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HomeMy WebLinkAboutNC0032867_Regional Office Historical File Pre 20180 R NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 07-2019 (July 2019) PERMIT STATUS: Active W CLASS: W-2 R -COUNTY: Cleveland ORC: Daniel James Dougherty = RC CERT NUMBER:Ic.98$5,7 ti��OrnIC�EN�1Qu1'�2 ' ORC HAS CHANGED: No SEP 0 9 2019 VERSION:1.0 CEN"1'iQ3,L. FILE STATUS: Processed j`D PERMIT VERSION: 5.0 SAMPLING LOCATION: EFFLUENT %WR SEC (10 J lvqRos DISCHARGE NO.: 001 NO DISC' ,- , Fi� G,�ICOoNaL oF:I,C � o E a E U a F E - O e O o° U a a` ;4 50050 00400 50060 C0310 C0610 C0539 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Grab Grab Grab Grab Grab Grab Grab FLOW pit CIIlARIi\E BOD-Cone N7IJ-N-Cooe TSS-Coot FCOLI BR OILGRSE 2400 clock Ilrs 2400 clock 14s I Y!B/N mgd Su ug/l I Mg/1 mg/I I mg/1 #/100m1 I mg/I 1 1030 1 Y 0.0005 2 1030 1 Y 0.00025 3 1245 1.75 B 0.001 7 <20 2.6 <0.2 4.6• <I <5.6 4 1415 1 Y 0.0005 < 20 5 6 7 1030 1 Y 0.00025 8 1030 1 Y 0.00025 9 1130 1 Y 0.00025 10 1230 2 B 0.0005 7.8 <20 20.1 <02 <2.5 85 <5.6 11 1600 0.75 N 0.00025 <20 12 13 14 1630 1 Y 0.00025 15 1615 1 Y 0.0004 16 1800 1 Y 0.00025 17 1230 1.75 1 B 0.001 7.7 <20 7.4 <02 3.8 34 1 <5.6 18 1 11300 0.5 B 0.0005 <20 19 20 21 1630 1.25 Y 0.00025 22 1630 1 Y 0.0001 23 1630 1 Y 0.00025 24 1230 2 B 0.0015 72 <20 63 <0.2 103 26 <5.6 25 1200 0.75 N 0.0025 <20 26 27 28 1630 11 1 Y 1 0.00025 29 1715 1 Y 0.00025 30 1830 1 Y 0.00025 31 1245 1.75 N 0.00025 72 <20 9.1 <0.2 6.6 23 <5.6 Monthly A,mge Limit: 0.0145 30 7.9 30 200 30 AloothlyA-ge: 0.000511 0 9.1 0 5.06 17.681528 0 Daily Afmimom: 0.0025 7.8 0 20.1 0 10.3 85 0 Doily Minimum: 0.0001 7 10 12.6 10 10 10 0 ****NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 5.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza CLASS: WW-2 COUNTY: Cleveland OWNER NAME: Maliks International Inc ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 GRADE: WW-4. ORC HAS CHANGED: No eDMR PERIOD: 07-2019 (July 2019) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES O E F m 6 V E F r u ^n 12 6 F _ - < & O 5i O E P ; O _ o 14 O a = J 50050 W400 C0530 00556 00070 Weekly Weekly 2X month Weekly Weekly Estimate Grab Grab Grab Gab FLOW pll Tss-Cane OIL-GRSE TURBIDTY 2400 clock 111. 2400 clock 11. 1 Y/DIN mgd Su mg/1 1119/1 nt¢ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Monthly Mcmge Limit-. 0.005 30 Dlonthly A—ge. Daily Maximum: Daily Jlinimom• ****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY= No Visitation— Holiday r 4 NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 07-2019 (July 2019) COMPLIANCE STATUS: Compliant PERMIT VERSION: 5.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044775514 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SUBMISSION DATE: 08/30/2019 LVvd4Z LwbJ / 08/30/2019 ORC/Certifier Signature: Daniel James Dougherty E-Mail:dandougherty55@hotmail.com Phone #:704-477-5514 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. -4-. A d ..Ey�J 08/30/2019 Permittee/Submitter Signature:*** William Ronald Haynes E-]Vail:wrhaynes_pe@msn.com Phone #:828-962-7733 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech, Lowell CERTIFIED LAB #: 50,5082 PERSON(s) COLLECTING SAMPLES: Dougherty, Will Haynes, Ron Haynes 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). 1 , Z NPDES PERMIT NO.: NC0032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 07-2019 (July 2019) Outfall 002 - Effluent Comments: No flow while operators were on site PERMIT VERSION: 5.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed V� NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 5.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza CLASS: WW-2 COUNTY: Cleveland OWNER NAME: Maliks International Inc ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 GRADE: WW-4. ORC HAS CHANGED: No RLCE(DED/NCDENR/®WR eDMR PERIOD: 04-2019 (April2019) VERSION: 1.0 STATUS: Processed JUN 17 2�1g . W SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC WIME-9 ONAL OFFICE o E F U E F u F. E H - o h O E 1 o o` O 14 1 50050 00000 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Grab Grab Grab Grab Grab Grab Grab FLOW pB CHLORINE DOD -Cone N113-N-Cone TSS-Cane FCOLI DR OILGRSE 2400 clock I1. 2400 clock 11. YIRIN mgd Su ug/l mg/l mg/1 mg/1 4/100n11 mg/l 1 1300 1 Y 0.00025 2 1100 1 Y 0 3 1230 1 B 0.005 7.2 <20 32 <0.2 18.5 <1 <5.6 4 1300 10.5 B 1 0.002 <20 5 6 7 1245 1 Y 0.00025 8 1300 1.5 Y 0.00025 9 1615 1 Y 0.00025 10 1245 0.75 N 0.003 7.3 <20 5.3 <0.2 11 <1 <5.6 11 1445 I 1 Y 0.00025 <20 12 ayye P o A 13 �,j .... 1 1lf L_ L-1 ' 14 1100 0.5 Y 0.00025 15 1100 0.5 Y 0.0005 16 1045 0.75 1 Y 1 0.00025 1-FILES 17 1045 2.75 B 0.001 72 < 20 31.6 oR V y1 \ Q110 I ^'V <, < 5.6 18 1245 0.5 B 0.001 <20 19 20 21 1045 0.75 1 Y 1 0.00025 22 1100 M Y 0.00025 23 1100 0.5 Y 0.0005 24 1230 1 B 0.001 7.1 <20 382 <02 12 6 <5.6 25 1230 1 N 0.0015 <20 26 27 28 1030 1 Y 0.00025 29 1030 1 Y 0.00025 30 1030 1 Y 0.00025 Monthly Average Limit: 0.0145 30 7.9 30 200 30 Monthly Average: 0.000841 0 19575 0.07 13.775 1.565085 0 Daily Mml- 0.005 73 0 382 028 18.5 6 0 Daily Minimum: 0 7.1 10 13.2 10 111 10 10 ****No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation -Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation-Holiday NPDES PERMIT NO.: NC0032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 04-2019 (April 2019) PERMIT VERSION: 5.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES a A E E E V E u m F E P G O 'w e F O o` O n C s0as0 004oa cosm W556 ow70 Weekly Weekly 2X month Weekly Wcekly Estimate Gmb Grab Gmb Grab FLOW p}I TSS-Cone OIL-CRSE TURBIDTY 2400 clack nre 2400 clock 11. Y1D/N mgd su mg/l mg/I ntu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 is 19 20 21 22 23 24 25 26 27 28 29 30 Monthly Average Limit: 0.005 30 Monthly Average: Daily Mail omn; Daily Minimmenz ****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation —Holiday I. F NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 04-2019 (April 2019) COMPLIANCE STATUS: Compliant PERMIT VERSION: 5.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044775514 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SUBMISSION DATE: 06/05/2019 V^,-'lj( / 05/31/2019 ORC/Certifier Signature: Daniel James Do gherty E-Mail:dandougherty55@hotmail.com Phone #:704-477-5514 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 06/05/2019 Permittee/Submitter Signature:*** William Ronald Haynes E-Mail:wa aynes_pe@msn.com Phone #:828-962-7733 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech. Lowell CERTIFIED LAB #: 50,5082 PERSON(s) COLLECTING SAMPLES: Dougherty, Will Haynes, Ron Haynes 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). d NPDES PERMIT NO.: NC0032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 04-2019 (April 2019) Outfall 002 - Effluent Comments: No flow observed while operators were on site PERMIT VERSION: 5.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 5_0 FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 OWNER NAME: Maliks International Inc ORC: Daniel James Dougherty GRADE: WW-4. ORC HAS CHANGED: No eDMR PERIOD: 03-2019 (March 2019) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 98- B�IVED/NCDENF11D11 R STATUS: Processed i AY 2 O L i i WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGM.I.NWGIONAL OFFICE v G E y E U c F E L O E 2 C O G ,Z' 50050 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Gmb Gtab Grab Grab Grab Grab Grab FLOW PHCHLORINE BOD-Cooe N113-lV-Cooe 7'SS-Cant FCOLI BR OIIIGRSE 2400 clock H. 2400 clock Ilrs Y/B/N mgd Su ug/l mg/I mg/l mg/I #/loond mg/I I 2 3 1030 1 Y 0.0005 4 1030 11 Y 0.0005 5 1030 I Y 0.00075 6 1230 1 N 0.001 73 <20 6.4 <0.2 14.4 <I <5.6 7 1730 OS B 0.0005 <20 8 9 16 11030 11 Y 0.0005 11 1100 0.5 Y 0.0005 12 1030 I Y 0.0005 13 1215 1.25 N 0.0005 73 <20 6.2 0.25 12A <1 <5.6 14 1230 0.5 B 0.0005 <20 15 16 17 1030 l Y 0.00025 le 1030 1 Y 0.00025 19 1030 I Y 0.00025 20 1230 11 B 1 0.001 7.5 <20 163 <0.2 30 <I <5.6 21 1300 0.75 B 0.0005 <20 22 23 24 1000 1.5 Y 0.00025 25 1000 11.5 Y 1 0 26 1000 1 Y 0.00025 <20 27 1230 1.5 B 0.001 7A <20 7.8 0.45 21.5 <1 <5.6 28 1100 0.5 Y 0.00025 29 30 31 I030 1 Y 1 0.0002 6lonibiy Average Limit: 0.0145 30 23 30 200 30 MonthlyA-ge: 0.000474 0 6.675 0.175 19.575 1 0 DAY 3tnumnm: 0.001 17.5 0 7.8 10.45 130 10 0 Derry 3finlmom: 0 73 10 6.2 0 12.4 0 0 ****No Reporting Reason: ENFRUSE = No Flow-Reose/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 03-2019 (March 2019) PERMIT VERSION: 5.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES v CZ E d _ e U E _ E W 1- P: Ic < E O rn E t- P 1 O — Adz O e z 1z 50050 00400 Cos" M56 00070 Weekly Weekly 2Xmonth Weekly Weekly Estimate Grab Grab Gmb Gmb FLOW pig TSS-Conc OIGGRSE TURBIDTY 2400 clock the 2400 clock 11. Y/B/N mgd so mg/1 mg/1 ntu 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 hlootLlyMctvge Limit: 0.005 30 Monthly A—gc: Duily Dia:imum• Daily Tlintmn **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTIIR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 03-2019 (March 2019) COMPLIANCE STATUS: Compliant PERMIT VERSION: 5.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044775514 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SUBMISSION DATE: 04/29/2019 04/29/2019 ORC/Certifier Signature: Daniel James Dougherty E-Mail:dandougherty55@hotmail.com Phone #:704-477-5514 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. I 04/29/2019 Yermittee/Submitter Signature:*** William Ronald Haynes E-Mail:wrhaynes_pe@msn.com Phone #:828-962-7733 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech, Lowell CERTIFIED LAB #: 50,5082 PERSON(s) COLLECTING SAMPLES: Will Haynes, Ron Haynes, Dougherty 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.: NC0032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 03-2019 (March 2019) Outfall 002 - Effluent Comments: No flow while operators on site PERMIT VERSION: 5.0 PERMIT STATUS: Active CLASS: WW-2 COUNTY: Cleveland ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 02-2019 (February 2019) PERMIT VERSION: 5.0 CLASS: WW-2 RECEIVED ORC: Daniel James Doughert Ivig 13 2019 ORC HAS CHANGED: No vERSION:1_o 0WF kAL FILES RSECTION PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed RECEIVED/NCI)ENRIDWR SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*fpus MOORESVILLE REGIONAL OFFICE O E F _ m E U E F E U E k2 E F c < 1 O m O `E F O = o y. O a a 50050 00400 50060 C0310 C0610 Cos" 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Gmb Grab Grab Grab Gmb Grab Grab FLOW p11 CHLORINE ROD -Cone N113-N-Come 7SS-Came FCOLI BR OIL-GRSE 2400 clock 11. 2400 clock 11. YB/N mgd Su ag/l mg/I mg/I mg/l #/100nA mg/I 1 2 3 4 5 6 7 8 9 10 1030 1 Y 0 It 1030 1 Y 0.0005 12 1030 1 Y 0.0005 13 1245 0.75 1 N 0.0005 6A <20 <2 <02 16A <I <5.6 14 1330 0.5 B 0.0005 <20 15 16 17 1030 1 Y 10.0005 I8 19 1030 1 Y 0.0005 20 1300 2 N 0.0005 73 <20 4.7 <0.2 16.4 <1 <5.6 21 1430 1 B 0.0005 <20 22 1030 1 Y 0.0005 23 24 11 DO OS Y 0.0005 25 1100 0.5 Y 0.0005 26 1030 11 ly 0.0005 1300 1.5 N 0.001 7 <20 22 0.29 20 <I <5.6 L27 28 1415 0.5 1 B 1 0.001 <20 Monthly Average Limit: 0.0145 30 23 30 200 30 Monthly Average: 0.000533 0 23 0.096667 17.6 1 0 D.ilynfnvmnm` 0.001 7.3 0 4.7 0.29 120 0 0 Daily Minim- 0 6.4 0 0 0 16.4 0 0 **** No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTIIR=No Visitation -Adverse Weather, NOFLOW =No Flow; HOLIDAY =No Visitation -Holiday NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 5.0 FACILITY NAME: Kings Mountain Travel Plaza CLASS: WW-2 OWNER NAME: Maliks International Inc ORC: Daniel James Dougherty GRADE: WW-4. ORC HAS CHANGED: No eDMR PERIOD: 02-2019 (February 2019) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES v G E F a E V E F u' F' 6 - o ti e 1 O o` O 50050 00400 C0530 00556 00070 Weekly Weekly 2Xmonth Weekly Weekly Fstimate Grab Grab Grab Gmb FLOW pli TSS-Cone OIL-GRSE TURBIDTY 2400 clock lhr 2400 clock H. YB1N mgd Su mg/1 mg/1 ntu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 is 16 17 18 19 20 2l 22 23 24 25 26 27 28 Monthly A--p Limit: 0.0, 30 Monthly A—gc: Daily Mnvmnm: Daily Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse(Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 5.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 COUNTY: Cleveland OWNER NAME: MaUs International Inc ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 GRADE: WW-4. ORC HAS CHANGED: No eDMR PERIOD: 02-2019 (February 2019) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Non -Compliant CONTACT PHONE #: 7044775514 SUBMISSION DATE: 04/29/2019 QIT44j 04/29/2019 ORC/Certifier Signature: Daniel James cougherty�E-Mail:dandougherty55@hotma(l.com Phone #:704-477-5514 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 04/29/2019 Permittee/Submitter Signature:*** William Ronald Haynes EVMail:wrhaynes_pe@msn.com Phone #:828-962-7733 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech, Lowell CERTIFIED LAB #: 50,5082 PERSON(s) COLLECTING SAMPLES: Will Haynes, Ron Haynes, Dan Dougherty 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.: NCO032867 PERMIT VERSION: 5.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 02-2019 (February 2019) Report Comments: Incomplete coverage with ORC and BORC CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed NPDES PERMIT NO.: NC0032867 FACILITY NAME: Kines Mountain Travel Plaza PERMIT VERSION: 5.0 CLASS: WW-2 PERMIT STATUS: Active COUNTY: Cleveland OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 02-2019 (February 2019) Outfall 002 - Effluent Comments: No flow from this outfall while operators were on site ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 ORC CERT NUMBER: 988573 STATUS: Processed III NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 5.0 i- E R a F ERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 EC -COUNTY: Cleveland OWNER NAME: Maliks International Inc ORC: Daniel James Dougherty J A N 2 9 2019 ORC CERT NUMBER: 98837y=1VED/NCI cNR/D%;V GRADE:WW-4. ORC HAS CHANGED: No ('1.0,``l i`i_` FEB ®4 2,019 eDMR PERIOD: 11-2018 (November 2018) VERSION: 1.0 [;;!'Ff � `: �" �_, � 1 f,. �; •: STATUS: Processed WQROS r-, l SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCIM-Gk�:rLWOREGIONHLOFI=ICE q° pS E u° o u P [+ E O rn a b O o UK O 7' 50050 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly ]nstantancous Grab Grab Grab Gmb Gmb Gmb Gmb FLOW pn CHLORINE BOD-Cant NN3-N-Cone INS -Cone FCOLI BR OII.GRSE 2400 clock H. 2400 clock H. Y/B/N mgd su ug/l mg/l mg/1 mg/1 #/loom] Mgt] 1 1100 1.5 B 0.001 7.7 <20 2 3 4 1030 1 Y 10.00025 5 1030 1 Y 0.001 6 1100 0.5 Y 0.001 7 11230 2 B 0.0025 7.4 <20 6.1 <0.2 3.3 2 <5.6 8 0945 1 B 0.001 <20 9 10 I 1030 1 Y 0.0005 12 1030 1 Y 0.0005 13 1030 1 Y 0.005 14 1230 2 B 0.0002 7.3 <20 9.2 <0.2 9.7 6 <5.6 15 1130 1 B 0.0005 <20 16 17 Is 1030 l Y 0 19 1000 1 Y 0 20 1030 1 Y 0 21 1 1215 3 1 B 0.005 7.6 <20 21.2 0.95 11.6 8 <5.6 22 1030 1 Y 0.0005 < 20 23 24 25 1030 1 Y 0.0005 26 1030 1 Y 0.0005 27 1030 1 Y 0.0005 28 1230 2 B 0.006 7.2 <20 4.9 <0.2 103 <1 <5.6 29 1145 1.5 B 0.001 <20 30 Monthly Average Limit: 0.0145 30 23 30 200 30 Monthly Ace ge: 0.001307 0 10.35 0.2375 8.725 3.130169 0 Davy nmvmam: 0.006 7.7 0 21.2 0.95 11.6 8 0 D2Hy MBniumew 0 7.2 0 4.9 0 3.3 0 0 •i'°NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation -Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 11-2018 (November 2018) PERMIT VERSION: 5.0 PERMIT STATUS: Active CLASS: WW-2 COUNTY: Cleveland ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES A 5 E e U s u a [+ z e O = O o` u O K` o a Z 50050 00400 C0530 00556 00070 Weekly Weekly 2 X month Weekly Weekly Estimate Gmb Gmb Gmb Grab FLOW PH Tss-Cane OIL-GRSE 70RDID7Y 2400 dock Hn 2400 dock H. YB/N mgd so mg/I mg/I mu 1 2 3 4 5 6 7 8 9 10 I1 12 ll 14 15 16 17 IB 19 20 21 22 23 24 25 26 27 28 29 30 hlonthiy Avemge Llmte 0005 30 Monthly Average Myhivlmum- DoOy hfinimum• ssss No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =No Visitation — Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: l 1-2018 (November 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 5.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044775514 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SUBMISSION DATE: 12/28/2018 (���� 12/28/2018 ORC/Certifier Signature: Daniel James Dougherty E-Mail:dandougherty55@hotmail.com Phone #:704-477-5514 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 permittce becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 12/28/2018 Permittce/Submitter Signature:*** William Ronald Haynes r-Mail:wrhaynes_pe@msn.com Phone #:828-962-7733 Date Permitter Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water Tech, Lowell CERTIFIED LAB #: 50,5082 PERSON(s) COLLECTING SAMPLES: Haynes, Dougherty CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portalmcdcnr 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.: NC0032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 11 -20 18 (November 2018) Outfall 002 - Effluent Comments: No flow observed during the time operators were on site PERMIT VERSION: 5.0 PERMIT STATUS: Active CLASS: WW-2 COUNTY: Cleveland ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 5.0 PERMIT STATUS: Active 3 FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 E E COUNTY: Cleveland OWNER NAME: Maliks International Inc ORC: Daniel James Dougherty DEC 18 2 O 1 U U ORC CERT NUMBER: 988573 W GRADE: W -4, ORC HAS CHANGED: No ll 1 r t�t�4 eDMRPERIOD: 10-2018 (October 2018) VERSION: 1.0 t''''-'�"° 1 L F?1-E�- 'DECEIVED/NCDENR/DWR STATUS: Processed ° Inc ?,7 ?019 SAMPLING LOCATION: EFFLUENT DISCIIARGE NO.: 001 NO DISCHARGE*: NO WQROS C F u W U 8 u f+o t a O m O E O o& O 5; Z 50050 00400 50060 C0310 C0610 C0530 UU - 6 L NIAL o0556V Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Grab Grab Grab Grab Grab Grab Grab FLOW pH CHLORINE BOD-Cone NR3-N-Cove 7SS-Cone FCOLI BR OIL-GRSE 2400 clock Hn 2400 clock I R. YiRfN I mgd I 6u u9/1 m9/1 I mg/1 m9/1 k/100mi mg/1 1 1030 1 Y 0.0025 2 1030 1 Y 0.001 3 1230 2 B 0.0045 7.1 <20 <2 <0.2 5.2 83 <5.6 4 1045 I B 0.003 <20 5 6 7 1030 1 Y 0.003 8 1030 1 Y 0.0025 9 1100 0.5 Y 0.0015 10 1030 6 Y 0.006 7.1 <20 2.8 <0.2 3.3 <I <5.6 11 0945 1.5 B 0.0005 <20 12 El 14 1100 0.5 Y 0 I5 1100 0.5 Y 0 16 1815 I Y 0.0015 17 1130 9.75 Y 0.005 7.1 <20 3.9 <0.2 7 24 <5.6 Is 0915 14.75 Y 0.0005 <20 19 20 21 1100 1 Y 0.0002 22 1000 1 Y 0.0005 23 1045 0.75 Y 0.0005 24 1200 13.75 Y 0.0005 7.5 <20 5.6 <0.2 <2.5 <1 <5.6 25 1045 1 B 0.0005 <20 26 27 28 1030 1 Y 0.001 29 1030 1 Y 0.001 30 0930 1 Y 0.0015 31 1245 1.5 B 0.0005 7.5 <20 3.4 <2 7.3 9 <5.6 MonthlyAvenge LlmiC MMI 30 7.9 30 200 30 MonthlyA-gc: 0.001639 0 3.14 0 4.56 7.090982 0 Daily M.A.