NC0065242_Regional Office Historical File Pre 2018

NPDES PERMIT NO.: NCO065242
FACALITY NAME: Grover WWTP
OWNER NAME: Town of Grover
GRADE: WW-4.
eDMR PERIOD: 07-2016 (July 2016)
PERMIT VERSION: 4.0
CLASS: WW-2'
ORC: James Lester Davis
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 15939
STATUS: Processed
SAMPLING LOCATION: INFLUENT DISCHARGE NO.: 001
O
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E
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o.
E
O F
2
F
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o
V
F
Am
F
a
'ti
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O
e
O
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c
O
x
u
c
O
O
en
`o
o
7 9
C0310
C0530
•
Weekly
Weekly
Composite
Composite
BOD -Cone
TSS -Conc
2400 clock
Hrs
2400 clock
Hrs
Y/B/N
mg/1
8
mg/IREC
1
E
2
3
C�aE���N/ RL FILES
0810
24
0800
3
y
594
��,
947 �EGi1jWV
6
7
n ry
8
9
VVURUIS
MOORESVILLE
10
REGIrDNAtOPPICrE
it
12
0810
124
0600
3
y
724
770
13
14
15
16
17
IS
'
19
0810
24
0800
3
y
388
500
20
21
22
23
r24
25
26
0800
24
0630
3
ly
1
538
200
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
561
604.25
Daily Maximum:
724
947
Daily Minimum:
388
200
****NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO065242
FACILITY NAME: Grover WWTP
OWNER NAME: Town of Grover
GRADE: WW-4.
eDMR PERIOD: 07-2016 (July 2016)
COMPLIANCE:
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: James Lester Davis-
ORC HAS CHANGED: No
VERSION: 1.0 ,
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland +
Y
ORC CERT NUMBER: 15939
STATUS: Processed
SUBMISSION DATE: 08/31/2016
��. 08/31/2016
OR /C rtifier Signature: James Lester Davis E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The pennittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours fiom the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the petnaittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES- irnit.
08/31/2016
Per itt e/Submitter Signature:*** James Lester Davis E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: NCSR 2235 N Of Grover Grover NC 28073 Permit Expiration Date: 08/31/2018
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 managed 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.
CERTIFIED LABORATORIES
LAB NAME: Water Tech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: James Davis, Josh McLaughlin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-630,0 or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Pennittee: If signed by other than the pennittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO065242
FACILITY NAME: Grover WWTP
OWNER NAME: Town of Grover
GRADE: WW-4.
eDMR PERIOD: 07-2016 (July 2016)
PERMIT VERSION: 4.0
CLASS: W W-2
ORC: James Lester Davis
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 15939
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
C
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E-
U P
E
F
—
u
O
O
O
O
ea
a Q
A cC
C0665
COMER
Semi-annually
Quarterly
Composite
Grab
TOTAL P- Cone
MERCURY - Cone
2400 clock jHrs
2400 clock I
Hrs
YB[N I
Mgt]
ng1I
1
1300
3
Y
2
0800
3
Y
3
0800
3
Y
4
1300
3
Y
HOLIDAY
5
0800
24
1330
3
Y
G
1
0600
3
Y
7
1300
3
Y
8
1200
3
Y
9
0800
3
Y
10
0700
3
Y
11
1330
3
Y
12
0800
24
0600
3
Y
13
0600
13
Y
1300
3
Y
1330
3
Y
[14
0730
3
Y
0700
3
Y
18
1400
3
Y
19
0800
24
1330
3
Y
20
0600
Y
21
0600
3
Y
22
0600
3
Y
23
0800
3
Y
24
1000
3
Y
25
1000
3
Y
26
0800
24
0630
3
Y
27
0830
3
Y
28
1800
3
Y
29
1700
3
Y
30
1040
3
y
31
1
1
11000
3
y
Monthly Average Limit:
Monthly Average:
Daily Maximum:
Daily Minimum:
**" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation= Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO065242
FACILITY NAME- Grover WWTP
OWNER NAME: Town of Grover
GRADE: WW-4.
eDMR PERIOD: 07-2016 (July 2016)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: James Lester Davis
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 15939
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
O
c
E
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E E
U F
e
U
F
e
6
m
O
O
F+
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O
O
O
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o
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50050
00010
00400
50060
C0310
C0610
C0530
31616
C0600
Continuous
5 X week
Weekly
2 X week
Weekly
Weekly
Weekly
Weekly
Semi-annually
Recorder
Grab
Grab
Grab
Composite
Composite
Composite
Grab
Composite
FLOW
TEMP-C
pH
CHLORINE
BOD - Cone
NH3-N - Cone
TSS - Cone
FCOLI BR
TOTAL N -
2400 clock
Hrs
2400 clock
Hrs
Y/B/N
mgd
deg c
su
ug/I
mall
mall
mg/I
#/l00m1
mg/I
1
1300
3
Y
0.025
29
49
2
0800
3
Y
0.041
28
3
0800
3
Y
0.046
4
1300
3
Y
HOLIDAY
5
10800
24
1330
3
Y
0.041
29
6
0
8.5
9.5
17.5
28
6
0600
3
Y
0.049
27
7
1300
3
Y
0.042
28
8
1200
3
Y
0.032
28.
<22
9
0800
3
Y
0.035
26
10
1
0700
3
Y
0.055
11
1330
3
Y
0.022
28
12
0800
24
0600
3
Y
0.037
27
6
0
14.8
4.83
16
1
13
0600
3
Y
0.05
26
14
1300
3
Y
0.042
30
15
11330
3
Y
0.027
28
36
16
0730
3
Y
0.047
27
17
0700 13
Y
0.051
18
1400
3
Y
0.036
30
19
0800
24
1330
3
Y
0.034
28
6.6,
0
2.7
2.8
12
I
20
0600
3
Y
0.038
27
2J
0600
3
Y
0.035
27
22
0600
3
Y
0.063
27
24
23
0800
3
Y
0.046
24
1000
3
Y
0.05
28
25
1000
3 IY
0.044
29
26
0800
24
0630
3
Y
0.017
28
6.6
23
3.5
4.18
14
1
27 1
1
0830
3
Y
0.06
28
28
1800
3
Y
0.04
29
29
1700
3
Y
0.027
29
0
30
1040
3
y
0.036
28
31
1000
3
y
0.043
Monthly Average Limit:
0.1
30
3.9
30
200
' Monthly Average:
0.040367
27.96
14.666667
7.375
5.3275
14.875
2.300327
DailyMaximum:
0.063
30
6.6
49
14.8
9.5
17.5
28
Daily Minimum:
0.017
26
6
0
2.7
2.8
12
1
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday

NPDES PERMIT NO.: NC0065242 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Grover WWTP CLASS: WW-2 COUNTY: Cleveland
OWNER NAME: Town of Grover ORC: James Lester Davis ORC CERT NUMBER: 15939
GRADE: WW-4. ORC HAS CHANGED: No
eDMR PERIOD: 07-2016 (July 2016) VERSION: 1.0 STATUS: Processed
Report Comments:
Ammonia Nitrogen was exceeded for month.

