NC0027197_Regional Office Historical File Pre 2018 (4)

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NPDES PERMIT NO.: NCO027197
FACILITYNAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 08-2019 (August 2019)
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1_0
PERMIT STATUS: Active
EC" F IV C'OUNTY: Cleveland
O C T 0 ry 2019 ORC CERT NUMBER: 9l (7,'EIVED/NCDENR/DWR
CLl1 ir;i'\L Fll-c%
-�aSTATUS: Processed
r iWR v'E-:CT)0i13
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCIM&WILNfOEGIONAL OFFICE
a
B
F
—
4
E
U
E
F
u'
=
F
E
F
_
O
_
y
0
E
D
o`
u
u
O
=
z
Z
500M
00400
50060
C0530
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
PH
CHLORINE
TSS - Cunt
ALUMINUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
2400 clack
Hn
2400 clock
Hn
YIWN
mgd Isu
ug/1
mg/I
mg/I
ntu
deg c
mg/l
mg/I
1
0700
8
Y
0.047
2
0700
8
N
0.165
3
0700
8
N
0.157
4
10700
8
N
0
5
0700
8
N
0
6
0700
8
Y
0.133
7.1
< 15
< 2.5
< 1
7 1
0700
18
Y
0
8
0700
8
Y
0.122
9
0700
8
Y
0.044
10
0700
8
Y
0.055
11
0700
8
Y
0.062
12
0700
8
Y
0.17
13
0700
8
Y
0.067
14
0700
8
Y
0.162
is
0700
8
Y
0
16
0700
8
N
0.146
17
0700
8
N
0.32
18
1
0700
18
N
0.162
19
0700
8
N
0
20
0700
8
Y
0.06
6.9
< 15
< 2.5
2.6
21
0700
8
Y
0.069
22
0700
8
Y
0.066
23
0700
8
Y
0.067
24
0700
8
Y
0.069
25
0700
8
Y
0.06
26
0700
8
Y
0.047
27
0700
8
Y
0.097
28
0700
8
Y
0.067
29
0700
8
Y
0
30
0700
8
N
0
31
0700
8
N
0.584
Monthly A—gc Limit:
30
Monthly A—ge:
0.09671
0
0
1.3
Dada Maatmum.
0.584
7.1
0
0
2.6
Daily Minimum:
0
16.9
0
0
1
10
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 08-2019 (August 2019)
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
O
6
F
E
U
E
E
u
F
E
F
Q
L
O
_
y
O
F
O
o
U
O
—
L
s
2
00951
01045
00927
01055
TGP3B
Grab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
MGNSIUM
MANGNESE
CER17DPF
2400 clock
H.
2400 clock
lirx
Y113IN
mg/I
mgfl
mgA
mgfl
pass/fail
1
0700
18
y
2
0700
8
N
3
0700
8
N
4
1
0700
8
N
5
0700
8
N
6
0700
8
Y
7
0700
8
Y
8
0700
8
Y
9
10700
8
1 Y
10
0700
8
y
11
0700
8
y
12
0700
8
Y
13
0700
8
Y
'
14
0700
8
Y
Is
0700
8
Y
16
0700
8
N
17
0700
8
N
is
0700
8
N
19
0700
8
N
20
0700
8
Y
21
0700
8
Y
22
0700
8
Y
23
0700
8
Y
24
0700
8
y
25
0700
8
y
26
0700
8
Y
27
0700
8
y
28
0700
8
Y
29
0700
8
Y
36
0700
8
N
31
0700
8
N
Monthly A.—p Limit:
M-thly Awrage:
Daily Maximum:
Daily Minimum;
****NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

t
NPDES PERMIT NO.: NCO027197
FACILITIY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 08-2019 (August 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 09/27/2019
09/19/2019
ORC/Certifier[ Signature: Billy Wilkie E-Mail:billy.wilkie.n cityofshelby.com Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of
the NPDES permit.
� c
09/27/2019
Permittee/Submitter Signature:*** David W Hux E-Mail: [e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: ShelbyWTP, Shelby WWTP, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Wendell Leonard & Billy Wilkie
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
FACILITY NAME: Shelby WTP
CLASS: PC-1
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 08-2019 (August 2019)
VERSION: 1.0
Report Comments:
8/6/19 total discharge hours were 7. 8/20/19 total discharge hours were 6.
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

f
d
NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 07-2019 (July 2019)
PERMIT VERSION: 4_0 PERMIT STATUS: Active 3CLASS: PC-1 � t � COUNTY: Cleveland
RECORC: Billy J Wilkie S LP 0 9 2019 ORC CERT NUMBER: ;98`MVE YNCE)EPlRiCiWR
ORC HAS CHANGED: No
CC�fTF- fil FILES `CEP ; �1�1
VERSION: 1.0 DWR SEC_�`O'll STATUS: Processed
wano s
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCI3-)AR 99";,L-CMO"IQNA OFFICE
q
E
E:,
e
U
F
Eu
a
F
E
't
O
—
C
E
O
U
O
a
F-
re
Z
50050
00400
50000
C0530
01105
01042
01045
TGP3B
00070
2 X month
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Gab
Grab
Grab
Grab
FLOW
PH
CHLORINE
TSS-Con.
ALUMINUM
COPPER
IRON
CER17DPF
TURBIDITY
2400 eb.k
H.
2400.1..k
H.
Y/RtN
mgd
so
ugA
mg/I
mg/l
mg/I
mg/l
pass/fall
ntu
I
0700
8
Y
0
2
0700
8
Y
0.046
3
0700
8
Y
0.113
4
0700
8
N
0
5
0700
8
N
0.174
G
0700 18
N
0
7
0700
8
N
0.136
9
0700
8
N
0.156
v
0700
8
Y
0.092
7.3
<15
<2.5
<1
10
0700
8
Y
0.095
11
0700
is
Y
0
12
0700
8
Y
0.093
13
0700
8
Y
0
14
0700
8
Y
0
15
0700
8
Y
0
tG
10700
8
Y
0.133
1.12
0.024
0.133
P
t7
0700
8
Y
0.109
to
0700
18
Y
1
0.277
19
0700
8
N
0.107
20
0700
8
N
0
21
0700
8
N
10.172
22
0700
8
N
0.135
23
0700
8
Y
0.09
17.3
< 15
4.7
6.8
24
0700
8
Y
0.075
25
0700
8
Y
0.061
26
0700
8
Y
0.072
27
0700
8
Y
0
28
0700
8
Y
0.062
29
0700
8
Y
0.052
3a
0700
8
Y
0.059
3t
0700
8
Y
0.101
Monthly Average Limit:
30
Monthly Arerag.:
0.077742
0
2.35
1.12
0.024
0.133
3.4
Daily Maximum:
0.277
7.3
0
4.7
1.12
0.024
0.133
6.8
Daily Minimum:
0
7.3
0
0
1.12
0.024
0.133
0
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 07-2019 (July 2019)
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
q
6
!,
—
E
E
U'
E
F
E
u
_
F'
E
F
—
G
L
.
O
—
v,
0
F
E
o
o`
U
0
5
x`
Z
00010
00916
00951
00927
01055
Grab
Grab
Grab
Gab
Grab
TEMP-C
CALCHIM
F-TOTAL
MGNSIUM
MANGNESE
2400 clack
H.
2400 clock
H.
Y/E&N
deg a
mgA
mg/l
mgA
mg/l
1
0700
8
Y
2
0700
8
Y
3
0700
8
Y
0700
8
N
5
0700
8
N
6
0700
8
N
7
0700
8
N
s
0700
8
1 N
9
0700
8
Y
10
0700
8
Y
11
0700
8
Y
12
0700
Is
Y
13
0700
8
Y
14
0700
8
Y
15
0700
8
Y
16
0700
8
Y
17
0700
8
Y
is
0700
8
Y
19
0700
8
N
20
0700
8
N
21
0700
8
N
22
0700
8
N
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
Y
28
0700
8
Y
29
0700
8
Y
30
0700
8
Y
31
0700
8
Y
Monthly A-mgc Limit:
Monthly Axeragc
Daily Maximum:
Daily Minimum:
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

f
NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 07-2019 (July 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 08/26/2019
vVI&I"Pf 08/08/2019
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone 4:704-484-6885 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.
k 11 I B
08/26/2019
Permittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP, Shelby WWTP, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Billy Wilkie and Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
* * ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* * * Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
CLASS: PC-1
COUNTY: Cleveland
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
ORC CERT NUMBER: 985377
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 07-2019 (July 2019)
VERSION: 1.0
STATUS: Processed
Report Comments:
7/9/19 total discharge was 7 hours. 7/23/19 total discharge hours was 5 hours.

E---------------
ffluent Toxicity Report Form - Chronic Pass/Fall and Acute LC50
Date 31-Jul-19
CONTROL ORGANISMS
mwtL. URIGINAL TO
Environmental Sciences Branch
Div. of Water quality
N.C. DENR
1621 Mall Service Center
Raleigh, North Carolina 27699-1621
Chronic Test Results
Rank sum= 128.5
1 2 3 q 5 6 7 a Critical Value= 109
9 10 11 12 % Reduction= 8.6%
# Young Produced
20 22 25 19 20 24 23 25
Adult L Iva (D ead 20 23 25 22 % Mortality Avg. Reprod.
L L L L L L L L L L Effluent % L L 0% 22.3
90.0 /o Control
Control
0% 20.4
TREATMENT 2 ORGANISMS Treatment 2 Treatment 2
1 2 3 q 5 6 Control CV
7 e 9 10 11 12 9.8%
# Young produced ,
20 20 23 9 20 22 23 19
Adult (L)fve (D)aed 21 21 24 23 %3rdBrood PASS
L L L
L L L L L L
100% `x
Complete This for Either Teat .
PH Teat start Data
Islas le Islas la
2nd sample Sam Is 1 16-Jul-19 17-Jul-19
Control 7 6 7 9 Semple 2 111-Jul-19
7.6 7.7 7.6 7.6
Treatment 2 7.5 Gjjb7.6
GomP .. DureNon let 2nd
Sample 1 x
Tox Tox
Sample 2 x
D.O. start and start and Dilution Sample Sample
lst$am le at earn is start and
2nd sam is Hardneae
Control 8.1 8.3 (r"g�) 44.0
8.2 7.9 7.9 8.3
Treatment 2 Spea Cond. (pmhos) 175
9.1 9.0 9.1 8.1 84 86
8.5 8.3
Chlorine (mg/L)
I
Sample Tamp, at recelpt (•C)
LC50/Acute Toxicity Test
(Mortallty expressed as %, cembining replicates)
t
Concentration
LC50 = Mortality F
Method of Determination startlend
startlend
15% Confidence Limits {
Moving Average
Probit control f
_.% % Spearman Kerber
Other R::� High Conc.S3
`
)r anism Tested pH D.O.
CeriOda hnia dubia
EM Form AT-1
Page 2 of 6

I
NPDES PERMIT NO.: NCO027197
E
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 06-2019 (June 2019)
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
S g +� �C sPUNTY: Cleveland
ORC CERT NUMBER: 985377
AUG 0 7 Z019 AECEIVED/NCDENR/DWR
C EN I ftir'1 E STATUS: Processed
�AUG 19 2019
%WR ION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NOWQROS
MOORESVILLE REGIONAL OFFIC
q
E
F
a
G
�^ _
E
U
E
F
E
a
F
E
F
a
d
O
C
O
E
O
o`
u
C
O
a
Z
50050
00400
50060
C0530
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Gab
Grab
Grab
Grab
Grab
Grab
FLOW IpH
CHLORINE
TSS-Cone
ALUMINUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
2400 clock
H.
2J00 clack
H.
YBOV
mgd
au
ug/l
mg/l
m9A
into
deg c
mg/l
mg/1
1
0700
8
Y
0.084
2
0700
8
Y
0.062
3
0700
8
Y
0.096
J
0700
8
Y
0.062
7
< 15
< 2.5
< 1
s
0700
8
Y
0.15
6
0700
8
Y
0.046
7
0700
8
N
0.145
s
0700
8
N
0
9
0700
8
N
0.457
10
0700
8
N
0.102
11
0700
8
Y
0.046
12
10700
8
Y
0
13
0700
8
Y
0.06
14
0700
8
Y
0.078
15
0700
8
Y
0
16
0700
8
Y
0
17
0700
8
Y
1
0.09
to
0700
8
Y
0.058
6.8
<15
<2.5
1.9
19
0700
8
0.088
20
0700
8
0.443
21
0700
8
rN.
0
22
0700
8
0.118
23
0700
8
N
0.043
24
0700
8
N
0.093
25
0700
8
N
0.062
26
0700
0.084
27
0700
0
28
0700
p8l
0.075
29
0700
0.048
30
0700
0
Monthly Avenge Limit:
30
Manlhly Areragc.
0.086333
0
0
0.95
Daily Maximum:
0457
7
0
0
1.9
Daily Minimum:
0
6.8
0
0
0
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HULIDAY=No visitation — tlonaay