- 0.006 7.5 0 5.6 0 7.3 83 0 Daily Mlntmum: 0 7.1 0 0 0 0 0 0 ""NoReporting Reason: ENFRUSE=NoHow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday TICE NPDES PERMIT NO.: NCO032967 PERMIT VERSION: 5.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza CLASS: WW-2 COUNTY: Cleveland OWNER NAME: Maliks International Inc ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 GRADE: WW-4. ORC HAS CHANGED: No eDMR PERIOD: 10-2018 (October 2018) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES A V l;. U E2 fi F — O w � E O o a O m a C xm 50050 00400 C0530 00556 00070 Weekly Weekly 2 X month Wceldy Weekly Estimate Grab Grab Grab Gmb FLOW PH TSs-Cone OIIIGRSE TURBIDTY 2400 clock Hu 2400 dock I Hn YIBIN mgd sa M911 mg/1 am l 2 3 4 5 6 7 8 9 10 11 12 13 14 IS 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 3l Monthly A—gc Umlt: 0.005 30 Monthly Avenge: Dolly Maximum: DaBy hflntmum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWT[-IR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday 4 — NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 10-2018 (October 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 5.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044775514 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SUBMISSION DATE: 11/29/2018 `iG M VIZ yj 11/29/2018 ORC/Certifier Signature: Daniel James Dougherty E-Mail:dandougherty55@hotmaiI.com Phone #:704-477-5514 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 11/29/2018 Permittee/Submitter Signature:*** William Ronald Haynes E-Mail:wrhaynes_pe@msn.com Phone #:828-962-7733 Date Permitter Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech, Lowell CERTIFIED LAB #: 50, 5082 PERSON(s) COLLECTING SAMPLES: Haynes, Dougherty PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.orglwcb/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: Cheek this box if no discharge occurs and, as a result, there arc 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 Permittce: If signed by other than the permitter, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). _< NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 5.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 10-2018 (October 2018) Outfa11002 - Effluent Comments: No flow during times operators were on site CLASS: WW-2 COUNTY: Cleveland ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed - NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 09-2018 (September 2018) PERMIT VERSION: 5.0 PERMIT STATUS: Active CLASS: WW-2 COUNTY: Cleveland ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 ORC HAS CHANGED: No NO 2018 RECFIVED/PICtDENR/DWR VERSION: 1.0 C��-� STATUS: Processed minvyy ay ipp SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCv�IA�RG�E10' I�l F �v LLC REGIONAL OFFICE m E F 4 e m F E O 55 E n g d o` U O = it Z 50050 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Grab Grab Grab Grab Grab Grab Grab FLOW pH CHLORINE ROD -Cone NH3-N-Cone TSS-Cone FCOLI BR OHrCRSE 2400 clock H. 2400c1ock H. Y/D/N mgd su u 1 mg/I mg/1 mg/1 0/100m1 mg/I 1 2 1030 I Y 0.0015 3 1030 I Y 0.001 4 1100 0.5 Y 0.001 5 1230 1 B 0.0015 7 <20 <2 1 <0.2 3.5 23 <5.6 6 11230 1 B 0.0018 <20 7 8 9 1030 I Y 0.0015 10 1030 l Y 0.0011 I 1100 0.5 Y 0.001 12 1230 1 B 0.003 7.4 26 <2 <0.2 <2.5 235 <5.6 13 0915 1.75 B - 0.003 <20 14 15 16 1030 l Y 0.0025 17 1030 1 Y 0.002 - 18 1030 l Y 0.002 19 1245 2 B 0.003 7.2 26 1<2 <0.2 <25 24 <5.6 20 1030 1 B 0.002 7.1 22 21 22 23 24 1030 1 Y 1 0.002 25 1100 0.5 Y 0.0015 26 1230 2 B 0.003 17 23 2.8 <0.2 5.7 44 <5.6 27 1000 l B 0.001 7.1 <20 28 1030 1 Y 0.0015 29 38 1030 I Y 0.001 Monthly Average Limit: 0.0145 30 79 30 200 30 Monthly Average: 0.001805 12.125 0.7 0 2.3 48.878166 0 Daily Maximum: 0.003 7.4 26 2.8 0 5.7 235 0 Daily Minlmom: 0.001 7 0 0 0 0 23 0 **** No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR =No Visitation- Adverse Weather, NOFLOW =No Flow; HOLIDAY =No Visitation - Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 09-2018 (September 2018) PERMIT VERSION: 5.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES q y c V o V t= G O o E 'F O a' y o` O x v9 c Z 50050 00400 C0530 00556 00070 Weekly Weekly 2Xmonth Weekly Weekly Estimate Grab Grab Grab Grab FLOW pH TSS-Cone OH-GRSE TURB[DTY 2400 clack H. 2400 clock R. Y/B/N mgd so mg/I mg/1 ntu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 is 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Monthly Average Limit: 0 0D5 30 Monthly Average: Daily Maximum: Daily Minimum• ****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday e1 . NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 09-2018 (September 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 5.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044775514 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SUBMISSION DATE: 10/29/2018 10/29/2018 ORC/Certifier Signature: Daniel James Dougherty E-Mail:dandougherty55@hotmail.com Phone #:704-477-5514 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 10/29/2018 Permittee/Submitter Signature:*** William Ronald f?aynes E-Mail:wrhaynes_pe@msn.com Phone #:828-962-7733 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2023 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water Tech. Lowell CERTIFIED LAB #: 50, 5082 PERSON(s) COLLECTING SAMPLES: Haynes, Dougherty 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). NPDES PERMIT NO.: NCO032867 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 09-2018 (September 2018) Outfa11002 - Effluent Comments: No flow observed during time operators were on site PERMIT VERSION: 5.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed 11 1 NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 OWNER NAME: Maliks International Inc ORC: Daniel James Dougherty GRADE: WW-4. ORC HAS CHANGED: No eDMR PERIOD: 08-2018 (August 2018) VERSION: 1.0 RES STATUS: Inactive r C� :Cleveland O C Q 20OC CERT NUMBER: 988573 CC-NTI'R t\L pI D OS��5 R5CEIVED NCDENR: )yyc wi� v(�1'�ATUS:Processed OCT 229 21:.:,. SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO WQR08 o Q E m 6 V 2 �' e u 12 F H a < d O - o E f - O Be - on O m E o a Z. 50050 00400 50060 C0310 C0610 Ivt r±tJVILL CO530 K! (il�y}6Nf�1.i;1 31616t 00 1 Weekly Weekly 2Xwe k Weekly Weekly Weekly Weekly Weekly Instantaneous Grab Gmb Gmb Gmb Grab Grab Gmb FLOW pA CHLORINE BOD-Cone NH3-N-Cone 155-Cone FCOLIBR OIL-CRSE 2400 clock If. 2400 clock Rn Y/B!N mgd 6u ug/1 mg/1 mg/1 mg/I #/100ml mg/l 1 1245 1.5 B 0.0022 7.1 <20 <2 <0.2 4.8 59 15.1 2 1215 1.25 B 0.002 <20 3 4 5 1030 1 Y 0.001 6 1030 1 Y 0.003 <20 7 I030 1 Y 0.002 8 1000 8 Y 0.0018 7.8 21 27.9 <0.2 10.8 315 <5.6 9 1815 1 Y 0.0012 to u 12 1030 1 Y 0.001 ' 13 1030 1 Y 0.0005 14 1030 1 Y 0.0005 I5 1245 1.5 B 10.001 7.6 <20 16A 0.23 4.3 44 <5.6 16 1700 1 B 0.0022 <20 17 Is 19 1030 1 Y 0.0015 20 1030 1 Y 0.001 21 1030 I Y 0.0005 22 0845 8 Y 0 17 <20 2.5 <0.2 4 <1 <5.6 23 I45 8 Y 0.001 <20 m 2526 I Y 0.001 27 0.5 Y 0.001 28 1030 1 Y 0.001 29 1230 6.5 Y 0.001 7.2 31 <2 <0.2 <2.5 8 <5.6 30 1500 1.5 B 0.001 21 31 Monthly Averse, Lima: 0.0145 30 7.9 30 200 30 Monthly A,R g. 0.001245 7.3 9.36 0.046 4.78 23.074965 3.02 Daffy Maximum: 0.003 7.8 31 27.9 0.23 10.8 315 15.1 Daffy minimnm: 0 7 0 0 0 0 0 0 i•NoReportingReason:ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation -Adverse Weather, NOFLOW=No Flow; HOLIDAY= No Visitation -Holiday ICE t NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 08-2018 (August 2018) PERMIT VERSION: 4.0 PERMIT STATUS: Inactive CLASS: WW-2 COUNTY: Cleveland ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES v G e U F 8 F' O O ' - g o 0 O a ii C Z 5a050 00400 C0530 005% 00070 Weekly Weekly 2 X month Weekly Weekly Estimate Grab Grab Grab Grab FLOW plf TSS-Cone OIL-GRSE TURBIDTY 2400 dock Hrs 2400 clock Firs YnUN mgd su mg/I mg/I me 1 2 3 4 5 6 7 8 9 10 Il 12 13 14 15 16 17 IB 19 20 21 22 23 24 25 26 27 28 29 30 31 Moodily Meeage Wmty 0005 30 hfonthiy A--ge. Wily Mi- Daily llfinimum• •***NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWT'HR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday t NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 08-2018 (August 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044775514 PERMIT STATUS: Inactive COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SUBMISSION DATE: 09/28/2018 09/28/2018 ORC/Certifier Signature: Daniel James D ugherty-Mail:dandougherty55@hotmail.com Phone #:704-477-5514 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of the NPDES permit. -.V. 09/28/2018 Permittec/Submitter Signature:*** William Ronald Haynes ffMail:wrhaynes_pe@msn.com Phone #:828-962-7733 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water Tech, Lowell CERTIFIED LAB #: 50,5082 PERSON(s) COLLECTING SAMPLES: Haynes, Dougherty 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). a NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 PERMIT STATUS: Inactive FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 08-2018 (August 2018) Outfafl 002 - Effluent Comments: No flow conditions while operators were on site CLASS: WW-2 COUNTY: Cleveland ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 07-2018 (July 2018) PERMIT VERSION: 4.0 CLASS:WW-2 G IEI ORC: Daniel James Dougherty r ORC HAS CHANGED: No S t I, u 5 2 O 1 8 VERSION: 1.0 CENTRAL RAL FILES DWR SECTION PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed 3 RECEIVED/NCDENR/DWR SEP �z ifl'i SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NOQROS MOORESVILLE REGIONAL OFFICE r ****NoReporting Reason; ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY -NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 07-2018 (July 2018) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES B F q s 8 a E 50059 00400 c01530 00556 00070 Wc&ly Wockly 2Xmonth Wee Wee Estimate Grab Grab Grab Grob mow PH ass•caae o11.ra1se 77JItDm7'f 2400No& H. 2400 dodo Hn Yen mgd sn M94 111911 ntu 1 2 3 4 5 6 7 9 9 10 11 12 13 14 1s 16 I7 is I9 20 21 22 23 24 25 26 27 29 29 30 31 Mou ft Av ge Ltuft 0.005 30 Ma WYAverage: D211y Mad._; Ddtyb1f f u.• i4*•NoReportiagReason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation —Holiday _..._ ., . �, � ..... , ,`.:'f .. a � NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 COUNTY: Cleveland OWNER NAME: Maliks International Inc ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 GRADE: W W-4. ORC HAS CHANGED: No eDMR PERIOD: 07-2018 (July 2018) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Comnliant CONTACT PHONE #: 7044775514 SUBMISSION DATE: 08/28/2018 /t-' 08/28/2018 L) 2,w, �, ORC/Certifier Signature: Daniel James Douehertv E-Mail: dandouehertv55(@.hotmail.com Phone #:704-477-5514 Date By this signature. I certify that this report is accurate and comnlete 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. Anv information shall be provided orallv within 24 hours from the time the nermittee 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 reauired by part H.E.6 of the NPDES hermit. 08/28/2018 Permittee/Submitter Signature:*** William RoAd Havnes E-Mail:wrhavnes ne(a.msn.com Phone #:828-962-7733 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certifv. under penalty of law. that this document and all attachments were nrenared under my direction or sunervision 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 directiv responsible for gathering the information. the information submitted is. to the best of my knowledge and belief. true. accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water Tech, Lowell CERTIFIED LAB #: 50, 5082 PERSON(s) COLLECTING SAMPLES: Haynes, Dougherty CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://Dortal.ncdenr.orv/web/wo/svm/t)slnt)des/forms. FOOTNOTES Use only units of measurement designated in the renortina 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 authoritv must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.: NC0032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 07-2018 (July 2018) Outfa11002 - Effluent Comments: No flow observed during the time Operators where on site PERMIT VERSION: 4,0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed 1.At N? ES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 06-2018 (June 2018) PERMIT VERSION: 4.0 PERMIT STATUS: Active RE CLASS: WW-2 1 V COUNTY: Cleveland ORC: Daniel James Dougherty A J UI G 06 2018 O'8 ORC CERT NUMBER: 988573 ORC HAS CHANGED: No CEO RECEIVED/NCDENR/DWR VERSION:2.0 DW I'Y�'L FILES STATUS: Processed - DW€� SECTION railfG 1i. 3 LE!l8 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE' N(f" MOORESVILLE REGIONAL OFFICE W u° O E O 0 1 o w - i ,x' 50050 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Grab Grab Grab Grab Grab Grab Grab FLOW PH CHLORINE ROD -Coo. NH3-N-C.- 1SS-Coo. FCOLI BR 011-GRSE 2400.1o.k H. 2400.N.k H. YAWN mgd all ug/1 mg/I -9/1 mgjl #/lo0mt mg/1 I 2 3 1030 1 Y 1 0.001 4 1030 1 Y 0.003 5 1745 1 Y 0.001 < 20 6 1245 1.25 B 0.0005 7.3 < 20 9.2 0.49 20 245 < 5.6 7 1030 1 Y 0.0015 8 9 10 1030 11 Y 0.0005 It 1030 1 Y 0.0005 12 1300 2 Y 0.001 13 1230 0.75 B 0.001 7.2 <20 14.7 0.38 8.5 8 6.8. 14 1330 0.75 B 0.0015 <20 15 16 17 1030 1 Y 0.001 Is 1030 1 Y 0.003 19 1800 2 Y 0.0005 20 1030 l B 0.0005 7 <20 12.8 <0.2 17.3 14 <5.6 21 1145 0.75 B 0.0005 < 20 22 23 24 1030 1 Y 0 25 26 1030 1.25 B 0.0005 7.3 <20 10.6 0.33 11.6 230 <5.6 27 1345 2.5 Y 0.0005 <20 28 1400 1.75 Y 0.0015 29 1030 I Y 0.001 30 Monthly A-ge L•m:r- OA145 30 79 30 200 30 Monthly A-W. 0.001025 0 11.825 03 1435 50.121953 1.7 Daily Maximum. 0.003 173 0 14.7 0.49 20 245 6.8 Daily Minanom: 0 7 0 92 to 8S 8 10 ****No Reporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation -Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation-Holiday S� NPSES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 06-2018 (June 2018) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 2.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES d o u Z o O o° O O ay ,'U' 50050 cam com 005% ONTO Weekly Weekly ZXmouth Weekly Weekly Pst®ate Grab Grab Gmb Gmb FLOW pH Tss-Cons OIL-GRSE TURRIDTY 2400 clock ark 2400 clock Hrs YRt/N I mgd su mg/l m9/1 utu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 is 19 20 21 22 23 24 15 16 27 28 29 30 Monthly Are WLima: 0.005 39 MunlhlyAvcr*ge: DaUy M*vmum: DaRy Mi®om: ****No Reporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY= No Visitation —Holiday NODES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 06-2018 (June 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 2.0 CONTACT PHONE #: 7044775514 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SUBMISSION DATE: 07/31/2018 X/OmftC�!/�1v 07/31/2018 ORC/Certifier Signature: Daniel James Dougherty E-Mail:dandougherty55@hotmail.com Phone #:704-477-5514 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of the NPDES permit. ./. 07/31/2018 Permittee/Submitter Signature:*** William Ronald HaynVs E-Mail:wrhaynes_pe@msn.com Phone #:828-962-7733 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water Tech, Lowell CERTIFIED LAB #: 50,5082 PERSON(s) COLLECTING SAMPLES: Haynes 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 'DES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 06-2018 (June 2018) Outfall 002 - Effluent Comments: No flow during the hours the operators were on site CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 2.0 COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAMEW : Kings Mountain Travel Plaza CLASS: W -2 m C®� �C: Cleveland OWNER NAME: Maliks International Inc ORC: Daniel James Dougherty JUL 0 8 Mf$ CERT NUMBER: 988573 v GRADE: W W-4. ORC HAS CB:ANGED: No RECEIVED/NCDENR/f WI? _ eDMR PERIOD: 05-2018 (May 2018) VERSION: 1.0 ' I`} !�� S S; Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NORos MOORESVILLE REGIONAL OFFICE ""No ReportingReason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY -NoVisitation —Holiday ..... . . ... . ....... q�n- n�,Wlj iur� g mhWy warmin 1 oil" 10 �':y "AGM J; PERMIT VERSION: 4.0 PERMIT STATUS: Acdvc ,SPDES PERMIT NO.: NCoo3zR67 TNTV: ( lrvnlan" WA(`LT.iTvNA1NF.•KinacMrnmtainTravnyr lPlnva .AC,C�WW-% `'11V80, ,•CERTNUMBBj�9hYP/NCUENR/LWR URC: Daniel James Dougherty OWNER NAME* Malikslntemationallnc ��� n � �Oto ORCAARI`AANfRD!Nn V 10 JUN 1 1 201F (:R ADF.! WW-d VF.RfiinNe 1 0 RTAT119! Pror1CRCCA PnMR PF.MaD!tlA-?o 1 R(April 7/II RI CEN kAL FILES DWR SECTION WQROS C A AiiDl il%Tr, 1 O-W� A 9PInXT. L'E:E�,1 1TVIAT'll' nl[Cf-LI A 0--V XT" an-' ITC% II17 �( ,REO ANAL OFFICE 9 E 6 a Eiga m 6 v G 50050 00400 50060 C0310 CG610 C0530 31616 00556 \Vicekl Weekly 2 X week Neckl Wcckl Neckly Wecl-1 Weekly lnstanlaneous Grab Grab Grab Grab Grab Grab Grab FLOW PH CHLORINE • BOD-Cane NH3-N-Cane T'SS-Cone FCOLI BR OIL-GRSE 2400 clock Ars 2400 clock Hre Y/&N mgd au uzfl rr19/1 m mg/I N/100ml m t 1030 1 Y 0.001 I 2 1030 1 Y 0.001 3 1030 1 Y 0.0005 4 1245 1.5 B 0.0005 7.1 <20 1 25.1 1.93 31 < 1 < 5.6 5 1215 1 B 0.0005 <20 6 I 7 I 5 1030 1 Y 0.001 I I 9 1030 1 Y 0.004 I 10 1030 1.5 Y 0.001 i <20 11 1945 1 Y 0.001 1 12 1015 1 B 0.002 72 <20 1 14.6 4.03 17.6 6 <5.6 13 I 14 1030 1 Y 0.0015 15 1030 1 Y 0.002 16 1030 1 Y 0.002 17 t030 I Y 0.004 <20 I 18 1230 1.5 B 0.0012 7.5 <20 I 26.9 1.14 17.2 24 <5.6 19 1500 1 Y 0.001 I 20 I 21 I 22 1030 1 Y 0.001 23 1030 2 Y 0.005 <20 24 1030 1 Y 0.004 i 25 1945 1.5 Y 0.0015 26 1315 0.75 B 0.001 7.3 <20 10.7 0.51 10.3 4 <5.6 27 L 28 I ri 1030 1 Y 0.0015 I 39 1 1000 1.5 Y 0.003 M-Ibly Average Limit. 