig the information, the InfomnGon wbmided is, to dw best of my
knowledge and belief. true. amurate, and complete. I am aware that there are significant penalties for submdting false nfomwtion. indudbg the
possib7Hy of f s arM impa=mant for knowing violation.

.I i Facility Name: Twelve Mile Creek WWTP �t I
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Sampling Person(s)
Name: Charlotte Water Sample Technician
Staff
Certified Laboratories
Name: Charlotte Water Laboratory
Name: CMUD-12 Mile
LaboratoryName:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? m compliant Lj N—compr ,t
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Permittee: Union County Public Works
ORC: Henry Harrison Eudy
Certification No.: 986738
Signing Official: Andrew Neff
Grade: IV Phone Number: 980-214-5977
Signing Official's Title: Water and Wastewater Division Director
Has the ORC changed since the previous NDMR? ❑ Yea
63 No
Phone Number: [phone] Permit Expiration: 913012015
4�v
I Zi 4"j
f
Signature Date
Signature Date
By this signawra. I certify that the report is accurate and complete to the best of my knowledge.
I certifiy, untler penalty of law, that Nis document and all ablaohmems were prepared under my directors or supervision in accordance wdh a system
designed to assure that all qualified personnel properly gathered antl evaluated the infwmabon submittetl. Based on my inquiry of the person or
parsons who manage the system. or those persons directly responsible for gathering Ne information, the information submitted is. to the best of my
knowledge and bal,f, true. accurat, and wmplete. I am aware Nat Here are significant penalbes for submitting fake inf.manor, including the
'
possibility of fines and Impisonment for k—aing violations
:E�

Flow Measuring Point: El influent E Oiq.!22=i!�
Parameter Monitoring Point: AFffluent DG—,d�t,, L—ring EL,f­W,t,r
Parameter Code
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IMMINNEENMEN
Emmons
i Daily
������
Sampling Person(s)
Charlotte Water Sample Technician
Staff
Certified Laboratories
Name: Charlotte Water
LaboratoryName:
Name: CMUD-12 Mile
LaboratoryName:
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? 0 compli.. u Non-cempliam
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
tdttrll. rtta�ll a��lm�l Idl �� Ir;rtb II Ilr���dly.
No Re -use water was dispensed during this report eriod, therefO e r}6,2taKK b�mil G�
O*
Operator In Responsible Charge (ORC) Certification
/I. Permittee Certification
Permittee: Union County Public Works
ORC: Henry Harrison Eudy
Certification No.: 986738
Signing Official: Andrew Neff
Grade: IV Phone Number: 980-214-5977
Signing Official's Title: Water and Wastewater Division Director
Has the ORC changed since the previous NDMR7 ❑ Y.
® No
Phone Number: [phone] Permit Expiration:
9/30/2015
v
,
Signature
Date
Signature Date
By this signature, I certify that Mis report is accurate and comptete to the best of my knowledge
I certify, under penalty of law, that this document and all attechmeMs were prepared under my director,
or supervision in accordance with a system
designed to assure that all qualified personnel property gathered and evaluated the information submitted. Based on my inquiry of the person or
` A
parsons who manage the system, or those pwoo- directly responable for gathering the information, the information wbmitted is, to the best of my
kno.ledge and belief. We, accurate. and complete. I am av2ra that there are significant penalties for
submitting false information, including Ne
U\\\
posaibility of fines arW'unpisonment for knowing vidwons.

MMEEMEN,
M0
monsoons
sampling
r��s
v
..
. ,
..
FILM,
ample Frequency:
Sampling Person(s)
Name: Charlotte Water Sample Technician
Staff
Certified Laboratories
Name: Charlotte Water Laboratory
Name: CMUD-12 Mile
LaboratoryName:
Does all monitoring data and sampllmg frequencies meet the requirements In Attachment A of your permit? 6d compram u Non c—&-t
If the fatality Is noncompllant, please explain In the space below the reason(s) the facility was not In compliance. Provide In your explanation the petals) of the noncompliance and describe the corrective
action(s) taken. Attach additional sheets tf necessary.
RE@@�FWW WRR/R
No Re -use water was dispensed during this report period, therefore no data submitted. r� 9
ar.r�,•-.nc•
Operator In Responsible Charge (ORC) Certification
Permlttoo Certification
Permlttee: Union County Public Works
ORC: Henry Harrison Eudy
Certification No.: 986738
Signing Official: Andrew Neff
Grade: IV Phone Number: 980-214-5977
Signing Official's Title: Water and Wastewater Division Director
Has the ORC changed since the previous NDMRT ❑ Y.,
6d Na
Phone umber. (704)2964215 Permit Explratlon: 9/302015
1J/IA/(�
_L_L__k
Signature Dale
Signature - Dale
by this slamwfe, I certify that Cd. report M accwale end correlate W Ca bast of my k t dge.
I cwt ffy. once, penaay of taw, Cat Cps doc—mt v d ellecYuranb wve pr p od ceder my &eclon or supe-A h eaardu wah . system
de Wq to — that aGu.kred per-- poperty y.Cared and a W h ttre mo,m.aon wrhmned. a.see on my kmy of u,e peram or
persona wM manapa the system. or those pe,sma &ecdy responsbie W ptlwinp Ca Mom 6m. the hfamutkn wbmiaed fs. to Cu Cast of my
k_ dpe .rd beEaf. ou . actuate. and comp%W. I un — Cat theta — s;WN t pence bm for urbrtJ Mse bAwma . 6 W g the
po.se&y of Poaa and Fnpearvrant far kw ine vidadona

—'7-1Y16
FUMName:
_—_�StiFllaWelt�i7711
Person(s)
Charlotte Water Sample Technician
Name: Staff
Certified Laboratories
LaboratorySampling
Name: Charlotte Water
Name: CMUD-12 Mile Laboratory
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? O compliant u Nen-compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the noncompliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification I Permittee Certification
Henry Harrison Eudy
No.: 986738
Grade: IV Phone Number: 704.843.9482
Has the ORC changed since the previous NDMR? ❑ Yea ® No
0— v
f— __ 4 D I�L
Union County Public Works
Official: Andrew Neff
) Official's Title: Water and Wastewater Division Director
Number: (704)2964215 Permit Expiration: 9/30/2015
Signature Date
L
By this signature, I cerlitythat this report is a=rate and complete to the best of my knowledge.
( o e'l
I cemey, under panaky of law, that this document antl all attachments were prepared under my dimeWn or sup ,i accordanr» with a system
designed to assure fhat all qualified personnei properly gathered antl evaluated the information submitted. Based on my inquiryof the person or
persons who manage the system, or (hose persons directly responsible for gathering the intarmadon, the information submittetl is, to the bast of my
knowledge and belief, true, accurate, and complete. I am aware hat there era sgnir ant penaldes for submitting lake inlormaton. vxlutling Ne
possibility of fines and impisonment for knowing violations.

a�
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11.1
11 1
11. I
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IMMINNEEMMINESEEMEN
Sampling aMonthly
i��
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Limit:
Sampling Person(s)
Name: Staff
Name:
Certified Laboratories
Name: Pace •Laboratory
Name: Pace Lab #40
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? bLJ Compliant Non -cempllGs"lls "
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non -come and desc4ee come
action(s) taken. Attach additional sheets if necessary. n (///n /
No Re -use water was dispensed during this report period, therefore no data submitted.
coV1
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Permittee: Union County Public Works
ORC: Henry Harrison Eudy
Certification No.: 986738
Signing Official: Andrew Neff
Grade: IV Phone Number: 704.843.9482
Signing Official's Title: Water and Wastewater Division Director
Has the ORC chF since the previous NDMR? ❑ Yea
® No
Phone Nu er: [phone] Permit Expiration:
M012015
r
Signature
Date
Signature
Date
By Rds signature, I certify that th, report is accurate and complete to the best of my knowledge I I mrtifiy, under penalty of law, that this document and all attachments were prepared under my direoton or supervision in accordance wb a system I
designed ersonn to asaure Rat all qualified pel properly gathered snd evaluated the i formation sulmillodl eased on my inKj ay of •e person or
persons who manage the system, or those pens ans directly responsible for gatherrcg the information. the information aubmittsd is. to the best of my
knowledge and beast, true, accurate, and complete. I am aware that there are significant peraltiea fa submitting false information, indudeg the
possibility of fines and impisanment for knowing violations
ICE

r•
Sampling Person(s)
Name: Staff
Narne:
Cerlified Laboratories
Name: Pace Lab 9530 CNIUD-12 Mile ...
Name: _ Lab..,
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? Y1 c­= " ; C­k_
If the facility is non -compliant, p'ease exp'ain in the space belcv/ if-e reasan(si the face ly was not in ccmphance Provide in your explanation the dale(s) of the non-compliance and describe the
corrective antion(s) taken. Attach additional sheets if necessary.
Re -use water was dispensed during this report period, therefore no data submitted.
Operator In Responsible Charge (ORC) Ccrtiflcatlon
Permilfee Certification
Pe rmittee:
Union County Public Works
ORC: Henry Harrison Eudy
Certification No.: 986736
Signing Official:
Andrew Neff
Grade: IV Phone Number: 704.843.9462
Signing Official's Title:
Waerand 'Aas:ewater Division Director
Has the ORC changed since the previous NDfd R? ❑ -N
gj r:,
Phone Numb :
(70=)2%--t215 Permit Expiration: MOr2015
v -L JG
SignatureL /, , I - Date
S gnature dale
ov ma ayw.ue. i ee,v!/ r i my+aacn � ac:..aye am �cmraa !o Ev i,eai a mr'm�+�a•
1 caNiY, uNn penaE/ c14rw, na: fM axwrerz anE a3 a'.aGZmanh wave McF+ea vM my Earbn o• uuerm+m n xea•ea^ce v.+^ a ayatem
reagned L^ a5s.a. Eu: a/ waLTad r.!a«+nd prCLehY 0 �a� a!G e.a utr Ere m!vmaGM Su:.mYC ai110 (n mY a^q:ny e1 Ne R+Ln p
yen_xi wfio m-a^a'r Cw araYrt a+Erose
[w"sana EraCr rpy`x.-sLb tar pY"r.'M de rlcva+. lv r!cma!rn wCnrM n. � :+e M! e!.^7
W kN�e xc' C,M :w. accla:a
an3 eJmXw tam ar_e : a: E.er- a•e t+y !2a+E [aruYs ly sWn:aq fame n•ama's+t neAM 7'h
pp-yOd!/ U kvf a-E r � •a /m.+.J .ata'rns
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
107 Mall Service Center
Raleigh, North Carolina 27699-1617
ICE

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Name: Pace Lab #40
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? V-+ Compkant " Non-C.pliant
If the facility is non-cdmpliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the
corrective action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
RECEIVED/NCDENR/DWR
AUG 092016
WOROS
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Henry Harrison Eudy Permittee: Union County Public Works
Certification No.: 986738 Signing Official: OCT*
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: Assistant Director of Public Works
Has the ORC ch7pgad since ;he previous NDMR? ❑ Yea ® N. Phone Number: [phone] Permit Expiration: 9/30/2015
CL
Signature Date
By dis agnsaxe, I cw* that fhis report is areas and conplefe to line best of my knm4edge.
I wrtirry, under penalty of law, that On doeument and all attachments were prepared under my dreM,n or auper w- n attendance with a system
designed W assure that all qualified personnel properly gathered and evaluated the information submitted. Based w my inquiry of the pt" n or
persons who manage them, or 0-is system, personsirectlres dy ponsible fa 9—nng the information, the infomation submitted M. b the best of my
knoWedge and belief, true. awurete. and wmplete. I am aware that there are sPgnercant penalties for wbmitting false Information, including the
possibility of fines and Imp—ment for knowing vidafions.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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Name: Staff
Name:
Certified Laboratories
Name: Pace Lab #530 CMUD-12 Mile bo .
Name: Pace Lab ..,
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? XJ compham Nen.compuam
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the dates) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
4o Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Henry Harrison Eudy
Permittee:
Union County Public Works
Certification No.: 986738
Signing Official:
Richard McMillan
Grade: IV Phone Number: 704.843.9482
Signing Official's Title:
Assista irector of Public Works
Has the ORC chaTd'ce the previous NDMR7 ❑ Y.No
Phone Number:
(704)2 44 `P it Expiration:
9i30� 2015
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Signature Date
By this agnature. I cedity that this repot is accurate and w plete to the best of my knovdedge
I c ft under penalty of law. that th, document and all adachments were prepared —, my direct « auan7alon in au«dance mlh a
,,atom des,gned to assure that a11 qualified personnel properly gathered and evaluated the M---tion aubmittod. Based on my inquiry of the
or persons who manage the system. «those persona d'a ny responsibk for gathering the infomation, the informaton submMed is t xr the best of my knaNedge and belief, true, accurate, — compiao, I am aware that there are significant penattiea for submitting fake
information,-luding the possibility of fines aM impis ant f« lo—arp violation,
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699.1617
WR
OFFICE
14
UNIT

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11 19 2016
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Name: Staff
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Na—: Pace Lab 1
Pace Lab 940
Does all monitoring data and sampiimg frequencies meet the requirements in Attachment A of your permit? A c—'. - !rtr .....
II the facility Is non-Willphanl. please explain in the space below the rcason(s) the fac,Lly was not in compliance. Previde in your explanation the oate(s) of the non-Compbancc and descnbo the carreUrve
achon(s) Inken Attach odcllional stwols a necessary
No Re -use water yeas dispensed during this report period, therefore no data st:bmilled.
Operator in Responsible Charge (ORC) Cenihcahon
ORC: Henry Harrison Eudy
Certification No, 986738
Grade: IV Phone Number. 704.843,9482
Has the ORC changed since the pMViouS NOMR?— V� yL
❑ r<a ,f—] na
Signature O L Dal,
br,na .s,a,.ra.. ton�y n�,ne.npd �. Mcrae and ccnptcp Ip Ina wa rt n•r :ntvltcr-
Pennittee eonitication
Permittee: Union CCelay Public Works
signing Official: Richard Mc\aillan
Signing Olf.—WS Title: ASS,Slant Dxector of Public Work,
Phone Number. [phone] P—It Exphahon: 9/20`015
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or pcnona nap mane: fs a»km a � ix+dne�1/ Irtxna as far L]:1rrn, lie nlYrra:Y.n e.o,n'tnra:hn wdrieH is �.
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rfdmata, uclgnJ t,<ppaxlfy N•n<a anp n+6trrnrt�am +.T.VYaxx
Mail Original and Two Copies to:
Dlwsion of Water Quality
Informalion Procasslog Una
1617 Mail Service Center
Raleigh, North Carolina 21699-1617
WQROS
LF REGIONAL OFFICE

PV
Laboratory Exception Report
March 2016
Reference: Twelve Mile WWTP, Effluent
Mr. Henry Eudy, ORC 04/LI�i{o
The blank DO depletion for the BODIcBOD analysis was greater than 0.20 mg/L on March 14'"
and 30'". All other QC measures met criteria on these dates.
Should you have any questions or require further information, please do not hesitate to call me at
[phone].
Sincerely,
Myra Zabec Thompson, Manager
Laboratory Services Division
Charlotte Water

Name: Staff
Name
Name: Pace Lab #530 CMUD-12 Mile Laboratory#5658
Name: •. • Lab -40
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? Vj .."ham eonapmpliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted. FES U 9 2016
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Permittee: Union County Public Works
ORC: Henry Harrison Eudy
Certification No.: 986738
Signing Official: Richard McMillan
Grade: IV Phone Number: 704.843.9482
Signing Official's Title: Assistant Director of Public Works
Has the ORC change ince the previous NDMR7 ❑ re,
No
Phone Number: [phone] Permit Expiration: 9/30/2015
Sign re Date
signature Date
By IM1� si9^arum, wdity Ina11M1u report is accurate and complete to the best of my knowledge.
I cerbriy, under penaM of law. that this tlocumenl and all atlachmantz were prepared under my tlUeclpn or wpervis,on in ccordance unto a
system tlesignetl to aszure that all qualllied perwnnel properly gathered and evaluated IM1e inlorrtlalion submitted. eased n my inquiry of IM1e
person or perwns who manage tM1e system. or those persons directly responsible for gatM1erinq tM1e inlormalion, IM1e inrormation submitted is. t
Me beat of my knaNetlpe and belief, true. accurate. aM comdele. I am aware roar mere are signifiwnl penadin for submM1ting lake
information. including Me possiDilM of noes and impisonment for know�nq vrolations
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit RECEIVED/NCDENR/DWR
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FEB 17 ?016
WQROS
MOORESVILLE REGIONAL OFFICE

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If the facility is non -compliant, please explain In the space below the reason(s) the facility was not in compliance. Provide in your explanation the dates) C60 non-compliance and describe the
corrective action(s) taken. Attach additional sheets if necessary.. -_„r ECE1,".,- - WR
JAN 19 2016
No Re -use water was dispensed during this report period, therefore no data submitted.
WQROS
Pro^�'�SVILLE RrG�Q�lPi!@f��iCE
Operator in Responsible Charge (ORC) Certification11 Permittee Certification
ORC: Henry Harrison Eudy Permittee: Union County Public Works
Certification No.: 986738 Signing Official: Richard McMillan
Grade: IV Phone Number: 704,843,9482 Signing Official's Title: Assistant Director of Public Works
Has the ORC c Iged since the previous NDMR? ❑ le, No Phone Number- [phone] Permit Expiration: 9/30/2015
Z�
Signature
By Nis lgn re, I cerafy Mat this report s accurate end rvmo- to Me best of my knowledg,. ce4fly, under penalty of law, that this document and all attachments were prepared under my directon or supervision m accordance wi�i a system
designed fo assure that all qualifiedersonnel properly gatherepd and evaluated Me information submitted. Based on my `Mley of the person or
persons who manage the system. or Moee persons directly responsible for gathering Me mformation. Me information wbma d is. M Me best of my
knowledge and belief, true, a mfe.. and complete. 111 aware Mat Mere are significant penalties for submid, 'fee, information, including Me
possibility of fines and imp,-nm.nt for knowing violations
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

