NCG020257 DMR WW

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT ([SMR) — le 8, VV A TER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year Zo 1.5
*Report ALL WASTEWATER monitoring data on this form (include "No Flow"i"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No N
Facility Name. c,Az i �
County:—c
Phone Number 73
Certified Laboratory E— 7--5 Lab #
Lab #
I
Total no. of outfAORMUM
CENTRAL FILES
DWR SECTION
Wastewater (WW) Discharge Outfall No. C h 1/, N+ &
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 PN;k 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 jr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year? Yes ❑ No ❑
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
ml/I
ifapplicable
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
(SA)
Effluent
Limitationssaltwater
Mo Ave I Daily Max.
HQW or ORIN
50% of
7Q1 0
Indicate NO FLOW
if applicable
freshwater
6.0-9.0
6.8-8.5
Industrial Sand
25/45
HQW orORIN
20/30
HQW orORIN
and Tr or PNA
10/15
HQW, ORW,
SA, SB, PNA,
or any Trout
0^1/0.2
No Limit
Circle Water
Quality Standard
that applies
50/25/10
N/A
Water Quality
Standard applies
N/A
Water Quality
Standard applies
N/A
Date Sample
Collected,
mo/dd/yr
-
_
of 7
6,75
G5
11 U
Permit Date 10/1/20 5 — 9/30/2020
Revised 11-16-2015 forAdditionai �bnrtonng Specific to this COC

Certificate of Coverage No. 4 GG4L2927 ,-
mvic6Oz02S7
Outfall No. Total Al,
mg/I
T— c.sG;tn
Total Cu,
mg/l
Total Pb, Total Ni,
mg/l mg/l
Total Zn,
mg/I
Total
Chloride,
mg/l
Total
Fluoride,
mg/I
Total
Hardness,
mg/I
Effluent N/A
Limitations
N/A
N/A N/A
N/A
N/A
N/A
N/A
Date Sample
Collected,
molddlyr
r
:a =
Permit Date 10/1/2015 — 9/30/2020
Revised 11-16-2015 for additional Monitonng Specific to this COC

Certificate of Coverage No. NG7*
Additional Outfall Attachment (make copies as needed for additional outfalls) /VC- C:-2: 0 Z 7
Wastewater (WW) Discharge Outfall No. Gk X1 + );VZ—
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.
#
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
mill
if applicable
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
(SA)
Effluent
Limitations
Mo Ave / Daily Max
HQW or ORIN
HQW
of
7Q10
Indicate NO FLOW
if applicable
freshwater
6.0-9.0
saltwater
6.8-8.5
Industrial Sand
25/45
HQW orORW
20/30
HQWorORW
and Tr or PNA
10/15
HQW, ORW,
SA, SB, PNA,
or any Trout
0.1/0.2
No Limit
Circle Water
Quality Standard
that applies
50/25/10
N/A
Water Quality
Standard applies
N/A
Water Quality
Standard applies
N/A
Date Sample�-
Collected,
mo/dd/yr
72-1-5.
On
3
Permit Date 10/1/2015 — 9/30/2020
Revised 11-16-2015 for Additional Monitoring Specific to this COC

Certificate of Coverage No. NtISO=4
Outfall No. Total Al,
mg/l
Total Cu,
mg/I
Total Pb, Total Ni,
mg/i mg/i
Total Zn, Total Total Total
mg/l Chloride, Fluoride, Hardness,
mg/I mg/l mgll
Effluent N/A
Limitations
N/A
N/A N/A
N/A N/A N/A N/A
Date Sample
Collected,
mo/dd/yr
Permit Date 1011/2015 — 9/30/2020
Revised 11-16-2015 for Additional Monitoring Specific to this COC

Certificate of Coverage No. -2 i 24
Additional Outfall Attachment (make copies as needed for additional outfalls) 1VC6 oz 02- 5 7
Wastewater (WW) Discharge Outfall No. (.L 1,k -.)-� 1,4-.3
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 SIB 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.
h,wl�
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
ml/I
,f applicable
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
N'TU
Downstream
(D) Turbidity,
NTLI
Fecal
Coliform,
col/100 ml
(SA)
/Ue/i�
Limitations
Mo Ave / Daily Max
HQW or ORW
50% of
7Q1 ®
Indicate NO FLOW
if applicable
freshwater
6.0-9.0
saltwater
6.88.5
Industrial SandEff
25/45
HQW or ORW
20/30
HQW or ORIN
and Tr or PNA
10/15
HQW, ORW,
SAS SB, PNA,
or any Trout
0.1/0.2
No Limit
Cir Ie Watei
Quality Standard
that applies
50/25/10
A
NIH
Water Quality
Standard applies
N/A
Water Quality
Standai d applies
NIA
Date Sample
Collected,
y
jt3=
_
-
-zH5
0 q
?, 3
7
Permit Date 10/1/2015 — 9/30/2020
Revised 11-16-2015 for Additional Monitoring Specific to this COC

• Certificate of Coverage No. - e
Outfall No. Total Al, Total Cu,
mg/l mg/l
Total Pb,
mg/l
Total Ni, Total Zn, Total
mg/l mg/I Chloride,
mg/I
Total Total
Fluoride, Hardness,
mg/I mg/l
Effluent N/A N/A
Limitations
N/A
NIA N/A N/A
N/A N/A
Date Sample_
Collected, - y
mo/ddlyr
=->.
Permit Date 10/1/2015 — 9/30/2020
Revised 11-16-2015 fol -Additional Monitoring Specific to this COC

Certificate of Coverage No �T
i `
CERTIFICATION
N66102-02 S
"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]
Signature 5 " 7,jkz
Date 7 //;;, / /L
01 1
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address rs correct — Central Files is hOLIsed rn 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 10/1/2015 — 9/30/2020
Revised 11-16-2015 for Additional Monitoring Specific to this COC