0.0145 30 7.9 30 200 30 51amhly Average: 0.001791 i 0 19.325 1.9025 19.025 4.898979 0 Dairy Ma:imom: 0.005 7.5 I 0 26.9 4.03 31 24 0 Daly Mivimnm: 0.0005 7.1 I 0 10.7 0.51 10.3 0 0 '***NoReDortineReason: ENFRUSE=No Flow-Rcuse/Recvcle: ENVWTHR=No Visitation -AdverseWeather: NOFLOW=No Flow: HOLIDAY =NoVisitation -Holiday, I -4. NPDES PERMIT NO.: NCO032867 VAC,H.TTV NAME: Yinas Mmmtain Trnvol Plan OWNER NAME: Maliks International Inc C_RAT1P- WW-4 eDN R PF.T2TC)nr 04-701 R (Anil 701 R) PERMIT VERSION: 4_0 C.T.ARRe WW-7. ORC: Daniel James Dougherty ORC'. HAR CNANCEne NA VF.RRTONr 1 0 PERMIT STATUS: Active C'.OITNTVr C cvalanA ORC CERT NUMBER: 988573 RTATTTRr Prncascrfi CA X901F 11OTd- II (l!" A 9P1tr1hNT. Tr UT I TL'1VT "IrCtf''C1 A Dtf' V NT" . an" NTC% IIIIICC' Eff A D/- V * ' XT!! q 6 E 12 tJ E F o F H F < O m 0 O c O e p a a` Z 511050 00490 C0530 00556 00070 Wcekl Weckl 2Xmonth Weekly Weekly EstimateGrab Grab Grab Grab FLOW FR TSJ -Cone OLL GRSE TURBIDLY MOO clod' Um 2400 cock ire Y1wN mgd so mg/1 mgll ntLL 1 NOFLO W 2 NOFLOW 3 NOFLOW 4 NOFLOW 5 NOFLOW 6 7 a NOFLOW 9 10NOFLFOW NOFLOW 11 NOFLOW 12 NOFLOW 13 14 15 NOFLOW 16 NOFLOW 11 NOFLOW 1s NOFLOW 19 NOFLOW 20 i 21 'I 22 NOFLOW 23 1030 2 B 0.002 6.8 4.7 <5.6 4.8 24 NOFLOW 25 NOFLOW 26 NOFLOW 27 28 29 NOFLOW • - 30 NOFLOW ' Monthly Avenge limit: OA05 30 Monhly Average: 0.002 14.7 0 DaBy Marimom: 0.002 6.8 4.7 0 DAYMinimum: 0.002 6.8 4.7 0 "•°° No ReDortinL Reason: ENFRUSE =No Flow-Reose/Recvcle: ENVWTRR =No Visitation —Adverse Weather. NOFLOW =No Flow: TTOLTDAY=No Visitation - NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 04-2018 (April 2018) COMPLIANCE STATUS: Compliant ;k4o PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1_0 CONTACT PHONE #: 7044775514 C�a PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SUBMISSION DATE: 05/30/2018 ORC/Certifier Signature: William Ronald Haynes 6-Mail:wrha.vnes DeQ..msn.com Phone #:828-962-7733 By this signature. I certify that this report is accurate and complete to the best of my knowledge. '2018 Date 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 Dermittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of the NPDES permit. 05/30/2018 Permittee/Submitter Signature:*** Laeeq Kt -an E-Mail:kingsmountain85c email. com Phone #:717-729-0249 Date Petmittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted: Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief-, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech, Lowell CERTIFIED LAB #: 50,5082 PERSON(s) COLLECTING SAMPLES: Haynes PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting httD://vortal.ncdenr.ore/web/wo/swp/l)s/nvdes/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). 4 _ w NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR,PERIOD: 03-2018 (March 2018) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 RECEI11 EIT STATUS: Active LINTY: Cleveland MAY :� 2OR CERTNUMBER: 98MCE1VED/NCDENR/DWR CEN-FRAL FILES DWR SEC'T'SY'A�1rUS: Processed MAY 2 g ZO]g WQROs SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHXkWM1N©REGIONAL OFFICE _ E v' 9 E C o ii C 50050 00400 50060 CU310 C0610 C0530 31616 U0556 Weekly Weekl • 2 X week Weed Weekly Weekly )weekly Weekly llutammneons Grab Glub Grab Grab Grab Grab Giub FLOW pU C3ILORLCE DOD -Cone N1Li-N-Cone ffSS-Cone FCOL1 Da UIL-GHSF• 240Udock Un 2400 clack H. I Y/n/N mg.1 I Sa UgA m l m I mJl 41100011 mil 1 1345 1 B 0.002 <20 2 3 4 1030 1 1 Y 0.0005 5 6 1030 2 Y 0.001 7 1 1245 0.75 B 0.001 7.2 <20 19.5 13.6 24 2 <5.6 8 1230 1 B 0.0005 <20 9 1030 1 Y 0.0005 to 11 1030 I 1 Y 0.0005 12 1030 1 Y 0.001 13 1030 1 Y 0.001 14 1030 2 B 0.001 17.1 24 14.3 9.35 7 8 <5.6 15 1030 2.25 B 0.0015 <20 16 17 18 1030 1 Y 0.0005 19 1030 1 Y 0.0007 29 1030 I 1 Y 0.001 1145 1.5 B 0.001 7.5 < 20 18.8 8.95 31 27 < 5.6 22 14(X) I B 0.0005 7.4 < 20 12s21 23 1030 1 Y 24 1030 1 Y 0.0005 26 1000 1.5 Y 0.0005 27 1030 1 Y 0.0605 28 1145 Ls B 0.0005 7.1 <20 15.4 1.53 9.5 350 <5.6 29 1345 3 B 0.0605 <20 an a1 monthly Average i,imir. 0.0145 30 23 30 200 30 Monthly Alvngc: 0.000795 2.666667 17 93575 .7 PS119.719139 0 Way nm.[mum: 0.002 7.5 24 19.5 13.6 31 350 0 Dail Minimum: 0.01305 7.1 0 14.3 1.53 7 2 0 ****NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVVITHR=No Visitation -Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation-Holiday NPDES PERMIT NO.: NCO032967 FACILITY NANIE: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 03-2018 (March 2018) PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-2 COUNTY: Cleveland ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO A U - e u t± — E L 7 O E F E O o z O C c c 10" 00400 C0530 00556 00070 ee Wkly Weekly 2Ymonth Weekly Weekl Estimate Grab Grob Grab Grub FLU" pn Tss - Cone 014GRSE TURaIDTY 2400 eloek 1W 2411a clock 11rs Y/BN engd su Inli mg/1 mu 1 0.001 6.3 65 <5.6 16 NOFLOW 3 NOFLO"' 4 NOFLOW 5 NOFLOW 6 0.001 6.9 11 <5.6 12 7 NOFLOW 5 NOFLOW 9 NOFLOW 10 NOFLOW Il NOFLOW 1' NOFLOW 13 NOFLOW 14 NOFLOW 15 NOFLOW 16 NOFLO"' 17 NOFLOW is NOFLOW 19 NOFLOW 20 NOFLOW �1 NOFLOW 22 N011LOW 23 NOFLOW 24 NOFLOW 25 NOFLOW 26 NOFLOW 27 NOFLO3P 2s NOFLOW 29 NOFLOW 30 NOFLOW 31 NOFLOW .. Momhiy Average Limlr. 6.005 30 Monthly Average U 001 39 0 14 Daily N1.,1.om: 0.001 6.9 65 0 16 Deily Minimum: 0. 0111 16.8 11 0 12 ****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday J NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 03-2018 (March 2018) COMPLIANCE STATUS. Non -Compliant PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044775514 J_(_ ORC/Certifier Signature: Gillian Ronald PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SUBMISSION DATE: 04/29/2018 04/27/2018 aynes E-Mail:wrhaynes_pe@msn.com Phone #:828-962-7733 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. r Pat, (kk V_� 04/29/2018 Perm ittee/Submitter Signature:*** Laeeq Khan E-Mail:kingsmountain85@gmail.com Phone #:717-729-0249 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech, Lowell CERTIFIED LAB #: 50,5082 PERSON(s) COLLECTING SAMPLES: Ron Hayncs PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.nedenr.org/web/wgfswp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. No .Plow/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.: NCO032867 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 COUNTY: Cleveland OWNER NAME: Maliks International Inc ORC: Daniel James Dougherty ORC CERT NUMBER: 998573 GRADE: WW-4. ORC HAS ChLANGED: No eDMR PERIOD: 03-2018 (March 2018) VERSION: 1.0 STATUS: Processed Repon Comments: Leak in a fitting on Outfall 002 piping allowed stormwater direct entry into effluent pipe without traveling through the oil/water separator. Fitting was replaced by maintenance worker. OF UES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WWA. eDMR PERIOD: 02-2018 (February 2018) PERMIT VERSION: 4.0 RECEIVEl�PERMIT STATUS: Active 3 CLASS: WW-2 /COUNTY: Cleveland ORC: Daniel James Dougherty MAY 0 3 2018 ORC CERT NUMBER: !Pgp--r=IVED/NCDENR/DV! R ORC HAS CHANGED: No CENTRAL FILES VERSION:2.0 DWR SECTION STATUS: Processed fVlAY 14 2018 WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCH6AW:,ML1TQQI0NAL OFFICE A H e U F M E m F P a O C F O PC2 O Cr ,Za 50050 OM00 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2 X week Weekly Weekly Weekly Weekly Weekly Instantaneous Grab Grab Grab Gmb Grab Grab Grab FLOW pH CHLORINE HOD -Cane NH3-N-Coat 1SS-Coat FCOW BR OILl.RSE 2400 clock I H. 2400 clock I H. Y/B/N mgd su ug/1 I mg/1 me mg/1 ii/100ml m9/1 1 1015 2.25 B 0.002 7.9 <20 26.6 14.4 13.2 <I <5.6 2 1100 4 Y 0.0025 3 4 5 1400 2.75 B 0.002 8 < 20 6 1030 1 Y 0.002 7 1345 525 Y 0.003 8 0945 4.75 B 0.002 <20 9 1030 2.5 Y 0.003 26.7 13.5 19 2 <5.6 10 11 1030 1 Y 0.002 12 1545 1.5 B 0.003 13 1030 1 Y 0.003 14 1215 1 B 0.002 7.9 <20 39.6 15.4 10.8 2 <5.6 15 1000 1.75 B 0.002 <20 16 17 1030 1 Y 0.0025 is 1030 1 Y 0.002 <20 19 1030 1 Y 0.001 20 1030 1 Y 0.0015 22 1200 1.75 B 0.001 7.6 <20 39.5 9A5 33 <I <5.6 22 1500 1.5 Y 0.002 23 24 25 1030 1 Y 0.003 26 1545 1 Y 0.0015 27 1715 125 B 0.001 7.7 <20 35.9 17.4 16.5 4 <5.6 2s 1645 1 1 Y 1 0.0015 Monthly Average Limit: 0.0145 30 23 30 200 30 Monthly Average' 0.002068 0 33.46 14.03 18.5 1.741101 0 Daily Madmum: 0.003 8 0 39.5 17.4 33 4 0 Da0y Mlatmam: 0.001 7.6 0 26.6 9.45 10.8 0 0 ****NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle: ENVWTHR=NoVisitation - Adverse Weather; NOFLOW=No Flow: HOLIDAY =No Visitation -Holidav PDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 02-2018 (February 2018) PERM T VERSION: 4.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 2.0 Report Comments: Low solids in aeration - Plant restarted with new ORC this month - Operators seeded plant for new MLSS growth. PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed DES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 02-2018 (February 2018) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 2.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE: NO [+ e E = o_ u w E O y O o O gg � k 50M moo C0530 00556 M70 Weekly Weekly 2Xmonth Weekly Weekl rslimme Grab Grob Grab Gmb FLOW PH Tss-Cone 014GRSE TURDIDTY 2400 dock Hn 2400 dodo H. Y/R/IV m d 50 me mg/i ntu I NOFLOW 2 NOFLOW J NOFLOW 4 NOFLOW 5 NOFLOW 6 NOFLOW 7 0.001 6.7 <5.6 31 s NOFLOW 9 NOFLOW 10 NOFLOW 11 NOFLOW 12 NOFLOW 13 NOFLOW 14 NOFLOW 15 NOFLOW 16 NOFLOW 17 NOFLOW IS NOFLOW 19 NOFLOW 20 NOFLOW 21 NOFLOW 22 NOFLOW 27 NOFLOW 24 NOFLOW 25 NOFLOW 26 NOFLOW 27 NOFLOW 29 NOFLOW Monthly Avenge tAtuld 0105 30 Monthly Avenge: 0.001 0 31 Dolly Madmom: 0.001 6.7 0 31 Daily Minimum: 0.001 63 0 31 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle: ENVWTHR=No Visitation— Adverse Weather. NOFLOW =No Flow: HOLIDAY =No Visitation —Holidav rDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 02-2018 (Febmary 2018) Outfall 002 - Effluent Comments: PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 2.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed Operator error resulted in no TSS analysis for 2/7/18 sample. Operators checked outfa11002 at the same time as plant visits PDES PEP -AM MNO.: NCO032867 FACH 11 NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W4. eDMR PERIOD: 02-2018 (February 2018) COMPLIANCE STATUS: Non -Compliant yt i PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 2.0 CONTACT PHONE #: 7044775514 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SUBMISSION DATE: 04/04/2018 ORC/Certifier Signature: William Ronald Haynes VE-Mail:wrhaynes_pe@msn.com Phone #:828-962-7733 By this signature, I certify that this report is accurate and complete to the best of my knowledge. 04/04/2018 Date The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit 04/04/2018 Permittee/Submitter Signature:*** Laeeq Khan E-Mail:kingsmountain85@gmail.com Phone #:717-729-0249 Date Permittce Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief; true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water Tech, Lowell CERTIFIED LAB #: 50,5082 PERSON(s) COLLECTING SAMPLES: Ron Haynes CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.nedenr org(webAvq/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.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 02-2018 (February 2018) PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: W W-2 r F C'p V E N.=sa COUNTY: Cleveland ORC: Daniel James Dougherty APR g 2 2018 ORC CERT NUMBER: 988573 ORC HAS CHANGED: No a RECEIVEDINCDENR/DWR VERSION: 1.0 C�1''''E5��/%rr(k�J 1 f" h[6 i+ yIf I L�/ 8 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NftRos MOORESVILLE REGIONAL OFFICE e E F n e u C � y o` 00 O m o a a ;R 50050 OD400 W60 C0310 C0610 C0530 31616 00556 Weekly Weekly 2 X week Weeklyekly Weekly We Weekly Weekly Instantaneous Crab Grab Grab Grab Grab Grab Grab FLOW pH CHLORINE ROD -Cons NH3-N-Coat 15S-Cone FCOLI BB OH.GRSE 2400 clack Him 2400 clock H. YIBIN mgd 511 u94 mg/I mg/1 mg/1 is/1001111 m9f1 1 1015 225 B 0.002 7.9 <20 26.6 14.4 13.2 <I <5.6 2 1100 4 Y 0.0025 3 4 5 1400 2.75 B 0.002 8 < 20 6 1030 1 Y 0.002 7 1345 525 Y 1 0.003 S 0945 4.75 B 0.002 <20 9 1030 2.5 Y 0.003 26.7 13.5 19 2 <5.6 10 11 1030 1 Y 0.002 12 1545 1.5 B 0.003 13 1030 1 Y 0.003 14 1215 1 B 0.002 17.9 <20 38.6 15.4 10.8 2 <5.6 15 1000 1.75 B 0.002 <20 16 17 1 1030 1 Y 0.0025 10 1030 I Y 0.002 <20 19 1030 1 Y 0.001 20 1030 1 Y 0.0015 21 1 1200 1.75 B 0.001 7.6 <20 39.5 9.45 33 <I <5.6 22 1500 1.5 Y 0.002 23 24 2s 1030 1 Y 0.003 26 1545 1 Y 0.0015 27 1715 125 B 0.001 7.7 <20 35.9 17.4 16.5 4 <5.6 28 1645 1 Y 0.0015 Monthly Average Limit: 0.0145 30 23 30 200 30 Monthly Average: 0.002068 0 33.46 14.03 18.5 1.741101 0 Daily Madmam. 0.003 8 0 39.5 17.4 33 4 0 Dally Minimum: 0.001 - 7.6 0 26.6 9.45 10.8 0 0 ****No Reporting Reason:ENFRUSE=No Flow-ReusdRmycle; ENVWTHR=No Visitation- Adverse Weather, NOFLOW=No Flow; HOLIDAY=No Visitation-Holidav NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW4. eDMR PERIOD: 02-2018 (February 2018) CLASS: WW-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1.0 COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO A 6 2 e [J F E s ? O ig m O g O ° 4 Z Sam moo C0530 00556 00070 Weekly Weekly 2Xmonth Weekly Weekly Estimate Grab Grab Gmb Grab FLOW pH TSS-Come OIL-GRSE TURBEITY 2400 clock Hu 2400 Nock I Hra YIB/N I m d an mg/l mg/1 ntu 1 NOFLOW 2 NOFLOW 3 NOFLOW 4 NOFLOW 5 NOFLOW 6 NOFLOW 7 1500 2 B 0.001 6.7 20 <5.6 14 8 NOFLOW 9 NOFLOW 10 NOFLOW 11 NOFLOW 12 NOFLOW 13 NOFLOW 14 NOFLOW 1s NOFLOW 16 NOFLOW 17 NOFLOW 18 NOFLOW 19 NOFLOW 20 NOFLOW 21 NOFLOW 22 NOFLOW 23 NOFLOW 24 NOFLOW 25 NOFLOW 26 NOFLOW 27 NOFLOW 28 NOFLOW Monthly Avenge Limit- 0.005 30 Monthly Average: 0.001 20 0 14 Daley Ara:imnm. 0.001 6.7 20 0 14 Dane A1lnimam: 0.001 6.7 20 0 14 "•'NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks Intemational Inc GRADE: W W-4. eDMR PERIOD: 02-2018 (Febnrary 2018) COMPLIANCE STATUS: Non -Compliant PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Daniel James Dougherty ORC HAS CHANGED: No VERSION: 1_0 CONTACT PHONE #: 7044775514 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 988573 STATUS: Processed SUBMISSION DATE: 03/30/2018 Iy �y-QC✓� D%� 03/30/2018 ORC/Certifier Signature: William Ronald Haynes E-Mail:wrhaynes_pe@msn.com Phone #:828-962-7733 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. /-% 03/30/2018 Permittee/Submitter Signature:*** Laeeq Khan E-Mail:kingsmountain85@gmail.com Phone #:717-729-0249 Date Pemuttee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water Tech, Lowell CERTIFIED LAB #: 50,5082 PERSON(s) COLLECTING SAMPLES: Ron Haynes 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). NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 02-2018 (February 2018) PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-2 COUNTY: Cleveland ORC: Daniel James Dougherty ORC CERT NUMBER: 988573 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed Report Comments: Low solids in aeration - Plant restarted with new ORC this month NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 OWNER NAME: Maliks International Inc ORC: W Ronald Haynes GRADE: W W-4 ORC HAS CHANGED: No eDMR PERIOD: 11-2017 (November 2017) VERSION: 1.0 PERMIT STATUS: Active 7 i - .COUNTY: Cleveland 3' APR h 0 rC CERT NUMBER: 995211 L41 IU RECEIVED/tvCCENR/DWR �+``I�1 I f j1A!_ FI( TUS: Processed SE-CT10i� SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: N0fQROS MOORESVILLE REGIONAL OFFICE A 8 H s - 9 U E 1 E - .2 F a g = 0° O - UU O o 04 X 50050 00400 sow C0310 C0610 C0530 31616 00556 Weekly Weekly 2 X week Weekly Weekly Weekly Weekly Weekly Instantaneous Grab Grab Grab Grab Grab Grab Grub FLOWPH CBIARINE BOD-Cone NH3-N-Cooe TSS-Cone FCOII6R OI4GRSE 2400doek Hes 2400 elo k Hn WRIN m d so ug/l mg/l mg/1 mg/l #/loom] mg/l 1 1230 45 B NOFLOW 2 1000 4.5 Y NOFLOW 3 1400 1.5 Y NOFLOW 4 NOFLOW 5 0930 2 B 0.001 6 1600 0.75 Y 0.001 7 1530 OS Y 0.001 <20 8 9 ills 8 y 0.001 72 <20 17 162 6.9 18.33 <5.4 to 1130 0.5 Y 0.001 u 12 0830 1 Y 0 13 14 1715 025 Y 0.0005 <20 I5 1200 1.5 Y 0.0005 7.1 <20 15 24.2 6.1 <2 <6.9 16 1000 12 B 0.001 17 0930 2 B 0.0005 18 19 1100 1 Y 0.001 20 1600 1 Y 0.001 21 1630 0.5 Y 0.0015 22 0930 0.75 Y 0.0005 7.5 <20 15 30.2 13 <2 7.7 23 1230 1.5 B 0.0005 <20 24 25 26 1430 0.75 Y 0.001 27 28 0730 05 Y 0.001 <20 29 1000 0.5 Y 0.001 75 <20 10 37.8 6.5 91.67 5.7 30 1545 0.75 Y 0.0005 Mootbly Avenge Lhntn OA145 30 Z3 30 200 30 Monthly Avenge: 0.000816 0 14.25 27.1 8.125 6.402468 3.35 Daily M..I m 0.0015 7.5 10 17 37.8 13 91.67 7.7 Dolly Mlnlmnm: 0 Zl 0 10 16.2 6.1 0 0 "'*NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather, NOFLOW =No Flow; HOLIDAY =NoVisitation -Holiday NPDES PERMIT NO.: NCO032867 PERMIT STATUS: Active FACILITY NAME: Kings Motmtain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4 eDMR PERIOD: 11-2017 (November 20I7) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: W Ronald Haynes ORC HAS CHANGED: No VERSION: 1.0 COUNTY: Cleveland ORC CERT NUMBER: 995211 STATUS: Processed SAMPLING LOCATION: F,FFI.ITFNT DISCHARGE NO,: 002 NO DISCHARGE*- VVIS A F 4 - e U 6 e u F 2 Z E g 6 F E` O d a O 0 ii z x 50050 00400 C0530 00556 00070 Weekly Weeldy 2X month Weekly Week) Estimate Crab Grab Grab Grab FIAW pH INS -Cone OIL-GRSE TURBmTY 7.400 clock Hrs 2400 clock I Hrs Y/BIN mgd so mgli mg/l ntu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 is 19 20 21 22 23 24 25 26 27 2S 29 30 MaotNy Average I3mit: 0.005 30 Monthly Average: Daily Mo.!.