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 06-2019 (June 2019)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
d
O
E
-
E
U
E
E
s
E=
E
G
o
m
H
1 0
_
e
O
a
,Z',
00951
01045
00927
01055
TGP313
Grab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
MGNSIUM
MANGNESE
CER17DPF
2400 clock
H.
2400 clock
H.
I Y/B/N
mg/I
mg/I
mg/I
MM
pass/fail
1
0700
8
Y
2
0700
8
Y
3
0700
8
Y
4
0700
8
Y
5
0700
8
Y
6
0700
8
Y
7
0700
8
N
8
0700
8
N
9
0700
8
N
10
0700
8
N
11
0700
8
Y
12
0700
8
Y
13
0700
8
Y
14
0700
8_-
Y
15
0700
8
Y
16
0700
8
Y
17
0700
8
Y
1s
0700
8
Y
19
0700
8
Y
20
0700
8
N
21
0700
8
N
22
0700
8
N
23
0700
8
N
24
0700
8
N
25
0700
8
N
26
0700
8
N
27
0700
8
N
28
0700
8
Y
29
0700
8
Y
30
0700 18
Y
Monthly Avenge Limit:
Monthly Avenge:
Doily Mo:tmum:
Daily Minimum:
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERM'" NO.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 06-2019 (June 2019) VERSION: 1.0 STATUS: Processed
Report Comments:
On 6/4/19 total discharge hours was 6. On 6/18/19 total discharge was 6 hours.

e
NPDES PERMIT NO.: NC0027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 06-2019 (June 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 07/26/2019
A�e 07/18/2019
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDES permit.
e A I
9
07/26/2019
Permittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: ShelbyWTP, Shelby WWTP, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Billy Wilkie & Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

W
NPD)-S PERMIT NO.: NCO027197
R'
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 05-2019 (May 2019)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 E . C ivrxuTY: Cleveland
ORC: Billy J Wilkie JUL r 0ORCC CERT NUMBEIqMaED/NCDENRfi�WR
U
ORC HAS CHANGED: No i1 f1J Y
r
VERSION: 1.0 CE8'r79 1L Fi L [��ATUS:Processed JUL 1 aa 5
DV;tR SECTION! It
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARESwQR05
O� ": gi;i}pFICE
v
O
F
E
E
U
FE-.
E—
u
a
E
F
G
O
G
E
E
O
0`
o
O
C`
z
2
00951
01045
00927
010555
TGP3B
Grab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
MGNSIUM
MANGNESE
CERI7DPF
2400 clock
H.
2401) clock
H.
Y/WN
mg/l
tng/I
mgq
mg/I
pus/fail
1
0700
8
Y
2
0700
8
B
3
0700
8
Y
4
0700
8
Y
5
0700
8
Y
G
0700
8
N
7
0700
8
B
8
0700
8
Y
9
0700
8
Y
10
0700
8
N
11
0700
8
N
12
0700
8
N
13
0700
8
N
14
0700
8
Y
15
0700
8
ly
16
0700
8
Y
17
0700
8
Y
is
0700
8
Y
19
0700
8
Y
20
0700
8
Y
21
0700
8
Y
22
0700
8
Y
23
0700
8
Y
24
0700
8
N
25
0700
8
N
26
0700
8
N
27
0700
8
N
28
0700
8
Y
29
0700
8
Y
30
0700
8
Y
31
0700
8
Y
Monthly Aecmgc Limit:
Monthly Arcrage:
Doily M-imum:
Daily Minimum:
* * ** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 05-2019 (May 2019)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC IIAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
50050
00400
50060
C0530
01105
00070
00010
00916
01042
=
B
E
F
7.
0
E
-
E
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Gab
Grab
rM_
E
<
w
p
ii
E
_
O
C
a
FLOW
CHLORINE
TSS - Cone
ALUMINUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
f]
C)
F
O
O
O
Z
PH
2400 clock
Hn
2400 clock
Hn
Y/B/N
mgd
su
ug/I
mgA
mg/l
ntu
deg c
mg/I
mg 1
1
0700
8
Y
0.164
2
0700
8
B
0.435
3
0700
8
Y
0.182
4
0700
8
Y
0.072
5
0700
8
Y
0
6
0700
8
N
0.204
7
0700
8
B
0.204
6.9
< 15
< 2.5
1
8
0700
8
Y
0.078
9
0700
8
Y
0.032
10
0700
8
N
0.074
11
0700
8
N
0.101
12
0700
8
N
0.04
13
0700
8
N
0.05
14
0700
8
Y
0.037
15
0700
8
Y
0
16
0700
8
Y
0.062
17
0700
8
Y
0.08
18
0700
8
Y
0
19
0700
8
Y
0.035
20
0700
8
Y
0.082
21
0700
8
Y
0.092
7.1
< 15
< 2.5
1.1
zz
0700
8
Y
0.076
23
0700
8
Y
0.073
24
0700
8
N
0.102
25
0700
8
N
0.039
26
0700
8
N
0
27
0700
8
N
O.i7
28
0700
8
Y
0.125
29
0700
8
Y
0
30
0700
8
Y
0.079
31
0700
8
Y
0.091
Monthly Avemgc Limit:
30
Monthly Average:
0.089645
0
0
1.05
Daily Mailmum:
0.435
7.1
0
0
1.1
Daily Minimum:
0
6.9
0
0
1
****NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDFO PERMIT NO.: NC0027197
PERMIT VERSION: 4_0
PERMIT STATUS: Active
e
FACILITY NAME: Shelby WTP
CLASS: PC-1
COUNTY: Cleveland
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
ORC CERT NUMBER: 985377
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 05-2019 (May 2019)
VERSION: 1.0
STATUS: Processed
Report Comments:
5/7/19 total discharge hours were 5 hours. 5/21/19 total discharge hours were 6 hours.

-- .4
CLASS: pC_ 1 PERMIT STATUS: Active
ORC: Billy= COUNTY:
Clete ORC HAS CHANGED: No ORC CERT NUMBER: 985377
VERSION: 1.0 �
t _
CONTACT PHONE #: 7044= STATUS:
Processed
SUBMISSION DATE: 06/2
512019
lil]Y Wilkie E-Mail: billy. wi]kie@cityofshelby. com P
comphon06/
rt is accurate and e #: 7 0 4- 4 8 4- 6 8 8 5
complete to the best of my knowledge.
i
?r the appropriate Regional Office any noncom
Within 24 hours from the time the a Pliance that potential)
P rmittee became y threatens public health
ittee becomes aware of the circu ame aware of the circumstances. or the environm
I list of corrective actions being circumstances. A writte
taken and a time -table for improvements to
n submission shall ah
be made as required by part I.E.
avid W Flux E_
Mail:[e-mail]
?8150 Permit Expiration D 06/25/2
ate:0513112020 Phone #:704-669-
'nd all attachments were 6570 D
1d evaluate the info Prepared under my direction or supervision
It information submitted. in accordance
Bring the info Based on my inquiry of the with a system desi information, the info person or gne�
ificant penalties for submittingrmation submitted is, to Persons w
the best of h0 managed the
false information, including the my knowledge and belief, true,
Possibility of fines and imprisonment fo
CERTIFIED LABORATORIES
iy Wilkie
i
i PARAMETER CODES
DES Unit (919) 807_6300 or by visiting ht'p://Porta'.ncdenr.org/web/wq/swp/Ps/npdes/forrns.
FOOTNOTES
s NPDES permit for reporting data.
urs and, as a result, there are no data to be entered for all of
the Parameters on the DMR
facility as required per 15A NCAC 8G .0204.
delegation of the signatory authority must be on file with the state
per ISA NCgC 2B

I
NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 04-2019 (April 2019)
PERMIT VERSION: � `�A E® ERMIT STATUS: Active
CLASS: PC-1 SUN p 7 2019 COUNTY: Cleveland
ORC: Billy J Wilkie RAL ORC CERT NUMBER: 2MVEIVECD/NCDENRMWF?
ORC HAS CHANGED: h3Q wR SEC"j l�j��
VERSION: 1.0 TT�) STATUS: Processed J U N 17 2019
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCRAi�'S�+ '�4WIF-GIONAL OFFICE
97
E
E
N_
E
U
F
-
E
�
F
E
c
4
O
O
O
9
0
u
C
O
e
a
x
�
a`
Z
So050
00400
50060
costa
01105
0t042
om4s
TGP311
00070
2 X month
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
TSS-Cone
ALUMINUM
COPPER
IRON
CER17DPF
Tl1RBIDTV
140a clock
Hrx
2400 clock
H.
Y/R&N
mgd
so
ug/I
mg/I
mg/1
mg/I
m9/1
pass/fail
ntu
1
0700
8
N
0
2
0700
8
Y
0.089
7.2
<15
<2.5
1.1
3
0700
8
Y
0
4
0700
8
Y
0
5
0700
8
Y
0.062
6
0700
8
Y
0
7
0700
8
Y
0.07
8
0700
8
N
0.103
9
0700
8
B
0.106
10
0700
8
N
0.231
III
0700
8
B
0.56
1t
0700
8
B
1
0.273
13
0700
8
0.201
14
0700
8
0.432
15
0700
8
rN
0.107
16
0700
8
0.122
6.2
< 15
3.7
2.6
17
0700
Is
Y
0.111
is
0700
8
Y
0
19
0700
8
Y
0.061
20
0700
8
Y
0.059
21
0700
8
Y
0
22
0700
8
Y
0.108
23
0700
8
Y
0.064
0.163
0.007
0.051
P
24
0700
8
Y
0.11
25
0700
8
B
0.128
26
0700
8
N
0.157
27
0700
8
N
0.07
28
10700
8
N
0.034
29
0700
8
N
0
30
0700
8
Y
0.152
Monthly A,-p Limit:
30
Monthly A-ge:
Doily Maximum:
Daily Minimum:
0.113667
0.56
0
7.2
6.2
0
0
10
1.85
3.7
10
0.163
0.163
0.163
0.007
0.007
0.007
0.051
0.051
0.051
1.85
2.6
1.1
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY =No Visitation - Houcay

I
NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME:, City of Shelby
GRADE: PC-1
eDMR PERIOD: 04-2019 (April 2019)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Billy J Wilkie ORC CERT NUMBER: 985377
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
e
p
E
F
_
E
E
U
E
F
3
F
E
F
_
O
z
y
O
U
O
C
Z
00010
00916
00951
00927
01055
Grab
Grab
Grab
Gab
Grab
TEMP-C
CALCIUM
F-TOTAL
MGNSHIM
MANGNESE
2400 clock
Hn
2400 cock
I H.
11 YBTI
deg c
mgA
mg/I
mg/1
mg/I
i
0700
8
N
2
0700
8
Y
3
0700
8
Y
4
0700
8
Y
5
0700
8
Y
6
0700
8
Y
7
0700
8
Y
8
0700
8
N
9
0700
8
B
10
0700
18
N
11
0700
8
B
12
0700
8
B
13
0700
8
N
14
0700
8
N
15
0700
8
N
16
0700
8
Y
17
0700
8
Y
is
0700
8
Y
19
0700
18
Y
20
0700
8
Y
21
0700
8
Y
22
0700
8
Y
23
0700
8
Y
24
0700
8
Y
25
0700
8
B
26
0700
8
N
27
0700
8
N
28
0700
8
N
29
0700
8
N
30
0700
8 1
Y
Manlhly All-gc Limit:
Manlhk Av gc:
Daily Maximum:
Daily Minimu
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

I
NPDES PERMIT NO.: NC0027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC -I COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 04-2019 (April 2019) VERSION: 1.0 STATUS: Processed
Report Comments:
4/2/19 Total discharge hours were 5 hours. 4/16/19 Total discharge hours were 6 hours

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 04-2019 (April 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 05/28/2019
�� /
' >� 05/28/2019
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of
the NPDES permit. 'l
05/28/2019
Permittee/Submitter Signature:*** David W Hux E-Mail: [e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby Wtp, Shelby WWtp, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Wendell Leonard and Billy Wilkie
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
* ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

Effluent Toxicity Report Form - Chronic Pass/Fall and Acute LC50
nafo nr-ail . fn
Facility: Shelby WTP NPDES# NCO027197 Pipe # 001 County. Cleveland
Laboratory Perform I nTest: Comments
r
X
Signature of Operator in pon ' le r e
X
Signature of Laboratory Supervisor
MAIL ORIGINAL TO Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mall Service Center
Raleigh, North Carolina 27699-1621
North Carolina CerlodaDhnia Chronic Pans/F it Renroductl n Toxicity Test
Calculated t= 1.0661
Critical Value= 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 6 9 10 11 12 % Reduction= 4.1%
# Young Produced 25 21 1 22 23 21 1 25 1 24 1 24 22 1 16 24 22 % Mortality Avg. Reprod.
Adult (L)Ive (D)ead L L L L L L L IL L L L L 0% 22.6
Control
ntre�
Effluent % 90.0%
TREATMENT 2 ORGANISMS
# Young Produced
Adult (L)Ive (D)ead
1 9 9 Ac
20
20
1 21
1 24
23
25
25
21
22
20
21
16
L
L
L
L
L
L
L
L
L
L
L
L
pH lslsample let sample 2nd sample
Control 7.2 7.9 7.8 7.6 7.6 7.6
Treatment 2 6.7 7.6 7.3 7.2 6.9 7.3
D.O. start and start and start and
Islas le 1st sam le 2nd sam le
Control E
7.47.4 8.5 7.9 8.1
Treatment 2 .3 7.6 8.5 8.5 8.8 8.2
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates)
LC50 = %
95% Confidence Limits
Organism Tested
its This for Either Teat
an (Start) Date
1 23-Apr-19
Sample 1 X
Sample 2 X
Hardness (mg/L)
Spec. Cond. (pmhos)
Chlorine (mg/L)
0/a
21.7
reatment 2
Treatment 2
ontrol CV
8.9%
%3rdBrood
PASS FAIL
100%
X
Test Start Date
24-Apr-19
Samole 2
25-Apr-19
gat 2nd
Tox Tox
Dilution Sample Semple
178
87
98
<.05
<.05
Y
0.3
0.5
Mortallty start/end start/end
Method of Determination
Average Probit
control
® R:�
ROther
High Conc.
an Kerber
pH D.O.
Cedodaphnia dubia
DEM Form AT-1
Page 2 of 6

