NCG020721_MONITORING INFO_20200110

W a `[� D
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
1v L( %au % a
DOC TYPE
❑ HISTORICAL FILE
C)( MONITORING REPORTS
DOC DATE
❑ ooD 0 o
YYYYMMDD

DOC TYPE 1 ❑ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE I ❑
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year =l2 9
Report ALL WASTEWATER monitoring data on this form (include "No Flow"/"No Discharge' and Limit Violations) from
the Drevious calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: W I1-L-1 S 1VJ-rC1< S /T6
County: _ C2ft £�
Phone Number: (Xfoz-) -ZYVi Total no. of outfalls monitored ✓
Certified Laboratory ENU1/C01JMtiArT . 14dC- Lab # / 0
Tint/ OF ✓Rr1L0gD1?-0 Lab# 5'S3
Wastewater (WWI Discharge Outfall No.. 00 f
/
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No F
Does this outfall discharge WW to SA waters?
Yes ❑
No 2
Does this outfall discharge WW to SIB or PNA waters?
Yes ❑
No [^V
F2/
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No
If so, what is the 7Q10 flow rate? or Tidally influenced
waters,
7010 not a ilable ❑
Does this outfall discharge WW to Trout jr) designated waters?
Yes ❑
No []�
Were there any limit violations in the calendar year?
Yes ❑
No
10utfall No.
• n 0 t
Daily Flow
Rate, cfs
-
pH, _-
SU
-
_ TSS, _
mg/I
SS, ..
ml/I
iiapplicabls
Discharge
Turbidity,
NTU
_ .Upstream
(U)-Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100.m1
SA
Effluent
Limitations
l Me. M. l Deily Max.
HOW or ORW
50% of
7Q10
indicate NO FLOW
it applicable
Iresbwater
6.0-9.0
saltwater
6.6-8.5
Industrial Sand
25/45
„QW orORW
20/30
HOW or ORW
and Tr r PNA
10/15
HQW,ORW,
SA, 58, 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
molddl r
CE(�✓
l416LQ
rFAi rl 1 _
_GTlf)j
0
Permit Date 10/1/2015 — 913012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 QO ❑7 WF
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]
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 10/1/2015 - 9/30/2020
Last Revised 10-2-2015