—: Daily Minlmnm: as"" No Reporting Reason; ENFRUSE = No Flow-Reuse/Recycle. ENV WTHR = No Visitation — Adverse Weather. NOFLOW = No Flow; HOLIDAY = No Visitation — Holidav NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4 eDMR PERIOD: 11-2017 (November 2017) COMPLIANCE STATUS: Non -Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: W Ronald Haynes ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8289627733 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 995211 STATUS: Processed SUBMISSION DATE: 03/30/2018 ✓�.�- �%Gu.c,Qis� DID 03/30/2018 ORC/Certifier Signature: William Ronald Haynes E-Mail:wrhaynes_pe@msu.com Phone #:828-962-7733 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 03/30/2018 Permittee/Submitter Signature:*** Laeeq Khan E-Mail:kingsmountain85@gmai1.com Phone #:717-729-0249 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: PAR, LOWELL CERTIFIED LAB #: PAR, 5082 PERSON(s) COLLECTING SAMPLES: PAR, Haynes CERTIFIED LABORATORIES 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/forTns. 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 pemtittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.: NC0032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4 eDMR PERIOD: 11-2017 (November 2017) Report Comments: RAS malfunction and low MLSS PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: W W-2 COUNTY: Cleveland ORC: W Ronald Haynes ORC CERT NUMBER: 995211 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed NPDES PERMIT NO.: NC0032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4 eDMR PERIOD: 11-2017 (November 2017) Outfall 002 - Effluent Comments: PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: W W-2 COUNTY: Cleveland ORC: W Ronald Haynes ORC CERT NUMBER: 995211 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed No flow from outfall 002, Site was checked during same visits as outfall 001. NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 FACILITY NAME: Kings Mountain Travel Plaza CLASS: WW-2 OWNER NAME: Maliks International Inc ORC: W Ronald Haynes GRADE: WW-4 ORC HAS CHANGED: No DMR PERIOD: 10-2017 (October 2017) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 995211 STATUS: Processed e - wQ,R0S hr,OORESVILLR R -GION L OFFICE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO E u E e (• e E - $ � O _ O e O z o 50050 Instantaneous c� Z 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Gmb Grab Gmb Grab Grab Grab Grab FLOW PH CHLORINE BOn-Coot �7I3-N-Cant 1'SS-Cone FCOLI BR O11�GRSE 2400 clock 11m 2400 clock nn YIBIN mga s0 u911 mg/I m9(1 mg/I #1100m1 mg/I t 1400 1.5 Y 0.001 z 3 1045 25 Y 0.001 4 1030 9.75 Y 0.002 <20 5 1015 1.5 1 Y 0.002 17.1 < 20 4 9.81 4.8 81.67 < 6.3 6 1015 1.25 Y 0.005 7 a 1530 1 Y 0.001 9 10 1630 1 Y 0.001 11 1230 8 Y 0.002 <20 12 1330 1 Y 0.001 7.1 <20 7 8.66 4.1 78.33 <6.4 1745 0.75 Y 0.001 F 17151100 0.75 Y 0.001 73 <20 5 15.4 5.4 73.33 <6 18 0930 9 B 0.001 19 1100 1 Y 0.001 <20 20 1330 1 Y 0.001 21 22 23 1130 0.75 Y 0.001 24 0945 0.75 Y 0.005 <20 25 1230 5.5 B 0.003 26 1115 5 Y 0.002 7 <20 6 16 5.8 5 <5.9 27 1030 1 B 0.001 28 29 30 1800 OS Y 0 31 1630 0.75 Y 0 M1fooNly AveroSe limit: 0.0I45 30 79 30 200 30 Monthly Avenge 0.001571 0 55 12.4675 5.025 39.134572 0 oa;ly3m:lmom: 0.005 73 0 7 �-8.66 16 5.8 81.67 0 Daly 31mimom: 0 7 0 4 4.1 5 0 x##°No Reporting Reason: ENFRUSE=NoFlow-Reuse/Recycle;ENVW"1t-tR=Novlsltatlon-naverseweaulc,Lvr.v..-.. ,. ,,............-..-.---_.- __ NPDES PERMIT NO.: NCO032867 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4 eDMR PERIOD: 10-2017 (October 2017) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: W Ronald Haynes ORC HAS CHANGED: No VERSION: 1.0 COUNTY: Cleveland ORC CERT NUMBER: 995211 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES v a E m =_ E u fi E" e` u' F' B r s o u O _ m O e a a O 0 U o: O 50050 o Z OWN C0530 00556 00070 Weekly Wcekly 2Xmonth Weekly Weekly Fstimate Grab Grab Grab Grab PLOW pp TSS-Cons OI4GRSE TIIRBiDTY 2400 clock nrs 2400 clock pn YB/N mgd Su mgtl m9/1 ntu 1 2 3 4 5 6 7 8 9 10 I1 12 13 14 is l6t17 18 l9 20 21 22 23 24 25 26 27 28 29 30 31 31baf6ly Average Li nif: 0.005 30 ManW1y Average: party 3favmum• Dailyblinimum: ****No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=NO Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4 eDMR PERIOD: 10-2017 (October 2017) COMPLIANCE STATUS: Non -Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: W Ronald Haynes ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8289627733 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 995211 STATUS: Processed SUBMISSION DATE: 02/28/2018 t� 02/27/2018 ORC/Certifier Signature: William Ronald Haynes E-Mail:wrhaynes_pe@msn.com Phone #:828-962-7733 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 rime -table for improvements to be made as required by part II.E.6 of the NPDES permit. 1 02/28/2018 Permittee/Submitter Signature:*** Laeeq Khan E-Mail:kingsmountain85@gmail.com Phone #:717-729-0249 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: PAR Laboratories, Inc. ,Lowell WWTP (field) CERTIFIED LAB #: 20, 5082 PERSON(s) COLLECTING SAMPLES: Haynes 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). NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 OWNER NAME: Maliks International Inc ORC: W Ronald Haynes GRADE: WW-4 ORC HAS CHANGED: No eDMR PERIOD: 10-2017 (October 2017) VERSION: 1.0 Report Comments: NH3 monthly limit exceeded due to loss of solids from defective RAS PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 995211 STATUS: Processed NPDES PERMIT NO.: NCO032967 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4 eDMR PERIOD: 10-2017 (October 2017) Outfall 002 - Effluent Comments: PERMIT VERSION: 4.0 CLASS: WW-2 ORC: W Ronald Haynes ORC HAS CHANGED: No VERSION: 1.0 No flow from outfall 002. Site was checked during same visits as outfall 001 COUNTY: Cleveland ORC CERT NUMBER: 995211 STATUS: Processed NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 OWNER NAME: Maliks International Inc ORC: W Ronald Haynes GRADE: WW-4 ORC HAS CHANGED: No eDMR PERIOD: 09-2017 (September 2017) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 995211 e z=cF-iVC D � N R / D WR STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: N01 [M7CF r" S`J(LL i;t�GIONI3L OFFICE a E d m 6 E U E - U F' E F 4 O ui _"E E d O on O c a x 50050 00400 50060 C0310 C0610 Cos" 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instmtaneous Grab Gmb Gmb Gmb Gmb Gmb Grab FLOW PH CHLORINE BOD-Cone NH3-N-Cone TSS-Cane FCOLI BR OI/lGRSE 2400 clock Hm 2400 clock I llrs Y/B/N mod m ug/l mg/l mg/l I mg/I #/100ml mg/l 1 2 3 4 5 6 1030 2 Y 0.001 <20 7 1000 11.5 1 Y 0 S 1000 1 Y 0.001 6.4 <20 14 3.58 4 41.67 <6.1 9 10 1245 1 Y 0.002 11 1230 I Y 0.001 12 1245 1.75 B 0.0015 l3 1130 1 Y 0.001 7.2 <20 14 1015 1.25 Y 0.002 7.1 25 6 0.69 7.4 21.67 <6.1 15 16 17 18 1845 1 Y 0.0015 19 1730 1.25 Y 0.002 20 1200 10 Y 10.001 <20 21 0945 2 Y 0.003 7.2 < 20 5 0.23 3.7 83.33 < 6.1 22 1000 1 B 0.001 23 24 I100 1 Y 0.001 25 26 1100 1.5 Y 0.001 27 1000 11 Y 0.001 <20 28 1015 2.5 Y 0.0025 7 <20 2 0.53 < 2.5 100 < 6.6 29 1430 1 Y 0.002 30 Monthly Avenge Limit 00145 30 79 30 200 30 MonthlyA-age: 0.001417 3.125 4.25 12575 3.775 152.374628 0 Daily Maximum: 0.003 72 25 6 3.58 7.4 100 0 WHY Minimum: 0 16.4 0 12 023 0 21.67 0 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather, NOFLOW=No Flow; HULLUAY=NO V1Slrallon-tiontlay NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4 eDMR PERIOD: 09-2017 (September 2017) PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: W W-2 COUNTY: Cleveland ORC: W Ronald Haynes ORC CERT NUMBER: 995211 ORC HAS CHANGED: No VERSION• 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES E F _ E e Z <` O OC E F• O v: o O m aeo c x 50M 00400 co530 00556 W070 weekly Weekly 2 X month weekly weekly Estimate Grab Grab Grab Grab FLOW pit T55-Cone OI4GRSE TURBIDTY 2400 clock H. 2400 clock H. WRIN mgd sit mg/1 mgtl utu 1 2 3 4 5 6 7 8 9 10 II 12 13 14 LS 16 17 la 19 20 21 22 23 24 25 26 27 28 29 30 MootNy A—ge Limit: 0A4.9 30 DloaWly Average: Daily Maiimum• na0y Miokuum• ****NoReportingReason:ENFRUSE=NoFlow-Reuse/Recycle; ENVWTIIR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =No Visitation — nonuay NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4 eDMR PERIOD: 09-2017 (September 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: W Ronald Haynes ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8289627733 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 995211 STATUS: Processed SUBMISSION DATE: 02/28/2018 02/27/2018 ORC/Certifier Signature: William Ronald Haynes E-Mail:wrhaynes_pe@msn.com Phone #:828-962-7733 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. 121 02/28/2018 Permittee/Submitter Signature:*** Laeeq Khan E-Mail:kingsmountain85@gmail.com Phone #:717-729-0249 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: PAR Laboratories, Inc., Lowell WWTP (field) CERTIFIED LAB #: 20,5082 PERSON(s) COLLECTING SAMPLES: Ron Haynes 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/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 .0506(b)(2)(D). NPDES PERMTI' NO.: NC0032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4 eDMR PERIOD: 09-2017 (September 2017) Outfall 002 - Effluent Comments: PERMIT VERSION: 4.0 CLASS: WW-2 ORC: W Ronald Haynes ORC HAS CHANGED: No VERSION: 1.0 No flow from outfall 002. Site was checked during same visits as outfall 001 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 995211 STATUS: Processed NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 OWNER NAME: Maliks International Inc ORC: W Ronald Haynes GRADE: WW4 ORC HAS CHANGED: Yes eDMR PERIOD: 08-2017 (August 2017) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 995211 STATUS: Processed lr1�7. t"' J SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*t_E r;�c,��., o=rIcE G E F m E U' E E u f- E F G O m F e O rn u O a Z 50050 00400 SM60 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Gmb Grab Grab Grab Grab Grab Grab FLOW PH CHLORINE ROD -Cone NIMN-Cone 7SS-Cone FCOLI BR OIL-GRSE 2400 clock 11. 2400 clock Hrs YBIN I mgd su u9/1 mg/I m9/1 m9/1 #/100m1 mg/l t 2 3 1500 2 Y 0.001 <20 4 1115 2 Y 0.001 17A 42 11 58 23 8033 26 5 6 7 1500 0.5 Y 0.002 s 9 1100 6 Y 0.003 <20 10 1030 1.5 Y 0.001 7 <20 11 38.4 21 <1 <6.6 1 12 13 14 15 16 1000 7 Y 0.0015 <20 17 1000 12 Y 1 0.001 6.9 <20 8 32.8 11 6833 <6.9 18 19 20 21 1 1000 3.5 Y 0.002 22 23 1000 6 Y 0.002 6.2 <20 8 363 12 5833 <53 24 1200 1.75 Y 0.001 <20 25 26 27 28 1900 1.25 Y 0.002 29 1545 2 Y 0.001 6.7 <20 39 1445 135 Y 0.001 6.1 22 31 1 1115 2.25 ly 1 0.006 9 22.2 9 18.33 <6.4 Monthly Avcmge hair 0.0145 30 7-9 30 200 30 hloothly Avccagc: 0.001821 6.4 9.4 37.54 15.2 22.579209 52 Doily Nia.ion- 0.006 7.4 42 11 58 23 8033 26 Daily Minimum: 10.001 16.1 10 18 222 9 10 10 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation -Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4 eDMR PERIOD: 08-2017 (August 2017) PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-2 COUNTY: Cleveland ORC: W Ronald Haynes ORC CERT NUMBER: 995211 ORC HAS CHANGED: Yes VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES d E F � d m d O' o a ,2°, 50050 00400 C0530 00556 00070 Weekly Weekly 2Xmonth Weekly Weekly Estimate Grab Grab Grob Grab FLOW pn TSS-core OnIGRSE TURBIDTY 2400 clock Hrs 2400 clock H. YBIN mgd so mg/1 m9/1 ntu 1 2 3 4 5 6 7 8 9 10 I 12 13 14 l5 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Monthly Average Limit: 0.005 30 Monthly Average: Daily Ma.fmum• Daily Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4 eDMR PERIOD: 08-2017 (August 2017) COMPLIANCE STATUS: Non -Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: W Ronald Haynes ORC HAS CHANGED: Yes VERSION: 1.0 CONTACT PHONE #: 8289627733 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 995211 STATUS: Processed SUBMISSION DATE: 02/28/2018 'W 02/27/2018 ORC/Certifier Signature: William Ronald Haynes -Mail:wrhaynes_pe@msn.com Phone #:828-962-7733 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. tr 02/28/2018 Permittee/Submitter Signature:*** Laeeq Khan E-Mail: kingsmountain85@gmail.com Phone #:717-729-0249 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: PAR Laboratories, Inc., Lowell W WTP (field) CERTIFIED LAB #: 20,5082 PERSON(s) COLLECTING SAMPLES: William Haynes 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). NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza CLASS: WW-2 COUNTY: Cleveland OWNER NAME: Maliks International Inc ORC: W Ronald Haynes ORC CERT NUMBER: 995211 GRADE: WW-4 ORC HAS CHANGED: Yes eDMR PERIOD: 08-2017 (August 2017) VERSION: 1.0 STATUS: Processed Report Comments: Plant has equipment failures due to lack of maintenance in the past. Operators spent extra hours during select days to repair equipment. NPDES PERMIT NO.: NC0032867 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4 eDMR PERIOD: 08-2017 (August 2017) Outfall 002 - Effluent Comments: PERMIT VERSION: 4.0 CLASS: WW-2 ORC: W Ronald Haynes ORC HAS CHANGED: Yes VERSION: 1.0 No flow from outfall 002. Site was checked during same visits as outfall 001 COUNTY: Cleveland ORC CERT NUMBER: 995211 STATUS: Processed NPDES'PERMIT NO.: NCO032867 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza t OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 07-2017 (July 2017) PERMIT VERSION: 4_0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon I �ie R ORC HAS CHANGED: No S VERSION: 1.0 FEB 0 5 2018 COUNTY: Cleveland ORC CERT NUMBER: I MCEIVED/ IC-DENR/DllIR STATUS: Processed WQROS Lid l 6�A\L FILES MOORESVILLE REGIONAL OFFICE SAMPLING LOCATION: EFFLUENT DISC CIA Z IINQ.: 001 NO DISCHARGE*: NO A e ci F u F e E O O 1 O o z O a 1. a 1 2 50050 00400 50060 C0310 C0610 C0530 31616 005M 00010 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Grab Grab Grab Gab Grab Grab Grab Calculated FLOW pH CHLORINE BOD-Con. NH3-N-Cone TSS-Can, FCOLI BR 011-GRSE TEMP-C 2400 clock H. 2400 clock H. Y/BM mgd su ug/I mg/l mg/I mg/1 9/100ml mg/1 deg c 1 2 3 1209 0.25 Y 4 HOLIDAY 5 1100 0.25 Y 1 0.001 6.8 34 15.1 6.1 6.2 < I < 5.6 27 6 1300 0.25 B 7 1025 0.25 Y <20 8 9 10 1200 0.33 Y 11 1 1100 0.25 Y 12 1130 0.33 Y 0.001 7 30 4.8 8.95 12 < I < 5.6 28 13 1405 0.25 B 14 1020 0.25 Y < 20 15 16 17 1130 0.25 Y 18 1305 0.25 B 19 ills 0.25 Y 0.001 6.5 30 7.8 7.2 21.3 <1 <5.6 30 20 1235 0.25 B 21 1030 0.25 Y 33 22 23 24 1350 0.25 Y 25 0810 0.25 B 26 1200 0.33 Y 0.001 6.8 33 6.7 3.6 17.5 < 1 < 5.6 26 27 1205 0.25 B 28 1000 0.25 Y 139 29 30 31 1148 0.25 Y Monthly Average Limit: 0.0145 30 7.9 30 200 30 6louthly Average: 0.001 1 124.875 8.6 6.4625 14.25 1 0 27.75 Daily Maximum: 0.001 7 39 115.1 18.95 121.3 10 10 30 Daily Minimum: 0.001 6.5 0 4.8 3.6 6.2 0 0 26 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- AdverseWeadier; NOFLOW=No Flow; HOLIDAY=NoVisitation- Holiday NPDES`PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza c OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 07-2017 (July 2017) PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-2 COUNTY: Cleveland ORC: Dustin Kyle Metreyeon ORC CERT NUMBER: 11697 ORC HAS CHANGED. No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) u q E U E a F B O m O c o U O e 0.q z 2400 clack H. 2400 Nock H. Y/B/N 1 2 3 1209 0.25 Y 4 HOLIDAY 5 1100 0.25 Y 6 1300 0.25 B 1025 10.25 Y 8 9 to 1200 0.33 Y 1t 1100 0.25 Y 12 1130 0.33 Y 13 1405 0.25 B 14 1 1020 0.25 Y 15 16 17 1130 0.25 Y i8 1305 0.25 1 B 19 1115 0.25 Y 20 1235 0.25 B 21 1030 0.25 Y 22 23 24 1350 0.25 1 Y 25 0810 0.25 B 26 1200 0.33 Y 27 1205 0.25 B 28 100o 0.25 Y 29 30 31 1148 0.25 Y Monthly Average Limit: Monthly Average: Daily Maximum: Daily Minimum: ****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza CLASS: WW-2 COUNTY: Cleveland OWNER NAME: Maliks International Inc ORC: Dustin Kyle Metreyeon ORC CERT NUMBER: 11697 GRADE: WW-4. ORC HAS CHANGED: No eDMR PERIOD: 07-2017 (July 2017) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES w 'E E 50050 00400 C0530 00556 00070 Weekly Weekly 2X month Weekly Weekly Estimate Grab Grab Grab Gmb FLOW pH TSS-Coot OHlGRSE TURBIDTY 2400 el-k H. 2400 eloek 111. Y/D/PI I mgd so mg/4 mg/l ntu 1 2 3 4 5 6 7 8 9 to 11 12 13 14 15 16 17 18 19 20 21 22 23 zt 25 26 27 28 29 30 31 Monthly Average limit: 0.005 30 Monthly Average. Daily Maximum: Daily Minimmm ****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday NPDES PERMIT NO.: NCO032867 L,FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International inc GRADE: WW-4. eDMR PERIOD: 07-2017 (July 2017) PERMIT VERSION: 4.0 CLASS: WW ORC: Dustin Kyle Metreveon ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 828657 18 10 PERDII7' STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SUBMISSION DATE: 01/24/2018 01/24/2018 OR)ffertivier Si�aature: Rac/el G Kranicr E-Mail:racliaelfii;lcticeinc.com Phone #:828-657-1810 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 beine taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit_ /% _ \ , 0 4 1-/" c--vv : 01/24/2018 Per n t ee/ bmitt ignature:*** achael G Kramer E-Mail:rac ael(c kaceit .co ' Phone #:828-657-1810 Date Perm' ee ddress: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties Im submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Watertech Labs; KACE Environmental, inc. CERTIFIED LAB #: 50; 5424 PERSON(s) COLLECTING SAMPLES: Dustin Metreycon PARANIF ITR CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http:Hportal.ncdenr.oi-g/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.: NC0032867 PERMIT VERSION: 4.0 PERMfT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 07-2017 (July 2017) Outfall 002 - Effluent Comments: CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 No flow from outfall 002. Site was checked during same visits as outfall 001. COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed NFDEF ERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME; Maliks International Inc GRADE: WW-4. eDMR PERIOD: 06-2017 (June 2017) PERMIT VERSION: 4_0 PERMIT STATUS: Active 3 CLASS: WW-2 COUNTY: Cleveland_CEiVED/NCDENR/DW R �, ®� oE ORC: Dustin Kyle Metreye 1! ORC CERT NUMBER: 11697 ORC HAS CHANGED: No - AUG 2 2 2011 VERSION: 1.0 STATUS: Pro- d esse WQROS DW CENTRAL FILES MOORESVILLE REGIONAL OFFICE SAMPLING LOCATION: EFFLUENT DISCHARGE N� 001 NO DISCHARGE*: NO 50050 OD400 50060 C0310 C0610 COS30 31616 OD556 00010 F r _ 6 - ' O n C = - Weekly Weekly 2Xwcek Weekly WeeklyWeekly Weekly W��:kly Instantaneous Grab Grab Grab Grab Grab Gmb Grab Calculated e0 ` e FL01V pH CHLORINE BOD-Cone n'H3-N-Cane 75S-Cone FCOLI6R OIL--RSE TEMP-C C' O 240clod: Fin 2400 c1orl: H. Y/B/N mgd su ug/1 m9/1 mg/1 mg/1 #1100m1 mg/1 deg 1 1240 0.25 B 2 1050 0.25 Y 0.001 36 3 41230 R5 1240 0.25 B 6 0.25 B 7 1130 025 Y 0.001 7.1 40 6.3 1.87 11.2 < 1 <5.6 23 8 1540 0.25 B 9 1100 0.25 Y 27 10 11 12 1550 0.25 B 13 0730 0.25 Y 14 1050 0.25 Y 0.001 7.1 33 9.2 3.35 10.7 <1 c5.6 27 15 1400 025 B 16 0955 0.25 B 0.001 30 17 10 19 1215 0.33 Y 20 0940 025 B 21 1110 025 Y 6.7 29 23.7 3.99 15 t 1 15.6 26 22 1300 0.25 B 23 1030 0.25 Y 0.001 <20 24 25 26 1230 0.25 Y 27 1150 0.25 B 28 1140 0.25 Y 0.001 6.7 36 22.6 8.45 11.2 <1 <5.6 27 29 1230 0.25 B 0.001 30 1044 0.25 Y 1 0.001 30 ,Nfm yAverage Limit: 0.0145 70 7.9 30 200 30 Monthly Average: 0.001 29 15.5 43875 12.025 1 0 25.75 Wilyblarimum: 0.001 7.1 40 23.7 8.45 IS 0 0 27 Daily Jliaimumo 0.001 6.7 0 6.3 1.87 10.7 ssss wr., n 0 0 23 ­vvvluml ivo vistfanon-Aaverse Weatlier, NOFLOW=No Flow; HOLIDAY=No Visitation -Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Icings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 06-2017 (June 2017) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) f _ = rE O U ij O O O X 2400 clack H. 2400 clock Hrs Y/B/N 1 1240 0.25 B 2 1050 0.25 Y 3 4 5 1240 0.25 B 6 1230 0.25 B 7 1130 0.25 Y e 1540 025 B 9 1100 0.25 Y In i1 12 1550 0.25 B 13 0730 0.25 Y 14 1050 0.25 Y 15 1400 0.25 B 16 0955 0.25 1 B 17 18 19 1215 0.33 Y 20 0940 0.25 B 21 1110 0.25 Y 22 1300 0.25 B 23 1030 0.25 Y 24 25 26 1230 0.25 Y 27 1150 025 B 28 1140 0.25 Y 29 1230 0.25 B 30 1044 0.25 Y Monthly A—ge Limit: Monthly Avcroge: Daily Jtacimum: Daily Mnlmum: qu Keporting Reason: ENFRLjSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday NPDE,' PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 06-2017 (June 2017) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: C0530 NOKuportmgReason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday NPDES PERMIT NO.. NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 06-2017 (June 2017) COMPLIANCE STATUS: Comnliant 0AC/OCer PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8286571810 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SUBMISSION DATE: 07/20/2017 Signat(e: Rachael G Kramer L--Mail:rachael@kaceinc.com Phone 4:828-657-1810 By this signature, I certify that this report is accurate and complete to the best of illy knowledge. 07/20/2017 Date 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 tune -table for improvements to be made as required by part II.E.6 of. the NPI)FS permit. 07/20/2017 Perm' tee/S mitter Sig ture:**� Rachael G Kra E-Mail:rac el aceina com Phone #:828-657-1810 Date Pe Mee Address: 400 Dixon School Rd Kings Mountain NC 28086 Pennit,E'pirati Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the System, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Watertech Labs; KACE Environmental, inc. CERTIFIED LAB #: 50; 5424 PERSON(s) COLLECTING SAMPLES: Dustin Metreyeon 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 rile with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.: NCO032867 FACILITY NAME: ICngs Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 05-2017 (May 2017) PERMIT VERSION: 4.0 PERMIT STATUS: Active 3 CLASS: W W-2 E 1 P COUNTY: Cleveland ORC: Dustin Kyle Metreyeon J J ? Q, 7 ORC CERT NUMBER: 11697 ORC HAS CHANGED: No VERSION: 1.0 CENTRAL FILES STATUS: Processed DWR SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO 2 C E E E U fi 3 F 6 O _ w O O UK O c a a Z 50050 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweck Weekly Weekly Weekly Weekly Weekly Instantaneous Grab Grab Grab Grab Grab Grab Grab FLOW pH CHLORLNE HODcomeN13-N-Cone TSS-Can. FCOL2 BR OH-GRSE 2400 clock H. 2400 clock H. Y/BIN mgd su u mg/I mgfl mg/I W100ml mg/1 1 1150 0.25 Y 2 1015 025 Y 3 1110 0.25 Y 7 <20 <2 3.33 12.3 <I <5.6 4 1415 0.25 B 5 1020 0.25 Y 0.001 26 6 7 8 1200 025 Y 9 0915 0.25 Y 10 1100 0.25 Y 6.6 30 62 3.68 20 < I <5.6 11 1240 0.25 B 12 11010 0.33 1 Y 1 0.001 <20 13 14 15 1155 0.25 Y 31 16 1205 0.25 B 17 11100 0.25 1 Y 0.001 6.9 33 10.6 3.15 13.6 < I < 5.6 18 1230 0.25 B 19 1550 0.25 B 0.001 20 21 22 1145 0.25 Y 23 11150 0.25 Y 24 1045 0.25 Y 6.8 26 5.9 4.6 6.2 < 1 < 5.6 25 1230 0.25 B 26 1010 0.25 Y 0.001 <20 27 28 29 HOLIDAY 30 0800 0.25 1 Y 31 1050 0.25 1 Y 1 0.001 16.8 40 14.9 3.7 14 < l < 5.6 Monthly Average Limit: 0.0145 30 7.9 30 200 30 Monthly average: 0.001 20.666667 7.52 3.692 13.22 I 0 Daily Maximum: 0.001 7 140 114.9 4.6 20 0 0 Daily Minimum: 0.00, 6.6 0 0 13.11 6.2 0 0 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation- Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4, eDMR PERIOD: 05-2017 (May 2017) PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-2 COUNTY: Cleveland ORC: Dustin Kyle Metreyeon ORC CERT NUMBER: 11697 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES t] E E E u u is E O — 1 O C O a a :C° 50050 00400 C0530 00556 00070 Weekly Weekly 2X month Weekly Weekly Estimate Grab Grab Grab Grab FLOW PH TSS-Cone 01"RSE TURBH)TY 2400 clock Hrs 2400 clock 11. YB/N mgd su mg/l mg/1 utu 1 2 3 4 5 6 7 8 � 9 10 ]1 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Motly Average Limit: 0 U05 30 Monthly Avenge: Daily Maximum: Daily Minimum: ****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday NP'#ES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 COUNTY: Cleveland OWNER NAME: Maliks International Inc ORC: Dustin Kyle Metreyeon ORC CERT NUMBER: 11697 GRADE: WW-4. ORC HAS CHANGED: No eDMR PERIOD: 05-2017 (May 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT HONEI 8286571810 SUBMISSION DATE: 06/26/2017 i � - —.. / / �_� 1 06/26/2017 ORC/Certifi t Si nat re: Rach I G Kramer E-ifail:rachael@kaceinc.com Phone #:828-657-1810 Date By this signature, certify that this report is accurate and complete to the best of my knowledge. The permittee sha 1 report to the Director or the appropriate Regional Of ice any noncompliance that potentially threatens public health or the environment. Any information (hall 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. i/A A ad06/26/2017 e mi ee/Sub itter Sig ature:*** Rachael G Krame'r-Mail:racliael .kace nc.com Phone #:828-657-1810 Date Permittee Addresj: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under pet ally of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qual�fied 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 coilete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. 1 i CERTIFIED LABORATORIES LAB NAME: Watertech Labs; KACE Environmental, Inc. CERTIFIED LAB i : 50; 5424 PERSON(s) COLLECTING SAMPLES: Dustin Metreyeon 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. f Use only units of * No Flow/Disch: for entire monitor ** ORC on Site?: *** Signature c .0506(b)(2)(D). FOOTNOTES tsurement designated in the reporting facility's NPDES permit for reporting data. i From Site: Check this box if no discharge occurs arid, as a result; there are no data to be entered for all of the parameters on the DMR period. .0 must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. nittee: If signed by other than the pennittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B i NPDES PERMIT NO.: NCO032867 ;FACILITY NAME: Kings Mountain Travel Plaza IVWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 04-2017 (April 2017) PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: W W-2 �°/ COUNTY: Cleveland 3 ORC: Dustin Kyle Metreyeon JUN a 5 2011 ORC CERT NUMBER: 11697 ORC HAS CHANGED: No VERSION: 1.0 CENTRAL FILES STATUS: Processed RECEIVEDINCDENR/DWR DWR SECTION 1u1\1 N SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:AnNO)s E U o E' E 0 0 a is x` Z 50050 00400 50060 C0310 C0610 C0530 MOORESVILLE 'HEL0ONAL OFF 31616 00556 00010 Wcekl Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Grab Grab Grab Grab Grab Grab Gmb Calculated FLOW pH CHLORINE DOD-Cooc N113-N-Cone TSs-Cone FCOLi BR OD,•CRSE TEMP-C l 2400 clod: tin 2400 clock H. YIRRN mgd so ug/I mg/I mg/I 1119/1 9(100ml mg/I deg e 2 3 1140 0.25 Y 4 1200 0.25 H 5 6 1115 1215 0.25 0.25 Y B 6.9 26 125 1.93 15 <I <5.6 16 7 1020 0.25 Y 0.001 <20 s 9 10 1215 025 Y 11 1105 0.25 Y Ix 1115 025 Y 6.9 <20 <2 3.78 12.8 <1 <5.6 19 13 1245 0.25 B to 1100 0.25 Y 0.001 <20 15 16 17 HOLIDAY i6 1120 0.25 1 Y 19 1110 0.25 Y 7 <20 5.1 1.74 75 < 1 <5.6 22 2D 1315 0.25 B 21 1210 0.25 v 0.001 37 22 23 24 1355 0.25 Y 25 0900 0.25 Y 26 1110 0.25 Y 7 <20 21.9 0.83 12 <I <5.6 22 27 1220 0.25 B 28 1100 0.25 Y 0.001 <20 29 3D Mfonddy Average Limit: 0.0145 30 7.9 30 200 30 6lonrhly A ­age: 0.001 7.875 9.875 2.07 11.825 1 0 19.75 Daily3lasimum • • 0.001 7 37 21.9 3.78 15 0 0 22 Daily 3liulmum: 0.001 6.9 0 0 0.83 7-50 0 16 ----r�•••••6 -1-Aeusc/leecycie; bNYWIHK=No visitation -Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation-Holiday CE NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 04-2017 (April 2017) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) E i✓ _E E F — G E m F — F 0 E a C a o C F' _ a j O p p 2 2400 clock Hrs 2400 clock nn WRIN 1 2 3 1140 0.25 Y 4 1200 0.25 B 5 1115 0.25 Y 6 1215 0.25 B 7 1020 0.25 Y 8 9 10 1215 025 Y 11 1105 0.25 Y 12 1115 0.25 13 1245 0.25 14 1100 0.25 is U110LIDAY 16 17 1B 1120 0.25 Y 19 1110 0.25 Y 20 1315 0.25 B 21 1210 025 Y 22 23 24 1355 0.25 Y 25 0900 0.25 Y 26 1110 0.25 Y 27 1220 0.25 B 28 1100 0.25 Y 29 30 Monthly Average Limit: 3ion[hly Average: Daaylla -mum• Daily Minimum: -..,-•­•••••s•l.,...,...•--. �..--Iv�IIuw-1.UbW1ccycte; n1NvWlriK=lvovisitation —Adverse Weather, NOFLOW=No Flow: HOLIDAY=NoVisitation— Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza �'OWNERNAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 04-2017 (April 2017) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES E F 4 fi U E cf v _ E _io _ w O 0 2 O y O d _ c 7 50050 00400 C0530 00556 00070 WefildY Neekl 2Xmonth Weekly Weekly Estimate Gmb Grab Grub Grab FLOW PH TSS-Cone OTLGRSE TORBIDTY 2400 eb& H. 2400 clock , Hn Y/BIN mgd mg/1 m@/1 Btu 1 2 3 4 s 6 7 8 9 10 it 12 13 14 15 16 17 18 19 20 21 22 23 24 2s 26 27 28 29 30 N1ouBdy Arcrage Limit. 0.005 - 30 MonthlyAvaragc Daily Nlasimum: Daily Minimum• uoReporting Reason: ENPRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Pln7n OWNER NAME: GRADE: WW 4. eDMR PERIOD: - COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: -) ORC: Dustin Kyle 41 otroyce+j ORC HAS CHANGED:,No VERSION:1.0 — CONTACT PHONE #: 8286571810 05/23/2(1)17 PERMIT STATUS: Active COUNTY: Qeyf lanri ORC CERT NUMBER: „�Q9 STATUS: Processed SUBMISSION DATE: 05/23/2017 «.CffertifienA-ignaturchael G Kra>lr E-Mail:tacliael cr kaceinc.cont Phone #:828-657-1810 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 Lime -table for improvements to be made as required by part II.E.6 of the NPDES permit. 05/23/2017 Penn i tteeAubmi tter Signaturt * Rachael G Kramer E-ivlail:rachaelnkaceinc.com Pltone #:828-657-1810 Date Pennittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law. that this document and all attachments were prepared under Imp 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: Watertech Labs: KACE Environmental Inc. CERTIFIED LAB #: 50: 5424 PERSON(s) COLLECTING SAMPLES: Dustin Metreveon 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/Nvq/swp/ps/npdes/fomis. 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 ii'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.: NCO032867 PERMIT VERSION: 4_0 PERMIT STATUS: ActiveEGEIVED/RICpENR/DWG FACILITY NAME: Kings Mountain Travel Plaza I OWNER NAME: Maliks International Inc CLASS: WW-2 1E-UNTY: Cleveland ae�l; 1 11 ORC: Dustin Kyle Metreyeon E C -- t ,' MORC CERT NUMBER: 11697 GRADE: WW 4. ORC HAS CHANGED: No MAY 0 1 2011 WQROS — MOORESVILLE REGIONAL OFFICE eDMR PERIOD: 03-2017 (March 2017) VERSION: 1.0 CENTRP1.0 F `LS�a�iTUS: Processed - PVVR SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES o e e U E F fi F F _ < O H C E F O o O o e a a G 50050 00400 C0530 00556 00070 Weekly Weekly 2X month Weekly Weekly Fstimate Gmb Gmb Gmb Gmb FLOW pit TSS - Coot OILGRSE TURRIDTY 2400 clock 11, 2400 clock IM Y/D/N mgd su mg/1 mg/1 ntu 3 4 5 6 7 8 9 10 11 12 13 14 IS 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Ilfonthly Average Limit: 0.005 30 Monthly Average: Daily Maximum: Daily Minimum: •***NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 03-2017 (March 2017) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCFIARGE NO.: 001 NO DISCHARGE*: NO e a g 4 � < 2 0 a C m x` 50050 00400 50060 C0310 C0610 C0530 31616 00556 00010 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Iustantaumus Grab Grab Gmb Grab Grab Grab Grab Calculated FLOW PH CHLORINE ROD -Coo. N113-N-Can. TSS-Cane FCOLI BR 011-GRSE TEMP-C 2400 dock It. 2400.1ode nrs v/BIN mgd Su ug/1 mg/I mg/l mgtl #1100ml Mgt] deg e 1 1100 0.25 Y 7 <20 12.1 0.24 7.5 <1 <5.6 17 2 1245 015 B 3 1200 0.25 Y 0.001 <20 4 5 6 1240 0.25 Y 7 0950 0.25 Y 8 1100 0.25 Y 6.7 30 6.8 3.75 6.2 <1 <5.6 17 9 1430 0.25 IB 10 1120 0.25 Y 0.001 <20 11 12 13 1200 0.25 Y 14 0950 0.25 Y 15 1120 0.25 ly 17 <20 17 12.4 9 1<1 <5.6 9 16 1300 0.25 B 17 1140 0.25 Y 0.001 30 18 19 20 1200 0.25 Y 21 1100 10.25 Y 22 1110 0.25 Y 7 <20 16.2 1.96 13.6 <1 <5.6 16 23 1040 0.25 B 24 1100 0.25 Y 0.001 <20 25 26 27 1225 015 B 28 1142 0.25 Y 29 1100 0.25 Y 7 22 7.2 3.78 8.3 <1 <5.6 18 30 1125 0.25 B 31 11115 10.25 1 Y 0.001 Monthly Average Limit: 0.0145 30 23 30 200 30 ' Monthly Average: 0.001 t30 11.86 2.426 8.92 I 0 15.4 Daily Marina- 0.001 7 17 3.78 13.6 0 0 18 Daly Minima m. 0.001 6.7 0 6.8 0.24 6.2 0 0 9 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation - AdvelseWeather, NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday NPDES PERMIT NO.: NCO032867 FAC:i!.ITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 03-2017 (March 2017) PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-2 COUNTY: Cleveland ORC: Dustin Kyle Metreyeon ORC CERT NUMBER: 11697 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) E M e Ee U' o E C F a o` O s o a a z z ' ' 2400 clock 11. 2400 dock lire Y/B/N 1 1100 0.25 Y 2 1245 0.25 B 3 1200 0.25 Y 4 5 6 1240 0.25 1 Y 7 0950 0.25 Y 8 1100 0.25 Y 9 1430 025 B 10 1120 0.25 Y u 12 13 1200 0.25 Y 14 0950 025 Y 15 1120 0.25 Y 16 1300 0.25 B 17 1140 0.25 Y 18 19 20 1200 0.25 Y 21 1100 0.25 Y 22 1110 0.25 Y 23 1040 10.25 B 24 1100 0.25 Y 25 26 27 1225 0.25 B 28 1142 0.25 Y 29 1100 025 Y 30 1125 0.25 B 31 I I I S 0.25 1 Y Dlonlhly A—p Limil: Monthly A—gr. Daily hlasim— Daily Minima **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 03-2017 (March 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8286571810 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SUBMISSION DATE: 04/27/2017 y % 04/27/2017 ORC/Certifier Signature: chael G Kr 61e r -Mail:rachael@kaceinc.com Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 04/27/2017 Permittee/Submitter Signature:*** Xchael G Krat e� E/Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech Labs, Inc.; KACE Environmental, Inc. CERTIFIED LAB #: 50; 5424 PERSON(s) COLLECTING SAMPLES: Dustin Metreyeon 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 NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4_0 PERMIT STATUS: Active RECFACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 I AP D COUNTY: Cleveland OWNER NAME: Maliks International Inc ORC: Dustin Kyle Metreyeon APR 0 5 2017 ORC CERT NUMBER: 11697 : 'EIVED/N1CDENR/DWR GRADE: WW-4. ORC HAS CHANGED: No i eDMR PERIOD: 02-2017 (February 2017) VERSION: 1.0 CENTRAL FILES STATUS: Processed � � DWR SECTION APR © tr01. SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISC -G�i`LL'E ��* s �i�.,ONAL OFFICE G e F d _ E 6 E F E S n 1- S O n Oe `e F1. 1 O �U O m — X :E 50050 00400 C0530 00556 00070 Weekly Weekly 2X month Weekly Weekly Estimate Grab Grab Grab Grab FLOW pll TSS - Cone 011-GRSE TURRIDTY 2400 clock 11. 2400 clock 111. YB/N mgd sit mg/1 mg/1 ntu 1 1055 0.25 Y NOFLOW 2 1210 0.25 Y NOFLOW 3 1015 0.25 Y NOFLOW 4 5 6 1022 0.25 Y NOFLOW 7 1345 0.25 Y NOFLOW 8 1110 0.25 Y I NOFLOW 9 1300 0.25 Y NOFLOW 10 1115 0.258 Y NOFLOW 11 12 13 1230 0.25 Y NOFLOW 14 1145 0.25 1 Y NOFLOW IS 1120 0.25 Y NOFLOW 16 1530 0.25 Y NOFLOW 17 1400 0.25 Y NOFLOW 18 19 Z0 1145 0.25 Y NOFLOW 21 1010 0.25 Y NOFLOW 22 1114 0.25 Y NOFLOW 23 1245 0.25 Y NOFLOW 24 1000 0.25 Y NOFLOW 25 26 27 1145 025 Y NOFLOW 28 1055 0.25 Y NOFLOW Monthly Average Limit 0005 30 MonthlyAverage: Daily Mnimum: Daily Minimum: ****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW =No Flow; HOLIDAY =NoVisitation —Holiday I NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 02-2017 (February 2017) PERMIT VERSION: 4_0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO i 0 E li a E [= F ' O 1 m E O L O iu 50050 00400 50066 C0310 C0610 C0530 31616 00556 00010 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Grab Grab Grab Grab Grab Grab Grab Calculated FLOW PH CHLORINE ROD -Cone N113-N-Cone TSS - Cone FCOLI BR OILGRSE TEMP-C 2400 clock H. 2400 clack B. y1" mgd su ug/I mg/1 mg/l mg/l 4/100ml mg/l deg c 1 1055 0.25 Y 0.001 7.1 27 16 1.77 10 <1 <5.6 13 2 1210 0.25 B 3 1015 0.25 Y 0.001 <20 4 5 6 1022 0.25 Y 7 1345 0.25 B 8 1110 0.25 Y 7.4 <20 3.8 1.78 8.5 <1 <5.6 14 9 1300 0.25 B 10 1115 0.25 j Y 0.001 <20 11 12 13 1230 0.25 Y 14 1145 0.25 B 15 1120 0.25 Y 7 <20 4.3 1.83 5.4 <1 <5.6 15 16 1530 0.25 B 17 1400 0.25 Y 0.001 <20 18 19 20 1145 0.25 Y 21 1010 0.25 B 22 1114 025 Y 7.6 <20 112.3 1.47 10 <1 <5.6 13 23 1245 0.25 B 24 1000 025 Y 0.001 <20 25 26 27 1145 0.25 B 28 1055 0.25 Y Monthly Average Limit: 0.0145 30 23 30 200 30 Monthly Average: 0001 3.375 9.1 1.7125 8.475 1 0 113.75 Doily Moaimum: 0.001 7.6 27 116 11.83 10 0 0 15 Daily Minimum: 0,001 10 3.8 1.47 5.4 0 0 13 ****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation-Holiday N,pDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 02-2017 (February 2017) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) O E F e o U fi F = U ' fi F. $ O w `e O � O a CC 2 2400 clock If. 2400 clock 11. VIRIN 1 1055 0.25 Y 2 1210 0.25 B 3 1015 0.25 Y 4 5 6 1022 0.25 Y 7 1345 0.25 B 8 1110 0.25 Y 9 1300 0.25 B 10 1115 10.25 Y 11 12 13 1230 0.25 Y 14 1145 0.25 B 15 1120 0.25 Y 16 1530 0.25 1 B 17 1400 0.25 Y 18 19 20 1145 0.25 Y 21 1010 10.25 B 22 1114 0.25 Y 23 1245 0.25 B 24 1000 025 Y 25 26 27 1145 0.25 1 B 28 1055 0.25 1 Y Monthly Average Limit: \faathly Average: Daily Ma:imam• Daily Minimum• **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 02-2017 (February 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION. 1.0 CONTACT PHONE #: 8286571810 PERMIT STATUS: Active f, COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SUBMISSION DATE: 03/30/2017 03/30/2017 ORC/Certifier Signature: achael G K a er-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of the NPDES permit. 