LCM
EFFLUENT
NPDES PERMIT NO. NCO065242 DISCHARGE NO. 001 MONTH June YEAR 2016
FACILITY NAME TOWN OF GROVER CLASS H COUNTY CLEVELAND
OPERATOR IN RESPONSIBLE CHARGE (ORC) JAMES DAVIS GRADE IV PHONE [phone]
CERTIFIED LABORATORIES (1) WATER TECH LABS,INC. Town of Grover
CHECK BOX IF ORC HAS CHAN ®Im �� g 1 S0 OLLECTING SAMPLES JAMES DAVIS,
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES J U L 2 5 201 �IJ
DIV. OF WATER QUALITY SI TURE OF OP OM RESPONSIBLE CHARGE)
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617 t'ENT :AL FIL S- SIGNATURE, I CERTIFY THAT THIS REPORT IS
r54n n Z ECTI CURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
-50050
00010 00400 50060
00310
00610
00530
31616
00300
00600
00665
N/A
N/A
N/A
71900
w
[y
d
q
u
C -
d o
yov
�N
d
m
a
F •°1
-
E"
i °
d0
+%
v'
a
O
U
FLOW
Enter Parameter Code
Above Name and Units
Below
v,V,.
Ao
00eva
d W
2 O
00
dz
....
w
.aAd
d 5
FZ0
Oam
�a
C
.dw.
d0
Uwe
wa
WOW
U0
AW z
,.>w
aC7
O7•
0
AO
.7 W
.d0
FO
pC
z
Fx
O�
00
w
W
-
.a
w
F
d
o
a
3 d
a
EFF 0
INF ❑
w'
FOV
AN
sxU
dE_
A.w
HMS
HRS
Y//N
MGD
•C
UNITS
U
Mg/L
MG/L
MGAL
#/10041,
MG/Lr,
MG/L
MG/L
%
:/o
inches.
N
1
0600
3
Y
.049
23
2
1330
3
Y
.042
23
3
1300
3
Y
.031 1
24
43 -
41400
3
Y
.028
25
0.25
5
0700
3
1 Y
.059
22
6
1330
3
Y
.045
23
7
1330
3
Y
` :033.
27
6.8
38`
9.8, '
0.39
13.2
97.8
96.4
8
0600
3
Y
.049
24
<1
IJA
3.39
9
1330
3
Y
.028
25
10
1230
3
Y
.040
25
1
<22
11
1530
3
Y
.021
12
0700
3
Y
'.050
13
1330
3
Y
.038
26 `
141400
3
Y
.025
27.
6.1
<22
4.2 .
<0.2
12
99.0
97.4
0.20
15
0600
3
Y
.051
25
<1
0.10 , .
1
16
1330
3
Y
.033
27
17
1230
3
'Y
1 .031
26
29_
18
1200
3
Y
.030
26
19
0700
3
Y
.047
20
1330
3
Y
.047
26
21
1400
3
Y
.024
28
6.6
26
<2,0
3.73
27
100
93.6
22
0100
3
Y
.043
25
<1
23
1300
3
1 Y
.039
26
241300
3
Y
.046
27.
<22
251900
3
Y
.015
26
26
0630
3
Y
.054
U
G
271330
3
Y
.038
28
0.50
281400
3
Y
.027
26
6.0
<22
3.4
3.80
14
99.4
98.5
0.10
29
0600
3
Y
.045
25
<1
0.40
"
30.0600
3
Y
.054
25
31
,
AVERAGE
.039
26
17
4.4
1.98
17
1
99.1
96.5
MAXIMUM
.059
28
6.9
43'
9.8
3.80
-27
<1
MINIMUM
.015
22.
, 6.0
<22
<2.0
. <0.2
12
<1
Comp. "o i cr3h �G>
CONT.
G
G
G
C.
C
C
G
G
C
C
C
C
G
Monthly Limits
619
28
30145
3,9111.
301
200
>85%
>85%
Semi -Annual events in May and NovemberRER%fWCAp%6119 : NH3 3.9 & 11.7 Winter Limits
lyl.0&33.0
DEM Form MR-1.I A U G 0 9 2016
(Revised 12/94)
WOROS
MOORESVILLE RE('10104L nr:;:ICE

2
Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT`meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time table for improvements to be made.
"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."
Permittee (Please print or type)
Signature ofPermittee** Date
207 Mulberry Rd. Grovel• NC 28073 704-937-9986 8/31/13
Permittee Address Phone Number Permit Exp. Date
PARAMETER CODES
00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total
00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver - Residual
00080 .Color (Pt -Co) . 00610 Ammonia Nitrogen 01092 Zinc Chlorine
00087 . Union (APMI) 00635 Total Kjeldhal 01027 Cadmium 01105 Aluminum
Nitrogen
00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde
00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Coliform .71900 Mercury .
00310 BODS 60665 Total Phosphorous 32730 Total Phenolics 81551 Xylene
00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene
00400 pH 007.45 Total Sulfide 01042 Copper 34481 Toluene
00530 Total Suspended 00927 Total Magnesium 38260 MBAS
Residue 00029 Total Sodium 01045 Iron 30516 PCBs .
00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], extension 531 or 534.
Use only units designated in the reporting facility's permit for reporting data.
• ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. .
• ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506
(b) (2) (D)

Influent
NPDES NO. NCO065242 DISCHARGE NO. 001 MONTH June YEAR 2016
FACILITY NAME TOWN OF GROVER COUNTY CLEVELAND
ENTER PARAMETER
CODE ABOVE NAME AND
UNITS
BELOW
mill
DEM Form MR-2 (12/93)

