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NC0047091_Regional Office Historical File Pre 2018 (4)
It NPDES P 'RMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B 1 LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 12-2017 (December 2017) PERMIT' N N:RSION: 4_() PI-.RpII"i STATUS- Active CLASS: WIN-2 RECEIVED COUNTY: Cabarrus ORC: James D Allison ORC CERT NUMBER: RC1461 APR 19 2018 3 ORC HAS CH:31,vNGED: N" CEN7RAI FLIES RECEIVEDINCDENRIDWR VERSION: LO DWR SECTION STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NUROSONALOFFICE 510150 (Mill 004100 500611 CO3111 C0610 C0530 31616 C0600 y Continuous 1V eekh \1'eeklc ? X meek Reakh ' \month \yrekly U'eekly Quarterly e` !�& Recorder Grab Grab Grab Composite Composite Composite Grab Grab u -°� CHLORINE BOD-C'onc N113-N-Cooc TSS -C'onc FCOLI BR TOTAL N- u E 3 U C U N O O 7 FLOW I'EMPC' pH z400clock Hn 2400clock Hn V/B/N med deg Isu uyl m59 mgil ms'I 41100nil mm 1 1500 25 v 0 ul 20 2 001 3 0011 4 1530 33 Y O.u1 5 1430 24 1400 5 Y 001 !' 30 2J 21 <2,5 <1 6 1130 33 B 0009 7 1400 25 Y 0.009 8 1020 .25 Y 0 012 20 9 0015 le 0,1112 11 1424 25 Y 0 01I 12 1430 24 1400 5 Y 0011 I S 72 < _'o 5 J 0.22 2 5 I 13 1700 1 .25 Y 0011 14 1730 25 Y 0.011 15 1450 5 Y 51.01 < 20 16 0.011 17 001 is 1520 .25 Y 0.01 19 1430 24 1400 5 V 0.01 16 2- '0 2 0 16 2 5 < 1 20 1100 25 B 0 018 21 1710 .25 Y 0.013 22 1430 25 Y U.013 22 23 0.012 24 10011 25 HOLIDAY 26 1 100 33 Y 001 27 1430 24 1422 66 Y 01,13 16 7 i 27 OIR 5.8 <I 28 1300 25 B U DU9 29 1440 .33 y 0.014 .: -0 30 0,014 31 001 Man1h1. A.cnKa Limit: 11.114 IS 311 2UU Mon1h1. A.c-g,: 0,011333 16 8777778 3, 575 0.715 2075 I Dxil. 61�.imnm: ' U.018 17 73 30 62 23 58 0 D�'I. Minima 0 009 I, ^-w•••••e •����•• �•�• mu-- — rrow-rceuseircecycIC; t-.N V \\ I IIH - No \,sitnhen Adierse Weather; NOFI.ON' -- No Flu"; HOLIDAY -= No Visitation - Holiday NPDES *RMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 12-2017 (December 2017) PERMIT VERSION: 4 0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) C' E Z fi E c; fi a _ 0 i7 — COW Quarterly Grab ITOTAL P-Conr 2400 clock Hn 2400 cock I Hr., WBIN nlg/I 1500 25 Y 3 4 1530 .33 Y 5 1 1-130 24 11400 .5 Y 6 1130 .33 B 7 1400 .25 Y N 1020 .25 Y v If, 11 1424 .25 Y 12 1430 24 1400 .5 Y 13 1700 .25 Y 14 1730 .25 Y 15 1 1450 .5 Y In n is 1520 .25 Y 19 143ii 24 1400 .5 Y -'e 11100 .25 B 21 1710 25 Y 22 1430 .25 ti 23 24 25 HOLIDAY 26 1100 .33 Y 71 1430 24 1422 .66 Y 28 1300 .25 B 29 1440 .33 Y 30 31 Monthly A-ratte Limit: Monthly A—ge: D.ih M.O.— Nay Mitimuae •r+• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather: NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday 3 NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 11-2017 (November 2017) PERMIT VERSION: 4 11 PERMIT STATUS: Active CLASS: W W-2 RECEIVED COUNTY: Cabarrus ORC: James D Allison APR 19 2 U 16 ORC CERT NUMBER: 4k41VED/NCDENRIDWR ORC HAS CHANGED: N CENTRAL FILES 0 DWR SECTION VERSION: 1.0 STATUS: Processed WQROS MOORESVILLE REGIONAL OFFICE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO i G E F� Y e U F U F Y 9 7 ! g N pp G t L O r in C 1 O 0 5 1'i. saosa 00010 110400 +n060 C0310 C0610 CO430 31616 C06110 Continuous 14eekiv Weekiv 2 X week Weekly 2 k month Weekly Weekly Quarterly Recorder Grab Grab Grab Composite Composite Composite Grab Grab FLOW TEMP -( pH CHLORINE ROD -Gme 1 NH3-N-Cane TSS-C- FCOLI BR TOTALN- 24000-k Hn 2400clock Hn V/B/N mgd deg su ug/1 mo mg/1 mg/1 N/IOOml Me 1 1642 .33 y 0.009 2 1710 .25 y 0.009 3 1105 .25 y 0.009 <20 4 0.01 001 /' )120 .25 y 0.009 7 1430 24 1350 .66 y ().Oil 21 Z7 26 11 6 1030 .25 b 001 9 1400 .25 v 0.008 21 10 1400 .33 y 0.008 11 0 008 12 0.013 13 1513 .33 y 0.011 14 1430 24 1400 .66 y 0.01 I' 71 30 < 2 0.32 < 2 i ! 15 1345 .25 b 0.01 16 1425 .25 y 0.009 17 0930 .33 y 0.008 20 18 R009 19 0.01 20 1430 24 1400 .5 y 0.01 17 7.2 26 2.7 0.16 125 - 1 21 1500 .25 y 0.01 22 1640 .25 ly 1 0.01 23 HOLIDAY 24 0900 33 y 0.009 < 20 25 0.01 1 26 0.01 27 1130 .25 0.011 28 1430 24 11405 .75 y 1 0 009 19 72 < 20 0 Is < 2.5 1 29 1700 .25 y 0.01 30 1215 .33 b 0.009 MontBh A-mw Limit: 11.04 13 30 200 Monmy A-g,: 0.009655 12, 875 3.425 6.1575 0.725 1 Daily Maximum: 0.013 ! 7.7 30 11 24 2.9 0 Daily Minimum: 0.009 1' 7.2 10 O 1 0.15 O 10 **** No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle: ENVWTHR = No Visiumon Adverse Weather: NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 11-2017 (November 2017) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) L G E E U E E u` z H E 0 m ! $$ 6 y B U O z` = C Z Co"S Quarteriv Grab TOTALP-Cone 2400c1-k I Hr, 2400 cock Hn Y/BIN m I 1 1642 .33 y 2 1710 .25 y 3 1105 .25 y 4 s 6 I120 .25 y 7 1430 24 1350 .66 y x 1030 .25 b 9 1 1400 .25 ly 10 1400 .33 y 11 12 13 1513 .33 y 14 1430 24 1 1400 .66 y 1s 1345 .25 b 16 1425 .25 y 17 0930 .33 y IA 19 20 1430 24 1400 .5 y 21 15010 .25 y 22 1640 .25 23 HOLIDAY 24 0900 .33 v 25 26 27 1130 .25 y 28 1430 24 1405 .75 y 29 1700 .25 y 31) 1215 .33 b Monthly A—W Limit: Monthh A—gt: Da'1c M-int— Doih Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; EN V WTHR = No Visitation -- Adverse Weather; NOFLOW = No Flow; HOLIDAY -- No Visitation — Holiday NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW4. eDMR PERIOD: 11-2017 (November 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 12/29/2017 N�- 12/29/2017 ORC/ rtifi r ignature: Dusty Kyl Metreyeon E-Mail:dmetwaterr aol.com Phone #:704-506-4255 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 ILE.6 of the NPDES permit. 12/29/2017 Permittee/9'ubl ,tt Signature:*** Dust y/yle Metreyeon E-Mail:dmetwater/ir aol.com Phone 4:704-506-4255 Date Permittee Address: 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 1 1/30/2018 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: CERTIFIED LAB #: PERSON(s) COLLECTING SAMPLES: PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 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 86.0204. *** 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). VNPDESRMIT NO.: N00047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs GRADE: WW-4. eDMR PERIOD: 10-2017 (October 201 PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-2 COUNTY: Cabarrus ORC: James D Allison R E C E IVE20 U ERT NUMBER: RC1461 ORC HAS C11ANGED: No P r 0 6 2017 VERSION: 1 0 GENTRAI ;:,LOT.4TUS: Processed 3 0WR SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO o yy F5 fi U E - Fa fi '� O `E O C i 50050 !16V16 INN00 50060 C0310 C0610 CO530 31616 C0600 Continuous Weekly b\crklc 2 X week Weekly 2 k month Weekly Weekly Quarterly Recorder Grab Grab Grab Composite Composite Composite Grab Grab FLAW 'rrmmc PH CHLORINF. BOD - Cone NH3-N-Cone TSS - Cone FCOLI BR TOTALN- 2400 clack Hn 2400 cb k Hrx WINN mgd deg c su ug'I mg/l mg/1 I mg/I #/I OOml mg/I 1 0.012 2 0930 24 0900 5 B 0.012 19 74 -. 20 2. 1 0.29 < 5 < 1 3 0 012 4 1805 .25 B 0011 5 1655 25 B 0911 6 1530 33 1 B 0011 37 7 1505 25 B 0,012 8 0 014 9 1 1430 25 Y 0.013 10 1430 24 1430 .5 Y 0,012 28 7.1 <20 27 02 <2.5 <1 5.1 11 1130 .25 B 0014 12 1715 '25 1 Y om12 13 1440 .25 }' 0.011 < 20 14 0 01 1 15 0.012 16 1600 .25 Y 0.012 17 1430 24 1430 5 Y 0,012 25 7.1 <20 2.3 017 <25 <1 Is 1135 25 1 B 001 19 1400 .25 }' 0.006 20 1545 .25 Y 0.006 <20 21 9 009 22 0 009 23 1440 25 Y 0.014 24 1405 25 B 0.011 25 1530 24 1530 .33 Y 0009 20 72 <20 2 0.29 <2,5 <1 26 1410 .25 Y 0.008 27 1540 .25 } 0 009 < 20 28 0 01 29 0.012 30 1635 .5 Y 0,009 31 1430 24 1400 I.0 Y 0.(109 19 7 3 c 20 '_ 4 46 <- 2S < I Monthl. A.:laee Lin+i!: luu 13 30 21NI Monthly A,e g.: 0.010774 :1.^_ 4111111 1.9 LIUB 0 1 5.1 U+ih. rota.tmam: 4014 28 7.4 37 2.7 0 0 51 D� minimum: 0006 19 '. I 0 0 4,4)617 0 0 5.1 ****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR No Visitaliou Adlerse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday VNPDESRMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B 1 LLC Kurlander Boggs Investments LLC GRADE: WW4. eDMR PERIOD: 10-2017 (October 2017) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1 0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) a s 6 e L u° E ~ z I u° F= _ -E gg 6 � O � O c .5 t � i C0669 --- QuOrterl5 Crab TOTAL P -C.m 2400 clock H. 2400 ebek Hre VIBIN nigil 1 _ 2 0930 24 0900 5 B 3 4 11805 25 B 5 1655 25 B 6 1530 .33 B 7 1505 25 B 5.1 8 9 1430 25 V 10 1430 24 1430 5 Y 11 1130 1 25 B 12 1715 25 }' 13 1440 25 Y 14 15 16 1600 25 Y 17 1430 24 1430 5 Y i0 1135 .25 B 19 1400 25 Y 20 1545 25 Y 21 22 23 1440 25 Y 24 1405 .2.5 B 25 1530 24 1530 .33 Y 26 1410 25 1 Y 27 1540 .25 Y 20 29 70 1635 .5 Y 51 1430 24 1400 1.0 Y Mnnthl• A. rrnOe Limi1� M°mhb A.enae: -- 5.1 Dnik 4liaimnm: 5.1 •'66 No Reporting Reason: ENFRUSE = No Flow-Reuse'Recycle: ENVWTHR !,o Visitation -- Adverse Weather, NOFLOW No Flow; HOLIDAY = No Visitation - Holiday VNPDESRMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 10-2017 (October 2017) COMPLIANVA STATUS: Compliant PERMIT VERSION: 4.0 CLASS: W` ..' ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 11/29/2017 *—� 11 /29/2017 OR / er fie, Signature: Du y Kyle Metreyeon F-Mail:dmetwaterr aol.com Phone #:704-506-4255 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 /, 1 1 /29/2017 Permittee/Sui mi ter .gnature:*** Dustv K%14 Metreyeon E-Mail:dmetwaternaol.com Phone #:704-506-4255 Date Permittee Address: 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 11/30/2018 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 infornnation 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. ( FIZ IVIED LABORATORIES LAB NAME: CERTIFIED LAB #: PERSON(s) COLLECTING SAMPLES: PARAMFTER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 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.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs GRADE: WW-4. eDMR PERIOD: 08-2017 (August 2017) PERMIT VERSION: 4.0 CLASS: WW-2 _ii ORC: Janes 1) r11hson KL�.0 I " © OCT 2 4 2011 PERMIT STATUS: Active 3 COUNTY: Cabatrus ORCCERTNUMBER: LRC'1461 JINCDENRIDWR OCT 3 0 Z017 STATUS: Processed WOROS pnnr?RF�\/IU..E R1=G!ONAL OFFICE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO ORC HAS CHANGED: No VERSION: 1.0 CENTRAL FILES DWR SECTION d E E _ E - E u e 6 _ a � suo59 ,innal 00400 51KI60 C0310 C0610 Cos" 31616 C0600 Continuous Weekly Weekly 2 X week Weekly 2 X month Weekly Weekly Quarterly Recorder Grab Grab Grab Composite Composite Composite Grab Grab FLOW TEMP-C pn CHLORINE ROD -C.onc NI13-N-Conc TSS -Conc FCOLI RR TOTALN- 2400 cock H. 2400 clock Ilrs WRIN m d deg su uC1 m I mg,i mg/I #/100ml mg/1 1 1430 24 1400 .66 y 0.019 28 7.1 30 2.3 0.41 < 2.5 < 1 2 1140 .25 In 0.019 3 1345 .33 V 0.019 4 1430 .25 y 0.02 < 20 5 0.02 6 0.02 7 1537 .25 y 0.02 8 1430 24 1430 .5 1 y 0.019 26 7.2 26 54 5.4 1.1 < 1 9 1445 .5 y 0.015 10 1408 .25 v 0.014 11 0910 .25 y 0.015 '.20 12 0.019 13 0.018 14 1540 .25 1 b 1 0.024 15 1400 24 1430 .5 V 0.052 28 7.2 < 20 6.5 1.4 14.2 < 1 16 1540 33 y 0.023 17 1342 .33 v 0.019 Is 1440 .33 V 0.018 30 19 0.1117 20 0.016 21 1330 .25 b 0-1117 22 0830 .33 y 0.027 23 1430 24 1400 .25 y 0.019 7l1 7.1 <20 2 1.8 <2.5 < I 24 1340 .25 y 0.017 25 1350 .33 1 V 0.012 < 20 26 0.014 27 0.016 28 1145 .25 b 0.012 29 1430 24 1430 .5 y 0.015 29 < 20 - 1.7 2.s -:. 1 30 1745 .25 y 0.014 31 1405 .25 1 y 1 0.014 3lnn1141) A,-ga I.imi1: 11114 30 200 Nlnnml, o.angr: 001871 128.2 19.555556 13,84 2.142 11.96 1 I D.il3 waximum: 0.052 30 - 31) 6.5 5.4 4.2 0 Daib annimnm: ' 0.012 26 7.1 0 0 0.41 0 0 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday # NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 08-2017 (August 2017) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) O u E o U § � U t- 7 $t 5 ✓r O E t- o O z O o � g C co"s _—_ Quarterh Grab TOTAL. P - Cone 2400 clock nn 2400 clock nrs I Y/a/N n,,/1 1430 24 1400 .66 y 2 1140 .25 b 3 1345 .33 y 1430 .25 y 5 6 7 1537 .25 y 8 1 1430 24 1430 1.5 y 9 1445 .5 y 10 1408 .25 ly 11 0910 .25 Y ---------- ---'-----------'---- -- 12 13 14 1540 .25 b 15 1400 24 1430 .5 16 1540 .33 y 17 1342 .33 18 1440 .33 Y -------' -------_--'--- 19 20 21 1330 .25 b 22 0830 .33 y 23 1430 24 1400 .25 y 24 1340 .25 y 25 1350 .33 y 26 27 28 1145 .25 b 29 1430 124 1430 .5 y 30 1745 .25 y 31 1405 .25 y M-thy A—.g,1A.it: NI-thly A,,.g,: -- May NI*.inn.- Mih Nlioimnm: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV W'rHR - No Visitation -- Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCO047091 PERMIT VERSION. 4.0 PERMIT STATUS: Active s — FACILITY NAME: Silver Maples Community CLASS: W W-2 COUNTY: Cabarrus OWNER NAME: K B I LLC Kurlander Boggs ORC: James D Allison ORC CERT NUMBER: R0461 Investments LLC GRADE: WW-4. ORC HAS CHANGED: No eDMR PERIOD: 08-2017 (August 2017) VERSION. 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 7045064255 SUBMISSION DATE: 09/29/2017 09/29/2017 OR /Cer SDu Kyle @aol.com Phone #:704-506-4255 Dateer 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 pern1ii-*, _ 09/29/2017 Permitte / bmitter Signature:*%� Dusty Kyle Metreyeon E-Mail:dmetwater@aol.coni Phone #:704-506-4255 Date Petmittee Address: 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 11/30/2018 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: CERTIFIED LAB #: PERSON(s) COLLECTING SAMPLES: PARAINIETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-000 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.: NC0047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW4. eDMR PERIOD: 08-2017 (August 2017) Report Comments: PERMIT VERSION: 4_0 CLASS: W1V-2 ORC: James D Allison ORC HAS CHANCED: No VERSION: 1.0 Flow meter recalibration week of 8-3-17... was in default reading CF PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed i NI'7ES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs investments LLC GRADE: WW-4. ,I)MR PERIOD: 06-2017 (June 2017) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active RECEIVEPRCCERTNUMBER:RC1461 AUG 0 9 2011 1WEIVEDACDENROWR CENTRAL FILES AUG 114 DWR SECTION STATUS: Processed WQROS MOORESVILLE REGIONAL OFFICE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO E E _ e U° E _ a i✓ - O o. 50050 00010 00400 50060 C0310 C0610 C0530 31616 C06W Continuous Weekly Weekly 2 X week Weekly 2 X month Weekly Weekly Quarterly Recorder Grab Grab Grab Composite Composite Composite Grab Grab FLOW TEMP-C PH CHLORINE BOD-Cone NH3-N-Coot TSH - Coot FCOLI BR TOTALN- 2400 cock Hrx 2400 clock Ilrs Y/B/N mpd deg su t[g;l mg/l 1 mg/l mg/l #/loom[ mg/l 1 1400 .25 y 0.03 2 1500 25 y 0.025 --20 3 0.027 4 0.114 5 1315 .25 y 0.133 6 1500 .25 y 0.078 7 1300 .5 y 1 0.045 8 1330 24 1300 .75 y 0.039 25 7.1 40 32 17 15 360 1515 .33 y 0.03 30 0.027 0.023 - 1240 .25 y 0.022 1 1430 24 1400 .5 y 0.037 28 71 31 6.1 3 <2.5 <1 14 1700 .25 y 0.035 15 1345 .25 y 0.024 16 1500 .33 b 0A24 < 20 17 0.022 18 0.021 19 1545 1.33 y 0.021 20 1305 .25 y 0.021 21 1430 24 1405 .5 y 0.023 25 7.1 <20 2.1 0.48 <2.5 4 22 1700 .25 y 0.024 23 1450 .33 y 0.021 < 20 24 0.023 25 0.021 26 1600 .25 y 0.018 27 1400 .33 b 0.019 28 1430 24 1415 .5 y 0.025 28 7.2 <20 2.7 0.35 <2.5 <1 29 1400 .33 y 0.0[8 30 1500 1.33 1 y 0.018 < 20 Monthly Avenge Limit: 0.04 13 30 200 i Monthly Axeragr: 0.031133 -76.5 11.222222 10.725 5.2075 3.75 6.160141 Daily Maximum: 0.133 28 7.2 40 32 17 15 360 Daily Minimnnr. 0.018 25 7.1 0 2.1 10.35 10 0 **** No Reporting Reason: ENFRUSE = No Flow-Rcuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday N►WDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 06-2017 (June 2017) PERMIT VERSION:4.0 CLASS: W W-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabanas ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) g e F 4 F — O E — O` u m 8. s" z° COW Quarterly Grab TOTAL P - Cone 2400 elork If,, 2400 rloek Ilrs I V/a/N rng/1 1400 .25 y 1500 .25 y 5 1315 .25 y 6 1500 .25 y 7 1300 .5 y 8 1330 24 1300 .75 y 9 1515 .33 y 10 11 12 1240 .25 y 13 1430 24 1400 .5 y 14 1700 .25 y 115 1345 .25 y 16 1500 .33 b 17 18 19 1545 .33 y 20 1305 .25 ly 21 1430 24 1405 .5 y 122 1 1700 .25 y 1450 .33 y 26 1600 .25 y 27 1400 .33 b 28 1430 24 1415 .5 y 29 1400 .33 y 3u 1500 .33 y Monthly Average Limit: Month[) .Average: Daily Mavimmn: Daily Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; EN V WTHR = No Visitation - Adversc Weather; NOFLO W = No Flow; HOLIDAY = No Visitation - Holiday A NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 06-2017 (June 2017) COMPLIANCE STATUS Non-C9inpliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 CONTACT PHONE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 07/21/2017 _t5�Z`— 07/21/2017 'C/ rtif er Signature Dusty Kyle Metreyeon E-Mail:dmetwater@aol.com Phone #:704-506-4255 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 pertnittee 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 t)=d-1 1 07/21/2017 Peru ttee/Su fitter s ytature:*** ttsty Kyle Metreyeon E-Mail:dmetwater@aol.corn Phone #:704-506-4255 Date Perms ess: 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 11 /30/2018 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: CERTIFIED LAB #: PERSON(s) COLLECTING SAMPLES: PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/fonns. 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 t `06(b)(2)(D)• NP➢?ES PERMIT NO.: NCO047091 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Silver Maples Community CLASS: WW-2 COUNTY: Cabarrus OWNER NAME: K B I LLC Kurlander Boggs ORC: James D Allison ORC CERT NUMBER: RC1461 Investments LLC GRADE: WW-4. ORC HAS CHANGED: Yes eDMR PERIOD: 06-2017 (June 2017) VERSION: 1.0 STATUS: Processed Report Comments: BOD daily max exceeded 6-8-17. Flow heavy from rain June 5,6,7 and Plant flooded and washout. Reported to Roberto Scheller. NPDES PERMIT NO.: NCO047091 PERMIT VERSION: 4.0 PERMIT STATUS: Active MCILITV NAME: Silver Maples Community CLASS: W W-2 OUNTV: Cabarrus OWNER NAME: K B 1 LLC Kurlander Boggs ORC: James D Allison RmmC "^' IVE ORC CERT NUMBER: RC1461 Investments LLC JUL 10 2017 RECEIVED/NCDENRIDWR GRADE: WW-4. ORC HAS CHANGED: No CENTRAL FILES' eDMR PERIOD: 05-2017 (May 2017) VERSION: 1_0 DWR SECTION STATUS: Processed WQROS MOORESVILLE REGIONAL OFFICE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO d E o U E a f= t- _ It O n E O s 1 O o s` , 50050 188110 00400 501160 C0310 C0610 C0530 31616 C0600 Continuous Weekly Weekly 2 X week Weekly 2 X month Weekly Weekly Quarterly Recorder Groh Grab Grab Composite Composite Composite Grab Grab FLOW TEMP-( pH CHLORINE ROD - ('one NH3-N-Cone TSS - Cane FCOLI RR TOTALN- 2400 clack Hrs 2400 clock Hrs VB/N mgd de, c so u;.;•I I owl mg/I mg/I I #/l00.1 mg/I 1 1533 .25 y 0.018 2 1430 24 1415 .33 y O1016 22 7 2 30 9.9 6.7 7.8 < I 3 1510 .25 y 0.019 4 1640 .25 y 0.013 5 1530 .25 y 0.023 < NI 6 0017 7 0.017 8 1530 .25 y 0.016 9 1430 24 1 1350 .66 y 0.017 24 7.1 . 