VPV
Laboratory Exception Report
November 2015
Reference: Twelve Mile WWTP, Effluent
Mr. Henry Eudy, ORC
The GGA standard analyzed with the BOD/cBOD analysis did not meet acceptance criteria on
November 111n 12tn 13t and 30tn and impacts both influent and effluent samples. The increased
frequency in the month of November and December are due to a change in both the
concentration and the supplier used for this standard. The blank depletion for this analysis was
greater than 0.2 mg/L on November 4tn. All other QC measures met criteria on these dates.
On November 23rd and 24tn, the TSS drying oven temperature was recorded at 106°C, above the
upper acceptance limit of 105°C. This impacted the effluent samples only.
Should you have any questions or require further information, please do not hesitate to call me at
[phone].
Sincerely,
X—
Myra Zabec Thompson, Manager
Laboratory Services Division
Charlotte Water

PVaceAnali4ical
...pacelabs.com
Laboratory Report
Ms. Dawn Padgett
Charlotte Water
8299 Kensington Dr
Waxhaw, NC 28173
Project: BIOASSAY - 12 MILE CREEK
Pace Project No.: 92274554
Pace Analytical Ser!ices, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Page 1 of 1
Report Date: 11/17/2015
Date Received: 11/03/2015
Sample: PIPE 001 Lab ID: 92274554001 Collected: 11/03/15 07:57 Matrix: Water
Method Parameters Results Units Report Limit Analyzed Qualifiers
EPA 600/4-91/002 C.dubia Pass/Fail Chronic Pass 11/04/15 14:16
Reviewed by: Qfnitl
y Tarl
[e-mail]
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607 North Carolina Bioassay Certification #: 16
North Carolina Wastewater Certification #: 67 North Carolina Drinking Water Certification #: 37731

r
ion Month: ctober Year 2015
❑ In ent E'nuent ❑ Groundwater Lowering ❑ Surface Watcr
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Sampling Persoms)
Name: Staff
Name:
Certified Laboratories
Name: Pace .. . Laboratory
Name: Pace .b#40
Does ail monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? bU cpmpliant '-' non.cp I.nt
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Jo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification Permittee Certification
Pennittee: Union County Public Works
ORC: Henry Harrison Eudy
Certification No.: 986738 Signing Official: Richard McMillan
Grade: IV Phone Number: 704.843,9482 Signing Official's Title: Assistant Director of Public Works
Has the ORC changed since the previous NDMR? 1-1 Fee No Phone Number: [phone] Permit Expiration: 9130.'2015
r / / ._ i _ �� _ % ).!S 1. /7 is •_ � a
By this signature. I certify that Nis report is accurate and complete to the pest of my knovdedge
I i-fi,. under penally of law. that IN.document and all attachments were pr,,ui M under my d—ton or supemslon in accordance m0 a
system designed to a ore that all q-h— personnel properly palhered and evaluated the inlmmahon submitted. eased pn my _W of the
or persons who manage the system. «those persons x—hi, responsible Im gathering the information, the mlormatbn wbhi,r. Is t
the best of my kna ., and belief, true, accurate, and wmplete I am aware that there are signiticant per.— for s.b.,hing false
information, including the possibility oI Fines and impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RECEIVED/NCDENR/DWR
MAR 8 2016
WORESVILLWQROS
E REGIONAL OFFICE

IAWe 11V -to -1 (��-I-
Sampling Person(s)
Name: Staff
Name:
Name:MEMEMSIMM
Certified Laboratories
_• #530 . - Laboratory
Name: Pace -• .,•
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? to Compliant
Lj Nan -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance
and describe the
corrective action(s) taken. Attach additional sheets if necessary.
RECEIVED/NCDEN
IDWR
No Re -use water was dispensed during this report period, therefore no data submitted
d
DEC - S 2
15
WOROS
L OF
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Henry Harrison Eudy
Permittee: Union County Public Works
Certification No.: 986738
Signing Official: Richard McMillan
Grade: IV Phone Number: 704,843,9482
Signing Official's Title: Assistant Director of Public Works
Has the ORC changed since the previous NDMR? ❑ vas 6d N.
Phone Number: (704)296A215 Permit Expiration:
9/30/2015
Signature Date
Signatur Date
By Mis signature. cerMy that this report is a¢urate antl complete m the best of my knowledge.
I —1y, un ar penalty flaw, that this dowment and all attachments were prepared undar my dtracton or supervrsion in accordance with a system
designed m assure that all qualified pens- arl properly gathered and evaluated the information subnAZ Basal on my inquiry of bie person or
persons w manage the system. or those parsons directly responsible for gathering the information. Um
information submitmd is. N the best of my
knowledge and belief, true. accurate, and complete. I am aware that there are s,gnrkmnt perukes for aubrndmg false infom b-, including the
possibility of fires and! knplaonmant for kn-mg vblabons.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
=ICE

Twelve Mile WRF — NPDES Permit #NC0085359
Data Qualifiers for Lab Data for: October, 2015
Qualifier Data Transcribed from Lab Reports by: Dawn Padgett
Qualifier Code and Explanation
Qualified Parameter and Date
B1— less than 1.0 mg/l DO remained for all dilutions set. The reported
value is an estimated greater than value and is calculated for the dilution
using the least amount of sample.
B2 — Oxygen usage is less than 2.0 mg/l for all dilutions set. The reported
is an estimated less than value and is calculated for the dilution using the
most sample.
B5 — BOD seed blank was outside acceptance criteria. Reported results
were accepted based on remaining quality control indicators.
D6 —The relative percent difference between the sample and sample
EFF TSS 10/5, INF BOD 10/8,
duplicate exceeded laboratory control limits.
INF TSS D6, INF TSS 10/19, INF
TSS 10/22
L1—Analyte recovery in the laboratory control sample was above Quality
INF BOD 10/26
Control limits. Results in associated samples may be biased high.
L2 — Analyte recovery in the laboratory control sample was below Quality
Control limits. Results in associated samples may be biased low.
M1— Matrix Spike recovery exceeded Quality Control limits. Batch
EFF TKN 10/14
accepted based on laboratory control sample recovery.
M6 — Matrix spike and Matrix spike duplicate recovery not evaluated
against control limits due to sample dilution.
R1— RPD value was outside control limits.
U1— Results based upon colony counts outside acceptable range.
EFF fecal 10/2, EFF fecal 10/5.
EFF fecal 10/6, EFF fecal 10/7,
EFF Fecal 10/8, EFF fecal 10/16,
EFF fecal 10/19, EFF fecal
10/21, EFF fecal 10/22, EFF
fecal 10/23, EFF fecal 10/26,
EFF fecal 10/27, EFF fecal
10/29, EFF fecal 10/30
U2 — Colonies are too numerous to count. Actual results may be greater
than reported.
H1—Analysis conducted outside EPA method holding time
INF BOD 10/9
H2 — Extraction or preparation conducted outside EPA method hoding
INF BOD 10/9
time.
L1—Analyte recovery in the laboratory control sample (LCS) was above
INF BOD 10/26
QC limits. Results for this analyte in associated samples may be biased
high.
L3 — Analyte recovery in the laboratory control sample (LCS) exceeded
EFF BOD 10/26
QC limits. Analyte presence below reporting limits in associate samples.
Results unaffected by high bias

Type:
Sampling Person(s)
Name: Staff
Name:Sampling
Certified Laboratories
Name: Pace Lab #530 CMUD-12 Mile Laboratory #5658
Pace Lab •••
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit-! " compliant — on -Co Nmpliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the
corrective action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification11 Permittee Certification
ORC: Henry Harrison Eudy
Certification No.: 986738
Grade: IV Phone Number: 704.843.9482
Has the ORC changed since the previous NDMR? ❑ ves ® No
a6
By this signature. I certify that this report is accurate and complete to the best of my knowledge
Date
.ee: Union County Public Works
3 Official: Richard McMillan
3 Official's Title: Assistant Director of Public Works
Number: [phone] Permit Expiration:
9/30/2015
I certifiy. a lderpenalty of law, that this document and all attachments were prepared under my direct,, or supervision in accordance with a system
d igoad assure that all qualified p ,wont properly gathered and evaluated the information submitted. Based m my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering tl,e information, the information submitted is, to the best of my
knowledge and belief, tr
ue. accurate. and complete. I am aware that there are significant penalties for submitting false information, including the
as psibility of fines and impisonment for knowing violations
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
:ICE

Twelve Mile WRF — NPDES Permit #NC0085359
Data Qualifiers for Lab Data for: September 2015
Qualifier Data Transcribed from Lab Reports by: Henry Eudy
Qualifier Code and Explanation
Qualified Parameter and Date
61— less than 1.0 mg/I DO remained for all dilutions set. The reported
value is an estimated greater than value and is calculated for the dilution
using the least amount of sample.
B2 — Oxygen usage is less than 2.0 mg/I for all dilutions set. The reported
is an estimated less than value and is calculated for the dilution using the
most sample.
65 — BOD seed blank was outside acceptance criteria. Reported results
were accepted based on remaining quality control indicators.
D6 —The relative percent difference between the sample and sample
duplicate exceeded laboratory control limits.
09/02 EFF TSS, 09/03 INF TSS,
09/15 INF BOD, 09/15 TSS,
09/24 INF TSS
H3 — Sample was received or analysis requested beyond the recognized
method hold time.
09/17 INF BOD
L1—Analyte recovery in the laboratory control sample was above Quality
Control limits. Results in associated samples may be biased high.
L2 — Analyte recovery in the laboratory control sample was below Quality
Control limits. Results in associated samples may be biased low.
09/01 EFF BOD, 09/01 INF BOD,
09/02 EFF BOD, 09/02 INF BOD,
09/18 INF BOD
M1— Matrix Spike recovery exceeded Quality Control limits. Batch
accepted based on laboratory control sample recovery.
M6 — Matrix spike and Matrix spike duplicate recovery not evaluated
against control limits due to sample dilution.
R1— RPD value was outside control limits.
U1— Results based upon colony counts outside acceptable range.
U2 — Colonies are too numerous to count. Actual results may be greater
than reported.

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Name: Staff
Name:
Certified Laboratories
Name: Pace Lab 1 . Laboratory
Name: Pace Lab •41
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? ICI compliant " Non-compWant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the
corrective action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Permittee: Union County Public Works
ORC: Henry Harrison Eudy
Certification No.: 986738
Signing Official: Richard McMillan
Grade: IV Phone Number: 704.843.9482
Signing Official's Title: Assistant Director of Public Works
Has the ORC changed since the previous NDMR? ❑ yes
® No
Phone Number: [phone] Permit Expiration: 9/30/2015
ili5
Signature Date
Signature D to
By this signature, I certify that thie report a accurate and complete to the best of my knowledge
I certify, under penalty of law. that this document and all attachments were prepared under my directon w supervision in accordance vnM a
system designed to assure Nat all qualified personnel properly p—ad and evaluated the information submitted Based on my inquiry of —
person or persons who manage Me system, or those persons directly responsible for pmarirg the information, the information submitted is. to
Me best of my knowledge and belief, true a urate, and complete I am aware Mat Mere are s,gnficant penalties for submitting false
information, Including Me possibility of fines and,,p,wnm,nt for knowing violations

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Sampling Person(s)
Name: Staff
Name:
Certified Laboratories
Name: Pace .. #530 . ab
Name: Pace Lab #40
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? 1�j C— a,l I Nen-Comp^ant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the
corrective action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Permittee: Union County Public Works
oRc: Henry Harrison Eudy
Certification No.: 986738
Signing Official: Richard McMillan
Grade: IV Phone Number: 704.843.9482
Signing Official's Title: Assistant Director of Public Works
Has the OR) C ged since the previous NDMR? ❑ yes
No
Phone Number: [phone] Permit Expiration: 9/30/2015
t
/7
Signature
Date
Signature Da
By Ns sign —re. I certify that this report m accurate and complete to the best of my knowledge.
I —fiy, under penalty of law, Nat this document and all anachmente were prepared under my direct,, or supervision in accordance wfh a
system designed to assure that all qualified personnel properly g--d and evaluated the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons dir-by responsible for gathering the information, the information submitted is, to
Ne best of my knowledge and belief, hue, accurate, and complete. I am aware Nat there are significant penalties for submitting false
information, including the possibility of fines and impisonment for knowing violations.

...
m
�:��
���������������_'J�■III\IrI�■
Sampling Person(s)
Name: Staff
Name:
Certified Laboratories
Name: Pace ..Laboratory
Name: Pace Lab.40
uoes all monitoring data ana samplimg trequencies meet the requirements in Attachment A of your permit? XJ compliant " Non.Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the
corrective action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Henry Harrison Eudy
Permittee:
Union County Public Works
Certification No.: 986738
Signing Official:
Richard McMillan
Grade: IV Phone Number: 704.843.9482
Signing Official's Title:
Assistant Director of Public Works
Has the ORC nged since the previous NDMR? ❑ Yes
63 No
Phone Number:
[phone] Permit Expiration: 9/30/2015
DUz3h<
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I cIlly* under penalty of law, that this document and it attachments were prepared u,d,r my directors or supervision in accordance with e
system designed to assure that all qualified personnel properly gathered and evaluated the information sub —Mal Based on my inquiry of the
person or persons v he manage the system, w those persons direcby responsible for gathering the infonmacon, the inform h- submitted is, to
the best of my knowledge and belief, true, accurate, and complete. I am aware that there are sign cant penalties for submitting false
information, including the possibility of fines and impisonment for knowing violations
CE
UNIT

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Sampling Person(s)
Name: Staff
Certified Laboratories
Name: Pace Lab #530 CMUD-1 2 Mile Laboratory #5658
Name: Pace Lab..,
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? _ . Comprant — Nen Compl.anf
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
UN � 0 ?�15
No Re -use water was dispensed during this report period, therefore no data submitted, �p
�ir�pNP ScT!�,y
Operator in Responsible Charge (ORC) Certification Permittee Certification
Pennittee: Union County Public Works
ORC: Henry Harrison Eudy
Certification No.: 986738 Signing Official: Richard McMillan
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: Assistant Director of Public Works
Has the ORC cha d since the previous NDMR? ❑ vea no Phone Number: [phone] Permit Expiration: 9/30/2015
r •
.1j
ZL 5 S
Signature Date Sig a ure • D
ey his signawre, renny mat mia ,coon Is accurate and mmplme to me best of my Ino dge. ren,r,y, under penalty of law. oral his deamerd and all arcachmenfs were prepared under or superviamn m accordance wnh a
system designed to assure mat all qualihed personnel properly gathered and evaluated the information s,bmited. Based on my inquiry of me
person or persons — managefhe system, w hose persons directly responsible for gathering the information, the Infortnatipn submittetl Is, fo
the best of my knowledge and belief, hue, accurate, and complet,. am aware hat here are significant penalties for submitting false
informaton. inclutlinp the possibillly of Fnes end impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 276991617
16 Z015
ROS
EGIONAL OFFICE

PPPPP"
NCDENR FILE
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald van der Vaart
Governor Secretary
July 13, 2015
Richard McMillan, P.E., Assistant Director
Union County Public Works
500 N. Main Street, Suite 500
Monroe, North Carolina 28112
Subject: Non -Discharge Permit Inspection(s) — Union County
Land Application of Residuals - Permit No.: WQ0007486
Twelve Mile Creek - Reclaimed Water System — Permit No. :WQ0032519
Crooked Creek — Bulk Reclaimed Water System — Permit No.:WQ0032520
Dear Mr. McMillan:
Enclosed you will find the reports for the compliance inspections conducted on June 181h and 19th,
2015 for the referenced permits. The field and facility visits were conducted in conjunction with the
Land Application of Residuals permit renewal. All permit renewal dates are included below for your
convenience:
WQ0007486 - Land Application - Expires on 08/31/2015 — Currently in the renewal
process with permitting staff at our Central Office in Raleigh.
WQ0032519 — Twelve Mile Creek - Reclaimed Water System — Expires on
12/3112016.
WQ0032520 — Crooked Creek - Bulk Reclaimed Water System — Expires on
12131/2016. Reclaimed plumbing has been removed. The permittee has the option
of rescinding this permit.
The attached reports should be self-explanatory; however, should you have questions, please
contact me by phone [phone]) or email (maria.schutte(a-)ncdenr.gov).
Sincerely,
Maria Schutte, Environmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
Attachment(s): WQ0007486, WQ0032519 & WQ00325201nspection Reports
CC: Danny Smith, Crooked Creek WWTP Supervisor (email)
Henry Eudy, Twelve Mile Creek WWTP Supervisor (email)
Dawn Padgett, Program Supervisor, Charlotte Water (email)
Vaughn Stevenson, LA ORC, Bio-Nomic Services, Inc. (email — WQ0007486 attachment only)
Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Phone: [phone] Fax: [phone] Customer Service: 1-877-623-6748
Internet: www,ncdenr.gov
An Equal Opportunity'. Aff+rrrobve Action Employer - Made in part by recycled paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Resources
Pat McCrory, Governor
Donald van der Vaart, Secretary
101?W'A
IT
A&4 0 )
NCDENR
NON -DISCHARGE COMPLIANCE INSPECTION
GENERAL INFORMATION
City/Town/Owner: Union County County: Union
Permit No.:�0032519 (Twelve Mile Creek) Issued: 12/11/2013 Expiration: 12/31/2016
Permittee Contact: Richard McMillan (Asst. Director) Telephone: [phone]
WWTP ORC Name: Henry Eudy #986734 Telephone No.: 980-214-5977 (work)
WWTP B/U ORC: Danny Smith #1000840 Telephone No.: 704-975-5236 (cell)
B/U & Contact: Dawn Padgett #7463 Telephone: [phone](cell) email: dkpadgett(a)ci.charlotte.ne.us
Reason for Inspection
X ROUTINE COMPLAINT FOLLOW-UP OTHER
Inspection Date(s): June 19 , 2015
Inspection Summary: (additional comments may be included on attached pages)
This site visit to Twelve Mile Creek wastewater treatment plant included a records review and inspection
of the Reclaimed Distribution and Irrigation System.
There are currently no plans to utilize the reclaimed system until filters are replaced. The proposed
irrigation network has not been installed. Copies of NDMRs are being submitted to NCDENR-DWR in
accordance with permit requirements.
Please note:
• All records need to be maintained in accordance with permit requirements. A copy of the
permit and some records were located in a file cabinet; however, records maintenance could be
improved.
• The MRO should be informed of any changes to the contact information noted above.
Is a follow-up inspection necessary X yes no
Inspector(s): Maria Schutte - Environmental Specialist
Telephone No.: 704-663-1699 Fax No.: 704-663-6040
Date of Inspection: June 19"', 2015

Reclaimed System Inspection pg 2
WQ0032519 Twelve Mile Creek - Reclaimed Water Generation & Conjunctive Utilization Permit
Type
Wastewater Recycle/Reuse
Y Reclaimed Water for Irrigation
Reclaimed Water for Bulk Distribution (Removed with the 2013 permit modification)
Other
Treatment & Disinfection The Reclaimed System has not been utilized and is currently down until filters
are replaced.
N Is the system working? Y Is the system properly maintained?
Tablets Gas Liquid X UV
If tablets, proper size? Present in Cylinder(s)?
If gas/liquid, does cylinder/tank storage seem safe?
NE If bulbs, are replacement bulbs on hand?
NE Is contact chamber free of sludge, solids and growth?
Flow Measurement — Effluent
Comments: This section currently is Not Applicable. Flow and Turbidifymeters will need to be re -installed
to meet permit conditions and adequately monitor irrigation rates to the four receiving fields.
NA Is the flowmeter calibrated annually?
NA Is the flowmeter operating properly?
NA Does the flowmeter monitor continuously?
NA Does the flowmeter appear to monitor accurately?
Record Keeping
Y-yes N-no NE -not evaluated NA -not applicable
Twelve Mile Creek WWTP
Y Is permit available upon request?
Y Are flow rates less than permitted flow?
Y Are monitoring reports present: Y NDMR NA NDAR
NA Are operational logs present? NA Complete? No distribution has taken place since 2009
NA Are lab sheets available for review?
NA Do lab sheets support data represented on NDMR or NDAR?
NA Are all samples analyzed for the required parameters?
NA Are annual soil reports available?
NA Did the last report indicate a need for lime? Was it applied?
NA Records of lime purchased
NE Is the operation and maintenance manual present? Complete?
N Has DWR received any complaints regarding the facility in the last 12 months?
Comments: Lab data (available with the NPDES records) was not examined during this visit, as there was
no distribution.
Charlotte Water (CW) is contractor for the operation of Union County's WWTPs. Per conversation with
Dawn Padgett (CW) and a follow-up phone call from Richard McMillan (Union County), they will work to
ensure all permit required records are available for review at the facilities.

