NCG020895 WW LIMIT Violation to RO

LIMIT VIOLATION DISCHARGE MONITORING REPORT (DMR) —WASTEWATER
SUBMIT TO REGIONAL OFFICE"
General Permit No. NCG020000
*Use this form if any wastewater samples have EXCEEDED A WASTEWATER LIMIT for any parameter.
Send sample results to the DEMLR Regional Office within 30 days of receipt from the laboratory.
Certificate of Coverage No. NCG020895
Facility Name:
Countv:
Phone Number: ()
Certified Laboratory:
Sample Collection Period: Qtr 1 ❑ Qtr 2 ❑ Qtr 3 ❑ Qtr 4 ❑ Calendar Year
If Monthly Monitoring: Month
Person Collecting Samples:
Lab #
Lab #
Discharge to HQW or ORW waters? Yes ❑ No ❑
Discharge to SA waters? Yes ❑ No ❑ Discharge to Tr (Trout) waters? Yes ❑ No ❑
Discharge to SB or PNA waters? Yes ❑ No ❑ If HQW, what is the 7Q10 flow rate? or Tidal, 7Q10 not available ❑
Wastewater Monitoring Requirements
Outfall
No.
Date Sample
Collected
Daily Flow
Rate, cfs
pH,
SU
Total
Suspended
Solids (TSS),
mg/I
Settleable
Solids,
ml/I
ifapplicable
Discharge
Turbidity, NTU
Upstream (U)
Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Total
Hardness
(as CaCO3),
mg/I
HQW or ORIN
50% of
7Q10
Indicate NO FLOW if
applicable
freshwater
6.0-9.1
saltwater
6.8-8.5
4
20/30
HQW or ORW and Tr or PNA
10/15
HQW, ORIN, 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
Permit Date 5/31/2017 — 9/30/2020 Revised 5/31/17 for Supplemental Monitoring Specific to this COC
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Certificate of Coverage No. NCG020895
Wastewater Monitoring Requirements, cont.
Outfall
No.
Date Sample
Collected
Daily Flow
Rate, cfs
pH,
SU
Total
Suspended
Solids (TSS),
mg/I
Settleable
Solids,
ml/I
ifapplicable
Discharge
Turbidity, NTU
Upstream (U)
Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Total
Hardness
(as CaCO3),
mg/l
r
rI
HQW or ORIN
50% of
7Q10
Indicate NO FLOW if
applicable
freshwater
6.0-9.1
saltwater
6.8-8.5
4
20/30
HQW or ORW and Tr or PNA
10/15
HQW, ORIN, 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
Permit Date 5/31/2017 — 9/30/2020 Revised 5/31/17 for Supplemental Monitoring Specific to this COC
Page 2 of 4

Certificate of Coverage No. NCG020895
Wastewater Monitoring Requirements, Supplemental Parameters
Outfall
No.
Date Sample
Collected
Iron,
mg/I
Total Ni,
mg/I
Total Zn,
mg/I
Total Sb,
mg/I
Total As,
mg/I
Total Be,
mg/I
Total Cd,
mg/I
Total Cu,
mg/I
r
1.0/2.0
No Limit
No Limit
No Limit
No Limit
No Limit
No Limit
No Limit
Outfall
No.
Date Sample
Collected
Total Pb,
mg/I
Total Hg,
mg/I
Total Se,
mg/I
Total Ag,
mg/I
1-0/2.0
No Limit
No Limit
No Limit
Permit Date 5/31/2017 — 9/30/2020 Revised 5/31/17 for Supplemental Monitoring Specific to this COC
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Certificate of Coverage No. NCG020895
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]
Signature
Date
Mail Limit Violation DMR to Your DEMLR Regional Office Land Quality Section:
ASHEVILLE REGIONAL OFFICE I FAYETTEVILLE REGIONAL OFFICE I MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
(919) 791-42.00
WINSTON-SALEM REGIONAL
OFFICE
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27103
[phone]
Permit Date 5/31/2017 - 9/30/2020
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
(2r52r) 946-6481
CENTRAL OFFICE
Questions for The Central Office
Stormwater Permitting Program?
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
Revised 5/31/17 for Supplemental Monitoring Specific to this COC
Page 4 of 4