20 4.5 0.35 < 2.5 < 1 10 1610 .25 h 0,017 11 11350 25 y 0.019 12 1500 .33 y 0.019 -- 20 13 0.017 14 0.015 15 1430 124 1 1404 .5 y 0.018 24 17.1 < 20 12 0.68 5.5 < 1 16 1530 .33 y 0.017 < 20 17 1400 .25 b 0.02 18 1610 .25 b 0.017 19 1000 .25 Ib 1 0.019 20 (1.017 21 0.019 22 1510 .25 y 0.052 23 1515 24 1510 .33 y 0.046 24 7.1 < 20 2.2 1 < 2.5 < 1 24 1253 .25 y 0.065 25 1800 .25 y 0.097 26 1430 .25 y 0.046 120 27 0,033 28 0.03 29 HOLIDAY. 10 1 1430 24 1420 .33 y 0.03 25 7.1 120 20 1.4 10 < 1 31 1500 .25 y (0019 Monthly Avenge Limit: 0.04 13 30 200 Monthly Avcregt•. 0A26233 238 3.333333 9.72 2.026 4.66 I D.il-v M..i..m: 0.097 25 7.2 30 20 6.7 10 0 D.Ry Minim- 10.013 122 17.1 (1 2.2 10.35 0 0 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation -. Adverse Weath•;r: NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCO047091 iti'#CILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 05-2017 (May 2017) PERMIT VERSION:4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) 2 oa E _ E E a 6 t•- E t° S _ < O y O 6 I O = O `o a - COW Quarterly Grab TOTAL P - Cone 2400 clock Hrs 2400 clock Hrs V/B/N tng/I 1533 .25 y 2 1430 24 1415 .33 y 1510 .25 y 1640 .25 y 5 1530 .25 y n a 1530 .25 y 1 1430 24 1350 .66 y 10 1610 .25 b 11 1350 .25 1 y 12 1500 .33 y 13 14 15 1430 24 1404 .5 y 16 1530 .33 y 17 1400 .25 b 18 1610 .25 b 19 1000 .25 b 20 21 22 1510 .25 23 1515 24 1 1510 .33 v 24 1253 .25 y 25 1800 .25 y 26 1430 .25 y .7 28 29 HOLIDAY 30 1430 24 1420 .33 y 31 1500 .25 y Monthly Average LimiB Monthly Average: Daily Maximum: Daily Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation -- Adverse Weathcr; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 05-2017 (May 2017) PERMIT VERSION:4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 Report Comments: BOD daily max exceeded. Limit 19.5... results for 5-30-17 = 20 mg/I PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed a NPDES PERMIT NO.: NCO047091 NACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 05-2017 (May 2017) COMPLIANCE STATUS: Non -Compliant i PERMIT VERSION: 4.0 CLASS: WW-2 ORC: lames D Allison ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 06/27/2017 4V 06/27/2017 ORC/Certi ter Si ature Dusty Kyle etreyeon E-Mail:dmetwater@aol.com Phone #:704-506-4255 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. i he 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. 06/27/2017 Permittee/Subdfitt r Si nature:* * Dusty Ke/ 'le Metreyeon E-Mail:dmetwater@aol.com Phone #:704-506-4255 Date Permittee Address: 28 2 tation Rd Concord NC 28027 Permit Expiration Date: 11 /30/2018 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: CERTIFIED LAB #: PERSON(s) COLLECTING SAMPLES: PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 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 813 .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.: NCO047091 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME _ Com!nunity CLASS: W W-7 COUNTY: Cabarrus OWNER NAME: K R i I I C Knrlander Rf)pg-ORC ORC: James D Alliso (; ��1 VJRE&RC1461 Inved ente I LC (��"✓''/'' \�// GRADE: WWU-4 ORC HAS CHANGED: No MAY 08 2017 RECEIVED/NCDENRIDWR eDMRPERIQiirGfi� VERSION:1.0 CENTRAL FILES — TATUS:Processed IvraY 5 2017 DWR SECTION WQROS ,r ILLE REGIONAL OFFICE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NOT ARGE*: NO **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation Ad,,erse Weather: NOFLOW - No Flow, HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCO047091 PERMIT FACILITY NAM►9X;;a§MMff1T= OWNER NAME: K R I I I C Korlander RnoocORC InveatAf-.ntc 1.1 C GRADE: 1V-W-4 eDMR PERIOD�7.GiGiGY�1 VERSION: 4.0 _ Community ORC: _lames D Allison CERT NUMBER: RC1461 PERMIT STATUS: Active CLASS: W W-7 COUNTY: Cabarrus ORCHAS CHANGED: No — VERSION: 1.0 — STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) I O - y 's a s a g 6 `_ � C - 1 O � % cr.)r.6s C1u�uteric TOIAL.P Co., 2400 dock Hrs 2400 clerk Hi Pin.N 1 1550 v 2 1450 .25 3 1005 2i v 4 6 1615 13 y 1430 24 1400 .66 v g 1315 +5 V 9 13.30 25 1 v 10 1.600 25 v n t+ 13 1545 s 14 1430 24 1350 1.0 ti 15 1535 33 1 b 16 1730 .25 v 17 1710 25 y Is 19 20 1545 .25 Y 21 1430 24 1420 .S 22 1400 .25 b 23 1340 .25 24 1600 2: v 25 26 27 1615 25 Y 28 1130 24 114.30 5 v 29 12(N) .25 y w 1330 c y 31 1645 .25 Y \tonlhh :irrragr i.imit: Monthly A-"ge: Dwih' Maximum: Daih;Vliniuuuu: L_ **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVW7 HR - No Visitation Adverse Weather, NOFLOW = No Flow, HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCO047091 PERMIT _ VERSION: 4.0 FACILITY NAMCommunity OWNER NAME: K R 1 t t r Knrlsnder RnggsORC ORC: James D Allison CERT NUMBER• RC1461 I nvegtMentc 1.1.47, GRADE: 1AIiA14 ORC HAS CHANGED: No — eDMR PERIOD COMPLIANCE STATUS: Non -Compliant VERSION:1.0 — CONTACT PHONE #: 7045064255 04/30/2017 PERMIT STATUS: Active CLASS: WW-7 COUNTY: Cabarrus STATUS: Processed SUBMISSION DATE: 04/30/2017 Signature: Dusty KAe Metreyeon E-Mail:dmetwatergaol.com Phone #:704-506-4255 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 I1�e NPDES permit. 0/2017 **Dusty Kyle Mejoyeon E-MailAmetwaterct aol.com Phone #:704-506-4255 Date Permittee AWress: 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 11/30/2018 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: CERTIFIED LAB #: PERSON(s) COLLECTING SAMPLES: CERTIFIED' LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 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. NPDES PERMIT NO.: NCO047091 FACILITY NAME:i��ty PERMIT VERSION: 4.0 CLASS: WW_� PERMIT STATUS: Active COUNTY: Cahamr, OWNO NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 0- 17) Report Comments: ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 Exceeds max BOD on the 28th. Review of log book does not definitively suggest any reason for the exceed. ORC CERT NUMBER: RC1461 STATUS: Processed NPDES Pj.RMIT NO.: NCO047091 PERMIT VERSION: 4.0 PERMIT STATUS: Active 3 FA/ ILITV NAM C'omrnunit} CLASS: W W-2 COUNTY: Cabarrus OWNER NAME: K R 11.1 C Knrlander RnoocORC ORC: James D Allison , i�jV �M61 RECEIOEUMCDENRIDWR Inve.0mentc I IC MAY 0 8 Z017 GRADE: 147141-r' ^. ORC HAS ('IIANGF.D: No — eDMR PERIO VERSION: 1.0 -- CENTRAL F1al s: Processed WQROS DWR SECTION +,r100RFSVILLE REGIONAL OFFICE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO **** No Reporting Reason: ENFRUSE = No Flow- Reuse/ Rec%c1c. F N V%A'I FIR - No Vi ita!ion Ad.erse Weather: NOF LOW -, No Flow, HOLIDAY = No Visitation - Holiday SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) NPDES P.,liMIT NO.: NCO047091 PERMIT FAr'ILITY NAM —_ OWNER NAME: K R I I I C Kiirlander RnaosORC ORC: James D Allison Invf2ctmentc I 1 C GRADE: �41111-4 eDMR PER ORC HAS CHANGED: No — VERSION: 1.0 VERSION: 4.0 PERMIT STATUS: Active Community CLASS: WW-9 COUNTY:Cabarrus CERT NUMBER: RC1461 STATUS: Processed o $ y4 — g _ _ F' " o° o C 3 Cf:1663 (itab 71NA1. P Co., 2400 clock iirs rtx P/Q'9 ippYi( 1 25 V 2 25 V d4l 2i V 4c 6 33 y 7 1430 24 v 9 1545 .37 V 9 13.30 25 v to 1540 25 v 11 t� t3 0942 3 y 14 1430 24 1400 5 V is 1250 25 b 16 1745 ,33 V 0900 25 V lg 19 20 1415 V 21 1430 24 1,M) 5 22 1530 25 V 23 1430 .25 b 24 11500 25 V 25 25 27 1500 .25 b 23 1430 24 1350 .66 V Muntbly average I.fniif: Muvtbly Doily 3taxinunn: naih ..\ilnlmnm: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle: F.NVW-I HR = No Visitation Adverse Weather; NOFLOW =- No Flow; HOLIDAY = No Visitation - Holiday COMPLIANCE STATUS: Compliant CONTACT PHONE #: 7045064255 SUBMISSION DATE: 03/27/2017 03 2 7i2017 CIRC/4 ifier Signature: Dusty Kyle Met yeon E-Mail:dtnetwaterr�t'aol.com Phone #:704-506-4255 Date NPDES F>RMIT NO.: NCO047091 PERMIT FA�ILITY NAM .-I Imr — VERSION:4.0 PERMIT STATUS: Active Community CLASS: WW-2 COUNTY: Cabarrus OWNER NAME: K R 1 1 1 C Knrlander RnoosORC ORC: James D Allison CERT NUMBER: RC1461 Investments I I.C. GRADE: IU-4 ORC HAS CHANGED: No — eDMR PERIOD- 92 201;{Feb VERSION: 1.0 — STATUS: Processed By this signatureTce—R77775if 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. 03/27/2017 Signature:*** Dusty Idle Metreyeon E-Mail:dmetwater@aol.com Phone #:704-506-4255 Date Permittee Address: 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 11/30/2018 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 r> 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: CERTIFIED LAB #: PERSON(s) COLLECTING SAMPLES: CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. 