NCG020156 DMR WW

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SUBMIT TO,CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 20 15 -
Report ALL WAST-EWATER,monitoring,,dita,'
Qn ffii-s4orm (include-"No-iFlovv"PNoDischarge",and, Limit '�Vjigjgtiqns)jjfrarij,
the;previous ca1etndaKYwr't6,,the DECD lby._ILARCH'I,ofeach yodr,
Certificate of Coverage No. NCG02 E[Dr5_110
Facility Name: H a n -yo r) A qc� re -!a cc+e,� �Q vJ 4 e co ve)
County: . �4 0, r V)p
Phone Number: (S 11) -3 �1b- 2-19 G Total no. of outfalls monitored
Certified Laboratory 2Ct4_e_ L" ,;kl 4 E ccI lab # WW t)67
i1a V) son si-c
,4aif S Lab 0'15332 -
Wastewater (WM Discharge Outfall No. 00 1
Daily Flow
Rate, cfs
pH,
SU
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 VWV 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,
7010 not available[:]
-Does this outfall discharge VM to Trout (Tr) designated waters?
Yeso
No'n
Were there any limit violations In the calendar year?
Yes []
Nom
Outfall No.
C�Q )
Daily Flow
Rate, cfs
pH,
SU
TM
mg/l
SS,
mill
Itapplicablo
Discharge
Turbidity,
NTU
Upstream
(U)Turbidity,
NTU
Downstream
(D)Turbidity,
NTU
Fecal
Coliform,
col/100ml
(SA)
Effluent HQW or ORW
50%® of
Limitat-ions 7010
MO.Ave/Dally,hiriz ind1,cB,`is1d0 FLOW
freshmiter
6.0 6.®
saltwater
industrial Sand
26/46
HOW or ORIN
2WZO
HQW6rORW
nigTCar-PRA
H W RW
'19 ilo A,
SA, S
'.rW�T6'
No Limit
Circle Water
Q1111MYSIandand
that applies:
50126110
M/A
.11=1 1=
VIA
water 0'=*
Sitandard appliep
NIA
Date Sample
Collected,
03 L31 Z 15-
I'JO D1
---n
ZT) 7 IS
tj 0 J -D)
s C �*P_261ji_
C1 -30
(S)
-)I SC
J- z
S-1 A
N) b
R
e Ci
to Lp-r-6 -5-
Yn
c1cl—
6)cr- AA
c'5
-S )
Permit Date 10/112015 - 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 OO i0®®
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]
Signature
Date t) 3 -/A5 -/f 6
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