4
NPDES - J� RMIT NO.: NCO027197
a
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 03-2019 (March 2019)
E�jetPERMIT VERSION: 4.0 IT STATUS: Active
CLASS: PC-1 MAY 0 8 201'UNTY: Cleveland
ORC: Billy J Wilkie ORC CERT NUMBER: 985377
ORC HAS CHANGED: No CENTRAC' FILES RECEIVED/NCDENRIDWF3
DWR SECT -ION
VERSION: 1.0 STATUS: Processed
- MAY
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NQVQROS
MOORESVILLE REGIONAL OFFICE
50050
0040o
50060
C0530
01105
ono7o
oouto
00916
01042
fi
E
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
—
E
Q
P
u
0
Z
e
E
U
z
FT.Ow
CHLORINE
TSS-Cone
ALUMINUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
O
U
F
O
O
O
2
PH
2400 cluck
H. I
2400 .lack
H. I
Y/B/N
mgd
su I
ug/I
mg/1
mg/I
ntu
deg c
mg/I
mg/1
1
0700
8
N
0.058
2
0700
8
N
0.051
3
0700
8
N
0.19
4
0700
8
N
0.053
5
0700
8
Y
10.064
6.4
< 15
< 2.5
1.8
6
0700
8
Y
0.05
7
0700
8
Y
0.098
$
0700
8
Y
0.062
9
0700
8
Y
0
10
0700
8
Y
0
11
0700
8
Y
0.045
.
12
0700
8
Y
0. 108
13
0700
8
Y
0.044
14
0700
8
Y
0.074
15
�,
,0700
8
N
0.3
16
rr�_
0700
8
N
0.085
17
0700
8
N
0
is
0700
8
N
1
0.066
19
0700
8
Y
0.064
6.9
< 15
10.3
11.6
20
0700
8
N
0.104
21
0700
8
N
0.067
22
0700
8
Y
0.144
23
0700
8
Y
0
24
0700
8
Y
0.066
zs
0700
8
Y
0.029
26
0700
8
Y
0.097
27
0700
8
N
0.405
28
0700
8
N
0
29
0700
8
N
0
30
0700
8
N
0
31
0700
8
N
0.174
Monthly Average Limit:
30
Monthly Avemge:
0.080258
0
5.15
6.7
Dully Maumum:
0.405
6.9
0
10.3
11.6
Dully Minimum:
0
6.4
0
0
1.8
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =No Visitation — tlolway

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 03-2019 (March 2019)
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Billy 3 Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
G
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00951
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Grab
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F-TOTAL
IRON
MGNSIUM
MANGNESE
CER17DPF
2400 clock
H.
2400 clock
H.
y
1 rag/I
m9/1
`119A
Mgll
pass/fail
1
0700
8
N
FN
0700
8
32
0700
8
N
J
0700
8
N
5
0700
8
Y
6
0700
8
Y
7
0700
8
Y
s
0700
8
Y
9
0700
8
Y
10
0700
8
Y
1t
0700
8
Y
12
0700
8
Y
13
0700
8
Y
14
0700
8
Y
l5
0700
8
N
16
0700
8
N
17
0700
8
N
is
0700
8
N
19
0700
8
1 Y
20
0700
8
N
21
0700
8
N
22
0700
8
Y
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
N
28
0700
8
N
29
0700
8
N
30
0700
8
N
31
0700 1
8
N
Monthly Average Limit:
Monthly Average:
Da h• Maximum.
Daily Minimu
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES 1-i,:RMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 03-2019 (March 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 04/24/2019
Z& �l 04/16/2019
ORC/Certifier Signature: Billy Wilkie E-Mail: [e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
!<1
04/24/2019
Perm ittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP, Shelby WWTP, Pace Analytical.
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Billy Wilkie & Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 03-2019 (March 2019)
Report Comments:
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
3/5/19 total discharge hours were 6. 3/19/19 total discharge hours were 6
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

NPDES P RMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 02-2019 (February 2019)
PERMIT VERSION: 4.0 _ PERMIT STATUS: Active 3
CLASS: PC-1 ` "' COUNTY: Cleveland
ORC: Billy J Wilkie APR o Z019 ORC CERT NUMBER: 985377
tCI=IVED/NCDENR/DWR
ORC HAS CHANGED: No CE N'-?�fllL
VERSION:1_0 1 STATUS: Processed � pR 0 n %i��1
WoROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC 13-GJE,!�`NLO IONAL OFFICE
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50050
00400
50060
C0530
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month -
Quarterly
2 X mom'
Rewrder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
TSS-C
ALUMINUM
TMon, Bm7Y
TEMP-C
CALCIUM
COPPER
2400 clack
Hn
2400 clock
11.
YIBIN
mgd
su
ug/I I
Mgt,
m9/1 I
ntu
deg c
mg/I
mg/l
1
0700
8
N
0.04
2
0700
8
N
0.102
3
0700
8
N
0.104
r
4
0700
8
N
0.073
5
0700
8
Y
0.067
6.9
< 15
5.9
3.7
6
10700
8
Y
0.067
7
0700
8
Y
0.071
e
0700
8
Y
0
9
0700
8
Y
0.057
10
0700
8
Y
0
11
0700
8
Y
0.063
12
0700
8
Y
0.068
13
0700
8
Y
0.046
14
0700
8
Y
0.037
15
0700
8
N
0.071
16
0700
8
N
0.073
17
0700
8
IN
1
0.053
is
0700
8
N
1
0.101
19
0700
8
Y
0.067
6.8
< 15
< 2.5
2.1
20
0700
8
Y
0
21
0700
8
Y
0.083
22
10700
8
Y
0.052
23
0700
8
Y
0.053
24
0700
8
Y
0.06
-
25
0700
8
Y
0.121
26
0700
8
Y
0.1
27
0700
8
Y
0
28
0700
8
Y
0.058
Monthly Average Limit;
30
Momhy Average:
0.06025
0
2.95
2.9
Daily Maximum:
0.121
6.9
0
5.9
3.7
Daily Minimum:
0
16.8
10
0
2.1
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 02-2019 (February 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 03/22/2019
03/13/2019
ORC/Certifier Signature: Billy Wilkie E-Mail: [e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
lt1 s n t 1
03/22/2019
Permittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP, Shelby WWTP, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Wendell Leonard & Billy Wilkie
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* * * Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPES PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
TACILITY NAME: Shelby WTP
CLASS: PC-1i
p�'� `
COUNTY: Cleveland
���
QWNER NAME: City of Shelby
ORC: Billy J Wilkie
d /t R
MAR
ORC CERT NUMBER: 985377
IVl/ 1 �9 �j 19
�O
GRADE: PC -I
ORC HAS CHANGED:
No
L,r---f\; I �f`t
=?ECEIVEDINCDENROWR
eDMR PERIOD: 0 1 -2019 (January 2019)
VERSION: 1.0
_
�lr
STATUS: Processed
y�r��J
SAMPLING LOCATION: EFFLUENT
DISCHARGE NO.: 001 NO DISCHARGE*: NO
ki�fQROS
M00,P-t:R` 1l I �:!7^^tnnrr.t nr
f]
U
F
E
a
F
F
6
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53
O
F
1 O
U
O
t
a
Y
Z
50050
00400
50060
C0530
01105
01042
01045
TGP3B
00070
2 X month
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
PH
CHLORINE
TSS - Cone
ALUMINUM
COPPER
IRON
CER17DPF
TURBIDTY
2400 clack
H.
2400 dock
H.
Y/B/N
mgd
su
ug/I
mg/l
mg/I
mg/I
mg/I
pass/fail
ntu
1
0700
8
N
0
2
0709
S
1 N
0.417
3
0700
8
N
0.108
4
0700
8
N
0.469
5
0700
8
N
0.073
6
0700
8
N
0
7
0700
8
N
0
8
0700
8
1 Y
0.072
16.8
< 15
3.8
3
9
0700
8
Y
0.052
10
0700
8
Y
0.102
11
0700
8
Y
0
12
0700
18
Y
1
0
13
0700
8
Y
0
14
0700
8
Y
0.059
is
0700
8
Y
0.055
16
0700
8
Y
0.05
17
0700
8
Y
0.046
18
0700
8
N
0.218
19
0700
8
N
0.032
20
0700
8
N
0.18
21
0700
8
N
0.112
22
0700
8
Y
0.041
6.9
< 15
< 2.5
0.205
< 0.005
0.073
P
1.8
23
0700
8 1
Y
0.123
24
0700
8
Y
0.146
25
0700
8
Y
0.112
26
0700
8
Y
0
27
0700
8
Y
0.06
28
0700
8
Y
0.041
29
0700
8
Y
0.127
0700
8
Y
0.135
LL
0700
8
Y
0.116
Monthly Average Limit:
30
Monthly Avemgc:
0.095032
0
1.9
0.205
0
0.073
2.4
Daily Maximum:
0.469
6.9
0
3.8
0.205
0
0.073
3
Daily Minimum:
0
6.8
0 10
10.205
10
0.073
1.8
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday
. FICR

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 01-2019 (January 2019)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Billy J Wilkie ORC CERT NUMBER: 985377
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
q
E
[—
—
E
E
U
E
F
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—
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a
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00010
00916
00951
00927
olm
Grab
Grab
Grab
Grab
Grab
TEMP-C
CALCIUM
F-TOTAL
MGNSIUM
MANGNESE
2�00 clack
H.
2400 clock
H.
YnUN
deg c
mg/1
mgll
mg/1
m9A
1
0700
8
N
2
0700
8.
N
'
3
0700
8
N
4
0700
8
N
5
0700
8
N
6
0700
8
N
7
0700
8
N
8
0700
8
Y
9
0700
8
Y
to
0700
8
Y
11
0700
8
Y
12
0700
8
1 Y
13
0700
8
Y
la
1
0700
8
Y
15
0700
8
Y
16
0700
8
Y
17
0700
8
Y
is
0700
8
N
19
0700
8
N
20
0700
8
N
21
0700
8
N
22
0700
8
Y
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
Y
28
0700
8
Y
29
0700
8
Y
30
0700
8
Y
31
0700
8
Y
Monthly Average Limit:
Monthly Axcmgc:
Daily Maximum:
Daily Minima
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

N,pDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
,OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 01-2019 (January 2019)
COMPLIANCE STATUS: Compliant
/,/ /"„ W, OQ 4,
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 02/18/2019
02/16/2019
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of
the NPDES permit.
..I.-¢ n I I
l
02/18/2019
Pew ittee/Submitter Siv ature:*** David W Hux E-Mail:[e-mail] Phone 4:704-669-6570 Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP, Shelby WWTP, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Wendell Leonard & Billy Wilkie
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* * * Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
FACILITY NAME: Shelby WTP
CLASS: PC-1
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 01-2019 (January 2019)
VERSION: 1.0
Report Comments:
1/8/19 total discharge hours were 6 hours. 1/22/19 total discharge hours were 6 hours.
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

Effluent Toxicity Report Form - Chronic Pass/Fall and Acute LC50
Date 04-Feb-19
Facility: Shelby WTP NPDES# NCO027197 Pipe # 001 County. Cleveland
Laboratory Performing Test: Comments
X
Signature of Operator in Responsib ar e
X
Signature of Laboratory Supervisor
MAIL ORIGINAL TO Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Cerlodaphnla Chronic Pass/Fall Reproduction TOXiclty Test Chronic Test Results
Calculated t= 2.006
Critical Value= 2.508
CONTROL ORGANISMS 1 2 3. 4 5 6 7 6 9 • . 10 11. 12 % Reduction= 12.8%
# Young Produced 20 18 23 19 25 22 21 20 17 17 19 22 % Mortality Avg. Reprod.
Adult (L)Ive (D)ead L L L L L L L L L L L L 0% 20.3
Control Control
Effluent % 90.0°/D 0% 17.7
Treatment 2 Treatment 2
Control CV
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 6 9 10 11 12 12.1 %
# Young Produced 19 20 15 1 18 1 14 1 22 9 1 20 21 19 20 15 % 3rd Brood PASS FAIL
Adult (L)lve (D)ead L L L I L I L L L L I L L L L' 100% X
Complete This for Either Teat Test Start Date
Collection (Start) Date 23-Jan-19
pH let sample tat sample 2nd sample Sample 1 22-Jan-19 Sample 2 24-Jan-19
Control 7.7 7.9 7.7 7.9 7.7 7.9
Treatment 2 7.2 7.7 6.8 7.3 6.9 7.2 Grab Comp Duration I 1st 2nd
start and start and start and
D.O. lstsam la lstsam la 2nd sem le
Control 7.7 7.6 7.2 8.3 8.0 7.9
Treatment 2 9.1 7.6 8.7 8.1 8.8 7.8
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates)
Sample 1
Sample 2 X
Hardness (mg/L)
Spec. Cond. (pmhos)
Chlorine (mg/L)
idle TemD. at recelot (°C)
Tox Tox
Dilution Sample Semple
48.0
184 1017
0.11 0.1
Mortality start/end startiend
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit High Conc.
El I
% % Spearman Kerber ROther pH D.O.
Or anism Tested Cerioda hnia dubia
DEM Form AT-1
Page 2 of 6