11418][IffeloW 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). NPDIV PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 01-2017 (January 2017) PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: W W -2 RECEI VPMNTY: Cabarrus ORC: James 1)Allison y ORC CERT NUMBER: RC1461 MAR 2 1 2017 WJ ORC HAS CHANGED: No CENTRAL FILES RECEIVEDACDENROWR VERSION: 1.0 DWR SEC i IONFATUS: Processed wQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHXMF.41tBOREGIQNAL OFFICIc r C ,p5 F r • 8 U E F E _ r E a O s e C O g g u O o s � z z GH1511 001110 (R1400 RKMO C0310 C0610 C05341 31616 C0600 Continuous Weekly Weekly 2 X wvek Weekly 2 X month Weekly Weekly Quarterly Recorder Grab Grab Grab Composite Composite Composite Grab Grab FLOW TEMP-C PH CHLORINE BOD-Cone NH3-N-Cone TSS-Cunt FCOLI BR TOTALN- 2400 d-k Hrc 2400 clack Hre Y/BM mgd degC I su ug.'1 ma/1 m8/1 mg/I 4/100m1 I mg/l 1 0.023 210900 HOLIDAY 3 1430 24 1350 33 y 0044 20 7.1 44 4.7 1.3 15 <1 10 4 1415 .33 b 0,036 5 1250 .33 y 0024 < 20 6 .33 y 0.02 7 0.02 a 0.02 1440 .33 c 0.02 10 1430 24 1405 5 1 0.027 13 7.2 < 20 0 41 6 5 < I 11 1135 .25 b 0.02 12 1340 .33 y 0.015 13 1510 .33 y 0.02 120 14 0.018 1> O.OIR HOLIDAY 1430 24 1400 .S y 0o28 15 7A <20 2.9 0 1 1s 1300 .5 b 0.026 19 1400 .25 y 0.021 20 1530 1.25 y 0.021- 20 21 0.04 22 0.04 23 1440 .5 y 0.04 24 1525 .33 y 0.508 25 1525 1500 .5 y 0 021 20 7 41 11 1.7 12 < I 26 1120 .25 b 0.014 27 1530 .25 y 0.023 < 20 20 0.029 29 1 1 0.029 30 1530 .25 b 0.029 31 1400 5 y 0.027 I - <20 L,2 3.8 3.2 Munthh A-ge Limit: 0.414 13 30 201) Mnnmb Arerage: 0.042103 16.6 10.625 3.72 1.462 7.86 1 0 Dail,Maximum: 0 508 20 7.2 44 11 3.8 15 0 10 Daily Minimum: 0.014 13 0 0 0 0.1 2.6 0 10 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPD&7f PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 01-2017 (January 2017) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) E 0 E E u 3 E a E C u s5 L z C06 N Quanerlv Grab TOTAL P - Cone 2400 cock Hn 2400 clack Hn VIRN I Mg/1 1 2 HOLIDAY 3 1430 24 1350 .33 y 0.55 1415 .33 b 9 1250 .33 F 0900 .33 1440 .33 y 10 1430 24 1405 .5 ii 1135 .25 b 1' 1340 .33 y 13 1510 .33 14 is 16 HOLIDAY 17 1430 24 1400 5 1 v IN 1300 .5 b 19 1400 25 20 1530 .25 v '-1 22 23 1440 .5 y 24 1525 .33 y 25 1525 1500 .5 y 26 1120 25 b 27 1530 .25 1 y 28 29 31) 1530 .25 b 31 1400 1.5 y MonMh Acenpe.U.1t: ..n Ac gn : 055 D.ih NI—imum• 0.55 D,11y Minimum: 0.55 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR - No Visitation --Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation -Holiday NPDF1 PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW4. eDMR PERIOD: 01-2017 (January 2017) COMPLIANCE STATUS: Non-Comf&t PERMIT VERSION: 4.0. CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHQNE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabamrs ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 02/27/2017 02/27/2017 ORC/ ertbr/S ignJ e. Dusty yle Metreyeon E-MailAmetwaterrcraol.com Phone #:704-506-4255 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, pie attach a list of corrective actions being taker and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 02/27/2017 Perm ittee/Submitte,-- 5gnature:**Gusty Kyle �(etreyeon E-MaiLdmetwater@a)aoLcom Phone #:704-506-4255 Datc Permittee Address: 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 1 1/30/2018 1 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: CERTIFIED LAB #: PERSON(s) COLLECTING SAMPLES: PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. I.00TNOTF.S 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). NPDU%PERMIT NO.: NC0047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 01-2017 (January 2017) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabamu ORC CERT NUMBER: RC1461 STATUS: Processed Report Comments: Plant outfall was below receiving stream and approximately 1/3 of the facility grounds were flooded following a 5" rain event over the weekend. F IIPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 12-2016 (December 2016) PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-2 `COUNTY: Cabarrus RECEIVED � ORC: James D Allison 1 \ EC E' �'ED NUMBER: RC1461 FEB 0 8 2017 RECEIVEDlNCDENRIDWR ORC HAS CHANGED: Yes RAL 'F�cS VERSION: I_0 CENTDWR SECN Processed WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC#0A0,Lt9*C1ONAL OFFICE r O E E E u E - mcc F= F - O & ti g O : 2 O s K z M.Ka 00010 110401 s111160 C03141 C0610 coi3o 31616 C0600 Continuous Weekly Weekly 2 X week Weekly 2 X month Weekly Weekly Quarterly Recorder Grab Grab Grab Composite Composite Co. site Grab Grab FLOW TEMP-C PH CHLORINE Boo - Cane NH3-N-Cone TSS-Cone FCOLI BR TOTALN- 2400 clock Hn 2400 clack Hn YIWN mgd deg so us'l mgil Ing MO 4, 100ml mgil 1 1750 .25 b 0.022 2 1415 .5 y 0.025 ; 20 3 0.023 4 0 023 1640 .5 y 0.022 6 1400 24 1400 .5 y 0.025 20 7 -- 20 8 5 - - 7 1205 .5 b 0.025 8 1445 .25 y 0.022 'I 1600 .25 4 0.022 ''0 u 0.023 0.025 12 1650 .5 y 0.028 13 1430 24 1400 .5 y 0.028 19 7 30 2 <0-1 < 2.5 < I 14 1110 .25 b 0.022 1 1550 .5 y 0.026 w 1550 .33 y 0.02 < 20 17 0 026 18 0.026 19 1400 24 1350 .66 y 0024 16 7.1 33 2 <0.1 26 1 20 1 1200 .25 b 0.023 21 1625 .5 ly 1 0.02 22 1430 .5 y 0.02 23 1305 .5 b 0 022 24 0.022 25 0.022 26 HOLIDAY 27 1430 24 1415 .5 y 0 024 17 17.3 3.2 0 1 1 6 1 28 1450 .25 b 0.033 29 1000 .25 b 0.024 30 1600 .66 y 0.013 - 20 31 0033 Monthly .Arerage Limit: 11.04 13 30 2011 Monthly A.erage: 0,024433 18 9.222222 2.925 0.71 1 >5 1 Daih Alaaimom: 0.033 20 7.1 33 8.5 2.9 3.6 0 Daily Minimum: 0 02 16 7 10 0 O O 10 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather: NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday PDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 12-2016 (December 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) c' E E o - e f- _ E _ ,§ t O O - Co"S Quarterly Grab _-- TOTAL P - C.— 2400 clock Hn 2400 cock Hn VfBIN my1 1750 .25 b 1415 5 y 3 4 1640 5 y a 1400 24 1400 _5 y 7 1205 5 b A 1445 25 9 1 1 1600 1,25 4 III II 12 1650 .5 13 14a0 24 1400 .5 rb 14 1110 .25 15 1550 .5 y 1, 1550 .33 ly —.. n —_--_-- IA 19 1 1400 124 1350 .66 y 211 1200 .25 b __ 21 1625 .5 y 22 1430 5 y 23 1305 .5 b _ 24 25 26 HOLIDAY 77 1430 14 1415 5 y 28 14, .25 b 29 1000 .25 b 341 1600 .66 y _---- 31 M-t6h A—p Limit: — Mo hh A—ge: — Dail, al-imum: Wih Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adrerse kk'eather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 12-2016 (December 2016) COMPLIANCE STATUS: Comolianti PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 CONTACT PHONE #: 704.506425 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 01/30/2017 01/30/2017 ORC/C rtif er Signatu . Dusty Kyle Metreycon E-Mail:dmetwatermaol.com Phone #:704-506-4255 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. --� 01/30/2017 Per ee/S mittc,Signature:*(*f* Dusty Kyle 141etreyeon E-Mail:dmctwater�i),aol.com Phone #:704-506-4255 Date PermVeeAss: 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 11/30/2018 I cerenalty 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: CERTIFIED LAB #: PERSON(s) COLLECTING SAMPLES: PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting littp:Hportal.ncdcnr.org/web/wq/swp/ps/npdcs/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). PVDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B 1 LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 12-2016 (December 2016) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: James D Allison ORC HAS CtIANGED: Yes VERSION: 1.0 Report Comments: effluent flows estimated on site. Totalizer available but number no changing. PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed of 4:S PERMIT NO.: NCO047091 .CILITY NAME: Silver Maples Community OWNER NAME: K B 1 LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 10-2016 (October 2016) PERNII7' VERSION: 40 PERMIT STATUS: Active 3 CLASS: WW-2 OUNTY: Cabarrus ORC: lames D Allison RECEIVEdRC CERT NUMBER: RC1461 DEC 0 5 2016 RECEIVEDINCDENRIDWR ORC HAS CHANGED: No VERSION: 1 0 CENTRAL RLESsTATUS: Processed '� r 2016 DWR SECTION WOROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO ANAL OFFICE G n E o go E U P E = E U [= E � > < O in O F O n O O a e Z 99 50050 00010 00400 50060 ('0310 C0610 C0530 31616 C0600 ('onnnuous Weekly Weekly 2 X week Weekly 2 X month Weekly Weekly Quarterly Recorder Grab Grab Grab Composite Composite Composite Grab Grab FLOW TEMP-C pH ('HLORINE ROD - Cone NH3-N-Cone TSS - Cone I FCOLI BR TOTAL N- 2400 clock Hrs 2400 c-lock Hrs Y/B/N mud deg c su ug/I mg/I mg/1 mg/l !9/100ml mg/l 1 0,018 2 0018 3 1430 66 y 0.018 1500 .5 ly 0018 i 430 24 1350 75 y 10018 26 7 . 20 2.8 0.69 4.3 14 1330 .25 y 0.02 7 1148 33 y 002 - 20 8 0 022 9 1 0.022 10 1500 1.0 y 0 022 11 1415 .5 y 0 018 12 1430 24 1330 I A y 0 009 26 7 1. 