11.3 AMENDED ECEIVED/NCDENR/DWR
FEB 2_0 2017 .
EFFLUENT
WQROS
NPDES PERMIT. NO. NCO065242 DISCHARGE NO. 001 MONTH MWORESVIMEARGIOt�Q1UFFICE
FACILITY NAME TOWN OF GROVER CLASS II COUNTY CLEVELAND
,OPERATOR IN RESPONSIBLE CHARGE (ORC) JAMES DAVIS GRADE IV PHONE [phone]
CERTIFIED LABORATORIES (1) ' WATER TECH LABS,INC. Town of Grover.
CHECK BOX IF ORC.HAS .CHANGED Fx1 - PERSON(S) COLLECTING SAMPLES JAMES DAVIS
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES X
DIV. OF WATER QUALITY (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE.
RALEIGH, NC 27699-1617 MAIL SERVICE CENTER
RABY THIS SIGNATURE, I CERTIFY THAT THIS REPORT. IS .
ACCURATE AND COMPLETE To. THE BEST OF MY KNOWLEDGE.
50050
00010 00400 50060
00310
00610
00530
31616
00300
00600
00W
N/A
N/A
N/A
71900
W
F
d
A
o
` V
do
ya.
p`
v u
a-E
OF
L
y n
=
p
o
O
y
.O
V
a
O
FLOW.
Enter Parameter Code
Above Name and Units
Below.
-
G.V
p o
m r'
d W
ZC�
p O ..
F
dz..
Q
Jw¢
GO
d Z.
F. w A
�. w:
z
.aa<
w
d 0 ..
V. y z
cwc O w
a
wz
>w
..� C�
O}..C)
`Gz
-
c
O
,,a
O
d S
O o.
Q
O >
O O
m
-
d
>.
O
w
e
o
=
j >
_
c
_
EFF: .' 0
INF 13
w .
a a
ww
-cu
r ..
o.
= N
vr.a
w V
.. >.w.
¢Q
Ca
HRS
HRS
Y//N
MGD
"C
UNITS
U
Mg/L.
MG/L
MG/L.-
9/100ML
MG/L -
MG/L
MG/L
%
%.
inches.
N /L
1
0800
3
Y
.101
0.85
2
1330
3
Y .
.051
21
0.10
31330
3
Y
.032
13
6.3
<22
<2.0
11.20
7.5
<1
15.57
<0.1,6
100
98.5
0.30.
4
0630
.3
Y
.060
20
51400
3
Y
.038
.20
0.15
6112301
3
1 Y.
.034
20
<22
7
0700
3
Y
.040
18
8
0630
3
Y
.061
9
1330
'3
Y
.043
21
.10
1400
3
Y
.033
23
6.6.
<22
3.7
7.20
12.4
<1
99.4
98.1
1t
0630
3
Y-
.051
21
121330.
3
Y
.044
23
0.20
13
1130
3
Y
.031
24
24
14
1130
3
Y
.032
21
15
0730
3
Y
.054
1.61330
3
Y
.026
20:
1.7
0630
3
Y
.046
20
6.5
<22
<2.0
7.70
7.5
<1
100
99.2
0.25
-18
0630
3
1 Y
.063 ..
20
0.65
19
1300
3
:Y
.044
19
0.10
20
1300
3.
Y
.053.
20
28:
0.80
21
1300
3'
Y
.038
21
22
0630
3
Y
.055 .
23
1330
3 .
Y.
.041
22
241330
3
Y
.033
23
6.6.
49
12
9.50
9.7
<1
97.1
97.1.
25
0600
.3
Y
.048
21
261400
3.
Y
.046.
24
271230
3
Y
.035
25
26
28
1230
3
Y
.028
23
29,0730
3.
Y
.046.
301200
3
1 Y
.042.
Holi.
31
1330-
3 1
Y
.035
25
6.8
<22
3.9
4.78
6.0
<1
99.0
98.7
AVERAGE
.045 -
22
=
14
3.9
8.08
8.6
1.
15.57
<0.16
99.1
98.3.
MAXIMUM
.101
25
6.8
49
12
11.20.
12.4
<1
15.57
<0.16
MINIMUM
.026
18:.
6.3
<22
< .'O
4.78
6.0
<1
15.57
<0.16
.
Comp. C /.Grab (G)
.: CONT..
G
G
'G
C
C
C
G
G
C
C
C
C
G.
G
Monih►y Limas
619
1 28
30145
13.9111.
30145
1 200
>85%
>85%
Semi -Annual event 'in May and November r:'A Apr.. -Oct. NH3 3.9 T� I� nr�its
Y. MESp �1
1y1:0&33.0
4 q FE$•1 0 201?
DEM Form MR-I.1 p FEB • 6 o Lo�7 .
(Revised 12/94) 10 201mv
fd1111 orb ,,�t47r1l i:pinlUltr ,,iiVc,, 4 11T

a
b
Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time table for improvements to be made.
Ammonia was exceeded due to mechanical and electrical problems with blowers. Problems have been remedied.
"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."
Permittee (Please print or type)
Signature of Permittee** Date
207 Mulberry Rd. Grover NC 28073
704-937-9986
8/31/13
Permittee Address
Phone Number
Permit Exp. Date
PARAMETER
CODES
00010
Temperature
00556
Oil & Grease
00951
Total Fluoride
01067
Nickel
50060 Total
00076
Turbidity
00600
Total Nitrogen
01002
Total Arsenic
01077
Silver
Residual
00080
Color (Pt -Co)
00610
Ammonia Nitrogen
01092
Zinc
Chlorine
00087
Union (APMI)
00635
Total Kjeldhal
01027
Cadmium
01105
Aluminum
Nitrogen
00095
Conductivity
00630
Nitrates/Nitrites
01032
Hexavalent Chromium
01147
Total Selenium
71880 Formaldehyde
00300
Dissolved Oxygen
01034
Chromium
31616
Fecal Coliform
71900 Mercury
00310
BOD;
00665
Total Phosphorous
32730
Total Phenolics
81551 Xylene
00340
COD
00720
Cyanide
01037
Total Cobalt
34235
Benzene
00400
pH
00745
Total Sulfide
01042
Copper
34481
Toluene
00530
Total Suspended
00927
Total Magnesium
38260
MBAS
Residue
00929
Total Sodium
01045
Iron
39516
PCBs
00545
Settleable Matter
00940
Total Chloride
01051
Lead
50050
Flow
Parameter Code assistance may
be obtained
by calling the Water
Quality Compliance Group
at [phone], extension
531 or 534.
Use only units designated in the reporting facility's permit for reporting data.
ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
• ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506
(b) (2) (D)•

00400-
00010
00310
00610
00530
00610
0
v
O:
c ..
C14
M -
�.~Q2
a
E
O
V
w.
�U)
aW
a
F-
pU.:
mN
az
w
ZC7
0no
Q
Ww
Q�cn 0.
O
1--.nw
U)�
ENTER PARAMETER CODE ABOVE NAME AND
UNITS BELOW
HRS
HRS..
UNITS
°C
MG/L
MG/L
MG/L
1
2
3
0810
24
521
37.25
510
4
5
6
7
8
9
10
0810
24 -.
.652
:41.25
650
19
12
.
13
14
15
16
17
0810
24
442
48.50
900
18
1.9
20
21
22
23
24.0810
24
41.0
34.25 :
338
25
26
27
28
29
30
31
0810
24
377
48.85
445
Average
480
42.02
561
Maximum
652
48.85
900
Minimum
377
34.25
338.
Comp.(C)/Grab (G)
G.
C
C
C
DEM Form MR-2 (12/93)

