NC0003425_Outfalls 11 and 12B_20200428

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/28/2020 7:12:31 AM (Supplemental Submittal)
Submit by Thedford, Wren 5/12/2020 9:16:26 AM (Supplemental Info Submittal)
• Thedford, Wren assigned the task to Thedford, Wren 5/12/2020 9:16 AM
• The task was assigned to Thedford, Wren, Bennett, Bradley 4/28/2020 7:12 AM

Initial Review Information
Updated ID#:* IWORTANf:FEVIBAERSl-IOLLDVERFYand revise here ifnecessary.
NC0003425
How should this project be handled?*
r File r Discard
Information Submitted on 4/28/2020
Submitter Information
Name: Robert Howard
Who is subrritting the inforrretion?
Email Address:* [e-mail]
Submittal Information
The Division of Water Resources (DWR) is providing this site to allow for the upload of required supplemental
information associated with discharge monitoring reports (DMR). All DMR data is required to be submitted
electronically through the eDMR system and should not be submitted here. Division staff will reviewall
uploaded documents and will only maintain required information. Documents such as laboratory reports are not required
to be submitted and will not be maintained in the system.
Project Information:
Rease SUDDly the Dernit nun ber for this
Existing ID#* PerrritNurrber
NC0003425
Exarrples: NOKxxxxxx or NO&xxxxx
Facility Name:* Roxboro Steam Plant
County: Person
Please upload all files that need to be
submited. *
dick the upload button or drag and drop files here to attach docurrent
NPDES Wastewater EDMR Supplemental Information
73.96KB
March 2020 Outfalls 11 and 1213.pdf
Only pdf files are accepted.
Comments about the attachments:
Please find attached the March DMRs for outfalls 11 and 01213 for the Roxboro Steam Plant NPDES Permit
NC0003425.
* V By checking the box and signing box below, I certify that:

• I have given true, accurate, and complete information on this form;
• I agree that submission of this Supplemental Information form is a "transaction" subject to Chapter 66, Article 40 of the
NC General Statutes (the "Uniform Electronic Transactions Act)
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
• I intend to electronically sign and submit the Supplemental Information form."
Full Name: Robert Howard
Signature:
rrl 4% "t K2 Ird!I $
Date Submitted: 04/28/2020

NPDES Permit No. NCO003425
EFFLUENT
Discharge No 0111 hlonih March Year 2020
Facility Narne Roxboro Steam Eleelric Plant Class II County Person
Operator In Responsible Charge Ryan S. Enoch Grate III Phone [phone]
Certified Laboratories (1) Duke Analytical Lab (2) Progress Energy Roxboro Steam Electric Plant
Check If ORC has Changed Person (s) Collecting Samples Ryan S. Enoch
Mail ORIGINAL and ONE COPY to 1
ATTN CENTRA1.11I.E.S (x) j&et•� �G F yI jCI "'OACI
DIVISION 01; WATLR QUA1.1'1'Y (SIGN RI: of r]1'IiKATOR IN RUMIONSiBI.Ii CHARGE) r hate
1617 MAIL 51-It E CI!NTIiR By This Signature, I Certify That This Report h
RAIJAVill. NC 27699.1617 Accurate And Complete To The hest Of my Knowledge
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Facility Starve Wk=v Check ere of tlk following'
ti mtmiloring data and sampling fmgwncies novel llcmlit nquin:ments
Iti monitoring char and sampling f"iticrcies do NhT next pemtt[ "ulmmicil 5
"I Lenity. under Nenalty of law, that this document and all attachments wen. prepared under my dirwkm or supervision in accordant with a system desigm-d
w assure that qualified permn ne. properly gaoler and esatuatc Ilk information submitted, llasld on my inquiryof Ilk Nemin or persrrns wMl mmtagc 11k systcm,
or those persrl m dim -Lily resrxlnlble for gathering the informaikim the information submitted I% to the h4a of my knowledge and belief, truu accurate. and
almpkk. [ a aware that there are significant penabies for submitting false infnrtnatkm including bile plssilf lily df tins And imNriwlnme for
Tom Co alo 6 a Lai 21
1'ermincc (Pi:ase print or lyric) . I • u htlre•• Date
1700 Dunaway Road_ Semorr, NC 27343 (336)597. 6101) #########
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EFFLUENT
NFIES fermi{ No. NC0003425 I)isvbargc No. 12B Minh March Year 2020
Facilily Name Roxboro Sleam Electric Plant Class II Citunty Person
lypctahrr In Resptmsible Charge Ryan S. Enoch Grade III Phone [phone]Fr09
Certified Iatmralorics (1) puke analytical Lab (2) NA
Chcck If (1RC. has Changed tlrwn (%I Collecting Sampks Ryan S. Enoch
Mail ORRANALanil ONE COI'V Im fJ % f
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DIVISION OF WATER QUAIM (SICtNS IIOFOVERATORINRISMINSIRIXCHAR61:5 DA11:
1617 MAll, SERVICI: CIihT171t By This Signature. I Certify That This Report Is
RAIXICK. NC 27699-1617 Anvrate And Campkte Trr Tile ants or Aly KauwlnRSe.
Pecan J Mw -(EPA lrecaMrew
e I."n "krar.,jurly unav the-wavrw 4Yw Jrw.0A 1wttr:)Hf.
Anil Units 11.1­
Facilily Status: (Skase Chock one ref ate folkrwing)
All munituring dale and wmpling hcqucticics ineci pemut nxtuiremems
All tntniloring data and sampling fmquencics du No'f meet pcmdt nquircmcrus
"1 certify. ua krpcnaky of law, that this divurnery and all attachments were pupated under mydinxtion or supervu&m in amxelancc with a system designed
to assure that qualified petn)nncl properly Sather and evaluate tM inforawkm suhica ted. Rasa" on my inluiryof the peatm ar perm% wNi manage tk syuc,-,
or Ihnic poems directly m rion ihle forgathering 1M infomutetn, lM infornetlhm suhrmued u, to the tut of my kmwledge and h6cf, true, ax:xuote. and
mngdelc. 1 am aware that them are significant pcnakicr fur mhmitdnS false information, including the ptnsihihty of fines and Impmmrieni for lmowing viutppa
Tom
R erntiu e(I'leaae print or igv)
17f1(1 Dunnaway Road. Scmoril. NC 27343 (336) 597 - 6IN) Mamb 31. 2012
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