NCG020274_DMR_20220203

14I3 .I a M22
CErdTRAL FILE5
Phone Number: st-C (_J v z P, k 67 G 73 sdR1 no. of outfalls monitored
Certified Laboratory___- T e v I I -e Lab If
Lab #
Wastewater (WW) Discharge Outfall No. P01 1t5
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Does this outfall discharge WW to SA waters?
Does this outfall discharge WW to SB or PNA waters?
Does this outfall discharge WW to HOW or ORW waters?
If so, what is the 7010 flow rate?
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NC 020000
Calendar Year Z.02-
*Report ALL WASTEWATER monitoring data on this form (include "No FloWY"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name:
County: _
Yes ❑
No ❑
Yes ❑
No ❑
Yes ❑
No ❑
Yes ❑
No ❑
or Tidally influenced waters, 7010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year? Yes ❑ No ❑
Outfall No.
Pm a 5
Effluent
Limitations
Mo. Ave / Daily Mac
Date Sample
Collected,
mo/dd/ r
0 zozl
Daily Flow
Rate, cfs
HOW or ORW
50%of
7010
Indicate NO FLOW
Napplimble
uu
pH,
SU
freshwater
6.0-9.0
ee1txiater
6.8-8.5
7, z
TSS,
mg/I
Indasidai Sand
X25/ 5
20/30
XOWor OflW
aM Tr or PNA
10/rP
15
,5 <.
SS
IlaMIA
How,
e P a
or env�w�
U.1 /t).2
Gu.•
Discharge
g
Turbidity,
NTU
No Limit
circle wets,
Quality Standard
that applies:
50/25/10
Upstream
p
(U) Turbidity,
NTU
N/A
waterOUPey
Slndawe Ilea
Downstream
(D) Turbidity,
NTU
N/A
Water Quality
Standard apPliea
Fecal
Coliform,
col/100 ml
SA
N/A
0 Z LuL
o -
Lu
C ZZ z
O 0
l
I
Permit Date 10/1 /2015 — 9/30/2020
Last Revised 10-2-2015

c . Lificate of coverage No. NCG0202-7*
Z7Y
I
yJ IVY,
T.. a d.e ,
TC;diio
iO4a6
Total
Aryl.l 5
c l'
g/I
Chloride,
Fluoride,
hardness,
mg/I
mg/l
mg/I
WJ1
N/A
N/A
NIA
, ca,
_�tl�Zo S ;_1 _
3.Sy
49,4�L0to
-
0U
�3/L021
�fZ`�
_ t0 00 --
�cifc to this CnR

Certificate of Coverage No. NCG02 UOZ 0©
Additional Outtall Attachment (make copies as needed for additional outfalls)
..--•�^�e�r 1,11"ll utbcnarge lfun'all NO. VM P
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year reported? Yes ❑ No ❑
Outfall No.
r�
Effluent
Limitations
Mo. Ave/Deily Max.
Date Sample
Collected,
mo/dd/ r
Daily Flow
Rate, cfs
HOW ORW
50%of
7Q10
Indicate NO FLOW
H epplluble
pH,
SU
trcshweter
6.0-9.0
sal water
6.8-8.5
TSS,
mg/l
IntluatHnl Sand
25/45
HOWorORW
20/30
HOWoroRW
end Tr or PNA
10115
SS,
ml/I
"applicable
sAs°Nq
or any Trout
0.1/0.2
Discharge
Turbidity,
NTU
No Limit
Circle Water
Quality Standard
that sppllea:
50/25/10
Upstream
(U) Turbidity,
NTU
N/A
Water Oueiny
Standard applies
Downstream
(D) Turbidity,
NTU
N/A
Water Quality
ry
$taaterdeppes
Fecal
Coliform,
col/100 ml
SA
N/A
(4 cZ
SLID
7
e
Oct Zt oZ
0
t
LO
L
,
Permit Date 1011/2015 — 9/30/2020
l ast Revised 10-p-p01.5

t:.; tificate of Coverage No. NCG0202-7$
Z-741
Ln' Tcla. Toal Total
.g/i Chloride, Fluoride, Hardness,
mg/I mg/l mg/I
wld VA N/A NIA N/A
12�1b/Luzj d.u7 Lo,�.L_ �o.,u_ <o'qZ CO3�� Z
- --
c9�ou
�o� ®,�►?
I 3
-3rific to this COr