1 4
EFFLUENT
0
NPDES PERMIT NO. NCO065242 DISCHARGE NO. 001 MONTH May YEAR 2016
FACILITY NAME TOWN OF GROVER CLASS H COUNTY CLEVELAND
OPERATOR IN RESPONSIBLE CHARGE (ORC) JAMES DAVIS GRADE IV PHONE [phone]
CERTIFIED LABORATORIES WATER TECH LABS,MC. Town of Grover
CHECK BOX IF ORC HAS CHA1 r PR )COLLECTING SAMPLES JAMES DAVIS
Mail ORIGINAL and ONE COPY NIUL 0 5 ?w
ATTN: CENTRAL FILES X RECEI�
1DIV.617
OF WATER QUALITY CENTRA FILES G TURF OF OPERATOR IN RESPONSIBLE CHARGE) DATE
R MAIL SERVICE CENTER D1NI; S TIDN B S SIGNATURE, I CERTIFY THAT THIS REPORT IS • I i j n q
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. C J
50050
00010 00400 50060
00310
00610
00530
31616
00300
00600
00665
N/A
N/A
N/xg71900
W
'C =
Qo
fj i;
aE
OF
O
.:
o
C4
p
FLOW
Enter Parameter Code
Above Name and Units
Below
AU
oo.
yrt
�Wad
zU
00
a
z
d�p
Fw�
Oav,
E"�W
t]„a
COw
Uwe
w j�
w01
UC7
Wz
>w
�,y4
140
A
aW
dU
pa
FF
z
dp
O�
F O_
. a
IVlU:'
A>
p0
oaf
i-;:=`:fir;
a
O
E~
.I - ('_,:
a
d
•1,.�A
3d
EFF 0
INF ❑
w
a
p"
AN
V]r�H
wU
CG
�+W
�QW
A C4
IIRS
HRS
Y//N
MGD
*C
UNITS
U
Mg/L
MG/1,
MG/1-
01100ML
MG/L
MG/L
MG/L
%
%
inches.
N
1
080.0
3
Y
.101
0.85
21330
3
Y
.051
21
0.10
3
1330
3
Y
.032
13:
'6.3
<22
<2.0.
11.20
` 7.5
<1
100
98.5
.0.30
4
0630
3
Y
.060
20
51400
3
Y
.038
20
0.15
6
1230
3
Y
.034
20
1
<22
7
0700
3
Y
4040
18
8
0630
3
Y
.061
9
1330
3
Y
.043
21• ,
'
101400
3
Y
.033
23.
6.6
<22
3.7
1 7.20
12.4
<1
99.4
98.1
11,0630
3
Y
.051
21
121330
3
Y
.044
23
0.20
13
1130
3
Y
.031
24
24
14
1130
3
Y
.032
21
15
0730
3
Y
.054
16
1330
3
Y
.026
20
17,0630
3
Y
.046
20
6.5
<22
<2.0 1
7.70
7.5
<1
100
99.2
0.25
1810630
3
1 Y
.063
20
0.65
191300
3
1 Y
.044
19
0.10
201300
3
Y
.053
20
28
0.80
21
1300
3
Y
.038
21
22
0630
3
Y
.055
23
1330
3
Y
.041
22
241330
3
Y
.033
23
6.6
49
12
9.50
9.7
<1
97.1
97.1
25
0600
3
Y
.048
21 ;
26,1400
3
Y
.046
24
27
1230
3
Y
.035
25
26
28
1230
3 1
Y
.028
23
29
0730
3
Y
'.046
301200
3
Y
042
Holi.
31
1330
3
Y
.035
25
6.8
<22
- 3.9
4.78 '.
6.0
<1
_
99.0 -
98.7
AVERAGE
.045
22
14
3.9
8.08
8.6
1
99.1
98.3
MAXIMUM
.101
25
6.8
49 "
12
11.20
12.4
<1
MINIMUM 1.026
18
6.3 1
<22-
<2.0
4.78
6.0
<1
Comp. ©/ Grab (G)
CONT.
G
G
G.
C
C I
C I
G
G
C
C
C
C
C
G
Monthly Limits
619 1
28 1
30145 f
3.9111.1301451
200
>85%
>
Semi -Annual events in May and November. Summer: Apr. -Oct.: NH3 3.9 & 11.7 Winter Limits
lyl.0&33.0 `
DEM Form MR-1.1
(Revised 12/94) JUL 13 2016
)FF ;CE

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements F
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,'
and a time table for improvements to be made.
Ammonia was exceeded due to mechanical and electrical problems with blowers. Problems have been remedied.
"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."
Permittee (Please print or type)
Signature of Permittee** Date
207 Mulberry Rd. Grover NC 28073 704-937-9986. 8/31/13
Permittee Address Phone Number Permit Exp. Date
PARAMETER CODES.
00010
Temperature
00556
Oil & Grease
00951
Total Fluoride
01067
Nickel
00076
Turbidity
00600
Total Nitrogen
01002
Total Arsenic
01077
Silver
00080
.Color (Pt -Co)
00610
Ammonia Nitrogen
01092
Zinc
00087
Union (APMI)
00635
Total Kjeldhal
01027
Cadmium
01105
Aluminum
Nitrogen
00095
Conductivity
00630
Nitrates/Nitrites
01032
Hexavalent Chromium
01147
Total Selenium
00300
Dissolved Oxygen
01034
Chromium
31616
Fecal Coliform
00310
BOD5
00665
Total Phosphorous
32730
Total Phenolics
00340
COD
00720
Cyanide
01037
Total Cobalt
34235
Benzene
00400
pH
00745
Total Sulfide
01042
Copper
34481
Toluene
00530
Total Suspended
00927
Total Magnesium
38260
MBAS
Residue
00929
Total Sodium
01045
Iron
39516
PCBs
00545
Settleable Matter
00940
Total Chloride
01051
Lead
50050
Flow
50060 Total
Residual.
Chlorine
71880 Formaldehyde
71900 Mercury
81551 Xylene .
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], extension 531 or 534.
Use only units designated in the reporting facility's permit for reporting data. • .
• ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204..
• * * If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506
(b) (2) (D)•

Influent
NPDES NO. NCO065242
DISCHARGE NO. 001
FACILITY NAME TOWN OF GROVER
MONTH May YEAR 2016
COUNTY CLEVELAND
00400
1 00010
00310
00610
00530
00610
�
U
O
o
N
W
H
2
LU
in
a
2
O
U
a
w
p�
L�
aw
wU
1--
Oo
mN
aW
00
�
aZ
o
WW
�w�
�U)w
NU:
ENTER PARAMETER
UNITS
CODE ABOVE NAME AND
BELOW
HRS
HIRS
UNITS
°C
MG/L
MG/L
MG/L
1
2
3
0810
24
521
37.25
510
4
5
6
7
8
9
10
0810
24
652
41.25
650
11
12
13
14
15
16
17
0810
24
442
48.50
900
18
19
20
21
22
23
24
0810
24
410
34.25
338
25
26
27
28
29
30
311
0810
1 24
377
48.85
445
Average
480
42.02
561
Maximum
652
48.85
900
Minimum
377
34.25
338
Comp.(C)/Grab (G)
G
C
C
C
DEM Form MR-2 (12/93)

