NC0079740_Regional Office Historical File Pre 2018 (3)

NO.: NCO079740
: Ellison WTP
POWrNER�NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 08-2019 (August 2019)
SAMPLING LOCATION:
PERMIT VERSION: 5.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland 3
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No C7 I ®I 9niQ RECEIVEDMCDEP9RIDHYR
VERSION: 1_0 i'`I I t{i\L FILES S
DWR SECTION
EFFLUENT DISCHARGE NO.: 001
TATUS: Processed O L T 7) 1 J
NO DISC FF� as
���'ILt�l01VAL OFFICE
A!
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✓
p
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on
C
4
C
50050
00400
50060
C0530
00900
00070
00010
Continuous
2 X month
2 X month
2 X month
Quarterly
Monthly
Recorder
Grab
Grab
Grab
Grab
Grab
Instantaneous
FLOW
pH
CHLORINE
TSS-coax
TOT HARD
T1IRBIDTY
TEMP-C
2400 clock
Hn
2400 clock
H.
WRIN
mgd
so
ug/l
mg/I
-94
nm
deg c
1
0.076
2
0.184
3
0.005
4
0.009
5
0.112
6
0.008
7
820
100
1.0
Y
0.152
7.18
<20
<2.5
3.9
27.4
8
0.127
9
0.07
10
0.094
11
0.007
12
0.109
13
0.056
14
830
1.0
Y
0.067
15
0.181
16
1
1
0.206
17
0
18
0.004
19
0.027
20
800
1.0
B
0.034
21
815
1
0.23
7.19
< 20
< 2.5
27.4
2:
1
1
0.06
23
0.082
24
0.062
25
0.116
26
0.047
27
0.105
28
900
1.0
B
0.179
29
0.003
30
0.064
31
0.071
Monthly Avenge Limit:
30
Monthlynverage:
0.082161
1
0
0
3.9
27.4
Daily Maximum:
0.23
7.19
0
0
3.9
27.4
Daily Minimum:
0
7.18
0
0
3.9
27.4
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

pr
r
NO.: NCO079740
P
ITY NAME: Ellison WTP
R NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 08-2019 (August 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 09/18/2019
09/18/2019
ORC/Certifier Signatu e: Newt Henson Jr. 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 permittee sball 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
09/18/2019
Permittee/Submitter Signat4e:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023
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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2019 (July 2019)
PERMIT VERSION: 5.0
CLASS: PC-1'
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1_0
a _, PERMIT STATUS: Active 3
`"` COUNTY: Cleveland
AUG 2 9 2019 ORC CERT NUMBER: 985471
CENTa' \L RLES RECEIVEDINCIDENRIDWR:
DWR SEC ION STATUS: Processed
SEp 10 'L� 919
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:�NWS
MOORESVILLE REGIONAL OFFICE
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50050
00400
50060
C0530
C0600
C0665
01105
01042
00951
Continuous
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Recorder
Grab
Grab
Grab
GrabGrab
Grab
Grab
Grab
FLOW
PH
CHLORINE
TSS - Cone
TOTAL N -
TOTAL P - Cone
ALUMINUM
lCOPPER
F-TOTAL
1400 eiock
11.
2400 cioek
Hrs
WRIN
m d
su
ug/I
mgfl
mg/l
mg/l
mg/1
mg/I
mg/l
1
0.028
2
0.063
3
813
930
1.0
Y
0.267
7.2
<20
<2.5
4
0.061
5
0.066
6
0.075
7
0.009
8
0.2
9
0
10
130
11.5
Y
1
0.18
11
0.059
12
0.128
13
0.07
14
0
25
0.154
16
805
0.129
7
<20
17
1100
1.0
Y
0.011
18
820
0.174
72
<20
<2.5
0.84
0.39
0.308
<0.005
<0.1
19
0.019
20
0.114
21
0.008
22
0.067
23
0.156
7.4
800
2.0
Y
0.146
25
0.102
26
1
1
0.152
27
0.065
28
0.008
29
0.078
30
0.105
31
830
11.0
1 Y
1
0.11
Montbly Avenge Limit:
30
Monthly An.ge:
0.090452
0
0
0.84
0.39
0.308
0
0
Dn11y Minimum:
0.267
72
0
0
0.84
0.39
10.308
0
0
Dally Minimum:
0
17
0
10
0.84
10.39
0.308
10
0
ss.NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday

NPDES PERMIT NO.: NCO079740
k
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2019 (July 2019)
PERMIT VERSION: 5.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
u
B
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gu
5
y
E
m
%
C
O
rE
E
f9
O
U
8
00900
01055
TGP3e
00070
00010
Qua 1y
Quarterly
Quarterly
Monthly
Grab
Grab
Grab
Grab
Instantaneous
TOT HARD
MANGNESE
CER17DPF
TURBIDTY
TEMPL
2400 clock
Hm
2400 clock
Hrs
Y/R/N
mg/1
m
ass/fail
ntu
deg c
1
2
3
813
930
1.0
Y
1.2
28.9
4
5
6
7
8
9
10
130
1.5
Y
11
12
13
14
15
16
805
29.5
17
1100
1.0
Y
1s
820
14
1.34
PASS
27.3
19
20
21
22
23
24
800
2.0
Y
25
26
27
28
29
30
31
1830
1.0
Y
MonWy Average Malt
Monthly Avenge:
14
1.34
1.2
28.566667
Deily Maximum:
14
1.34
1.2
29.5
D.Hy Mb imam:
14
1.34
11.2
127.3
****No Reporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2019 (July 2019)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
O
H
y
a`
�
Z
00900
Quarterly
Grab
TOT HARD
2400 clock
1
2
3
4
5
6
7
a
9
10
11
12
13
14
15
16
17
18
820
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Averoge.
18
Daily Maximum:
18
Daily Minimum:
18
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2019 (July 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 08/20/2019
08/20/2019
ORC/Certifier Signat re: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
08/20/2019
Perm ittee/Submitter Signature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023
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 Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 07/24/19
Facility: KINGS MOUNTAIN WTP NPDES#: NC0079740 Pipe#: 001 County: CLEVELAND
Laboratory Performing Test: R & A LABORATORIES, INC./
Comments: Final Effluent
X
Sign ure or in 0 era Responsible Charge A Water Tech Project
i
X 69650-01
S a r Laboratory Supervisor * PASSED: 3.26o Reduction
Work Order: 69555-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
Chronic Pass/Fail Reproduction Toxicity Test
!ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1123121123124122123125122124121123125
Adult (L)ive (D)ead JIL IL IL IL IL IL IL IL IL IL IL IL
Chronic Test Results
Calculated t = 1.326
Tabular t = 2.508
Reduction = 3.26
o Mortality
Avg.Reprod.
0.00
23.00
Control
Control
0.00
22.25
Treatment 2
Treatment 2
'HEATMENT 2 URGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
5.863% PASS FAIL
# Young Produced 21 23 24 22 25 21 23 22 21 22 23 20 % control orgs X
producing 3rd
Adult (L)ive (D)ead L L L L L L L L L L L L brood 100% Check One
1st sample 1st sample 2nd sample Complete This For Either Test
PH Test Start Date: 07/17/19
Control 6.97 7.05 6.96 7.04 6.95 7.03 Collection (Start) Date
Sample 1-: 07/16/19 Sample 2: 07/18/19
Treatment 2 6.97 7.04 6.96 7.05 6.95 7.04 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample lst sample 2nd sample
D.O. Hardness (mg/1) 48
.......... ..........
. . ..........
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond.(pmhos) 190 111 110
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4
Chlorine (mg/1) 0 . 02 0.01
LC50/Acute Toxicity Test Sample temp. at receipt (°C) ..... ,, 2.9 3.3
(Mortality expressed as combining replicates)
0 0 0 o a o o
0 0 0 0 0 0 o a
Note: Please
Concentration Complete This
Mortality
Section Also
start/end start/end
'C50 = o Method of Determination
95% Con iaence Limits Moving Average _ Probit
-- *6 Spearman Karber Other
IE
Control
High
rn"
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

NPDES PERMIT NO.: NCO079740
FACILITY,-;AME: Ellison WTP
OWN9A NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 06-2019 (June 2019)
PERMIT VERSION: 5.0
CLASS: PC -I N®
ORC: Newt E. Henson J U L 2 9 2019
ORC HAS CHANGED: No
CEN1 HAL FILES
VERSION: 1_0 IOW R SECjT10N
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NU]""%' ^ 4 1
�dENR/D4VF,,
STATUS: Processed A U G 5
(o�( WQROs
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO Dl
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11
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50050
00400
50060
COS30
00900
00070
00010
Continuous
2 X month
2 X month
2 X month
Quarterly
Monthly
Recorder
Grab
Grab
Grab
Grab
Grab
Instantaneous
FLOW
PH
CHLOPIn
T8s-Cane
TOTHARD
TORBIDTY
TEMPO
2400 clack
Hn
2400 clock
Hrs
YBIN I
m d
so
u
MWI
mgR
ntu
deg c
t
0.08
2
0.11
3
0.059
4
0
5
745
115
1.0
Y
0.135
6.95
<20
5
6.8
25.3
6
0.093
7
10.199
RECEVED/NMEN
I/DWR
8
0.157
v r r
9
0.068
eA L(
I �j
10
0.02
11
0.04
MOO /
t
12
1
1130
1.0
Y
0.146
13
0.124
14
0.056
15
0.057
16
0.008
17
0.048
18
0.054
19
748
100
1.0
Y
0.19
6.97
<20
14
26.6
20
0.065
21
0.114
22
0.092
23
0.114
24
0.089
25
0.114
26
830
1.0
ly
0.161
27
0.188
28
0.112
29
0.016
30
0.056
Monthly Average Limit:
30
Monthly Average:
0.092167
0
9.5
6.8
125.95
Daily Maximum:
0.199
6.97
0
14
6.8
26.6
Daily Minimum:
0
6.95
0
5
6.8
25.3
'•"NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

mi
"5lPDES PERMIT NO.: NCO079740 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Ellison WTP CLASS: PC-1 �, ;sPVE
COUNTY: Cleveland � � 11iEDNCDENR/DWR
o
OWNER NAME: City of Kings Mountain ORC: Newt E. Henson ORC CERT NUMBER: 98
J5471 JUL 12019
GRADE: PC-1 ORC HAS CHANGED: No U J 2010 l!
eDMR PERIOD: 05-2019 (May 2019) VERSION: 1.0 CAN'FZ L FiLSE3 STATUS: Processed Oc
�+ca�C�`' �RF��
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
e
y
`^
y
E
u'
a
a
o
8
�
y
�E
50050
00400
50060
CO&M
00900
00070
00010
Continuous
2 X month
2 X month
2 X month
Quarterly
Monthly
Instantaneous
Grab
Grab
Grab
Grab
Grab
Instantaneous
FLOW
pH
C'1H.ORINE
T88-Cone
TOT HARD
TURBIDTY
TEMP-C
2100 clock
-Hn 12400
eloek
H.
IwnlP:
I mgd
so
ug/1
mg/l
mg/1
mu
I deg c
1
755
200
1.0
Y
0.155
6.82
<20
10.3
14
20.1
2
0.093
J
0.088
4
0.061
5
0.134
6
0.067
7
0.163
8
1230
1.0
Y
0.162
9
0.227
10
0.011
It
0.09
12
0.072
13
0.018
14
0.096
15
752
1730
1.0
Y
0.142
6.7
<20
5.4
20.6
16
0.088
17
0.048
18
0.116
19
0.005
20
0.125
21
0.169
22
845
1.0
Y
0.091
23
0.07
24
0.047
25
0.056
26
0.106
27
0.085
28
0.187
29
730
1.0
Y
0.224
Jo
0.1
JI
0.094
Monthly Average Limit:
30
Monthly Average:
0.102581
0
7.85
14
20.35
Dallyhreflwum:
0.227
6.82
0
10.3
14
20.6
Daily Minimum:
0.005
16.7
0
5.4
114
20.1
**** No Reporting Reason: ENFRUSE = No Flow-Reose/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

IJ
ODES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 05-2019 (May 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 06/13/2019
06/13/2019
ORC/Certifier Signa ure: Newt Henson Jr. 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
06/13/2019
Permittee/Submitter Sinature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023
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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2019 (April 2019)
PERMIT VERSION: 5.0 "" 0,,:, _ERMTT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson MAY 2 1 2019 ORC CERT NUMBER: 985471
ORC HAS CHANGED: No CENTRAL RAL FILES
VERSION: 1.0 QWR SECTION)STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
G
8
d
8
U
e
u
F
e
O
O
P
g
O
o
E
ii
i°
50050
00400
50060
C0530
C0600 -
C0665
01105
01042
00951
Continuous
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Instantaneous
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
TSS-Cone
TOTAL N-
TOTAL P-Cone
ALUMINUM
COPPER
F-TOTAL
2400 eloek
I H.
2400 clock
Fin
Y/R/N
mgd
so
ug/1
m
mgn
mg/l
mg/1
mg/1
mg/l
1
0.052
2
0.176
3
740
100
1.0
Y
0.278
7
<20
5.7
4
0.097
5
0.267
6
10.012
2
0.008
S
0.091
9
0.197
10
800
6.5
Y
0
li1 Y
1" Q
I
0.143
1
12
0.144
QROS
13
0.012
WOORESVILLE
REGIONA
OFFICE
14
0.022
I5
0.134
16
800
0.174
6.82
< 20
17
1000
1.0
Y
0.099
18
825
0.173
7.03
< 20
8
3.32
< 0.16
0.55
< 0.005
0.126
19
0.152
20
0.105
21
1
1
10.348
22
0.023
23
0.132
24
730
1.0
Y
0.126
25
0.084
26
0.063
27
10.044
28
0.021
29
0
30
0
Monthly Average Limit:
30
Monthly Average:
0.1059
0
6.85
3.32
0
0.55
0
10.126
Daily Maximum:
0.348
7.03
0
8
3.32
0
0.55
0
0.126
Daily Minimum:
0
6.82
0
5.7
13.32
0
10.55
0
0.126
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday

NPDESIERMIT NO:: NCO079740
P
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2019 (April 2019)
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
d
G
d
i;
B
u�'
e:
G`
g
E
F
k
gg,
6
�'
y
O°
u
O
a
:4
00900
01055
TGP3B
00070
00010
Quarterly
Quarterly
Quarterly
Monthly
Grab
Grab
Grab
Grab
Instantaneous
TOT HARD
MANGNESE
CER17DPF
TURBIDTY
TEMP-C
2400 clock
H.
2400 clock
H.
Y/BIN
mg/l
ID
ass/fail
nm
deg 0
1
2
3
740
100
1.0
Y
1.6
12.8
4
5
6
7
8
9
10
800
6.5
Y
11
12
13
14
15
16
800
16.9
17
1000
1.0
Y
Is
825
9.5
0.867
PASS
18.8
19
20
21
22
23
24
1730
1.0
Y
25
26
27
28
29
30
Monthly Average Limit:
Monthly Avenge:
9.5
0.867
L6
16.166667
DailyMa:imum:
9.5
0.867
11.6
118.8
Daily Minimum:
9.5 10.867
1.6
12.8
•"'*NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2019 (April 2019)
PERMIT VERSION: 5.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
d
A
.§
e
z
a
z
00900
Quarterly
Grab
TOT HARD
7.400 clock
Mg/1
1
2
3
800
14
4
5
6
7
8
9
30
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Monthly Average Limit:
Monthly Average:
14
Doily Maximum:
14
Daily Minimum:
14
'*"`NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY= No Visitation —Holiday

A
NPDES PERMIT NO.: NCO079740
a
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2019 (April 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 05/15/2019
05/15/2019
ORC/Certifier Signature: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
05/15/2019
Permittee/Submitter SignaLre:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023
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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

t
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 04/24/19
Facility: KINGS MOUNTAIN WTP NPDES#: NC0079740 Pipe#: 001 County: CLEVELAND
Laboratory Performing Test: R & A LABORATORIES, INC.
Comments: Final Effluent A
X
Sign ure Op ator in Responsible Charge Water Tech Project
X 65666-01
Si a Laboratory Supervisor * PASSED: 0.37% Reduction
Work Order: 65530-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
uraua.�.a.a
Chronic Pass/Fail Reproduction Toxicity Test
;ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1123124122122121125121124123121125122
Adult (L)ive (D)ead JAL IL IL IL IL IL IL IL IL IL IL IL
,.ffluent %: 0.71%
Chronic Test Results
Calculated t = 0.140
Tabular t = 2.508
Reduction = 0.37
Mortality
Avg.Reprod.
0.00
22.75
Control
Control
0.00
22.67
Treatment 2
Treatment 2
'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.526%
# Young Produced 22 21 25 23 21 24 22 23 25 21 23 22 % control orgs
producing 3rd
brood
Adult (L) ive (D) ead L L L L L L L L L L L L 100 %
PASS FAIL
X
Check One
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 04/17/19
Control 6.94 7.02 6.93 7.01 6.92 7.00 Collection (Start) Date
Sample 1: 04/16/19 Sample 2: 04/18/19
Treatment 2 6.94 7.03 6.93 7.00 6.92 6.99 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 47
Control 8.6 8.4 8.5 8.2 8.5 8.3
Spec. Cond.(pmhos) 190 105 103
Treatment 2 8.6 8.4 8.5 8.2 8.5 8.3
Chlorine (mg/1) ,,,,,,,, 0.03 0.03
LC50/Acute Toxicity Test Sample temp. at receipt(°C) .,,,,,,, 3.0 3.4
(Mortality expressed as 9s, combining replicates)
1
0
0
0
0 0
o
a
o
0
a
0
0
0
o s
o
0
0
0
Note. P ease
Concentration Complete This
Section Also
Mortality
start/end start/end
�C50 = % Method of Determination
95% Con i ence Limits Moving Average _ Probit
%o --% Spearman Karber _ Other
Control
High
11
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

NPPX9f ERMIT NO.: NCO079740
FAir'ILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 03-2019 (March 2019)
PERMIT VERSION: 5_0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1_0
PERMIT STATUS: Active
�i COUNTY: Cleveland
2019 ORC CERTNUPOBER:9§� (VEDINCDENRIDWR
1 E STATUS: Processed
WQROS
oFFIC
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHK-NO
a
v.
a
a
V
F
y
e
u'
F
a
Qy
O
O
F
O
y
o`
u
O
a
Z
si
a`
Z
50050
00400
50060
C0530
00900
00070
Continuous
2 X month
2 X month
2 X month
Quarterly
Monthly
Instantaneous
Grab
Grab
Grab
Grab
Grab
FLOW
PH
CHLORINE
TSS-Cant
TOT HARD
'TURBIDTY
2400 clock
11.
2400 clock
Hrs
WRIN
mgd
su
ug/I
mg/1
mg/I
ntu
1
0.18
2
0.01
3
0.007
4
0.004
5
0.041
6
1753
100
11.0
Y
1
0.281
7.01
<20
12.4
4.4
7
0.008
S
0.079
9
0.04
to
0.04
11
p
12
0.162
nnifl
13
800
3.0
Y
0.108
14
0.23
i RAL FILI=`
15
0.155
f-F
ID
7t/
NR SL.CTIQ
16
1
1
10.017
17
0.007
18
0.119
19
0.054
20
800
1030
1.0
Y
0.291
7.38
<20
4.8
21
0.172
22
0.122
23
0.081
24
0.131
25
0.068
26
1
1
10.181
27
1200
1.0
Y
0.129
28
0.024
29
0.159
30
0.106
31
0.064
Monthly Average Limit:
30
Monthly Average:
0.099032
0
8.6
4.4
Daily Maximum:
0.291
7.38
0
12.4
4.4
Daily Minimum:
0
7.01
0
4.8
4.4
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES ft*kNHT NO.: NCO079740
FAILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 03-2019 (March 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 5_0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 04/17/2019
IV.4,T W ,N, r4 04/17/2019
ORC/Certifier Signature: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
04/17/2019
Permittee/Submitter Siwnature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023
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 Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

`NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 02-2019 (February 2019)
PERMIT VERSION: 5_0
CLASS: PC- 1p mF1F
ORC: Newt E. Henson kP R 0 4 Z019
ORC HAS CHANGED: N
VERSION: 1.0 cENT i 1,PLF IL%.c
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 98547r1'VEDIIJC£iEWR/G+ihr's�
G�
STATUS: Processed
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCI3ARGEj-:- NOCIONAL OFFICE
e
F
5
y
E
E
9
e
F
e
x
=
y
E_
d
C
o
[C
50050
00400
50060
C0530
00900
00070
00010
Continuous
2 X month '
2 X month
2 X month
Quarterly
Monthly
Instantaneous
Grab
Gmb
Grab
Grab
Grab
Instantaneous
FLOW
pH
CHLORINE
TSS-Cone
TOT HARD
TORBmTY
'CEh1P-C
2400 clock
H.
2400 clock
Hrs
mgd
su
ugtl
Mgt]
mg/1
ntu
deg e
1
0.004
2
0.013
3
0.045
4
0.004
5
0.069
6
945
1000
1.0
Y
0.175
6.9
<20
4
0.8
9.7
7
0.71
s
0.111
9
0.003
10
0.115
11
0.114
12
0.005
13
1200
2.0
Y
0
14
0.073
15
0.092
16
0.119
17
0.156
1s
0
19
0.003
20
802
930
1.0
Y
0.316
6.59
< 20
4.1
9.1
21
0.172
22
0.023
23
0.012
24
0.01
25
0216
26
0.116
27
900
2.0
Y
0.121
28
1
1
10.198
Monthly Average Limit:
30
Monthly Average:
0.106607
0
4.05
0.8
9.4
Dally Maximum:
0.71
6.9
0
4.1
0.8
9.7
Daily Minimum:
0
16.59
0
14
0.8
9.1
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDrES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 02-2019 (February 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 5.0
XKIMR W1effl
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 03/26/2019
03/26/2019
ORC/Certifier Signature: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
A�± ��� 03/26/2019
Permittee/Submitter Signature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Pemuttee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023
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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] 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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
0506(b)(2)(D).

