NC0003425_Outfalls 11 and 12B_20200804

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/4/2020 3:01:49 PM (Supplemental Submittal)
Submit by Bennett, Bradley 8/17/2020 1:05:23 PM (Supplemental Info Submittal)
• Bennett, Bradley assigned the task to Bennett, Bradley 8/17/2020 1:05 PM
• The task was assigned to Thedford, Wren, Bennett, Bradley 8/4/2020 3:01 PM

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 8/4/2020
Submitter Information
Name: Robert Howard
Vft 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 Electric 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
Roxboro Steam Plant NC0003425 eDMR
Supplemental info June 2020 Outfalls 11 and 72.99KB
12B.pdf
Only pdf files are accepted.
Comments about the attachments:
Please find attached outfalls 11 and 12B for Roxboro Steam Electric Plant, 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');
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the Supplemental Information form."
Full Name: Robert E. Howard
Signature:
Date Submitted: 08/04/2020

EFFLUENT
NPhFS Remit No. NCOD03425 Discharge No. Oil Month June Ycar 2020
Facility Namc Roxboro Steam Electric Plant Class II County Person
Operator In Responsible Charge Ryan S. Enoch Oratle III Erh(me [phone]
Cenified laboratories (1) Pace Analytical — (2) Progress Energy Roxboro Steam Electric Plani
Check irORC has Changed Person (s) Collecting Samples Rya S Enoch
Mai] ORIGINAI, and ONE, COPY tw A7/�/
TTN CINMAL 1 I'll.i:5 a) c.c _.
DIVISION017WKI-ERQUAIM (SMNAIC11r. OPOpt:RATORLNRESPOW111,1;CHAROV) Date
1617 h1A11 SERVICES C13MIR By This Signature, I Certlry That This Repot Is
RAIAM". NC 27699.1617 Accurate And Complete To The Bem Or My Knimledga
Baaur dA.vurentwl •Arrr�n. a pac..n.,ad b— of LPA t—b—
oo©000�������
rxnily Status; (Please Check wv of The hdhrwirg)
All rntmhoring data and sampling frequcncin meet permit requirrmcros
All monitoring data and sampling frequcncica do NOT mc-0 permit reyuiencots
9 certify. unkr pcnahy ordaw, that this dtrcwocn and A miachrucnis were "arrd under my dirrctan or supervision in accordance wih a system tksigne d
to wAure that yuafificd Fwmmwl pngwrdy gather toll evaluate the in5smat6m suhmitw d. Ras tl on my inquiryof tore "m (a pmons wtus manage the system,
or throe persons directly responsible fin gathering the infir nmitm, the inforasvlm submited p, in the lees[ of my kmrwkdge and belief, true. accurate, and
amrpkte, t am swan; that 111M are signifrcan pcnahies for submitting false infurrtrathrn, including der ptrss&My or fmn and'unpriunmcm far kn g via t
Tom Copolo 6
-- -- Permi m I Please prim ou type) • ••_ Sdgruture of liMnitl Da(c
17f)0 I)unnaway Road. Scmom. NC 27343 (336) 397 - 61M March 11. 2012
Prr=:tkc Address phone Nwrila Rem( lap We
• (MC —I" Wtsy rat Awawu rr•suRe• a 6 aYy. rga.d rsr uA NCAC sA n202 rbtl5t the
--k.Wet by —is nY.ro Wrw rw 15A fa AC)a uSiMtMfhobi
The ovnddy swage far f cd c difiam is yr he rctsatnl as a (MOMMIC aeon. tJw only dairtrard units in the k7i nwo faLrety's pntrir fm mrsamnl data-

EFFLUENT
NPf1PS Ercrn» t No. NCDO03425 Di%hargc No. 12B %Ionlh June Ycar 2020
Facilily Name Roxboro Slearn Electric Plant Claa. II Couniv Person
(Operator In Rcsprmsihlc Lhargc Ryan S. Enoch (irade III Phone j336j 598.7609
Certified l.ahoralofies (1) Duke analytical Lab (2) NA
Cbcck If t)RC has Changed I mon I s) Collecting Sampics Ryan S. Enoch
Mail ORIGINAL and ONE COPY no:
ATTMCENTRALx o--'t e- L 7 viip
DIVISION OF WATER QRAIJTY (SIGNA E OPOPERATOR IN R1•SPONS1BIJt CIIAROIJ DATI.
161 ` SIAlr. SERVICE CEN-n:R By This Signature. ) Certify That This Report Is
RAIIAGII. NC 27699-1617 Accurate Anti Complete To The Bet Of My Knnwirdre,
Irs — otJanmrstemcee nIan aN Ed d t:PAr,—J--
fia1r+W ram[ 1W �J mr asn snu.W oO� Wt
Facility5mtus: (Please Luck one of tln folk)wing)
All monitoring data and sampling fraluencies meet permit requirements
All monitoring dau and sampling fraquerwies do N(Tr m ct permit requirements
9 aen-fy, un&Lr penaky of law, ihu this skkvmr4 and all attachments were prepareed under my direction or supervision in acc mlmce with a system denigrod
It' MOM that quagBel pervmncl properly gadar and evaluate the informunkm suhmined. Ifased on my inquiry of dre person or persum wlxo manage the system.
c r dune persons directly wirmn6hic 6tt gaftring the infirrmadtlo. the infornution suhminal is. to the hest of my knswkWge and belief. true. accurate, and
o.smplete. I am aware that therC lie significant peualn s for suhmiting false infunnatnon. inckuling diS pimihihtyuf fpyjanl iltgtris onmem for ksnwing vmtations."
Tom
Pcrrhtttm (Please pnni or type)
Date
L 74X) I)unnawjy Road. Smora. NC 27343 (336) 597 - 6 IN) March 31.2012
Rmsirrer .WJrns I%W Number Pomir L.P. (late
• uac awe sea rw-n.. �.f ,..mot ...yne.n I,sary,.,�...t pR . fA rx-Ac eA nm1 int isl too.
•• y.ymJ M nsnv ao ear pawns, aasprn w.y;ee..y au�.ay m.r ti w nte..d me ere Pea ISA Nrrvs' id e7os et rlt ono.
The ouathls averase fsr feed nAtfrm is robe rspr.rd -a GEOWNRIC man. Use rely desismed units in the rrprruns fxtlitys remit W nImming dsu