JUN 0 8 2016
EFFLUENT
NPDES PERMIT NO. NCO065242 DISCHARGE NO. 001 MONTH April YEAR 2016
FACILITY NAME TOWN OF GROVER CLASS H COUNTY CLEVELAND
OPERATOR IN RESPONSIBLE CHARGE (ORC) JAMES DAVIS GRADE IV PHONE [phone]
CERTIFIED LABORATORIES (1) WATER TECH LABS,INC. Town of Grover
CHECK BOX IF ORC HAS CHANGED ® PERSON LLECTING SAMPLES JAMES DAVIS
Mail ORIGINAL and ONE COPY to: RECEIVED/NCG%iSl.1D�Wf R
ATTN: CENTRAL FILES X vl.'o
DIV. OF WATER QUALITY (SIGNAT OF OPERATOR IN RESPONSIBLE CHARGE) I I ^ I ATE
1617 MAIL SERVICE CENTER BY THIS SI ATURE, I CERTIFY THAT THIS REPORT IS U I y
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
wc.1Rnc,
50050
00610 06400 50060
00310
00610
00530
31616
00300
00600
00665OW/
it
L-N/-X
(N/A-
DT-WY
> .
^
°'
F
0°
::
O
FLOW
Enter Parameter Cade
Above Name and Units
Below
U
Wwa
O
z
d 0
CO."
;g,
5d
w
U0
w
0W
UC9
W z
>
O
�
O"
WEFF
O
z
ax
00
CL
w
9
F
a°0
a
>o
d
a
a«4,
3p
0
❑
INF ❑
A.
A
HRS
HRS
Y//N
MGD
*C
UNITS
UgIL
Mg/L.
MG/L
MG/L.
9/10DML
MG/L
MG/L
MG/L
%
%
inches.
N
1
1300
3
Y
.039
19°
35
2
0900
3
Y
.035
18
3
0700
3
Y
.051
-
4
1400
3
Y
.038
19
n
5,1400
3
Y
.023
18
6.1
26
<2.0
0.29
5.8
6
100
99.1
�a `
6
0630
3
Y
-.061
14.
i
7
1330
3
Y'
.035
17
•' .
8
1300
3
Y
.029
18
<22
9
0800
3
Y
.047
101200
3
Y
.046
16
11,1330
3
Y
.043
-18
LL
12
14001
3.1
. Y
.026
19
6.1
<22
<2.0
0.32
14
2
100
98.5
13
0630
3
Y
.058
18
14
1400
3
Y
.034
20
15
1500
3
Y
.022
18
<22
JU14
0 �S
16
0630
3
Y
.045
17
1230
' 3
Y
.045
17
18
1330
3
Y
.039
20
19
1400
3
Y
:025
21
20
0600
3
Y
.044
18
6.4
<22
2.7
14.10
5.6
<1
99.4
98.9
21
0600
3
Y
.047
18
'
22
1230
3
Y
.047
20
28
23,1200
3
Y
.030
19,:
24
0700
3
Y
.048
25
1400
3
Y
.037
21
261300
3
Y
.026
22
6.3.
27
27
0630
3
Y
.040
19
12.9
9.35
.10.0
93
97.0
97.3
28
0630
3
Y
.044
18
29,1300
3
Y
.035
23 .
23 "
30
0930
3
Y
.059
21
31
i23
AVERAGE
.040
20
15
3.9
6.02
8.9
5.8
99.4
98.5
MAXIMUM
.061
6.4
35
12.9
14.10.
14
93
MINIMUM
1 .022
14
6.1
<22
<2.0
0.29
5.6
<1
Comp. ©/ Grab (G)
CONT.
G.
G
G
C
C
C
G
G
C
C
C
C
G
Monthly Limits
619
28
30145
3.9111.
30145
200
>85%t�gs/.
Semi -Annual events in May and November. Summer: Apr. -Oct.: NH3 3.9 & 11.7 Winter Limits
1y1.0&33.0
DEM Form MR-1.1
(Revised 12/94)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time table for improvements to be made.
Ammonia was exceeded due to mechanical and electrical problems with blowers. Problems. have been remedied.
"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."
s
Penf itte ( ease print or e)
/li/�
Signature of Permittee** Date
207 Mulberry Rd. Grover NC 28073
Permittee Address
704-937-9986
Phone Number
PARAMETER CODES
00010
Temperature
00556
Oil & Grease
00951
Total Fluoride
01067
Nickel
00076
Turbidity
00600
Total Nitrogen
01002
Total Arsenic
01077
Silver
00080
Color (Pt -Co)
00610
Ammonia Nitrogen
01092
Zinc
00087
Union (APMI)
00635
Total Kjeldhal
01027
Cadmium
01105
Aluminum
Nitrogen
00095
Conductivity
00630
Nitrates/Nitrites
01032
Hexavalent Chromium
01147
Total Selenium
00300
Dissolved Oxygen
01034
Chromium
31616
Fecal Coliform
00310
BOD5
00665
Total Phosphorous
32730
Total Phenolics
00340
COD
00720
Cyanide
01037
Total Cobalt
34235
Benzene
00400
pH
00745
Total Sulfide
01042
Copper
34481
Toluene
00530
Total Suspended
00927
Total Magnesium
38260
MBAS
Residue
00929
Total Sodium
01045
Iron
39516
PCBs
00545
Settleable Matter
00940
Total Chloride
01051
Lead
50050
Flow
8/31/13
Permit Exp. Date
50060 Total
Residual
Chlorine-
71880 Formaldehyde
71900 Mercury
81551 Xylene
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], extension 531 or 534.
Use only units designated in the reporting facility's permit for reporting data.
• ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506
(b) (2) (D).