S -10 l 17 IN a t i"oC /L_ C iJ
•era - -
Sampling Person(s)
Name; Staff
Name:
ce,i,i.,l Laboratories
Name: Pace Lab #530 CMUD-1 2 Mile Laboratory #5658
Name: Pace Lab ,,,
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? bU cnmpfant I—' Hon-C—Pli-
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the dale(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Henry Harrison Eudy Permittee: Union County Public Works
Certification No, 986738 Signing Official: Richard McMillan
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: Assistant Director of Public Works
Has the ORC cha g d since the previous NDMR? ❑ r<- yj u" Phone Number. [phone] Permit Expiration: 9/30/2015
iis
ey NIa s,n.1— 1—.1, Thal 1M repxl K aKwMC aM complela I. the hest of my hrv:Ae9q•, I cMdr/ urWe+ yenaf/ of V•:,. that tM decumcnt antl all Md hrn r,ore prepared WA m/ daectcn p w, er in xcmaarxe _11, a
ni &c igned to assure that all quallf- personnel poperl/ gall— aM eva1— Iho information suh—th,d Bash on m7 inquiry of the
I:crsrcn or personsvhomanage the syzl-,or1—persons 11-01 responsible for gathering the information, the infurma submitted is.Ic
Ile best of my rrvnIM1. aM Ecbar h., accurate, and eomptcte I am avian Nat (here arc signifrcanl penalties for submiltrnq lalze
mlwmaW.n. i I—V the possibild/ of frnz aM rmgs,nmcnt frp sno-:nng v:claticnz
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Month: JAN
Permit No.: W 0032519 FacilityCountn Name; Twelve M1 ile Creek P Unw, UA Y Year: 2015
ma°,�mwater rnweang❑ s aye wa:.r
PPI: Flow Measuring Point: lnnuem ems°^, n°fir^: ce•+eatea Paraeter Moitoring Point _ ,pm ur.�e�t rl
Parameter Code --- 0-
$0060
00400
60060
o0310
00610
00530
31616
00076
-
a
O
O F
a
V N
O O
C
F D
a [)
co
G
72
2
F y
IL U
F-
O
24-hf
hrs
GPD
ILI
mgiL
mgiL
mgiL
mgiL
q1100 mL
NTU
0800
24
0
UV
_
---
--
2
3
0800
0800
24
24
0
0
___ —
-
—
_
4
0800
24
0
s
0800
24
0
6
0800 1
24
0
7
0800 1
24 1
0
--
a
0800
24
0
-t--
i
---- --)
--
9
0800
24
0
0
0800
24
0
-
11
OB00
24
0
_--
--
=
tz
0800
24
0
13
0800
24
0
14
0800
24
0.
is
0800
1 24
0
- -
1s
0800
24
0
17
0800
1 24
0-
ia
0800
24
0
19
0800
24-
to
0800
24
0
z,
0800
24
0
_
--
22
0800
24
0
-
---
-
23
0800
24
0
_
24
0800
24
0
-
2s
0800
24
0
26
1 0800
24
0
---
27 7"00
24
0
--
ze
O8o0
24
0
_
—
29
0800
1 24
0
301
0800
1 24
0
---
31
Average:
0
Daily Maximum,
0---
Daily Minimum:
Sampling Type:
Metere
Crab
NIA
Comp
Com1
Grab
Grab
Monthly Limit:
Daily Limi
250000
6-9
10
10-�
4
4
` S
S
14--
25
10
--
Sample Pregnancy:Con
..
al
all
aV
al
al
Sampling Person(s)
Name: Staff
Name:
Certifier) Laboratories
Name: Pace Lab #530 CMUD-12 futile Laboratory #5658
Name: Pace Lab #40
LA G _
Does all monitoring data and samplimg frequencies meet the requirements In Httacnmenc H O1 your I ... is r Cr�I''^ r�
If the facility is non -compliant, please explain in the space below the reasons) the fatuity was not in compliance, Provide in your explanation the date(s) of the no-comprancaRECCtiAf � #Q0ENR/DWR
action(s) taken. Attach additional shoets it necessary.
LIAR 33 2015
Re -use water was dispensed during this report period, therefore no data submitted. WQRO
MOORESVILLE REG NAL OFFICE
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Pennittee: Union County Public Works
ORC 4enry Harrison Eudy
Certification No,: 986738
Signing Official: Richard McMlllan
Grade: IV Phone Number: 704.843.9482
Signing Official's Title: Assistant Directorof Public Wnrks
Has the ORC change since the previous NDMR7 ❑ roe
Iva
Phone Number: (7C4)298-4215 Permit Expiration: 9!30t2015
i
SignmtT D. r.
Signmure, Datc
5, Los slgnatum.lcertify mat this rspcn is stators one template to koow-0
Ics,uti'nMerp syoflaw,thattelsepcum°nt ana all attacnmenta wme preparad una myeiredon of aup°rvlslsn In eccotdancewllnx
Based cn my lneu�ry of too
system desldae:o rsaure roar a'I queirhe personnel pr°paly gathered ene eva vateE the nlormatlon aubmAtee
or persona woo mancga me rygem, m moss w—Is elus,Lty responeiete rnr gathering the Inlarmetlon. the Inteemtiw sutI Is, k
atne
boat of my s coMMge ana bdlgl. True, acwrala, aM compteln. em nwern that there ere slgnlllcent penelf rot eubmining telee
Intprmen°n, Incate!ng the pos wIty ei fines eM bnplsonmenl r°r k o N°lallsne.
Mail Original and Two Copies vo:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699.1617

�,w<< I-39,1 � A�
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Sampling Person(s)
Name: Staff
Certified Laboratories
Name: Pace Lab #530 CMUD-1 2 Mile Laboratory #5658
Name: Pace Lab #40
Does all monitoring data and samplimg frequencies meet the requlremema If —1.1... Ii.— a .1 y...,r P�r.....r -- - if the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the dale(s) of the non-compliance and describe the corrective
aclionlsl taken. Attach additional sheets if necessary,
Jo Re -use water was dispensed during this report period, therefore no data submitted. R EO F I VE
DEr 31 2014
Operator in Responsible
Charge (ORC) Certification
Permittee Certification
®thl
Pernitt—
Union County Public Works INFORMATION
PROCESSING
ORC: Henry Harrison Eudy
Certification No.: 986738
Signing Official:
Richard McMillan
Grade: IV Phone
Number: 704.843.9482
Signing Official's Title:
Assistant Direclorof Public Works
Has the ORC changed since the previous
NOMR? ❑ yes
no
Phone Number:
[phone] Permit Expiration:
9130/201 a_
,{1
Signature
Gate
Sionature
Date
ey this si —.. I oerlily that this repot! t, wewNe aM —eh- to the beat of my knowledge I mmlry. Dncer cenahy of lav,. Ihal 111, documen! arw' al' aaaohmenls were peer. under my tl o-h.1.uperviapn in weadance with a
syettm tlesigrotl to auure lie qualilietl ceraonnel propeiy gathered one evaluated the Inlixhuih n svb_h. eased on o, Ingulry of the
or persona whe manage the Mlem. or Inose oer—d-11, re temleie for 93—N the nlef—on, m! inlormalgn auDmkle4
cer the Des! of - krwwhdge aM Delref, Irue. ii e. a—i"ore. I am.were that there are ugnifcenl peneft-- la cldmkllnp lalae
olomWion, including the poaa h, of Imes and I,pw.nt for knovanq vioutwrrc
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

IAJV%( ,'-`f 69
. .,
.
.Sampling
�■�■►u:�a��u©emu©����©���������
Person(s)
Name: Staff
Name:
Certified Laboratories
Name: Pace Lab #530 CMUD-1 2 Mile Laboratory
Name: Pace Lab #40
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? 61 compliant C3 aon-compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessaarry�_
No Re -use water was dispensed during this report period, therefore no data submitted. DEC A 3 2014
01 A
DWR SECTIO `F
Operator in Responsible Charge (ORC) Certification Pernr n
ORC: Henry Harrison Eudy Permittee: Union County Public Works
Certification No.: 986738 Signing Official: Richard McMillan
Grade: IV Phone Number: 704. 843.9482 Signing Official's Title: Assistant Director of Public Works
Has the ORC changed since the previous NDMR? Phone Number: [phone] Permit Expiration: 9/3012015
Signature ate Sig ure Dole,
6y In, signature. I cen,ty that this report is accurate and complete to the best of my knowledge 1 cedigy. under penany of law. mat this eocumenl and all anacnmen[s were prepared under my directors ar supervision In accordance wim a
system designed to assure that a11 qualified personnel properly gathered and enluated the Information submftteeeased an my inquiry of me
perso or persons who -nags the system, or those persons directly responsible for gathering the information, the'mbrmalion s.b—d is, t
the best of my knowedge a. belief, We...curare, and complete. 1 am aware mat mere are signilcanl penaXies fw submining false
information, including me possibillty of Ines antl Impisonmenr for knowing violations
Mail Original and Two Copies to:
Division of water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

PV
Padgett, Dawn
From: Laura Cooper <[e-mail]>
Sent: Thursday, October 23, 2014 10:22 AM
To: Padgett, Dawn
Cc: Eudy, Henry, Mullis, Heather; Nance, Jeremy, Kevin Herring
Subject: UC12 and UCT 10/15/14 TSS Samples (Pace Project #s 92221606 & 92221608)
Attachments: 92221606_frc.pdf; 92221608_frc.pdf
Good morning,
Mid -week last week our Asheville lab encountered a virus that effected most computers including those in our Wet
Chemistry section. Though data integrity was not jeopardized and the issue has since been resloved, a TSS batch was
being uploaded at the same time the virus hit. Two Effluent samples that were submitted on 10/15/14 by both 12 Mile
and Tallwood sites were caught during this overlap. We've tried all options but the data for these two samples has been
corrupted beyond recovery.
I have attached both final reports for these two sites with a comment on each for the missing TSS results. Pricing has
been adjusted for the extended turn -around -time as well as the results not provided. We sincerely apologize for this
error and any inconveniences it may cause. Please feel free to contact me with any questions.
Thank you,
Laura
Laura Cooper
Project Manager I
laura.coor)er(@r)acelabs.com
Pace Analytical Services, Inc.
9800 Kincey Ave., Suite 100
Huntersville, NC 28078
[phone], ext. 229
www.pacelabs.com
The email and documents accompanying this transmission contain confidential information belonging to the sender who
is legally privileged. The information is intended only for the use of the individual(s) or entity(ies) named herein. If you
are not the intended recipient, you are hereby notified that any disclosure, copying distribution or the taking of any
action in reliance on the contents of this information is strictly prohibited. If you have received this in error, please
immediately notify us by telephone [phone].PACE) to arrange for return of the original documents.

PV
Twelve Mile WWTP NC0085359- Pace Quality Control
Month/Year: 0'-106"L. 261 7
1. 61- Less than 1.0 mg/L DO remained for all dilutions set. The reported value is an estimated
greater than value and is calculated for the dilution using the least amount of sample.
2. 62- Oxygen usage is less than 2.0 mg/L for all dilutions set. The reported value is estimated less
than value and is calculated for the dilution using the most amount of sample.
3. 135- BOD seed blank was outside acceptance criteria. Reported results were accepted based on
remaining quality control indicators.
4. D6- The relative percent difference between the sample and sample duplicate exceeded
laboratory control limits.
INF —22

PV
S. 1-0- Analyte recovery in the laboratory control sample was outside Q.C. limits.
6. L1- Analyte recovery in the laboratory control sample was above Q.C. limits. Results for this
analyte in associated samples may be biased high.
EF F — ! �-
1t4�' (�,
7. 1-2- Analyte recovery in the laboratory control sample was below Q.C. limits. Results in
associated samples may be biased low.
Eq- - oLL o ki 09; to
4rjF- oc-,4,01; ld
8. L3- Analyte recovery in the laboratory control sample exceeded Q.C. limits. Analyte presence
below reporting limits in associated samples. Results unaffected by high bias.

PV
9. M1- Matrix spike recovery exceeded Q.C. limits. Batch accepted based on laboratory control
sample recovery.
10. M6- Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to
sample dilution.
11. R1- RPD value was outside control limits.
CC{ — Z2
12. U1- Results based upon colony counts outside acceptable range.
�2E�K 6 WW — of �o�, (� i 2 7 2i
EFFLUENT - o2°L; o-6,69;10,1y,)5;rb;1��20,211 ZZ,Zy;z'1�2�
ULC-E . ph6cF' 6 - Al
13. U2- Colonies are too numerous to count. Actual results may be greater then reported.

MEOPP0817"
NON-DISCHARGE MONITORING REPORT (NDMR)
Page
Facility Name: Twelve Mile Creek VVVVTP
12 115971% N MUM I I I I LON loi��mmmiffmmm
Parameter Monitoring Point: 0 Influent 0 Effluent El Groundwater Lowering El Surface Water
Daily
—Sample Fre4LJency:

08-11 NON -DISCHARGE MONITORING REPORT (NDMR)
Page JL of
Sampling Person(s)
Name: Staff 11 Name: Pace Lab #530
Name: II Name: Pace Lab #40
Certified Laboratories
CMUD-12 Mile Laboratory #5658
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? MJ Compliant u Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Henry Harrison Eudy Permittee: Union County Public Works
Certification No.: 986738 Signing Official: Richard McMillan
Grade: IV Phone Number: -794.�84G-948-2- Signing Official's Title: Assistant Director of Public Works
Has the ORC changed since the previous NDMR? ❑ Yes ® No Phone Number: [phone] Permit Expiration: 9/30/2015
Ia�3/1y �
Signature Date plignaturel Dat
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 significant penalties for submitting false
information, including the possibility of fines and impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

pr
FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR) Page of
0. - Mile Creek \NVVTP
•
0.4sommunnoommon
/:1/
��-------------
•

FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)
Page D of
Sampling Person(s)
Name: Staff Name: Pace Lab #530
Name: Name: Pace Lab #40
Ilnoe III mnni*nrinn Al +� o 4 a nlimA4-+--[,---+ A ..f .... r. —W)
Certified Laboratories
CMUD-12 Mile Laboratory #5658
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
I
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Henry Harrison Eudy Permittee: Union County Public Works
(Certification No.: 986738 Signing Official: Richard McMillan
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: Assistant Director of Public Works
Has the ORC changed since the previous NDMR? ® Yes ❑ No Phone Number: [phone] Permit Expiration: 9/30/2015
p9 Zi q.
Signature Date Signa ure Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

RM: NDMR 08-11
rmit No.:
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Q00Facility Name: Twelve Mile Creek VVVVTP'
•
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1:11---------------�
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1:11
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1:11
----------------
Daily
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---------------!
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Sampling T..
Sample Frequency:

RM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s)
Name: Staff
Name:
Certified Laboratories
Name: Pace Lab #530
Name: UCPW Twelve Mile Creek Lab #575
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? 'L Compliant " Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Patrick Moore
No.: 986255
Grade: IV Phone Number: 704.843.9482
Has the ORC changed since the previous NDMR? ❑ Yes ® No
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
ittee: Union County Public Works
igning Official:-E��,VOlGll&t X0\X1kLC,, '
igning Official's Title: c or off Public Works
hone Number: (704)296 421-1- Permit Expiration: 9/30/2015
Signature
Date
I certify, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Vex i t j C o
Twelve Mile WWTP NC0085359- Pace Quality Control:�rY1�'�
Month/Year: �l� a - Z0 \tA �il I1�1
1. 61- Less than 1.0 mg/L DO remained for all dilutions set. The reported value is an estimated
greater than value and is calculated for the dilution using the least amount of sample.
13o0•It
2. 132- Oxygen usage is less than 2.0 mg/L for all dilutions set. The reported value is estimated less
than value and is calculated for the dilution using the most amount of sample.
3. 135- BOD seed blank was outside acceptance criteria. Reported results were accepted based on
remaining quality control indicators.
4. D6- The relative percent difference between the sample and sample duplicate exceeded
laboratory control limits.
TSS- 1L2-,3, 10, ilo, 0,113, z9, 30131
1v5S 3a

5. LO- Analyte recovery in the laboratory control sample was outside Q.C. limits.
3CD
6. L1- Analyte recovery in the laboratory control sample was above Q.C. limits. Results for this
analyte in associated samples may be biased high.
B,p 15
7. 1-2- Analyte recovery in the laboratory control sample was below Q.C. limits. Results in
associated samples may be biased low.
god - 11
T'SS - LS
8. 1-3- Analyte recovery in the laboratory control sample exceeded Q.C. limits. Analyte presence
below reporting limits in associated samples. Results unaffected by high bias.

