NCG020167_MONITORING INFO_20200121

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV u& b c� 0 l
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ d
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000 RECEIVED
Calendar Year a 019 --
Report ALL WASTEWATER monitoring data on this form (include "No Flow"/"No Discharge" and Limit Violatidn's) fe6h'i'
the previous calendar vear to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. N0002
Facility Name: FEE iCHEIZ 6uA921Y
County: BUNGoM3E
Phone Number: (i) 5a4-5455 Total no. of outfalls monitored I
Certified Laboratory PAGE Lab # 4
Lab #
Wastewater (WW) Discharge Outfall No. I
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No 1z
Does this outfall discharge WW to SA waters?
Yes ❑
No Rr
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No 6d
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No W
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 z
Were there any limit violations in the calendar year?
Yes ❑
No Rr
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/1
SS,
mill
Happika6ls
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 ml
SA
Effluent
Limitations
Mo. Aval Daily Max.
HOW or ORW
60%of
7Q10'
Indlcele NO FLOW
Ifapplkable
Iresl,waar
6.0=9.0
saltwater
6.8-8.6
Industrial Send
25145
HOW atORIN
woo oOw
and Tr or PNA
10115
Now, oRW,
SA, SB,PNA;,
orany Trout
0.1I0:2
,
Notimit
CIM10 water
Quality Standard
ya�t applies:
G5D/25I1U
NIA
Weter Quality
stand.rd eppll..
NIA
water Quality
Standard applies
NIA
Date Sample
CollectedMf�molddl r
4
Else
. ,,�.
aP
Ean
li smuu-i
� ._
lam.
3 NA I 14
.01
(o•
4-3
40.1
19.0
A11A
N A
N
(0 2.8 114
0.01 9
L 0.1
1.0
N
N fA
N
1
.01
.1
4 2.5
40.1
CI.0
N
11 a)IL0180
.0
L
L
G 1 .O
N— A
NTA
Permit Date 10/112015 - 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑�0© II
CERTIFICATION
" 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 I / I
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