20 70 032 24 < 1 3.4 13 1630 .33 y 0015 14 1 1 1530 25 IV 0 025 20 15 0 024 16 0 025 17 1530 -75 y 0 019 18 1430 234 1 1420 .66 y 0 018 26 72 < 20 2 0.27 < 2, 5 < I 19 1240 .5 1 y 0011 20 1500 .5 y 1 0.012 21 1545 -33 y 0 014 20 22 0.014 23 0.013 24 1530 .33 y 0 012 25 1530 .33 y 0.012 ' 1!0 24 1405 .66 y 0.013 23 7 1 - 20 < 2 0.27 < 2.5 < I 1220 .33 y 0.018 1530 .5 y 0.015 20 29 1 0,016 30 0 016 31 1700 5 y 0.029 Monthly Average Limit 0.04 13 30 200 Monthly Average: 1117.111 2525 0 18 2 0.3875 7 075 1.934336 3.4 Daily Maximum: 0028 26 72 0 70 0,69 24 14 3A Daily Minimum: 0009 23 7 0 1027 0 0 3A **** No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle: kNVW'l HR = No Visitation - Adverse Weather• NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday Of NPDIES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 10-2016 (October 2016) PERMIT VERSION: 4.0 CLASS: WW-2 OR(':.lames D Allison ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) S m - E G� [= E F a U ° F E > E `w O it O `E w O d 00 O m $' a E Z C C 0665 Quarteriv Grab TOTAL P- Conr 2400 clock Hn 2400 clock Ws Y/B/N mg/I 1 2 3 1430 .66 y 4 1 1500 .5 y 5 1430 24 1350 75 y 6 1330 25 y 7 1148 .33 ly 8 9 10 1500 1.0 y It 1415 .5 y 12 1430 24 1330 to y 0.26 13 1630 33 y 14 1530 25 y 1$ .6 h 1530 JS y 18 1430 234 1420 .66 y t9 1240 5 y 20 1500 5 y 21 1545 33 y 22 23 24 1530 33 y 25 1530 33 v 26 1430 24 1405 .66 y 27 1220 .33 y 28 1 1 11530 .5 y 29 30 31 1700 5 y Monthly Average Limit: Monthly Average: 026 Daily Maximum: 0.26 Daily Minimum: 1026 "•" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV Wl'HR = No Visitation Adverse Weather: NOFLOW - No Floe: HOLIDAY No Visitation - Holiday r NPDikS PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs investments LLC GRADE: WW4. eDMR PERIOD: 10-2016 (October 2016) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 11/29/2016 Y 11/29/2016 ORC/ a ifier Signature/Dusty Kyle Metreyeon E-Mail:dmetwatercraol.com Phone #:704-506-4255 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 perm,/ Iit,/ 0 11/29/2016 Permitt`6e/ ubmi er SignAnfe:*** Duty Kyle Metreyeon E-Mail:dmetwatercraol.com Phone #:704-506-4255 Date Permittee Address: 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 11/30/2018 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: CERTIFIED LAB #: PERSON(s) COLLECTING SAMPLES: PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http:Hportal.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). NPDiS PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 10-2016 (October 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed Report Comments: It is believed that the winterization of composite sampler which included a chlorine soak and a dechlor rinse. A dechlor residual contributed to the more than double exceed ofthe maximum permitted BOD value. I have spoken this over with Roberto Schiller and have provided back up data to support our belief via email 1 1-29-16. r NPDES PERMIT NO.: NCO047091 PERMIT VERSION: 4.0 PERMIT STATUS: Active i - FACILITY NAME: Silver Maples Community CLASS: W W-2 RECEIVED E C E I / E DOUNTY: Cabarrus OWNER NAME: K B I LLC Kurlander Boggs ORC: James D Allison j"� �� 1J % V% Q ORC CERT NtlMBER: RC1461 11 r i V 0 V O" L 0 I GRADE: WW-4. ORC HAS CHANGED: No CENTF<AL FILE,) eDMR PERIOD: 09-2016 (September 2016) VERSION: 1.0 00R SECTIOt-I STATUS: Processed RECEIVED/NCDENR/DWR NOV 16 2016 WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARI8VRqWLI7 REGIONAL OFFI C $ Q ( fi e U F! O r O O x z n 3 50050 00010 00400 5W60 ('0310 C0610 CO530 31616 C0600 Continuous Weekly Weekly 2 X week Weekly 2 X nwnth Weekly Weekly Quarterly Recorder Grab Grab Grab Composite Composite Composite Grab Grab FLOW TEMP-C H CHLORINE BOD - Cone NH3-N-Cone TSS-Cone FCOLI BR TOTALN- 2400 clock Hrs 2400 clock Hrs 1-/B/N mgd deg su a g"I m • l m • mg/I #/100ml mg1 I 1650 .5 0 029 1820 .33 0.029 < 20 3 0.028 4 0.028 5 1440 .33 0 023 6 1400 24 1320 .66 1 y 0.021 27 7.1 39 10 0'_1 :2 1 7 1 1430 0.024 8 1715 0.029 1500 r.33 v 0.028 < 20 0 029 0.029 1330 .5 1 b 0.028 13 1 400 24 1400 .25 b 0.03 7 1 < 20 a 1„2 i 1 14 1305 .25 b 0.026 15 1413 .25 b 0.019 16 1320 .33 b 0.028 17 1 1 0.03 18 0o3 19 1345 .33 y 0.03 20 1215 .5 y 0.026 21 1400 24 1330 .5 y 0 023 28 7 1 '-u I0 22 1 11330 .33 y 0.026 23 1530 .66y 0.025 < 20 24 0.031 25 0.031 26 1500 .5 y 0.029 27 1400 24 1405 .5 y 0.033 30 7 1 40 5. I n 14 - i r, 1 28 Iwo .25 y 0.027 29 1310 .33 0.028 30 1520 .33 Lai0.028 ^. 20 Monthly Average Limit: 0.04 13 30 200 Monthly Average: 0.0275 27.5 8.777778 3.775 2635 I- I Daily Maximum: 0033 30 7.1 140 10 10 3.6 0 Daily Minimum: 0.019 125 17.1 0 0 10.14 0 0 •"• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVW'THR - No Visitation - Adverse Weather: NOFLO W = No Flow; HOLIDAY = No Visitation - Holiday I NPDES PERMIT NO.: NCO047091 t FAULITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 09-2016 (September 2016) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC 1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) G E1 m u $ E E U [= E e E o U 9 t- E a � < 8 O O 6 F 8 1 O ii rn z O o0 c '2 d 1 Z W. C0665 Quanerly Grab "TOTAL P- Conc 2400 clock Hrs 2400 clock Hrs Y/B/N me/I 1 1650 .5 y 2 1820 33 y 3 4 5 1440 .33 y 6 1400 24 1320 .66 y 7 1430 33 y 8 1715 25 1 y 9 1500 5 y 10 Il 12 1330 5 b 13 1400 24 1400 25 b 14 1305 25 1 b 15 1415 .25 b 16 1320 .33 b 17 18 19 1345 .33 y 20 1215 5 y 21 1400 24 11330 .5 y 22 1 1330 .33 23 1530 66 y 25 26 11500 S 1 y 27 1400 24 1405 5 y 28 1600 .25 y 29 1310 33 y 30 1520 .33 y Monthly Average Limit: Monthly Average: Daily Maximum: Daily Minimum: "'• No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle: ENVW"1'HR No Visitation Ad%eise Wealhei NOFLOW - No Flow, HOLIDAY' No Visitation - Holiday a NPDES PERMIT NO.: NCO047091 FACIiL,ITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW4. eDMR PERIOD: 09-2016 (September 2016) COMPLIANCE: Compliant v ORC/Certifier Signatu e: Aty PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 10/28/2016 10/28/2016 Metreyg4n E-Mail:dmetwatera,aol.com Phone #:704-506-4255 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 10/28/2016 Perm ittee/Submitter Signatur :*** ust Kyle Metreye(i E-Mail:dmetwater i aol.com Phone #:704-506-4255 Date Permittee Address: 2812 Plantation cord NC 28027 Permit Expiration Date: 1 1/30/2018 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: CERTIFIED LAB #: PERSON(s) COLLECTING SAMPLES: PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 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). r SPDES PERMIT NO.: NCO047091 PERMIT VERSION: 4.0 i)rACILITY NAME: Silver Maples Community CLASS: WW-2 OWNER NAME: K B I LLC Kurlander Boggs ORC: James D Allison ---- r r n GRADE: WW-4. ORC HAS CHANGED: Yes eDMR PERIOD: 08-2016 (August 2016) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 RECEIVED/NCDENR/DWR STATUS: Processed OCT 11 2016 tWOROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*�: NU GIONAL OFFICE C EE g U (= F E d i IL O 1= i IL 1 O U Y O z < yy$ o o 7 1 Z tY 50050 00010 00400 50060 C0310 C0610 ('0530 31616 C0600 Continuous Weekly Weekly 2 R week Weekly 2 S month Weekly Weekly Quarterly Recorder Grab Grab Grab Composite Composite Composite Grab Grab FLOW TEMP-C pH CHLORINE I ROD-Conc NH3-N-Cent TSS-Cent FCOLI OR TOTALN- 2400 clock Hra 2400 clock Hrs Y/B/N mgd deg c so u&1 mg/1 mg/1 m /1 4/100m1 mg/1 1 1400 .5 y 0.024 2 1400 24 1320 .5 y 0.029 30 7.2 30 0. I! < 2.5 7 1345 .33 y 0.031 1500 .25 y 0.028 1 _ - 1400 .75 1 y 0 027 < 20 6 0 029 7 0.025 8 1350 .5 y 0.026 9 1400 24 1350 .5 y 0-027 30 7 2 c 20 10 11600 .75 y 0.026 11 1 1700 .5 ly 1 0.025 12 1730 .66 y 0.024 30 13 0.023 14 0.023 15 1 1450 .33 v 0025 16 1400 5 ly 0.023 17 1400 24 1330 .66 y 0.029 29 7 < 20 < 2- 0 1 < 2 5 < I Is 1630 .33 y 0.029 19 1440 .33 y 0.028 39 20 0.025 21 1 0.024 22 1300 .5 y 0.023 23 1400 24 1400 .5 y 0.021 28 7 <20 4 1 <0 1 2 1 24 1730 .66 y 0.025 25 1300 .5 y 0.022 26 1600 .33 y 0.016 < 20 27 0.023 28 0.026 29 1430 .66 y 0,025 30 1400 .5 y 0.022 31 1 1430 24 1345 11.0 ly 1 0.025 29 7. 