NPDES PERMIT NO.: NCO027197
Fi`':! iLITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 12-2018 (December 2018)
PERMIT VERSION: 4.0Lj
CLASS: PC -I S\
ORC: Billy J Wilkie FEB I a 2019
ORC HAS CHANGED: No VERSION: 1.0 CCN.I KAL FILES
DWSECTION
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
RECEIVEDINCDFNR/DWR
EEB 18 2nq
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: N0QROS
IVOURESViLLE REGIONAL OFFICE
q
E
F
U
E
F
-
E
F
E
F
_
4
O
m
0
E
C
O
or'
U
O
0
5
c,
C
Z
50050
00400
50060
C0530
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Gab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
PH
CHLORINE
TSS-Cone
ALUM
ALUMINUM
TURBIDTY
M
TEP-C
CALCIUM
COPPER
2400 clock
Hrs
2400 clod,
Hrs
WAIN
mgd
so
ug/I
mg/I
mg/I
Into
deg
mg/I
mg/I
1
0700
8
Y
0.12
2
0700
8
Y
0.095
3
0700
8
Y
0.087
4
0700 18
Y
0.112
6.6
<15
<2.5
3
5
0700
8
B
0.284
6
0700
8
Y
0.12
7
0700
8
N
0.155
S
0700
8
N
0
9
0700
8
N
0
10
0700
8
1 N
0
11
0700
8
Y
0.107
12
0700
8
Y
0.118
13
0700
8
Y
0.134
14
0700
8
Y
0
15
0700
8
Y
0.062
16
0700
8
Y
0.074
17
0700
8
Y
0.128
1s
0700
8
Y
0.094
6.6
< 15
< 2.5
1.5
19
0700
8
Y
0.099
20
0700
8
Y
0.102
21
10700
8
N
0.221
22
0700
8
N
0
23
0700
8
N
0.124
24
0700
8
N
0
25
0700
8
N
0.118
26
0700
8
Y
0
27
0700
8
Y
0.165
2S
0700
8
Y
0
29
0700
8
Y
0
30
0700
8
Y
0.11
31
0700
8
Y
0
Monthly Average Limit:
30
Monthly Acc-gc:
0.084806
0
0
2.25
Dolly Movmu n:
0.284
6.6
0
0
3
Doily Minimum:
0
6.6
0
0
1.5
****No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 12-2018 (December 2018)
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
G
1
E
F
E
U
F
—
u
F
E
F
z
O
O
E
E
O
O`
U
a
O
x
-
a
Ka
;EF-TOTAL
00951
01045
00927
01055
TGP3B
Grab
Grab
Grab
Grab
Grab
IRON
MGNSIUM
MANGNESE
CERI7DPF
2400d-k
Hrs
2400 cock
Hrs
YB/N
mg/1
mg/1
mg/l
mg/l
pass/fail
1
0700
8
Y
2
0700
8
Y
3
0700
8
Y
4
0700
8
Y
5
0700
8
B
6
0700
8
Y
7
0700
8
N
8
0700
8
N
9
0700
8
1 N
10
0700
8
N
11
0700
8
Y
12
0700
8
Y
13
0700
8
Y
14
0700
8
Y
15
10700
18
Y
16
0700
8
Y
17
0700
8
Y
IS
0700
8
Y
19
0700
8
Y
20
0700
8
Y
21
0700
8
N
22
0700
8
N
23
0700
8
N
24
0700
8
N
25
0700
8
N
26
0700
8
Y
27
0700
8
Y
28
0700
8
Y
29
0700
18
1 Y
30
0700
8
Y
31
0700
8
Y
Monthly Average Limit:
Monthly A—gc:
Daily M—i...
Daav Minimum:
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
cDMR PERIOD: 12-2018 (December 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1_0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 01/25/2019
4?QQ t6&� � 01/04/2019
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
.r, � r
k
01/25/2019
Permittee/Submitter•Signature:*** David W Hux E-Mail:[e-mail] Phone 4:704-669-6576 Date
Permittee Address: 80.1 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: ShelbyWTP, ShelbyWWTP, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Wendell Leonard & Billy Wilkie
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be'entered for all of the parameters on the DMR
for entire monitoring period.
* * ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* * * Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D). ,

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-]
eDMR PERIOD: 12-2018 (December 2018)
Report Comments:
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
12/4/18 the total discharge hours were 7 hours. 12/18/18 the total discharge hours were 6 hours.
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 11-2018 (November 2018)
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1_0
PERMIT STATUS: Active 3
COUNTY: Cleveland
ORC CERT NUMBER: 985377
RECETGEDINCDENR/DWI
STATUS: Processed .J A N 14 2 0 19
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DID �� hMWAL OFFICE
.2
—
m
E
Uo
E
u
a
F
Q..
@
O
�
@
O
—
a
O
5
c
a
,20,
50050
00400
50060
C0530
61105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly.
2 X month
_
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
PH
CHLORINE
TSS-Con.
ALUMIINI7M
TURRHITY
TEMP-C
CALCIUM
COPPER
2400 dock
Hn
2400 clock
Ha
YIBIN
mgd
su
❑g/I
mg/I
M94
mu
deg c
mg/l
mg4
1
0700
8
Y
0.041
2
0700
8
Y
0
3
0700
8
Y
0
4
0700
8
Y
0.055
5 10700
8
Y
0.046
6
0700
8
Y
0.065
6.6
< 15
< 2.5
1.4
7
0700
8
Y
0.055
8
0700
8
Y
0.139
9
0700
8
N
0.382
10
0700
8
N
0.026
11
0700
8
N
0.237
12
0700
8
N
0.164
13
0700
8
B
0
14
0700
8
Y
0.12
15
0700.
8
Y
0
16
0700
8
Y
0.129
17
0700
8
Y
0.096
18
0700
8
Y
0.062
19
0700
8
Y
0.052
20
0700
8
Y
0.085
6.6
<15
<2.5
4.7
21
0700
8
Y
0.055
22
0700
8
N
0.738
23
0700
8
N
0.364
24
0700
8
N
0.646
25
0700
8
N
0.06
26
0700
8
N
0.088
27
0700
8
Y
0.122
28
0700
8
Y
0.108
29
0700
8
Y
0.118
30
0700
1 8
Y
0.091
Monthly Average Limit:
30
Monthly Avenge:
0.138133
0
0
3.05
Daily Maximum:
0.738
6.6
0
0
4.7
Daily Minimum:
0
16.6
10
0
11.4
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation-Holiday

NPDES PERMIT NO.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 11-2018 (November 2018)
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
.
q
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00927
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Grab
Grab
F-TOTAL
D20N
MGNSHIM
MANGNESE
CERI7DPF
2400 clock
H.
2400 clock
H.
WRIN
mg/I
mg/I
mg/1
mg/1
pass/fail
1
0700
8
Y
0700
8
Y
3
0700
8
Y
4
0700
8
Y
5
0700
8
Y
6
0700
8
Y
7
0700
8
Y
8
0700
8
Y
9
0700
8
N
10
0700
8
1 N
11
0700
8
N
12
0700
8
N
13
0700
8
B
14
0700
8
Y
15
0700
8
Y
16
0700
8
Y
17
0700
8
Y
is
0700
8
Y
19
0700
8
Y
20
0700
8
Y
21
0700
8 1
Y
22
0700
8
N
23
0700
8
N
24
0700
8
N
25
0700
8
N
26
0700
8
N
27
0700
8
Y
2a
0700
8
Y
z9
0700
8
Y
30
0700
8
Y
Monthly Average Limit:
Monthly Average:
Daily Ma.imum:
Daily Minimum:
****NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDI;!S PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
CLASS: PC-1
COUNTY: Cleveland
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
ORC CERT NUMBER: 985377
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: I I-2018 (November 2018)
VERSION: 1.0
STATUS: Processed
Report Comments:
11/6/18 total discharge duration was 7 hours. 11/20/18 total discharge duration was 6 hours.

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 11-2018 (November 2018)
COMPLIANCE STATUS: Compliant
f
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 12/13/2018
//�/�ij� 12/12/2018
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
rr1\_ X {r
12/13/2018
Permittee/Sub�itter Signature:*** DavYd W 4ux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP, Shelby WWTP, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Billy Wilkie & Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

of
Nftt is PERMIT NO.: NCO027197
TACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 10-2018 (October 2018)
PERMIT VERSION: 4.0 PERMIT STATUS: Active73
CI.ASS: PC-1 RECEIVED COUNTY: Cleveland
ORC: Billy J Wilkie._ ORC CERT NUMBER: 9
DEC O " 2018 < �EIVEO/NCDENR/DWR
ORC HAS CHANGED: No qq 0
VERSION: 1.0 C� I,kAL FILES STATUS: Processed DEC A 0 2018
— DWR SECTION
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCXAftGW .LNQGIONAL OFFICE
Y
q
—
B
u
yy
9
a
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C
g
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r?
C
O
u99
O
a
2.
50050
00400
50060
C0530
01105
01042
01045
TCP3B
00070
2 X month
2 X month
2 X month
2 X month
Quarterly
Qoarterly
Quarterly
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Gab
Grab
FLOW
PH
CHLORINE
TSS-Cone
ALUMINUM
COPPER
n20N
CERI7DPF
TURBIDTY
2400°lock
H.
2400 ebek
H.
Y/B/N
md
g
so
ug/I
mg/I
m
m
m
ass/fail
ntu
1
0700
8
N
0.055
'
2
0700
8
1 Y
0.046
6.7
19
< 2.5
< 1
3
0700
8
Y
0.064
4
0700
8
B
0.323
5
1
0700
8
Y
0.038
6
0700
8
Y
0.116
7
0700
8
Y
0.07
8
0700
8
Y
0.059
/
9
0700
8
B
0
10
0700
8
Y
0.046
11
0700
8
B
0.483
12
0700
8
N
0 1�
13
0700
8
N
0
14
0700
8
N
y
0 ,A
15
0700
8
N
0.287
16
0760
B
Y
U.IU'/•
6.8
24
c 2.5
0.196
0.014
0.065
P
1.0
17
0700
8
ly
1
0.058
-
1S
0700
8
N
0.099
19
0700
8
Y
pp
0 G
�D
tc
za
0700
8
Y
0.051
21
0700
8
Y
r•
0.055
i t
22
0700
8
Y
0.102
� L
ty
23
0700
8
Y
0.094
�
itr
24
0700
8
Y
0.125
c"
�i
t / a
2D
1
�
aae
30
O�
0 e
0
0
25
0700
8
Y
0.143
26
0700 --
it
IV - --
- - -
0.6
27
0700
8
N
0.551
zs
0700
8
N
0.265
29
0700
8
N
'
0.267
30
0700
81
Y
0.073
31
0700
8
Y
.�'
0.067
Monthly Avenge L1mIC
Monthly Avenge:
0.136903
21.5
p/
/ a0y Madman:
0.6
6.8
24
•� DW1yMlnlmam:
0
6.7
19
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation—AdverseWeather-

NPDES PERMIT NO.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 10-2018 (October 2018) VERSION: 1_0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
©�■
�©
�■■■
NINE
mm
NINE
�■,
„
No
�■■
■■�
�■
, ,.
NO
NO
ENMIN
■©■■
■©■■
EMMIN
IS
11
. „
..
NO
■©�
low-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW =No Flow; HOLIDAY = No -Visitation — flonday

Ni A*3 PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 10-2018 (October 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland /
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 11/21/2018
11 / 14/2018
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone 4:704-484-6885 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. n
11/21/2018
i• I
Permittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Penn ittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
r
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: Shelby Wtp, Shelby WWTP, Pace Analytical
CERTIFIED LAB #: 5340, 238,12
PERSON(s) COLLECTING SAMPLES: Billy Wilkie and Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* ** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