9. M1- Matrix spike recovery exceeded Q.C. limits.
sample recovery.
1B, Zi,1�, Le,L9 31
L3
�hoSQhorwS- 9, 14,31
L6�- 14, Ib
? - l�
Batch accepted based on laboratory control
10. M6- Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to
sample dilution.
TKN- c�, 23
Prv,m', c-,- -\
z ,n-- 1I-
11. R1- RPD value was outside control limits.
�hoSQ�r��tiS 31
12. U1- Results based upon colony counts outside acceptable range.
13. U2- Colonies are too numerous to count. Actual results may be greater then reported.
V--t((;\. \b, I

MMWDMR08-11
NON -DISCHARGE MONITORING REPORT (NDMR) �(?,j Page of I�
•

FORM: NDMR 08-11
Sampling Person(s)
Name: Staff
NON -DISCHARGE MONITORING REPORT (NDMR)
Certified Laboratories
Name: Pace Lab #530
Name: UCPW Twelve Mile Creek Lab #575
Page(
Name: 0 Compliant u Non -Compliant
Does all monitoring data and samplimg frequencies meet the requirements me eta In Aot ttachment
Provide n your explanation the date(s) of the non-compliance and describe the corrective
If the facility is non -compliant, please explain in the space below the reason(s)
the facility taken. Attach additional sheets If necessary.
action(
ring this report period, therefore no data submitted -
Re -use water was dispensed du
Operator in Responsible Charge (ORC) Certification
Patrick Moore
No.: 986255
le: IV Phone Number: 704.843.9482
No
the ORC changed since the previous NDMR? ❑ Yes
®
Signature
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
ittee: Union County Public Works
ng Official: Edward Goscicki
ing Official's Title: Director of Public Works
ie Number: [phone] Permit Expiration:
9/30/2015
�,_Z
y
Date
ionature
1 certify, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system dsigned to assure that ll qualified prsonnel
person or persons who manage the system, or the pproperly evaluated information
ersonsdirrectly espons blefor gathering theinformat on, the Basedinformation submitted is, tc
here are
ant
the best of my knowledge and belief, true. accurate, and complete. I am ation, including the possibility of fines ndampi onmware e t for knowing violations.
ons. penalties for submitting false
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

12 Mile WWTP NC0085359- Pace Quality Control
Month/Year: Tw)y - ;,o is
1. 61- Less than 1.0 mg/L DO remained for all dilutions set. The reported value is an estimated
greater than value and is calculated for the dilution using the least amount of sample.
2. 62- Oxygen usage is less than 2.0 mg/L for all dilutions set. The reported value is estimated less
than value and is calculated for the dilution using the most amount of sample.
3. 65- BOD seed blank was outside acceptance criteria. Reported results were accepted based on
remaining quality control indicators.
4. D6- The relative percent difference between the sample and sample duplicate exceeded
laboratory control limits.
i5S a, la, zo
i30o" io, %k ),w ) 15

5. 1-0- Analyte recovery in the laboratory control sample was outside Q.C. limits.
6. L1- Analyte recovery in the laboratory control sample was above Q.C. limits. Results for this
analyte in associated samples may be biased high.
7. 1-2- Analyte recovery in the laboratory control sample was below Q.C. limits. Results in
associated samples may be biased low.
8. 1-3- Analyte recovery in the laboratory control sample exceeded Q.C. limits. Analyte presence
below reporting limits in associated samples. Results unaffected by high bias.

9. M1- Matrix spike recovery exceeded Q.C. limits
sample recovery.
Ar„mo,n�0.- S, (a 1 (4 ) Ib)1a 111
Batch accepted based on laboratory control
10. M6- Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to
sample dilution.
P►,nrro��a - 41 4 ) I11 v9
11. R1- RPD value was outside control limits.
&D- 2S
12. U1- Results based upon colony counts outside acceptable range.
'Pe.ca\-a,3A,tp, 10,%t,Va3\3,11, 1ti3, l917.o,36
13. LA2_ Colonies OLre, koo nvIcrovS }' (DUA}. ACkt \
be %.Ct-\w ��CL' vqQ 'VA -
FL ca\- c1

FORM: NDMR 08-11
i�\`\
NON -DISCHARGE MONITORING REPORT (NDMR) �• E/ Page of
•��� - Creek WVVTP. • .
LRarameter Monitoring Point: 0 infiuent 21 Effluent El Groundwater Lowering El Surface Water
.. •
1. 1
D T I
,m
1 1 1
1 1.
ss 1
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_-----
•

FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 6�1 of
Sampling Person(s)
Name: Staff
Name: Pace Lab #530
Name: II Name:
n_ ..II .... ..:a.. .. A 4... ..A .. ..t:..... i-.. ..a at-.. ..ae. AFC--k— —4 A
Certified Laboratories
r ,,.,u­ a
u,,.,_r....,, i a
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification 11 Permittee Certification
Patrick Moore
fication No.: 986255
le: IV Phone Number: 704.843.9482
the ORC changed since the previous NDMR? ❑ Yes ® No
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
ermittee: Union County Public Works
igning Official: Edward Goscicki
igning Official's Title: Director of Public Works
hone Number: [phone] Permit Expiration: 9/30/2015
SignatureDate
VA
I certifly, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

��*
Ad A
NCDENR FILE
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
September 23, 2014
Hinds' Feet Farm
Post Office Box 2842
Huntersville, North Carolina 28078
Attention: Martin B. Foil III
RE: Surface Irrigation Inspection Report
Permit No. WQ0018635
Facility: Hinds' Feet Farm
Mecklenburg County, N.C.
Dear Mr. Foil,
Enclosed you will find the report for the compliance inspection that was conducted on August 5tn
2014. The treatment system appeared to be operating satisfactorily, and records were well
maintained; however, berm maintenance around the lagoon is in order for removal of
saplings. Additional issues discussed during the site visit are noted below:
• The current permit expiration date is August 31st 2015, which means an application for
renewal is due 180 days prior, about February 28th, 2014. In response to your inquiry about
the proposed sewer extension, permitting staff in Raleigh recommend you submit a written
request for permit extension when your renewal application is due.
• Per your request, I have included a copy of the lagoon closure guidance document.
• Your current permit does not specify a type of chlorine tablet; however, language in
renewing non -discharge permits does; therefore, it is recommended that you use the
specified tablets mentioned during the inspection by Barbara Sifford and noted below:
o [FOR SYSTEMS USING CHLORINE DISINFECTION]The tablet chlorinator shall be
checked weekly. Wastewater grade chlorine tablets (calcium hypochlorite) shall be
added as needed to provide proper chlorination. Pool chlorine tablets shall not be
used.
Should you have any questions about the report or the permit renewal/extension, feel free to
contact me by email or phone at 704-663-1699.
Sincerely, /
Maria Schutte, Environmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
Enclosure(s): Inspection Report August 2014
Guidelines for the Closure of Permitted Wastewater Ponds and Lagoons
Mooresville Regional Office, 610 East Center Avenue, Mooresville, North Carolina 28155
Phone: [phone]W Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Resources
Pat McCrory, Governor
John E. Skvarla, III, Secretary
6"F.W;'F'J
I"'
AO& 00
As�ftwmwxw �kja
NCDENR
NON -DISCHARGE COMPLIANCE INSPECTION
Single Family Surface Irrigation
GENERAL INFORMATION
Owner: Martin B. Foil, III County: Mecklenburg
Permit #: W00018635 Project Name: Hinds' Feet Farm SFR
Issuance Date: 10/04/2006 Expiration Date: 08/31/2015
Permittee Contact: Martin B. Foil, III Telephone No.: 704-922-1424 (w)
Email Address: mfoilWna,hindsfeetfarm.org Telephone No.: 704-922-1423 (f)
Reason for Inspection
X ROUTINE COMPLAINT FOLLOW-UP Facility Start-up
Inspection Summary: (additional comments may be included on attached pages)
The Mooresville Regional Office (MRO) conducted a facility inspection, which included the treatment
system and a records review.
The storage lagoon needs some berm maintenance for saplings.
Is a follow-up inspection necessary _yes X no
Inspector Name/Title: Maria Schutte/Environmental Specialist
Barbara Sifford/Technical Consultant WWTP
Telephone No.: 704-663-1699 Fax No. 704-663-6040
Date of Inspection: 08/05/2014

Single Family Spray/Drip Irrigation Page 2
Permit #WQ0018635 Hinds' Feet Farm
Treatment
Y Are treatment facilities consistent with those outlined in the current permit.
Y Do all treatment units appear to be operational? If no, note below.
*N Septic tank pumped within last 12 months?
NA Sand filter in good condition?
Comments: * Per permittee and previous inspections the tank is pumped as necessary, and was pumped
within the past 2 years.
Disinfection
*Y Tablets Y Present in chlorinator Y Proper size
UV System Spare bulb on hand?
Comments: * The MRO recommends the use ofspecifled water treatment Calcium Hvvochlorite tablets as
mentioned in the cover letter.
Effluent Storage — Lagoon
Y Freeboard > 2 feet
N Evidence of overflow (vegetation is discolored or laying down/broken
* Y Vegetation (is there excessive vegetation on the lagoon bank)
*Y Banks/berms (are there signs of seepage, overtopping, down cutting or erosion)
NA Liner (if visible, is it intact)
Comments: * The MRO recommends removal of saplings from the berm. The berm does not appear
eroded, but there is some erosion to the ledge created within the lagoon
Disposal (final end use) NA & NE — the permittee has never discharged because the lagoon was over-
sized for the current production level; therefore land application has not been necessary
Is the application equipment present and operational?
Is application equipment in need repair?
Are buffers adequate?
Are cover crops the type specified in permit? Is cover crop in need of improvement?
Signs of runoff? Signs of ponding? Signs of drift?
Rain/moisture sensor in place and operational?
Is the acreage specified in the permit being utilized?
Are there any limiting slopes in disposal fields?
Are restrictions for use of these areas specified?
Is permit being followed?
Is site access restricted in accordance with permit? If so, how? 2 strand wire fence
Is permit available upon request?
Are the operation logs present?
Are operation and maintenance records present?
Has permittee received any public complaints in the last 12 months?
Additional Comment(s): See cover letter for notes about proposed sewer extension permit renewal &
lagoon closure guidance.

Clariant Corporation
Mt. Holly East Plant
4000 Monroe Road
Charlotte, N.C. 28205
Sent Via Regular Mail and E-mail
September 24, 2014
Ms. Maria P. Schutte
NC DENR
Mooresville Regional Office
610 East Center Ave.
CLARIANTim
E
5 20114
NC DENR MRO
DW() -.Aquifer Frot^rtion
Mooresville, NC 28115
Re: Clariant Corporation, Mt. Holly East, Permit Number WQ0000537 — Elevated Arsenic Result
Dear Ms. Schutte:
This letter is a follow-up to the phone mail message I left you on September 18, 2014. On Sept. 18, 2014
this facility received analytical data for sludge samples collected on September 9, 2014. The results of
these samples indicated that the arsenic concentration in our waste sludge was higher than allowed by
our Landfill Permit. The samples indicated that our arsenic concentration was 71.4 mg/kg on a dry
weight basis. The permit limit is 62 mg/kg on a dry weight basis. All other parameters were within
permit limits. It is believed that the source of this arsenic is sewer residue from a former tenant, SCR -
Tech.
It is important to note that last year almost all of the sludge generated was associated with cleaning out
and de -commissioning treatment ponds. This effort was completed in October 2013, and since then,
the amount of sludge generated has been drastically reduced. Current operations at the wastewater
treatment plant primarily involve treating groundwater and stormwater and very little sludge is
generated. In fact, September 2014 was the first time the sludge dewatering equipment needed to be
operated since the treatment ponds were decommissioned.
Thus, the residual arsenic from SCR -Tech coupled with the fact that that the amount of sludge generated
at the site has been substantially reduced is believed to have resulted in the elevated arsenic level. This
week we operated the sludge dewatering equipment again in order to generate sludge and collect a
second sample for analysis. Once we get results back from this second sample, we will communicate
them to you.
If you have any questions at this time, please contact me at [phone].
uQ a_Gc_�
Dwayne R. Wallace
ORC, Mt. Holly East Plant

Clariant Corporation
Mt. Holly East Plant
4000 Monroe Road
Charlotte, N.C. 28205
Sent Via Regular Mail and E-mail
September 24, 2014
Ms. Maria P. Schutte
NC DENR
Mooresville Regional Office
610 East Center Ave.
.73
CLARIANT
Mooresville, NC 28115
Re: Clariant Corporation, Mt. Holly East, Permit Number WQ0000537 — Elevated Arsenic Result
Dear Ms. Schutte:
This letter is a follow-up to the phone mail message I left you on September 18, 2014. On Sept. 18, 2014
this facility received analytical data for sludge samples collected on September 9, 2014. The results of
these samples indicated that the arsenic concentration in our waste sludge was higher than allowed by
our Landfill Permit. The samples indicated that our arsenic concentration was 71.4 mg/kg on a dry
weight basis. The permit limit is 62 mg/kg on a dry weight basis. All other parameters were within
permit limits. It is believed that the source of this arsenic is sewer residue from a former tenant, SCR -
Tech.
It is important to note that last year almost all of the sludge generated was associated with cleaning out
and de -commissioning treatment ponds. This effort was completed in October 2013, and since then,
the amount of sludge generated has been drastically reduced. Current operations at the wastewater
treatment plant primarily involve treating groundwater and stormwater and very little sludge is
generated. In fact, September 2014 was the first time the sludge dewatering equipment needed to be
operated since the treatment ponds were decommissioned.
Thus, the residual arsenic from SCR -Tech coupled with the fact that that the amount of sludge generated
at the site has been substantially reduced is believed to have resulted in the elevated arsenic level. This
week we operated the sludge dewatering equipment again in order to generate sludge and collect a
second sample for analysis. Once we get results back from this second sample, we will communicate
them to you.
If you have any questions at this time, please contact me at [phone].
uQ 0kip_�
Dwayne R. Wallace
ORC, Mt. Holly East Plant

FORM: NDMR 08-11
r _ ce
NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: Twelve - •.
©
1:11-�--------_--
1:11----------------

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page � of
Sampling Person(s) Certified Laboratories
Name: Staff Name: Union County Lab #575
Name: Name: Pace Lab #530
Does all monitorinn data and camnlimn fronuoncios moat tho ronnirmmnntc in Aff—t eni A .,F
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification 11 Permittee Certification
ORC: Patrick Moore
Certification No.: 986255
Grade: IV Phone Number: 704.843.9482
Has the ORC changed since the previous NDMR? ❑ Yes ® No
Signature
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
ittee: Union County Public Works
ng Official: Edward Goscicki
ng Official's Title: Director of Public Works
e Number: [phone] _,ermit Expiration: 9/30/2015
re . Date
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the
Gerson 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

pp J
IPPORMP
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FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)
Page
of
Sampling Person(s)
Name: Staff
Name:
Certified Laboratories
Name: Union County Lab #575
Name: Pace Lab #530
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? 0 Compliant
Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Patrick Moore
Permittee: Union County Public Works
Certification No.: 986255
Signing Official: Edward Goscicki
Grade: IV Phone Number: 704.843.9482
Signing Official's Title: Director of Public Works
Has the ORC changed since the previous NDMR? ❑ Yes ® No
Phone Number: [phone] Permit Expiration: 9/30/2015
ignature Date
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

1ji?Yi t'i t� •}1ou� 4 b-34-
Crooked Creek WWTP NC0069841-Pace Laboratory Quality Control
'a I-7
Month/Year: I\AurcA, .'LuN
1. 131- Less than 1.0 mg/L DO remained for all dilutions set. The reported value is an estimated
greater than value and is calculated for the dilution using the least amount of sample.
kD 13,31
2. 132- Oxygen usage is less than 2.0 mg/L for all dilutions set. The reported value is an estimated
less than value and is calculated for the dilution using the most amount of sample.
(SoQ - Li,-13, 1'3., 1 ()
3. 135- BOD seed blank was outside acceptance criteria. Reported results were accepted based on
remaining quality control indicators.
900 i 1) I�
4. D6- The relative percent difference between the sample and sample duplicate exceeded
laboratory control limits.
Gc()-`A
T'S4, 1(A
5. 1-0- Analyte recovery in the laboratory control sample was outside Q.C. limits.
6a) - y, 5, I () , ,I k , %�. 25

6. L1- Analyte recovery in the laboratory control sample was above Q.C. limits. Results for this
analyte in associated samples may be biased high.
GCD 1C), \\' 25
7. 1-2- Analyte recovery in the laboratory control sample was below Q.C. limits. Results in
associated samples may be biased low.
R� 0- - y,5,IS'
8. 1-3- Analyte recovery in the laboratory control sample exceeded Q.C. limits. Analyte presence
below reporting limits in associated samples. Results unaffected by high bias.
ObD - a5,
9. M1- Matrix spike recovery exceeded Q.C. limits. Batch accepted based on laboratory control
sample recovery.
10. M6- Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to
sample dilution.
NDA N::3 - 3
p9e*�fV%Q:I%tc..- 0—
11. R1- RPD value was outside control limits.
f3oD - 31

FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR) � �Page of
Permit No.: VVQ0032519 ':, Facility Name: Twelve Mile Creek WVVTP �� �1� "I ���
1Y��_
• . ■ ■.............
• . ■
■ ■
summon
NONE
®
, l
Maximum:
Daily Minimum:
Sam
MonthlyDaily
Sample
r������������■����

