NCG020124 DMR WW

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Generai Permit No. NCG020000
Calendar Year a (D 1
-*Rep®eiA�L Ut7�5TGE1litATER,monitazrirog� data oar 8h'isfok(incl�de "F�®i®ind"�® discharge"d!Limitiolations-),fron_r "I
tete preuiousiqalender'yearto.,the'DEQ by; (ARCH 1.ofeec/r;vear
Certificate of Coverage No. NCG02
Facility Name: 1-t a r)Sa Vl L a !� rc�tE
County: Z'o h w >+0y1
Phone Number: ( 1 19) 3 $f,- 2�7 4 G
Certified Laboratory
- l✓r, i n C.e ovi Lr) (ko1 o r
Total no. of outfalls monitored
lab #W �UO
-ab# 53°72
Wastewater ( Discharge Outfall No. Ct> I
Daily FlowFpH,
Rate, cfsU
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ®
No%
Does this outfall discharge WW to SA waters?
Yes ❑
NoN
Does this outfall discharge WW to SIB or PNA waters?
Yes ®
No'®
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No 0,
If so, what is the 7010 flow rate? or Tidally influenced graters,
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 10
outfall No.
Daily FlowFpH,
Rate, cfsU
TSS,
mg/i
SS,
��U/I,®
Discharge
Turbidity,
ITU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
SA
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701,9
_
Wto.tivelDalty.fllaau /ndhaf9N FLOW'
l APOC a ra
-
6.0-9.0
sattkyater
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IndusWal Sand
g�1�6
HaworORW
2®/3�
HO�forORW
Yrae,PtVld
- 'Lof 1'S,
HOW.ORW,
SA _S MA,
w®rry'Tr®eat
®=1I®•2_
- - - -
No LImlt
ClroteMtor
elvualRy3tandard
thgappilea:
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-
CUA
Water'Quallty.
Staedardapp0ea
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MA
Water�aaty
Staadardspoes
N/A
,
Date Sample
Collected,
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Permit Date 10/112015 a 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 O❑©®F41
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 penaltiesfor
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 10/112015 — 9/30/2020
Last Revised 10-2-2015