03/30/2017 Permittee/Submitter Signature:*** achael G K6n er-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech Labs, Inc.; KACE Environmental, Inc. CERTIFIED LAB #: 50; 5424 PERSON(s) COLLECTING SAMPLES: Dustin Metreyeon 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.: NCO032867 PERMIT VERSION: 4.0W -PIT STATUS: Active �/+ oaten hY. ?Q% �l. rta 0�U' FACILITY NAME: Kings Mountain Travel Plaza CLASS: W -2 L tl t.-rr. COUNTY: Cleveland OWNER NAME: Mahks International Inc ORC: Dustin Kyle Metreyeon MAR 0 ZQ'gRC CERT NUMBER•. LL �� GRADE: WW 4. ORC HAS CHANGED: No "" IVED/NCDENR/DWR CCnNTFZAL eDMR PERIOD: 01-2017 (January 2017) VERSION:1_0 ^.Ut/I SECTKOATUS:Processed MAR 20 WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISQHARGE.f4 NRIONAL OFFICE G e _ U e- u' [-' e O E 1 O o O a ti 50050 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Gmb Grub Gmb Gmb Grab Gmb Grab FLOW PH CHLORINE DOD -Coo. NH3-N-Cone TSS-Cone FCOLTBR On.-GRSE 2400 el..k Hrs 2400.1oek H. YB/N tngd I. ug/I ing/I mg/I mg1I #1100MI mg/l 1 2 HOLIDAY 3 1020 0.25 Y 4 1055 0.25 Y 0.001 7 1<20 16.1 027 6.7 <1 <5.6 5 1250 0.25 B 6 1305 0.25 Y <20 7 8 9 1009 0.25 Y to 0730 0.25 Y 11 1050 0.25 Y 0.001 7 <20 15.3 1.08 5.8 <1 <5.6 12 1250 0.25 B 13 1105 0.25 Y <20 14 15 16 HOLIDAY 17 1015 0.33 Y 1s 1035 0.25 Y 0.001 7.4 29 13.2 1.95 4.5 <1 <5.6 19 1250 0.25 B 20 1100 0.25 Y <20 21 22 23 1040 0.25 Y 24 1100 0.25 Y 25 1100 0.25 Y 0.001 7.6 <20 13.7 0.22 5.2 <1 <5.6 26 1 1300 0.25 B 27 1100 0.25 Y <20 28 29 30 1120 0.25 Y 31 1 11015 10.25 JY Monthly Average Limit: 0.0145 30 23 30 200 10 Monthly Average: 0.001 3.625 14.575 0.855 5.55 I 0 Daily Mnimum: 0.001 7.6 129 16.1 1.85 6.7 0 0 Doily Minimum: 0.001 7 0 113.2 10.22 4.5 10 10 ****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation- Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 01-2017 (January 2017) PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-2 COUNTY: Cleveland ORC: Dustin Kyle Metreyeon ORC CERT NUMBER: 11697 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES o 9 u _ _ 6 E $ u F. H F e` O m O° E2 i- O = o O o z n G 50050 00400 C0530 00556 00070 Weekly Weekly 2X month Weekly Weekly Estimate Grab Grab Grab Gmb FLOW pll TSS - Coot OILGRSE TORBIDTY 2400 dock I Tin 2400 clock firs Y/B/N mgd su mg/1 mg/1 ntu t 2 3 4 5 6 7 8 9 to 1 12 13 14 Is 16 17 18 19 20 21 22 23 24 25 26 27 28 19 10 31 Monthly Avenge Limb. 0.005 30 Monthly Avenge: Daily Maximum• Daily Minimum: ssx*NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 01-2017 (January 2017) COMPLIANCE STATUS: Compliant ORC/Certifier Signature PERMIT VERSION: 4_0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8286571810 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SUBMISSION DATE: 02/27/2017 02/27/2017 achael G VrAm' er X-Mail:rachael@kaceinc.com Phone #:828-657-1810 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. �1 02/27/2017 Permittee/Submitter Signature:**/ Rachael /KraXer E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Watertech Labs; KACE Environmental, Inc. CERTIFIED LAB #: 50; 5424 PERSON(s) COLLECTING SAMPLES: Dustin Metreyeon 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). -31 r NPDES PERMIT NO.: NCO032867 FA(fH,ITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 12-2016 (December 2016) PERMIT VERSION: 4.0 ERMIT STATUS: Active CLASS: W W-2 C E I °' E ®"COUNTY: Cleveland kRECEIVEDINCDENR/DWR ORC: Dustin Kyle Metreyeon FEB 0 2 Z 017 ORC CERT NUMBER: 11697 ORC HAS CHANGED: No �_ �-� , 4� • • Ji �'7 CENTRAL FILES VERSION: 1_0 DWR SECTION STATUS: Processed WQROS MOORESVILLE REGIONAL OFFICE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO o E m _ E U E a E= 6 1 O t= O _ O° Ucd O - a 5 Z 50050 60400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Gmb Grab Grab Grab Grab Grab Grab FLOW PH CHLORINE HOD -Cone N113-N-Cone TSS-Cone FCOLI SR OIL-ORSE 2400 clock 11. 2400 clock H. YHI/N mgd su ug/I mg/1 mg/I mgA #/100m1 mg/I 1 1620 0.25 B 2 1055 0.25 Y 0.001 <20 3 4 5 1130 0.25 Y 6 1600 0.25 B 7 1130 0.25 Y 7 <20 23.3 <0.2 8.5 <I <5.6 8 1350 0.25 B 9 1130 025 1 Y 1 0.001 <20 to u 12 1150 0.25 Y 13 1015 0.25 Y 14 1120 0.25 Y 7 <20 22.7 1.18 12 <I <5.6 15 1250 0.25 B 16 1140 0.25 Y 1 0.001 <20 17 1S 19 1250 0.25 B 20 1245 0.25 B 2t 1120 0.25 Y 7.8 <20 4.3 0.77 7 1<1 <5.6 22 1230 0.25 B 23 1100 0.25 Y 0.001 <20 24 25 26 HOLIDAY 27 1000 0.25 Y 38 1105 0.25 Y1 7 <20 9.5 4.1 7 1<1 <5.6 29 1610 0.25 B 30 1100 0.25 Y 0.001 <20 31 atanthly Average Limit: 0.0145 30 23 30 200 30 Maothly Av gc: 0.001 0 14.95 1.5125 8.625 I 0 Daily Maximum: 0.001 7.8 10 123.3 4.1 12 0 0 Daily Minimum: 0.001 7 0 4.3 0 7 10 0 ****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation -Adverse Weather; NOFLOW=No Flow; HOLIDAY= No Visitation -Holiday I NPDES PERMIT NO.: NCO032867 PERMIT VERSION:.4.0 FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 OWNER NAME: Maliks International Inc ORC: Dustin Kyle Metreyeon GRADE: WW-4. ORC HAS CHANGED.: No eDMR PERIOD: 12-2016 (December 2016) VERSION: 1.0 ; PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES o' E u E 13 l— _ u e F E v O O e r v O o O t0 c a Z 50050 00400 C0530 00556 00070 Weekly Weekly 2Xmonth Weekly Weekly Estimate Gmb Gmb Grab Gmb FLOW PH TSS - Coot OD.GRSE TURBIDTY 2400 doek Ill. 2400 elock 111. Y/B/NV I mgd su mg/l mg/l mu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 01 Monthly Average Limit: 0.005 30 Monthly Average: Daily Maximum: Daily Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday M NPDES PERMIT NO.: NC0032867 FACILITY NAME: Kings Mountain Travel Plaza 4 OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 12-2016 (December 2016) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8286571810 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SUBMISSION DATE: 01/26/2017 O1/26/2017 ORC/Certifier Signature: achael G atme E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date i 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. I 01/26/2017 Permittee/Submitter Signature:*/* Rachael ! Krimer E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Watertech Labs; KACE Environmental, Inc. CERTIFIED LAB #: 50; 5424 PERSON(s) COLLECTING SAMPLES: Dustin Metreyeon 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). k DES PERMIT NO.: NC0032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 11-2016 (November 2016) PERMIT VERSION: 4.0 REGE 9 " PERMIT STATUS: Active CLASS: WW-2 �I COUNTY: Cleveland ORC: Dustin Kyle Metreyeon JAN .0 3 ORCCERTNUMBER:E1)f47/v�J�,;�,�: R ORC HAS CHANGED: NoCENTRAL FILES VERSION: 1.0 ®WR `��'��®N . STATUS: Processed - r 1f1Gc i;t vS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*:'YES"`' ' ° `'trz 4 e` d u E. a m=� 9 O Q O � o O � ° ,Z° 50050 00400 C0530 00556 00070 Weekly Weekly 2Xmonth Weekly Weekly Estimate Grab Grab Grab Grab FLOW pH TM -Cone OH.-GRSE TU"IDTY 2400 clock H. 2400 clack Ha YAW mgd su -94 mgn ntu 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Monthly Average Limit: 0.005 30 Monthly Average: Daily Maximum: Daily Minima ****No Reporting Reason: ENFRUSE = No Flow-Reose/Recycle; ENV WTHR = No Visitation— Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday fe- NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACIMTY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMRPERIOD: 11-2016 (November 2016) CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO s a° e U F u a 9 '�- E O 1 _B` O o` a O z :z° 50050 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Grab Grab Grab Grab Grab Grab Grab FLOW pH CED.ORD9E BOD-Cone NH3.N-Con c TSS-Con, FCOM BR Or4GRSE 2400 Clock Hn 2400 clock H. Yn1IN mgd su 119/l -9/1 Mg/l nig/1 #1100MI Mg/1 1 1020 025 Y 2 1110 0.25 Y 0.001 7 <20 <2 0.61 6.4 <1 <5.6 3 1220 0.25 B 4 1200 025 Y <20 5 6 7 1050 10.25 1 Y 6 1300 0.25 B 9 1100 025 Y 0.001 7 <20 3.2 1.07 4.7 <I <5.6 10 1230 0.25 B 11 HOLIDAY 12 1105 025 Y <20 13 14 1110 0.25 Y 15 0800 025 Y 16 1 1100 0.25 Y 1 0.001 17 <20 3.1 1.87 a <1 <5.6 17 1240 0.25 B is 1220 025 Y <20 19 20 21 1015 0.25 Y 22 1050 0.25 Y 0.001 7 <20 6.8 <0.25 5 <1 <5.6 23 1315 0.25 Y 24 HOLIDAY 25 1109 0.25 Y <20 26 27 28 1030 0.25 Y 29 0930 0.25 B 38 1100 10.25 Y 0.001 7 <20 14.4 0.69 112.4 <1 <5.6 Monthly Avenge Limit: 0.0145 30 23 30 200 30 Monthly Avenge: 0.001 0 5.5 0.848 7.3 1 0 Daily Maximum: 0.001 1 10 14.4 1.87 12.4 0 0 m DaW Minium. 0.001 7 0 0 0 4.7 0 0 ****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY= No Visitation -Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 11-2016 (November 2016) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4_0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8286571810 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SUBMISSION DATE: 12/27/2016 All 12/27/2016 ORC/Certifier Signature/Rachael G ra er E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of the NPDES permit. 1 12/27/2016 Perm ittee/Submitter Signawre:*** Rae ye1 10, Kramer E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Watertech Labs; KACE Environmental, Inc. CERTIFIED LAB #: 50; 5424 PERSON(s) COLLECTING SAMPLES: Dustin Metreyeon 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 213 .0506(b)(2)(D). RMIT NO.: NC0032867 POWNER Y NAME: Kings Mountain Travel Plaza NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 10-2016 (October 2016) PERMIT VERSION: 4_0 CLASS: W W-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1_0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 RECEI E-:DIN1-1DENPdDWR STATUS: Processed DEC 12 2016 Vtf star] c, SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHRHG,A, OFFICE A fi 9 fi O F. 9 F E es z c O in O z a O U W O a n Z cc 50050 00400 C0530 00556 00070 Weekly Weekly 2 X month Weekly Weekly Estimate Grab Grab Grab Grabu FLOW pH TSS - Conc OIL-GRSE TIIRBIDTY 2400 clock lHrs 2400 clock I Hrs YB/N mgd so mg/l mv,_/l nm 1 2 3 1000 0.2 Y NOFLOW 4 1100 0.25 Y NOFLOW REECEIVED 5 1 1 1030 0.33 Y NOFLOW 6 1700 0.25 Y NOFLOW 7 1000 0.25 Y NOFLOW 8 9 10 1 0705 0.25 Y NOFLOW 11 0930 0.25 Y NOFLOW 12 1010 0.33 Y NOFLOW 13 14 11130 0.25 Y NOFLOW IS 1 0800 0.25 Y NOFLOW 16 17 1105 0.25 Y NOFLOW 18 1300 0.25 B NOFLOW 19 1010 0.33 Y NOFLOW 20 1 1 1015 0.25 B NOFLOW 21 1120 0.25 Y NOFLOW 22 23 24 11100 0.25 Y NOFLOW 25 1115 0.25 Y NOFLOW 26 1115 10.33 Y NOFLOW 27 1210 0.25 B NOFLOW 28 1055 0.25 Y NOFLOW 29 30 31 f 100 0.25 Y I NOFLOW Monthly Average Limit: 0.005 30 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 NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 10-2016 (October 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO A a E E U F E - cd F E - ; s O O F c O in Ua a O f Z t4 50050 00010 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2 X week Weekly Weekly Weekly Weekly Weekly Instantaneous Calculated Gmb Grab Grab Grab Grab Grab Grab FLOW TEMP-C pH CHLORINE HOD Cone NH3-N-Cone TSS - Cone FCOLI BR OIL-GRSE 2400 clock Hrs 12400 clock Hrs I YB/N I mgd deg c I Su ug/t mg/l I mg/l mg/l 4/100m1 1 mgfl I 2 3 1100 0.25 Y 4 1100 0.25 Y 5 1 1030 0.33 Y 1 26 6.9 <20 <2 0.74 4.1 <1 <5.6 6 1700 0.25 Y 7 1000 0.25 Y 0.001 <20 8 9 10 0705 0.25 Y 11 0930 0.25 Y 12 1010 033 Y 0.001 16 7 <20 <2 <0.2 5 <1 <5.6 13 14 1130 0.25 Y 0.001 <20 15 0800 0.25 Y 0.001 <20 16 17 1105 0.25 Y 18 1300 0.25 B 19 1010 0.33 Y 21 7 <20 <2 0.22 7.5 <1 <5.6 20 1015 025 B 21 1120 025 Y 0.001 <20 22 23 24 1100 0.25 Y 25 1115 0.25 Y 26 1115 0.33 Y 19 6.9 <20 3.5 0.31 5 <1 <5.6 27 1210 0.25 B 28 1055 0.25 Y 0.001 <20 29 30 31 1100 0.25 Y Monthly Average Limit: 0.0145 30 79 30 200 30 Monthly Average: 0.00, 20.5 10 0.875 0.3175 15.4 1 0 Daily MaAmum: 0.001 26 7 0 13.5 0.74 7.5 14.1 0 0 Daily Minimum: 0.001 16 6.9 0 0 0 10 0 zss•NoReporting Reason: ENFRUSE=No Flow-Reuse(Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation- Holiday 0 FACILI NCO032867 E: Kings Mountain Travel Plaza OE: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 10-2016 (October 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) d O E O F fi is F E F O m e Em .L° 1 O in c O m 1 Z W. 00665 00600 Calculated Calculated PHOS-TOT TOTAL N 2400 clock Firs 2400 clock Hrs Y/B/N mg/l mg/1 ' 1 2 3 1100 0.25 Y 4 1100 0.25 Y 5 1030 0.33 Y 7.14 28.52 G 1 1700 10.25 Y 7 1 1000 0.25 Y 8 9 10 10705 0.25 Y 11 0930 0.25 Y 12 1 1010 0.33 1 Y I4 1130 0.25 Y r1713 15 0800 0.25 Y 16 1105 0.25 Y 18 1300 0.25 B 19 1010 0.33 Y 20 11015 0.25 B 21 1120 0.25 Y 22 23 24 1100 0.25 Y 25 ills 0.25 Y 26 11115 0.33 ly 27 1210 0.25 B 28 1055 0.25 Y 29 30 31 1100 10.25 Y Monthly Average Limit: Monthly Average: 7 14 28.52 Daily Maximum: 7 14 28.52 Daily Minimum: 7.14 28.52 ****No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY= No Visitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 10-2016 (October 2016) COMPLIANCE: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8286571810 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SUBMISSION DATE: 11/28/2016 11/28/2016 ORC/Certifier Signature: Rae/el G Kramer(/E-Vail:rachael@kaceinc.com Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of the NPDES permit. _ 11/28/2016 Perm ittee/Submitter Signature:*** V(achael G Kra /e'r /-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Watertech Labs, KACE Environmental, Inc. CERTIFIED LAB #: 50; 5424 PERSON(s) COLLECTING SAMPLES: Dustin Metreyeon 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.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 09-2016 (September 2016) PERMIT VERSION: 4_0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active 3 COUNTY: Cleveland ORC CERT NUMBER: 11697 RECEIVED/NCDENRIDWR STATUS: Processed NOV —7 2_016 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHAIGROS TO �ESVYR7G10NAL OFFICE A o. O F E F _ U F E F m `o a O � O m 1 O O O Q e 1 Z C 50050 00400 C0530 00556 00070 Weekly Weekly 2X month Weekly Weekly Estimate Grab Grab Gmb � Grab FLOW pH TSS-Cone Oa-GRSE TURBIDTY 2400 clock Hrs 2400 clock Hrs Y/B/N I mgd so mg/l mg/1 out 1 0810 0.25 Y NOFLOW 2 0800 0.25 Y NOFLOW 3 4 5 1100 0.25 Y NOFLOW wY 0 g 6 0920 0.25 Y NOFLOW 7 1 0955 10.33 Y I NOFLOW L ELES 8 2030 0.25 Y NOFLOW 9 1015 0.25 Y NOFLOW 10 11 12 1030 10.3 B NOFLOW 13 1040 0.2 B NOFLOW 14 1030 0.2 B NOFLOW 15 1030 0.3 B NOFLOW 16 1 11050 0.2 In NOFLOW 17 18 19 0830 0.25 Y NOFLOW 20 0615 0.25 Y NOFLOW 21 1000 0.25 Y NOFLOW 22 1700 0.25 Y NOFLOW 23 11130 0.25 Y I NOFLOW 24 25 26 0700 0.25 Y NOFLOW 27 D930 0.25 Y NOFLOW 28 I010 0.33 Y NOFLOW 29 1630 0.25 Y NOFLOW 30 1120 0.25 1 Y NOFLOW Monthly Avemge Limit: 0.005 30 Monthly Avemgc: Daily Maximum: Daily Minimum: ****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation -Adverse Weather; NOFLOW =No Flow; HOLIDAY=No Visitation -Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 09-2016 (September 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO v P o E a P 6 U F E - E p U a F E > p O h O O O U OZ' o C I 50050 00010 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2 X week Weekly Weekly Weekly Weekly Weekly Instantaneous Calculated Grab Grab Grab Grab Grab Grab Grab FLOW TEMP-C pH CHLORINE HOD Cone NH3-N-Cone TSS-Cone FCOLI BR OIL-GRSE 2400 clock Hm 2400 clock Hrs YB/N mgd deg a so ug/1 mg/l mg/l mg/l #/100ml mg/l 10800 0810 0.25 Y 2 r3 0.25 Y 0.001 <20 4 5 1100 0.25 Y 6 0950 0.25 Y 7 0955 0.33 Y 26 6.9 37 <2 <0.2 9 <1 <5.6 8 2030 0.25 Y 9 1 1015 0.25 Y 1 0.001 <20 " 10 11 12 1030 0.3 B 26 7 29 13 1040 0.2 B 14 1030 0.2 B 15 1030 0.3 B 31 <2 <0.2 3.5 <1 <5.6 16 1050 0.2 B 0.001 17 18 19 0830 0.25 Y 20 0615 0.25 Y 21 1000 0.25 Y 26 7.1 <20 7 <0.2 5.8 <I <5.6 22 1700 0.25 Y 23 1130 0.25 Y 0.001 <20 24 25 0700 0.25 Y 27 0930 0.25 Y r26 28 1010 0.33 Y 0.001 30 7 <20 17.7 0.29 16.5 <1 <5.6 29 1630 0.25 Y 30 1120 0.25 1 Y 1 0.001 <20 Monthly Average Limit: 0.0145 30 7.9 30 200 30 Monthly Average: 0.001 27 1 110.777778 16.175 10.0725 8.7 11 10 Daily Maximum: 0.001 30 7.1 37 17.7 0.29 16.5 0 0 Daily Minimum: 0.001 26 6.9 0 0 0 13.5 0 0 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation- Holiday NPDES PERMIT NO.: NCO032867 a FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 09-2016 (September 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) a c u E e F E o w O 0 � O v o z a e a" z z _ 2400 clock Hrs 2400 clock Hrs Y/B/N 1 0810 0.25 Y 2 0800 025 Y 3 4 5 1100 0.25 Y 6 0950 0.25 Y 7 0955 0.33 Y 8 2030 0.25 Y 9 1015 0.25 Y 10 11 12 1030 0.3 B 13 1040 0.2 B 14 1030 0.2 B 15 1030 0.3 B 16 1050 0.2 B 17 18 19 1 1 0830 10.25 Y 20 0615 025 Y 21 1000 0.25 Y 22 1700 0.25 Y 23 1130 0.25 Y 24 25 26 0700 0.25 Y 27 0930 0.25 Y 28 1010 0.33 Y 29 1630 0.25 Y 30 1 1 11120 10.25 ly Monthly Average Limit: Monthly Average: Daily Maximum: Daily Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 09-2016 (September 