Influent
NPDES No. NCO065242
DISCHARGE NO. 001
FACILITY NAME TOWN OF GROVER
MONTH April YEAR 2016
COUNTY CLEVELAND
00400
00010
00310
00610
00530
00610
v
O
F-
g
I
0
g
U
4
w
aa
a
w
m N
e Z
w
000
Q
w w
( W
ENTER PARAMETER
UNITS
CODE ABOVE NAME AND
BELOW
HRS
HRS
UNITS
°C
MGIL
MG/L
MG/L
1
2
3
4
5
0810
24
470
32.00
625
6
7
8
9
10
11
12
0810
24
836
47.00
940
13
14
15
16
17
18
19
20
0810
24
482
45.25
500
21
22
23
24
25
26
27
0810
24
429
46.75
364
28
29
30
31
Average
554
42.75
607
Maximum
836
47.00
940
Minimum
429
32.00
364
Comp.(C)/Grab (G)
G
C
C
C
DEM Form MR-2 (12/93)

i
FCFIVED1
MAY - 3 2016
EFFLUENT DIMR SECTION
INN:ORMATION PROCESSING UNIT
NPDES PERMIT NO. NCO065242 DISCHARGE NO. 001 MONTH March YEAR 2016
FACILITY NAME TOWN OF GROVER CLASS H COUNTY CLEVELAND
OPERATOR IN RESPONSIBLE CHARGE (ORC) JAMES DAVIS GRADE IV PHONE [phone]
CERTIFIED LABORATORIES (1) WATER TECH LABS,INC. Town of Grover
CHECK BOX IF ORC HAS CHG'ID ® PER S S OLLECTING SAMPLES JAMES DAVIS
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES SAY O q RECEIVE
DIV. OF WATER QUALITY I� 201� 1617 (SIOATfJRE OF OPERATOR IN RESPONSIBLE CHARGE) DA
MAIL SERVICE CENTER By I S SIGNATURE, CERTIFY THAT THIS REPORT IS MAY
i 16
RALALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
OA
MAY 1 2 2016
50050
00010 00400 50060
00310
00610
00530
31616
00300
00600
00665a�,[����19
W
> `�'
'C
o
OF
d
E
on
a0
O
�•
°=
o
d
O
FLOW
Enter Parameter Code
Above Name and Units
Below
qV
mN
.s W
O�
C
Cz
-
w
apd
FZQ
Oa�n
FgcL
a C
V�
w:ap
wOVw
0
pp
w Z
aV
rA
m0
q
a W
FO
Oa
E"z
Q
a a
Fx
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00
x
a
z
.4 u
a
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INF ❑
w
U
G.
Q"N
WU
F4
.4
q�lw-=
RRS
HRS
YI/N
MGD
•C
UNITS
U
Mg/L.
MG/L
MG/L.
MOM
MG/L
MG/L
MG/L
%
%
inches..
N
11330
3
Y
.032
14
1 6.0
<22
0.10
2
0700
3
Y
1 .055
12
3.6
0.37
10.8
7
99.2
97.6
3
1300
,3
Y
--.038
13
Tr.
4
1230
3
Y
.029
14
<22
5,1000
3
Y
.037
12
6
0900
3
Y
.052
7
1300
3
Y
.040
14
81400
3
1 Y
.043
16
6.0
45
9
0700
3 _
Y
.040
15 .
5.3
0.98
5.8
<1
99.3
99.2
101.400
3
Y
.042
17
110330
3
Y
.036
..,17`
<22 ,
121230
3
Y
.032
17
13
0800
3
Y
.056
0.50
14
1330
3
1 Y
.054
18
15
1330
3'
Y
026
19
6.2 .
<22
16
0630
3
Y
.053
15
6.2
1 10.40
15
<1
99.2
98.2
3.79
17
1330
'3
Y
.043
18
18
1600
3
Y
.026
18
26
49
-1100
3
Y
.034
17
Tr.
20
0800
3
Y
.052
211330
3
Y
.037
15
221400
3
Y
.032
16
6.0
<22
23
0700
3"
Y
.041
14
8.6
1.04
5.4
34
1
97.5
98.5
241330
3
Y
.040
18
251330
3
Y
.035
18
<22
26
0900
3
1 Y
.040
18
27
0730
3
Y
.060
0.60
28,1330
3
Y
.039
18
29
1330
3
Y
.045
18
'63
44
30
0700
3
Y
..025
18
31
0700
3
Y
.056
16
3.3
0.28 "
7.5
<1
99.2
98.5 :
"0.35
AVERAGE
.039
16
8
4.6
2.61
8.9
3
98.9
1 98.4
3.79
MAXIMUM
.060
18
6.3
45
8.6' .
10.40;
15
34
3.79
MINIMUM
.025
12
6.0
<22 .
3.3
0.28
5.4
<1
3.79
Comp. ©/ Grab (G)
CONT.
G'
G''
G`-
' C
C
C'
G
G
C
C
C
C
C
G
Monthly Limits
619
28
1 30145
3.9/11.
30/45 1
200
1
1
Semi -Annual events in May and November. Summer: Apr. -Oct.: NH3 3.9 & 11.7 Winter Limits
lyl.0&33.0
DEM Form MR-1.1
(Revised 12/94)
ICE

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time table for improvements to be made.
"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 signifiVant penalties for
submitting false information, including the possibility of fines and imprisonment for h ations."
Permittee (Please print or type)
Signature ofPermittee** Date
207 Mulberry Rd. Grover NC 28073 704-937-9986 8/31/13
Permittee Address Phone Number Permit Exp. Date
PARAMETER CODES
00010
Temperature .00556
Oil & Grease
00951
Total Fluoride
01067
Nickel
00076
Turbidity
00600
Total Nitrogen
01002
Total Arsenic
01077
Silver
00080
Color (Pt -Co)
00610
Ammonia Nitrogen
01092
Zinc
00087
Union (APMI)
00635
Total Kjeldhal
01027
Cadmium
01105
Aluminum
Nitrogen
00095
Conductivity
00630
Nitrates/Nitrites
01032
Hexavalent Chromium
01147
Total Selenium
00300
Dissolved Oxygen
01034
Chromium
31616
Fecal Coliform
00310
BODS
00665
Total Phosphorous
32730
Total Phenolics
00340
COD
00720
Cyanide
01037
Total Cobalt
34235
Benzene
00400
pH
00745
Total Sulfide
01042
Copper
34481
Toluene
00530
Total Suspended
00927
Total Magnesium
38260.
MBAS ..
Residue
00929
Total Sodium
01045
Iron
.39516
PCBs .
00545
Settleable Matter
00940
Total Chloride
01051
Lead
50050
Flow
50060 Total
Residual
Chlorine
71880 Formaldehyde'
71900 Mercury
81551 Xylene
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], extension 53`1 or 534.
Use only units designated in the reporting facility's permit for reporting data..
• ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
• ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506
(b) (2) (D)•

Influent
NPDES No. NCO065242
DISCHARGE NO. 001
FACILITY NAME TOWN OF GROVER
MONTH March YEAR 2016
COUNTY CLEVELAND
00400
00010
00310
00610
00530
00610
0
Y
v
O
o
o
N
W
p
w
�_
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rn
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O
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it
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WW
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0(L w
�w
ENTER PARAMETER
UNITS
CODE ABOVE NAME AND
BELOW
HRS
HRS
UNITS
°C
MG/L
MG/L
MG/L
1
2
0810-
24
459
32.00
445
3
4
5
6
7
8
9
0810
24
782
44.75
690
10
11
12
13
-14
15
16
0810
24
756
38.00
795
17
18
19
20'
21
22
23
0810
24
345
48.25
345
24
25
26
27
28
29
30
31
0810
24
1
400
37.00
490
Average
548
40.00
553
Maximum
782
48.25
795
Minimum
345
32.00
345
Comp.(C)/Grab (G)
G
C
C
C
DEM Form MR-2 (12/93)