1 27 2 I l 2 5 Monthly Average Limit: 0.04 13 30 200 Monthly Average: 0.025097 29.2 14 082 0.076 0 1475773 Daily Maximum: 0.031 30 7.2 39 14.1 0.14 0 7 Daily Minimum: 0016 28 17 10 0 10 0 0 * No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather. NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday RECEIVE® OCT 0 6 2016 CENTRAL FILES DWR SECTION NPDES PERMIT NO.: NCO047091 tACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 08-2016 (August 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC:.lames D Allison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNT\': Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) O O F E F 6 i `o O v O rn 1 O ° 1 Z CC C0665 Quarterly (fah TOTAL P- Cone 2400 clock Hrs 2400 clock Hrs Y/B/N mg/I 1 1400 .5 y 2 1400 24 1320 5 v 3 1345 .33 v 4 1500 .25 v 5 1400 .75 y 6 7 8 1350 5 y 9 1400 24 1350 5 y 10 1600 .75 y 11 1700 5 y 12 1730 .66 y 13 it " 1450 .33 y 1400 .5 y 1400 24 1330 .66 y IS 1630 .33 y 19 11440 .33 y 20 21 22 1300 5 y 23 1400 24 1400 .5 y 24 1730 66 y 25 1 1 1300 5 y 26 1600 1 33 y 27 28 29 1430 .66 y 30 1 1400 ly 31 1430 24 1 1345 1.0 y Monthly Average Limit: Monthly Average: Daily Maximum: Daily Minimum: ***No Reporting Reason: ENFRUSE = No Flow-Reuse,/Recycle: ENVWTHR -- No Visitation - Adverse Wcalher, NOf l.Ow' ' No Flow: IOf ID.AY -No Visitation -Holiday NPDES PERMIT NO.: NCO047091 '.C1I.ITY NAME: Silver Maples Community %1, NN NER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 08-2016 (August 2016) COMPLIANCE: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 CONTACT PHONE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 09/30/2016 �/� `, 09/30/2016 ORC/C rt' ier igna ure: Dusty yle Metreyeon E-Mail:dmetwater(ii?aol.com Phone #:704-506-4255 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—% 1-7 09/30/2016 Perm ittee/011�itter ignatur�:*** Dusty Ky(Permit Metreyeon E-Mail:dmetwater(c aoLcom Phone #:704-506-4255 Date Permittee Addre : 281 lantation Rd Concord NC 2802 Expiration Date: 11/30/2018 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: CERTIFIED LAB #: PERSON(s) COLLECTING SAMPLES: CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting htip://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). R, 1 NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 07-2016 (July 2016) PERMIT N,'I?RSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 WQROS MOORESVILLE REGIONAL OFFICE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO PERMIT STATUS: Active 3 COUNTY: Cabarrus ORC CERT NUMBER: RC1461 -RECEIVEDINCDENR/DWR SEP 19 2016 STATUS: Processed G a rn E E U P E = .a E F' E - a E a O rn e O b E F O It in O e z 2 50050 00010 00400 0060 ('0310 (''0610 C0530 31616 C0600 loutmuoua Weeky bi-eekly - = X creek Weekly 2 X month Weekly Weekly Quarterly Recorder Grab Grab Grab Composite Composite Composite Grab Grab FLOW TEMP -( pH CHLORINE. BOD - Cone N113-N-Cone TSS - Cone FCOLI BR TOTALN- 2400 clock 1 Hrs 2400 clock Hrs V/B/N mgd dee c su ue/1 mJl me/1 me/I 9/100ml mg/1 1 1150 .33 y 0.025 20 2 0.023 3 0.023 4 1000 1.25 y 0.024 5 11400 24 1330 11.0 y 1 0.026 2R 7 29 _ 0.32 <2S 5 1000 .5 y 0.0" 6 7 1800 33 y 0.027 8 r96 1200 .25 y 0.026 ' 20 0.03 10 1 0.029 11 1345 .66 y 0.031 12 1400 24 1320 .75 y 0.032 30 7.1 36 ' 2 0.11 < 2.5 19 1.6 13 1350 .25 y 0.027 14 1310 .25 y 0.027 15 1 1400 1 S y 0.025 < 20 0.035 IS 1320 .75 y 0.028 19 1400 24 1350 .75 y 0029 31 71 20 12 10.17 , 2� _ 20 1 1240 .33 y 0.027 21 1650 .66 y 0.03 22 1 1425 1,5 y 0.025 20 23 0.026 24 0.027 25 1330 .5 1 y 0 029 26 1400 24 1400 5 1 y 0 029 30. 20 4 0.14 66 < I 27 1 1300 5 y 1 0.035 28 1730 75 y n 028 29 1250 5 y 0.029 < 20 30 0.027 31 0.03 Monthly Average Limit: 0.04 1 13 30 200 Monthly Average: 0029097 29.75 7._1222" 1 0.185 1.65 3 712698 1.6 Daily Maximum: 0 038 31 7. 1 36 4 0.32 66 19 1.6 Daily Minimum: 0023 128 7 0 0 0.11 0 10 1-6 ****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR -No Visitation - Adverse Weather: NOFLOW' = No Flow; HOLIDAY = No Visitation-HRECEIVED SEP12 2016 CENTRALIRECTIO� 00 s NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 07-2016 (July 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATIIS: Active CotINTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) C K `" U E fi F a F E F a a t O m e O [- O O •c : 1 i aC C0665 Quarterly Grab TOTAL P - Cone 2400 clock Ws 2400 clock Ws V/B/N mJl 1 1150 33 y 2 3 4 1 1000 L25 5 1400 124 1330 1.0 y 6 1000 1,5 y - 1800 .33 y 8 1200 25 y 9 10 11 1345 .66 y 12 1400 24 1 1320 .75 y 29 13 1 1350 .25 v 14 1310 25 y 15 1400 .5 16 17 18 1320 75 y 19 1400 24 1350 .75 y 20 1 1240 .33 y 21 11650 .66 ly 22 1425 .5 23 24 25 1 1330 .5 y 26 1400 24 1400 .5 y 27 1300 5 11 28 1730 75 y 29 1250 .5 y 30 31 Monthly Average Limit: Monthly Average: , 9 Daily Maximum: 29 Daily Minimum: , 9 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle: ENVW1 HR - No Visitation Adverse \Veather: NOFLO\\' No Flow: HOLIDAY - No Visitation - Holiday A )V NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW4. eDMR PERIOD: 07-2016 (July 2016) COMPLIANCE: Compliant j PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 CONTACT PHONE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 08/28/2016 AV&&Aelz< 08/28/2016 O /C r fier Si njture: Dust Kyle Metre con E- Mail:dmetwater(r aoLcom Phone #:704-506-4255 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 ILE.6 of the NPDES permit. x/ 08/28/2016 Permittee/Su 01teture:**' +sty Kyle ltreyeon E-Mail:dmetwater a)aol.com Phone #:704-506-4255 Date Permittee Addr s: 2n Rd Concord NC 28027 Permit Expiration Date: 11/30/2018 I certify, under penalt 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: KW labs CERTIFIED LAB #: KW labs PERSON(s) COLLECTING SAMPLES: operators PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 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). r NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B 1 LLC Kurlander Boggs Investments LLC GRADE: WW4. eDMR PERIOD: 06-2016 (June 2016) PERMIT VERSION: 4_0 CLASS: WW-2 ORC: Ilan ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO E m a [e fi g E E a E Q O O E F `Recorder O u '�, O m c z tY 50050 00010 00400 50060 C0310 C0530 31616 C0600 Continuous Weekly Weekly 2 X week Weekly jCO610 onth Weekly Weekly Quarterly Grab Grab Grab Composite posite Com site Grab Grab FLOW TEMP-C pH CHLORINE HOD - Con, NH3-N-Cone TSS - Coat, FCOLI BR TOTALN- 2400 clock I His 2400 clock Hrs Y/B/N mgd I deg c su ugAI mg/I mg/I I m N/I OOmI mg/1 1350 .66 y 0027 28 7 2 < 20 2.3 3.9 < 23 < 1 1400 24 1340 10 y 0027 r 1215 .5 y 0025 <20 0 027 5 0.028 6 1400 5 y 0.047 7 1400 24 1340 .75 v 0o52 28 7 36 2.4 0.14 < 3.1 < I 8 1330 5 v 0.034 9 1240 33 y 0.029 10 1230 _75 y 0 026 < 20 11 0.03 12 0.029 13 1400 66 y 0.025 14 1400 24 1340 .66 y 0.027 30 7 31 .-2 7 9 - 2.5 < I 15 1 1 1240 1 75 y 0.025 16 1700 .75 y 0.029 17 1345 66 y 0.026 < 20 18 0 024 19 0 023 20 1 1440 .33 y 0025 21 11400 24 1340 1.75 y 1 0.025 28 7= 20 12 0.36 20 < 1 22 1530 66 y 0025 23 1715 75 y 0.025 24 1230 .66 y 0029 20 25 0.029 26 0.024 27 1400 1.0 y 0.025 28 1400 24 1350 66 y 0.026 28 7.1 < 20 < 2 0.2 < 2.5 < 1 29 1300 75 y 0.024 30 1 1245 5 y 0.027 Monthly Average Limit: 0.04 13 30 200 Monthly Average: 0 028133 28 4 7. 444444 134 2 5 4 1 Daily Maximum: 0 052 30 7 2 36 12 79 20 0 Daily Minimum: 0023 28 7 0 tl 0.14 0 0 ssss No Reporting Reason: ENFRUSE = No Flow-ReuselRecycle. ENV WTHR = No Visitation Rgtfi3 f1WeFL bA Flow; HOLIDAY = No Visitation — Holiday AUG 0 9 2016 RECEIVED AUG 0 3 2016 WQROS MOORESVILLE REGIONAL OFFICE CENTRAL FILES DWR SECTION NPDES PERMIT NO.: NCO047091 FACIIJTY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW4. eDMR PERIOD: 06-2016 (June 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Jame sonwrp 4 4^— ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabamis ORC CERT NUMBER: RC 1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) C 3 it O F I y 6 a i t y p v 1.. O O : Z tY COW Quarterly Grab TOTAL P- Cone 2400 clock Hrs 2400 dock Hrs VIB/N mg/1 1 1350 66 1y 2 1400 24 1340 1.0 y 3 1215 .5 4 6 1400 .5 v 7 1400 24 1340 .75 c 8 1330 .5 9 1240 .33 10 1230 .75 11 12 13 1400 .66 14 1400 24 1340 .66 15 1240 .75 y 16 1700 .75 v 17 1345 .66 18 19 20 1440 .33 y 21 1400 24 1340 .75 22 1530 .66 23 11715 .75 y 24 1 1230 .66 y 25 26 27 1400 1.0 28 1400 24 1350 .66 y 29 1300 .75 y 30 1245 .5 y Monthly Average Limit: Monthly Average: Daily Maximum: Daily Minimum: ****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation- Adverse Weather; NOFLOW = No Flow; HOLIDAY =No Visitation -Holiday NPDES PERMIT NO.: NCO047091 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACT ,ITY NAME: Silver Maples Community CLASS: WW-2 COUNTY: Cabamrs OWNER NAME: K B I LLC Kurlander Boggs Olkgi_�� ORC CERT NUMBER&AQ+yrr"' / 6 Investments LLC GRADE: WW4. ORC HAS CHANGED: Yes eDMR PERIOD: 06-2016 (June 2016) VERSION: 1.0 STATUS: Processed COMPLIANCE: Compliant CONTACT PHONE #: 7045064255 SUBMISSION DATE: 07/29/2016 07/29/2016 OR /Ce of er Sign : Du y Kyle Metreyeon E-Mail:dmetwater@ao1.com Phone #:704-506-4255 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. ^ ----% 07/29/2016 PermitteC/S bmi er SignV4rre:***/Dusty Kyle Metreyeon E-Mail:dmetwater@aol.com Phone #:704-506-4255 Date Petmittee Address: 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 11/30/2018 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: KW LABS CERTIFIED LAB #: kw LABS PERSON(s) COLLECTING SAMPLES: operators PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 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). _24 X X" L;o, J!4 AN- ZP a 1. 44 74. k. All. _ J �, t. r '.. _ 5 + '� �'�"S'xj'��. � t�. s.-k. ty� ,a a�fir�� ., � t�{d{'. .>s �,a:. .. - ' A� 7 Ali L5 kV, MR 12 64, .10A . knZ V WAN it I. , Ao �w 04� In Al, 2 �Pp A IV "4V P - 19 Arp Z2 NPPES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. cDMR PERIOD: 05-2016 (May 2016) PERMIT VERSION: 4.0 PERMIT STATUS: Active J� CLASS: WW-2 COUNTY: Cabarrus ORC:.lames D Allison ORC CERT NUMBER: RC1461 RECEIVED/NCDENR/DWR ORC HAS CHANGED: Yes VERSION: 1 0 STATUS: Processed jUL 12 2016 1"'OROS SAMPLING LOCATION: EFFLUENT DISCHARGE, NO.: 001 NO DISCHARGE*: NO ;EGIONALOFFIC G n d $ U P E F E U [= E [— 'm < ` O A O F w O m O C .y « �' H p 12 SMI50 00010 00400 50060 ('0310 C0610 C0530 31616 C0600 Continuous Weekly Weekly 2 X week Weekly 2 X month Weekly Weekly Quarter) Recorder Grab Grab Grab Composite Composite Composite Grab Grab FLOV, "rFNIP-C PH CHLORINE I ROD -C'onc NH3-N-Cone TSS - Cone FEC COLT TOTAL N- 2400 clock Hrs 2400 clock Ilrs Y/B/N mgd deg c su ug;l mg/1 mg/1 mg/I 9/100m1 mg/l 1 0 037 2 1400 7i v 0.035 3 11400 24 1400 66 1 y 0 042 24 7-. 