NFDES PtkMIT NO.: NCO079740
VA-il LITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2019 (January 2019)
PERMIT VERSIONA, i E I VE b
CLASS: PC-1 FED 2 rl 2019
ORC: Newt E. Henson l�
ORC HAS CHANGEDCEN I RAL FILES
1IR SECTION
VERSION: 1_0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
REUE VEDINCDENRIDWR
STATUS: Processed �vl A R - 4 0,
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCIL� , --*-0FN0,-N4L OFFICE
d
4
h
au
e
e
'
a
rE
y
E
d
O
d
-
o`
a
O
m
a
z
2
50050
00400
50060
C0530
C0600
C0665
01105
01042
00951
Continuous
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Instantaneous
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
TSs-Cone
TOTAL N-
TOTAL P - Cone
ALUMINUM
COPPER
F-TOTAL
2400 eloek
H.
2400 clock
H.
WR/N
mgd
an
ug/l
m9A
mg/l
mg/1
mg/1
m
mg/1
1
0
2
745
900
1.0
Y
0.225
6.99
< 20
19
3
0.018
4
0.266
5
0.092
6
0.058
7
0.161
8
0.057
9
1030
1.0
Y
0.003
10
0
11
0.286
12
0.005
13
0.018
14
0.005
Is
825
0.023
7.2
<20
16
100
1.0
Y
0.107
17
845
0.283
6.8
<20
3.6
1.11
<0.16
0.328
<0.005
0.275
is
i
0.165
19
1
1
1
0.047
20
0.011
21
0.008
22
0.024
73
130
LO
Y
0
24
0.071
25
0.008
26
0.01
27
0.003
78
0.06
29
0
30
1045
1.25
Y
0.006
31
0.105
Moothly Average Limit:
30
Monthly Average:
0.069548
0
11.3
1.11
0
0.328
0
10.275
Dolly Marimum:
0.286
7.2
0
19
1.11
0
0.328
10
0275
Daily Minimum:
0
6.8
10
13.6
1.11
0
10.328
0
0.275
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday

NPDES PtRMIT NO.: NCO079740
VA*-ILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2019 (January 2019)
PERMIT VERSION: 5.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
O
a
U
U
9
=
O
O
o
O
z
=
L
00900
01055
TGP3B
00070
00010
Quarterly
Quarterly
Quarterly
Monthly
Grab
Grab
Grab
Grab
Instantaneous
TOT HARD
MANGNESE
CER17DPF
TURBIDTY
TEMP-C
2400 clock
Hn
2400 clack
Hn
YB/N
mg/1
mg/1
pass/fail
ntu
deg c
1
2
745
900
1.0
Y
8.1
10.9
3
4
5
6
7
s
9
I03
11.0
Y
10
It
12
13
14
is
825
8.6
16
100
1.0
Y
17
845
13
2.34
PASS
8.4
is
19
20
21
22
23
130
1.0
Y
24
25
26
27
2s
29
30
1045
1.25
Y
31
Monthly Average Limit:
Monthly Average:
13
2.34
9.1
9.3
Daily M..Ina :
13
12.34
8.1
10.9
Daily Minimum:
13
2.34
18.1
18.4
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES I'MMIT NO.: NCO079740
VA5;ILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2019 (January 2019)
PERMIT VERSION: 5.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
C
_
h
e
a
x
z
00900
Quarterly
Grab
TOT HARD
2400 clock
ID
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
855
14
10
19
20
21
22
23
24
25
26
27
29
29
30
31
Moatkly Averugc 11m1t:
Moatkly A—ge:
14
Daily Maximum:
14
Daily Mialmum:
14
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

NPDES P&:2NHT NO.: NCO079740
FACWILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2019 (January 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 5.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 02/19/2019
02/19/2019
ORC/Certifier Signature: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
02/19/2019
Permittee/Submitter Signature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023
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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

I
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 01/23/19
Facility: KINGS MOUNTAIN WTP NPDES#: NCO079740 Pipe#: 001 County: CLEVE LAND
Laboratory Perfo ng Test: R & A LABORATORIES, INC.
Comments: Final Effluent
X
ignAture of Opqrator in Responsible Charge A Water Tech Project
X 61847-01
S a Laboratory Supervisor * PASSED: 1.45$ Reduction
Work Order: 61701-01 Environmental Sciences Branch
MAIL -ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
Nnrth C'arnl i na f'nri nrianhni
Chronic Pass/Fail Reproduction Toxicity Test
7ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11.12
# Young Produced 1123121125121122123124122122124125123
Adult Wive (D)ead JAL IL IL IL IL IL IL IL IL IL IL IL
affluent $: 0.71%
CREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.017$
# Young Produced 23 22 21 22 24 23 25 21 23 24 22 21 t control orgs
producing 3rd
Adult (L) ive (D) ead L L L L L L L L L L IL
L_= brood 100$
Chronic Test Results
Calculated t = 0.607
Tabular t = 2.508
t Reduction = 1.45
$ Mortality
Avg.Reprod.
0.00
22.92
Control
Control
0.00
22.58
Treatment 2
Treatment 2
PASS FAIL
X
Check qOne
1st sample 1st sample 2nd sample Complete This For Either Test
PH Test Start Date: 01/16/19
Control 6.97 7.05 6.95 7.04 6.95 7.03 Collection (Start) Date
Sample 1: 01/15/19 Sample 2: 01/17/19
Treatment 2 6.98 7.06 6.95 7.03 6.95 7.03 Sample Type/Duration 2nd
s s s Grab Comp. Duration D 1st P/F
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48
Control 8.6 8.4 8.6 8.3 8.6 8.4 "" " "' ''
Spec. Cond.(pmhos) 190 125 115
Treatment 2 8.6 8.4 WEE
8.6 8.4
Chlorine (mg/1) ,,,,,0.03 0.03
LC50/Acute Toxicity Test Sample temp, at receipt(°C) 2.0- 1.7
(Mortality expressed as $, combining replicates)
$
$
$
$
$
$
$
$
$
$
LC50 $ Method of Determination
95$ Con ire Limits Moving Average Probit
$ -- $ Spearman Karber - Other
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
Control
High
C
onc.
PH D.O.

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 12-2018 (December 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1_0
CEI EOERMITSTATUS:Inactive
3
COUNTY: Cleveland
D ORC CERT NUMBER: 985471
CEN i s AL FILES RECEIVE /NCE)ENR/DW
DWR SECTION
STATUS: Processed JA N 2 8 2; 9 1
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHA V1/c
- �"1�01N)AL OFFICE
d
q
F
E
u
e
U
E
m
B
u
i'
F
!�
81
ui
6
F+
W
>
O
o-
y
0
z
O
S
uu
a
2:
Z
50050
00400
50060
C0530
00010
Weekly
2 X month
2 X month
2 X month
Instantaneous
Grab
Grab
Grab
Instantaneous
FLOW
PH
CHLORINE
TSS - Con,
TEM -C
2400 clock
H.
2400,1o,k
H.
WRIN
mgd
su
U911
m9/1
deg c
I
2
3
4
5
809
930
1.0
ly
0264
7.13
< 20
4.3
10.9
6
7
8
9
30
11
12
1100
1.0
Y
0.186
13
14
15
16
17
18
19
810
130
1.0
Y
0.176
7.01
<20
10
8.6
20
21
22
23
24
25
26
900
1.0
Y
0.367
27
28
29
30
31
Monthly Average Limit:
30
Monthly Average:
0.24825
0
7.15
9.75
Daily Maximum:
0.367
7.13
0
10
10.9
Daily Minimum: 10.176
7.01
0
4.3
8.6
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY =No Visitation— Holiday

NPDES PERMIT NO.: NCO079740
tACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 12-2018 (December 2018)
PERMIT VERSION: 4.0 PERMIT STATUS: Inactive
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
d
G
9
F
E
y
a
C
Z
00070
00010
2 X month
Grab
Instantaneous
TURDIDTY
TEMP-C
7.400 clock
ntu
deg c
1
2
3
4
5
752
7.1
10.8
6
7
8
9
10
11
12
13
14
15
16
17
IB
19
753
3
8.9
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
5.05
9.85
Daily Maximum:
7.1
10.8
Daily Minimum:
3
8.9
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

`NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
PERMIT VERSION: 4.0
CLASS: PC-1
PERMIT STATUS: Inactive
COUNTY: Cleveland
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 12-2018 (December 2018)
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
d
9
_
9
a
C
00070
00010
2 X month
Grab
Instantaneous
TURDIDTY
TEMP-C
2400 clock
ntu
deg c
1
2
3
4
5
759
7.9
10.3
6
7
8
9
10
11
12
13
14
15
16
17
18
19
800
3
8.5
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Avemge:
5.45
9.4
Daily Mo:imum:
7.9
110.3
Daily Minimum:
3
8.5
s:s*NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

A
NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 12-2018 (December 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Inactive
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 01/15/2019
01/15/2019
ORC/Certifier Sign ure: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 H.E.6 of
the NPDES permit.
01/15/2019
Permittee/Submitter Signature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

,NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 11-2018 (November 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Expired
I �' COUNTY: Cleveland
"� ORC CERT NUMBER: 985471
DEC 2 0 2018 RECEIVEDINCDENRIDwIR
CENTRAL RLES STATUS: Processed DEC 2
DVVR SECTIO,"Q
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHI,'�;lX9fhFCIONAL OFFICE
s
O
e
a`
S
-9
o
u
F
1i
O
Q
g
O
o°
z
O
8
Z
50050
00400
50060
C0530
00010
Weekly
2 X month
2 X month
2 X month
Instantaneous
Grab
Grab
Gab
Instantaneous
FLOW
pH
CHLORINE
TSS-Cone
TEMP-C
2400 clock
H.
2400 clock
In.
vim
I
mgd
su
119/1
mg/l
deg c
1
2
3
4
5
6
7
833
1000
1.0
Y
0.278
7.07
<20
6.6
17.8
e
9
10
11
12
13
14
1200
1.0
Y
0.011
15
16
17
18
19
20
21
907
1030
1.0
Y
0.159
6.6
<20
<2.5
12.5
22
23
24
25
26
27
28
1100
11.0
Y
0.128
29
30
Monthly Average Lhnit•
30
Monthly Average:
0.144
1
10
3.3
15.15
Daiy Maximum:
0.278
7.07
0
6.6
17.8
Daily MWmum:
0.011
6.6
0
0
12.5
""' No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

PERMIT VERSION: 4.0
.r
$NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 11-2018 (November 2018)
COMPLIANCE STATUS: Compliant
CLASS: PC -I
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Expired
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 12/14/2018
12/14/2018
ORC/Certifier Signature. Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
12/14/2018
Permittee/Submitter Signature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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 Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740
FACILIF,Y NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC -I
eDMR PERIOD: 10-2018 (October 2018)
PERMIT STATUS: Expired
COUNTY: Cleveland
ORC CERT NUMBER: 985471
RECE(VEMCDENROWR
STATUS: Processed
CENTRAL FILES
DWR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
PERMIT VERSION: 4_0
CLASS: PC-1 �/
ORC: Newt E. Here C E 11P
ORC HAS CHANGED 2 9 2 Q 18
VERSION•10
I-iF.c — 3 2-1118
WQROS
NO DIS -V19t: NAI.OFFICE
G
F
U
H
k+
F
O
i'n
g
O
Z
50050
00400
50060
C0530
C0600
C0665
01105
01042
00951
Weekly
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Instantaneous
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
PH
CHLORINE
TSS-Cone
TOTAL N-
TOTAL P - Cone
ALUMINUM
COPPER
F-TOTAL
2400 elo.k
H.
2400 el..k
Hrs
Y/n/N
mgd
so
ug/I
mg/1
mg/I
mg/I
mg/I
mg/I
mg/1
1
2
3
826
930
1.0
Y
0.118
7.26
<20
5.1
4
5
6
7
8
9
10
1000
1.0
1 Y
0.211
Il
12
13
14
15
16
822
6.94
< 20
17
is
943
1100
1.0
Y
0.138
7.09
<20
14.1
3.48
0.39
0.038
<0.005
0.108
19
20
21
22
23
24
830
1.0
Y
0.189
25
26
27
28
29
30
31
100
1.0
Y
0.056
Monthly Average Limit:
30
Monthly Average:
0.1424
0
4.6
3.48
0.39
0.038
0
0.108
Daily Maximum:
0.211
7.26
0
5.1
3.48
0.39
0.038
0
0.108
Daily Minimum:
0.056
16.94
10
14.1
13.48
10.39
0.038
0
10.108
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES F;.RMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 10-2018 (October 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Expired
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
G
g
s`
au
U
e
F'
Q
=
O
h
S
O
o
O
a
Z
01055
TGP3E
00010
Quarterly
Quarterly
Grab
Grub
Instantaneous
MANGNESE
CERI7DPF
TEMPO
2400 clock
H.
2400 clock
Hn
WRIN
M
ass/fail
deg e
1
2
3
826
930
1.0
Y
25.1
4
5
6
7
8
9
10
1000
1.0
Y
11
12
13
14
15
16
822
23.6
17
19 1843
1100
1.0
Y
2.32
PASS
22.9
19
20
21
22
23
24
830
1.0
Y
25
26
27
28
29
30
31
100
1.0
Y
Monthly Avenge Limit:
Monthly Avenge:
232
23.866667
Daily Maximum:
2.32
125.1
Daily Minimum:
12.32
122.9
77t7NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY= No Visitation— Holiday

NPDES R RMIT NO.: NCO079740
F),LCILIj:Y NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 10-2018 (October 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Expired
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
O
B
F
_
w'
6
a
�
r
2
00070
00010
2 X month
Grab
Instantaneous
TIMIDTY
TEMP-C
2400 clock
nhl
deg c
1
2
3
810
2.1
26.1
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
818
7.1
22.9
19
10
21
22
23
24
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Avenge:
4.6
24.5
Daily 51-lan m:
7.1
26.1
Daily Mlnlmam:
2.1
22.9
x'•'NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES IARMIT NO.: NCO079740
F.�CILI9 Y NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 10-2018 (October 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1_0
PERMIT STATUS: Expired
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
G
E
F
_
m
a
L
00070
00010
2 X month
Grab
Instantaneous
TURBIDTY
TEMP-c
2400u1ock
ntu
deg c
1
2
3
826
2.4
25.2
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1s
830
7.2
23.2
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Avemge Limit:
Monthly Avemge:
4.8
24.2
Dolly Morimum:
7.2
25.2
Doily Minimum:
2 4
23.2
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation—AdverseWeather, NOFLOW=No Flow; HOLIDAY =No Visitation —Holiday

NPDESTERMIT NO.: NCO079740
F.A,,g4LI,TYY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 10-2018 (October 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Expired
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 11/09/2018
11/09/2018
ORC/Certifier Signatu e: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
11/09/2018
Permittee/Submitter Si/nature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 10/24/18
Facility: KINGS MOUNTAIN WTP NPDES#: NC0079740 Pipe#: 001 County: CLEVELAND
Labor tory Perf . ormirlg Test: R & A LABORATORIES, INC.
Comments: Final Effluent
X
Sig ture'of O for in Responsible Charge 57989-01
X
S nat e Laboratory Supervisor * PASSED: 3.64% Reduction
Work Order: 57891-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
Chronic Pass/Fail Reproduction Toxicity Test
1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 22125121124122123121125122123124123
Adult (L) ive (D) ead IL IL IL IL IL -IL L IL IL L IL IL
Chronic Test Results
Calculated t = 1.697
Tabular t = 2.508
Reduction = 3.64
o Mortality
Avg.Reprod.
0.00
22.92
Control
Control
0.00
22.08
Treatment 2
Treatment 2
'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.017o PASS FAIL
# Young Produced 22 21 22 21 23 22 23 21 23 21 24 22 % control orgs X
producing 3rd
brood Check One
Adult (L) ive (D) ead L L L L L L L L L L L L 100
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 10/17/18
Control 6.96 7.03 6.94 7.02 6.96 7.04 Collection (Start) Date
Sample 1: 10/16/18 Sample 2: 10/18/18
Treatment 2 6.90 7.03 6.94 7.03 6.96 7.05 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48
.......... ..........
Control 8.6 8.4 8.5 8.2 M8.6
Spec. Cond.(pmhos) 190 98 115
Treatment 2 8.6 8.4 8.5 8.2
Chlorine (mg/1) ..... 0.02 0.01
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ,,,,,,,, 2.8 3.8
(Mortality expressed as combining replicates)
a
o
0
o
0
0
0
0
0
o
o
a
a
o
o
a
o
o
-1.
1-.
-1.
o
0
1-.
o
a
a
o
o
0
Note: Please
Concentration Compctlete This
Seion Also
Mortality
start/end start/end
LC50 = a Method of Determination
95o Con ilaence Limits Moving Average _ Probit _
-- 11SpearmanKarber Other
Control
High
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
•
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

1
NPDES.Pii;RMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 09-2018 (September 2018)
PERMIT VERSION: 4.0
CLASS: PC-1 RECEIVED
ORC: Newt E. Henson ORC HAS CHANGED: No 4 C T I 1 z o q 1
VERSION: 1.0 OFENTRAL FILES
OWR SECTION
PERMIT STATUS: Expired
COUNTY: Cleveland
ORC CERT NUMBER: 985471
—r ffCEIVED1NCDElN,"/DWR
STATUS: Processed w 0 V o 15 t�
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHtYMEftiNOEGIONAL OFFICE
a
m
o
E
a
50050
00400
50060
C0530
00010
Weekly
2 X month
2 X month2
X month
Recorder
Grab
Grab
Grab
Instantaneous
FLOW
PH
CHLORINE
TSS-Cone
TEMP-C
2400 clock
Hrs
2400 clock
H.
YIDIN
mgd
su
u
m9A
deg c
1
2
3
4
5
820
100
1.0
Y
0.209
7.04
<20
4.4
29.7
6
7
8
9
10
11
12
1130
1.0
Y
0.143
13
14
15
16
17
18
19
837
930
1.0
Y
0.106
6.94
<20
13
24.7
20
21
22
23
24
25
26
1200
1.0
Y
0.159
27
28
29
30
Monthly Avenge Lladt:
30
Monthly Average:
0.15425
0
8.7
27.2
Daily Muimam:
0.209
17.04
0
13
29.7
Daily Minimum:
0.106
6.94
0
4.4
24.7
**** No Reporting Reason; ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

: ,;
. _. .. _ ,.._ _ � i` _
. _. .. _ ,.._ _ � i` _

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 08-2018 (August 2018)
PERMIT VERSION: 4.0 PERMIT STATUS: Expired
CLASS: PC-1 RECEIVED COUNTY: Cleveland
ORC: Newt E. Henson S E P . 2 6 2018 ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
- CEN I KAL FILES
VERSION: 1.o DWR SECTION STATUS: Processed
RECEIVED/iNCOENR/DWR
OCT 12018
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001 WQROS
MOOR(=SVILLE REGIONAL OFF
A
fi
E
r°n
G
°
Z
00070
00010
2 X month
Grab
Instantaneous
TURBn1TY
733MPC
2400 Clock
nm
dog c
1
820
3.3
26.9
2
3
4
5
6
7
8
9
10
11
12
13
14
15
826
2.5
28.2
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Avenge Unit;
Monthly Average:
2.9
27.55
Bony Marimum:
3.3
28.2
Daily Minimum:
2.5
126.9
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 08-2018 (August 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Expired
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 09/18/2018
09/18/2018
ORC/Certifier Signatur : Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
09/18/2018
Permittee/Submitter Sign;ture:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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 Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