.k,
NPDES PERMIT NO.:.NC0027197 PERMIT VERSION: 4.0
FACILITY NAME: Shelby WTP CLASS: PC-1
OWNER NAME: City of Shelby ORC: Billy J Wilkie
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 10-2018 (October 2018) VERSION: 1.0
Report Comments:
10/2/18 total discharge was 6 hours. 10/16/18 total discharge was 7 hours.
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

n
b
N Effluent Toxicity Report Form - Chronic Pass/Fall and Acute LC50
Date 30-Oct-18
Facility: Shelby WTP NPDES# NCO027197 Pipe # 001 County. Cleveland
Laboratory Performing Test: Comments
X
Signature of O rator �Sons*�C:ha<�i X
Signature of Laboratory Supervisor
MAIL ORIGINAL TO Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mall Service Center
Raleigh, North Carolina 27699-1621
North Carolina Cerlodaohnla Chronic Pass/Fall Reproduction Toxicity Test Chronic Test Results
Calculated t= 2.1671
Critical Value= 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction= 10.9%
# Young Produced 24 28 25 23 2dL
26 20 21 21 21 22 26 % Mortality Avg. Reprod.
Adult (L)Ive (D)ead L L L L L L L L L L L 0% 23.7
Control Control
Effluent % 90.0% 0% 21.1
Treatment 2 Treatment 2
Control CV
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 11.4%
# Young Produced 20 21 18 22 21 16 23 24 21 28 21 18 % 3rd Brood PASS FAIL
XTAdult (L)Ive (D)ead L L L L L L L L L L L L 100%
Complete This for Either Test Test Start Dale
Collection (Start) Date 17-Oct-18
pH 1st sample let sample 2nd sample Sample 1 1&Oct-18 Semple 2 18-Oct-18
Control 7.5 7.6 7.5 7.6 7.6 7.8
Treatment 2 6.9 7.4 6.7 7.1 6.7 7.1 Grab Comp Duration 1st 2nd
Sample 1 X Tox Tox
Sample 2 X Dilution Sample Sample
start end start and start end
D.O. 1st $am le 1st sam le 2nd samole Hardness (mg/L) 48.0 IM am,
Control 7.6 8.7 8.4 8.6 8.3 8.2 Spec. Cond. (pmhos) 186 100 135
Treatment 2 7.8 8.5 9.0 8.5 8.8 8.3 Chlorine (mg/L) <.05 <.05
Sample Temp. at receipt (°C) 2.6 1.9
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates)
Concentration
Lid
Mortality start/and startlend
LC50 = % Method of Determination Control
95% Confidence Limits Moving Average Probit High Conc.
Spearman Kerber ROther pH D.O.
Or anism Tested Cerioda hnia dubia
DEM Form AT-1
Page 2 of 6

_I
NPDES PERMIT NO.: NCO027197
PERMIT VERSION: 4.0
-
PERMIT STATUS: Active
�' FF I
TACILIT ,NAME: Shelby WTP
CLASS: PC-1
' " V/ NTY: Cleveland
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
U U O 8 2 01 VRC CERT NUMBER: 985377,.
NOV C�IVEl?NCDENR/DWR1
GRADE: PC-1
ORC HAS CHANGED:, No
CENl tArr FILE �
eDMR PERIOD: 09-2018 (September 2018)
VERSION: 1.0
DWR SECT16—,, 1ATUS:Processed
1\IQU 2il' j
W«ROc,
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHA/RGK*-:/NT_OgFGION ,,
d
p
E
=
E
U
E
F
_
E
=
F
E
F
9
't
6
O
—
m
0
s
F
O
U
O
u
L
ce
2
50050
00400
50060
C0530
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
1 FLOW
PH
CHLORINE
Tss - Cant
ALUMINUM
TURBUYFY
TEMP-C
CALCIUM
COPPER
2400 cluck
H.
2400 cluck
H.
Y/BIN
mgd
su
ug/I
mg/l
mg/I
ntu
deg c
m9/1
mg/I
1
0700
8
N
0
2
0700
8
N
0.212
3
0700
8
N
0
4
0700
8
N
0.395
6.1
16
<2.5
<1
5
0700
8
B
0
6
0700
8
B
0
7
0700
8
Y
0.046
8
0700
8
Y
0.029
9
0700
8
Y
0.025
10
0700
8
Y
0.04
11
0700
8
Y
0.062
12
0700
8
Y
0.08
13
0700
8
Y
0.07
14
0700 18
B
1
0.267
15
0700
8
N
0.182
16
0790
8
N
0.092
17
0700
8
N
0.112
18
0700
8
Y
0.065
6.9
< 15
<2.5
1
19
0700
8
B
0
i0
0700
8
Y
0.058
21
1
0700
8
ly
1
0.096
22
0700
8
Y
0.069
23
0700
8
Y
0.14
24
0700
8
Y
0.041
25
0700
8
Y
0.06
26
0700
8
Y
0.053
27
0700
8
Y
0
28
0700
8
N
0.287
29
0700
8
N
0
30
0700
8
N
0.163
Monthly A—mgc Limit:
30
Monthly A.xruge:
0.088133
8
0
0.5
D:dly Maximum:
0.395
6.9
16
0
1
Daly Minimum:
0
6.1
0
0
10
* * ** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 09-2018 (September 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
a�
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
c
E
F
E
u
E
E
u
=
t%
E
F
a`
a
O
2
o
0`
u
O
�`
z
Z
00951
01045
00927
01055
TGP3B
Gab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
MGNSIUM
MANGNESE
CER17DPF
2400 clock
H.
2400 dock
H.
Y/BJN
mg/1
mgd
mg/I
mg/I
pass/fail
1
0700
8
N
2
0700
8
N
3
0700
8
N
4
0700
8
N
5
0700
8
B
6
0700
8
B
7
0700
8
Y
8
0700
8
Y
9
0700
8
Y
10
0700
8
Y
11
0700
8
Y
12
0700
8
1 Y
13
0700
8
Y
14
0700
8
B
15
0700
8
N
16
0700
8
N
17
0700
8
N
is
0700
8
Y
19
0700
8
B
20
0700
8
Y
21
0700
8
Y
22
0700
8
Y
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
20
0700
8
Y
27
0700
8
Y
28
0700
8
N
29
0700
8
N
30
0700
18
N
Monthly Avenge Limit:
Monthly Av,mgr.
DAY Maximum:
Daily Minimum:
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

4
NPDES PE.2MIT NO.: NCO027197
FACILITY VAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 09-2018 (September 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE:' 10/26/2018
M741 4/ 10/ 10,2018
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
fi
10/26/2018
Permittee/Submitter Sig ature:�** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby Wtp, Shelby WWTP, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Billy Wilkie & Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 09-2018 (September 2018)
Report Comments:
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
9/4/18 total discharge hours were 24 hrs. 9/18/18 total discharge hours were 6 hours.
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

NPD S PERMIT NO.: NCO027197
FA6ILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 08-2018 (August 2018)
PERMIT VERSION, 0—,--
CLASS: PC-]
ORC: Billy Wilkie
ORC HAS CHANGED -
VERSION: 1.0 D1 VFZ ScKTION
PERMIT STATUS: Active 13
COUNTY: Cleveland
ORC CERT NUMBER: 985371=EIVED/NCDENR/DWR
STATUS: Processed OCT 8 2018
WQROS
MO F�SV l REGIONAL OFFICE
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAR�R :
2
G
E
F
_
E
U'
E
F
E
F
E
t'-
O
_
h
0
F
_
O
m
O`
U
CG
O
o
m
a
Y
Z
50050
00400
50060
C0530
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
TSS-Coot
ALUMINUM
TURB[DTY
TEMP-C
CALCIUM
COPPER
2400 clack
Hm
2400 clock
Hn
Y/WN
mgd
su
ug/I
mgA
mg/I
ntu
deg c
mg/l
mg/l
1
0700
8
Y
0.093
2
0700
8
Y
0.069
3
0700
8
Y
0.443
a
0700
8
N
0.157
5
0700
8
N
0
6
0700
8
N
0.395
7
0700
8
Y
0.078
6.9
<15
<2.5
2.4
8
0700
8
Y
0.066
9
0700
8
Y
0.061
10
0700
8
Y
0.043
I
0700
8
Y
0.045
tz
0700
8
Y
0.048
13
0700
8
Y
0.052
14
0700
8
Y
0.039
15
0700
8
Y
0.06
16
0700
8
Y
0.054
17
0700
8
B
0.42
18
0700
8
N
0
19
0700
8
N
0
zo
0700
8
Y
0
zl
0700
8
Y
0.051
7
<15
<2.5
<1
22
0700
8
Y
0.039
23
0700
8
Y
0.031
24
0700
8
Y
0.051
25
0700
8
Y
0.029
26
0700
8
Y
0.049
27
0700
8
Y
0.061
28
0700
is
Y
0.066
29
0700
8
Y
0.053
30
0700
8
Y
0
3t
0700
8
B
0.18
Monthly Ayeragc Limit:
30
Monthly Average:
Daly Muimum:
0.088161
0.443
7=1
0
0
0
10
11.2
2.4
Detlyhlinimam:
0
6.9
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.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 08-2018 (August 2018) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
q
E
E
U
F
E
O
_
O
O
O
C
Z
00951
01045
00927
01055
TGP3R
Grab
Grab
Gab
Grab
Gab
F-TOTAL
IRON
MGNSIUM
MANGNESE
CER17DPF
2400 clack
H.
2400 clack
H.
YIB/N
mg/1
mgA
mgA
mg/1
pass/fail
1
0700
8
Y
2
0700
8
Y
3
0700
8
Y
0700
8
N
5
0700
8
N
L
0700
8
N
7
0700
8
Y
8
0700
8
Y
9
0700
8
Y
10
10700
8
ly
11
0700
8
Y
12
0700
8
Y
13
0700
8
Y
14
0700
8
Y
15
0700
8
Y
10
0700
8
Y
17
0700
8
B
1s
0700
8
N
19
0700
8
N
20
0700
8
Y
21
0700
8
Y
22
0700
8
Y
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
Y
28
0700
8
Y
29
0700
8
Y
30
0700
8
Y
31
0700
8
B
Monthly Avcragc Limit:
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

4%
NPPpS PERMIT NO.: NC0027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 08-2018 (August 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
Report Comments:
On 8/7/18 the duration discharge was 7 hours. On 8/21/18 the duration discharge was 7 hours.
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 08-2018 (August 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
4
PERMIT STATUS: Active N
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 09/20/2018
//1 09/13/2018
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
09/20/2018
v I /
Permittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP, Shelby WWTP, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Billy Wilkie & Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* ** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Sheby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 07-2018 (July 2018)
PERMIT VERSION: IR
E C E I
QED
CLASS: PC -I
ORC: Billy J Wilkie AUG 3 0 2018
ORC HAS CHANGED: NStENTRAL FILES
VERSION: 1_0 DWR SECTION
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 9REIVED/NCDENRIDW2
STATUS: Processed S E P. 4 2018
W R0S
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHA1RQWCL1KtGIONAL OFFICE
q
E
F
4
U
E
-
(=
E
.P
O
_
m
`E
O
C O
m
Z
50050
00400
50060
C0530
01105
01042
01045
TGP311
00070
2 X month
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
TSS-Cane
ALUMINUM
COPPER
IRON
CERI7DPF
TURBIDTY
2400 cluck
Hv
2400 clack
H.
YIBIN
mgd
su
ug/I
mg/l
mg/l
1119/1
mg/l
pass/fail
ntu
1
0700
8
Y
0.045
4
2
0700
8
Y
0.058
3
0700
8
Y
0.076
4
10700
8
N
10
5
0700
8
N
0.075
6
0700
8
1 N
0.081
7
0700
8
N
0
e
0700
8
N
0
9
0700
8
N
0.048
10
0700
8
N
0.236
6.9
6
2.8
1.2
11
0700
8
Y
0
12
0700
8
Y
0
13
0700
8
Y
0.062
14
0700
8
Y
0
15
0700
8
Y
0.044
16
0700
8
Y
0.071
17
0700
8
Y
0.054
0.188
0.011
< 0.05
F
is
0700
8
Y
0
19
0700
8
Y
0.065
20
10700
8
N
0.221
21
0700
8
N
0
22
0700
8
N
0
23
0700
8
N
0
24
0700
8
Y
0.061
6.7
15
<2.5
<1
25
0700
8
1 Y
0.051
26
0700
8
Y
0.069
27
0700
8
Y
0.056
28
0700
8
Y
0.038
29
0700
8
Y
0.037
30
0700
8
Y
0.036
31
0700
8
Y
0.054
Monthly A,—ge Limit:
30
Monthly Average:
0.049581
10.5
1.4
0.188
0.011
0
0.6
Daily Ma:imam:
0236
6.9
15
2.8
0.188
0.011
0
1.2
Daily Minimum:
0
6.7
16
10
0.188
0.011
0
0
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 07-2018 (July 2018)
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland r
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
u
A
E
F
_
E
U
E
E
[-
E
[=
O
—
E
O
o`
U
C
O
a`
51
a
Z
00010
00916
00951
00927
01055
Grab
Grab
Grab
Grab
Grab
TEMP-C
CALCIUM
F-TOTAL
MGNSIUM
MANGNESE
2400 clock
Hn
2400 clock
Hn
YW
deg c
mgfl
mgA
mm
mgA
1
0700
8
Y
2
0700
8
V
3
0700
8
Y
4
0700
8
N
5
0700
8
N
6
0700
8
N
7
0700
8
N
8
0700
8
N
9
0700
8
N
10
0700
8
N
11
0700
8
Y
12
0700
8
Y
13
0700
8
Y
14
0700
8
Y
is
0700
8
Y
16
0700
8
Y
17
0700
8
Y
18
0700
8
Y
19
0700
8
Y
20
0700
8
N
21
0700
8
N
22
0700
8
N
23
0700
8
N
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
Y
28
0700
8
Y
29
0700
8
Y
30
0700
8
Y
31
0700 18
Y
Manthty Areragc Limit:
Monthly Avenge:
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.: NC0027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
CLASS: PC-1
COUNTY: Cleveland
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
ORC CERT NUMBER: 985377
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 07-2018 (July 2018)
VERSION: 1.0
STATUS: Processed
Report Comments:
7/10/18 total discharge was 6 hours. 7/24/18 total discharge hours was 6 hours