20 9 1 < 2.5 < 1 1400 .33 y 0.029 5 1730 66 y 0032 6 r74 1500 5 y 0.03 - 20 1 0.029 8 0 029 9 1 1400 .66 y 0.029 10 1400 24 1400 .66 y 0 032 24 7 <. 20 2 4 032 < 2-5 < I 11 1250 .66 y 1003 12 1600 1.0 y 0.032 13 1200 .66 v 003 < 20 14 0 027 15 0.027 16 0900 1.25 y 0 028 17 1400 24 1400 75 v 1 0 031 2' 17 30 6.6 0 58 < 2 5 < I 18 1600 5 003 19 1700 .66 y 0.057 20 1230 5 y 0.058 < 20 21 0 066 22 007 23 1400 5 y 0.046 24 1400 24 1 1400 5 y 0 039 26 7 1 -20 6.6 2.5 < 2.5 < 1 25 1300 5 y 0.034 1610 75 y 0 032 27 1200 5 y 0 028 20 r26 28 0 027 29 0 029 30 HOLIDAY 31 1 1408 66 v 0 027 Monthy Average Limit: [1.04 13 30 200 Monthly Average: 00358 24 1 3.75 6.15 11.1 0 1 Daily Maximum: 007 26 71 30 9 25 0 0 Daily Minimum: 0017 2' 17 10 24 032 10 10 *'**No Reporting Reason: ENFRUSE = No Flow-ReuseiRecycle: F:NV W"f HR = No Visitation Adverse Weather, NOFLOW - No Flow: HOLIDAY = N RVCMVED JUL 0 5 2016 CENTRAL FILES DWR SECTION N7ES PERMIT NO.: NCO047091 FACILITV NAME: Silver Maples Community QWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 05-2016 (May 2016) PERMIT VERSION: 4.0 CLASS: WbF-2 ORC: James 1) Allison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) C n `n EGrab EIm O F E E o F E � O O < O e O o Z a C0665 Quarterly TOTAL P- t'onc 2400 clock IHrs 2400 clock Hrs VIBIN mail 1 2 1400 .75 y 3 1400 24 1400 66 y 4 1 1400 .33 y 5 1730 66 y 6 1500 .5 y 7 8 91 1400 66 v 10 1400 24 1400 66 y 11 1250 66 v 12 1600 1.0 y 13 1200 .66 v 14 Is 16 0900 L25 v 17 1400 24 1400 .75 y 18 1600 5 v 19 1700 .66 1 y 20 1230 5 v 21 22 23 1400 5 y 24 1400 24 1400 .5 y 25 1300 .5 y 26 1610 .75 y 27 1200 .5 y 28 29 30 HOLIDAV 31 1408 66 y Monthly Average Limit: Monthly Average: Daily Maximum: Daily Minimum: ****No Reporting Reason: ENFRUSE —No Flow -Reuse! Recycle: ENVWTHR = No Visitation -- Adverse Weather: NOFLOW —No Flow; HOLIDAY = No Visitation— Holiday NPD S PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community CIWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 05-2016 (May 2016) COMPLIANCE: Compliant, PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 CONTACT PHONE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 06/29/2016 06/29/2016 ORC/Certi .e gnatu Dusty Ky 17Metre eon E-Mail:dmetwater cr aol.com Phone #:704-506-4255 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. /, Al 06/29/2016 Permittee/S bmitt SignN-wr`e:*** Dusty^yle Metreyeon E-Mail:dmetwaternaol.com Phone #:704-506-4255 Date Permittee Address: 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 11/30/2018 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: KW CERTIFIED LAB #: KW PERSON(s) COLLECTING SAMPLES: operators CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 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 u NPDES PERMIT NO.: NCO047091 FACkITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW4. eDMR PERIOD: 04-2016 (April 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 RECEIVED/NCL;LN'r-aDWR STATUS: Processed U sa P SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DIS���ji'*� (FflOORc�7P L� >=G10NA' r^=1rE d G B O F �pl 6 V F ! AL O c50050 E m C cc C e Z C 00010 00400 50060 C0310 C0610 C0530 31616 C0600 Continuous Weekly Weekly 2 X week Weekly 2 X month Weekly Weekly Quarterly Recorder Grab Grab Grab Composite Composite Composite Grab Grab FLOW TEMP-C PH CHLORINE BOD - Cone NH3-N-Cone TSS - Cone FEC COLI TOTALN- 2400 clock Hra 12400 clock Hrs I V/B/N mgd -lee c su ug/I mgll me,'I ME`[ I #/l OOmI m I 1 1210 .5 y 0,033 <20 2 0.031 3 0.031 4 1 1400 1.0 y 0.031 5 1400 24 1340 .5 y 0.026 20 7 < 20 < 2 0.19 < 1 6 11230 .5 y 0.029 7 1710 .5 y 0.025 8 1200 5 y 0.031 < 20 9 1 1 0.031 10 0,031 11 1 1400 .5 y 0.031 12 1400 24 1330 .66 v 0,03 20 7 = 20 44 011 - 13 1700 .5 y 0.027 14 1330 .33 ly 1 0.028 15 1350 .25 y 0.029 lo 16 1 0.03 17 0.03 18 1345 .5 y 0.03 19 1400 24 1330 5 v 0.027 22 20 6 10,14 - - 1 3 8 20 1 1350 .66 ly 1 0.026 21 1740 1.0 y 0 029 22 1 1230 .25 y 0.022 <20 23 0.028 24 Q028 25 1340 5 y 0.028 26 1400 24 1330 .66 y 0.035 24 '. 20 7 7 0. is 3 2a I 27 1630 1.0 y 0.038 28 1700 75 v 0.025 29 1115 .33 y 0.028 - 20 30 0.03 Monthly Average Limit: 0.04 13 30 200 Monthly Average: 0029267 21.5 1 0 4.525 0.1725 3.4 1 3.6 Daily Maximum: 0.038 24 7.2 0 7.7 0.21 5.2 0 3.8 Daily Minimum: 0.022 120 7 0 0 0.14 0 0 3.8 "'• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather; NOFLOW = No Flow: HOLIDAY = No Visitation - Holiday REC i V tE® JUN 10 2016 CENTRAL FILES DWR SECTION NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 04-2016 (April 2016) PERMIT VERSION: 4.0 CLASS: WV-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabam3s ORC CERT NUMBER: RC 1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) C g �i U E 6 g e e ih E 0 a O eo e 21 C CO66S Quarterly Grab TOTA L P- Conc 2400clock Mrs 2400clock Mrs V/&'N mg11 I 1210 5 v 2 3 4 1400 1.0 y 5 1 uon 24 1340 5 y 6 1230 .5 7 1710 .5 y 8 1200 5 y 9 10 11 1400 .5 y I 12 1400 24 1330 .66 y 13 1700 .5 y 14 11330 .33 15 1350 .25 y 16 17 IS 1345 5 y 19 laoo 24 1330 .5 y 2 20 1350 .66 v 21 1740 LO v 22 1230 .25 v 23 24 25 1340 5 26 1400 24 1330 .66 27 1630 10 28 1700 .75 29 1115 .33 v 30 Monthly Average Limit: Monthly Average: Daily Maximum: Daily Minimum: 2 •... No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B 1 LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 04-2016 (April 2016) COMPLIANCE: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 CONTACT PHONE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 05/30/2016 olfz // 05/30/2016 ORC/ a if' r Sign ure: Dus Kyle Metreyeon E- Mail: dmetwater(,�aol.com Phone #:704-506-4255 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 t)ecmiL 05/30/2016 P'erm=ddress: mitter�Frignature:***G Dusty Kyle Metreyeon E-Mail:dmetwater a aol.com Phone #:704-506-4255 Date Penni 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 1 1/30/2018 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: kw CERTIFIED LAB #: kw PERSON(s) COLLECTING SAMPLES: operatos PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ticdenr.org/web/wq/swp/ps/npdcs/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.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 03-2016 (March 2016) PERMIT VERSION: 4_0 CLASS: WW ORC: Jamcs D Allison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active 3 COUNTY: Cabanas ORC CERT NUMBER: RCI461 RECEIVEDMCDENR/DWR STATUS: Processed MAY 19 2016 WOROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO 0jS ARGjg* 1'-WL OFFICE G a E E U P E = E a E - > O in U m 50050 00010 (10400 501160 C0310 C0610 C0530 31616 C0600 ootmuou `4'eek ly % eek ly X week Weekly 2 X month Weekly Weekly Quarterly Recorder Grab Grab Grab Composite Composite Composite Grab Grab FLOW TEMP-C PH CHLORINE ROD Cone NH3-N-Cone TSS - Cone FEC COLI TOTAL N- 2400 clock Hrs 2400 clock Hrs V/B/N mgd deg c su ug,l I mg/I mg/l mg/I #/looml rag/I 1 1400 24 1350 .25 y 0.033 18 T2 -= 20 15 < 0.5 <2.5 < 1 2 1330 .5 y 0.03 3 1620 .33 y 0.033 4 1300 .5 y 0.026 < 20 5 0.031 0.031 7 1355 .75 y 0.03 r6 8 1400 24 1338 .66 y 0.03 18 117 <20 <2 <0.5 <2.5 <1 9 1300 .66 y 0.029 10 1 1650 .75 y 0.026 11 1330 .75 y 1 0.027 - 20 12 0.025 13 11.027 14 1300 .75 v 0.028 15 1400 24 11350 .66 y 0.03 227 <20 3.1 <0.1 <2.5 <I 16 1315 .5 y 0.029 17 1300 .5 y 0,017 18 1330 .75 y 0.023 < 20 19 0.0'5 20 0.031 21 1300 .5 y 0.03 22 1400 .5 y 0.031 23 1400 24 1400 .66 y 0.0.31 18 7.1 29 2.8 0.37 < 2.5 < 1 24 1520 1.0 10.029 25 1400 .5 y 0.03 < N) 26 0.029 27 1 W133 28 1300 .75 y 0.039 29 1400 24 1315 .75 y 0.041 211 7.2 20 2. I 0.2 - 2.5 < 1 30 1600 .75 y 0.04 31 1715 IS) y 0.038 Monthly Averagc Limit: 0.04 13 1 130 200 Monthly Average: 0.030387 19" 3.222222 2-1 0.114 0 1 Daily Maximum: 0 041 7 2 29 3.1 0.37 0 0 Daily Minimum: 0.023 18 0 2 0 0 0 0 10 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR -- No Visitation - Adverse Wcather; NOFLOW = No Flow; HOLIDAY. tatioq, l 4dl:yfs Wy - 9 2016 DVVR SECTION l"FORMATION PROCESSING UNIT NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW4. eDMR PERIOD: 03-2016 (March 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) c c E U= F l3 � 7 a y m O F E h O c : C0665 Quarterly Grab TOTAL P- Cone 2400 clock Hrs 12400 clock Hrs Y/B/N 1 1400 24 1350 .25 y 1330 .5 3 1620 .33 4 1300 .5 5 6 7 1355 .75 y 8 1400 24 1338 .66 y 9 1300 .66 y In 1650 .75 11 1330 .75 ly 12 13 14 1300 .75 y 15 11400 24 11350 .66 16 1315 .5 ly 17 1300 .5 y 18 1330 .75 y 19 20 21 1300 .5 22 1400 .5 23 1400 24 1400 .66 ly 24 1520 LO y_ 25 1400 .5 26 27 28 1300 .75 v 29 1400 24 1315 .75 y 30 1600 .75 V 31 1715 1.0 y Mowhy A .... ge Limit: Monthly Average Daily Maximum: Daily Minimum: '*** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adversc Weather. NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 03-2016 (March 2016) COMPLIANCE: Comi lianL-- PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 CONTACT PHONE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabanas ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 04/29/2016 4' 04/29/2016 ORC/Certifier Si ature: sty Kylc Metreyeon E-Mail:dmetwater@aol.com Phone #:704-506-4255 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 mwo�_ 04/29/2016 Permittee/Submittet.t;ignature: Dusty Ky(e Metreyeon E-Mail:dmetwater@aol.com Phone #:704-506-4255 Date Permittee Address: 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 1 I /30/2018 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: KW Labs CERTIFIED LAB #: KW Labs PERSON(s) COLLECTING SAMPLES: operators PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 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.