.F
NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2018 (July 2018)
PERMIT VERSION: 4.0 R E C �1 .v J j PERMIT STATUS: Active
CLASS: PC-1 n 1 1� `'-�' COUNTY: Cleveland
ORC: Newt E. Henson 11 U G 2 8 2018 ORC CERT NUMBER: 985471
ORC HAS CHANGED: No CEI- v-H ul t F)LE:S RECEIVED/NCDENR/DWR
VERSION: 1.0 D/M SECCT'10N STATUS: Processed SEP . 4 2018
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*nmoos
MOORESVILLE REGIONAL OFFICE
m
e
e
e
a
O
ti
O
o
4
o
Z
50050
0040o
50060
C0530
C0600
C0665
01105
01042
00951
Weekly
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
T55-Coat
TOTAL N-
TOTAL P-Coat
ALUMINUM
COPPER
F-TOTAL
2400 clock
Hrs
2400 clock
H.
Y/a!N
mgd
a0
up/l
m
mo
mg/l
mg(l
mg/1
m
1
2
3
4
800
1.0
Y
0.075
5
812
6.82
< 20
3.8
6
7
8
9
10
11
100
1.0
Y
0.103
12
13
14
15
16
17
735
7.25
<20
l8
930
1.0
Y
0.116
19
743
1
1
7.11
< 20
8.5
0.68
< 0.16
0.938
< 0.005
< 0.1
20
21
22
23
24
2e
1200
1.0
Y
0.135
26
27
28
29
30
31
Monthly Average W mir.
30
Monthly Average:
0.10725
0
6.15
10,938
0
0
Daily Masimom:
10.135
7.25
10
B.5
0.68
0
0.938
0
0
Daily Minimum:
0.075
16.82
0
3.8
0.68
0
0.938
0
0
****No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW =No Flow; HOLIDAY =No Visitation —Holiday

m
NPDES PERMIT NO.: NCO079740 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2018 (July 2018)
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
u
9
fi
9
u
Z
2
F
O
U�
w
a
01055
TOM
00010
Quarterly
Quarterly
Grab
Grab
Instantaneous
h1ANGNESE
CERI7DPF
TEMP-C
2400 clock
H.
2400 clock
It.
I Y101N
mg/1
ass/fail
deg e
I
2
3
4
1800
1.0
Y
5
812
27.9
6
7
8
9
10
11
100
1.0
Y
12
13
14
15
16
17
735
1
28
18
930
1.0
Y
19
743
11.8
PASS
28.9
20
21
22
23
u
25
1200
1.0
Y
26
27
28
29
30
31
Monthly Average Limit:
afanthly Average:
1.8
28.266667
Dmly Mavmam:
1.8
128.9
Dofly Minimum:
1.8
27.9
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

NPDES PERMIT NO.: NCO079740
PERMIT STATUS: Active
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2018 (July 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
d
0
e
F
_
E
5
�
K
z
00070
00010
2 X month
Grab
Instantaneous
TURRIDTY
TEMPL
2400 clock
ntu
deg e
1
2
3
4
5
757
5.1
24.8
6
7
8
9
10
11
12
13
14
is
16
17
18
19
722
4.5
26.2
20
21
22
23
24
25
26
27
28
29
30
31
Moutlily Average LImin
Nlwnbly Average:
4.8
25.5
Daily Maximum:
5.1
26.2
Daily Minimum:
4.5
24.8
****No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY= No Visitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2018 (July 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
p'
�
d
a
z°
00070
00010
2 X month
Grab
Instantaneous
TURBIDITY
TEMP-C
2400 dock
ntu
deg e
1
1
3
4
5
803
4A
25.8
6
7
8
9
10
11
12
13
14
Is
16
17
18
19
733
4.4
26.6
20
21
22
23
14
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
4.4
26.2
Daily Maximum:
4.4
26.6
Daily Miatmom:
4 4
125.8
****NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY= No Visitation —Holiday

Y
NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2018 (July 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 08/14/2018
ju-(,JT 08/14/2018
ORC/Certifier Signat re: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
08/14/2018
Permittee/Submitter SigLture:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 07/25/18
Facility: KINGS MOUNTAIN WTP NPDES#: NCO079740 Pipe#: 001 County: CLEVELAND
Laboratory Perform'ng Test: R & A LABORATORIES, INC.
Comments: Final Effluent A
X
Sig tur Ope ator in Responsible Charge Water Tech Project
X /w 53660-01
S n u e &9 Laboratory Supervisor * PASSED: 5.111 Reduction
Work Order: 53540-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
Chronic Pass Fail Reproduction Toxicity Test
.ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 23 25 22 21 22 24 23 22 21124 22 25
Adult (L) ive (D) ead L L L L IL L IL L L L L L
'ffluent %: 0.710
'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.147%
# Young Produced 21 22 21 21 22 23 21 20 23 21 22 23 o control orgs
producing 3rd
brood
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
Chronic Test Results
Calculated t = 2.357
Tabular t = 2.508
Reduction = 5.11
o Mortality
Avg.Reprod.
0.00
22.83
Control
Control
0.00
21.67
Treatment 2
Treatment 2
PASS FAIL
X
Check One
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 07/18/18
Control 6.96 7.04 6.95 7.03 6.94 7.03 Collection (Start) Date
Sample 1: 07/17/18 Sample 2: 07/19/18
Treatment 2 6.96 7.04 6.96 7.04 6.95 7.04 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48
..... ..........
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond.(pmhos) 187 193 116
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4
Chlorine(mg/1) ,,,,,,,, 0.03 0.02
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ,,,,,,,, 3.2 3.1
(Mortality expressed as o, combining replicates)
0 0 0 0 o a s o 91
Is o 0 0 0 91
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
jC50 = o Method of Determination
95% Con ecri n Limits Moving Average _ Probit
-- o Spearman Karber _ Other
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Control
High
Conc.
AH D.O.
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

C
I TPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 06-2018 (June 2018)
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Newt E. Henson.
ORC HAS CHANGED: No
VERSION: 1_0
_ PERMIT STATUS: Active 3
EC I V�¢;JNTY: Cleveland
JUL 2 5 201,ORCCERTNUMBiF1$ZMU �D/��CDENR/Dw�
CEtV i RAL FILES �1' JUL 3 © 2w
�J
UR SECTIOfiSTATUS:Processed
WOROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO Dtk}f (r 4(N0AL OFFICE
s
8
a
9
F
5
L
50050
00400
50060
C0530
00010
Weekly
2 X month
2 X month
2 X month
Estimate
Grab
Grab
Grab
Instantaneous
FLOW
PH
CHLORINE
TSs-Cons
TEMP-C
2400 clock
lHn
2400 clack
IHn
YIRIN
Imgd
so
ugA
mg/I
deg o
1
2
3
4
5
6
828
1100
1.0
Y
0.277
7.09
<20
3.2
23.1
7
A
9
10
11
12
13
1000
1.0
Y
0.199
14
IS
16
17
18
19
20
814
130
1.0
Y
0.248
7.1
< 20
3.7
25.2
21
22
23
24
25
26
27
1
1
900
1.0
Y
0.179
28
29
30
Monthly Average Limit:
30
Monthly Average:
0.22575
0
3.45
24.15
Doily Maximum:
0.277
7.1
0
3.7
25.2
Daily Minimum:
0.179
17.09
10
13.2
123.1
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

A,
rNPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
PERMIT VERSION: 4.0
CLASS: PC-1
PERMIT STATUS: Active
COUNTY: Cleveland
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 06-2018 (June 2018)
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
e
F
a
a
z
$
a"
Z
00070
00010
2 X month
Gmb
Instantaneous
TURBIDTY
TEMP•C
2400 clock
nm
deg o
1
2
3
4
5
6
805
12
21.3
7
8
9
10
11
12
13
14
15
16
17
IS
19
20
756
7.9
22.9
21
22
73
24
25
26
27
28
29
30
Monthly Avenge Ucait:
Monthly Average:
9.95
22.1
Dolly M..ftn—
12
22.9
Deily Minimum:
7.9
21.3
* * * * No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

-'NPDES PERMIT NO.: NCO079740 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 06-2018 (June 2018)
CLASS: PC -I COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
q
E
r
a
�
Z°
00070
00010
2 X month
Gab
Instantaneous
TURBmTY
TEMP-C
2400.1ack
ntu
deg c
1
2
3
4
s
6
815
10
21.6
7
8
9
]0
11
12
13
14
is
16
17
18
19
20
805
7
23.9
21
22
23
21
25
26
27
28
29
30
Monthly Average Limit:
Monthly Average:
8.5
22.75
WHY Maalmum:
10
23.9
Daily 1lfinimum:
7
21.6
****No Reporting Reason: ENFRUSE= No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY= No Visitation —Holiday

f�
11NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC -I
eDMR PERIOD: 06-2018 (June 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 07/17/2018
07/17/2018
ORC/Certifier Signa re: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
07/17/2018
Permittee/Submitter SiVnature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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 Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

N
NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 05-2018 (May 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
EE I 1p� �OUNTY: Cleveland
ORC CERT NUMBER: 985471
JUN 2 2 2018 RECEIVED/NCDENR/[7WR
CEhj l RAL FILESSTATUS: Processed G' ,�
DWR SECTION
JUL �)��
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:Dos
MOORESVILLE REGIONAL OFFICE
y
au
H
E
F
i
B
8
a
50050
00400
50060
C0530
Moto
Weeldy
2 X month
2 X month
2 X month
Recorder
Grub
Grab
Gmb
Instantaneous
SOW
pH
CHLORINE
1S5-Cone
TEMP-C
2400 clock
11.
2400 dock
11.
WHIN
mgd
so
a
mg1l
deg e
1
2
758
800
1.0
Y
0.308
7.11
<20
4.8
18.6
3
4
5
6
7
8
9
1100
1.0
Y
0.156
10
11
12
13
14
15
16
808
900
1.0
Y
0.315
7.01
<20
3.9
20.6
17
18
19
20
21
22
23
1000
1.0
Y
0.124
24
25
26
27
28
29
30
100
1.0
Y
0.183
31
Monthly Average Limit:
30
hlonthly Average:
0.2172
0
4.35
19.6
Daily Mnrimum:
0.315
7.11
0
4.8
20.6
Dully Minimum:
0.124
7.01
0
3.9
18.6
****No Reporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

NPDES PERMIT NO.: NCO079740
s
FACILITY NAME: Ellison WTP
PERMIT VERSION: 4.0
CLASS: PC-1
PERMIT STATUS: Active
COUNTY: Cleveland
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 05-2018 (May 2018)
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
q
s
�
°Yn
z
00070
00010
2 X month
Grab
Instantaneous
TDRDIDTY
TEMP-c
2400 clock
ntu
deg e
1
2
742
12
17.4
3
4
5
6
7
8
9
to
11
12
13
14
1s
16
752
6.8
19.5
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
9.4
18.45
Daily Maximum:
12
19.5
Daily Mi.lmum:
6.8 117.4
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY= No Visitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 05-2018 (May 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION• 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
r
A
E
F
e
a
�
a
Z
00070
00010
2 ii IDOn[11
Grab
Instantaneous
TURHEDTY
TEMP-C
2400 clock
out
deg c
1
2
748
11
17.1
3
4
5
6
7
8
9
10
11
12
13
14
15
16
758
5.9
20.1
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
8 45
18.6
Daily Maximum:
11
20.1
Daily Mintmum:
5.9 117.1
°i•NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 05-2018 (May 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 06/13/2018
06/13/2018
ORC/Certifier Signatur Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
06/13/2018
Permittee/Submitter Siinature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] 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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

,LAMES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2018 (April 2018)
PERMIT VERSION: 4.0 E r I � � PERMIT STATUS: Active
ate h.m as,�T `�
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson MAY 3 0 Z 018 ORC CERT NUMBER: 985471
ORC HAS CHANGED: No a"
1 RECEIVED/NCDENR/DWR
VERSION: 1.0 DWRI SECTION STATUS: Process. JIjN ll •--0J8
SAMPLING LOCATION: EFFLUENT 'DISCHARGE NO.: 001 NO DISg91%qR LE E;,tONAL OFFICE
O
V
s
U
a
F
O
F
O
itWeekly
O
m
i?
Z
SM50
00400
50060
C0530
C0600
C0665
01105
01042
00951
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
PH
CHLORINE
TSs-Cone
TOTAL N-
TOTALP-Coat
ALUMINUM
COPPER
F-TOTAL
2400 clock
H.
2400 clock
11.
WRIN
mgd
6u
I19/1
m9/1
mgll
mg/I
mg/l
It
ug/l
1
2
3
4
759
1900
1.0
1 Y
1
0.176
6.86
<20
3.7
5
6
7
8
9
10
11
830
1.0
Y
0.158
12
13
14
Is
16
17
745
6.95
<20
18
I00
1.0
Y
0.019
19
745
7.1
<20
<2.5
0.57
0.18
0.284
<0.005
0.144
20
x1
22
23
24
25
1200
1.0
1 Y
0.148
26
27
28
29
30
Monthly Average Limit:
30
Monthly Average:
0.12525
0
1.85
0.57
0.18
0.284
0
0.144
rallyMa`tmam.
0.176
7.1
0
3.7
0.57
0.18
0.284
0
0.144
Daily Mlaimnm:
0.019
6.86
10
10
0.57
0.16
0.284
0
0.144
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

h

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2018 (April 2018)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
"
F
6
r
d
Z
00070
00010
2 X month
Grab
Instantaneous
T111DZIDTY
TEMP-C
2400 clock
tau
de c
1
2
3
6.4
13.4
4
744
5
6
7
8
9
10
11
12
13
14
is
16
17
18
19
732
4.3
15.7
20
21
22
23
24
25
26
27
28
29
30
Monthly Average Limit:
Monthly Avenge:
5.35
14.55
Daily Maximum:
6.4
15.7
Daily Miaimom:
4.3
13.4
****No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW =No Flow; HOLIDAY =No Visitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2018 (April 2018)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
.
q'
5
F
s
e
a
g
a
z
00070
00010
2 X month
Grab
Instantaneous
TURBIDTY
TEMPL
2400 clack
ntn
deg e
1
2
3
4
749
6.3
14.2
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
737
5.1
15.4
20
21
22
73
24
25
26
27
28
29
30
Monthly Average Limit:
Monthly Average:
5.7
14.8
Daay M.A.—
6.3
115.4
Daily Minton—
5.1
14.2
****NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation — Adverse Weather NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2018 (April 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 05/15/2018
05/15/2018
ORC/Certifier Signatu e: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
05/15/2018
Permittee/Submitter Sigjature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 04/25/18
Facility: KINGS MOUNTAIN WTP NPDES#: NCO079740 Pipe#: 001 County: CLEVELAND
Laboratory Perfor ing Test: R & A LABORATORIES, INC.
Comments: Final Effluent A
X
Si
re for in Responsible Charge Water Tech Project
X 49549-01
Sr La oratory Supervisor * PASSED: 2.55o Reduction
Work Order: 49448-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
. V L 14a./1u1i. u
Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t = 1.193
Tabular t = 2.508
'ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 o Reduction = 2.55
# Young Produced 24 21 23 24 23 25 21 23 22 22 24 23
Adult (L) ive (D) ead L L L L L L L L L L L L
sffluent 0.710
'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
5.4110
# Young Produced 21 22 24 21 23 21 23 23 21 24 22 23 o control orgs
produciod ng 3rd
bro
Adult (L) ive (D) ead L L L L L L L L L L L L 100 0
Mortality
Avg.Reprod.
0.00 22.92
Control Control
0.00 22.33
Treatment 2 Treatment 2
PASS FAIL
ECheck
EOne
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 04/18/18
Control 6.95 7.03 6.94 7.02 6.93 7.02 Collection (Start) Date
Sample 1: 04/17/18 Sample 2: 04/19/18
Treatment 2 6.96 7.04 6.95 7.03 6.94 7.03 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond.(pmhos) 192 135 136
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4
Chlorine (mg/1) ,,,,,,,, 0.01 0.03
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ,,,,,,,, 3.1 3.1
(Mortality expressed as %, combining replicates)
Note: Please
R. % *611a o Concentration Complete This
Section Also
°s o a 4 % % o % o Mortality
start/end start/end
LC50 = Method of Determination
95o Con i ence Limits Moving Average _ Probit
-- °s Spearman Karber _ Other
PASS FAIL
ECheck
EOne
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 04/18/18
Control 6.95 7.03 6.94 7.02 6.93 7.02 Collection (Start) Date
Sample 1: 04/17/18 Sample 2: 04/19/18
Treatment 2 6.96 7.04 6.95 7.03 6.94 7.03 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond.(pmhos) 192 135 136
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4
Chlorine (mg/1) ,,,,,,,, 0.01 0.03
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ,,,,,,,, 3.1 3.1
(Mortality expressed as %, combining replicates)
Note: Please
R. % *611a o Concentration Complete This
Section Also
°s o a 4 % % o % o Mortality
start/end start/end
LC50 = Method of Determination
95o Con i ence Limits Moving Average _ Probit
-- °s Spearman Karber _ Other
Control
High
(1
IN
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

NPDES PERMIT NO.: NCO079740 PERMIT VERSION: 4.0 VERMIT STATUS: Active
FACILITY NAME: Ellison WTP CLASS: PC-1 APR 2 6 2018 COUNTY: Cleveland
OWNER NAME: City of Kings Mountain ORC: Newt E. Henson C E N 1 KAL F I LE�IRC CERT NUMBER: 985471
GRADE: PC-1 ORC HAS CHANGED: No DWR SECTION
eDMR PERIOD: 03-2018 (March 2018) VERSION: 1.0 STATUS: Processed RECEIVED/NCDENPW)WjFi
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO ;E
�QROS
iy oOpp zwlt 1 _
fi
E+
E
'
`E
O
'o.
50050
00400
50060
C0530
00010 1 Al OF
Weekly
2 X month
2 X month
2 X month
Recorder
Grab
Grab
Grab
Instantaneous
FLOW
PH
CHLORINE
Tss-Coat
TEMP-C
2400 clock
H.
2400 clock
H.
VIRIN
m d
so
no
mg/l
deg e
t
2
3
4
5
6
7
900
115
1.0
Y
0.061
7.17
< 20
< 2.5
12.1
s
9
10
11
12
13
14
830
1.0
Y
0.044
IS
16
17
Is
19
20
21
808
100
1.0
1 Y
1
0.316
7.21
< 20
< 2.5
12.7
21
23
24
25
26
27
28
900
1.0
Y
0.027
29
30
31
Monthly Average Limit:
30
Monthly Average:
0.112
0
0
112.4
Daily Maximum:
0.316
7.21
0
0
12.7
Daily Minimum:
10.027
7.17
0
0
12.1
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday
ZICE

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 03-2018 (March 2018)
PERMIT VERSION: 4.0
PERMIT STATUS: Active
CLASS: PC-1
COUNTY: Cleveland
ORC: Newt E. Henson
ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO,: 001
r
p'
F
_
E
12
GG`
z
00070
51542
2 X month
Grab
Instantaneous
TURBIDTY
TEMP INC-C
2400 clock
ntu
deg c
3
4
5
6
7
840
4.8
12.2
8
9
10
I1
12
13
14
15
16
17
18
19
20
21
748
4.8
14.1
22
23
24
25
26
27
29
29
30
31
Monthly Avenge Unit:
Monthly Ave.ge:
4.8
13.15
Deily Maslmum:
4.8
14.1
Daley Minimum:
14.8
1 12.2
i°"No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

PERMIT VERSION: 4.0
PERMIT STATUS: Active
NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 03-2018 (March 2018)
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
q°
E
a
a"
d
a
,�°
00070
00010
2 X month
Grab
Instantaneous
TURBlYff
TEMP-c
2400 dock
ntu
deg c
1
3
4
5
6
7
850
4.9
12.1
8
9
10
11
12
13
14
Is
16
17
is
19
20
21
758
4.3
12.7
22
23
24
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
4.6
12.4
WHY M-lmum:
4.9
12.7
Dolly Minimum:
4.3
12.1
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 03-2018 (March 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 04/12/2018
04/12/2018
ORC/Certifier Sig ature: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
04/12/2018
Permittee/Submitter Aignature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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 Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