,..Ivi' NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s) Certified Laboratories
Name: Staff Name: Union County Lab #575
Name: Name: Pace Lab #530
nnPC all mnni4nrinn rinfn nnel cmmnlimn frnnirnnrinc mnnf Oho in Aff­hmnnf A of i—ir norm if9 r•..,.,..r �..� ❑ Kill r....,.,r.,.,+
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
ORC: Patrick Moore
Certification No.: 986255
Grade: IV Phone Number: 704.843.9482
Has the 05CVhanged since the previous NDMR? ❑ Yes ® No
Signature
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
ittee: Union County Public Works
Signing Official: Edward Goscicki
Signing Official's Title: Director of Public Works
Phone Number: [phone] Pt
Date Signature
it Expiration: 9/30/2015
Date
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Ve-
3 - U - jvl ti
L-61V CQ-A C�rior �«
value is an estimated
of sample.
usage is less than 2.0 mg/L for all dilutions set. The reported value is an estimated
,ess than value and is calculated for the dilution using the most amount of sample.
ee,D- -2.5, IS
3. 65- BOD seed blank was outside acceptance criteria. Reported results were accepted based on
remaining quality control indicators.
4. D6- The relative percent difference between the sample and sample duplicate exceeded
laboratory control limits.
TS5 .-3,y,n, 2-14,27
gD D- y, 5 , ►-A
5. 1-0- Analyte recovery in the laboratory control sample was outside Q.C. limits.
6up- y.5, (a,�i, a.0

6. L1- Analyte recur
analyte in associa
7. L2- Analyte recovery in the laboratory control sample was below Q.C. limits. Results in
associated samples may be biased low.
Ipaap -
S. L3- Analyte recovery in the laboratory control sample exceeded Q.C. limits. Analyte presence
below reporting limits in associated samples. Results unaffected by high bias.
9. M1- Matrix spike recovery exceeded Q.C. limits
sample recovery.
i a VC.\ ?hc IOUXLr �S - LA
TkN . LA ,10,
Na.�was 10,
ly, i'l, 1 $, lR, 2.1. ,z8
Batch accepted based on laboratory control
10. M6- Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to
sample dilution.
F4-P,p'O"\ii-- 5, lG 1
TX-N • ) �D
11. R1- RPD value was outside control limits.
Nodt4t3. 1 �
CX'",. J '�

FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR) 5L, � Page of
Permit No.: •ob�- - .-
•
Mors
0-�------_-------

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Name: Staff
Certified Laboratories
Name: Union County Lab #328
Name: II Name: Pace
r>nno nll m ., 4. ;nr. A + A lim., frnn nnnninc mnn4 thn r nn4c in A44onhmnn+ A ^f x—ir nn i47 � r,,,.,.,r�.,� ❑ ni,..._r.,.....h­
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Patrick Moore
Permittee: Union County Publ;ic Works
��
No.: 986255 Signing Official: Michael Moler, �q� C//�� AC
Grade: IV Phone Number: 704.843.9482
Has the ORC changed since the previous NDMR? ❑ Yes ® No
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
igning Official's Title: Water and Wastewater Division Manager
hone Number: 704 296 4215 Permit Expiration: 9/30/2015
Signature Date
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the
Derson 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of Y
- .-
o_�� Facility Name: Twelve Mile Creek WWTPMEN
Flow Measuring Point: El influent 1-1 Effi,ent 0 No flow generated
Parameter Monitoring Point: influent
Effluent F-1 Groundwater Lowering
El surface Water
®
1:11
�
�—M=-111aily
------------
Minimum:
Sampling Type:
E- - •
��
• •
s •
• •
! ''
--------

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of z
Sampling Person(s)
Certified Laboratories
Name: Staff Name: Union County Lab #575
Name: Name: Pace Lab #530
Does all monitorina data and samnlimn frPniiPnnipc moot tha raniiiramantc in At4!2nhmnn4 A nF v-or C49 ® ❑ ..__
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Patrick Moore
Permittee: Union County Public Works
Certification No.: 986255 Signing Official: Edward Goscicki
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: Director of Public Works
Has the ORC changed since the previous NDMR? ❑ Yes ® No Phone Number: [phone] Permit Expiration: 9/30/2015
Signature Date 8igpr9ture Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)
ewr I --w r 7 C'#
Page of 2
Permit No.: VVQ0032519 Facility Name: Twelve Mile Creek WWTP • ..- •
•1 •
•.-11
1
11. -you,
1.1
11 1
11. 1
11
�
111 .
----_---
I i
1:11
��-------_-_------
i
I •.
1
Daily
Sampling Typm@Z--T=--
�.
f111
• •
1
�
1

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page �, of 2
Sampling Person(s)
Certified Laboratories
Name: Staff Name: Union County Lab #575
Name: Name: Pace Lab #530
rinnc m11 rnnnifnrinrn Aof!2 nnA cmmnlimn frcnnnnricc mncf fhm rnnnirmm&nfc in Affmrhmnnf A of vnur nnrmifi 6d c.,.., N e ❑ KI. r r�
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
IORC: Patrick Moore
Certification No.: 986255
Grade: IV Phone Number: 704.843.9482
Has the ORC changed since the previous NDMR? El Yes ® No
ziaizz
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
ermittee: Union County Public Works igning Official: Miclaacl-Alleler e--Q, vvam E
igning Official's Title: livislon I
��jy Y 1►vC
hone Number: [phone] Permit Expiration: 9/30/2015
re
Date
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the
Derson 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)Page of
Permit No.: WQ0032519 Facility Name: Twelve Mile Creek VMTP
. - . ■ ■ ;q'Parameter
Monitoring Point: ■ influent
UEffluent
■ Groundwater Lowering
■
am
MEMO
loon
Maximum:
Type:Daily
Sampling
-----------_----
Monthly /iii9--------__--_---
II----��

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page 2 of
Sampling Person(s) Certified Laboratories
Name: Staff Name: UCPW 12 Mile Laboratory #575
Name: Name: Pace
rincc nil mnnifnrinn rin4n nnrl cmmnlimn frnnmnnninc mnn4 4hn rnnnir­n4c. in A++­l%h n+ A .,F ...,��r r,er.v.i+7 ® r r ❑
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Patrick Moore Permittee: Union County Publ;ic Works
Certification No.: 986255 Signing Official: Michael Moler
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: Water and Wastewater Division Manager
Has the ORC changed since the previous NDMR? ❑ Yes ® No Phone Number: 704 296 4215 Permit Expiration: 9/30/2015
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Date �- Signature Date
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the
3erson 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 impisonmenl for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) �`„� Page / of o
L+
Permit No.: W00032519 I Facility Name: Twelve Mile Creek WWTP 7 County: Union I Month: August I Year: 2013
PPI; JlFlow
Measuring Point: ❑ influent ❑ Effluent 0 No Flow generated Parameter Monitoring Point: ❑ influent ® Effluent ❑ Groundwater Lowering
❑ Surface Water
Parameter Code
10
00400
00310
; _
00530
00076
o
'
L)
O
E,,�_,
�o
O
LL
C
®
��
O
to
E
E
o °1 a d
30 I
E
i
F
-
24-hr
hrs
GPD
su
mg/L
mg/L
mg/LM; +x.
mglL
#/100 rri, NTU
1
0800
24
0
UV
77,
2
0800
24
0
3
0800
24
0
4
0800
24
0
1
1i
5
0800
24
0
s
0800
24
0
7
8
0800
0800
24
24
0
0
T
9
0800
24
0
1 o
0800
24
0
11
0800
24
0
12
0800
24
0
13
0800
24
0
!�
14
0800
24
0
151
0800
24
0
r
16
0800
24
0
I
17
0800
24
0
18
0800
24
0
19
20
0800
0800
24
24
0
0
�I
21
0800
24
0
221
0800
24
0
231
0800
24
0
241
0800
24
0
251
0800
24
i 0
26
0800
24
, 0
271
0800
24
0
281
0800
24
0
J080029
30
31
0800
0800
24 0
24 0
24 0
Average:
Daily Maximum:
( 0
0
s
Daily Minimum:
Sampling Type
0
Monthly Limit:
Daily Limit:
Sample Frequency:---
_
--

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) q%- t ' Page I of I
Permit No.: Q00Twelve Mile Creek
111111WA�
=11''!
Parameter Monitoring Point: El influent 60 Effluent
El Groundwater Lowering
El surface Water
..
��
.,•OE
MTV�
., Nus
.�
���
-----_—

FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)
Page , of
Sampling Person(s) Certified Laboratories
Name: Staff Name: UCPW 12 Mile Laboratory #575
Name: Name: Pace
rli.e� �11 .r. ni4r.r:n.. r1 4A f4 — . r.4c. :.. A44....Mrr. 4. A _C ......... . ,W. ® ❑
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
ORC: Patrick Moore
Certification No.: 986255
Grade: IV Phone Number: 704.843.9482
Has the ORC changed since the previous NDMR? ❑ Yes ® No
Signature
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
mittee: Union County Publ;ic Works
ning Official: Michael Moler
ning Official's Title: Water and Wastewater Division Manager
me Number: 704 296 4215 Permit Expiration: 9/30/2015
Date 11 Signature Date
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

k�''2--1 121 6 'c
08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
-AINNIN� — -
Parameter Monitoring Point: [I Infl-r., 0 Effluent El Groundwater Lowering
El Surface Water
1:11
��
------_-_-�-__-
Daily Maximum:
f

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Sampling Person(s)
Name: Staff
Name
Certified Laboratories
Name: Union County Lab #328
Name: Pace
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? 0 Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
V
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification Perm ittee Certification
ORC: Patrick Moore Permittee: Union County Publ;ic Works
Certification No.: 986255 Signing Official: Michael Molar
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: Water and Wastewater Division Manager
Has the ORC changed since the previous NDMR? ❑ Yes No Phone Number: 704 296 4215 Permit Expiration: 9/30/2015
ui�2ti 61_ % Z 3 2-el
Signature Date Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

- 08•N-DISCHARGE MONITORING REPORTr -_.- of
Facility Name: Twelve Mile Creek VVWTP MJI MOB is�1111 -
1:11
��-----------__�-
1:11
��_�-----_---_____
1:11
s .
! 1:11
��--------------�
Monthly Limit:

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Sampling Person(s)
Name: Staff
Name
Certified Laboratories
Name: Union County Lab #328
Name: Pace
►oes all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? VJ Compliant 11 Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Io Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification Permittee Certification
)RC: Patrick Moore Permittee: Union County Publ;ic Works
ertification No.: 986255 ISigning Official: Michael Moler
irade: IV Phone Number: 704.843.9482 Signing Official's Title:
as the ORC changed since the previous NDMR? ❑ Yes ® No Phone Number:
Signature
5--Z©I �
Date
Water and Wastewater Division Manager
704 296 4215 Permit Expiration: 9/30/2015
7,ra-ys
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

�,Jt,/
FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR) ,r+CPage of
��.Facility Name: Twelve Mile Creek WVVTP V sm

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Staff Name: Union County Lab #328
Name: Name: Pace
nnes all mnnitnrinn riata anri cmmnlimn frnnrianciac maaf thin rannirmmnnfc in Aff—k—f A ^f i ..,;*� ® m ❑
.. . .. . . _ -- _____ ___ - ____ -_.______._ .. -. ) _ -. r_.....-. .._.. _...........
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
ORC: Patrick Moore
Certification No.: 986255
Grade: IV Phone Number: 704.843.9482
Has the ORC changed since the previous NDMR? ❑ Yes ® No
Signature
7-Z3-Za/3
Date
Permittee Certification
ermittee: Union County Public Works
igning Official: Michael Moler
igning Official's Title: Water and Wastewater Division Manager
hone Number: 704 296 4215 Permit Expiration
Signature
9/30/2015
3-z --r3
Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonmenl for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

g,l FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) ${� ,-�,� Page--L of L
Permit No.: Q 19 Facility Name: Twelve Mile Creek —--
Flow Measuring Point: El fiLierit D Effluent Nc '[ow,,,,ene,alec
©
1:11
��---__-------1�--
WIT31 Me
m
MIT-re1
��---------___---
®
1:11--------__-_--_-

FORM: NDMR 08-11
NON -DISCHARGE MONITORING REPORT (NDMR)
Page 2— of
Sampling Person(s) Certified Laboratories
Name: Staff Name: Union County Lab #328
Name: Name: Pace
A. _11 :ate J.L. .-J .-1: i- ..L LLB .. L.. AL4ww11— —t A —4 a i-7 ® !`.. ..li.�... ❑ Alnn_r`n nlinnf
vvv can ...c,...ac,...y a.aa. a...a...a.. .r.......J......�.............................y................... ��.................... � _... �.........
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Patrick Moore Permittee: Union County Public Works --
Certification No.: 986255 Signing Official: Michael Moler
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: Water & Wastewater Operations Division Manager
Has the ORC changed since the previous NDMR? ❑ Yes ® No Phone Number: 704.296.4215 Permit Expiration: 9/30/2015
Signatu a Date Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
ystem designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the
erson 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

NON -DISCHARGE MONITORING REPORT (NDMR) Page of
,��•Facility - - �. •
WIN a M,
WIN MEN
©
KIN 11
©�_�--_---_-_-----
M
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FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) P
Sampling Person(s)
Certified Laboratories
Name: Staff Name: Union County Lab #575 qN
Name: Name: Pace Lab #530
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Patrick Moore
No.: 986255
Grade: IV Phone Number: 704.843.9482
Has the ORC changed since the previous NDMR? ❑ Yes 6j No
f
6--
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Perm ittee Certification
ittee: Union County Publ;ic Works
igning Official: Michael Moler
igning Official's Title: Water & Wastewater Operations Division Manager
hone Number: 7046985655 Permit Expiration: 9/30/2015
Signature
Date
I certifiy, under penalty of law, that this document and all attachments were prepared under my direclon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the
Derson 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

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FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) P
Sampling Person(s)
Certified Laboratories
Name: Staff Name: Union County Lab #575 qN
Name: Name: Pace Lab #530
does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification Permittee Certification
Permittee: Union County Publ;ic Works
ORC: Patrick Moore
Certification No.: 986255 Signing Official: Michael Moler
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: Water & Wastewater Operations Division Manager
Has the ORC changed since the previous NDMR? ❑ Yes Vj No Phone Number: 7046985655 Permit Expiration: 9/30/2015
Signature
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Date7j Signature Date
I certify, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

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FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s)
Name: Staff
Name
Certified Laboratories
Name: Union County Lab #575
Name: Pace Lab #530
Does all monitoring data and samplimg frequencies meet the requirements in Attachment A of your permit? %J Compliant `J Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore no data submitted.
I
b
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Permittee: Union County Public Works
ORC: Patrick Moore
Certification No.: 986255
Signing Official: Michael Moler
Grade: IV Phone Number: 704.843.9482
Signing Official's Title: Water & Wastewater Operations Division Manager
Has the ORC changed since the previous NDMR? ❑ Yes ® No
Phone Number: 7046985655 Permit Expiration: 9/30/2015
Signature Date
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
I certifty, under penally of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
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FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Staff Name: Union County Lab #328
Name: Name: Pace
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vvo w...— Iw..,.y uc.aw ana. N.....y .. ,,M...,...,...,, ........ ...., ....1 .... ............ ... .................... _. 1., ... r.... ...... _. _
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
Patrick Moore Permittee: Union County Public Works
ification No.: 986255 Signing Official: Michael Moler
ie: IV Phone Number: 704.843.9482 Signing Official's Title: Water and Wastewater Division Manager
the ORC changed since the previous NDMR? ❑ Yes ® No Phone Number: 704 296 4215 Permit Expiration: 9/30/2015
[� //
Signature Date Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) kd Page ___ of
Permit No.: VVQ0032519 Facility Name: Twelve Mile Creek WWTP
pill.
few
Daily Maximum.