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 02-2016 (February 2016) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: lames D r5 n ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RS,14f1• - - STATUS: Processed Report Comments: Elevated flows and flooded conditions led to max BOD for 2-25-16. No overflows from wwtp this time, blowers turned off to maintain F:M ratio as suggested by NC previously. RECEIVED/NCDENR/DWR APR 19 2016 WORDS MOORESVILLE REGIONAL OFFICE Rpr,�llip. APR 14 �p15 INpaR > NPR ESN SIAIG LINl, -0 - NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B 1 LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 02-2016 (February 2016) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Jam lison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: '7- STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO G �' O F E F E O in O O Z C 50050 00010 00400 5W60 C0310 C0610 C0530 31616 C0600 Continuous Weekly Weekly 2 X week Weekly 2 X month Weekl WeeklyQuarter) Recorder Grah Grab Grnb Composite Composite Com site Grab Grab FLOW TEMPd' PH CHLORINE ROD -Cone NH}N-Cone TSS-Coat FECCOLI TOTAL N- 2400 clock Firs 2400 clock Hrs YB/N tod deg so ug/I m•1 To, mg/I #/looml mg/1 I 1315 .5 y 0.034 2 1400 24 1400 .33 y 0.033 18 7.1 _ 20 9.4 < 0.5 8.5 < I 3 1100 .5 y 0.042 1710 1.0 y (HA6 - 1400 .5 y 0.039 < 20 6 0.039 7 0.037 8 1430 .75 y 0.036 9 t 1430 24 1430 .5 y 0.0.33 13 6.9 30 < 0.5 3 10 1400 1.5 y 0.032 11 1700 .5 y 0.031 12 1430 .66 y 0.027 < 20 13 0.026 14 0.024 15 1550 .66 y 0.033 _ 16 1810 .75 y 0.04 17 1400 .33 y 0.033 18 1400 24 1400 .5 y 0.036 14 7 22 1 _ u.5 17 19 1308 .5 y 0.038 < 20 20 1 0.037 21 0.038 22 1400 .75 y 0.037 23 1350 .75 y 0.084 24 1400 .66 y 0.085 25 113 24 1400 1.0 y 0.069 18 17 26 21 20 - I 26 1410 .75 y 0.051 ' 20 27 0.045 28 0.IN 29 1345 .75 Y 0.033 Monthly Average Limit: 0.04 13 30 200 Monthly Average: 0 W0621 18.25 9.75 11.675 0 12.125 1 Daily Maximum: 0085 ?4 71 30 '_I 0 20 0 Daily Minimum: 0024 13 6.8 D 5.3 0 3 0 **** No Reporting Reason: ENFRUSE = No Flow-Rcuse/Recycic; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCO047091 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 02-2016 (February 2016) CLASS: WW-2 ORC: James lisot ORC HAS CHANGED: Yes VERSION: 1.0 COUNTY: Cabarrus ORC CERT NUMBER: R ;—A F'�/�9 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) V n E E e E F E o y E F •� ` O y p E a :; S O ea L tY C0665 Quarterly Grub I TOTAL P- Conc 2400 clock Hrs 2400 clock Hrs YB/N mLrl I 1315 .5 y 1400 24 1400 .33 y 3 ry :5 4 1710 1.0 y 5Itoo 1400 .5 y 6 7 8 1 1430 .75 y 9 1430 24 1430 .5 y 10 1400 .5 y 11 1700 .5 y 12 1430 .66 y 13 11 15 1550 .66 16 1810 .75 y 17 1400 .33 y 18 1400 24 1400 .5 y 19 1308 .5 y 20 21 22 1400 .75 y 23 1350 .75 y 24 1400 .66 25 13 24 1400 1.0 y 26 1410 .75 y 27 28 29 1345 .75 y Monthly Average Limit: Manthl, Avcragc: Daily Maximum: Daily Minimum: •sa No Reporting Reason: ENFRUSE = No Flow-Rcus&Rccycic; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCO047091 PERMIT VERSION: 4.0 FACILITY NAME: Silver Maples Community CLASS: W W-2 ^ ` - OWNER NAME: K B I LLC Kurlander Boggs ORC: James ison GRADE: WW4. eDMR PERIOD: 02-2016 (February 2016) COMPLIANCE: , ORC HAS CHANGED: Yes VERSION: 1.0 CONTACT PHONE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: U;4,-O� // C07 STATUS: Processed SUBMISSION DATE: 03/30/2016 P, r V c.(�`'/✓ 03/30/2016 ORC/Ce tifi r Si, ure: Du y Kyle Metreycon E-Mail:dmetwater@aol.com Phone #:704-506-4255 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 hermit... / 03/30/2016 'r Permitte Su itter S ature:** Dusty Kyle Nletreyeon E-Mail:dmetwater@aol.com Phone #:704-506-4255 Date Permittee Address: 2812 Plantation Rd Concord NC 28027 Pen -nit Expiration Date: 11/30/2018 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: KW CERTIFIED LAB #: kw PERSON(s) COLLECTING SAMPLES: operators PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 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 213 .0506(b)(2)(D). NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B 1 LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 01-2016 (January 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabamis ORC CERT NUMBER: RC1461 RECEIVED/NCDENR/DWR STATUS: Processed MAR 15 2016 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISV %Wl�,qELI REGIONAL OFFICE E E E E = U m y ` ' O U O e z 7 1 z tz "050 00010 00400 50060 (0310 C0610 C0530 31616 C0600 Continuous Weekly Weekly 2 X week Weekly 2 X month Weekly WeeklyQuarterly Recorder Grab Grab Grab Composite composite Com site Grab Grab FLOW TEMP-C PH CHLORINE BOD - Cone NH3-N-Cone TSS-Cone FEC COLI TOTAL N- 2400 clock Hrs 2400 clock Hrs YB/N m d deg c so u. I mg/I m I m I #/1011m1 m 1 1 1200 .75 1 y 0.2 2 0.107 3 0.085 4 1230 .5 y 0.042 5 1750 .5 y 0.043 6 1300 .5 v 0.041 7 1300 24 1230 .66 y 0.04 12 <20 'x 6A 13 400 23 8 11500 .66 y 0.034 < 20 9 0.033 10 0.034 II 1400 .5 y 0.033 12 1400 24 1330 .66 y 0.032 1 10 II 2 5 1 13 1330 .5 y 0.039 14 1 1800 .75 1 y 0.0`1 15 1430 .5 y 0.051 16 0.059 17 0.044 18 11400 1.0 y 0.l)4 19 1400 24 1400 .5 y 0.038 1. - - 'u ; s 0.; 20 1230 1.5 y 0.036 21 1720 .75 y 0.032 22 1500 .75 y 0.036 2u 23 0.036 24 0.036 25 1400 .66 y 0.044 26 1400 24 1400 .75 y 0.055 15 7.2 64 1 1 4.1 1 27 1230 1.5 y 0.059 28 1700 .75 y 0.1147 29 1430 .75 y 0.04 -_0 30 11.1139 31 0.036 Monthly Average Limit: 0.04 13 30 200 Monthly Average: 0.19397 13.75 1 10.7 4.625 14.375 4.472136 123 Daily Maximum: 112 16 7.2 26 28 11 13 400 23 Daily Minimum: 0032 12 7 0 2.6 0 0 0 23 •'"* No Reporting Reason: ENFRUSE = No Flow-Rcuse/Rccycle; EN V WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday RECEIVED MAR 11 2016 CENTRAL FILES DWR SECTION NPDES PERMIT NO.: NCO047091 ACILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 01-2016 (January 2016) PERMIT VERSION:4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) c c E Em v E — e E _ W y ^ O E ` O v Di e O m s : z` z C0665 Quarterly Grab TOTAL P- Cone 2400 clock llrs 2400 clock Hrs Y/B/N m I I 1200 .75 3 4 1230 .5 y 1750 .s 1 y 6 1300 .5 7 lino 24 1230 .66 y LS 8 1500 .66 y 9 10 11 1400 .5 y 12 1400 24 1330 .66 y 13 1330 .5 y 14 I800 .75 1n 1430 .5 1 y 16 17 18 1400 r.5 y 19 1400 24 1400 20 1230 y 21 1720 .75 y 22 1500 .75 v 23 24 25 1400 .66 y 26 11400 24 1400 .75 y 27 1230 1.5 y 28 1700 .75 y 29 1430 .75 y 30 31 Monthly Average Limit: Monthly Average: 2 8 Daily Maximum: 2.8 Daily Minimum: 12.8 **** No Reporting Reason: ENFRUSE = No Flow-Rcuse/Rccycic; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCO047091 FACILITY NAME: Silver Maples Community OWNER NAME: K B 1 LLC Kurlander Boggs Investments LLC GRADE: WW4. eDMR PERIOD: 01-2016 (January 2016) COMPLIANCE: _ PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 CONTACT PHONE #: 7045064255 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed SUBMISSION DATE: 02/27/2016 / 02/27/2016 ORC/Cer ifi Sig re: Dust Kyle Metreyeon E-Mail:dmetwater@aol.com Phone #:704-506-4255 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 nwMk. d 02/27/2016 Permi tee/ bmitter 3i6fnature:***/Dusty Kyle Metreyeon E-Mail:dmetwater@aol.com Phone #:704-506-4255 Date Permittee Address: 2812 Plantation Rd Concord NC 28027 Permit Expiration Date: 11 /30/2018 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: kw laboratories and Metwater CERTIFIED LAB #: kw laboraties PERSON(s) COLLECTING SAMPLES: Metwater operators PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 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.: NCO047091 &CILITY NAME: Silver Maples Community OWNER NAME: K B I LLC Kurlander Boggs Investments LLC GRADE: WW-4. eDMR PERIOD: 01-2016 (January 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: James D Allison ORC HAS CHANGED: Yes VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cabarrus ORC CERT NUMBER: RC1461 STATUS: Processed Report Comments: Facility exceeded Flow, BOD and Fecal Jan. 7th, 2016 due to excessive storm water intrusion the previous week and loss of mixed liquor. Facility was undergoing re -seed at time of sample.