W
p.NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 02-2018 (February 2018)
PERMIT VERSION: 4.0 _
CLASS: PC -I
ORC: Newt E. Henson MAR 9 2 Z 0 1 g
ORC HAS CHANGED: No
VERSION: 1_0- R l
��d,i�-` �,t�•v
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: $�. 4_9t-WEDINCDEMRIDINR
STATUS: Processed
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCWMftV t 6EGlO al_ OFFtcE
O
F
U
Q
u
E+
g
9
�+
S
O
O
c
,•t°
50050
00400
50060
C0530
00010
Weekly
2 X month
2 X month
2 X month
Recorder
Grab
Grab
Grab
Instantaneous
FLOW
pn
CHLORINE
Tss-Cone
TEMP-C
2400 eleek
11.
2400 eloek
lln
YIBIN
mgd
su
up,./1
mg/I
deg e
1
2
3
4
5
6
7
817
200
1.0
Y
0.295
7.1
<20
<2.5
7.5
s
9
10
11
12
13
14
1930
1.0
Y
0.082
is
16
17
18
l9
20
21
818
830
1.0
Y
0.316
6.92
< 20
4.4
9.5
22
23
24
25
26
27
28
810
1.0
Y
0.192
Monthly average Undt:
30
Monthly Average:
0.22125
0
2.2
8.5
Daily Maalmam:
0.316
7.1
0
4.4
9.5
Daily Minimum:
10.082
6.92
0
0
7.5
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY= No Visitation— Holiday

,WPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 02-2018 (February 2018)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
q
Ea
i
x
A
Z
00070
00010
2 X month
Gmb
Instantaneous
TORBIM
TEMP-C
2400 clock
nm
deg c
l
2
3
4
5
6
7
758
1.9
7.3
s
9
10
11
12
13
14
14
16
17
18
19
20
21
752
11
10.9
22
23
24
25
26
27
28
Monthly Average Limit
Monthly Average:
6.45
9.1
Daily Maximum:
11
10.9
Daily Minimum:
19
7.3
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY =No Visitation —Holiday

;�FPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 02-2018 (February 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
�K�l31��14��J�I:�711fJ
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
e
s3
fi
e
�
a
00070
OD010
2 X month
Grab
Instantaneous
TURB DTY
TEMPL
2400 clock
ntu
deg c
1
2
3
4
5
6
7
810
1.8 -
7.2
8
9
10
11
12
13
14
1s
16
17
18
19
20
21
804
11
11.5
22
23
24
25
26
V
28
Montply Average Lluft
MoatWy Average:
6.4
9.35
Dauy Muaimum:
11
11.5
DaBy Minimum:
1.8
7.2
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation —Holiday

T
*FYPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 02-2018 (February 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 03/14/2018
03/14/2018
ORC/Certifier Sig ature: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
03/14/2018
Permittee/Submitter Siinature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, thei n delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740
►-
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2018 (January 2018)
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1_0
��;.r�" PERMIT STATUS: Active
E R/ bUNTY: Cleveland
r ORC CERT NUMBER: 985471
CENTRAL FILES STATUS: Processed - L
LVVR SECTION
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAgRGE�vNO REGIONAL OFFIC
p
e
e
U
F
O
E
O
d
m
O
m
a
Z
50050
00400
50060
C0530
C0600
C0665
01105
01042
00951
Weekly
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
Ts5-Con.
TOTAL N-
TOTALP-Cane
ALUMINUM
COPPER
F-TOTAL
2400 clock
11n
2400 clock
H.
Y/B/N
mgd
so
ug/l
mg/1 I
mg/1
mg/I
mg/1
I ug/l
no
1
2
3
803
830
1.0
Y
0.184
6.78
<20
3.6
4
5
6
7
8
9
to
1000
1.0
Y
0.11
u
12
13
14
is
16
753
7.32
<20
17
0945
1.0
Y
0.019
1s
835
7.21
<20
<2.5
0.54
<0.16
0.459
<0.005
0.179
19
20
21
22
23
24
100
1.5
Y
0.075
25
26
27
28
29
30
31
800
1.0
1 Y
0.155
Monthly Average Limit:
30
MonthlyAveroge:
0.1086
0
11.8
0.54
0
10.459
10
0.179
Daily M-lmom:
0.184
7.32
0
3.6
0.54
0
0.459
0
0.179
Daily Minimum:
0.019
6.76
0
0
0.54
0
0.459
0
0.179
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

PERMIT VERSION: 4.0
PERMIT STATUS: Active
NPDES PERMIT NO.: NCO079740
r
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2018 (January 2018)
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
q
E
e'
d
2
6
H
~
6
O
�`"
F
g
y
u
O
L
a
,Z'
01055
TGP311
00010
Quarterly
Quarterly
Grab
Grab
Calculated
MANGNESE
CER17DPF
TEMP•C
2400 clock I
H.
2400 clock
Ill.
Y/E/N I
0g/1
pass/fail
deg c
1
2
3
803
1
830
1.0
Y
6
4
5
6
7
8
9
10
1000
1.0
1 Y
11
12
13
14
15
16
753
PASS
5.2
17
0945
1.0
Y
18
835
2.12
PASS
5
19
20
21
22
23
74
1100
1.5
Y
25
26
27
28
29
30
31
1
1800
1.0
1 Y
Monthly Average Limit:
Monthly Average•.
2.12
5.4
Daily Maxi mom:
2.12
1
6
Daily MU.—
2.12
5
sss*NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
r
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2018 (January 2018)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
A
`e
E
%
dGrab
a
Z
00070
00010
2 X month
Instantaneous
TURDIDTY
TEMP-C
2400 clock
mu
deg c
1
2
3
737
2.6
7.4
4
5
6
7
8
9
10
Il
12
13
14
15
16
17
is
818
1.9
5.5
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
2.25
6.45
Daily Maaimam:
12.6
7.4
Daily Minimum:
1.9
5.5
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
t
FACILITY NAME: Ellison WIT
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2018 (January 2018)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
G
F
e
a"
d
a
00070
00010
2 X month
Grab
Instantaneous
TURDIDTY
TEMP-C
2400 clock
ntu
deg c
1
2
3
751
3.1
7.2
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Is
826
2.8
5.3
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
2.95
6.25
Daily Maximum:
3.1
7.2
Daily Minimum:
2.8
5.3
****No Reporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2018 (January 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 02/12/2018
02/12/2018
ORC/Certifier Signatur : Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
02/12/2018
Permittee/Submitter SignVa�ture:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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 Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

•-'Effluent.Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 01/24/18
Facility: KINGS MOUNTAIN WTP NPDES#: NCO079740 Pipe#: 001 County: CLEVELAND
Laboratory Perfor in Test: R & A LABORATORIES, INC.
Comments: Final Effluent A
X
Sig atOp rator in Response e Charge Water Tech Project
ur
X 45431-01
g t re Laboratory Supervisor * PASSED: 1.46o Reduction
Work Order: 45381-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
P - -
C
11
IorLn UaLU-L.Ltta k. t-L.Luuayiliu.a
Chronic Pass/Fail Reproduction Toxicity Test
1 2 3 4 5 6 7 8 9 10 11 12
Adult (L)ive (D)ead IIL IL IL IL_IL IL IL IL IL IL IL IL
Chronic Test Results
Calculated t = 0.561
Tabular t = 2.508
Reduction = 1.46
o Mortality
_Avg.Reprod.___.
0.00
22.83
Control
Control
0.00
22.50
Treatment 2
Treatment 2
'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.147; PASS FAIL
# Young Produced 21 25 22 23 21 22 23 25 22 21 24 21 o control orgs X
producing 3rd
brood CheckEOne
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 01/17/18
Control 6.97 7.05 6.95 7.04 6.94 7.02 Collection (Start) Date
Sample 1: 01/16/18 Sample 2: 01/18/18
Treatment 2 6.98 7.06 6.97 7.06 6.95 7.03 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48 ........ .........
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond.(pmhos) 190 185 331
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4
Chlorine (mg/1) ,,.,,,,, 0.03 0.03
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ,....... 1.9 2.6
(Mortality expressed as %, combining replicates)
Note• Please
0
1
0
0
0
a
Is
°s
Concentration Complete This
Section Also
Mortality
start/end start/end
�C50 = s Method of Determination
95°s Con i ence Limits Moving Average Probit _ _
-- Spearman Karber _ Other
Control
High
Pnn r,
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
53 •
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 12-2017 (December 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active RECE1vE D/NCDENr1/DVVR
COUNTY: Cleveland
F. 11z• I P
ORC CERT NUMBER: 985471 1
MOORfs�.�,�Ft `SCE
STATUS: Processed
JAN 1 2018
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE* �N0" SON
Ild,: LitiT
G
e
F
B
U
F
6
F
O
2
5i
E
O
O
m
Z
50050
00400
50060
C0530
00010
Weekly
2 X month
2 X month
2 X month
Recorder
Grab
Grab
Grab
Instantaneous
FLOW
pH
CHLORINE
TSS-Cant
TEMP-C
clock
Hrs
2400 clock
H.
Y/B/N
mgd
su
ug/I
mg/l
de c
r32460
2
4
5
6
810
800
1.0
Y
0.154
6.9
< 20
< 2.5
13.2
7
8
9
10
11
12
13
1800
1.0
Y
0.107
14
15
16
17
18
19
20
819
900
1.0
Y
0.13
7
<20
4.3
10.9
21
22
23
24
25
26
27
100
1.0
Y
0.078
28
29
30
31
Monthly Average Limit:
30
Monthly Average:
0.11725
0
2.15
12.05
Daily Maximum:
0.154
7
0
4.3
13.2
Daffy Minimum:
0.078
6.9
10
10
1 10.9
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
t
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 12-2017 (December 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
�
E
e
,rW,-�°
0
a
a`
00070
00010
2 X month
Grab
Instantaneous
'CURDIDTY
TEMP-C
2400 clock
Btu
deg c
1
2
3
4
5
6
753
2.1
13.1
7
8
9
10
I1
12
13
14
15
16
17
18
19
20
800
4A
10.4
21
22
23
24
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
3.25
11.75
•
Daily Maxima.•
4.4
1 13.1
Daily Weimam:
2.1
10.4
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
a
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 12-2017 (December 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
5
F
_
m
Z
00070
00010
2 X month
Grab
Instantaneous
TURBIDTY
TEMP-C
2400 eloek
nh1
deg c
1
2
3
4
5
6
801
2.5
12.9
7
8
9
10
11
12
13
14
15
16
17
18
19
20
808
4.5
10.3
21
22
23
24
25
26
27
28
29
30
3l
Monthly Average Limit:
Monthly Average:
3.5
11.6
Deily Masimum:
14.5
12.9
Doily Minimum:
12.5
10.3
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
a
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 12-2017 (December 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 01/17/2018
O1/17/2018
ORC/Certifier Signature: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
01/17/2018
Permittee/Submitter Signature:** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Pernuttee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740 PERMIT VERSION: 4.0
FACILITY NAME: Ellison WTP CLASS: PC-1 9�a�
OWNER NAME: City of Kings Mountain ORC: Newt E. Henson AN M8
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 11-2017 (November 2017) VERSION: 1.0 UrC".0vQI
V170Rr nATIO� PROCESSING U141T
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
RECEIVED/NICL ENRIDINR
STATUS: Processed jAN
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO GW. OFFICE
e
e
m
o
E
a
"e
f
E
y
O
o
E
O
d'
p°
u
O
`o
Z
50050
00400
50060
C0530
51542
Weekly2
X month
2 X month
2 X month
Recorder
Grab
Grab
Grab
Instantaneous
FLOW
PH
CHLORINE
TSs-Cone
TEMP INC-C
2400 clock
H.
2400 clock I
H.
Y/D/N
mgd
so
ugfl
mgfl
deg c
1
812 1
100
LO
Y
0.172
6.86
< 20
3.9
16.8
2
3
4
5
6
7
8
1200
1.0
Y
0.162
9
]0
11
12
13
14
I5
800
830
6.0
B
0.075
6.71
< 20
3A
IS
16
17
18
19
20
21
22
900
1.0
Y
0.038
23
24
25
26
27
28
29
830
1.0
Y
0.108
30
Monthly Average Limit:
30
Monthly Average:
0.111
0
3.65
15.9
Daily Maximum:
0.172
6.86
0
13.9
16.8
Daily Minimum:
0.038
6.71
0
3.4
15
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

PERMIT VERSION: 4.0
CLASS: PC-1
PERMIT STATUS: Active
COUNTY: Cleveland
NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 11-2017 (November 2017)
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
=
O
5
F
E
a
�
4
X
00070
51542
2 X month
Grab
Instantaneous
TURBIDTY
TEMP INC-C
2400 el-k
am
deg e
1
754
1.8
16.5
2
3
4
5
6
7
8
9
10
11
12
13
14
is
739
2.2
14.8
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Monthly Average Limit:
Monthly Average:
2
15.65
Daily Maximum:
2.2
16.5
Daily Minimum:
1.8
14.8
****NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 11-2017 (November 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
u
a
e
5
a
C
z
00070
51542
2 X mouth
Grab
Instantaneous
1Tn1s1Dr>t
2Ens mac
2400 clock
ntu
deg c
1
803
1.8
15.5
2
3
4
5
6
7
8
9
10
11
12
13
14
15
750
2.4
14.5
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Monthly Average Lholt:
Monthly Average:
2.1
15
Daily Maximum:
2.4
15.5
Daily Midmum:
11.8
14.5
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation —Holiday

NPDES'PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 11-2017 (November 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 12/18/2017
12/18/2017
ORC/Certifier Signature: VNewt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
12/18/2017
Permittee/Submitter Signare:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES i AyA T NO.: NCO079740 PERMIT VERSION: 4_0 PERMIT STATUS: Active 3
FA:CI ITY NAME: Ellison WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Kings Mountain ORC: Newt E. Henson �RC CERT NUMBER':9$5471;r , __,`;.,-,
GRADE: PC-1 ORC HAS CHANGED: No
— NOV efii
eDMR PERIOD: 10-2017 (October 2017) VERSION: 1.0 + STATUS: Processed
Cif:; i Cii��l- � (�f� "tr'i-.'•�;i
SAMPLING LOCATION: EFFLUENT DISCHAIBG7k`NCS: '001 NO DISCHARGE*-NO"-'�-
9
4
d
o
e
u
a
E
15
�°
d
v,
o°
`
50050
00400
50060
C0530
C0600
C0665
01105
042
00951
Weekly
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
arterly
[Grab
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLON
pH
CHLORINE
1S8-Gout
TOTAL N-
TOTAL P-Cone
ALUAI[NOM
COPPER
F-TOTAL
2400 clock
H.
2400 clack
H.
YB/N
mgd isu
u 1
Mgt]
m
m9/1
m
m l
mg/l
1
2
3
4
752
100
1.0
Y
0.115
7.15
< 20
3.6
5
6
7
8
9
10
11
900
5.0
B
0.09
12
13
14
15
16
17
807
7.17
< 20
18
1000
1.0
Y
0.129
19
815
6.87
< 20
5
3.58
0.75
0.058
< 0.005
0.132
20
21
22
23
24
25
930
1.0
Y
0.127
26
27
28
29
30
31
Monthly Average Limit:
30
Monthly Average:
0.11525
0
4.3
3.58
0.058
0
0.132
Deity Mnsimum:
0.129
7.17
0
5
3.58
L75
0.058
0
0 09
6.87
0
3.6
3.58
0.058
0
0.132
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES i 2MIT NO.: NCO079740
FP,CILITY 1. NAME: Ellison WTP
.
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 10-2017 (October 2017)
PERMIT VERSION: 4_0
CLASS: PC -I
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0,E
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
C
F
J
a
U
E
F
9
F
�
6
O
O
F
gg
6
m
O
m
a
z
iz'
01055
TGP311
00010
Quarterly
Quarterly
Grab
Grab
Instantaneous
MANGNESE
CERI7DPF
TEMP-C
2400 clock
H.
2100 clock
Hrs
YB/N
ass/fail
deg c
1
2
3
4
752
100
1.0
Y
21.7
5
6
7
8
9
10
11
900
5.0
B
12
13
14
15
16
17
807
PASS
19.9
18
1000
1.0
Y
t9
815
2.24
PASS
19.6
20
21
22
23
24
25
930
1.0
Y
26
27
28
29
30
31
Monthly A—gc Lindt:
-
Monthly A—ge:
2.24
20.4
Daily M.lmum:
2.24
21.7
Daily Minimum:
2.24
119.6
**** No Reporting Reason: ENFRUSE = No Flow-RetLse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES FARMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 10-2017 (October 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
o
�
F
_
m'
0
x
c
z
00070
00010
2 X month
Grab
Instantaneous _
TURBIDTY
TEMP-C
2400 clock
TIM
deg c
1
2
3
4
736
1.6
21.8
5
6
7
8
9
10
11
12
13
14
is
16
17
18
19
759
2
20.1
20
21
22
23
24
2s
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
1.8
20.95
Daily Maximum:
2
21.8
Daily Minimum:
16
20.1
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES MRMIT NO.: NCO079740
F CILITYNAME: Ellison WTP
0 R NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 10-2017 (October 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
�
F
6
9
a
'L
a'
00070
00010
2 X month
Grab
Instantaneous
TU"IDTY
TEMP-C
2400 clock
am
deg c
1
2
3
4
744
1.9
20.3
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
805
2
18.2
20
21
22
23
24
2s
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
1.95
19.25
Daily Marimum:
2
120.3
Dally Minimum:
1.9
18.2
"""NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPWS PERMIT NO.: NCO079740
FACILITYNAME: Ellison WTP
OWN' R NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 10-2017 (October 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 11/16/2017
11/16/2017
ORC/Certifier Signat re: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
11/16/2017
Permittee/Submitter Signature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

l�
OD -Effluent Toxicity Report Form - Chronic Pass/Fail-�and Acute LC50 Date: 10/25/17
Facility: KINGS MOUNTAIN WTP NPDES#: NC0079740 Pipe#: 001 County: CLEVELAND
Laboratory Perfor ng Test: R & A LABORATORIES, INC.
Comments: Final Effluent
X
Signathre o Op ator in Responsible Charge A Water Tech Project
X 41764-01
Si to La oratory Supervisor * PASSED: 0.00% Reduction
Work Order: 41627-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
Chronic Pass/Fail Reproduction Toxicity Test
1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1125124123125121123121125122123124121
Adult (L)ive (D)ead JIL IL IL IL IL IL IL IL IL IL IL IL
Chronic Test Results
Calculated t =
Tabular t =
Reduction =
Mortality
Avg.Reprod.
0.00
23.08
Control
Control
0.00
23.08
Treatment 2
Treatment 2
'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.777% PASS FAIL
# Young Produced 23 25 25 24 22 22 24 23 21 25 22 21 % control orgs X
producing3rd-.
brood; Check One
Adult (L)ive (D)ead L L L L L L. L L L L L L 100
1st sample 1st sample 2nd sample Complete This'For Either Test
pH Test Start Date: 10/18/17
Control 6.94 7.02 6.92 7.01 6.92 7.00 Collection (Start) Date
Sample 1: 10/17/17 Sample 2: 10/19/17
Treatment 2 6.94 7.02 6.92 7.02 6.92 7.01 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S. S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48 ........ .........
Control 8.6 8.4 8.6 8.3 8.5 N
Spec. Cond.(pmhos) 187 119 181
Treatment 2 8.6 8.4 8.6 8.3 8.5
Chlorine (mg/1) ,,,,,,., 0.03 0.04
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ,....... 2.0 3.2
(Mortality expressed as 9., combining replicates)
a 1
0 0 0 0 0 0 0 0
a
-1. *6 0 0 % 0 0 0 0
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
LC-50 = Method of Determination
95% Co�n ie�nimits Moving Average Probit
. -- % Spearman Karber = Other
Control
High
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

0
NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 09-2017 (September 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 RECEIVED COUNTY: Cleveland
ORC: Newt E. Henson N Q V 0 2, 2017 ORC CERT NUMBER: 985471
ORC HAS CHANGED: No 4E�C:LIV�E�ih
VERSION: 1.0 CEf4 f I ,/%L FILES
STATUS: Processed
DVI"P, SECTION NOV
eo Ll
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001 ti,IQROti
s
6
E
F
e`
y4
a
a
z°
00070
00010
2 X month
Grab
Instantaneous
2'uaa1D1Y
reMr c
2400 clock
am
deg c
1
2
3
4
5
6
738
2
25
7
8
9
10
11
12
13
14
15
16
17
18
19
20
825
2
23.8
21
22
23
24
25
26
27
28
29
30
Monthly Avcraga Limit:
Monthly Average:
2
24.4
Daily Maximum:
2
25
Daily Minimum:
2
23.8
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

AMR
t,NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 09-2017 (September 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
q
S
Cg
e
U
F°
t
O
O
o`
z
O
°
a�
�Z°
50050
00400
50060
C0530
00010
Weekly
2 X month
2 X month
2 X month
Recorder
Grab
Grab
Grab
Instantaneous
FLOW
pH
CHLORINE
TSS-Cone
TEMP-C
2400 clock
Hn
2400 clock in.
YB/N Imgd
su
ug/I
mg/1
deg
1
2
3
4
5
6
744
930 11.0
1
Y
0.159
7.2
29
3.9
24.9
7
9
9
10
11
12
13
200
1.0
Y
0.117
14
15
16
11
18
19
20
830
1030
1.0
Y
0.163
6.96
<20
4.3
23.7
21
22
23
24
u
26
27
800
11.0
Y
0.108
28
29
30
Monthly Averagc Limit:
30
Monthly Average:
0.13675
14.5
4.1
24.3
Daily Maximum:
0.163
7.2
29
4.3
24.9
Daily Minimum:
0.108
6.96
0
3.9
23.7
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY= No Visitation —Holiday