Cert
Additional Outfall Attachment (make copies as needed for dd tilonaltoutfall jverage No. NCG02 ®Q�Q
•w's trwaier (ww) Discharge Outfall No. ;r e w
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
Does this outfall discharge WW to SA waters?
No ❑
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No ❑
If so, what is the 7010 flow rate?
Yes ❑
No ❑
or Tidally influenced waters, 7010 not available ❑
Does this outfall discharge WW to Trout
(Tr) designated waters?
Were there any limit violations in the
Yes ❑
No ❑
calendar year reported?
Yes ❑
No
Outfall No. Daily Flow pH, TSS, SS,
plur >s .� Rate, cis SU mg/I
Discharge
Upstream
Downstream
C IlforFecal
Hamll/Ibp
Turbidity,
NTU
(U) Turbidity,
(D) Turbidity,
col/100 ml
Industrial Sand
Effluent NOworoRw freshwater
50%of 6.0-9.0 25/45 NDW, oaw
NTU
NTU
SA
Limitations
7Q10 saltwater NOW or S0.SB,PNA
20/30 or any Trout
No Limit
cucle Water
N/A
Water Duality
N/A
6.8-8.5 NOWorOBW 0.1/0.2
Mo. Ave /Daily Mae. Indicate NO FLOW primp Tr or PNA
DualNyStanaad
that applies:
Standard applies
Water Dual
Sta`ad.PP�
N/A
llapplloaole 10/15
50/25/10
Date Sample M ; .: "IA;a�
Collected,
v.
mo/dd/ r
o zozi ctu0 3 7 N, zo, 3. `I
,
Lot
Permit Date 10/1/2015 — 9/30/2020
Last RPvj.gpyl 1n-2-21J1.5

c. ;: tificate of Coverage No. NCG0202q+
�79
T, T314M
west /}( —.. !s ..g/l Chloride, Fluoride, Hardness,
mg/I mg/l mg/l
''AM CIA N/A N/A fv/w
---
i '
�IZVLoi�
—.—d'Ojjj_ d Z u 2
.
',qr fl: to this COR

Certificate of Coverage No. NCG02 0005
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No. N Wo
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year reported? Yes ❑ No ❑
tEff�luent
Mo. Ave l Daily Max.
Date Sample
Collected,
mo/dd/ r
Daily Flow
Rate, cfs
HOW or OPf
50% of
7Q10
Indicate NO FLOW
lleppticable
pH,
SU
freshwater
6.0-9.0
eel water
a
6.6-$.5
TSS,
mg/I
InduVdal Sand
25/45
HOW arOFW
20/30
NOW or OqW
AnQ Tr or PNA
10/15
SS,
ml/I
/ipp1ci6le
'10 0 W,
SA SIB PNA
orenyTrout
0.1 /0.2
Discharge
Turbidity,
NTU
No Limit
ClrcleWeter
Quality Standard
that applies:
50/25/10
Upstream
(U) Turbidity,
NTU
N/A
WaterOuallty
Standard applies
Downstream
(D) Turbidity,
NTU
N/A
Water Oualfty
Standard applies
Fecal
Coliform,
col/100 ml
SA
N/A
2oL
0
-
o Z
moo,
t
i.iq
'L oL
,OOL
Permit Date 10/1/2015—9/30/2020
Last Revised in-9-2n15

(.,::-Jficate of coverage No. NCG0202-7*
MI, T,: Tcla� Tot
Total
..:gfi Chloride, Fluoride, Hardness,
OV --- ride, /I
mg/l mg I mg/l
VAI I/A N/A N ;/A NIA
1
W2 7
�Oj
-2-1
P
I Adar, itoi ing --gcjfjc to this ror

of
Additional Outfall Attachment (make copies as needed for dd tilolnaltoutfall overage No. NCG02 ®��
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
yes
No
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No ❑
If so, what is the 7010 flow rate? or Tidally influenced waters,
Does this outfall discharge WW to Trout
7010 not available ❑
(Tr) designated waters?
Were there any limit violations in the calendar year reported?
Yes ❑
No
�
Yes ❑
No
Outfall NQ.
c ��e r-,Ij
Daily Flow
Rate, cis
pH,
SU
TSS,
mg/I
SS,
Discharge
Upstream
Downstream
Fecal
Coliform,
ml/I
n.ppueeala
Turbidity,
(U) Turbidity,(D)Turbidity,col/100
ml
Effluent
HOW or
mduslrial San?
25/45
NTU
NTU
NTU
CAN
Limitations
50% of
of
7Q10
.0-9ter
6.0-9.0
saltwater
HOWarORW
HOS8, PNA
SA, SD, PNA,
No Limit
N/A
20/30
HOWorORW
or any Trout
0.1/0.2
circle Water
QuBillyStandard
Water Quallty
Standard applies
WaterQua[6.8-8.5
Sendardeppllea
N/A
Mo. Ave / Daily Max.
Indicate NO FLOW
H appllceb/a
psn 1I Tr or PNA
that applies:
50/25/10
10/15
Date Sample
Collected,
7, c.' I lj) ,5 L c
Permit Date 10/1/2015-9/30/2020
/ Pdst PPvi.gPa ln-2-2015