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Staff Name: Union County Lab #328
Name: Name: Pace
Anne III A++,-t.mnn4 A —f­r. mi49 ❑
If the facility is non-cornpliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
ORC: Patrick Moore
Certification No.: 986255
Grade: IV Phone Number: 704.843.9482
Has the ORC changed since the previous NDMR? ❑ Yes ® No
Signature
0-ZS -�
Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
ermittee: Union County Publ;ic Works
igning Official: Michael Moler
igning Official's Title: Water and Wastewater Division Manager
hone Number: 704 296 4215 Permit Expiration: 9/30/2015
S-28-13
Signature Date
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the
Derson 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Facility Name: Twelve Mile Creek WWTP
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FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Certified Laboratories
Name: Staff Name: Union County Lab #575
Name: Name: Pace Lab #530
r1.. ..ii ..:a., A a.. -.A .. ..!: .. F. ..a aL... r.ac. Af4-6—+ A of ­nnr W> ® rn li-f ❑ Kj _, jj_t
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Patrick Moore
on No.: 986255
Permittee Certification
Union County Publ;ic Works
ing Official: John Hahn
le: IV Phone Number: 704.843.9482 Signing Official's Title: WWTP Superintendent, Union County Public Works
the ORC changed since the previous NDMR? ❑ Yes ® No Phone Number: 704.506.0462 Permit Expiration: 9/30/2015
Signature
Date
Signature
/-3a-/3
Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Facility Name: Twelve Mile Creek WWTP- .- •
Parameter Code
Sample Frequency:

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Staff Name: Union County Lab #575
Name: Name: Pace Lab #530
A �L. :a•i ® !`,. ..I:....Nnn_(`n nli�nf
roes an mon110nng aara anu sanrl.runry ncyucrwrw nrcc1c — — I..... p. .......
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use -water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification Permittee Certification
Permittee: Union County Public Works
ORC: Patrick Moore
Certification No.: 986255 Signing Official: John Hahn
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: WWTP Superintendent, Union County Public Works
Has the ORC changed since the previous NDMR? ❑ Yes ® No Phone Number: 704.506.0462 Permit Expiration: 9/30/2015
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Signature Date
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
•�� Twelve Mile Creek
. -. ■ ■Parameter
Monitoring •. ■ influent 0 Effluent ■ Groundwater Lowering ■ Surface Water
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FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Staff Name: Union County Lab #575
Name: Name: Pace Lab #530
A ..9 ........ .......,.:4-3 ® r,...,..r�m ❑ Nn r.n fl of
roes an rnvnnvrnty uaLa cillu aaurNunry lu4uc11 .1w� 11-k „yun v.. w..w . .... p ,. ......
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification Permittee Certification
Permittee: Union County Publ;ic Works
ORC: Patrick Moore
Certification No.: 986255 Signing Official: John Hahn
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: WWTP Superintendent, Union County Public Works
Has the ORC changed since the previous NDMR? ❑ Yes ® No Phone Number: 704.506.0462 Permit Expiration: 9/30/2015
.`r6� //- 2� /Z
Signature Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
V Signature - Date
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) " Page of
Facility Name: Twelve Mile Creek WVVTP
Sampling Type:

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Certified Laboratories
Name: Staff Name: Union County Lab #575
Name: Name: Pace Lab #530
Ili... -11 m r,:4-r:r.r. A 4.. ..r.A e. ..1:m.. fin A44­kmnn4 A of vn nnrmi*i � c..m..6�..r ❑ ni,,,._r`..,.,..r�..r
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
Patrick Moore
No.: 986255
Permittee Certification
Union County Publ;ic Works
igning Official: John Hahn
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: WWTP Superintendent, Union County Public Works
Has the ORC changed since the previous NDMR? ❑ Yes ® No Phone Number: 704.506.0462 Permit Expiration: 9/30/2015
Signature Date Signaturet69te
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) / & Page of
Permit No.:- Qon�i 9 Facility N - a�-ile Creek'Flow
Measuring Point: El infi,.,t El Effl,ent No flow generated
mail
NKOMO
`4t / .-V-

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Staff Name: Union County Lab #575
Name: Name: Pace Lab #530
r1A —4F • :47 ® ❑
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification
ORC: Patrick Moore
Certification No.: 986255 Signing Official:
Grade: IV Phone Number: 704.843.9482 Signing Official's Title
Has the ORC changed since the previous NDMR? ❑ Yes ® No Phone Number:
Signature
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Permittee Certification
Union County Publ;ic Works
John Hahn
WWTP Superintendent, Union County Public Works
704.506.0462 Permit Expiration: 9/30/2015
qndlldl
Date 11 f Signature ' Date
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

11kV
FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) � \k Page of
Permit No.: VVQ0032519 Facility Name: Twelve Mile Creek VVVVTP
Jill Jill
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FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Staff Name: Union County Lab #328
Name: Name: Pace 7�
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If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification Permittee Certification
Permittee: Union County Publ;ic Works
ORC: Patrick Moore
Certification No.: 986255 Signing Official: John Hahn
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: WWTP Superintendent, Union County Public Works
Has the ORC changed since the previous NDMR? ❑ Yes ® No Phone Number: 704.506.0462 Permit Expiration: 9/30/2015
&-4 Z6/� 9-z3-i
Si— gTk, Date
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge.
�ssrZ
VSignature LAf'e
I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) J Page of
Permit No.: Q00Twelve Mile Creek
Parameter Monitoring Point: El influent 0 Effluent [] Groundwater Lowering El Surface Water
21
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------�---_----

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Staff Name: Union County Lab #328
Name: Name: Pace
1'1...... ..11 ...- ..:a.. -:.... A- --A .. ..1:..,... i..............:.... ... ..4 4L... - ..4. :.. Aid.... L,....... 4, A ..i . w.:�7 ® r,......r:.,... ❑ u.... r....,..r,.,..r
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification 11 Permittee Certification
ORC: Patrick Moore 11Permittee: Union County Public Works
Certification No.: 986255
Grade: IV Phone Number: 704.843.9482
Has the ORC changed since the previous NDMR? ❑ Yes
A��k ou".
Signature
® No
7-Z3-/Z
Date
ing Official: John Hahn
ning Official's Title: WWTP Superintendent, Union County Public Works
>ne Number: 704.506.0462 Permit Expiration: 9/30/2015
Signature
j,
Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
- Mile Creek• i
1:11----_-------_-_-
m
1:11-----------_----

FORM: NDMR 08-11 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Staff Name: Union County Lab #328
Name: Name: Pace
rl...... ..11 .,,. ..:4...:„.. .1..4.. .....J .. ..1:...... CA44,n L.w.n..4 A ..F ­r. rr.:47 ni..... r,...,..i�.,..�
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
INo Re -use water was dispensed during this report period, therefore no data submitted.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Patrick Moore Permittee: Union County Publ;ic Works
Certification No.: 986255 Signing Official: John Hahn
Grade: IV Phone Number: 704.843.9482 Signing Official's Title: WWTP Superintendent, Union County Public Works
Has the ORC changed since the previous NDMR? ❑ Yes No Phone Number: 704.506.0462 Permit Expiration: 9/30/2015
1�170_6_w - 15-17- 6 /J- _T /-/
Signature Date Signature D e
By this signature, I certify that this report is accurate and complete to the best of my knowledge. I certifiy, under penalty of law, that this document and all attachments were prepared under my directon or supervision in accordance with a
system designed to assure that all qualified personnel properly gathered and evaluated 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 impisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: VVQ0032519
FACILITY NAME: Twelve Mlle Creek WWTP
MONTH: April YEAR:
COUNTY:
Union
• • •. 0 ��
MonitoringParameter ••
..-
Was There Effluent Flow For This Month Generated At This Facility: M
•.
..
Site
) into
System
:•.
irl
r
r
Monthly Limit(s)
Composite (C) Grab (G)
ono©000���
Operator in Responsible Charge (ORC): Patrick Moore Grade:
Check Box if ORC Has Changed: ❑ ORC Certification Number:
Certified Laboratories (1): Union County Lab #328 (2):
Person(s) Collecting Samples: Staff 4—*�%
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
IV Phone: [phone]
986255
Pace
(SIGNATURE OF OPERATOk IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? OY
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No data reported for this report period due to no Re -use water being dispensed.
"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 all qualified personnel properly gathered and
evaluated 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."
_Lzt-1 1�_4
&Ignature o ermittee)* Date/
Union County Public Works
(Permittee-Please print or type)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
John Hahn
(Name of Signing Official -Please print or type)
WWTP Superintendent, Union County Public Works
(Position or Title)
9/30/2015
(Phone Number) (Permit Exp. Date)
704-506-0462
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Availabli
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
1 71900 Mercury
00665 Phosphorus, Total
00530 TSS/1SR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
PERMIT NUMBER
FACILITY NAME
WQ0032520
Crooked Creek WWTP
MONTH: March
COUNTY:
YEAR: 2012
Union
Flow Monitoring Point: Effluent: I] Influent: ❑
Parameter Monitoring Point: Effluent: 0 Influent: ❑ Surface Water (SW):❑
SW Code/Name:
Was There Effluent Flow For This Month Generated At This Facility: Yes: Ll No:
50050
00400
50060
00310
00610
00530
31616
00076
D
A
T
E
Operator
Arrival
Time
2400
Clock
Operator
Time On
site
ORC
on
Site?
Daily Rate
( Flow into
Treatment
System
pH
Residual
Chlorine
BOD-5
20°C
NH3-N
TSS
Fecal Coliform
)Geo--t—
Mean')
Turbidity
I
�, U
,.
HRS
Y/N
GALLONS
UNITS
UG/L
MG/L
MG/L
MG/L
1100ML
NTU
1
0710
8
Y
0
UV
2
0730
8
N
0
3
0725
2
N
0
4
0810
2
N
0
5
0715
8
Y
0
6
0720
8
Y
0
7
0715
8
Y
0
8
0720
8
Y
0
9
0740
8
N
0
10
0855
2
N
0
11
0730
2
N
0
12
0715
8
Y
0
13
0710
8
Y
0
14
0720
8
Y
0
15
0715
8
Y
0
16
0715
8
Y
0
17
1030
2
N
0
18
0900
2
N
0
19
0710
8
Y
0
20
0730
2
N
0
21
0710
8
Y
0
22
0710
8
Y
0
23
0700
8
Y
0
24
0745
2
N
0
25
0715
2
N
0
26
0710
8
Y
0
27
0715
8
Y
0
28
0715
8
Y
0
29
0720
8
Y
0
30
0730
8
Y
0
31
1110
2
N
0
Average
0
Daily Maximum
0
Daily Minimum
0
Monthly Limit(s)
250000
6-9
10
4
5
14
10
Composite (C) / Grab (G)
G
C
C
C
G
G
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed:
Robert Smith Grade: IV Phone: [phone]
ORC Certification Number: 20722—
Certified Laboratories (1): Union County Lab #328 (2): Pace �g 2 6 �ftV
Person(s) Collecting Samples: Staff Information Processing Unit
Mail ORIGINAL and TWO COPIES to:
DWry8OC'
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No data reported for parameters other than flow due to no re -use water being dispensed during this report period.
"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 all qualified personnel properly gathered and
evaluated 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."
( i ature of ermittee)* Date
Union County Public Works
(Permittee-Please print or type)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
John Hahn
(Name of Signing Official -Please print or type)
WWTP Superintendent, Union County Public Works
(Position or Title)
704-506-0462
(Phone Number)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 011-Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Availabl
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00660 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSS/rSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
12/31/2016
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
. If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

PERMIT NUMBER:
FACILITY NAME:
NON DISCHARGE WASTEWATER MONITORING REPORT` )�-0age of
W00032519 MONTH: February �YEAAR: 2012
Twelve Mile Creek WWTP
COUNTY: Union
. •. ��
•. 0SW
Code/Name:
..
•-
D. Rate
into
Treatment
System
milli
i oil
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed: ❑
Patrick Moore Grade:
ORC Certification Number:
IV Phone: [phone]
986255
Certified Laboratories (1): Union County Lab #328 (2): Pace
Person(s) Collecting Samples: Staff
Mail ORIGINAL and TWO COPIES to:
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
u
I
\n9 VVA
DENR FORM NDMR-1 (11/2005)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No data reported due to no re -use water being dispensed from this facility during this report period.
"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 all qualified personnel properly gathered and
evaluated 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."
ignature of Permittee)* Date
Union County Public Works
(Permittee-Please print or type)
500 North Main Street, Ste 500
Monroe. NC 28112-4730
(Permittee Address)
Parameter Codes:
John Hahn
(Name of Signing Official -Please print or type)
WWTP Superintendent, Union County Public Works
(Position or Title)
704-506-0462
(Phone Number)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Availabl
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOG
71900 Mercury
00665 Phosphorus, Total
1 00530 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
1 00076 Turbidity
00340 COD
1 01067 Nickel
00545 Settleable Matter
1 01092 Zinc
9/30/2015
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
PERMIT NUMBER:
FACILITY NAME:
WQ0032519
Twelve Mile Creek WWTP
MONTH: January YEAR
COUNTY:
Union
•-(Flow)
Daily Rate
into
Treatment
System
•
�'
o�000ao����
Operator in Responsible Charge (ORC): Patrick Moore Grade: IV
Check Box if ORC Has Changed: ❑ ORC Certification Number:
Certified Laboratories (1): Union County Lab #328 (2):
Person(s) Collecting Samples: Staff
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Phone: [phone]
986255
Pace
:� R-111-1-k 1�
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
�y �ENR FORM NDMR-1 (11/2005)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No data reported due to no re -use water being dispensed from this facility during this report period.
"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 all qualified personnel properly gathered and
evaluated 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."
-/1-2-/Z
ittee)* Date
Union County of Iic Works
-Please print or type)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
Mark Tye
(Name of Signing Official -Please print or type)
Assistant Director, Union County Public Works
(Position or Title)
704-296-4215 9/30/2015
(Phone Number) (Permit Exp. Date)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Availabl
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

PERMIT NUMBER:
FACILITY NAME:
NON DISCHARGE WASTEWATER MONITORING REPORT
W00032519
Twelve Mile Creek WWTP
MONTH: December
COUNTY
Page of �`)
YEAR: 2011
Union
Flow Monitoring Point: _ Effluent:0_ �■��
Monitoring Point:
�Was There Effluent '
'01
.....
•
Daily
(Flow) into
Treatment
System
Daily Minimum
Monthly
...
o�000ao����
Operator in Responsible Charge (ORC): Patrick Moore Grade: IV Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986255
Certified Laboratories (1): Union County Lab #328 (2): Pace
Person(s) Collecting Samples: Staff ff ' �I E
Mail ORIGINAL and TWO COPIES to: Ci 3
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGL�V L
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCUF oIlT sing Unit
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE ilcr+J-'6yvomOG
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No Re -Use water was dispensed during this report period; therefore no data to report.
"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 all qualified personnel properly gathered and
evaluated 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 inforp atigyi, inclyding the possibility of fines and imprisonment for knowing violations."
nature f Permi )* Date
v �l,Jr*n County Public Works
(Permittee-Please print or type)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
Mark Tye
(Name of Signing Official -Please print or type)
Assistant Director, Union County Public Works
(Position or Title)
12/31/2016
(Phone Number) (Permit Exp. Date)
704-296-4215
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Availabl
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSSrrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DFNR FORM NDMR-1 (11/2005)

VPERMITNUMBER:
FACILITY NAME:
WQ0032519
Twelve Mile Creek WWTP
MONTH: November
COUNTY:
YEAR: 2011
Union
Monitoring • . p Lam/
Parameter . . Point: o ■
... d'111�
Was There Effluent Flow For This Month -Generated At This Facility: No:
i
...
•-
n2ally
System
:..
®we
:
m
� .0
m��■-.-_____-___
m
1 * 8 4
-MM
__
_■--___
•
,,,,
. •
Imo©������
Operator in Responsible Charge (ORC): Patrick Moore Grade: IV Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986255
Certified Laboratories (1): Union County Lab #328 (2): Pace
Person(s) Collecting Samples: Staff
Mail ORIGINAL and TWO COPIES to:1
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
ATTN: Information Processing Unit AND COMPLETF'Tf) THE BF$T QF MY,KNQWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617 DEC 2, 2 2011
DENR FORM NDMR-1 (11/2005)
r '"=Silprl I` rJCb35H iC� t, �' i
�SC-G

Page of _
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
1. Does all monitoring data and sampling frequencies meet permit requirements? compliant (Y,N)
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No Re -Use water was dispensed during this report period; therefore no data was 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 all qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
fal se it r ation, including the possibility of fines and imprisonment for knowing violations."
Date
`—� Uni&p gZunty Public Works
(Permittee-Please print or type)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
01002 Arsenic
Mark Tye
(Name of Signing Official -Please print or type)
Assistant Director Union County Public Works
(Position or Title)
704-296-4215 9/30/2011
(Phone Number) (Permit Exp. Date)
31504 Colif07' Total
00600
Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630
NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620
NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556
Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliforrn
WQ09
PAN (Plant Availabl
00070 Temperature
00940 Chloride
01051 Lead
00400
pH
00625 TKN
50060 Chlorine, Total
00927 Magnesium
32730
Phenols
00680 TOC
Residual
71900 Mercury
00665
Phosphorus, Total
00530 TSSrrSR
01034 Chromium
00610 NH3asN
00937
Potassium
00076 Turbidity
00340 COD
01067 Nickel
1 00545
Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reAorting facility's permit for reporting data
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER:
FACILITY NAME:
W00032519
Twelve Mile Creek WWTP
MONTH: October
Page of�
YEAR: 2011
COUNTY: Union
•.W
Code/Name.
..-..
•-
Daily
(Flow) into
Treatment
System
.09
,•
Daily Maximum
,..,
. •
Imo©������
Operator in Responsible Charge (ORC): Patrick Moore Grade:
Check Box if ORC Has Changed: [.� ORC Certification Number:
Certified Laboratories (1): Union County Lab #328 (2):
Person(s) Collecting Samples: Staff
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
IV Phone: [phone]
986255
Pace
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO Tm�E6?-O[�A�IEffGE.
NOV 2.3�� w2/01111
DENR FORM NDMR-1 (11/2005)
Information Processing Unit
DWQ/BOG

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? OY
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No data due to no re -use water being dispensed during this report period.
"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 all qualified personnel properly gathered and
evaluated 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 in of n, in luding the possibility of fines and imprisonment for knowing violations."
Mark Tye
Wgnafur of Permitte Date (Name of Signing Official -Please print or type)
on County Public Works Assistant Director, Union County Public Works
(Permittee-Please print or type) (Position or Title)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
704-296-4215
(Phone Number)
01002 Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
Sodium
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
SAR
00310
BOD5
01042
Copper
00620
NO3
00745
Sulfide
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
TDS
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Availabl
00010
Temperature
00940
Chloride
01051
Lead
00400
pH
00625
TKN
50060
Chlorine, Total
Residual
00927
Magnesium
32730
Phenols
00680
TOC
71900 Mercury
00665 Phosphorus, Total
00530
TSS/TSR
01034
Chromium
00610
NH3asN
00937
Potassium
00076
Turbidity
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Zinc
9/30/2011
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

PERMIT NUMBER
FACILITY NAME
NON DISCHARGE WASTEWATER MONITORING REPORT
W00032519
Twelve Mile Creek WWTP
MONTH: September YEAR
COUNTY:
Page of
2011
Union
Point:Flow Monitoring
•
.14
..- ..
•'
Daily
(Flow) into
Treatment..
System
. -11IN
DailyMaximum
Monthly
1111
. •
Imo©������
CompositeL
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed:
Patrick Moore Grade: IV Phone: [phone]
ORC Certification Number: 980255 .. ,
Certified Laboratories (1): Union County Lab #328 (2): Pace -._ Lj
Persons) Collecting Samples: c«^cc 7 01
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
i-J
E"forrrtaiion`rucerssu�g Unir
.,-pail � n'�.,,,,_ _
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)"""
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? DY
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No Re -Use water was dispensed during this report period; therefore no lab data.
"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 all qualified personnel properly gathered and
evaluated 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."
Date
\, Union County Public Works
(Permittee-Please print or type)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
Mark Tye
(Name of Signing Official -Please print or type)
Assistant Director, Union County Public Works
(Position or Title)
704-296-4215 9/30/2011
(Phone Number) (Permit Exp. Date)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Suede
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Availabl
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