2016) COMPLIANCE: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8286571810 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SUBMISSION DATE: 10/27/2016 � % 10/27/2016 ORC/Certifier Signature: R chael G Kr er-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 10/27/2016 Permittee/Submitter Signature: ** Rachael E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd Kings Mountaine)Krrmer 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Watertech Labs; KACE Environmental, Inc. CERTIFIED LAB #: 50; 5424 PERSON(s) COLLECTING SAMPLES: Dustin Metretyeon 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). NIjDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 08-2016 (August 2016) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Dustin Kyle Metreycon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed DECEIVED/NCDENR/DWR OCT 11 2016 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NPIROS MOORESVILLE REGIONAL OFFICE A a U E E- E m O y O O O Z rL 50050 00010 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2 X week Weekly Weekly Weekly Weekly Weekly Instantaneous Calculated Grab Grab Grab Grab Grob Grab Grab FLOW TEMP-C pH CHLORINE BOD-Cone NH3-N-Cone TSS-Cone FCOLI BR 011-GRSE 2400 clock Hrs 2400 clock Hrs I YBlN mgd deg c I Su ug/l mg/I Mgt' mg[I X1001111 mg/I 1 1 0830 0.3 Y 0.001 25 7.2 31 2 0810 0.2 Y 34 3 0940 0.2 Y <2 <0.2 5.8 <I <5.6 4 0900 0.2 Y 5 0830 0.2 Y 6 7 8 0900 0.4 Y 0.001 23 7.3 41 9 10800 02 Y 34 10 0930 0.2 Y <2 LI 5.7 <1 <5.6 11 1300 0.2 Y 12 1 0800 10.2 Y 13 14 15 1115 0.25 Y 16 1030 0.25 Y 17 1038 0.33 1 Y 1 28 6.9 1<20 <2 <0.2 15.2 31 <5.6 18 0800 0.25 Y ' 19 1100 0.25 Y 0.001 <20 20 21 22 0800 0.25 Y 23 1 1 1900 10.25 Y 24 1010 0.33 Y 28 6.8 <20 10.8 <0.2 4.4 <I <5.6 25 1620 0.25 Y 26 1300 0.25 Y 0.001 <20 27 28 29 1 1 10800 10.25 1 Y 30 1 1015 0.25 1 Y 31 1 1030 0.33 1 Y 1 27 6.9 <20 3.2 <0.2 6.3 <I <5.6 Monthly Average Limit: 0.0145 30 79 30 200 30 Monthly Average: 0.00, 26.2 15.555556 2.8 022 5A8 1.987341 0 Daily Maximum: 0.001 28 7.3 41 10.8 1.1 6.3 31 0 Daily Minimum: 0.001 123 16.8 10 10 10 14A 0 10 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday fEEI'VE-LE)" OCT 0 4 2016 CENTP,AL. FILES DWR SECTION NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 08-2016 (August 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active I COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) A a 9 u H E [— l= E F 0 in e O E 0 o co z 9 2400 clock Hrs 2400 clock I Hrs YBIN 1 0830 0.3 Y 2 0810 0.2 Y 3 0940 0.2 Y 4 0900 0.2 Y 5 0830 0.2 Y 6 7 8 0900 0.4 Y 9 10800 10.2 Y 10 1 0930 0.2 Y 11 1300 0.2 Y 12 0800 0.2 Y 13 14 15 1115 0.25 Y 16 1030 0.25 Y 17 1 1038 0.33 Y 18 0800 0.25 Y 19 1100 0.25 Y 20 21 22 0800 0.25 Y 23 1900 0.25 Y 24 1010 0.33 Y 25 1620 0.25 Y 26 1300 0.25 Y 27 28 29 0800 0.25 Y 30 1015 0.25 Y 31 1030 0.33 Y Monthly Average Limit: Monthly Average: Daily Maximum: Daily Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday s NPPES PERMIT NO.: NCO032867 FACILITY NAME: Kines Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-4. eDMR PERIOD: 08-2016 (August 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER. 11697 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES A s H E O F E [ _ _ [ E P > Q O m e O F O U O v tX a Z a 50050 00400 C0530 00556 00070 Weekly Weekly 2X month Weekly Weekly Estimate Grab Grab Grab Grab FLOW FLOW pH TSS-Con, OH.-0RSE - TURBIDTY 2400 clock 11irs 2400 clack I Hrs YB/N I mgd so m9/1 mg/l ntu 2 3 r51 4 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Monthly Average Limit: 0.005 30 Monthly Average: Daily Maximum: Daily Minimum: ****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-4. eDMR PERIOD: 08-2016 (August 2016) COMPLIANCE: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Dustin Kyle Metreyeon ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: ; 286571810 PERMIT STATUS: Active 1 COUNTY: Cleveland ORC CERT NUMBER: 11697 STATUS: Processed SUBMISSION DATE: 09/27/2016 A09/27/2016 ORC Certifier Signature: achael G K mer-Mail:rachael@kaceinc.com Phone #:828-657-1810 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. �) J 09/27/2016 Permittee/ ubmitter Signature:*�igs RachaeI G IfO86 me� E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd Mountain NC 2(, /Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Watertech Labs, KACE Environmental, Inc. CERTIFIED LAB #: 50,5424 PERSON(s) COLLECTING SAMPLES: Dustin Metreyeon 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; ES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 07-2016 (July 2016) PERMIT VERSION: 4_0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 RECEIVED/N C D E N R/DWFj1 STATUS: Processed S E P 13 2016 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DIS({ R.�F*�N&)s t LLE REGIONAL OFFICE a q s _ Q E U F a E U E= E � Q m s O in O E• E o O rn V LL O s ** 4 Z a' 50050 00010 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2 X week Weekly Weekly Weekly Weekly Weekly Instantaneous Calculated Grab Gmb Grab Grab Grab Grab Grab FLOW TEMP-C pH CHLORINE HOD-Conc NH3-N-Conc TSS-Conc FCOLI BR OIL-GRSE 2400 clock Hrs 2400 clock 1 Hrs YB/N mgd deg c I su ug/l I mg/l mg/I mg/l 1#1100ml mg/1 0925 0.3 Y 2 3 r41 HOLIDAY 5 0750 0.4 Y 0.001 28 7 43 6 1005 0.2 Y 39 <2 2.38 <2.5 <1 <5.6 7 0810 .02 Y 8 1 1 0930 10.2 Y 9 10 11 0755 0.4 Y 0.001 29 7.1 34 12 0805 0.3 Y 32 13 0940 0.2 Y <2 1.7 <2.5 <I <5.6 14 1 10800 0.2 1 Y 15 0945 0.2 Y 16 17 18 0800 0.4 Y 0.001 27 7 46 19 1 0810 0.3 Y 32 20 1015 0.2 Y <2 <0.2 <2.5 <1 <5.6 21 0815 0.2 Y 22 1010 5.0 1 Y 23 24 25 0800 0.3 Y 0.001 25 7.1 41 26 0750 03 Y 32 27 0940 0.2 Y <2 <0.2 <2.5 <1 <5.6 28 0900 2.0 Y 29 1 1 10950 0.2 1 Y 30 31 Monthly Average Limit: 0.0145 1 1 30 79 30 200 30 MonthlyAveragc: 0.00, 27.25 37.375 0 1.02 0 1 0 Daily Maximum: 0.001 29 17.1 46 0 238 0 0 0 Daily Minimum: 0.001 25 7 32 0 0 0 0 0 ****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation -Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation-Holiday -EEIED SEP 0 2 2016 CENTRAL RAL FILES DWrZ SECTION NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 07-2016 (July 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) d o' � a o e U P E � U f fi F C 6 o c G 0 0 a o o c z a z c . 2400 clock Ifirs 2400 clock Hrs Y/B/N 1 0925 0.3 Y 2 3 4 HOLIDAY 5 0750 0.4 Y 6 1005 0.2 Y 7 0810 .02 Y 8 0930 0.2 Y 9 10 11 0755 0.4 Y 12 0805 0.3 Y 13 0940 0.2 Y 14 0800 0.2 Y 15 0945 0.2 Y 16 17 18 0800 0.4 Y 19 0810 0.3 Y 20 1015 0.2 Y 21 0915 0.2 Y 22 1 1010 5.0 1 Y 23 24 25 0800 0.3 Y 26 0750 103 Y 27 0940 0.2 Y 28 0900 2.0 Y 29 0950 0.2 Y 30 31 Monthly Average Limit Monthly Average: Daily Maximum: Daily Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NfDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 07-2016 (July 2016) PERMIT VERSION: 4_0 CLASS: W W-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SAl!/IPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES s $ E E [- c E w ' F E F d 1 O e O E F O m U O i s a Z C 50050 00400 C0530 00556 00070 Weekly Weekly 2 X month Weekly Weekly Estimate Grab Grab Grab Grab 1 FLOW pH TSS-Cone OIL-GRSE TURBIDTY 2400 clock Hrs 2400 clock Bin Y/B/N mgd so mg/I mg/l nm 1 0925 0.3 Y NOFLOW 2 3 4 1 HOLIDAY 5 0750 0.4 Y NOFLOW 6 1005 0.2 Y NOFLOW 7 0810 0.2 Y NOFLOW 8 0930 10.2 Y I NOFLOW 9 10 I 0755 0.4 Y NOFLOW 12 0805 0.3 Y NOFLOW 13 1 0940 0.2 Y NOFLOW 14 0800 0.2 Y NOFLOW 15 0945 0.2 Y NOFLOW 16 17 18 1 0800 1.4 Y INOFLOW 19 0810 0.3 Y NOFLOW 20 1015 0.2 Y NOFLOW " 21 0815 0.2 Y NOFLOW 22 1010 5.0 Y NOFLOW 23 24 25 0800 0.3 Y NOFLOW 26 0750 0.3 Y NOFLOW 27 0940 0.2 Y NOFLOW 28 0900 2.0 Y NOFLOW 29 0950 0.2 1 Y I NOFLOW 30 31 Monthly Average Limit: 0.005 30 Monthly Average: Daily Maximum: Daily Minimum• **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWT4R=No Visitation— Adverse Weather; NOFLOW =No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 07-2016 (July 2016) COMPLIANCE: Compliant PERMIT VERSION: 4_0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8286571810 PERMIT STATUS: Active Z COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SUBMISSION DATE: 08/29/2016 08/29/2016 ORC/Certifier Signature: R chael G K me E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of the NPDES permit. 08/29/2016 Permittee/Submitter Signature:**/ Rachael GUKra/ ier E-Mail:rachaeI@kaceine.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Watertech Labs CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Kenneth Deaver 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). NP +- �ES PERMIT NO.: NC0032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 07-2016 (July 2016) Report Comments: PERMIT VERSION: 4_0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 Additional Lab: KACE Environmental, Inc. Certification No. 5424 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed 1 NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Kings Mountain Travel Plaza CLASS: WW-2 COUNTY: Cleveland OWNER NAME: Maliks International Inc ORC: Kenneth M Deaver ORC CERT NUMBER: 27295 GRADE: W W-2 ORC HAS CHANGED: No RECEIVED/NCDENR/DWIq {� q eDMR PERIOD: 06-2016 (June 2016) VERSION: 1_0 STATUS: Processed AUG 15 20 16 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DIS S �pffiOFFICE A a e E U F E - R F E i O m a O s O d C U O m C X u; 50050 00010 09400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Calculated Grab Grab Grab Grab Grab Grab Grab FLOW TEMP-C PH CHLORINE HOD Cone NH3-N-Cone TSS-Cone FECCOLI OH-GRSE 2400 clock Hrs 2400 clock Hrs YB/N mgd deg c su ug/I mg/l mg/l mg/1 X1001111 mg/l 1 945 0.2 Y 36 <2 1.89 <2.5 <I <5.6 2 805 0.2 Y 3 945 0.3 Y 4 5 6 805 0.3 Y 0.001 23 6.9 42 7 1030 0.2 Y 36 8 935 0.2 Y <2 <0.2 <2.5 <I <5.6 9 810 02 Y 30 1 950 0.2 Y Il 12 13 750 0.3 Y 0.001 23 7 39 14 1745 0.2 Y 1 32 15 1 940 0.2 Y <2 1.88 <2.5 <1 <5.6 16 810 0.2 y 17 925 0.2 1 y 18 19 20 1 1230 0.4 Y 0.001 26 6.7 39 21 730 0.3 Y 29 22 940 0.2 Y <2 1.12 <2.5 <I <5.6 23 730 0.2 Y 24 1955 0.2 Y 25 27 740 0.3 Y 0.001 26 7.1 36 r26 28 730 0.2 Y 42 29 1940 0.2 Y 1<2 <0.2 <2.5 <I <5.6 30 1 1 730 0.2 Y Monthly Average Limit: 0.0145 30 79 30 200 30 Monthly Average: 0.00, 24.5 36.777778 0 0.978 0 1 0 Daily Maximum: 0.001 126 17.1 142 0 1.89 0 0 0 Daily Minimum: 0.001 23 6.7 29 0 0 0 0 0 ****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation -Adverse Weather; NOFLOW=No Flow; HOLIDAY =No Visitation -Holiday RECEIVED/NCDENR/DWR RECEIVED AUG 9 9 Z016 AUG 0 3 2016 WQROS CENTRAL FILES MOORESVILLE REGIONAL OFFICE DVIJR SECTION N NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACH-JTY NAME: Kings Mountain Travel Plaza CLASS: W W-2 COUNTY: Cleveland OWNER NAME: Maliks International Inc ORC: Kenneth M Deaver ORC CERT NUMBER: 27295 GRADE: WW-2 ORC HAS CHANGED: No eDMR PERIOD: 06-2016 (June 2016) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) m A g � 9 O F E F U F E F m O m O w O O O a o Z a - ' ' 2400 clock jHrs 2400 clock Hrs YBIN 1 945 0.2 Y 2 805 0.2 Y 3 945 0.3 Y 4 5 6 805 0.3 Y 7 1030 0.2 Y 8 935 0.2 Y 9 810 0.2 Y 10 950 10.2 Y 11 12 13 750 0.3 Y 14 1745 0.2 Y 15 940 0.2 Y 16 810 10.2 1 y 17 925 0.2 y 18 19 20 1230 0.4 Y 21 730 0.3 Y 22 940 0.2 Y 23 730 0.2 Y 24 955 0.2 Y 25 26 27 740 0.3 Y 28 730 0.2 Y 29 940 10.2 Y 30 1730 0.2 ly Monthly Average Limit: Monthly Average: Daily Maximum: Daily Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 OWNER NAME: Maliks International Inc ORC: Kenneth M Deaver GRADE: WW-2 ORC HAS CHANGED: No eDMR PERIOD: 06-2016 (June 2016) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES v O a e ` ER E U P E = o e 1-- E a L O in O � P y 4 O { y c O m a° : m Z a 50050 00400 C0530 00556 00070 Weekly Weekly 2X month Weekly Weekly Estimate Grab Grab Grab Grab FLOW PH TSS - Cone OH-GRSE TURB 2400 clock firs 2400 clock Hrs Y11N mgd so mg/1 am am 945 0.2 Y NOFLOW r 805 0.2 Y NOFLOW 945 03 Y NOFLOW 4 5 6 805 0.3 Y NOFLOW 7 1030 0.2 Y NOFLOW 8 935 0.2 Y NOFLOW 9 810 02 Y NOFLOW 10 1 950 0.2 ly I NOFLOW 11 12 13 750 0.3 Y NOFLOW 14 745 0.2 Y NOFLOW 15 940 02 Y NOFLOW 16 1 810 10.2 Y NOFLOW 17 925 0.2 Y NOFLOW 18 19 20 1230 0.4 Y NOFLOW ' 21 730 0.3 Y NOFLOW 22 1 940 0.2 Y NOFLOW 23 730 0.2 Y NOFLOW 24 955 0.2 Y NOFLOW 25 26 27 740 0.3 Y NOFLOW 28 730 0.2 Y NOFLOW 29 940 0.2 Y NOFLOW 30 730 0.3 Y ENVWTHR Monthly Average Limit: 0.005 30 . Monthly Average: Daily Maximum: Daily Minimum: ****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 06-2016 (June 2016) COMPLIANCE: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8286571810 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SUBMISSION DATE: 07/18/2016 07/18/2016 ORC/Certifier Signature: Rachael G am E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date (9( By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of the NPDES permit. 07/18/2016 Permittee/Submitter Signature:**/ Rachael 28086 ram/e� E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd Kings Mountain Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water Tech Labs CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Ken Deaver 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). WQROS '-N,, MOORESVILLE REGIONAL W. Corey Basinger Regional Supervisor, Water Quality Regional Operations Section NC DWR Mooresville Regional Office 610 East Center Ave, Suite 301 Mooresville, NC 28115 Subject: Response to Notice of Violation Tracking #: NOV-2017-LV-0650 Eagle Road WWTP Dear Mr. Basinger: Two Rivers Utilities is in receipt of the above referenced Notice of Violation and wishes to offer additional information related to this issue. Just prior to the pH issue, the Eagle Road WWTP was experiencing elevated levels of fecal coliform. The low effluent pH was a result of an attempt to decrease fecal coliform. The events leading to the low pH are more fully explained below. During our internal investigations of the high fecal coliform, one of our thoughts was that the sodium hypochlorite solution had degraded quicker than expected and was too weak. The feed tank was recirculated and a specific gravity test was performed, the results of which came back in the normal range (specific gravity of 1.1 which is equal to approximately 6% sodium hypochlorite solution). While there were no obvious signs of changes at the influent, another possible cause was a substance entering the plant that reacted with the sodium hypochlorite and caused an increase in chlorine demand. Other than the elevated fecal coliform, all parameters indicated the plant was working and performing properly. In an attempt to lower the levels of fecal coliform, the sodium hypochlorite feed was increased over the time frame of a couple of weeks. At the same time, the sodium bisulfite feed was also increased to ensure the effluent chlorine residual limit was not exceeded. Unfortunately, the strong effect of sodium bisulfite on the pH was not fully accounted for, and the grab pH sample taken the next morning had dropped down to 4.1 standard units. The pH of the 24-hour composite effluent sample which was collected that morning was 6.5 standard units. Staff added soda ash to the dechlorination basin and promptly adjusted the effluent pH back up to 7.58 standard units within an hour. Once a new load of sodium hypochlorite was received, the fecal coliform issue was resolved. We believe that the previous batch of sodium hypochlorite degraded faster than usual, causing the issue. {x . i� n.. Two Rivers Utilities regrets this instance of non-compliance and is working to maintain compliance now and into the future at Eagle Road WWTP. We have implemented changes to our process control procedure to monitor the pH impacts of these chemicals to ensure they are accounted for when feed changes are made. Should you have any questions, or if I may be of assistance, please contact me at 704-214-9142 or CharlieG@TwoRiversUtilities.com. Sincerely, � Charlie G�raham Assistant Division Manager —Operations Wastewater Treatment Division Two Rivers Utilities Certified Mail 7015 0920 00010405 6701 i NPDES PERMIT NO.: NCO032867 AiCILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 05-2016 (May 2016) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland R�:CEI IF--w ORC CERT NUMBER: 27295' - C(�l; ,iD1PdR Z016 STATUS: Processed 1'�r�'RGS N9GGR>_�4'ii_Lr t?r=r 1GP�?1' r CE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO - c �' A fi y E U F E l w E U F' E P 1 < c O e O E F c O � ',n r1 O m •c C :Z` a 50050 00010 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2 X week Weekly Weekly Weekly Weekly Weekly Instantaneous Calculated Grab Grab Grab Grab Grab Grab Grab FLOW TEMP-C PH CHLORINE ROD - Cone N113-N - Cone TSS - Cone FEC COLI OIL-GRSE 2400 clock [In 2400 clock Hrs YB/N mgd deg c so ug/1 mg/l mgA mg/1 #/100m1 mg/I 1 2 805 0.3 Y 0.001 20 7 36 3 750 0.2 Y 32 4 1935 0.2 Y <2 1.25 3.7 <1 I <5.6 5 800 0.2 Y 6 1040 0.2 Y 7 8 9 800 0.4 Y 0.001 21 7.1 46 10 730 0.3 Y 37 11 925 0.2 Y <2 1.78 <2.5 <1 <5.6 12 800 0.2 Y 13 935 0.2 Y 14 15 16 1800 0.3 Y 0.001 20 7 39 17 740 0.2 Y 29 18 945 0.2 Y I I <2 1.94 3.2 <1 <5.6 800 0.2 Y 20 930 0.2 Y r19 21 22 23 730 0.4 Y 0.001 21 7.1 46 24 740 0.2 Y 33 25 940 10.2 Y <2 1.18 3.4 <I <5.6 26 810 0.2 Y 27 950 0.2 Y 28 29 30 31 755 0.4 Y 0.001 21 7 39 Monthly Average Limit: 0.0145 30 79 30 200 30 Monthly Average: 0.00, 20.6 1 137.444444 10 11.5375 12.575 11 10 Daily Maximum: 0.001 120 21 7.1 46 0 1.94 3.7 0 0 Daily Minimum: 0.001 7 29 0 1.18 0 0 0 ****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation -Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation-Holiday RECEIVED JUN 2 7 ZU16 CENTRAL FILES DWR SECTION NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 05-2016 (May 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) A c E c E O F E E'• F.0 E F es c n O e O E i c O V m C Z Cam', ' 2400 clock Hrs 12400 clock Firs I Y/B/N 1 2 805 0.3 Y 3 750 0.2 Y 4 935 0.2 Y 5 1800 0.2 Y 6 1040 0.2 Y 7 8 9 800 0.4 Y 10 730 0.3 Y 11 925 0.2 Y 12 800 0.2 Y 13 935 0.2 Y 14 