AN
NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 09-2017 (September 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
}'
E
F
E
a
o
a
L
00070
00010
2 X month
Grab
Instantaneous
TURBIDLY
TEMPL
2400 clock
ntu
deg e
1
2
3
4
5
6
725
2.1
24.6
7
8
9
10
11
12
13
14
is
16
17
18
19
20
815
2.3
24.7
21
22
23
24
25
26
27
28
29
30
Monthly Average Limit:
Monthly Average:
2.2
24.65
Daily Mnzimuem
2.3
24.7
Daily Mhilmam:
2.1
24.6
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 09-2017 (September 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PRONE #: 7044827131
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 10/19/2017
10/19/2017
ORC/Certifier Signatur : Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
10/19/2017
Permittee/Submitter Signatule:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740
t'ACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC -I
eDMR PERIOD: 08-2017 (August 2017)
PERMIT VERSION: 4_0 PERMIT STATUS: Active 3
CLASS: PC-1 r-' xl COUNTY: Cleveland
_
ORC: Newt E. Henson � VE ORC CERT NUMBER 9854j7i1�CENEDINC l�r'1��NF`
ORC HAS CHANGED: No S E P 29 2017 CI - T 9` .017I
VERSION: 1.0 CE(VTF�/�L FILES STATUS: Processed
®WR SECTION)
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
WQROS
qn r-5VILLEREGIONAL 05
NO DISCHARGE*: NO
O 1
F
e
m
U
6
O
u
k= I
e
<
C
O
�
�
F
O
d'
h
o
O
_
o
c
G
50050
00400
50060
C0530
00010
Weekly
2 X month
2 X month
2 X month
Recorder
Grab
Grab
Grab
instantaneous
FLOW
pH
CHLORINE
INS -Cone
TEMP-C
2400 clock
H.
2400 clock
Hn
Y/lilN
mgd
so
ugfl
m
deg c
t
2
820
730
1.0
Y
0.142
7.2
< 20
4
29.4
3
4
5
6
7
8
9
1900
1.0
Y
0.043
to
n
u
13
14
15
16
825
1200
1.0
Y
0.188
7
<20
43
27
17
18
19
20
21
22
23
830
1.0
Y
0.004
24
26
17
28
29
0.167
30
900
1.0
Y
31
Monthly Avenge Limit:
30
Monthly Average:
0.1088
0
4.15
28.2
Daily Maximum:
0.188
7.2
10
4.3
29.4
Daily Mialmum:
0.004
7
0
4
27
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY= No Visitation— Holiday

NPDES PERMIT NO.: NCO079740
VACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 08-2017 (August 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
d
O
€�
_
e
a
m
z
00070
00010
2 X month
Grab
Instantaneous
TURBIDTY
TEMP-C
2400 clock
nm
deg C
1
2
805
1.8
30.5
3
4
s
6
7
8
9
10
11
12
13
14
15
16
800
1.5
27.9
17
is
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Average U.1t:
Monthy Average:
1.65
291
Daily M1farlmum:
1.8
30.5
Day Minimum:
1.5
27.9
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

NPDES PERMIT NO.: NCO079740
VACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 08-2017 (August 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
e
_
8
00070
00010
2 X month
Grab
Instantaneous
'['1111HIDTY
TEMP_C
2400 clock
not
dcg c
i
2
835
1.8
30.3
3
4
5
6
7
8
9
10
11
12
13
14
15
16
806
2.8
25.9
17
18
19
20
21
22
23
24
25
26
27
28
29
31
Monthly Awngc Limit:
Monthly Average:
2.3
28.1
Dolly Maximum:
2.8
130.3
Daily Minimum:
1.8
25.9
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
TACHdTY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 08-2017 (August 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 09/19/2017
09/19/2017
ORC/Certifier Signat re: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
09/19/2017
Permittee/Submitter Si/nature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(D).

NPDES P&RMIT NO.: NCO079740
FNCILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2017 (July 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active 3
CLASS: PC-1 COUNTY- Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
AUG 2 9 2017 '�EC�VfD/NCDENR/DWF
VERSION: 1.0 STATUS: Processed S : N'T -,
'M "VR IQ, EC. T10.' 1
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC+ � ., *f+--�J9
�'�`���—���,IFIiVAL OFF,."'
C
2
Fp
a
e
U
r
u
2
F'
E
P
O
=
m
O
e
g
d
_
O
C
O
m
m
c
a
ts'
50050
00400
50060
C0530
C0600
C0665
01105
01042
00951
Weekly
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Estimate
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
PH
-Grab
CHLORINE:
TSS - Cone
TOTAL N-
TOTAL P - Cone
ALUMINIUM ICOPPER
F-TOTAL
2400 clock
H. 12400
el.&
U.
Y/B/N
mgd
5u
ug/1
m
mg/l
mg/l
m
mg/l
mg/l
1
2
3
4
5
809
11100
1.0
Y
0.131
6.9
<20
3.4
6
7
8
9
10
Il
12
730
1.0
Y
0.107
13
14
15
16
17
18
820
7.1
<20
19
100
1.0
Y
0.018
20
827
7.1
<20
3.5
2.31
10.23
0.266
<0.005
10.173
21
22
23
24
25
26
730
2.0
Y
0.151
27
20
29
30
31
Monthly Average Limit:
30
Monthly Average:
0.10175
0
3.45
2.31
0.23
0.266
0
0.173
Daily Maximum:
0.151
7.1
0
3.5
2.31
0.23
101.66
0
0.173
Daily Minimum:
0.018
16.9
0
3.4
2.31
10.23
0.266
10
0.173
****No Reporting Reason: ENFRUSE = No Flow-Reose/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PARMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2017 (July 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
d
fp
B
a
E
8
—
O
a
z
O
iz
a
V11
01055
TGP3B
00010
Quarterly
Quarterly
Grab
Grab
Calculated
MANGNESE
CERI7DPF
TEMP-C
2400 clock
H.
2400 clock
H.
Y/11/N
mg/1
ass/fail
deg e
1
2
3
4
5
809
1100
1.0
1 Y
25.5
6
7
S
9
to
11
12
730
1.0
Y
13
14
15
16
17
18
820
PASS
26.5
19
100
1.0
Y
20
827
0.524
PASS
26.7
21
22
23
24
25
26
730
2.0
Y
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
0.524
26.233333
Daily Maximum:
0.524
26.7
Daily Minimum:
0.524
25.5
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES EJERMIT NO.: NCO079740 PERMIT VERSION: 4.0 PERMIT STATUS: Active
F,ICILITY NAME: Ellison WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Kings Mountain ORC: Newt E. Henson ORC CERT NUMBER: 985471
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 07-2017 (July 2017) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
F
a
a
z
00070
00010
2 X month
Grab
Instantaneous
TURBmTY
TEMP-C
2400 clock
ntu
deg c
1
2
3
4
5
753
3.3
24.4
6
7
8
9
10
11
12
13
14
IS
16
17
18
19
20
812
4.7
25.6
21
22
23
24
25
26
27
28
29
30
31
Monthly Avenge Limit:
Monthly Avenge:
4
25
Daily Mn:tmam:
14.7
25.6
Bally Minimum:
3.3
24.4
**** No Reporting Reason: ENFRUSE = No Flow-Retise/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES :�ERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2017 (July 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
A
E
I"'
e
viO.
�
$
a`
Z
00070
00010
2 X month
Grab
Instantaneous
TURBIDTY
TEMP-C
2400 clock
ntu
deg c
1
2
3
4
5
800
3.4
25.3
6
7
B
9
10
11
12
13
14
15
16
17
19
19
20
821
3.9
26.3
21
22
23
24
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
3.65
25.8
Daily Maximum:
13.9
26.3
Daily Miaimam:
3.4
125.3
****No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW =No Flow; HOLIDAY=No Visitation —Holiday

p
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 07/26/17
Facility: KINGS MOUNTAIN WTP NPDES#: NC0079740 Pipe#: 001 County: CLEVELAND
Laboratory Perfor ing Test: R & A LABORATORIES, INC.
Comments: Final Effluent
X
Sign u O rator in Responsible Charge A Water Tech Project
X 37533-01
SJ na e Laboratory Supervisor * PASSED: 1.08o Reduction
Work Order: 37414-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div, of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
forth Carolina Cerioctapnnia
Chronic Pass/Fail Reproduction Toxicity Test
'ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1123124123124122125121125122124121125
Adult (L)ive (D)ead IIL IL IL IL IL IL IL IL IL IL IL IL
P
ffluent 0.71%
'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.386%
# Young Produced 24 23 25 22 21 23 25 24 23 22 21 23 o control orgs
producing 3rd
brood
Adult (L)ive (D)ead L L L L L L L L L L L L 100%
Chronic Test Results
Calculated t = 0.432
Tabular t = 2.508
Reduction = 1.08
Mortality
Avg.Reprod.
0.00
23.25
Control
Control
0.00
23.00
Treatment 2
Treatment 2
PASS FAIL
X
Check One
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 07/19/17
Control 6.96 7.04 6.94 7.03 6.92 7.00 Collection (Start) Date
Sample 1: 07/18/17 Sample 2: 01/20/17
Treatment 2 6.97 7.05 6.94 7.04 6.93 7.01 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
lst sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48 ........ .........
Control 8.6 8.4 8.6 8.3 L85:k
3 .
Spec. Cond.(Kmhos) 192 126 110
Treatment 2 8.6 8.4 8.6 8.3 3
Chlorine (mg/1) ,,...... 0.03 0.05
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ........ 3.0 3.2
(Mortality expressed as combining replicates)
Note: Please
Concentration Complete This
Section Also
%
0 Mortality
° o 0 °
start/end start/end
�C50 = % Method of Determination
95o con.1-1-clence Limits Moving Average _ Probit
--
°o Spearman Karber _ Other
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)
Control
High
Conc.
pH D.O.

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2017 (July 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 08/22/2017
08/22/2017
ORC/Certifier Signatu e: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
08/22/2017
Permittee/Submitter Sig 0ture:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

w
NPDES PERMIT NO.: NCO079740
r
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 06-2017 (June 2017)
PERMIT STATUS: Active
RECEIVED COUNTY: Cleveland
ORC CERT NUMBER: 985471
AUG 0 7 2017 -PEC IVED/ +CDENRIDWR
CENTRAL FILES STATUS: Processed �'' �` ! 1
®WR SECTION
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAR ,' -E\'MkIN(Y-GIONAL OPPICI
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
G
�
9
$
U
e
u
t+
!
e
O
E
m
g
d
O
O
9
Z
50050
00400
50060
C0530
00010
Weekly
2 X month
2 X month
2 X month
Recorder
Grab
Grab
Grab
instantaneous
[TAW
PH
CHLORINE
TSS-Cant
TEMP-C
2400 clock
H.
2400 clock
H.
Y/B/N
m d
Su
ug/l
m9A
deg e
1
2
3
4
5
6
7
800
1000
LO
Y
0.039
6.7
<20
4
21.9
8
9
10
11
12
13
14
930
1.5
Y
0.34
15
16
17
18
19
20
21
823
100
1.0
Y
0.285
6.85
< 20
6.4
22.9
22
23
24
25
26
27
28
830
1.0
Y
0.021
29
30
Monthly Average Limit:
30
Monthly Average:
0.17125
0
15.2
22.4
Dally Maximum:
0.34
6.85
0
6A
22.9
Daily Minimum:
10.021
6.7
0
4
121.9
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

P
NPDES PERMIT NO.: NCO079740
r
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 06-2017 (June 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY- Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
d
9
.
E
y,
a
A
�
Z
00070
00010
2 X month
Grab
Instantaneous
TURBIDTY
TEMP-C
2400 clock
ntu
deg c
1
2
3
4
5
6
7
740
3.2
20.8
8
9
10
11
12
13
14
15
16
17
18
19
20
21
805
4.2
22.9
22
23
2425
26
27
29
30
Monthly Average Limit:
Monthly Average:
3.7
21.85
Dolly Maximum:
4.2
22.9
Daily Alinimum:
13.2
20.8
****No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

PERMIT VERSION: 4.0
PERMIT STATUS: Active
NPDES PERMIT NO.: NCO079740
r
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 06-2017 (June 2017)
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
c
fi
F
e`
a`
a
z
00070
00010
2 X month
Grab
Instantaneous
T1JAD1D17
'rEntr-c
2400 dock
ntu
deg c
1
2
3
4
5
6
7
751
3.2
21.4
8
9
10
11
12
13
14
15
16
17
18
19
20
21
815
4.8
23.1
22
23
24
25
26
27
28
29
30
Monthly Average Limit:
Monthly Average:
4
22.25
Daily W.I.—
4.8
23.1
Daily Minimam:
13.2
21.4
*** * No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 06-2017 (June 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 07/20/2017
07/20/2017
ORC/Certifier Signatire: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 H.E.6 of
the NPDES permit.
07/20/2017
Permittee/Submitter Sigature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] 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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740
Ir
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 05-2017 (May 2017)
PERMIT VERSION: 4_0 PERMIT STATUS: Active
CLASS: PC-1 � I � COUNTY: Cleveland
ORC: Newt E. Henson C Ip9�r2C CERT NUMBER: 985471
ORC HAS CHANGED: No J U N 2 7' 2 p 1]
VERSION: 1.0 CENTRAL FILES STATUS: Processed
DWR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
G
u
.a
U
F
e`
h
e
F
-
O
=
y
2
g
o°
U04
O
a
E
o.
a
X',
50050
00400
50060
C0530
00010
Weekly
2 X month
2 X month
2 X month
Recorder
Grab
Grab
Grab
Instantaneous
FLOW
PH
CHLORINE
TSS-Con.
TEMPO
2400 clock
H.
2400 clock
n.
WRIN
m d
so
ug/l
mgtl
deg c
1
2
3
800
100
1.0
Y
0.01
7.23
<20
4.1
19.2
4
5
6
7
8
9
10
900
1.0
Y
0.049
11
12
13
14
15
16
17
800
1030
1.0
Y
0.144
7.09
<20
6.2
23.7
18
19
20
21
22
23
24
800
1.0
Y
0.199
25
26
27
28
29
30
31
1100
1.0
Y
0.161
Monthly Average Limit:
30
Monthly Average:
0.1126
0
5.15
21.45
Dally Maximum:
0.199
17.23
f 0
16.2
23.7
Daily Minimum:
0.01
7.09
1 0
4.1
19.2
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
1
FACILITY NAME- Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 05-2017 (May 2017)
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
�
t,
a
00070
00010
2 X month
Grab
Instantaneous
T1JRBmTY
TEMP-C
2400 clock
ntu
deg c
1
2
3
741
4.9
192
4
5
6
7
8
9
10
11
12
13
14
15
16
17
745
3.7
19.6
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Avenge Limit:
Monthly Average:
4.3
19.4
Daily Maximum:
4.9
19.6
Daily Ml.hnum:
3.7
19.2
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
8
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 05-2017 (May 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
ci
FY
e`
y
z
00070
I
00010
2 X month
Grab
Instantaneous
TIli1DIDTY
TEMP-C
2400 clock
ntu
deg e
1
2
3
753
4.5
19
4
5
6
7
8
9
10
11
12
13
14
is
16
17
754
3.1
20.1
10
19
20
21
22
23
24
25
26
27
29
29
30
31
Monthly Average Limit:
Monthly Average:
3.8
19.55
Daffy Murimum:
4.5
20.1
Daily Minimum:
3.1
19
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

NPDES PERMIT NO.: NCO079740
r
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 05-2017 (May 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 06/21/2017
06/21/2017
ORC/Certifier Signaturej Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
06/21/2017
Permittee/Submitter Sign ture:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
DMR PERIOD 04 2017 A '1 In17
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Newt E. Henson M
ORC HAS CHANGED: No J U N 0 5 2017
e - (pn ) VERSION: 1.0 CENTRAL FILES
DWR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
PERMIT STATUS: Active 3
COUNTY: Cleveland
ORC CERT NUMBER: 985471
RECEIVEII/NCDENRIDWR
STATUS: Processed
VI� 21 3 1%
t_ t.
NO DISCHARGE*: NO 1((CSdtinue)
MOORESVILLE REGIONAL OFFICE
q
y
U
aP
O
Fc
�
a
O
in
c
e
r
H
Oe
O
d
a
,L°
01055
TCP313
00010
Quarterly
Quarterly
Grab
Grob
Calculated
MANGNESE
CER17DPF
TEMP-C
2400 clock
H.
2400 clock
Hrs
YB/N
p
ass/fail
deg c
1
2
3
4
5 1804
100
I
Y
17.4
6
7
8
9
10
11
12
900
1
Y
13
14
15
16
17
18
734
1
20.2
19
1030
1
Y
20
756
1
0.827
PASS
19.4
21
22
23
24
25
26
730
1
Y
27
28
29
30
Monthly Average Limit:
Monthly Average:
0.827
19
Daily Mamma m:
0.827
20.2
Daily Minimum:
0.827
17.4
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =No Visitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2017 (April 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
S
e
E
e
�
0
a
�
a
z
00070
00010
2 X month
Grab
Instantaneous
ivnerorlr
Tens-c
2400 el.&
ntu
deg c
1
2
3
4
5
744
3.6
15.9
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
741
1.8
17.2
21
22
23
24
2s
26
27
28
29
30
Monthly Average lrmih
Monthly Average:
2.7
16.55
Daily Maximum:
3.6
17.2
Daily Minimum:
1.8
15.9
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; F.NVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

I
NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2017 (April 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
c
e
F
e`
m
�
o.
[
z°
00070
00010
2 X month
Grab
Instantaneous
Tlrteamry
TEMP-c
2400 clock
out
deg c
2
3
4
5
751
3.2
15.5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
748
1,8
17.6
21
22
23
24
25
26
27
28
29
30
Monthly Average Limit:
Monthly A—ge:
2.5
16.55
Daily Maximum:
3.2
17.6
Daily Minimum:
8
11.8
15.5
**** No Reporting Reason: ENFRUSE = No Flow-Rease(Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

r
NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2017 (April 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
F
yo
9
E
e
F
m
6
a
0
a
9
56050
00400
50060
C0530
C0600
C0665
01105
01042
00951
Weekly
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Recorder
Gmb
Grab
Grab
Gmb
Grab
Gmb
Gmb
Gmb
FLOW
PH
CHLORINE
TSS-cone
TOTAL N-
TOTAL P-Cane
ALUMIIYUM ICOPPER
F-TOTAL
2400 clock
H.
2400 clock
B.
Y/8!N
mgd
So
ug/1
mg11
mg/1
m
mg/1
u9/1
ug/1
1
2
3
4
5
804
1100
1
Y 1
0.04
7.4
<20
6
6
7
8
9
10
11
12
800
t
Y
0.04
13
14
15
16
17
18
734
1
17.3
<20
19
1
1030
1
Y
0.049
20
756
7.1
< 20
4.3
10.73
< 0.16
0.444
< 0.005
0.135
21
22
23
24
25
26
730
1
Y
0.105
27
2s
29
30
Monthly Average Limit:
30
Monthly Avenge:
0.0585
EO
5.15
0.73
0
0.444
0
0.135
Daay Mazimom:
0.105
7.4
6
0.73
0
0.444
0
0.135
Daily Minimum:
10.04
7.1
4.3
10.73
0
0.444
0
0.135
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY= No Visitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2017 (April 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1_0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 05/27/2017
05/27/2017
ORC/Certifier Signature. Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
05/27/2017
Permittee/Submitter Signaturg:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC -I
eDMR PERIOD: 03-2017 (March 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active /
CLASS: PC-1 C E IV COUNTY: Cleveland
ORC: Newt E. Henson APR 2 6 2017 ORC CERT NUMBER: 985471
ORC HAS CHANGED: No RECEIVEDAICDENR/0WR
VERSION: 1.0 CENTRAL FILES STATUS: Processed
DWR SECTION MAY e -1 2017
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARG (NO
MOORESVILLE REGIONAL OFFICE
G
F
U
3
F
F
x'
O
c
3
O
C
O
d
Z
50050
00400
50060
C0530
00010
weekly
2 X month
2 X month
2 X month
Estimate
Grab
Geab
Grab
Instantaneous
FLOW
pH
CHLORINE
TSS-Can.
TEMP-C
2400 clock
H.
2400 clock
H. I
YMN
mgd
so
ug/I
nim
dcg c
1
900
1000
1.0
Y
0.099
7.3
<20
11.7
12.9
z
3
4
5
6
7
s
900
1.0
Y
0.04
9
10
11
12
13
14
15
845
1130
1.0
Y
0.054
7.3
<20
3.1
10.6
16
17
18
19
20
21
22
1200
1.0
Y
0.048
23
24
25
26
27
28
29
100
1.0
Y
0.103
30
31
Monthly Average Limit:
30
Monthly Average:
0.0688
0
7.4
11.75
Daily Marimam:
0.103
7.3
0
11.7
12.9
Daily MUmum:
0.04
7.3
0
3.1
10.6
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 03-2017 (March 2017)
PERMIT VERSION: 4.0
PERMIT STATUS: Active
CLASS: PC-1
COUNTY: Cleveland
ORC: Newt E. Henson
ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
g
o
e
F
a
z
00070
00010
2 X month
dab
Instantaneous
TURBIDTY
TEMP-c
2400 clock
ntu
deg c
1
740
2.9
11.9
2
3
4
5
6
7
8
9
10
11
12
13
14
IS
820
3.1
10.3
16
17
18
19
20
21
22
24
r23
25
26
27 .
28
29
30
31
Monthly Average Limit:
Monthly Average:
3
11.1
DaOy Mmdmum:
3.1
11.9
Daily Minimum:
2.9
10.3
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 03-2017 (March 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
$
F
E
y
0
$
C
z
00070
09010
2 X month
Grab
Instantaneous
ivxsrorx
TEMP-c
2400 clock
ntu
deg c
1
755
2.2
11.7
2
3
4
5
6
7
B
9
30
11
12
13
14
15
830
2.7
10.6
16
17
16
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
2.45
11.15
Daffy Maximum:
2.7
11.7
Daily Minimum:
2.2
10.6
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation —Holiday

+ NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 03-2017 (March 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBIVIISSION DATE: 04/19/2017
04/19/2017
ORC/Certifier Signatu e: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
04/19/2017
Permittee/Submitter Sig ature:*** Newt" -Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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 Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
e
OWNER NAME: City of Kings Mountain
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Newt E. Henson
RNE�^ro : Active
ry>
VOLC'`'O- NTY: Cleveland
MAP @) C CERT NUMBER: 985471
GRADE: PC-1 ORC HAS CHANGED: No CENTRAL _FILE S
eDMR PERIOD: 02-2017 (February 2017) VERSION: 1_0 DWRv' EC T16X TUS: Processed RECEIVFD/NCDENR/0W[j
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 - NO DISCHARGE* : NO 217�%
WQROS
O
—
U
u
o
9
F'
t
O
`5
is
O
O
'
5
r
,z'.
50050
00400
50060
Iv . SV LLE
C0530
0 U10
o90 GIONAL OFFICE
Weekly
2 X month
2 X month
2 X month
Estimate
Grab
Grab
Grab
Instantaneous
FLOW
pH
CHLORINE
TSS-Coot
TEMP-C
2400 clock
H.
2400 clock
Hn
Y/B/N
mgd
Su
ug/I
Mgt]
deg 0
1
801
1
1200
l
Y
0.054
7.26
< 20
4
9.3
2
3
4
5
6
7
8
730
l
Y
0.04
9
10
11
12
13
14
15
815
900
1
Y
0.04
7.06
24
3.5
10.7
16
17
18
19
20
21
22
1
815
I
Y
0.049
23
24
25
26
27
28
Monthly A—ge Limit:
30
Monthly Ayenage:
0.04575
1
12
3.75
10
Daily Maximum:
0.054
7.26
24
4
110.7
Daily Mia unnn:
0.04
7.06
10
13.5
9.3
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
1-
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 02-2017 (February 2017)
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
O
9
F
_
e`
rn
a`
ea
a
a
z
00070
00010
2 X month
Grab
Instantaneous
TORDIDI'Y
TEMP-C
2400 clock
ntu
deg e
1
742
3.4
9.1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
745
2
10.4
16
17
18
19
20
21
22
23
24
25
26
27
28
Monthly Average Limit:
Monthly Average:
2.7
9.75
Daily Maximum:
3.4
10.4
Daily Minimum:
2
9.1
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=No,Visitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
>r.
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 02-2017 (February 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
.
O
e
F
_
e
a
2
a
j
00070
00010
2 X month
Grab
Instantaneous
TURBIDTY
TEMP-C
2400 clock
ntu
deg c
1
752
2.4
9
2
3
4
5
6
7
8
9
10
11
12
13
14
15
800
3
10.5
16
17
18
19
20
21
22
23
24
25
26
17
28
Monthly Average Limit:
Monthly Avenge:
2.7
9.75
Dully Mazlmum:
3
10.5
Daily Minimum:
2.4
9
****No Reporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 02-2017 (February 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 03/20/2017
03/20/2017
ORC/Certifier Signature: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
03/20/2017
Permittee/Submitter Sig ature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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 Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] 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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2017 (January 2017)
PERMIT VERSION: 4.0
CLASS: PC-1 _tea
ORC: Newt E. HensonEIVED
ORC HAS CHANGED: No MAR 0 6 2017
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
CENT RAL FILES
DWR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
fRECEIVEDiNCDENR/D1A1R
AR 1'. q '2, li i
NO DISCIIARGEMIPNO
futOORESVILI-E PEGIONAL OFFICE
C
e
F
a
w
e
u
�
—
e
o
5
2
F
a
O
'�
2
2
O
o°
u
O
o
_
z
S
so0so
00400
50060
C0530
C0600
C0665
01105
0104
000951
Weekly2
X month
2 X month
2 X month
Quarter]
Quarterly
Quarterly
Quarter)
Quarter]
Estimate
Grab
Gmb
Grab
Grab
Grab
Grab
Gmb
Grab
FLOW
pH
CHLORINE
TSS-Cone
TOTALN-
TOTAL P-Cone
ALMUNUU
COPPER
F-TOTAL
2400 clock
Hn
2400 clock
Hn
MIN
mgd
su
ug/1
mg/I
mg/I
mg/I
nlgfl
mgfI
mg/I
1
2
3
4
0853
1000
1.0
Y
0.062
7
<20
3.6
5
6
7
B
9
10
11
1
0930
1.0
Y
0.054
12
13
14
is
16
17
i8
0900
1.0
Y
0.04
19
20
21
22
23
24
0810
6.8
22
25
26
0750
10100
1.0
Y
10.059
6.9
<20
1 <2.5
1.63
0.4
0.193
0.005
<0.1
27
28
19
30
31
Monthly Average Limit:
30
Mombly Average:
0.05375
7.333333
1.8
1.63
0.4
0.193
0.005
0
Daily hl-Imum:
0062
7
22
3.6
11.63
0.4
0.193
0.005
0
Daliy,% inlmum:
0.04
6.8
0
0
1.63
0.4
0.193
0.005
0
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =No Visitation —Houoay

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2017 (January 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
8
a
V
u
F'
t
E
O
C
E
_
C
O
aQuarterly
o`
a
O
�
a
a
cI
4
01055
TGP3B
00010
Quarterly
Quarterly
Q y
Grab
Gmb
Instantaneous
MANGNESE
CER17DPF
TEMP-C
2400 clock
H.
2400 clock
Hrs
YIBIN
M911
passifail
deg c
t
2
3
4
0853
1000
1.0
Y
10.5
5
6
7
a
9
10
11
0930
1.0
Y
12
13
14
IS
16
17
18
0900
1.0
Y
19
20
21
22
23
24
0810
PASS
11.5
25
26
0750
0100
1.0
Y
0.106
PASS
10.8
27
25
29
30
31
A2onthly Menge Limit:
MomhlyA—ge:
0.106
10.933333
Daily T.U.1mum:
0.106
11.5
Da11y ,ADnlmum:
0.106
10.5
**** No Reporting Reason: ENFRUSE=No Flow-Rease/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW =No Flow; HOLIDAY =No Visitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
PERMIT VERSION: 4.0
CLASS: PC-1
PERMIT STATUS: Active
COUNTY: Cleveland
OWNER NAME: City of Kings Mountain
GRADE: PC-]
eDMR PERIOD: 01-2017 (January 2017)
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
t9
!
e
0
a
r
m
00070
00010
2 X month
Grab
Instantaneous
TUttDiD7Y
iE111P-C
2400 clock
nta
deg c
1
2
3
4
0853
3
10.6
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
0810
25
26
0750
2.3
11
27
28
29
30
31
J1antWy Average Limit:
Monthly Average:
2.65
10.8
Daily Maximum:
3
11
Daily Mlaimum:
2.3
10.6
****No Reporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY =No Visitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC -I
eDMR PERIOD: 01-2017 (January 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
o
e
y
€
z
>
00070
00010
2 X month
Grab
Instantaneous
TUABID Y
1Enrn-c
2400 clock
ntu
deg e
1
2
3
4
0845
14
9.5
5
6
7
8
9
10
I1
12
13
14
IS
16
17
18
19
20
21
22
23
24
25
26
0740
2.1
11.4
27
28
29
30
31
Monthly Avenge Limit:
Monthly Average:
8.05
10.45
Daily M..lmum:
i4
11.4
Daily Midmam:
2.l
9.5
**** No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW =No Flow; HOLIDAY =No Visitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2017 (January 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 02/24/2017
02/24/2017
ORC/Certifier Signature: JINewt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
02/24/2017
Permittee/Submitter SignaVre:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Pennittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] 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/Disebarge 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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 02/01/17
Facility: KINGS MOUNTAIN WTP NPDES#: NC0079740 Pipe#: 001 County: CLEVELAND
Laboratory Performin Test: R & A LABORATORIES, INC.
Comments: Final Effluent A
X
Siq ture_ O ra or in Responsible Charge Water Tech Project 30185-01
ion
�X
S gn u La oratory Supervisor * PASSED: 0.00% Reduct
Work Order: 30077-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
forth Carolina Ceriodaphnia
Chronic Pass/Fail Reproduction Toxicity Test
!ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
## Young Produced 1121123124121125122121123125124122122
Adult (L)ive (D)ead IIL IL IL IL IL IL IL IL IL IL IL IL
Chronic Test Results
Calculated t =
Tabular t =
Reduction =
, Mortality
Avg.Reprod.
0.00
22.75
Control
Control
0.00
22.75
Treatment 2
Treatment 2
'REATMENT-2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.526% PASS FAIL
# Young Produced 22 21 22 23 24 21 23 25 22 24 21 25 % control orgs X
producing 3rd
brood Check One
Adult (L) ive (D) ead L L L L L L L L L L L L I 100
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 01/25/17
Control 6.94 7.02 6.92 7.01 6.91 7.00 Collection (Start) Date
Sample 1: 01/24/17 Sample 2: 01/26/17
Treatment 2 6.94 7.03 6.92 7.02 6.91 7.00 Sample Type/Duration 2nd
lst P/F .
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48 ........ .........
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond.(ymhos) 193 78 81
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4
Chlorine (mg/1) ........ 0 . 01 0.01
LC50/Acute Toxicity Test Sample temp. at receipt(°C)2.7 3.5
(Mortality expressed as %, combining replicates)
Note: Please
a 0 % Concentration Complete This
o
Section Also
% % % %96 Mortality
start/end start/end
jC50 = Method of Determination
95% Con i ence Limits Moving Average _ Probit _
-- % Spearman Karber _ Other
Control
High
(''nn e
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

NPDES PERMIT NO.: NCO079740
FACMITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 12-2016 (December 2016)
PERMIT VERSION: 4.0
r �, a r..-
CLASS: PC-1 $a u I=1 V E: D
ORC: Newt E. Henson J A N 3 1 2017
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER 9$„ 5 Zj EDINCDENR/DWR
ORC HAS CHANGED: No _
VERSION: 1.0 CFN I IAA. FILES DWR SECTION STATUS: Processed I-
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC° GE.tFXQIONAL OFFICE
E
ul
3
E
a
6
u
E
F
O
=
'
Fi
O
y
C
C
O
I
o
&
Z
50050
00400
50060
C0530
00010
Weekly
2 X month
2 X month
2 X month
Estimate
Gmb
Grab
Grab
Instantaneous
FLOW
PH
CHLORINE
TSS-Cant
TEMP-C
2400 clock
Hre
2400 clock
H.
MIN
mgd
su
u9A
mg11
deg e
1
2
3
4
5
6
7
813
10100
1.0
Y
0.04
7.06
< 20
9.5
12.7
a
9
10
11
12
13
14
1000
1.0
Y
0.054
15
16
17
18
19
20
21
820
1100
LO
Y
0.048
7.25
23
I1
9.6
22
23
24
25
26
27
28
0900
1.0
Y
0.054
29
30
31
Monthly Average Lhult:
30
Monthly Avcrnge:
0.049
11.5
10.25
11.15
Daily Alasimum:
0.054
725
23
11
12.7
Daily Mlninoum:
0.04
7.06
0
9.5
9.6
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation -Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday

NPDES PERMIT NO.: NCO079740
.Z
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 12-2016 (December 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
o
E
H
0
a
8
c
L
00070
00010
2 X month
Grab
Instantaneous
TURBIDTY
TEMP-C
2400 clock
mu
deg c
1
2
3
4
5
6
7
808
1.8
12.6
8
9
10
11
12
13
14
15
16
17
18
19
20
21
814
4.1
8.8
22
23
24
25
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
2.95
10.7
Dally Marimom:
4.1
12.6
Dally Minimum:
1.8
8.8
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation — Adverse Weather , NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 12-2016 (December 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
u
p
E
5
e
y°
00070
00010
2 X month
Grob
Instantaneous
TURBIDITY
TEMP-C
2400 clock
ntu
deg c
1
2
3
4
5
6
7
755
1.9
13
8
9
10
11
12
13
14
15
16
17
18
19
20
21
807
5.1
9.7
22
23
24
25
26
27
28
29
30
31
Monthly Average Llmft:
Monthly Average:
3.5
11.35
Daffy Maximum:
5.1
13
Daily Minimum:
1.9
9.7
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation — AdverseWeather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 12-2016 (December 2016)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 01/22/2017
O1/22/2017
ORC/Certifier Signatu : Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
01/22/2017
Permittee/Submitter S0nature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Ellison WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Kings Mountain ORC: Newt E. Henson R� �s' "EDORC CERT NUMBER: 985471
GRADE: PC-1 ORCHAS CHANGED: ! E-c 91 2016 RECc1Vrl;Is;ODE i,R/DWR
eDMR PERIOD: 11-2016 (November 2016) VERSION: 1.0 STATUS: Processed
— CENT r��L FILE,":', STATUS: 3 a
DWR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NOS-P'O'
0CsR r��Ii F G1OHAL OFF
m
C 1
F
EF
m
ao°
E
6
E
e
s`
a
9
F
e'3
t
Q
1 b
in
O
fi
H
1
§
d
h
U
OU
a
v5
a
1 i
50050
00400
50060
C0530
00010
Weekly
2 X month
2 X month
2 X month
Estimate
Grab
Grab
Grab
Instantaneous
FLOW
pH
CHLORINE
TSS-Coat
TEMP-C
2400 clock
H.
2400 eloek
H.
Y/BIN
mgd
su
119/1
mg/1
deg e
1
2
811
900
1.0
Y
0.049
6.93
<20
4
19.7
3
4
5
6
7
8
9
900
1.0
Y
0.043
10
11
12
13
14
15
16
808
1200
1.0
Y
0.041
6.84
<20
<2.5
16.3
17
18
19
20
21
22
23
1000
Lo
Y
0.049
24
25
26
27
28
29
30
830
1.0
1 Y
1
0.04
Monthly Average Limit:
30
Monthly Average:
0.0444
0
2
18
Daily Maximum:
0.049
6.93
0
4
19.7
Dailyhinimtun:
0.04
6.84
0
10
116.3
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC -I
eDMR PERIOD: 11-2016 (November 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
c
5
d
fi
12
a
a
9
a
a
z
00070
00010
2 X month
Grab
Instantaneous
rlmamry
rvns-c
2400 rlork
ntu
deg c
1
2
758
1.5
19.7
3
4
5
6
7
8
9
10
I
12
13
14
15
16
750
1_5
15.5
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Monthly Average Limit:
Monthly Average:
1.5
17.6
DaayMnvmum:
1.5
19.7
Dolly Minimum:
1.5
15.5
****No Reporting Reason:ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY =No Visitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 11-2016 (November 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
.
p'
�
It
y
a
a
9
C
m
Z
00070
00010
2 X month
Grab
Instantaneous
TURBIDTY
TEMP-C
2400 dock
ntu
deg c
1
2
806
2.2
18.5
3
4
5
6
7
8
9
10
11
12
13
14
IS
16
802
1.6
15.2
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Monthly Avenge Limit:
Monthly Average:
1.9
16.85
Daily Mntimum:
22 1
18.5
061y Mioimnm:
1.6
152
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 11-2016 (November 2016)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 12/14/2016
N*,t 12/14/2016
ORC/Certifier Signature: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
12/14/2016
Permittee/Submitter SignaAre:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee-Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
41
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 10-2016 (October 2016)
PERMIT VERSION: 4_0
CLASS: PC-1
ORC- Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
Rt Cr_(t.'ED/NCDENRICAPIk
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE,,• NO�os
201b
A
a
EtX
E
U [-
F
1 O
O
O
O
a
1 Z a
50050
00010
00400
50060
C0530
C0600
C0665
01105
01042
Weekly
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Estimate
Instantaneous
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
TEMP-C
JpH
CHLORINE
TSS - Cone
TOTAL N -
TOTAL P -
ALUMINUM
lCOPPER
2400 clock
Rrs
2400 clock
Hrs
YB/N
mgd
deg c
so
ug/l
mg/1
mg/I
mg/1
mg/l
ug/l
1
2
3
rr-
4
5
1805
900
1.0
Y
1
0.051
24.2
7.34
<20
4.4
6
7
C
-NTRAL
s
JR SEC
ION
9
10
11
12
930
1.0
Y
0.04
13
14
15
16
17
18
740
21.1
16.8
<20
19
800
1.0
Y
0.054
20
810
21.1
7.02
<20
<2.5
0.6
3.03
0.158
<0.005
21
22
23
24
25
26
1100
1.0
Y
0.051
27
28
29
30
31
Monthly Average Limit:
30
Monthly Average:
0.049
22.133333
0
2.2
0.6
3.03
0.158
0
Daily Maximum:
0.054
24.2
7.34
0
4.4
0.6
3.03
0.158
0
Daily Minimum:
0.04
21.1
6.8
0
10
0.6
3.03
0.158
0
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES P&RMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
r
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 10-2016 (October 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
d
O
c
E
�
O F
H
F
,�
a
O
;2
O
e
O
O
m
1Z G4
00951
01055
TGP313
Quarterly
Quarterly
Quarterly
Grab
Grab
Grab
F-TOTAL
MANGNESE
CER17DPF
2400 clock
Hrs
2400 clock
Elm
YB/N
ug/t
ug/I
pass/fail
1
2
3
4
5
1805
900
1.0
Y
6
7
8
9
10
11
12
930
1.0
Y
13
14
IS
16
17
18
740
PASS
19
800
1.0
Y
20
810
0.14
0.029
PASS
21
22
23
24
25
26
11100
LO
Y
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
0.14
0.029
0
Daily Maximum:
0.14
0.029
Daily Minimum:
0.14
10.029
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW =No Flow; HOLIDAY =No Visitation —Holiday

NPDES Pi RMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 10-2016 (October 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
A
a
E
c u
E E
O F
�
o
U
3
F
E
w
O
�
O
8
O
«
u
O
U
O
m
& o
a
Z W
00010
00070
2 X month
Instantaneous
Grab
TEMP-C
TURBIDTY
2400 clock
Elm
2400 clock
EIrs
YBIN
deg c
nm
1
2
3
4
5
750
900
1.0
Y
23.8
1.7
6
7
8
9
10
11
12
930
1.0
Y
13
14
15
16
17
18
19
800
1.0
Y
20
747
21.5
1.4
21
22
23
24
25
26
1100
1.0
Y
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
22.65
1.55
Daily Maximum:
23.8 11.7
Daily Minimum: 121.5
1.4
****No Repotting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 10-2016 (October 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
A
cw
is
R
u
e
O F
E
U
F
—
ay
O
O
F:
O
b.
O
U
O
a o
a o
Z a
00010
00070
2 X month
Instantaneous
Grab
TEMP-C
TURBIDTY
2400 clock
Hrs
2400 clock
Firs
I YBIN
deg c
mu
1
2
3
4
5
1759
900
1.0
Y
22.6
1.4
6
7
8
9
10
11
12
930
1.0
Y
13
14
16
r1815
17
19
1
1800
1.0
Y
20
754
19.7
1.8
21
22
23
24
25
26
1100
1.0
Y
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
21.15
1.6
Daily Maximum:
22.6
1.8
Daily 11Dnimum:
19.7
1.4
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycie; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
e
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 10-2016 (October 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 11/21/2016
11/21/2016
ORC/Certifier Signature: Ne t Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
11/21/2016
Permittee/Submitter Signatu :*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

-Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 10/26/16
Facility: KINGS MOUNTAIN WTP NPDES#: NCO079740 Pipe#: 001 County: CLEVELAND
Laboratory Performi g Test: R & A LABORATORIES, INC.
Comments: Final Effluent A
X
S1`gn4tju'reA,PjOpq4ator in Responsible Charge Water Tech Project 26232-01
X
SiegE74FE TLaboratory Supervisor I * PASSED: 1.090 Reduction *
Work Order: 26179-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
iV1 l..11 1...0.1 V11110. 1.G11VLL0.jJ 111110.
Chronic Pass/Fail Reproduction Toxicity Test
1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1121124125122121123122123123125124122
Adult (L)ive (D)ead JAL IL IL IL IL IL IL IL IL IL IL IL
Chronic Test Results
Calculated t = 0.400
Tabular t = 2.508
Reduction = 1.09
o Mortality
Avg.Reprod.
0.00
22.92
Control
Control
0.00
22.67
Treatment 2
Treatment 2
'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
6.017°s PASS FAIL
# Young Produced 20 24 21 25 24 22 24 23 22 24 20 23 % control orgs X
producing 3rd
brood Check One
Adult (L) ive (D) ead L L L L L L L L L L L L 100 6
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 10/19/16
Control 6.93 7.62�1 6.91 6.99 6.97 7.06 Collection (Start) Date
Sample 1: 10/18/16 Sample 2: 10/20/16
Treatment 2 6.93 7.01 6.91 7.00 6.97 7.05 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48
Control 8.6 8.4 8.5 8.2 8.6 8.4
Spec. Cond.(pmhos) 190 69 75
Treatment 2 8.6 8.4 8.5 8.2 8.6 8.4
Chlorine (mg/1) ,,,,,.,, 0.04 0.04
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ........ 2.5 3.6
(Mortality expressed as %, combining replicates)
N t P1
a � % 1 a 0
o
a o a a
0
y
o e. ease
Concentration Complete This
Section Also
Mortality
start/end start/end
LC50 = o Method of Determination
95% Con id en�imits Moving Average _ Probit
%-- o Spearman Karber _ Other
Control
High
rl,n
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

NPDES PERMIT NO.: NCO079740
FA4LITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 09-2016 (September 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active 3
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS- ProcessejRECEIVED/NMENR/DWR
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
OCT 3 1 2016
WOP,OS
A
c
a
O F
g
y
o
V
F
Q
i
p
w
O
O
o
m
O
r
0
O
O
o±
.� 'a
Z C
00010
00070
2 X month
instantaneous
Grab
TEMP-C
TURBIDTY
2400 clock
Bra
2400 clock
Hrs
Y/B/N
deg c
ntu
1
3
OrT
0 C 1 2,,
4
..l . ..,,
5
^C L
G l.r
e ctF
iSFG:Fze^.
6
7
725
100
1.0
Y
26.8
2.5
8
9
10
11
12
13
14
1000
1.0
Y
15
16
17
18
19
20
21
745
1200
1.0
Y
26.9
1.5
22
23
24
25
26
27
28
1000
1.0
B
29
30
Monthly Average Limit:
Monthly Average:
26.85
2
Daily Maximum:
2&9 12.5
Daily Minimum:
26.8
1.5
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

PERMIT VERSION: 4.0
NPDES PERbLT NO.: NCO079740
FACfiLITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 09-2016 (September 2016)
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CLANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
O
o
E
5 E
U lF
E
=
o
0
F
8
V
L
t
0
O
;2
O
e
o
1 O
"
C
V
O
e i
C m
X w'
50050
00010
00400
50060
C0530
Weekly
2 X month
2 X month
2 X month
Estimate
Instantaneous
Grab
Grab
Grab
FLOW
TEMP-C
pH
CHLORINE
TSS-Cane
2400 clock
Firs
2400 clock
Hrs
YB/N
mgd
deg c
so
U911
mg/i
1
2
3
4
5
6
7
736
100
1.0
1 Y
1
0.054
25.9
6.53
<20
<2.5
8
9
10
11
12
13
14
1000
11.0
Y
10.108
15
16
17
18
19
20
21
758
1200
1.0
Y
0.04
26.5
7A6
<20
6
22
23
24
25
26
27
28
1000
1.0
B
0.046
29
30
Monthly Average Limit:
30
Monthly Average:
0.062
26.2
0
3
Daily Maximum:
0.108
26.5
7.46
0
6
Daily Minimum:
0.04
125.9
16.53
10
10
**** No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW =No Flow; HOLIDAY =No Visitation —Holiday

NPDES PERMIT NO.: NCO079740
PAC4iLITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 09-2016 (September 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
q
oa
c
E
U h
E
is
O
w
F
9
F+
i
p
O
e
O
O
O
«
C
U
O
O f
C e
d
Z C9
00010
00070
2 X month
Instantaneous
Grab
I TEMP-C
TURBIDTY
2400 clock
Hrs
2400 clock
Hrs
Y/BN
deg c
ntu
1
2
3
4
6
7
r85
730
100
1.0
Y
25
3.5
9
10
I
12
13
14
1000
1.0
Y
15
16
17
IS
19
20
21
752
1200
1.0
Y
24.7
2.6
22
23
24
25
26
27
28
1
1000
1.0
B
29
30
Monthly Average Limit:
Monthly Average:
24.85
3.05
Daily Maximum:
25
3.5
Daily Minimum:
24.7
12.6
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 09-2016 (September 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 10/12/2016
10/12/2016
ORC/Certifier Signature: N4vt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
10/12/2016
Permittee/Submitter Signature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740
0.
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 08-2016 (August 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active 3
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
a
E 6
`g
w
2
O
2
e
O
O
`o �
a o
a
z C
50050
00010
00400
50060
C0530
Weekly
2 X month
2 X month
2 X month
Estimate
Instantaneous
Grab
Grab
Grab
FLOW
TEMP-C
pH
CHLORINE
TSS-Cone
2400 clock
Hrs
2400 clock
Hrs
YBIN
mgd
deg c
so
119/1
mg/1
1
2
3
750
1000
1.0
Y
0.04
29.5
6.96
<20
6
4
5
6
7
-
� ur_ivF{/UWF
8
.
F F
9
V
10
1
100
1.0
Y
0.046
WQROS
u
SVI
LE REGIONAL OE
12
13
14
15
16
17
825
1200
1.0
IY
1
0.04
29.7
6.7
<20
<2.5
18
19
20
21
22
24
Boo
1.0
Y
0.046
25
26
27
28
29
r30
31
900
1.0
Y
0.049
Monthly Average Limit:
30
Monthly Average:
0.0442
29.6
0
3
Daily Maximum:
0.049
29.7
6.96
10
6
Daily Minimum:
0.04
29.5
16.7
0
10
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation —Adverse Weather, NOFLOW =No Flow; HOLIDAY No Visitation,—.pHolidpy, -
V.
S€P 2016
CE

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 08-2016 (August 2016)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCIIARGE NO.: 001
O
c
Ea
E
O F
E
F
d
Q
m
a
a
O
n
O
u
O
U
O
C H
d
Z
00010
00070
2 X month
Instantaneous
Grab
1 TEMP-C
TURBIDTY
2400 clack
Hrs
2400 clock
Hrs
YBIN
deg c
ntu
1
2
3
735
1000
1.0
Y
30.3
2
4
5
6
7
8
9
10
100
too
Y
11
12
13
14
15
16
17
808
1200
1.0
Y
30.8
22
18
19
20
21
22
23
24
1800
1.0
Y
25
26
27
28
29
30
31
900
1.0
Y
Monthly Average Limit:
Monthly Average:
30.55
2.1
Daily Maximum:
30.8
12.2
Daily Minimum:
30.3
2
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 08-2016 (August 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
EU
E
g
m
e
a
Z a
00010
00070
2 X month
Instantaneous
Grab
TEMP-C
TURBIDTY
2400 clock
jHrs
2400 clock
I Hrs
Y/B/N
deg c
ntu
1
2
3
741
1000
1.0
Y
27.9
2.6
4
5
6
7
8
9
10
100
1.0
Y
I
12
13
14
IS
16
17
815
1
1200
1.0
Y
29.6
2.5
18
19
20
21
22
23
24
800
1.0
Y
25
26
27
28
29
30
31
900
1.1
Y
Monthly Average Limit;
Monthly Average:
28.75
2.55
Daily Maximum:
29.6
2.6
Daily Minimum:
27.9
2.5
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
a
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 08-2016 (August 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 09/13/2016
09/13/2016
ORC/Certifier Signatur : Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
09/13/2016
Permittee/Submitter Signature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO079740 PERMIT VERSION: 4.0 PERMIT STATUS: Active 3
FACILY.k NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
CLASS: PC-1
ORC: Newt E, Henson
ORC HAS CHANGED: No
COUNTY: Cleveland g� �+
ORC CERT NUMBER: 049FIVEDINCDENR/DWR
SEP 13 2016
eDMR PERIOD: 07-2016 (July 2016) VERSION: 1.0 STATUS: Processed
WQROS
MOORESVILLE REGIONAL OFFICE
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
C
a
E
U P:
e
m
F
d
O
O
F
p
O
c
V
O
5:
o s
C a
Z a
50650
00010
00400
50060
C0530
C0600
C0665
01105
01042
Weekly
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Estimate
Instantaneous
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
TEMP-C
IpH
CHLORINE
TSS - Core
TOTAL N -
TOTAL P -
ALUMINUM
ICOPPER
2400 clock
Hrs
2400 clock
Hrs
YB/N
mgd
deg a
so
ug/I
mg/1
mg/I
mg/1
mg/1
ug/I
.V
2
9
f,'.�... � , I
6. 7
3
1
4
5
l- I� I i`. I
. I I
6
805
900
1.0
Y
0.054
27.6
6.71
< 20
4
1N R v `i
r I O O I V
7
8
9
10
11
12
13
100
1.0
Y
0.054
14
15
16
17
18
19
710
1
28
6.73
< 20
20
21
826
830
1.0
Y
0.04
28.7
6.72
< 20
3.4
1.35
10.17
0.275
< 0.005
22
23
24
25
26
27
1
1
1100
1.0
Y
0.04
28
29
30
31
Monthly Average Limit:
30
Monthly Average:
0.047
128.1
0
3.7
1.35
10.17
0.275
0
Daily Maximum:
0.054
28.7
6.73
0
14
11.35
0.17
0.275
0
Daily Minimum:
0.04
27.6
16.71
0
3.4
1.35
0.17
0.275
10
'xx*NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation- Holiday

NPDES PERMIT NO.: NCO079740
FACILI it NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2016 (July 2016)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
d
q
E
(3 E
U' E-
g
=
F
2
F
O
�
e
O
e
U
O
a g
Z tGL
00951
01055
TGP3B
Quarterly
Quarterly
Quarterly
Grab
Grab
Grab
F-TOTAL
MANGNESE
CER17DPF
2400 clock
Hrs
2400 clocL
Hrs
YB/N
ug/l
ug/i
Pass/Fail
1
2
3
5
6
r74
805
900
1.0
Y
8
9
10
11
12
13
1
100
1.0
Y
14
15
16
17
18
19
1710
1
PASS
20
21
826
830
1.0
Y
<0.1
1.16
PASS
22
23
24
25
26
27
1100
1.0
Y
28
29
30
31
Monthly Average Limit:
Monthly Average:
0
1.16
0
Daily Maximum:
0
1.16
Daily Minimum:
0
11.16
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITa'NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2016 (July 2016)
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
A
c
$
E �
U E
e
o
m
F
e
m
O
O
O
V
O
i
92
a
Z t4
00010
00070
2 X month
Instantaneous
Grab
TEMP-C
TURBIDTY
2400 clock
firs
2400 clock
Hrs
WRIN
deg c
am
1
2
3
4
5
6
1745
1
900
1.0
Y
25.1
2.8
7
8
9
10
11
12
13
100
1.0
Y
14
is
16
17
18
19
20
21
805
1830
1.0
Y
30.8
1.3
22
24
r23
25
26
27
H00
1.0
Y
28
29
30
31
Monthly Average Limit:
Monthly Average:
27.95
2.05
Daily Maximum:
30.8
2.8
Daily Minimum:
25.1
1.3
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITµNAME: Ellison WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Kings Mountain ORC: Newt E. Henson ORC CERT NUMBER: 985471
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 07-2016 (July 2016) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
A
a
E
O F
O
F
2
y
y
O
8
p
O
u
C
O
o0
O f
Z a
00010
00070
2 X month
Instantaneous
Grab
TEMP-C
TURBIDTY
2400 clock
Hrs
12400 clock
Hrs
I YBIN
I
deg c
ntu
1
2
3
4
5
6
758
900
1.0
Y
25
2.9
7
8
9
10
I
12
13
100
Lo
Y
14
Is
16
17
18
19
20
21
811
830
11.0
Y
26.3
3.6
22
23
24
25
26
27
1100
1.0
Y
28
29
30
31
Monthly Average Limit:
Monthly Average:
25.65
3.25
Daily Maximum:
26.3
3.6
Daily Minimum:
25
12.9
za;'NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITi NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 07-2016 (July 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 08/23/2016
Nhal 08/23/2016
ORC/Certifier Signature Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
08/23/2016
Permittee/Submitter SignAture:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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,
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] 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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERRMIT NO.: NCO079740
FACP.LITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 06-2016 (June 2016)
17D1 7Uj51`L Y[I)CAE1911
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland 3
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
c
w
$
E
U i—
g
E
o
U
F°
6
E
0
O
m
e
o
z
O
c
°
O
o+
a h
a
z cwG
00010
00070
2 X month
Instantaneous
Grab
TEMP-C
TURB
2400 clock
Urs
2400 clock
Hrs
YB/N
deg c
nm
1
703
100
1.0
Y
21
5.5
2
3
4
5,6
2016
6
7
CENTRAL FILES
8
900
1.0
Y
DWR SECTION-
9
10
11
12
13
14
15
800
1900
2.0
B
23A
3.8
16
17
18
19
20
21
22
100
1.0
Y
23
24
25
26
27
28
29
1000
1.0
Y
30
Monthly Average Limit:
Monthly Average:
22,
4.65
Daily Maximum:
23.4
15.5
Daily Minimum:
21
3.8
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday
RECEIVED/NCDENR/DWR
AUG 0 1 2016
WQROS
MOORESVILLE REGIONAL OFFICE

NPDES PERMIT NO.: NC0079740
FAGILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 06-2016 (June 2016)
PERMIT VERSION: 4.0
PERMIT STATUS: Active
CLASS: PC-1
COUNTY: Cleveland
ORC: Newt E. Henson
ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
m
Em
E
a
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m
O
o
E'
>
O
a
o
O
O
a
e
C
C
O t
o m
a
50050
00010
00400
50060
C0530
Weekly
2 X month
2 X month
2 X month
Estimate
Instantaneous
Grab
Grab
Grab
FLOW
TEMP-C
PH
CHLORINE
TSS-Cone
2400 clock
Hrs
2400 clock
Hrs
YB/N
mgd
deg c
so
ug/1
mg/1
1
722
100
1.0
Y
0.045
23.8
6A
<20
4.3
2
3
4
5
6
7
8
900
1.0
Y
0.146
9
10
11
12
13
14
15
816
900
2.0
B
1
0.045
24.1
6.5
<20
<2.5
16
17
18
19
20
21
22
100
1.0
Y
0.054
23
24
25
26
27
28
29
1000
1.0
Y
0.054
30
Monthly Average Limit:
30
Monthly Average:
0.0688
23.95
0
2.15
Daily Maximum:
0.146
24.1
6.5
0
4.3
Daily Minimum:
0.045
23.8
6.4
0
0
**** No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR =No Visitation —Adverse Weather; NOFLOW =No Flow; HOLIDAY =No Visitation— Holiday

a
NPDES PERMIT NO.: NCO079740
FA164LITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 06-2016 (June 2016)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
O
Ea
E
U i-
E
E.
E
a
O
n
O
r
U
O
C R
i
Z CeL
00010
00070
2 X month
Instantaneous
Grab
TEMP-C
TURB
2400 clock
Hrs
2400 clock
firs
Y/B/N
deg c
nm
1
710
100
1.0
Y
20.8
2.6
2
3
4
5
6
7
8
900
1.0
Y
9
10
11
12
13
14
IS
810
1900
2.0
1 B
1
23.2
4
16
17
I8
19
20
21
22
1100
1.0
Y
23
24
25
26
27
28
29
1000
1.0
Y
30
Monthly Average Limit:
Monthly Average:
22
3.3
Daily Maximum:
23-2
14
Daily Minimum:
20.8
2.6
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC -I
eDMR PERIOD: 06-2016 (June 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 07/19/2016
07/19/2016
ORC/Certifier Signature: ewt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
07/19/2016
Permittee/Submitter Signature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] 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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES P NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 05-2016 (May 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active 3
COUNTY: Cleveland
ORC CERT NUMBER: 995471
RECEIVED/NCDENR/DWP
STATUS: Processed Jul 0 2016
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*- -- i�RGE*:. NO-
r i0UNi--SV:LLEu:DhiAL 0�710E
A
n
a
B g
U E-F
1
e
U
E
F
E
F
m
O
rn
e
O
m
O
U
O
o
A
1Z C
50050
00010
00400
50060
C0530
Weekly
2 X month
2 X month
2 X month
Estimate
Instantaneous
Grab
Gmb
Grab '
FLOW
TEMP-C
PH
CHLORINE
TSS - Cone.
2400 clock
Hrs
2400 clock
Hrs
YB/N
mgd
deg c
so
ug/I
mg/I '
1
2
3
4
755
900
1.0
Y
0.054
20.2
6.7
<20
3.3
5
6
7
8
9
10
II
1
1200
1.0
Y
0.054
12
13
14
15
16
17
18
850
1000
1.0
Y
0.054
21
6.42
<20
4
19
20
21
22
23
24
25
900
1.0
Y
10.054
26
27
2s
29
30
31
Monthly Average Limit:
30
Monthly Average:
0.054
20.6
0
3.65
Daily Maximum:
0.054
21
6.7
0
4
Daily Minimum:
0.054
120.2
16A2
to
13.3
****NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday
1V
JUN 2 9 2016
CENT- SAL FILE-S
DWR SECT ION

NPDES PERMIT NO.: NCO079740
FAbLITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 05-2016 (May 2016)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
A
Ea
O F
E
F
E
O
rn
O
e
U
O
`o
z' x
00010
00070
2 X month
Instantaneous
Grab
TEMP-C
TURD
2400 clock
I Hrs
2400 clock
Hrs
Y/B/N
deg c
ntu
1
2
3
4
735
800
1.0
Y
119.1
2.2
5
6
7
8
9
10
11
1200
1.0
Y
12
13
14
15
16
17
18
828
1000
1.0
Y
21.3
1.6
19
20
21
22
23
24
25
900
1.0
Y
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
20.2
1.9
Daily Maximum:
21.3
2.2
Daily Minimum:
19.1
1.6
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PiVAHT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 05-2016 (May 2016)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
A
a
O F
E
E
U
F
E
>
Q
E
.m.
O
y
F
O
m
O
V
O
;
e
z C
00010
00070
2 X month
Instantaneous
Grab
TEMP-C
TURB
2400 clock
Hrs
12400 clock
Hrs
I Y/B/N
I
deg c
am
1
2
3
4
746
800
LO
Y
19.1
2.3
5
6
7
8
9
10
11
1
1
1200
11.0
Y
12
13
14
15
16
17
18
839
1000
1.0
Y
121
2.9
19
20
21
22
23
24
25
900
1.0
Y
26
27
28
29
30
31
Monthly Average Limit:
Monthly Average:
20.05
2.6
Daily Maximum:
21
2.9
Daily Minimum:
19.1
2.3
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PEItAtIT NO.: NCO079740
FXCILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 05-2016 (May 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 06/22/2016
1 06/22/2016
ORC/Certifier Signature: Newt enson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
06/22/2016
Permittee/Submitter Signature:*I* INewt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] 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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES P-j MIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC -I
eDMR PERIOD: 04-2016 (April 2016)
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
RECEIVED/NCDENR/DWR
iv!f > ' 1 2016
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001 WQROS
MOORESVII-LE REGIONAL OFFICE
q
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o
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E
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1
0
O
in
tl
E
F
`tl
1O
�'
inn
tl
U
O
en
c
a "+
z tx
00010
00070
2 X month
Instantaneous
Grab
TEMP-C
TURB
2400 clack
Hrs
2400 clock
Hrs
YB/N
deg c
ntu
1
2
3
4
5
6
743
too
1.0
Y
15.7
3.6
7
8
9
10
11
12
13
1200
1.0
Y
14
15
16
17
18
19
20
900
1.0 1
Y
21
804
16.8
2.1
22
23
24
25
26
27
800
5.0
Y
28
29
30
Monthly Average Limit:
Monthly Average:
16.25
2.85
Daily Maximum:
16.8
3.6
Daily Minimum:
15.7
2.1
****NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation —Holiday
RECEIVED
MAY 2 5 2016
CENTRAL FILES
DWR SECTION