PERMIT NUMBER:
FACILITY NAME:
NUN UlbUHAKIJit WA, I tWA 1 tK MUNI 1 UKINU KtFUK I
WQ0032519
Twelve Mile Creek WWTP
MONTH: August YEAR:
UNTY:
r-dye ui
1n44
Union
MonitoringFlow Point:
• . •.
•''
Was There Effluent Flow For This Month Generated At This Facility: 0�
•-
Daily Rate
.
Treatment-
System
:•.
INN
/, 11
. •
Imo©������
...
Operator in Responsible Charge (ORC): Patrick Moore Grade:
Check Box if ORC Has Changed: ❑ ORC Certification Number:
Certified Laboratories (1): Union County Lab #328 (2):
Person(s) Collecting Samples: Staff
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
IV Phone: [phone]
986255
Pace
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
_A
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No re -use water was dispensed from this facility during this report period. Therefore, no lab data was available.
"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 all qualified personnel properly gathered and
evaluated 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."
/ U/ L � /�,_ / � / I Mark Tye
(Sign ure of Pe e)* Date (Name of Signing Official -Please print or type)
Union booty Public Works
(Permittee-Please print or type)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
Assistant Director, Union County Public Works
(Position or Title)
704-296-4215
(Phone Number)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Availabl
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSSrTSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
9/30/2011
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
PERMIT NUMBER:
FACILITY NAME:
VVQ0032519
Twelve Mile Creek WWTP
MONTH: iuiy YEAR: 2011
COUNTY: Union
Point:lFlow Monitoring
Parameter Monitoring Point: Effluent: El infiuent: Surface Water (SW): L]'SW
Code/Name:
Was There Effluent Flow For This Month Generated At This Facility: -yes: ��0)
--
•
•.
�.(Flow)
Daily
into
Treatment
System
:1•
1
t I
2_aulyrvlaxtru�m��=�Mmm����
��
,111
. •
Imo©�������
o�00000���
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed: ❑
Patrick Moore Grade: IV Phone: [phone]
ORC Certification Number: 986255
Certified Laboratories (1): Union County Lab #328 (2): Pace
Person(s) Collecting Samples: Staff
J
Mail ORIGINAL and TWO COPIES to:
DENR n ERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality � [ G E, I CERTIFY THAT THIS REPORT IS ACCURATE
ATTN: Information Processing Unit AU l7CAMN�NTE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center 17 TNT �J
RALEIGH, NC 27699-1617 Information Processing Ur,:
DWQ/BOG DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No "Re -Use" water was dispensed during this report period, thus no parameter data 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 all qualified personnel properly gathered and
evaluated 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 iPform4tion, inpluding the possibility of fines and imprisonment for knowing violations."
ign6tui(ii5 of
e--z z- / 1
Date
�, ion_Gounty Public Works
(Permittee-Please print or type)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
Mark Tye
(Name of Signing Official -Please print or type)
Assistant Director, Union County Public Works
(Position or Title)
704-296-4215 9/30/2011
(Phone Number) (Permit Exp. Date)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 SulFlde
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (PlantAvailabl
00010 Tem rratur:
00940 Chloride
01051 Lead
00400 pl-I
00625 TKN
50050 Chlorine, Total
Residual
00927 Magnesium
32730 Phcnols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSSITSR
01034 Chromium
00610 NH3asN
00937 Potassium
n0076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC; mean. Use only the units designated in the
reporting facility's permit for reporting data.
" if signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2E3.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

PERMIT NUMBER:
FACILITY NAME:
NON DISCHARGE WASTEWATER MONITORING REPORT Page \ of _
W00032519 MONTH: June YEAR: 20V 1
Twelve Mile Creek WWTP COUNTY: Union
11 1
11.11
11.1
11 1
11. 1
11 1
®'
111I.
••
• 1 1
•
•(Flow)
•TreatmentResidual
Daily Rate
into
System
Chlo me1'
ti
_
Operator in Responsible Charge (ORC),
Check Box if ORC Has Changed
Certified Laboratories (1)
Person(s) Collecting Samples
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Patrick Moore Grade: IV Phone: [phone]
ORC Certification Number: 986255
Union Cou
Staff
Lab #328 (2): Pace fREC F 1yF n
(SIGNATURE OF OPERATOR IN RES PONS] Bl-t'dHAW QQr�cc`essing Unit
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT CCLR AITE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1..Doeess all monitoring data and sampling frequencies meet permit requirements?
a DY
If faci� yy i�s�non-compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No "Re -Use" water was dispensed during this report period; therefore no data.
"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 all qualified personnel properly gathered and
evaluated 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 informs ' n, i luding the possibility of fines and imprisonment for knowing violations."
— 7-1 Mark Tye
( gn u mittee)* Date (Name of Signing Official -Please print or type)
:er
n County Public Works Assistant Director, Union County Public Works
(Permittee-Please print or type) (Position or Title)
500 North Main Street, Ste 500 704-296-4215
(Phone Number)
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Availabli
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
9/30/2011
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: _ WQ0032519 MONTH: May YEAeN�11
FACILITY NAME: Twelve Mlle Creek WWTP COUNTY: Union
•. ■ ■
...
•-i
01,
(Flow) into
Treatment
System
Residual:�.
Chl--
M
AIM
AIM
-�_-_-_
-___
AIM
MM
/:11
MM
AIMMMM
AIM
ME
M=
AIM
0
MOM
AIM
MMOM
m
1:11
m©
=M
MOM
AIM
_-_�
_--___-MWMM
MOMM
AIM
Em
m
1:11
_--_-_-___
m
1:11
�ii-___-_-___
-
___-___
=MM
MMI
MM
HiW".
ono
oao
111MIMM
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed: ❑
Certified Laboratories (1): Union Cou
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Patrick Moore Grade: IV Phone: [phone]
ORC Certification Number: 986255
Staff
Lab #328 (2):
Pace
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (1112005)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? OY
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No data for this report period due to no re -use water being dispensed.
"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 all qualified personnel properly gathered and
evaluated 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 inform ion, ' ludin the possibility of fines and imprisonment for knowing violations."
`� —Z✓ Mark Tye
(Si atur o 7ionCounty
ttee)* Date (Name of Signing Official -Please print or type)
UPublic Works Assistant Director, Union County Public Works
(Penn ittee-Please print or type) (Position or Title)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
704-296-4215
(Phone Number)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Availabl
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
9/30/2011
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

PERMIT NUMBER:
FACILITY NAME:
NON DISCHARGE WASTEWATER MONITORING REPORT �PaAgeTfr—ot
W00032519 MONTH: April YEA : f `2011!
Twelve Mile Creek WWTP COUNTY: Union
•. 0 ■ ■
••
..-
•-
Daily Rate
(Flow) into
Treatment
System
:..
Operator in Responsible Charge (ORC): Patrick Moore Grade: IV Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986" R
`
Certified Laboratories (1): Union County Lab #328 (2): Pace -C�`
Person(s) Collecting Samples: Staff `j�for MAY 2 4
Mail ORIGINAL and TWO COPIES to: RECE1mat!On roces
P
DENR DIVISION OF WA (SI NATURE OF OPERATORIN RESPONSIBLE CHAR B0CSIn9 Unir
Division of Water Quality BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
ATTN: Information Processing Unit MAY 3 !AND IS
TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
Olg
RALEIGH, NC 27699-1617 SWP S I
MOORESViLLE REGIONAL OFFICE
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No Re -Use water was dispensed during this report period from this facility. Therefore no parameter data was
applicable.
"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 all qualified personnel properly gathered and
evaluated 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 intprm4ion, including the possibility of fines and imprisonment for knowing violations."
Of
'Union County Public Works
(Permittee-Please print or type)
500 North Main Street, Ste 500
Monroe. NC 28112-4730
(Permittee Address)
Parameter Codes:
Mark Tye
(Name of Signing Official -Please print or type)
Assistant Director, Union County Public Works
(Position or Title)
704-296-4215
(Phone Number)
01002
Arsenic
31504
Coliform, Total
00600
Nitrogen, Total
00929
Sodium
01022
Boron
00094
Conductivity
00630
NO2&NO3
00931
SAR
00310
BOD5
01042
Copper
00620
NO3
00745
Sulfide
01027
Cadmium
00300
Dissolved Oxygen
00556
Oil -Grease
70295
TDS
00916
Calcium
31616
Fecal Coliform
WQ09
PAN (Plant Availabli
00010
Temperature
00940
Chloride
01051
Lead
00400
pH
00625
TKN
50060
Chlorine, Total
Residual
00927
Magnesium
32730
Phenols
00680
TOC
71900 Mercury
00665 Phosphorus, Total
00530
TSS/TSR
01034 Chromium
00610
NH3asN
00937
Potassium
00076
Turbidity
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Zinc
9/30/2011
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
PERMIT NUMBER:
FACILITY NAME:
WQ0032519
Twelve Mile Creek WWTP
MONTH: March
YEAR: 2011
COUNTY: Union
•. ■ ■ ------------------------
•. ■ ■�SW
Code/Name:
■ 0
•
-
•(Flow)
Daily
into
Treatment-
System
:••
.1.1
. •
Imo©������
... _
Operator in Responsible Charge (ORC): Patrick Moore Grade: IV Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 986255
� RECEIVED
Certified Laboratories (1): Union County Lab #328 (2): PaCd✓!SIGN RE EIV QUALITY
Pelson(s) Collecting Samples: Staff'
MAY - 9 2011
Mail ORIGINAL and TWO COPIES to: " f Oy
DENR ATURE OF OPERATOR IN RESPONSIBLE CHARGE) "^,I
Division of Water Quality BY THIS $IGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE: 'L OFFICE
ATTN: Information Processing Unit nformation'ioc dj Mj 61IPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center �?WC`JBCYC'
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? OY
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No data available for this report period due to no Re -Use water being dispensed.
"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 all qualified personnel properly gathered and
evaluated 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 ' fo a I ding the possibility of fines and imprisonment for knowing violations."
Mark Tye
(Si ' n ure of Perm
Date (Name of Signing Official -Please print or type)
ionPublic Works Assistant Director, Union County Public Works
(Permittee-Please print or type) (Position or Title)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
704-296-4215
(Phone Number)
01002 Arsenic
31504 Coliforrn, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Colifonn
WQ09 PAN (Plant Availabli
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
9/30/2011
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per I SA NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: _
FACILITY NAME:
W00032519
Twelve Mile Creek WWTP
MONTH: February YEAR:1 2011
COUNTY: Union
•. ■ ■
..-
.• o
.
.-
Na.
i (Flow) into
_..
R�aily maximum
CompositeSystem
o�000ao����
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed: ❑
Certified Laboratories (1): Union Co
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Patrick Moore Grade:
ORC Certification Number:
unty Lab #328 (2):
Staff
IV Phone: [phone]
986255
Pace
f�P 2 5 2n,.
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) - - "
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No parameter data was analyzed during this report period due to no Re -Use water being dispensed.
"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 all qualified personnel properly gathered and
evaluated 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."
Mark Tye
Date (Name of Signing Official -Please print or type)
l`l�ounty Public Works Assistant Director, Union County Public Works
(Permittee-Please print or type) (Position or Title)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
704-296-4215
(Phone Number)
01002 Arsenic
31504 Col'rfonn, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Suede
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliforrn
W009 PAN (Plant Availabli
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSSlTSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
9/30/2011
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A N CAC 213.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER: W00032519 MONTH
FACILITY NAME: Twelve Mile Creek WWTP
January YEAR:
COUNTY:
Page of
2011
Union
Flow Monitoring •. ■ Influent. -M-1
Parameter Monitoring Point: Effluent: [_-] Influent: D Surface Water (SW):
SW Code/Name.-
Was There Effluent Flow For This Month .. D o
•
.....
• -(Flow)
Daily
into
Treatment
System
mom
mom
moo��MMMM
��������
mmm
mmmm
m
,:,,
moo■������������
m
,:,,
me■a=MM���������
,,,,
. •
Imo©������
.... ..
o�00000����
Operator in Responsible Charge (ORC): Patrick Moore Grade
Check Box if ORC Has Changed: ❑ ORC Certification Number
Certified Laboratories (1): Union County Lab #328 (2):
Person(s) Collecting Samples: Staff
Mail ORIGINAL and TWO COPIES to:
DENR 0 F
Division of Water Quality "' ` '"" v6,
ATTN: Information Processing Unit FER 2 4 2 01 fND 1
1617 Mail Service Center
RALEIGH, INC 27699-1617 information Processing Unit
,)WO18OG
IV Phone: [phone]
986255
Pace
V j&o-ze ;C -/Z 20
RATOR IN RESPONSIBLE CHARGE)
I
E iF-�I^I�C RT IS ACCURATE
I�wO1�ilE.
F E 8 2 8 2011
Low
-DENRF MNDMR-1(11/2005) AQU f �� fS +O ,_ �e

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No Re-claimed water dispensed during this report period; thus no parameter data.
"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 all qualified personnel properly gathered and
evaluated 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 infoncnatjon, inc)uding the possibility of fines and imprisonment for knowing violations."
of PermitteelK Date
Upon Canty Public Works
(Perm ittee-Please print or type)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
�_ /I/ Mark Tye
(Name of Signing Official -Please print or type)
Parameter Codes:
Assistant Director, Union County Public Works
(Position or Title)
704-296-4215
(Phone Number)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Availabl
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSSfrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
9/30/2011
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
PERMIT NUMBER:
FACILITY NAME:
W00032519
Twelve Mile Creek WWTP
MONTH
December YEAR: 2010
COUNTY: Union
Flow Monitoring •. ■Influe■
• . ■ ■ ■
-�
■ p
.....
•-
Daily(Flow) into
Treatment-
System
:..
o
,:,,
moo■������������■
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed:
Patrick Moore Grade:
ORC Certification Number:
Certified Laboratories (1): Union County Lab #328 (2):
Person(s) Collecting Samples: Staff
r
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
IV Phone: [phone]
986255
Pace
(SIGNATURE OF OPERATOFtIN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
j� DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No Re -use water was dispensed during this report period, therefore there were no lab analysis performed.
"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 all qualified personnel properly gathered and
evaluated 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 infor tion, i cluding the possibility of fines and imprisonment for knowing violations."
112 Mark Tye
ignat Oermitt ate (Name of Signing Official -Please print or type)
Union County Public Works Assistant Director, Union County Public Works
(Permittee-Please print or type) (Position or Title)
500 North Main Street, Ste 500
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
704-296-4215
(Phone Number)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Availabli
00010 Temperature.
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TssrrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
9/30/2011
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reportinq facility's permit for reporting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER
FACILITY NAME
W00032519
Twelve Mile Creek WWTP
MONTH: November YEAR: 2010
COUNTY: Union
•. ■-------------
in. Iffm. MEEMPSMIM WaIIIIIIIII••
..- ..
•
Daily Rate
(Flow) into
System
-
:..
©
,:,,
mom■������������
m
,:,,
mom■������������
Operator in Responsible Charge (ORC): Patrick Moore Grade:
Check Box if ORC Has Changed: ❑ ORC Certification Number:
Certified Laboratories (1): Union County Lab #328 (2):
Person(s) Collecting Samples: Staff
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
IV Phone: [phone]
986255
Pace
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)
•11'�---):�-

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? E
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No Laboratory analses were conducted during this report period due to no "Re -Use" was being dispensed during
this report period.
"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 all qualified personnel properly gathered and
evaluated 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 infor ion, incl ing the possibilityoffines and imprisonment for knowing violations."
L �G �S Mark Tye
(S' nat a %Unio�r
mitte Date (Name of Signing Official -Please print or type)
County Public Works Assistant Director, Union County Public Works
(Permittee-Please print or type) (Position or Title)
500 North Main Street, Ste 500 704-296-4215
(Phone Number)
Monroe. NC 28112-4730
(Permittee Address)
Parameter Codes:
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Baron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Availabli
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSSIrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
9/30/2011
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
' If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
PERMIT NUMBER:
FACILITY NAME:
W00032519
Twelve Mile Creek WWTP
MONTH: October
COUNTY:
YEAR: 2010
Union
rr r
rr.rr
rr.r
rr r
rr. r
rr r
�
rrr
----
'
'
•. ..
•'
Daily
Flow) into
Treatment
System
r
Maly
,,...
•
Imo©������
.... ..
o��■0000����
Operator in Responsible Charge (ORC): Patrick Moore Grade:
Check Box if ORC Has Changed: ❑ ORC Certification Number:
Certified Laboratories (1): Union County Lab #328 (2):
Person(s) Collecting Samples: Staff
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
IV Phone: [phone]
986255
Pace
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
No laboratory analyses were conducted during this report period due to no "Re -Use" was being dispensed during
this report period.
"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 all qualified personnel properly gathered and
evaluated 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
knowled and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false i or a ' n, including the possibility of fines and imprisonment for knowing violations."
Mark Tye
Sig t e of Per )* Date (Name of Signing Official -Please print or type)
ion County Public Works Assistant Director, Union County Public Works
(Permittee-Please print or type) (Position or Title)
500 North Main Street, Ste 500 704-296-4215
(Phone Number)
Monroe, NC 28112-4730
(Permittee Address)
Parameter Codes:
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Availabli
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSSfrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
1 00545 Settleable Matter
01092 Zinc
9/30/2011
(Permit Exp. Date)
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the
reporting facility's permit for reporting data.
*If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

PERMIT NUM4I
FACILITY NAME:
1911["32519
Twelve Mile Creek WWTP
MONTH: September ,IYEAR: 2010
CLASS: IV COUNTY. Union
slip
(Flow)
nto
Ilia
NONE
AVERAGE
MAXIMUM
101101101111110
OPERATOR IN RESPONSIBLE CHARGE (ORC) Patrick Moore GRADE
CHECK BOX IF ORC HAS CHANGED 11
CERTIFIED LABORATORIES (1) Union County Labs #575 (2)
PERSON(S) COLLECTING SAMPLES Staff
Mail ORIGINAL and TWO COPIES to:
ATTN: DWQ
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27626-0535
NllMR-I (7/9A)
IV PHONE: [phone]
Pace labs # 530 & # 40
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT 1S ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
I / j /'0
DATE

FACILITY STATUS:
Please check one of the following:
1. All monitoring data and sampling frequencies meet permit requirements. ® compliant
1. All monitoring data and sampling frequencies do NOT meet permit requirements. ❑ non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
No "Re -use" waster was distributed during this report period; therefore no lab data was available for report.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction of 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."
Mark Tve
UNION COUNTY PUBLIC WORKS (Permittee - Please p int or type)
500 NORTH MAIN STREET STE 500
MONROE, NC 28112-4730 _v71
( gna r of Permittee)** (Date)
Required)
704 296-4215 12/31 /2012
(Permittee Address) (Phone Number) (Permit Exp. Date)
PARAMETER CODES
01002 Arsenic
31504 Coliform, Total
01067 Nickel
00929 Sodium
01022 Boron
00094 Conductivity
00600 Nitrogen, Total
00931 SAR
00310 BOD5
01042 Copper
00630 NO2&NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00620 NO3
00515 TDS
00916 Calcium
31616 Fecal Coliform
00556 Oil -Grease
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
00927 Magnesium
32730 Phenols
00680 TOC
Residual
01034 Chromium
71900 Mercury
00665 Phosphorus,Total
00530 TSS
00340 COD
00610 NH3 as N
00937 Potassium
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], ext. 536.
The Monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only designated in the reportingfacility's acility's permit
for reporting data.
**If signed by other than the permittee, delegation of signatory authority must be on rile with the state per 15A NCAC 213.0506 (b)(2)(D).

NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER WQ0032519
FACILITY NAME: Twelve Mile Creek WWTP
MONTH: t l Ste% YEAR:�0
CLASS: IV COUNTY: Union
rr .Sampled
into
at the point prior to i�igation
NOR
OPERATOR IN RESPONSIBLE CHARGE (ORC) Patrick Moore GRADE
CHECK BOX IF ORC HAS CHANGED
CERTIFIED LABORATORIES (1) Union County Labs #575 (2)
PERSON(S) COLLECTING SAMPLES Staff
Mail ORIGINAL and TWO COPIES to:
ATTN: DWQ
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27626-0535
NDMR-1 (7/94)
IV PHONE: [phone]
Pace labs # 530 & # 40
x
(SIGNATURE OF OP TOR IN RESPONSIBLE CHARGE) Dn I F:
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

FACILITY STATUS:
Please check one of the following:
1. All monitoring data and sampling frequencies meet permit requirements. ® compliant
1. All monitoring data and sampling frequencies do NOT meet permit requirements. ❑ non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
No "Re -use" waster was distributed during this report period; therefore no lab data was available for report.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction of 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."
Edward Goscicki
UNION COUNTY PUBLIC WORKS (Permittee- Pleaseprintortype)
500 NORTH MAIN STREET STE 500 /' O
MONROE, NC 28112-4730
(Signature ofPermitt ** (Date)
(Required)
704 296-4212 12/31 /2012
(PermitteeAddress) (Phone Number) (Permit Exp. Date)
PARAMETER CODES
01002 Arsenic
31504 Coliform, Total
01067 Nickel
00929 Sodium
01022 Boron
00094 Conductivity
00600 Nitrogen, Total
00931 SAR
00310 BODS
01042 Copper
00630 NO2&NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00620 NO3
00515 TDS
00916 Calcium
31616 Fecal Coliform
00556 Oil -Grease
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
00927 Magnesium
32730 Phenols
00680 TOC
Residual
01034 Chromium
71900 Mercury
00665 Phosphorus,Total
00530 TSS
00340 COD
00610 NH3 as N
00937 Potassium
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], ext. 536.
The Monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only designated in the reportingfacilitVs permit
for reporting data
**If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).

NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER W00032519
FACILITY NAME: Twelve Mile Creek WWTP
MONTH: JU
CLASS: IV
YEAR:
COUNTY: Union
2010
..
•
into
Sampled at the point priorto irrigation
:•�so
..
n
OPERATOR IN RESPONSIBLE CHARGE (ORC) Patrick Moore GRADE
CHECK BOX IF ORC HAS CHANGED
CERTIFIED LABORATORIES (1) Union County Labs #575 (2)
PERSON(S) COLLECTING SAMPLES Staff
Mail ORIGINAL and TWO COPIES to.
ATTN: DWQ
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27626-0535
NDMR-1 (7/94)
IV PHONE: [phone]
Pace labs # 530 & # 40
X 1 u.��ui f%� sic Q e"-1 3 —Z
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
BY TII IS SIGNATURE, I CERTIFY THAT TR IS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

FACILITY STATUS:
Please check one of the following:
1. All monitoring data and sampling frequencies meet permit requirements. ® compliant
1. All monitoring data and sampling frequencies do NOT meet permit requirements. D non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
No "Re -use" waster was distributed during this report period; therefore no lab data was available for report.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction of 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."
Edward Goscicki
UNION COUNTY PUBLIC WORKS (Permittee
500 NORTH MAIN STREET STE 500
MONROE, NC 28112-4730
(Permittee Address)
(Sigk*ture of Permitoe)** (Date)
(Required)
704 296-4212 12/31 /2012
(Phone Number) (Permit Exp. Date)
PARAMETER CODES
01002 Arsenic
31504 Coliform, Total
01067 Nickel
00929 Sodium
01022 Boron
00094 Conductivity
00600 Nitrogen, Total
00931 SAR
00310 BOD5
01042 Copper
00630 NO2&NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00620 NO3
00515 TDS
00916 Calcium
31616 Fecal Coliform
00556 Oil -Grease
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
00927 Magnesium
32730 Phenols
00680 TOC
Residual
01034 Chromium
71900 Mercury
00665 Phosphorus,Total
00530 TSS
00340 COD
00610 NH3 as N
00937 Potassium
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], ext. 536.
The Monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only designated in the reporting facility's permit
for reporting data.
**If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).

NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER W00032519
FACILITY NAME: Twelve Mile Creek WWTP
MONTH: June
CLASS: IV COUNTY
YEAR: 2010
Union
lime •
Site
-
:
MEN
Ewe
Effs
MIS
Ewe
M19
MINMIN
���i1C11�F�1111�
®
:
FINEMIN
���1%L�G���lllil�
EWS
Me
FINE
"11NEWROJIM
FINE
®EMIMMINE
OPERATOR IN RESPONSIBLE CHARGE (ORC) Patrick Moore GRADE IV PHONE: [phone]
CHECK BOX IF ORC HAS CHANGED
CERTIFIED LABORATORIES (1) Union County Labs #575 (2) Pace labs # 530 & # 40
PERSON(S) COLLECTING SAMPLES Staff
Mail ORIGINAL and TWO COPIES to:
ATTN: DWQ x
INFORMATION PROCESSING UNIT (SIGNATURE OF OPERATOR IN PESPONSIBLE CHARGE)
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFYTHAT THIS REPORT IS ACCURATE
RALEIGH, NC 27626-0535 AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
NI)MR-1 I7 94 i
zolD
DA I

FACILITY STATUS:
Please check one of the following:
1. All monitoring data and sampling frequencies meet permit requirements. ® compliant
1. All monitoring data and sampling frequencies do NOT meet permit requirements. non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
No "Re -use" waster was distributed during this report period-, therefore no lab data was available for report.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction of 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."
UNION COUNTY PUBLIC WORKS
500 NORTH MAIN STREET STE 500
MONROE, NC 28112-4730
(Permittee Address)
Edward Goscicki
(Signature of
(Required)
704 296-4212 12/31 /2012
(Phone Number)
PARAMETER CODES
(Permit Exp. Date)
01002 Arsenic
31504 Coliform, Total
01067 Nickel
00929 Sodium
01022 Boron
00094 Conductivity
00600 Nitrogen, Total
00931 SAR
00310 -BODS
01042 Copper
00630 NO2&NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00620 NO3
00515 TDS
00916 Calcium
31616 Fecal Coliform
00556 Oil -Grease
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKCN
50060 Chlorine, Total
00927 Magnesium
32730 Phenols
00680 TOC
Residual
01034 Chromium
71900 Mercury
00665 Phosphorus,Total
00530 TSS
00340 COD
00610 NH3 as N
00937 Potassium
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], ext. 536.
The Monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only designated in the reportingfacility's acility's permit
for reporting data.
**If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).

NON DISCHARGE WASTEWATER MONITORING REPORT �j o
PERMIT NUMBER W00032519 MONTH: May
FACILITY NAME: Twelve Mile Creek WWTP CLASS: IV COUNTY:
YEAR: 2010
Union
.,
Operator
Site
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•
•
int'
_
point.
20"C
.. ..
son
mm�®m
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INE
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MEN
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OPERATOR IN RESPONSIBLE CHARGE (ORC) Patrick Moore GRADE
CHECK BOX IF ORC HAS CHANGED
CERTIFIED LABORATORIES (1) Union County Labs #575 (2)
PERSON(S) COLLECTING SAMPLES Staff
Mail ORIGINAL and TWO COPIES to:
ATTN: DWQ
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27626-0535
IV PHONE: [phone]
Pace labs # 530 & # 40
x Pjj-y)�-�1-/6
(SIGNATURE OF O E TOR IN RESPONSIBLE CHARGE) DATE
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
NDMR-1 (7/94)

FACILITY STATUS:
Please check one of the following:
1. All monitoring data and sampling frequencies meet permit requirements. ® compliant
1. All monitoring data and sampling frequencies do NOT meet permit requirements. D non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
No data due to no Re -Use water was distributed during this report period.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction of 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 frtes and imprisonment for
knowing violations."
UNION COUNTY PUBLIC WORKS
500 NORTH MAIN STREET STE 500
MONROE, NC 28112-4730
(Permittee Address)
Edward Goscicki
(Required)
704 296-4212 12/31 /2012
(Phone Number)
PARAMETER CODES
(Permit Exp. Date)
01002 Arsenic
31504 Coliform, Total
01067
Nickel
00929
Sodium
01022
Boron
00094 Conductivity
00600
Nitrogen, Total
00931
SAR
00310
BODS
01042 Copper
00630
NO2&NO3
00745
Sulfide
01027
Cadmium
00300 Dissolved Oxygen
00620
NO3
00515
TDS
00916
Calcium
31616 Fecal Coliform
00556
Oil -Grease
00010
Temperature
00940
Chloride
01051 Lead
00400
pH
00625
TKN
50060
Chlorine, Total
00927 Magnesium
32730
Phenols
00680
TOC
Residual
01034
Chromium
71900 Mercury
00665
Phosphorus,Total
00530
TSS
00340
COD
00610 NH3 as N
00937
Potassium
01092
Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], ext. 536.
The Monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only designated in the reporting facility's permit
for reporting data.
**If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).

NUN UIbL NAKljt VVAJ I CVVA 1 tK nnUNI I UKINU Kr-rUK I
PERMIT NUMBER
FACILITY NAME:
W00032519
Twelve Mile Creek WWTP
MONTH: April YEAR
CLASS: IV COUNTY: Union
2010
operator
ljffl� M-
(Flow)
intoson
Sampled at the point prior to irrigation
Sampled at the point prior to irrigation
NE...
MEN
®
1:11
11
1 /11
_-.■rw1,1.�,■�F�J•1�\/�FJ.___-__-
�O11
®
1:11
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/ /11
����N1111��'�1
.� ;�
IIV1�����
®®��®�����,111�1L
11
--__----_-
11
®--_-------
©�®off®®®�®®
OPERATOR IN RESPONSIBLE CHARGE (ORC) Patrick Moore GRADE IV PHONE: [phone]
CHECK BOX IF ORC HAS CHANGED
CERTIFIED LABORATORIES (1) Union County Labs #575 (2) Pace labs # 530 & # 40
PERSON(S) COLLECTING SAMPLES Staff
Mail ORIGINAL and TWO COPIES to: x
ATTN: DWQ x /
INFORMATION PROCESSING UNIT (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
RALEIGH, NC 27626-0535 AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
NDMR-1 (7/94) RECEIVE®
,W 2 5 2010
Procssing Unit
DWQ/BOG

FACILITY STATUS:
Please check one of the following:
1. All monitoring data and sampling frequencies meet permit requirements. ® compliant
1. All monitoring data and sampling frequencies do NOT meet permit requirements. 11 non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
No data due to no Re -Use water was distributed during this report period.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction of 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."
Edward Goscicki
UNION COUNTY PUBLIC WORKS (Permittee
500 NORTH MAIN STREET STE 500
MONROE, NC 281124730
(Signature of Permitt** (Date)
(Required)
704 296-4212 12/31 /2012
(Permittee Address) (Phone Number) (Permit Exp. Date)
i '-4AitA4TER CODES
01002 Arsenic
31504 C41iform, Total
01067 Niokel
00929 Sodium
4
01022 Boron
00094 Conductivity
00600 Nitrogen, Total
00931 SAR
00310 BODS
01042 Copper
00630 NO2&NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00620 NO3
00515 TDS
00916 Calcium
31616 Fecal Coliform
00556 Oil -Grease
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
00927 Magnesium
32730 Phenols
00680 TOC
Residual
01034 Chromium
71900 Mercury
00665 Phosphorus,Total
00530 TSS
00340 COD
00610 NH3 as N
00937 Potassium
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], ext. 536.
The Monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only designated in the reportingfacility's permit
for reporting data
**If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).

NUN UIbUNAKUr_ WAJ I tVVA 1 tK MUNI I UKINI7 Kt=I`UK I
PERMIT NUMBER W00032519 MONTH: March
FACILITY NAME: Twelve Mile Creek WWTP CLASS: IV
0) YEAR: 2010
COUNTY: Union
Operator
Operator
Time
Osite
••
(Flow)
into
Sampled at the point prior to irrigation
Sampied at the point prior -to irrigation
,
• ..
11�lUJl��
MMWI
isms
OPERATOR IN RESPONSIBLE CHARGE (ORC) Patrick Moore GRADE IV PHONE: [phone]
CHECK BOX IF ORC HAS CHANGED
CERTIFIED LABORATORIES (1) Union County Labs #575 (2) Pace labs # 530 & # 40
PERSON(S) COLLECTING SAMPLES Staff
Mail ORIGINAL and TWO COPIES to:
ATTN: DWQ x l
INFORMATION PROCESSING UNIT (SIGNATURE OF OPERATOR RESPONSIBLE CHARGE)
1617 MAIL SERVICE CENTER �/�//���� BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE
RALEIGH, NC 27626-0535 3 AND COMPLETE TO THE BEST OF MY KNOW rr � e' I V F
V'
NDMR-i (7/94) APR 2 6 ? 0
`1-N--1 a
DATE
Information Pr••..: asing Unit
DW ;G

FACILITY STATUS:
Please check one of the following:
1. All monitoring data and sampling frequencies meet permit requirements. ® compliant
1. All monitoring data and sampling frequencies do NOT meet permit requirements.El non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
No data due to no Re -Use water was distributed during this report period.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction of 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."
Edward Goscicki
UNION COUNTY PUBLIC WORKS (Permittee-P
500 NORTH MAIN STREET STE 500
MONROE, NC 28112-4730
(Signature of f0mittee)**
(Required)
704 296-4212 12/31/2012
(Permittee Address) (Phone Number) (Permit Exp. Date)
PARAMETER CODES
01002 Arsenic
31504 Coliform, Total
01067 Nickel
00929 Sodium
01022 Boron
00094 Conductivity
00600 Nitrogen, Total
00931 SAR
00310 BODS
01042 Copper
00630 NO2&NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00620 NO3
00515 TDS
00916 Calcium
31616 Fecal Coliform
00556 Oil -Grease
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
00927 Magnesium
32730 Phenols
00680 TOC
Residual
01034 Chromium
71900 Mercury
00665 Phosphorus,Total
00530 TSS
00340 COD
00610 NH3 as N
00937 Potassium
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], ext. 536.
The Monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. -Use only esivated in the reportingfacilit 'ss permit
for reporting data.
**1f signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).

NUN DISC:HAKUL WASTEWATER MONITORING REPORT
PERMIT NUMBER
FACILITY NAME:
W00032519
Twelve Mile Creek WWTP
MONTH: February _ , YEAR: 2010
CLASS: IV COUNTY: Union
Operator
jgal
�.Sampled
(Flow)
into
at the point prior to irrigation
�.
OEM
a
ERM
NEST
OPERATOR IN RESPONSIBLE CHARGE (ORC) Patrick Moore GRADE
CHECK BOX IF ORC HAS CHANGED
CERTIFIED LABORATORIES (1) Union County Labs #575 (2)
PERSON(S) COLLECTING SAMPLES Staff
Mail ORIGINAL and TWO COPIES to:
ATTN: DWQ
INFORMATION PROCESSING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27626-0535
NDMR-1 (7/94)
IV PHONE: [phone]
Pace labs # 530 & # 40
x ! � � � 'L.� J? � -%
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

FACILITY STATUS:
Please check one of the following:
1. All monitoring data and sampling frequencies meet permit requirements. ® compliant
1. All monitoring data and sampling frequencies do NOT meet permit requirements. ❑ non -compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the noncompliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
No lab data entered due to no re -use water being dispensed during this report period.
"I certi , under penalty of law, that thif document and all attachments were prepared under my direction of supervision in
accord ce Atith a system designed to assure that qualified personnel properly gather and evaluate the information submitted.
Based In 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."
Edward Goscicki
UNION COUNTY PUBLIC WORKS (Permittee -Ple ri r pe)
500 NORTH MAIN STREET STE 500
MONROE, NC 28112-4730 Q 2
(Signature of Permitt* (Date)
(Required)
704 296-4212 12/31 /2012
(Permittee Address) (Phone Number) (Permit Exp. Date)
PARAMETER CODES
01002 Arsenic
31504 Coliform, Total
01067 Nickel
00929 Sodium
01022 Boron
00094 Conductivity
00600 Nitrogen, Total
00931 SAR
00310 BOD5
01042 Copper
00630 NO2&NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
00620 NO3
00515 TDS
00916 Calcium
31616 Fecal Coliform
00556 Oil -Grease
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
00927 Magnesium
32730 Phenols
00680 TOC
Residual
01034 Chromium
71900 Mercury
00665 Phosphorus,Total
00530 TSS
00340 COD
00610 NH3 as N
00937 Potassium
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], ext. 536.
The Monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only designated in the reyortin fg acilitv's permit
for reporting data.
**If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).