Ca ificate of Coverage No. NCG0202-7
z 7 `-/
g/l
Tc d«:
Chloride,
Tow
Fluoride,
Total
Hardness,
k"/fiL
mg/I
mg/l
mgll
NIA
N/A
N/A
-
4Jo-,,- ----
-
a hikmioting
; wific to this COC

Certificate of Coverage No. NCG02 El©[Z]Q
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater LVJM rv.--p ----
-------• a•• ••y .�r�s.rrusyc VulI d11 rVO. : i r r lj J:,l Zj ` Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HOW or ORW waters? Yes ❑ No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year reported? Yes ❑ No ❑
Daily Flow pH, Fecal
Outfall No. TSS, SS, Discharge Upstream Downstream Coliform,
S date, cfs SU mg/I ml/I Turbidity, (U) Turbidity, (D) Turbidity, col/100 ml
t' "°°pl".ble NTU NTU NTU
InduMda] Sand SA
HDW or ORW freshwater
Effluent 25145 HOW, ORW,
Limitations 50% of 6.0-9.0 HOW orORW sA se, RNA No Limit N/A
7Q10 saltwater 20/30 or any Trou Circle Water Water Ovelhy Water Duuaallry
6.8-8.5 HOWorORW 0.1/0.2 aelttyStandard Standard applies Standard applies N/A
Mo. Ave l Dally Max. Indlcafa NO FLOW pJrg Tr or RNA IhM applies:
H applicable 10/15 50/25/10
Date Sample
Collected,
mo/dd/ r
L LoL
b
7
Z-
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-7n15

4-54`7
G. rlificate of coverage No. NCG0202-
PM S
1 Nl, ofi
F. Fc L;; 7&1 Total
%/ -6A All Chloride, Fluoride, Hardness,
mg/I mg/l mg/l
-A V.: [�.+:; Uk aA N/A N/A N/A
i
"�' �• e:ir: -.� A/InnitOripn--r_ific to this Cot-

Additional Outfall Attachment (make copies as needed for dd tiolnaltoutfall jverage No. NCG02 ©��a
Wastewater (WW) Discharge Outfall No. S f 1±
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No
Does this outfall discharge WW to SA waters? ❑
Does this outfall discharge WW to SB or PNA waters? Yes No
Yes ❑ No ❑
Does this outfall discharge WW to HOW or ORW waters? Yes ❑ No ❑
If so, what is the 7010 flow rate? or Tidally influenced waters, 7Q10 not available ❑ Does this outfall discharge WW to Trout (Tr) designated waters?
Were there any limit violations in the calendar t
OutfaII N0.
Daily Flow
ii a
Rate, cfs
Effluent
HOWOr ORW
50% of
Limitations
7Q10
Mo. Ave / Daily Mu.
1^dfcate NO FLOW
fl applicable
Date Sample
Collected,
reported?
pH, TSS, SS, I Discharge
SU mg/I MIA Turbidity,
tlappdcable NTU
freshwater
6.0-9.0
sallwaler
6.8-8.5
25/45
HOW cr ORW
20/30
HOW or ORW
png Tr or PNA
10/15
HOW, ORW,
SA, SB, PNA,
orany Troth
0.1/0.2
No Limit
Circle Water
Quality Standard
that applies:
50/25/10
Yes ❑
No ❑
Yes ❑
No ❑
Fecal
Upstream
Downstream
Coliform,
(U) Turbidity,
(D) Turbidity,
col/100 mi
NTU
NTU
SA
N/A
N/A
Water Duality
Standard applies
Water Qual
Standard app�s
N/A
Permit Date 10/1/2015 - 9/30/2020
Last aPvisPd

Certificate of Coverage No. NCG02 Q U[3
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system,
those persons directly responsible for gathering the information, the information submitted i tor
s, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that thara Qriu einnifinOnf 8--
submitting false information,
[Required by 40 CFR #122.22] /
Signature 3#.1
Date Fed, 3 2-a2
the possibility of fines and imprisonment for knowing violations."
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DE
MLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
A. ttn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last ReWked 1 n-2-2o 1.5