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2016 (April 2016)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
q
6
w
=
o�
U
E
F
o
U
$
E
F
G
e
F
U
o
00010
00070
2 X month
Instantaneous
Grab
TEMP-C
TURB
2400 clock
Hrs
2400 clock
Hrs
YB/N
deg c
out
1
2
3
4
5
6
1755
1
100
1.0
Y
14.8
3.7
7
8
9
10
11
12
13
1200
1.0
Y
14
15
16
17
18
19
20
900
LO
Y
21
812
17
2A
22
23
24
25
26
27
800
5.0
Y
28
29
30
Monthly Average Limit:
Monthly Average:
15.9
3.05
Daily Maximum:
l7
3.7
Daily Minimum:
14.8 12.4
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES P.FRMIT NO.: NCO079740
F`ACILTTY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2016 (April 2016)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
q
9
0
H
s
O F
E
l=
e
F
E
P
m
6
O
rn
c
O
F
c
w
O
ti
r
e
U
O
•
o
o
1 z C4
50050
00400
50060
C0530
C0600
C0665
TGP311
01105
01055
Weekly
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Estimate
Grab
Grab
Grab
Grab
GrabGrab
Grab
Grab
FLOW
PH
I CHLORINE
TSS-Cone
TOTAL N-
TOTALP-
CER17DPF
ALUMINUM
MANGNESE
2400 clock
Hrs
2400 clock
Hrs
Y/n/N
mgd
so
ug/l
mg/1
mg/l
mg/l
pass/fail
mgll
m9ti
I
2
3
4
5
6
800
100
1.0
1 Y
0.04
6.94
<20
3.9
7
8
9
10
11
12
13
1200
1.0
Y
0.054
14
15
16
17
18
19
750
6.67
<20
20
900
1.0
Y
0.04
21
818
6.81
<20
3.6
2.2
0.98
PASS
0.144
2.57
23
r22
24
25
26
27
Boo
5.0
Y
0.054
28
29
30
Monthly Average Limit:
30
Monthly Average:
0.047
0
3.75
2.2
0.98
0
0.144
2.57
Daily Maximum: 10.054
6.94
0
3.9
22
0.98
0.144
2.57
Daily Minimum:
0.04
6.67
0
3.6
2.2
0.98
0.144
2.57
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

NPDES P:�RMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2016 (April 2016)
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
v
O
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y
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U E+
E
y
co
a
[-
B
a
O
rn
O
E
`o
O
s
�
tl
O
Z C
01042
00951
Quarterly
Quarterly
Grab
Grab
COPPER
FLUORIDE
2400 clock
Hrs
2400 clock
Hn
YB1N
mg/l
mg/l
I
2
3
4
5
6
800
100
1.0
Y
7
8
9
10
11
12
13
1200
1.0
Y
15
r14
16
17
18
19
750
20
900
1.0
Y
21
818
< 0.005
< 0.1
22
23
24
25
26
27
800
5.0
Y
28
29
30
Monthly Average Limit:
Monthly Avcragc:
0
0
Daily Maximum:
0
0
Daily Minimum:
0 10
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PF-,RIVIIT NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 04-2016 (April 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 05/19/2016
05/19/2016
ORC/Certifier Signatu e: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
05/19/2016
Permittee/Submitter Si nature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak rove Rd Kings Mountain NC 28086 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 Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(D).

-Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 04/27/16
Facility: KINGS MOUNTAIN WTP NPDES#: NC0079740 Pipe#: 001 County: CLEVELAND
Labor for P rformin Test: R & A LABORATORIES, INC.
Comments: Final Effluent A
X
Si rturen Op�er for in Responsible Charge Water Tech Project 18040-01
X
I Sggna�Ajre c6t Laboratory Supervisor I * PASSED: 2.05o Reduction *
Work Order: 17922-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
Chronic Pass/Fail Reproduction Toxicity Test
:ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 125123126125126124125124123123125124
Adult Wive (D) ead �L�LJLJLJL L L L L L L L
affluent 0.710
Chronic Test Results
Calculated t = 1.089
Tabular t = 2.508
Reduction = 2.05
o Mortality
Avg.Reprod.
0.00
24.42
Control
Control
0.00
23.92
Treatment 2
Treatment 2
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
4.4380
# Young Produced 23 26 22 23 24 23 25 24 25 25 23 24 % control orgs
producing 3rd
brood
Adult (L) ive (D) ead L L L L L L L L L. L L L 100%
PASS FAIL
X
-Check One
1st sample- 1st sample---2nd-sample.- Complete This For Either--Test-
pH - _ Test Start Date: 04/20/16
Control 6.99: 7.02 6.92 7.01 6.91 7.00 Collection -(Start) Date
Sample 1: 04/19/16 Sample 2: 04/21/16
Treatment 2 6.95 7.03 6.92 7.02 6.91 7.01 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48
.......... ..........
Control 8.6 8.4 8.6 8.3 8.5 8.3
Spec. Cond.(pmhos) 190 ill 116
Treatment 2 8.6 8.4 8.6 8.3 8.5 8.3
Chlorine (mg/1) ,,,.,,,, 0.01 0.02
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ,,,,,, 2.1 3.0
(Mortality expressed as combining replicates)
0
0 0 0 0 - o
a
0
Concentration
.Mortality
start/end
�C50 = o Method of Determination
95°s Con i�nce.Limits --Moving Average Probit
% Spearman Karber - Other
Note: Please
Complete This
Section Also
start/end
Control
-
High
pH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
i
OWNER NAME: City of Kings Mountain
GRADE: PC -I
eDMR PERIOD: 03-2016 (March 2016)
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERTNUMBER.5±7j ED/NCDENR/DWR
STATUS: Processed MAY -- 2 2 016
WOROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISeMUTA� OVAL OFFICE
A
u
E
O F
f
F
E
F
a
O
2
iz
a
1 O
U
O
t o
i a"
50050
00010
00400
50060
C0530
Weekly
2 X month
2 X month
2 X month
Estimate
Instantaneous
Grab
Grab
Grab
FLOW
TEMP-C
PH-
CHLORINE
TSS-Cone
2400 clock
Hrs
2400 clock
Hrs
YB/N
mgd
deg c
su
ug/l
mg/I
1
2
752
100
1.0
Y
0.04
9.9
6.65
< 20
7.3
3
4
6
7
r85
9
100
1.0
Y
0.049
— "'-
30
16
11
12
DWR SECTIC
N
13
Itl-URMATION
PROCESSING
UNIT
14
15
16
817
1200
1.0
Y
0.04
14.5
6.91
23
3.3
17
18
19
20
21
22
23
900
1.0
Y
0.049
24
25
26
27
28
29
30
100
1.0
Y 1
0.04
3]
Monthly Average Limit:
30
Monthly Average:
0.0436
12.2
11.5
5.3
Daily Maximum:
0.049 114.5
6.81
23
7.3
Daily Minimum:
0.04
9.9
6.65
10
3.3
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO079740
n
FACILITY NAME: Ellison WTP
r
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 03-2016 (March 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
q
a
c
E
O F
6
F
O
a
f
2
F
m
w
O
e
O
p
O
s
In
F
OU
O
O
a o
Z C
00010
00070
2 X month
Instantaneous
Grab
TEMP-C
TURB
2400 clock
Hrs
2400 clock
Hrs
YBIN
deg c
mu
1
2
736
100
1.0
Y
8.9
4.5
3
4
5
6
7
8
9
100
1.0
Y
10
11
12
13
14
15
16
755
1200
IA
Y
11.5
3.7
17
18
19
20
21
22
23
900
1.0
Y
24
25
26
27
28
29
30
f 00
1.0
Y
31
Monthly Average Limit:
Monthly Average:
102
4.1
Daily Maximum:
11.5
4.5
Daily Minimum:
8.9
3.7
"""NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY NAME: Ellison WTP
r
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 03-2016 (March 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
A
a
v
u
c
E E
U P
P
'
c
E
e
a
1
F
d
o
°
O
e
O
E
F
`o
m
1 O
d
�
O
e
c ±
C °o
h
1 z a
00010
00070
2 X month
Instantaneous
Grab
TEMP-C
TURB
2400 clock
Firs
2400 clock
Hrs
Y/B/N
deg c
ntu
1
2
745
100
1.0
Y
8R
4.9
3
4
5
6
7
8
9
1100
1.0
Y
10
11
12
13
14
Is
16
810
1200
1.0
Y
11.3
35
17
18
19
20
21
22
23
900
1.0
Y
24
25
26
27
28
29
30
100
1.0
Y
31
Monthly Average Limit:
Monthly Average:
9.85
4.2
Daily Maximum: 1
11.3
14.9
Daily Minimum:
8.4 13.5
""'NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO079740
r
FACILITY NAME: Ellison WTP
i
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 03-2016 (March 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 04/13/2016
04/13/2016
ORC/Certifier Signat re: Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
04/13/2016
Permittee/Submitter /ignature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERrr NIIT NO.: NCO079740
FACILITY?��NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 02-2016 (February 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 9854711-IVEG/N, DEn1R/QWFi
Hr 1 STATUS: Processed 5 2016
M.
1J
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAL1
RGE .- NO'�'���
a
A
oa
is
N
�
o
U F=
E
o
°i
H
e
a
F+
,P�
a
a
O
O
B
F
o
a
1 O
e
u
in
U
a
O
a
a i
o s
04 o
a s
Z a
50050
00010
00400
50060
C0530
Weekly
2 X month
2 X month
2 X month
Estimate
Instantaneous
Grab
Grab
Grab
FLOW
TEMP-C
PH
CHLORINE
TSS-Cone
2400 clock
Hrs
2400 clock
Hrs
Y/B/N
mgd
deg c
su
ug/I
mg/1
1
2
3
813
900
1.0
Y
0.049
9.8
6.41
< 20
3.2
4
5
6
7
8
9
10
100
11.0
Y
0.04
11
12
13
14
15
16
17
1821
1000
1.0
Y
0.054
7.4
6.8
<20
7.5
18
19
20
21
22
23
24
800
1.0
Y
0.054
25
26
27
28
29
Monthly Average Limit:
30
Monthly Average:
0.04925
8.6
0
5.35
Daily Maximum:
0.054 19.8
6.8
0
7.5
Daily Minimum:
0.04
7.4
16AI 10
13.2
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =No Visitation— Holiday
° r-IV
MAR 2 d 2u ib
CENTRAL FILES
DV,JR SECTION

NPDES PERMIT NO.: NCO079740
FACILITAt AME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 02-2016 (February 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
q
ti
Eu
E
U 1-
E
E
F
d
�
t
Q
O
e
F
O
U
O
.9 �
C a
1Z F4
oomo
00070
2 X month
Instantaneous
Grab
TEMP-C
TURB
2400 clock
Urs
2400 clock
Elm
Y/B/N
deg c
ran
1
2
3
757
900
1.0
Y
8.9
5.8
4
5
6
7
8
9
10
1
100
1.0
Y
I
12
13
14
15
16
17
751
1000
1.0
Y
7.7
5.4
18
19
20
21
22
23
24
800
1.0
Y
25
26
27
28
29
Monthly Average Limit:
Monthly Average:
8.3
5.6
Daily Maximum:
8.9
5.8
Daily Minimum:
7.7
15.4
****No Reporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =No Visitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY$NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 02-2016 (February 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
A
c
o H
O F
g
E
w
a
F
F
a
O
e
O
e
O
O
a
�:
HInstantaneous
d
Z CG
00010
00070
2 X month
Grab
TEMP-C
TURB
2400 clock
13rs
2400 clock
iirs
Y/B/N
deg o
ntu
1
2
3
807
900
1.0
Y
8.6
6
4
5
6
7
8
9
10
100
1.0
Y
11
12
13
14
15
16
17
801
1000
1.0
Y
7.5
5.5
18
19
20
21
22
23
24
800
1.0
Y
25
26
27
28
29
Monthly Average Limit:
Monthly Average:
8.05
5.75
Daily Maximum:
8.6
6
Daily Minimum:
7.5
5.5
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation— Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation— Holiday

NPDES PERMIT NO.: NCO079740
FACILITY-,VAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 02-2016 (February 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 03/15/2016
03/15/2016
ORC/Certifier Signatur : Newt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
03/15/2016
Permittee/Submitter Sijnature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(D).

NPDES k*MIT NO.: NCO079740 PERMIT VERSION: 4.0 PERMIT STATUS: Active
Fr.1CILITY NAME: Ellison WTP CLASS: PC -I COUNTY: Cleveland
OWNER NAME: City of Kings Mountain ORC: Newt E. Henson ORC CERT NUMBER: 985471
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 01-2016 (January 2016) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
q
6
W
o
U
_y
r
o
U
F
E
a
e
O
m
B
o
O
d
v5
e
U
1 O
e
Oa
t
o
C
7
50050
00010
00400
50060
C0530
C0600
C0665
01055
01042
Weekly
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Estimate
Instantaneous
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW I
TEMP-C
PH
CHLORINE
TSS - Cone
TOTAL N -
TOTAL P -
MANGNESE
COPPER
2400
Hrs
2400
Hrs
Y/R/N
mgd
deg c
so
ug/l
mg/l
mg/l
mg/l
mg/1
mg/1
1
2
3
4
L'�;-'
IVELMvJCT�Mi
-/DWR
5
Ae ,1n r
•)n.r
6
824
900
1.0
Y
0.119
10
6.89
<20
3.4
I YI f-111
LU l.
8
MOQRMVJLLE
EZEET^1LIAI
nr=ci:
9
10
11
12
13
1200
1.0
Y
0.046
14
15
16
17
18
19
828
1
8.5
7.08
<20
20
100
LO
Y
0.051
21
825
8.1
6.88
26
4.3
1.63
< 0.16
1.25
< 0.005
22
23
24
25
26
27
800
1.0
2.0
0.049
28
29
30
31
Monthly Average Limit:
30
Monthly Average:
0.06625
8.866667
6.95
8.666667
3.85
1.63
0
1.25
0
Daily Maximum:
0.119
10
7.08
26
4.3
1.63
0
125
0
Daily Minimum:
0.046
8.1
6.88
10
3.4
1.63
0
125
0
Monthly Avg % Removal (859/6):
�� V 5D
FEB .2 9 2016
cC1\rarL E S
;E

NPDES PERMIT NO.: NCO079740 PERMIT VERSION: 4.0
u'
RjLCILITY NAME: Ellison WTP CLASS: PC-1
OWNER NAME: City of Kings Mountain ORC: Newt E. Henson
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 01-2016 (January 2016) VERSION: 1.0
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
NO DISCHARGE*: NO (Continue)
A
EF
N
U
E
o
E
ma
F
E
F
m
t
Q
o
O
rn
O
fi
F
`o
O
u
O
c
e
a
z
01105
TGY313
00951
Quarterly
Quarterly
Quarterly
Grab
Grab
Grab
ALUMINUM
CER17DPF
FLUORIDE
2400
firs
2400
firs
YB/N
mg/1
pass/fail
mg/l
1
2
3
4
5
6
824
900
1.0
Y
7
8
9
10
11
12
13
1200
1.0
1Y
14
15
16
17
IS
19
828
PASS
20
1
100
1.0
Y
21
825
0.324
PASS
<0.1
22
23
24
25
26
27
1
800
1.0
2.0
28
29
30
31
Monthly Average Limit:
Monthly Average:
0.324
0
0
Daily Maximum:
0.324
0
Daily Minimum:
0.324
0
Monthly Avg % Removal (85%):

NPDES PORMIT NO.: NCO079740
Fr),CIIdTY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC -I
eDMR PERIOD: 01-2016 (January 2016)
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
A
EF
a
U
fi
a
F
E
F
dh
O
m
�
O
F
O
•
O
c
C
t
1
00010
00070
2 X month
Instantaneous
Grab
1 TEMP-C
TURB
2400
Hrs
2400
Hrs
Y/B/N
deg c
mu
1
2
3
4
5
6
808
900
1.0
Y
10.8
I1
7
8
9
10
11
12
13
1200
1.0
Y
14
IS
16
17
18
19
20
100
1.0
Y
21
800
8.7
11
22
23
24
25
26
27
800
2.0
Y
28
29
30
31
Monthly Average Limit:
Monthly Average:
9.75
I 1
Daily Maximum:
10.8
11
Daily Minimum: 18.7
11
Monthly Avg % Removal (85 %):

NPDES Patmi T NO.: NCO079740
�.r
F4CILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2016 (January 2016)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Newt E. Henson ORC CERT NUMBER: 985471
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
q
°
fi
U
6
V
F
E
H
O
O
V
O
e
C
Z
00010
00070
2 X month
Instantaneous
Grab
TEMRC
TURB
2400
Hrs
2400
Hrs
Y/B/N
deg c -
ntu
1
2
3
4
5
6
808
900
1.0
Y
10.7
11
7
8
9
10
11
12
13
1200
1.0
Y
14
15
16
17
18
19
20
100
1.0
Y
21
800
8.6
11
22
23
24
25
26
27
800
2.0
Y
28
29
30
31
Monthly Average Limit:
Monthly Average:
9.65
11
Daily Maximum:
10.7
11
Daily Minimum:
8 6
11
Monthly Avg % Removal (85%):

NPDES PETzmrr NO.: NCO079740
FACILITY NAME: Ellison WTP
OWNER NAME: City of Kings Mountain
GRADE: PC-1
eDMR PERIOD: 01-2016 (January 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Newt E. Henson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985471
STATUS: Processed
SUBMISSION DATE: 02/22/2016
02/22/2016
ORC/Certifier Signature: ewt Henson Jr. 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 permittee 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 from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee 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 permit.
COMMENTS:
02/22/2016
Permittee/Submitter Signature:*** Newt Henson Jr. E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1432 Oak Grove Rd Kings Mountain NC 28086 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.
LAB NAME: Water Plant Lab & Water Tech Labs
CERTIFIED LAB #: 5597 & 50
PERSON(s) COLLECTING SAMPLES: Operators
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.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 Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 01/28/16
Facility: KINGS MOUNTAIN WTP NPDES#: NC0079740 Pipe#: 001 County: CLEVELAND
Laboratory Perform'ng Test: R & A LABORATORIES, INC.
Comments: Final Effluent A
X
Sign ure o r for in Responsible Charge Water Tech Project 14171-01
X
Sig*atVr& ofULaboratory Supervisor I * PASSED: 1.78o Reduction *
Work Order: 14094-01 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Environmental Management
N.C. Dept. of EHNR
1621 Mail Service Ctr
Raleigh, North Carolina 27699-1621
Chronic Pass/Fail Reproduction Toxicity Test
:ONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced 1123124124121125123124122125124124122
Adult (L)ive (D)ead JAL IL IL IL IL IL IL IL IL IL IL IL
affluent %: 0.710
Chronic Test Results
Calculated t = 0.748
Tabular t = 2.508
Reduction = 1.78
o Mortality
Avg.Reprod.
0.00
23.42
Control
Control
0.00
23.00
Treatment 2
Treatment 2
'REATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 Control CV
5.296°s
# Young Produced 21 23 25 24 23 25 21 21 23 24 22 24 % control orgs
producing 3rd
brood
Adult (L)ive (D)ead L L L L L L L L L L L L 1000
PASS FAIL
X
Check One
1st sample 1st sample 2nd sample Complete This For Either Test
pH Test Start Date: 01/20/16
Control 6.97 7.05 6.95 7.04 6.93 7.02 Collection (Start) Date
Sample 1: 0111911G Sample 2: 01/21/16
Treatment 2 6.97 7.05 6.95 7.04 6.93 7.03 Sample Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A A
r d r d r d U M M
t t t Sample 2 X hrs T P P
1st sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48
.......... ..........
Control 8.6 8.4 8.6 8.3 8.6 8.4
Spec. Cond.(pmhos) 192 99 99
Treatment 2 8.6 8.4 8.6 8.3 8.6 8.4
Chlorine (mg/1) ,,,,,,,, 0.01 0.01
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ,,3.3 3.1
(Mortality expressed as combining replicates)
Note: Please
Concentration Complete This
Section Also
Mortality
start/end start/end
"IC50 = o Method of Determination
95% Con i ence Limits Moving Average _ Probit _
°s -- o Spearman Karber Other
Organism Tested: Ceriodaphnia dubia Duration(hrs):
Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32)
Control
High
Conc.
pH D.O.