15 16 800 10.3 Y 17 740 0.2 Y 18 945 0.2 Y 19 800 02 Y 20 930 0.2 1 Y 21 22 23 730 0.4 Y 24 1740 0.2 Y 25 940 0.2 Y 26 810 0.2 Y 27 950 0.2 Y 28 29 30 31 755 0.4 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 NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 05-2016 (May 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES A Ee E — eV O F E F E O O O in G U O f a o Z a 50050 00400 C0530 00556 00070 Weekly Weekly 2Xmonth Weekly Weekly Estimate Grab Grab Grab Grab FLOW PH TSS - Cone OIL-GRSE TURD 2400 clock Hrs 2400 clock Hrs YB/N mgd so m9/1 mg/l ntu 1 2 805 0.3 Y NOFLOW 3 750 0.2 Y NOFLOW 4 1 935 10.2 Y I NOFLOW 5 1 800 0.2 Y NOFLOW 6 1040 0.2 Y NOFLOW 7 8 9 1 800 0.4 Y NOFLOW 10 730 0.3 Y NOFLOW 11 925 0.2 Y NOFLOW 12 800 0.2 Y NOFLOW 13 1935 10.2 Y NOFLOW 14 15 16 800 0.3 Y NOFLOW 17 740 0.2 Y NOFLOW 18 945 0.2 Y NOFLOW 19 800 0.2 Y NOFLOW 20 1 1 930 10.2 Y I NOFLOW 21 22 23 730 0.4 Y NOFLOW 24 740 0.2 Y NOFLOW 25 940 0.2 Y NOFLOW 26 810 02 Y NOFLOW 27 1 1 950 10.2 Y I NOFLOW 28 29 30 31 755 0.4 Y NOFLOW Monthly Avenge Limit: 0.005 30 Monthly Avenge: Daily Maximum: Daily Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW =No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 05-2016 (May 2016) COMPLIANCE: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8286571810 77"1-2 q9(�10 PERMIT STATUS: Active COUNTY: Cleveland a ORC CERT NUMBER: 27295 STATUS: Processed SUBMISSION DATE: 06/16/2016 yam/ 06/16/2016 A)/Certifier Signature: Rachael G Kramer E-Mail:rachael@kaceinc.com Phone 4:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. , 06/16/2016 Permittee/Submitter Signature:*** Rachael �Krar�er E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd/ Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech Labs CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Ken Deaver 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 signatoy authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NI•#,)ES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 04-2016 (April 2016) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBETiI ' - ffg5rED/NCDENR/DWR* STATUS: Processed J U N 6 2016 MOOR-t�v l WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAR%E1:-'NOAL OFFICE i A a E d a E U F E F: e U F E,`-� P - d O c O F a z O c U O o Z ;4 50050 00010 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2 X week Weekly Weekly Weekly Weekly Weekly Instantaneous Calculated Grab Grab Grab Grab Grab Grab Grab FLOW TEMP-C PH CHLORINE I BOD -Conc NH3-N-Conc TSS -Conc FECCOLI OIL-GRSE 2400 clock Hm 2400 clock Hrs YB/N mgd deg c so ug/I mg/l m9A mg/l 9/100ml mg/l 1 810 0.2 Y 2 3 4 1 750 10.3 Y 1 0.001 16 7 39 5 755 0.2 Y 29 6 935 0.2 Y <2 9.8 7.7 <1 <5.6 7 810 0.3 Y 8 810 0.2 Y 9 10 Ii 830 0.3 Y 0.001 18 7.1 37 12 7.50 0.2 Y 29 13 925 0.2 Y <2 8 3.9 <1 <5.6 14 800 0.2 1 Y 15 750 0.2 Y 16 17 18 900 0.3 Y 0.001 20 7 36 19 750 0.2 Y 29 20 940 0.2 Y <2 <0.2 <2.5 <1 <5.6 21 800 0.2 Y 22 1000 10.2 Y 23 24 25 900 0.4 Y 0.001 21 6.8 42 26 1740 0.2 Y 1 34 27 915 0.2 Y <2 1.28 6.2 <I <5.6 28 750 0.2 Y ' 29 930 0.2 Y 30 Monthly Average Limit: 0.0145 1 1 130 17.9 30 200 30 Monthly Average: 0.00, 18.75 34.375 0 4.77 4.45 1 0 Daily Maximum: 0.001 21 7.1 42 0 9.8 7.7 0 0 Daily Minimum: 0.001 16 16.8 29 0 0 10 10 0 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday 7 MAY 2 6 2016 CENTRAL FILES DWR SECTION w NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 04-2016 (April 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) A 6 E U P E F E F Fn W e O � 0 P O in O x z a 2400 clock Hrs 2400 clock Hrs Y/6/N 1 810 0.2 Y 2 3 4 750 0.3 5 755 0.2 6 935 0.2 gy 7 810 0.3 8 810 0.2 9 10 11 830 0.3 Y 12 17.50 10.2 Y 13 925 0.2 Y 14 800 0.2 Y 15 750 0.2 Y 16 17 18 1800 0.3 Y 19 750 0.2 Y 20 940 0.2 Y 21 800 0.2 Y 22 1000 0.2 Y 23 24 25 900 0.4 Y 26 740 0.2 Y 27 915 0.2 Y 28 750 0.2 Y 29 930 0.2 Y 30 Monthly Average Limit: Monthly Average: Daily Maximum: Daily Minimum: ****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday IN LAVES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 04-2016 (April 2016) PERMIT VERSION: 4_0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES A a EU O F E F E O m O O o z C 50050 00400 C0530 00070 00556 Weekly Weekly 2Xmouth Weekly Weekly Estimate Grab Grab Grab Grab FLOW PH TSS - Cone TURB OIL-GRSE 2400 clock jHn 2400 clock jHrs YB/N I mgd so m9/1 ntu MM 1 810 0.2 Y NOFLOW 2 3 4 750 0.3 Y NOFLOW 5 1 1 755 10.2 Y INOFLOW 6 935 0.2 Y NOFLOW 7 810 0.3 Y NOFLOW 8 810 0.2 Y NOFLOW 9 10 0.3 Y NOFLOW 12 750 0.2 Y NOFLOW r11830 13 925 0.2 Y NOFLOW ' 14 goo 0.2 Y NOFLOW 15 750 0.2 Y NOFLOW 16 17 18 g00 0.3 Y NOFLOW 19 750 0.2 Y NOFLOW 20 940 0.2 Y NOFLOW 21 800 0.2 Y NOFLOW 22 1 11000 0.2 ly NOFLOW 23 24 25 900 0A Y NOFLOW 26 740 0.2 Y NOFLOW 915 0.2 Y NOFLOW 28 750 0.2 Y NOFLOW 29 L3027 930 0.2 Y NOFLOW Monthly Average Limit: 0.005 30 Monthly Avemge: Daily Maximum: Daily Minimum: ****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR= No Visitation— Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 04-2016 (April 2016) COMPLIANCE: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8286571810 PERMIT STATUS: Active O COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SUBMISSION DATE: 05/16/2016 /l k4%) 05/16/2016 ORC/Certifier Signature: Rachael G Kramer E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. _ 05/16/2016 Perm ittee/Submit/%, Signature-/ Rachael G Kramer E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech Labs CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Ken Deaver 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). NPD S PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 03-2016 (March 2016) PERMIT VERSION F (%, T: N ED CLASS: W W-2 A P R 2 7% 016 ORC: Kenneth M Deaver ORC HAS DWR SECtION ff & TION PROCESSING UNIT VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 RECEIVED/NCDENR/DWR STATUS: Processed MAY cD 20 16 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCI�A�GT; • l�(r��'�OS JIL�� r`�EGI°IygL OFFICE O o. a = EV ri F E F o F F es O e O E O d c O m ` 1 Z a 50050 00010 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Calculated Grab Grab Grab Grab Grab Grab Grab FLOW TEMP-C PH CHLORINE BOD-Cone NH3-N-Cone TSS-Cone FEC COLI OIL -CASE 2400 clock Hrs 2400 clock Hrs YB/N mgd deg c su ug/1 mg/l -mg/l- mg/1 N/100ml mg/l 1 750 0.2 Y 36 2 930 0.2 Y <2 9.45 12.4 <I <5.6 3 810 0.2 Y 4 950 0.2 Y 5 6 7 1800 0.4 1 Y 0.001 14 17 39 8 800 0.2 Y 29 9 935 0.2 Y 8.7 8.9 <2.5 <1 <5.6 10 810 0.2 Y 11 950 0.2 Y 12 13 14 800 0.3 Y 0.001 16 72 44 15 750 0.2 Y 31 16 935 0.2 Y <2 8.2 5.4 <I <5.6 17 800 0.2 Y 18 940 0.2 Y 19 20 21 800 0.3 Y 0.001 16 6.9 37 22 750 0.2 Y 29 23 940 0.2 Y <2 19.05 4.7 <] I <5.6 24 755 0.2 Y 25 1 1 1 HOLIDAY 26 27 28 750 0.3 Y 0.001 16 7.1 34 29 1 945 0.3 Y 41 30 1915 0.3 Y <2 7.25 5.3 <1 <5.6 31 730 0.3 Y Monthly Average Limit: 0.0145 30 23 30 200 30 Monthly Average: 0.00, 15.5 35.555556 1.74 8.57 5.56 1 0 Daily Maximum: 0.001 16 72 44 8.7 9.45 12.4 0 0 Daily Minimum: 0.001 14 6.9 129 10 17.25 0 0 0 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 TACILITY NAME: Kings Mountain Travel Plaza CLASS: WW-2 OWNER NAME: Maliks International Inc ORC: Kenneth M Deaver GRADE: WW-2 ORC HAS CHANGED: No eDMR PERIOD: 03-2016 (March 2016) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) a c � .a o f u F E = F fi — a o 0 m O o 0 a 0 a z cs - 2400 clock I Hrs 2400 clock Hrs YB/N 1 750 0.2 Y 2 930 0.2 Y 3 810 0.2 Y 4 950 0.2 Y 5 6 7 800 0.4 Y 8 800 0.2 Y 9 935 0.2 Y 10 810 0.2 Y 11 950 0.2 Y 12 13 14 1800 0.3 Y is 750 0.2 Y 16 935 0.2 IY 17 800 0.2 Y 18 940 0.2 Y 19 20 21 800 0.3 Y 22 750 0.2 Y 940 0.2 Y 755 0.2 Y r26 HOLIDAY 28 750 0.3 Y 29 945 6.3 Y 30 1915 0.3 Y 31 730 10.3 JY Monthly Average Limit: Monthly Avenge: Daily Maximum: Daily Minimum: <s:°NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 03-2016 (March 2016) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 'NO DISCHARGE*: NO A c = E 6 O F E E F E O O d O n � V O t a y 2 C 50050 00400 C0530 00556 00070 Weekly Weekly 2X month Weekly Weekly Estimate Grab Grab Grab Grab FLOW PH TSS - Cone OIL -CASE TURB 2400 clock 111rs 2400 clock jHn YB/N I mgd su mg/1 m9/1 ntu 1 750 02 Y NOFLOW 2 930 0.2 Y NOFLOW 3 810 0.2 Y NOFLOW 4 950 0.2 Y NOFLOW 5 6 7 800 0.4 Y NOFLOW 8 800 0.2 Y NOFLOW 9 935 0.2 Y NOFLOW 10 810 0.2 Y NOFLOW 11 950 10.2 Y I NOFLOW 12 13 14 800 0.3 Y NOFLOW 15 750 0.2 Y NOFLOW 16 1 1 935 0.2 Y NOFLOW 17 800 0.2 Y NOFLOW 18 940 0.2 Y NOFLOW 19 20 21 1 1 800 0.3 1 Y NOFLOW 22 750 0.2 Y NOFLOW 23 940 0.2 Y NOFLOW - 24 755 0.2 Y NOFLOW 25 ENV WTHR 26 27 28 750 0.3 Y NOFLOW 29 945 0.3 Y NOFLOW 30 915 0.3 Y NOFLOW 31 730 0.3 Y NOFLOW Monthly Average Limit: 0.005 30 Monthly Average: Daily Maximum: Daily Minimum: ****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW =No Flow; HOLIDAY =NoVisitation —Holiday A Y A NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 03-2016 (March 2016) COMPLIANCE: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8286571810 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SUBMISSION DATE: 04/2112016 ORC/Certifier Signature: Rq/hael G Kr r4y er i-Mail:rachael@kaceinc.com Phone #:828-657-1810 By this signature, I certify that this report is accurate and complete to the best of my knowledge. 04/21/2016 Date 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. 17 04/21/2016 Perm ittee/Submitter Signature:*/ings Rachael G ram r E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd Mountain NC 2808 Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech Labs CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Ken Deaver 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). NPDI S PE.R��IIT NO.: NCO032867 PERMIT VERSION: 4_0 FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 OWNER NAME: Maliks International Inc ORC: Kenneth M Deaver GRADE: W W-2 ORC HAS CHANGED: No eDMR PERIOD: 02-2016 (February 2016) VERSION: 2.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 RECEIVED/NCDENRIDWR STATUS: Processed MAR 2 9 2016 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISwwlgrlC CNAL OFFICE O U F FF+ E F E O e E O d c UC O c . ° Z P6 50050 00010 00400 50060 C0310 C0610 C0530 31616 00556 Weekly Weekly 2 X week Weekly Weekly Weekly Weekly Weekly Instantaneous Calculated Grab Grab Grab Grab Grab Grab Grab FLOW TEMP-C PH CHLORINE ROD - Conc NH3-N - Cone TSS - Cooc FEC COLI OIL-GRSE 2400 clock Hrs 2400 clock Hrs YBIN I mgd deg c so ug/l m9/1 mg/l mg/l #/100m1 mg/l 1 800 0.4 Y 0.001 10 6.9 46 2 805 0.2 Y 29 3 920 0.3 Y < 2 4.23 4.7 < 1 < 5.6 4 815 0.3 Y 5 805 0.2 Y 6 7 8 830 0.5 0,001 11 73 42 9 750 0.2 31 10 935 0.2 <2 8.2 3.8 <1 <5.6 I 800 0.2 12 800 0.2 ly 13 14 15 900 0.3 0.001 9 7.1 34 16 800 0.2 28 17 930 0.2 Y 13.5 9.2 12 4 <5.6 18 820 0.2 Y 19 800 0.3 Y 20 21 22 800 0.3 Y 0.001 11 7 40 23 900 0.2 Y 27 24 940 0.2 Y 4.3 3.6 5.4 < 1 < 5.6 25 810 0.2 Y 26 820 0.2 Y 27 28 29 800 0.3 Y 0.001 12 7.1 42 Monthly Average Limit: 0.0145 30 23 30 200 30 Monthly Average: 0.001 10.6 35.444444 4.45 6.3075 6.475 1.414214 0 Daily Maximum: 0.001 112 7.3 46 13.5 9.2 12 4 0 Daily Minimum: 0.001 9 6.9 27 0 3.6 3.8 0 0 ****No Reporting Reason: ENFRUSE =No Flow-Reuse(Recycle; ENVWTHR=No Visitation-Adverseweatner; NUrLUW=Nortow, nvtwnr-- ••... RECEIVED MAR 2 3 2016 CENTFZAL FILES DWR SECTION NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 02-2016 (February 2016) PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 2.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed +m SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) ****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday NPDES PERMIT NO.: NCO032867 FACfLISTY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: W W-2 eDMR PERIOD: 02-2016 (February 2016) PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CIIANGED: No VERSION: 2.0 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: YES O c o. U P ��, U F. 1 E F ` O o 2 O in O U0.' O a e a n Z C 50050 00400 C0530 00070 00556 Weekly Weekly 2X month Weekly Weekly . Estimate Grab Grab Grab Grab FLOW PH TSS - Cone TURB OIL-GRSE 2400 clock Hrs 2400 dock Hrs Y/BIN mgd so m.°A ntu mg/1 1 800 0.4 Y NOFLOW 2 805 0.2 Y NOFLOW 3 920 0.3 Y NOFLOW 4 815 0.3 Y NOFLOW 805 0.2 Y NOFLOW 6 7 r85 830 0.5 Y NOFLOW 9 750 0.2 Y NOFLOW 30 935 0.2 Y NOFLOW 11 800 0.2 Y NOFLOW U 800 0.2 Y NOFLOW 13 14 15 1 %0 0.3 Y NOFLOW 16 800 0.2 Y NOFLOW 17 930 0.2 Y NOFLOW 18 820 0.2 Y NOFLOW 19 800 0.3 Y NOFLOW 20 21 22 800 0.3 Y NOFLOW 23 900 0.2 Y NOFLOW 24 1940 0.2 Y NOFLOW 25 810 0.2 Y NOFLOW 26 820 0.2 Y NOFLOW 27 28 29 1800 0.3 Y NOFLOW Monthly Average Limit: 0.005 30 Monthly Average: Daily Mavmum: Daily Minimum: -***No Reporting Reason: ENFRUSE = No Flow-ReusetRecycle; ENVWTHR = No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 02-2016 (February 2016) COMPLIANCE: Compliant PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 2.0 CONTACT PHONE #: 8286571810 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed SUBMISSION DATE: 03/18/2016 ORC/Certifier Signatur . Rachael(7 framer E-Mail:rachael@kaceinc.com Phone #:828-657-1810 By this signature, I certify that this report is accurate and complete to the best of my knowledge. 03/18/2016 Date 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. Perm ittee/Submitter Signatur*** RachaeUG Permittee Address: 400 Dixon School Rd Kings Mountain NC 03/18/2016 r E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water Tech Labs CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Ken Deaver CERTIFIED LABORATORIES 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). M ✓ZA NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 FACILITY NAME: Kings Mountain Travel Plaza CLASS: W W-2 OWNER NAME: Maliks International Inc ORC: Kenneth M Deaver GRADE: WW-2 ORC HAS CHANGED: No PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMSEREc279S REDINCDENRIDWf eDMR PERIOD: 01-2016 (January 2016) VERSION: 1.0 STATUS: Processed NAR 18 2016 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE : NO rtnnnOL'^}JII C OCr'-?r) 1Al nt7C1f`G A E m e U F E F F > s O a O c O w c PC O aC t o o Z 50050 00010 00400 SM60 C0310 C0610 C0530 31616 00556 Weekly Weekly 2Xweek Weekly Weekly Weekly Weekly Weekly Instantaneous Calculated Grab Grab Grab Grab Grab Grab Grab FLOW TEMP-C PH CHLORINE BOD-Cone NH3-N-Cone 75S-Cone FECCOLT OI1rGRSE 2400 His 2400 Hrs WRIN mgd deg su UFA mg0 mg/l MgA Alloom1 m 1 2 3 4 0825 0.4 Y 1 0.001 12 6.8 41 5 0750 10.2 Y 30 6 0940 0.2 Y 2.1 8.85 4.8 < 1 < 5.6 7 1 0840 0.5 Y g 0800 0.2 Y 9 10 11 - 0.4 Y 0.001 10 6.9 37 12 0750 0.2 Y 31 13 0920 0.3 Y <2 8.9 3.6 <1 <5.6 14 0930 0.2 1 Y 15 0750 0.2 1 Y 16 17 18 0850 0.4 Y 0.001 9 7 42 19 1140 0.2 Y 31 20 0925 0.2 Y <2 9.35 10.3 <1 <5.6 21 0750 0.2 Y 22 No Visitation - Adverse Weather 23 24 25 1515 0.3 Y 0.001 8 7.1 44 26 0800 0.2 Y 29 27 0945 0.2 Y <2 9.45 3.4 <1 <5.6 28 1530 0.2 Y 29 0800 0.2 Y 30 31 Monthly Average Limit: 0.0145 30 23 30 200 30 Monthly Average: 0.001 9.75 6.95 35.625 0.525 8.8875 5.525 1 0 Daily Maximum: 0.001 12 7.1 44 2.1 9.35 10.3 0 0 Daily Minimum: 0.001 8 6.8 29 0 8.45 3.4 0 0 Monthly Avg % Removal (85 %): RLCEIVEZ-D Division of Water Resources MAR - 8 2016 Water CZuality Regional Operations Asheville Regional Office MAR 0 3 2016 CENTRAL FILES DWR SECTION NPDES PERMIT NO.: NCO032867 PERMIT VERSION: 4.0 FACILITY NAME: Kings Mountain Travel Plaza CLASS: WW-2 OWNER NAME: Maliks International Inc ORC: Kenneth M Deaver GRADE: WW-2 ORC HAS CHANGED: No eDMR PERIOD: 01-2016 (January 2016) VERSION: 1.0 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed NO DISCHARGE*: NO (Continue) O U F: P F• L� O e E O ° O Z 2400 Hrs 2MO Hrs YBJN 1 2 3 4 0825 0.4 Y 5 0750 0.2 Y 6 0940 0.2 Y 7 10940 0.5 Y 8 0800 0.2 Y 9 10 11 0820 0.4 Y 12 0750 0.2 Y 13 0920 0.3 Y 14 0930 0.2 Y 15 1 10750 10.2 Y 16 17 18 0850 0.4 Y 19 1140 0.2 Y 20 0925 0.2 Y 21 1 0750 02 1 Y 22 1 No Visitation -Adverse Weather 23 24 25 1515 0.3 Y 26 0800 0.2 Y 27 0945 02 Y 28 1530 0.2 Y 29 0800 0.2 Y 30 31 Monthly Average Limit: Monthly Average: Daily Maximum: Daily Minimum: Monthly Avg % Removal (85 %): NPDES PERMIT NO.: NCO032867 VACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 PERMIT VERSION: 4.0 CLASS: W W-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No PERMIT STATUS: Active COUNTY: Cleveland ORC CERT NUMBER: 27295 eDMR PERIOD: 01-2016 (January 2016) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO A a r: d 0 U fi E F' E = 6 o O c F c O rn a {X O e z 1 Z 50050 00400 C0530 00070 00556 Weekly Weekly 2Xmonth Weekly Weekly Estimate Grab Grab Grab Gmb FLOW PH TSS-Cane TURB OILGRSE 2400 Hrs 2400 Hrs YB/N mgd so mg8 mat mg/I I 2 3 4 No Flow 5 No Flow 6 No Flow 7 No Flow 8 No Flow 9 10 11 No Flow 12 1 No Flow No Flow 14 No Flow r1613 IS No Flow 17 18 No Flow 19 No Flow 20 No Flow 21 No Flow 22 No Visitation -Adverse Weather 23 24 25 No Flow 26 No now 27 No Flow 28 1 No Flow 29 No Flow 30 31 Monthly Average Limit: 0.005 30 Monthly Average: Daily Maximum: Daily Minimum: Monthly Avg % Removal (85%): NPDES PERMIT NO.: NCO032867 FACILITY NAME: Kings Mountain Travel Plaza OWNER NAME: Maliks International Inc GRADE: WW-2 eDMR PERIOD: 01-2016 (January 2016) COMPLIANCE: Compliant ORC/Certifier Signature PERMIT VERSION: 4.0 CLASS: WW-2 ORC: Kenneth M Deaver ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8281 PERMIT STATUS: Active i COUNTY: Cleveland ORC CERT NUMBER: 27295 STATUS: Processed 1810 SUBMISSION DATE: 02/18/2016 02/18/2016 hael G Krffer 'I-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. COMMENTS: 11 02/18/2016 Permittee/Submitter Signature:*** Rfchael G KVier-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 400 Dixon School Rd Kings Mountain NC 28086 P rmit Expiration Date: 08/31/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech Labs CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Ken Deaver 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).