NCG020204 DMR WW

RAL
fi tl'la it .-.. i. •, � �,� - - -
General Permit No. NCG020000
Calendar Year � ®1
Rep®rt,ALL tlIVASTEWATEt2,morii8oring�data on';tFiis fomaliivaclude "i ® I®�ni`'/"I�®,Disc7aaig�"' �nd'Limi4 IV,iol�t6_®ns),tr®rxo
the*euleesd'ary,,�aqr t&,thle D�Q,by, la?,4RC ,,Year
Certificate
Certificate of Coverage No. NCG02 ©®®®
i �
Facility Name: a nsoirl re_ a_+e — L ►'1 Uel r tC�Cr
County: Hca V" r 5 © 0
Phone Number: (3 13) 73 5t- 29 j G Total no. of outfalls monitored �
Certified Lab�atorI c�ee to k14 f" C I lab #
14 QV)son rev eS Lab# 53-7P_
Wastewater Discharge Outfall No.
Daily Flow
Rate, cfs
pH,
SH
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ®
Nolk
Does this outfall discharge Iii/ to SA waters?
Yes ®
NOM
Does this outfall discharge WW to SIB or PNA waters?
Yes ®
No o
Does this outfall discharge WW to HQW or ORW waters?
Yes ®
No tq
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7010 not available
Does this outfall discharge YM to Trout (Tr) designated waters?
Yes[]
No ❑
Were there any limit violations In the calendar year?
Yes ®
No
Outfall No.
C
Daily Flow
Rate, cfs
pH,
SH
TSS,
mg/l
SS,
mUI
daao6casle
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTLI
Fecal
Coliform,
col/I 00 ml
�A
- - - - - - - - Antlu"11 Santl_
HQWorORW heshtasW 26/46
���98� tbD�®®f �.®m�.�' H®wor0�w
ea"Ie r '
2®/39+
-8.6, HOW orORW
RAa, dee / D_ally 167au. IraaOt.Ovb' { , ,Te ar.PNA
' I OM
- - - - -
,How;ORW,
.S�.S®:�u�
oP eery Y,muI
0.'1/0.2
- -
N®;P 16tBlt
Circl®Water-
Haa®IRyStunartl
t►caea�nea:
�O/2'I
- _ - - --
NIA
Wa,a auaiky
s�n�trdappiEe®naaro��ties
_ - -- - - ---
6�/A
WeE¢P,QlW61ky
- -- - - - -
/�A
ria
Date Sample
Collected,
mo/dd/ r
n3 31 h5-
�3
15
I 31 1
4. 1
l -4— o
7 1
Permit ®ate 10/9/2096 a 0/30/2020
Last Revised 90-2-2015

Certificate of Coverage No. NCG02 [d[92JR]
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.22)
Sign,,
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015