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 07-2018 (July 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland r
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 08/17/2018
08/16/2018
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES n r
08/17/2018
Permittee/Submitter Signature:/l** Dakid W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP, Shelby WWP, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Billy Wilkie & Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

elb WTP Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50
Date 26-Jul-18
Pernorming Test: NPOES# NCO027197 Pipe # 001 County. Cleveland
Comments
Effluent sample collected on 7-19 was measured to have an
perator In Resp I C rg acidic pH 14.71. This is the likely cause of toxicity.
si nature of Laborato Su en/isor
MAIL ORIGINAL TO
Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mall Service Center
Raleigh, North Carolina 27699-1621
North Carolina -eriodanhnla -hr_ onlcpeFS/Fall Renrorlvv to n Toxlrlt�To
[Rank
hronic Test Results
sum= 78CONTROL ORGANISMS 2345 ritical Value= 109
LAWI
Produced
Me (D ad
Effluent %
a 7 a 9 10 11 12
TREATMENT 2 ORGANISMS 1 2 3 4 6
a 7 8 9 10 11 12
# Young Produced 0 0 0 0
0 0 0 0 0 0 0 0
Adult (L)Ive (D)aed D D D D D D
D D D D D -OE
Adult
This for Either T..f
pH
Control
Treatment 2
D.O.
Control
Treatment 2
let Be le a
2nd sa l7.5 7.47.67.0 7.5
start and
E
_LC50/Acute Toxicity Test
(Mortality eWrassad as %, combining
LC50 = %
15% Confidence Limits
organism Tested
DEM Form AT-1
start end
E
Method of Determination
Average Rrlkfh
Pro
an Kerber
dubia
start end
2nd sample
H
1 17-Jul-19
Semple 1
Serrpla2 x
Hardness (mg/L)
Spar Cond. (pmhos)
Chlorine (mg/L)
)IS Temp. at recelot tact
0%
Control
100%
'reatment 2 Tree
Control CV
17.9%
% 3rd Brood PASS
92%
Test Start Date
10-Jul-le
mm Saie 2 10-Jut-18
-100.0%
18.8
Control
0.0
tment 2
X
lot 2nd
Tox Tox
Dilution Semple Sample
0.41 • 0-1
start/end sterdand
�Hlghnl.
_••11
pH D.O.
Page 2 of 6

PNPDESPFRVM IT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 06-2018 (June 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
JDRMIT STATUS: Active
�I,dt ry COUNTY: Cleveland
J U L 2 4 x U 18 ORC CERT NUMBER: 985377
CENTF�AL P"ILrES
DWR SEC` IONSTATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
Wj
RECEIVE1)/NC®ENR1r)WR
JUL 3 0 z0Y8
NO DISCHARGE*: TjQROS
MOORESVILLE REGION FICE
0
=
F
—
E
U
E
E
u
=
E
F
V
'
E
@
o
U
C
5
a
soaso
004110
50060
C0530
01 His
00070
00010
0091G
OIOi2
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FI.Ow
PH
CHLORINE
TSS - Cone
ALUMINIUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
2400 clack
Hn
2400 clock
Hf
Y/BIN
mgd
so
ug/1
mg/I
mg/1
ntu
deg c
mgll
mg/I
1
0700 18
Y 1
0
2
0700
8
Y
0.064
3
0700
8
Y
0.055
4
0700
8
Y
0.033
s
0700
8
Y
0.181
6.4
< 15
< 2.5
2
6
0700
8
Y
0.05
7
0700
8
Y
0.027
e
10700
18
B
1
0.122
9
0700
8
N
0
10
0700
8
N
0.29
11
0700
8
N
0
12
0700
8
Y
0
13
0700
8
Y
0
14
0700
8
Y
0.081
15
0700
8
Y
0.033
16
0700
8
Y
0.032
17
0700
8
Y
0.027
1s
0700
8
N
0.103
19
0700
8
Y
0
20
10700
8
Y
0.056
6.8
< 15
< 2.5
< 1
21
0700
8
Y
0.015
22
0700
8
B
0.105
23
0700
8
N
0
24
1
0700
8
N
0.192
25
0700
8
N
0
26
0700
8
Y
0.052
27
0700
Is
Y
0.142
28
0700
8
Y
0.064
29
0700
8
Y
0.055
30
0700
8
Y
0.054
Monthly Average Limit:
30
Mamldy Average:
0.0611
0
0
1
noilymmiimnm:
0.29
6.8
0
0
2
Daily Minimum:
0
6.4
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.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 06-2018 (June 2018)
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
'Im
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
v
o
E
F
E
d
§
F
r�
:
9
E
'F
_
2
o
n
O
O
O
�-
z
Z
00951
01045
00927
01055
TGP3B
Ga b
Grab
Grab
Gab
Gab
F-TOTAL
IRON
MGNSIUM
MANGNESE
CER17DPF
2400 clock
Hra
2400 cbek
H.
Y/BM
mgll
mg/I
mg/I
mg/1
pass/fail
1
0700
8
Y
2
0700
8
Y
3
0700
8
Y
4
1
0700
8
Y
5
0700
8
Y
6
0700
8
Y
7
0700
8
Y
8
0700
8
B
9
0700
8
N
10
0700
8
N
11
0700
8
N
12
0700
8
Y
13
0700
8
Y
14
0700
8
Y
15 1
0700
8
Y
16
0700
8
Y
17
0700
8
Y
18
0700
8
N
19
0700
8
Y
20
0700
8
Y
21
0700
8
Y
22
0700
8
B
21
0700
8
N
24
0700
8
N
25
0700
8
N
26
0700
8
Y
27
0700
8
Y
28
0700
8
Y
29
0700
8
Y
30
0700 18
Y
Monthly A-mgc Limit:
Momhly Average:
Daily hlaatmum:
Daily Minimum:
****NoReportingReason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

VNPDESMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 06-2018 (June 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 07/12/2018
/�/ 07/11/2018
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of
tINPDES permit.
ti
07/12/2018
Permittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP, Shelby WWP, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Wendell Leonard and Billy Wilkie
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
* * ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* ** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC -I COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 06-2018 (June 2018) VERSION: 1.0 STATUS: Processed
Report Comments:
June 5 2018 the duration discharge was 6 hours. June 20 2018 the duration discharge was 6 hours
11

ppppp�
NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 05-2018 (May 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie _
P-1a j�
ORC HAS CHANGED: No � a� t�e'm1 DJ
VERSION: 1_0 J U L 0 5 2018
CONTACT PHONE M 7044846885
FILEES
PERMIT STATUS: Active 3
COUNTY: Cleveland
ORC CERT NUMBER: 985,3GG&EIVEDINCDENRIDWR
STATUS: Processed � J U L 16 Z018
SUBMISSION DATE: 06/20/2018 WQROS
MOORESVILLE REGIONAL OFFICE
Z� 1- 06/20/2018
6.1
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDES permit. _ A 0
06/20/2018
Permit ee/Submitter Signature:** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby/ NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP, Shelby WWTP, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING�SAMPLES: Billy Wilkie and Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
CLASS: PC -I
COUNTY: Cleveland
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
ORC CERT NUMBER: 985377
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 05-2018 (May 2018)
VERSION: 1.0
STATUS: Processed
Report Comments:
On 5/1/18 total duration discharge was 7 hours. On 5/15/18 total duration discharge was 3 hours.

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 05-2018 (May 2018)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Billy J Wilkie ORC CERT NUMBER: 985377
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
E
E
E
—
E
F
_
E
=
E
F
_
2
O
'E
�
O
u
O
a
C
Z
50050
00400
50060
C0530
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Gab
Grab
FLOW
PH
CHLORINE
TSS - Cone
ALUMINIUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
2400 dock
H.
2400 eloek
H.
Y/B/N
mgd I
Su
ug/I
mgA
mg/l
ntu
deg c
mg/l
m9/1
1
0700
8
Y
0.011
6.8
< 15
33.4
22.4
2
0700
8
Y
0.157
3
0700
8
Y
0.081
4
0700
8
Y
0.69
5
0700
18
Y
0.111
6
0700
8
Y
0
7
0700
8
Y
0.052
S
0700
8
Y
0.046
9
0700
8
Y
0.064
10
0700
8
Y
0.107
it
0700
8
B
0.136
12
0700
8
N
0
13
0700
8
N
0
14
0700
8
N
0.112
15
0700
8
Y
10.042
6.8
1 < 15
3.7
2.4
16
0700
8
Y
0.055
17
0700
8
Y
0.056
is
0700
8
Y
0.402
19
0700
8
Y
0.049
20
0700
8
Y
0.052
21
0700
8
Y
0.054
22
0700
8
Y
0.052
23
0700
8
Y
0
24
0700
18
Y
0.347
25
0700
8
B
0.005
26
0700
8
N
0.394
27
0700
8
N
0
28
0700
8
N
0
29
0700
8
1 B
0
30
0700
8
Y
0.13
31
0700
8
Y
1
0.032
Monthly A—ge Limit:
30
Monthly A—gc:
0.104419
0
18.55
12.4
Daily Maximum:
0.69
6.8
0
33.4
22.4
Daily Minimum:
0
6.8
0
3.7
1
12.4
****No Reporting Reason: ENFRUSE =NoFlow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 05-2018 (May 2018)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Billy J Wilkie ORC CERT NUMBER: 985377
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE': NO (Continue)
G
E
E
"
E
U
_
E
1-
E
`
<
E
"
O
iz
E
EUi—
E
O
o
U
O
C
t
7,
00951
01045
00927
01055
TGP3B
Grab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
MGNSIUM
MANGNESE
CERIMPF
2400 clock
Hn
2400 clock
H.
Y/R(N
mg/1
mg/1
m8/1
mg/I
pms/fail
1
0700
8
Y
2
0700
8
Y
3
0700
8
Y
a
0700
8
Y
5
0700
8
Y
6
0700
8
Y
7
0700
8
Y
e
10700
8
Y
9
0700
8
Y
10
0700
8
Y
11
0700
8
B
12
0700
8
N
13
0700
8
N
14
0700
8
N
15
0700 .
8
Y
16
0700
8
Y
17
0700
8
Y
18
0700
8
Y
19
0700
8
Y
20
0700
8
Y
21
0700
8
Y
22
0700
8
Y
23
0700
8
Y
2�
0700
8
Y
2.5
0700
8
B
26
0700
8
N
27
0700
8
N
28
0700
8
N
29
0700
8
B
30
0700
8
Y
31
0700 18
Y
Monthly A-mge Limit:
Manthlr A—ge:
Daily M..im—
Daii3Minimum:
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

i
NPdES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 04-2018 (April 2018)
PERMIT VERSION: 4A T C �,,, I\1F PERMIT STATUS: Active
CLASS: PC-1 1 A' COUNTY: Cleveland
ORC: Billy J Wilkie JUN 0 2019 ORC CERT NUMBERROMWED/NCDENR/DWR
ORC HAS CHANGED: No CENTRAL FILES
VERSION: 1.0 [)W R SECTION STATUS: Processed J U N 1 u L O I S'y
RROS
�p WQ�
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCRfi�/ 1VilIONAL OFFICE
a
e`
U
EE„
u
E-
F
z
a
O
OF
E
F
C
O
o
a
O
5 -
-
8
a`
r`,
50050
00400
SOO6U
C0530
01105
01042
01045
TGP3B
00070
2 X month
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
TSS - Coot
ALUMINUM
COPPER
IRON
CERI7DPF
TURHIDTY
2400 clack
I Hn
2400 clock
I Hn
Y/B/N
mgd
I so
u9/1
mgll
I mg/l
mg/1
tng/I
1 pass/fail
ntu
1
0700
8
N
0.276
2
0700
8
N
0.257
3
0700
8
Y
0.021
7
< 15
< 2.5
< 1
4
0700
8
Y
0.049
5
0700
8
Y
0.069
6
0700
18
Y
1
0.043
7
0700
8
Y
0.064
8
0700
8
Y
0.056
9
0700
8
Y
0.076
10
0700
8
Y
0.071
11
0700
8
Y
0.082
12
0700
8
Y
0.077
13
0700
8
B
0.316
14
0700
8
N
0.241
15
0700
8
N
0.124
16
0700
8
Y
0.054
17
0700
8
Y
0.056
7
<15
<2.5
0.309
<0.05
0.1
P
1.1
1s
0700
8
B
0.067
19
0700
8
Y
0.116
20
0700
8
Y
0
21
0700
8
Y
0.119
22
0700
8
Y
0
23
0700
8
Y
0.111
24
0700
8
Y
0.096
25
0700
8
Y
0.247
26
0700
8
Y
0.091
27
0700
8
N
0.35
28
0700
8 1
N
0.024
29
0700
8
N
0.431
30
0700
8
N
0.11
Monthly A-roge Limit:
30
Monthly Average:
0.123133
0
0
0.308
0
0.1
0.55
Doily Maximum:
0.431
7
0
0
0.308
0
0.1
1.1
Daily Minimum:
0
7 to
10
0.308
0
0.1
0
* * ** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday

NPDES PERMIT NO.: NCO027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
Ot , r
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 04-2018 (April 2018)
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
G
E
E
U
F
E
ci
=
F
E
<
.
O
_
0
F
E
O
=
o`
U
O
r-
Z
Z
00010
00916
00951
00927
01055
Grab
Grab
Grab
Grab
Grab
TEMP-C
CALCIUM
F-TOTAL
MCNSIUM
MANCNESE
2400 clock
Hrs
2400 clack
Hn
YIWN
1 deg c
mg/l
mg/1
mg/I
Mg/1
1
0700
8
N
2
0700
8
N
3
0700
8
Y
4
0700
8
Y
5
0700
8
Y
6
0700
8
Y
7
0700
8
Y
8
0700
8
Y
9
0700
8
Y
10
0700
8
Y
11
0700
8
Y
12
0700
8
Y
13
0700
8
B
-
- -
14
0700
8
N
15
0700
8
N
16
0700
8
Y
17
0700
8
Y
1s
0700
8
B
19
0700
8
Y
20
0700
8
Y
21
0700
8
Y
22
0700
8
Y
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
N
28
0700
8
N
29
0700
8
N
30
0700
8
N
Monthly Ai cragc Limit:
Monthly A—gc:
Daily Maximum:
Daily Minimum:
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

1
o.
NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 04-2018 (April 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 05/22/2018
J/ / Q� �� 05/10/2018
ORC/Certifier( Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
A _
05/22/2018
a
Permittee/Submitter Signat re:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby Waterplant , Shelby Wastewater plant, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Wendell Leonard & Billy Wilkie
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 04-2018 (April 2018)
Report Comments:
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
4/3/18 the flow duration was 5 hours. 4/17/18 the flow duration was 5 hours
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50
Date 01-May-18
Facility: Shelby WTP NPOES# NCO027197 Pipe # 001 County. Cleveland
Laboratory Performing Test: Comments
X'
Signature of eratoresponsibl ar
X /
Signature of Laboratory Supervisor
MAIL ORIGINAL TO Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
1:ITi1'L. .]ILF. - ..t? ? Ii— I fa=. .1-; 11110 — M141f'L'Laf-mmmi fM
CONTROL ORGANISMS
# Young Produced
Adult (L)Ive (D)aad
Effluent % 90.0%
TREATMENT 2 ORGANISMS
# Young Produced
Adult (L)Iva (D)ead
Iculated t= 0.6916
tical Value= 2.508
1 2 3 4 5 6 7 6 9 10 11 12 % Reduction= 2.8%
24 22 22 25 24 22 25 26 21 24 24 23 %Mortality Avg. Repmd.
L L L L L L L L L L L L 0% 23.5
Control Control
0% 22.8
Treatment 2 Treatment 2
Control CV
1 2 3 4 5 6 7 8 9 10 11 12 6.4%
%3rdBrood PASS FAIL
100% X
F
plete This for Either Test Test Start Date
Collect on 18-Apr-18
pH 1st sample 1st sample 2nd Semple Sample 1 17-Apr-18 Semple 2 19-APr-18
Control 7.4 7.4 7.2 7.7 7.5 7.8
Treatment 2 7.0 7.1 6.7 7.4 6.9 7.4
19
24
24
27
24
22
24
19
19
23
21
1 28
L
L
L
L
L
L
L
L
L
L
L
L
start and start and start and
D.O. lstsam le lstsam le 2nd sam le
Control
Treatment 2
LC50/Acute Toxicity Test
(Mortality expressed as %, combining
LC50 = %
95% Confidence Limits
Oraanism Tested
DEM Form AT-1
Sample 1
Semple 2 X
Hardness (mg/L)
Spec. Cond. (Pmhos)
Chlorine (mg/L)
iple Temp. at receipt ("C)
1st 2nd
Tox Tox
Dilution Sample Sample
189 1 95 1 99
0.31 1.0
Mortality startlend startfend
Method of Determination Control
Average Probit E3 High Conc.
an Kerber ROther pH D.O.
dubia
Page 2 of 6

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 03-2018 (March 2018)
PERMIT VERSION: 4.0 RE CE R/FDPERMIT STATUS: Active
CLASS: PC-1 MAY 2 2018 COUNTY: Cleveland
ORC: Billy J Wilkie �V� ORC CERT NUMBEN DJNCOrqR/DWR
ORC HAS CHANGED: No cE'� 1 I�t�1t_ F1�,�.� 9�
[DINR SLC7i0K r, n
VERSION: 1.0 STATUS: Processed MAY 2 ( a l 2 :! I n
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DIS' ARGE �SNOODNAt_ OFFICE
E
F
e
E
U
F
-E
E
U
I-
E
r
`
L
(15
c
O
`
O
=
o`
O
c
:2F10w
saasa
ao�oo
saa6a
COO" 1"I",
o007o
aoota
onvt6
otaz
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
pH
CHLORINE
T55-Cone
ALUMINUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
2400 clock
H.
2400 clock
Hn I
Y/B/N
mgd
5u
ug/I
mg/l
mgA
ntu
deg c
mg/l
mg/l
t
0700
8
Y
0.083
2
0700
8
N 1
0.104
3
0700
8
N 1
0
4
0700
8
0.315
5
0700
8
0.278
6
0700
8
rN
0.08
6.9
< 15
< 2.5
< 1
7
0700
8
0.098
8
0700
8
0.029
0
0700
8
Y 1
0.05
18
0700
8
Y
0.055
It
0700
8
Y
0.035
12
0700
8
Y
0.052
13
0700
8
Y
0.04
14
0700
18
N
0.187
15
0700
8
Y
0.038
16
0700
8
B
0.249
17
0700
8
N
0
to
0700
8
N
0
t5
0700
8
N
0.062
zn
0700
8
Y
0.065
7.3
< 15
3.7
2.4
xt
0700
8
Y
0.064
22
0700
8
Y
0.067
23
0700
8
Y
0.048
24
0700
8
Y
0
25
0700
8
Y
0.058
26
0700
8
Y
0
27
0700
8
Y
0
28
0700
8
Y
0
29
0700
8
IY
0
30
0700
8
N
0.063
3t
0700
8
N
1
0
Monthly Ayernge Llmit:
J0
Monthly Aycragc:
0.068387
0
1.85
1.2
Daily Minimum:
0.315
7.3
0
3.7
2.4
Daily Minimum:
0
16.9
10
10
1
0
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 03-2018 (March 2018)
CLASS: PC-]
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
o
E
E
"
u
E
u
s
f
E
6
L
o`
E
G
o`
U
o
-
a`
z
00951
01045
00927
01055
TG-B
Grab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
MGNS .
..N..
CERI7DPF
2400 clock
H.
2400 clock
I 11n
YIB/N
mg/I
mg/1
mg/1
mg/I
pass/fail
1
0700
8
Y
2
0700
8
N
7
0700
8
N
4
10700
8
N
5
0700
8
N
6
0700
8
Y
7
0700
8
Y
8
0700
8
Y
9
0700
8
Y
10
0700
8
Y
11
0700
8
Y
12
0700
8
Y
17
0700
8
Y
14
0700
8
N
15
0700
8
Y
16
0700
8
B
17
0700
8
N
1s
0700
8
N
19
0700
8
N
20
0700
8
Y
21
0700
8
Y
22
0700
8
Y
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
Y
28
0700
8
Y
29
0700
8
Y
70
0700
8
N
21
0700
8
N
Monthly Average Limit:
Monthly Avenge:
DAIy Ma i.w
Daily Mi 1. n:
****No Reporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

NPDES PERMIT NO.: NCO027197
FACILITY 1`10E: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 03-2018 (March 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 04/18/2018
" z Zeg-4 ee —m � 04/16/2018
ORC/Certifier Signature: Billy Wilkie E-Mail: [e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
MA/ � 04/18/2018
Permittee/Submitter Signature:**� David W Hux E-Mail:[e-mail] Phone 4:704-669-6570 Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP, Shelby WWTP, PACE Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Wendell Leonard & Billy Wilkie
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
* * ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* * * Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
FACILITY NAME: Shelby WTP
CLASS: PC-1
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
GRADE: PC71
ORC HAS CHANGED: No
eDMR PERIOD: 03-2018 (March 2018)
VERSION: 1.0
Report Comments:
3/6/18 the duration discharge was 7 hours. 3/20/18 the duration discharge was 7 hours
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

41
NPDES PERMI , O.: NCO027197
FACILITY NAMEi Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 02-2018 (February 2018)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC -I yR aF p E yq��� COUNTY: Cleveland
ORC: Billy J Wilkie p ORC CERT NUMBER: 3C` 51VED/NCDEfdR/[�WR
I�
ORC HAS CHANGED: No APR R 0 4 2018
lii')
VERSION: 1.0 ,j-L'3 STATUS: Processed
C\ 1Lri1 1) WQROS N
M0Of;ES1il �F' f0�lAL OFFICE
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE :
Ci
E
F
—
G
9
U
E
F
Z
F
E
Fui
�
—
O
—
O
E
F55
.
O
C
O
e
L
Y
Z
50050
00400
50060
C0530
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Crab
Grab
Grab
Grab
Gab
Grab
Grab
FLOW
pH
CHLORINE
T5a-Cone
ALUMINUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
2400 clock
H.
2400 clock
H.
I WRIN
mgd
su
I ug/I
mg/1 I
mg/l
ntu
deg a
mg/l
mg/l
1
0700
8
Y
0.12
2
0700
8
N
0.125
3
0700
8
N
1
0.132
4
0700
8
N
0
5
0700
8
N
0.102
6
0700
8
Y
0.1
6.8
< 15
< 2.5
< 1
7
0700
8
Y
0.116
e
0700
8
Y
0.069
9
0700
8
0.123
10
0700
8
0.081
11
0700
8
ry,
0
12
0700
8
0.086
13
0700
8
0.128
14
0700
8
Y
0
15
0700
8
Y
0.134
16
0700
8
N
0.13
17
0700
8
N
0.128
is
0700
8
N
0
19
0700
8
N
0
20
0700
8
B
0.117
7
< 15
< 2.5
1.2
21
0700
8
B
0.292
22
0700
8
B
0
23
0700
8
Y
0.086
24
0700
8
Y
O.I15
25
0700
18
Y
1
0
26
0700
8
Y
1
0.117
27
0700
8
1 Y
0.124
28
0700
8
1 Y
0.116
Monthly Avcrage Montt
30
Monthly Average:
0.09075
0
0
0.6
Daily Maumam:
0.292
7
0
0
12
Daily Minimum:
0
6.8
0
0
0
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

0
NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-]
eDMR PERIOD: 02-2018 (February 2018)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE': NO (Continue)
d
q
E
F
E
d
E
E
u
F
E
F
<
e
O
iz
P
e
d
O
-
o`
O
a
Z
00951
01045
00927
01055
TGP3B
Grab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
MGNSIUM
MANGNESE
CER17DPF
2400 clock
H.
2400 clack
H.
Y1WN
mg/I
m9/1
mg/1
mg/I
pass/fail
1
0700
is
Y
2
0700
8
N
3
0700
8
N
i
0700
8
N
5
0700
8
N
6
0700
8
Y
7
0700
8
Y
8
0700
8
Y
9
0700
8
Y
10
0700
8
Y
11
0700
8
Y
12
0700
8
Y
13
0700
8
Y
14
0700
8
Y
15
0700
8
Y
16
0700
8
N
17
1
0700
8
N
is
0700
8
N
19
0700
8
N
20
0700
8
B
21
0700
8
B
22
0700
8
B
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
Y
28
0700
8
Y
Monthly Average Limit:
Manlhly Ae gc
Daily Maximum:
Daily Minimum:
""'NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY= No Visitation —Holiday

k
NPDES PERMIT NO.: NCO027197
FACILITY "`AME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 02-2018 (February 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 995377
STATUS: Processed
SUBMISSION DATE: 03/21/2018
��J-ar✓/ 03/21/2018
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of
the NPDES permit.
a A
03/21/2018
Permit a /Submitter Signatur : ** avid W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP, Shelby WWTP, Pace Analytical
CERTIFIED LAB #: 5340,238,12
PERSON(s) COLLECTING SAMPLES: Billy Wilkie, Wendell. Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
* * ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 02-2018 (February 2018)
Report Comments:
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
The duration flow for 2/6/18 were 5 hours. The duration flow for 2/20/18 were 8 hours
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