It
at.
EFFLUENT
NPDES PERMIT NO. NCO065242 DISCHARGE NO. 001 MONTH
FACILITY NAME TOWN OF GROVER . CLASS 11
OPERATOR IN RESPONSIBLE CHARGE (ORC) JAMES DAVIS GRADE
CERTIFIED LABORATORIES (1) WATER TECH LABS.INC.
CHECK BOX IF ORC HAS
Wl
February YEAR 2016
COUNTY CLEVELAND
IV PHONE [phone]
Town of Grover
COLLECTING SAMPLES JAMES DAVIS
Mail ORIGINAL and ONE COPY t(A P R 0 2 016
ATTN: CENTRAL FILES XV"""•,
DIV. OF WATER QUALITY CONTRA; FILES (SIqaq4tF1JRE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 MAIL SERVICE CENTER D�� W�BON BY SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
M
1 DATE
APR 12 2016
50050
00010 00400 50060
00310
00610
00530
31616
00300
00600
00665
N/A
N/A
N/ld,7,1900
W
Q o
OH
,r.
+:
FLOW
Enter Parameter Cade
Above Name and Units
Below
q�W�
U.
pC
dz
w
zU
w
FdmdoW
xWU
O
�a
aww.7
wdOsdt
a,
CE0
Uc�
12
z
aC7
"dUa�
WEFF
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F
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IVIV!'NLS
cc
NJ
.a
LE REC
10fJAL I
od
®ep,�tY
INF
�
WW
F0U
s
a'
N
rq/�►a
WU
"�
A
HRS
HRS
WIN
MGD
•C
UN1TS
UgfL
Mg/L
MG/L
MG/L.
#/100ML
. MG/L
MG/L
MG/L
%
%
inches.
N L
1
1330
3
Y
.055
16
2
1400
3
Y
.031
14
3
0700
3
Y
.110 "
15
6.6
<22
24.3
9.10
14.8
<11
97.4
- 98.5
0.95
4
1330
3
Y
.049
15
5.1300.
3
Y
.032
14
<22
6
0900
3
Y
.044
13
7
0800
3
Y
.056
81330
3
Y
.041
13
9
1400
3
Y
.036
12
6.5 -
22
<2.0
4.70
24
5
100
96.9
10
0700
3
Y
.037
12
111400
3
Y
,036
13
n
ri
n 1) r't 44,
12
1300
3
Y
.024
12
<22
13
0900
3
Y
.034
11
14
0800
3
Y
.048
151300
3
Y
.044
10
Tr..
161330
3
Y
.037
13
6.2
<22
10.1
0.48
22.4
<1
96.9
92.5
17
0700
3
Y
.051
11
18
1330
3
Y
.035
13
19
1300
3
Y
.032
13
<22
20
1100
3
Y
.038
13
21
0700
3
Y
.055
221400
3
Y
.160
13
1.75
231400
3
Y
.080
13
6.0
<22
<2.0
1 0.41
20
78
100
94.9
0.35
24
0700
3
Y
.155
13..
0.30
25
1330
3
Y
.076
12
26
1300
3
Y
.036
12
<22
27
0900
3
Y
.043
11
28,0900
3
Y
.051
2911300
3
-Y
.043
A 4
30
31
AVERAGE
.054
13
3
8.9
3.67
20.3
4.4
98.6
95.7
MAXIMUM
160
16
6.6
22
24.3
9.10
24.0
78
MINIMUM 1,024
10
6.0
<22
<2.0
0.41
14.8
<1
Comp. ©/ Grab (G)
CONT.
G
G
G
C
C
C
G
G
C
C
C
C
G
Monthly Limits
619
28
30145
3.9111.
30145
200
EC
>85%
>85%
Semi -Annual events in May and November.
1y1.0&33.0
DEM Form MR-1.1
(Revised 12/94)
Summer: Apr. -Oct.: NH3 3.9 & 11.7 Winter Limits
APR '0 6 2016
VME
OFFICE

w
Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements F -x]
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time table for improvements to be made.
"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."
207 Mulberry Rd. Grover NC 28073
Permittee Address
Permittee (Please print or type)
Signature of Permittee** Date
704-937-9986 8/31/13
Phone Number Permit Exp. Date
PARAMETER CODES
00010
Temperature
00556
Oil & Grease
00951
Total Fluoride
01067
Nickel
00076
Turbidity
00600
Total Nitrogen
01002
Total Arsenic
01077
Silver
00080
Color (Pt -Co)
00610
Ammonia Nitrogen
01092
Zinc
00087
Union (APMI)
00635
Total Kjeldhal
01027
Cadmium
01105
Aluminum
Nitrogen
00095
Conductivity
00630
Nitrates/Nitrites
01032
Hexavalent Chromium
01147
Total Selenium
00300
Dissolved Oxygen
01034
Chromium
31616
Fecal Coliform
00310
BODS
00665
Total Phosphorous
32730
Total Phenolics
00340
COD
00720
Cyanide
01037
Total Cobalt
34235
Benzene
00400
pH
00745
Total Sulfide
01042
Copper
34481
Toluene
00530
Total Suspended
00927
Total Magnesium
38260
MBAS
Residue
00929
Total Sodium
01045
Iron
39516,
PCBs
00545
Settleable Matter
00940
Total Chloride
01051
Lead
50050
Flow
50060 Total
Residual
Chlorine
71880 Formaldehyde
71900 Mercury
81551 Xylene
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], extension 531 or 534.
Use only units designated in the reporting facility's permit for reporting data.
® ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
• ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506
(b) (2) (D)-

Influent
NPDES NO. NCO065242
DISCHARGE NO. 001
FACILITY NAME TOWN OF GROVER
MONTH February YEAR 2016
COUNTY CLEVELAND
00400
00010
00310
00610
00530
00610
r
ta
f7
Y
v
L)
N
W
E-
w
w
0
U
d
w
>j
LaU."'�
W
W U
F-
06
m
zW
*w
Q
�o�
0(L55
W
N
ENTER PARAMETER
UNITS
CODE ABOVE NAME AND
BELOW
HRS
HRS
UNITS
°C
MG/L
MG/L
MG/L
4
2
3
0810
24
920
42.75
980
4
5
6
7
8
9
10
0810
24
609
49.25
770
11
12
13
14
15
16
17
0810
24
334
47.50
300
18
19
20
21
22
23
24
0810
24
318
19.75
390
25
26
27
28
29
30
31
Average
545
39.81
610
Maximum
920
49.25
980
Minimum
318
19.75
300
Comp.(C)/Grab (G)
GI
C I
C -I
C
DEM Form MR-2 (12/93)

RECEIVED/NCDENR/DWR
f - BAR
MAR 15 2016
EFFLUENT ` I WQROs
MOORESVILLE REGIONAL OFFICE
NPDES PERMIT NO. NCO065242 DISCHARGE NO. 001 MONTH January YEAR 2016
FACILITY NAME . TOWN OF GROVER CLASS H COUNTY CLEVELAND
OPERATOR IN RESPONSIBLE CHARGE (ORC) JAMES DAVIS GRADE IV PHONE [phone]
CERTIFIED LABORATORIES (1) WATER TECH LABS,INC. Town of Grover
CHECK BOX IF ORC HAS ctf REC M E DPERSO COLLECTING SAMPLES JAMES DAVIS
Mail ORIGINAL and ONE COPYVA:R ® 2 2016
ATTN: CENTRAL FILES to
DIV. OF WATER QUALITY (SI NATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
RA GH, SERVICE CENTER CENTRAL f LES BY SIGNATURE, I CERTIFY THAT THIS, REPORT IS
LEIHNC 27699-1617 DWR ss'zC IION ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
50050
00010 00400 50060
00310
00610
00530
31616
00300
00600
00665
N/A
N/A
N/A
71900
W
E"
A
do
EN
adp.Q
a
O
U
FLOW
Enter Parameter Code
Above Name and Units
Below
qU
m
w
00
O
�E.
aWd
d�0
FIW0Wmpt
az t
d0
W.7p
wE
u0OF
�z
.�W. W
A
aw
dFF00
zcn
a;g
dpx
�0
p
a
d
MAOINF
�0W0.'
O
F
c
p:duti9
�oud
.r3N
EFF ®
W
E U
a'�a
a
Q
HRS
HRS
WIN
MGD
•C
UNITS
U91L
Mg/l..
MG/L
MG/L.
N/100ML,
MG/L
MG/L
MG/L
%
%
inches.
N
1
1200
3
Y
.130
2
1000
3
Y
.115
15
3
0730
3
Y
.126
4
1330
3
Y
.091
13
51400
3
Y
.055
15
6.2
<22
12.6
9.80
13.6
<1
96.8
91.0
6
0700
3
Y
.111
14
71530
3
Y
.044"
14.
8
1300
3
Y
.035
13
<22
9
1030
3
Y
.041,
15.
.0.45
10
0730
3
Y
.057
11,1330
3
Y
.038
15
121400
3
Y
.027
15
6.1
28
5.8
7.35
10.3
7
98.5
98.0
13
0700
3
Y
.048
13.
141400
3
Y
.043
16
15
1300
3
Y
.154
13
<22
, AT"
y) 11 :,
�1
2.00
16
1030
3
Y
.062
13
1Y -Ah
t " L'
1710730
3
Y
.073
Tr.
18
1330
3
Y
.032
13
191330
3
Y
.037
13
6.1
38
10.6
<0.2
13.0
<1
97.0
95.9
20
0700
3
Y
.054
13
21
1200
3
Y
.043
14
221400
3
Y
.043
12
23
0.50
23,1030
3
Y
.043
24
1100
3
Y
.048
25
1400
3
Y
.047
14 .
261200
3
Y
.052
12
18.1
<0.2
16.0
26
97.7
97.8
0.15
27
0700
3
Y
.066
15
6.6
<22
281200
3
Y
.047
14
291300
3
Y
.031
13
24
30
1000
3
Y
.040
11
31
0800
3
y
.048
AVERAGE
.059
14
11
11.8
4.29
13.2
1 3.7
97.5
95.7
MAXIMUM
154
16
6.6
38
18.1
9.80
16.0
1 26 -
MINIMUM
.027
1 11
6.1
<22
5.8
<0.2
10.3
1 <1
Comp. ©/ Grab (G)
CONT.
G
G
G
C
C
C
G
-G
C
C
C
C
C
G
Monthly Limits
619
28
30145
3.9/11,
30145
1 200
1
>85%
>85%
Semi -Annual events in May and November. Summer: Apr. -Oct.: NH3 3.9 & 11.7 Winter Limits
1y1.0&33.0
DEM Form MR-1.1
(Revised 12/94)

� ' 1
Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect tb equipment, operation, maintenance, etc.,
and a time table for improvements to be made.
"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."
207 Mulberry Rd. Grover NC 28073
Permittee Address
00010 Temperature
00076 Turbidity
00080 Color (Pt -Co)
00087 Union (APMI)
00095
Conductivity
00300
Dissolved Oxygen
00310
BOD5
00340
COD
00400
pH
00530
Total Suspended
Residue
00545
Settleable Matter
Permittee (Please print or type)
/- 2 -2i/f
Signature ofPermittee** Date
PARAMETER CODES
00556 Oil & Grease 00951 Total Fluoride
00600 Total Nitrogen 01002 Total Arsenic
00610 Ammonia Nitrogen
00635 Total Kjeldhal 01027 Cadmium
Nitrogen,
00630 Nitrates/Nitrites 01032 Hexavalent Chromium
01034 Chromium
00665 Total Phosphorous
00720
Cyanide
01037
Total Cobalt
06745
Total Sulfide
01042
Copper
00927
Total Magnesium
00929
Total Sodium
01045
Iron
00940
Total Chloride
01051
Lead
704-937-9986 8/31/13
Phone Number Permit Exp. Date
01067
Nickel
01077
Silver
01092
Zinc
01105
Aluminum
01147 Total Selenium
31616 Fecal Coliform
32730 Total Phenolics
34235 Benzene
34481 Toluene
38260 MBAS
39516 PCBs
50050 Flow
50060 Total
Residual
Chlorine
71880 • Formaldehyde
71900 Mercury
81551 Xylene
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], extension 531 or 534.
Use only units designated in the reporting facility's permit for reporting data.
• ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
• ** If signed by other than the,permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506
(b) (2) (D).

Influent
NPDES NO. NCO065242
DISCHARGE NO. 001
FACILITY NAME TOWN OF GROVER
MONTH January YEAR 2016
COUNTY CLEVELAND
00400
00010
00310
00610
00530
00610
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I
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O
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ENTER PARAMETER
UNITS
CODE ABOVE NAME AND
BELOW
HRS
HRS
UNITS
°C
MG/L
MG/L
MG/L
1
2
3
4
5
0810
24
390
24.00
150
6
7
8
9
10
11
12
0810
24
383
37.50
505
13
14
15
16
17
18
19
0810
24
356
27.75
317
20
21
22
23
24
25
26
0810
24
778
33.75
725
27
28
29
30
31
Average
478
30.75
424
Maximum
778
37.50
725
Minimum
356
24.00
150
Comp.(C)/Grab (G)
GI
C
I C
I C
DEM Form MR-2 (12/93)