PNPDPES PERMIT NO.: NCO027197
PERMIT VERSION: 4_0
PERMIT STATUS: Active 3
FACILITY NAME: Shelby WTP CLASS: PC-] ®e C ®' COUNTY: Cleveland
ED
OWNER NAME: City of Shelby ORC: Billy J Wilkie
gg�� ORC CERT NUMBER: 9553E-
77rIVED!1gC NFUDWR
GRADE: PC-1 ORC HAS CHANCMAPNod 6 Z 018
eDMR PERIOD: 01-2018 (January 2018) VERSION: 1.0 CEN i KHI. FILES STATUS: Processed
DWR SECTION VI0RO ,
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
q
G
h
=
"
fi
U'
F
E
e3
m
F
H
f
<
C
F
l
H
C
o
—
U
O
&
ii
C
Ite
50050
00400
50060
CO530
alloy
01042
01045
TGP311
00070
2 X month
2 X month
2 X month
2 X month
Quarterly
Q y
Quarterly
Q y
Quarterly
Quarterly
2 X month
Recorder
Grab
Gab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
TSs - Cane
ALUMINUM
COPPER
IRON
CER17DPF
TURBIDTY
2400 ekek
H.
2400 clock
Iln
WRIN
mgd
so
ugA
mg/I
mgA
mgA
mg/l
us/fail
ntu
1
0700
8
Y
0.147
2
0700
8
Y
0.177
6.9
< 15
< 2.5
< 1
3
0700
8
Y
0.152
4
0700
8
Y
0.19
5
0700
8
N
0.248
6
0700
8
N
0.219
7
0700
8
N
0.027
9
0700
8
N
0
9
(,
0700
8
N
0
10
0700
6
1 Y
0.168
11
0700
8
Y
0.024
12
0700
8
Y
0
13
0700
8
Y
0
14
0700
8
Y
0
15
0700
8
Y
0
16
0700
8
Y
0
6.9
< 15
< 2.5
0.205
0.007
< 0.05
P
< 1
17
0700
8
Y
0.076
1s
0700
8
Y
0.107
19
0700
8
N
0.3
20
0700
8
N
0.006
21
0700
8
N
0
22
0700
8
N
0
23
0700
8
N
0.17
24
0700
8
Y
0
25
.
0700
8
Y
0.099
26
0700
8
Y
0.083
27
0700
8
Y
0
28
0700
8
Y
0.068
29
0700
8
Y
0.085
30
0700
8
Y
0.148
31
0700
8 I
Y
0.097
Monthly Average Umii:
30
Monmly Avemge:
0.083258 1
0
0
0.205
0.007
0
0
DaBy Maximum:
0.3
6.9
0
0
0.205
0.007
0
0
Daily Minimum:
0
6.9
0
0
0.205
0.007
0
0
•""NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-]
eDMR PERIOD: 01-2018 (January 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 02/15/2018
6j� 91QnA4�K 490rAnllz� 02/15/2018
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
v
02/15/2018
Permittee/Submitter Signatup(e:y** bavid W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby Water Treatment Plant, Shelby WWTP, Pace Analytical
CERTIFIED LAB #: 5340, 238, 12
PERSON(s) COLLECTING SAMPLES: Billy Wilkie & Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

PNP D prPERMIT NO.: NC0027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
]FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 0 1 -2018 (January 2018)
Outfall 001 - Effluent Comments:
CLASS: PC -I
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
On 1/2/18/ the flow duration was 7 hours. On 1/17/18 the flow duration was 5 hours
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

PPPP7J
,,-,
,
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date 29-Jan-18
Facility: Shelby WTP NPDES# NCO027197 Pipe # 001 County. Cleveland
Laboratory Performing Test: comments
' r
X �.
Signature of Operator in p ns' le ge
SiSi nature of Laboratory Supervisor
MAIL. ORIGINAL TO Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Cer(odaphnia Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t= 0.6178
Critical Value= 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction= 4.3%
# Young Produced
Adult (L)ive (D)ead
Effluent %
TREATMENT 2 ORGANISMS
# Young Produced
Adult (L)ive (D)ead
1 9 Q d c c
16
21
28
22
22
1 20
1 22
1 19
1 22
1 20
1 11
19
L
L
L
L
L
L
L
L
L
L
L
L
pH
1st sample
Control
Treatment 2
D.O. start and
1st sam le
Control 8.0 7.5
Treatment 2 1 8.91 7.9
LC50/Acute Toxicity Test
(Mortality expressed as %, combining
1st sample
7.4 7.6
7.2 7.1
2nd sample
7.5 8.1
7.0 7.4
start end start end
1st sam le 2nd sam le
7.7 9.1 8.5 8.6
8.8 8.7 9.2 8.3
to This for Either Test
m (Start) Date
1 16Jan-18
Sample 1 X
Sample 2 X
Hardness (mg/L)
Spec. Cond. (pmhos)
Chlorine (mg/L)
at
0%
21.1
Control
Control
0%
20.2
Treatment 2
Treatment i
Control CV
15.11°/p
%3rdY(ood
PASS FAIL
J
100%
X
Test Start Date
17Jan-18
Sample 2 18Jan-18
let 2nd
Tox Tox
Dilution Sample - Sample
46.0 z
187 96 100
0.81 1.0
monanry startland start/end
LC50 = % Method of Determination Control
EB
95% Confidence Limits Moving Average F IProbit ® High Conc.
Spearman Kerber Other pH D.O.
Organism Tested Cedoda hnia dubia
DEM Form AT-1
Page 2 of 6

PNPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 12-2017 (December 2017)
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Billy J Wilkie
ORC IiAS CHANGED: No
VERSION: 1.0
((�°�� PERMIT STATUS: Active
'�.,.g I ei® RUNTY: Cleveland
FEB %V�cIORCCERTNUMBER:98�2CEIVED/NCDE'ARJ1)1NR
CENTRAL FILE�TATUS: Processed FEB 13 % 018
©WR SECTION
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHArBtGEt1/k0RE'GIORAL OFFICE
qa
E
Uo
a
F
O
O
a
O
0.
a
Z
50050
00400
50060
C0530
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Gab
Grab
Grab
Crab
Grab
Grab
FLOW
pH
CHLORINE
TSS-Cone
ALUMINUM
TURDIDTY
TEMPO
CALCIUM
COPPER
2400 clock
H.
2400 clack
H.
YnVN
m d
I 3u
ugd
mg/l
mgA
ntu
deg a
mg/l
mg/l
1
0700
8
Y
0.106
2
0700
8
Y
0.118
3
0700
8
Y
0.115
4
0700
8
Y
0.133
t
5
0700
8
Y
6.129
7
< 15
< 2.5
< 1
6
0700
8
Y
0.124
7
0700
8
Y
0.631
S
0700
8
N
0
9
0700
8
N
0
10
0700
8
N
0
11
0700
8
1 N
0.098
12
0700
8
Y
0.426
13
0700
8
Y
0.138
14
0700
8
Y
0.178
15
0700
8
Y
0.107
16
0700
8
Y
0.128
17
0700
8
Y
0
is
0700
8
Y
0.123
19
0700
8
Y
0.113
6.9
< 15
< 2.5
< 1
20
0700
8
Y
0.158
21
0700
8
Y
0.141
22
0700
8
N
0.12
23
0700
8
N
0.075
24
0700
8
N
0
25
0700
8
N
0
26
0700
8
Y
0.099
..27---
--------
0700 ----
8 — —
Y
0.072
28
07DO
8
Y
0.114
29
0700
8
Y
0.119
30
0700
8
Y
0
31
0700
8
Y
0.148
Monthly Avenge IJ dt:
30
Monthly A—g.:
0.119581 1
0
0
0
Daily M..In u n:
0.631
7
0
0
0
Daily Minimum:
0
6.9
0
0 9
to
""NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO027197
PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 12-2017 (December 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
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:[•,
00951
01045
00927
01055
TGP3B
Grab
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Grab
Grab
Grab
F-TOTAL
IRON
MONSHIM
MANCNESE
CER17DPF
2400 clack
H.
2400 clock
H.
YIBfN
mg/1
mgA
mg/I
mg/1
pass/fail
1
0700
8
Y
2
0700
8
Y
3
0700
8
Y
4
10700
8
Y
S
0700
8
Y
6
0700
8
Y
7
0700
8
Y
s
0700
B
N
9
0700
8
N
10
0700
8
N
11
10700
8
N
12
0700
8
Y
13
0700
8
Y
14
0700
8
Y
as
0700
8
Y
16
0700
B
Y
17
0700
8
Y
is
0700
8
Y
19
0700
8
Y
20
0700
8
Y
21
0700
8
Y
22
0700
8
N
23
0700
8
N
24
0700
B
N
25
0700
8
N
26
0700
8
Y
25
0700
B
Y
29
0700
8
Y
30
0700
8
Y
31
0700
6
Y
Monthly Avenge Urnit:
Monthly Avenge:
Daily Masimum
Daily Minfmum:
s efs No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

pppp-
PPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-]
eDMR PERIOD: 12-2017 (December 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PRONE #: 7044846885
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 01/26/2018
'A 01/19/2018
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
01/26/2018
Pe'rmittee/Submitter Signature:*** David W Nrx E/Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby Waterplant
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie and Wendell Leonard
PARAMETER CODES
--Parameter Code -assistance -may -be -obtained -by calling -the NPDES Unif (919)-807--6300-or liy visiting htitp //portal.ncdenr.org�web/wq/swp7ps/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.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 12-2017 (December 2017) VERSION: 1.0 STATUS: Processed
Report Comments:
On 12/05/17 the discharge hours were 6 hours. On 12/19/17 the discharge hours were 6.

NPDES PERMIT NO.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC-1 COUNTY: Cleveland 3
OWNER NAME: City of Shelby ORC: Billy J Wilkie r1ctr P � /F ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No JAN 10 2018 RECEIVEDINCDENRIDV1fR
eDMR PERIOD: 11-2017 (November2017) VERSION: 1.0 STATUS: Processed V I I. "M
DWR SECTION
SAMPLING LOCATION: EFFLUENT D+� oATRnUPW.S:"f�1NITNO DISCHARGE*: NOIQRos
MOORESVILLE REGIONAL OFFICE
.,
It
P
E
E
6
u
E
F
a
P
F
O
-
0
ii
Z°
50050
00400
50060
Cosa
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Gab
Grab
Grab
FLOW
pH
CHLORINE
TSs-Cone
ALUMINUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
2400 clack
Hn
2400 clock
Inn
Y/R1N
m gd
so
ugA
mg/l
mg/I
I ntu
deg c
mg/I
mg/I
l
0700
8
B
0.103
2
0700
8
B
0.04
3
0700
B
Y
0.04
4
0700
8
Y
0.042
s
0700
B
Y
0.056
6
0700
8
Y
0.101
7
0700
8
Y
0.059
6.8
< 15
< 2.5
1.4
s
0700
8
Y
0.167
9
0700
8
Y
0.1 B3
10
0700
8
N
0
11
0700
8
N
0.187
12
0700
8
N
0.068
13
0800
is
N
1
0.095
14
0700
8
Y
0.039
1s
0700
B
V
0.087
16
0700
8
Y
0.107
17
0700
8
Y
0.141
Is
0700
8
Y
0.148
19
0700
8
Y
0.121
20
0700
8
1 N
0.192
21
0700
8
Y
0.123
7
< 15
< 2.5
< 1
22
0700
B
Y
0.107
23
0700
8
N
0.117
z4
0700
8
N
0.135
25
0700
8
N
0.123
26
0700
8
N
0.126
27
0700
8
N
0.12
79
0700
8
Y
0.358
29
0700
8
Y
0
30 1
0700
8
Y
0.094
Monthly Avemge UmB:
30
Monthly Avemge:
0.1093
1
0
0
0.7
D.uy M.:Imam:
0.356
7
0
0
1.4
Daily Minimum:
0
6.8
0
0
0
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday

NPDES PERMIT NO.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active t
FACILITY NAME: Shelby WTP CLASS: PC-1 COUNTY: Cleveland 1
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC -I ORC HAS CHANGED: No
eDMR PERIOD: 11-2017 (November 2017) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
r
Y
y
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F
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C
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a
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00951
01045
00927
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Grab
Gab
Gab
Gab
Crab
F-TOTAL
IRON
MGNSIUM
MANGNESE
CER17DPF
2400 cluck
Hn
2400 clock
Hn
Y/B/N
m
m9/1 1
mg/l
M94
pus/fail
1
0700
8
B
2
0700
8
B
3
0700
8
Y
0700
8
Y
s
0700
8
Y
6
0700
8
Y
7
0700
8
Y
8
0700
8
Y
9
0700
8
Y
10
0700
8
N
11
0700
8
N
12
0700
8
N
13
0800
8
N
14 1
0700
8
Y
1s
0700
8
Y
16
0700
8
Y
17
0700
8
Y
to
0700
8
Y
19
0700
8
Y
20
0700
8
N
21
0700
8
Y
22
0700
8
Y
23
0700
8
N
2*
0700
8
N
is
0700
8
N
26
0700
8
N
27
0700
8
N
28
0700 18
Y
29 1
0700
8
Y
30
0700
8
Y
Monthly A—g* Lhn11:
Monthly Avemge:
May MuImum:
Daily Mlnhmum:
****NoReportingReason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

It
NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 11-2017 (November 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy ] Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 12/14/2017
/ _< 4/��'/'s� 12/13/2017
ORC/Certifier Signature: Billy Wilkie E-Mail:billy.wilkie n cityofshelby.com Phone 4:704-484-6885 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.
M
12/14/2017
Permittee/Su' fitter Signature:*** David W' Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP
CERTIFIED LAB th 5340
PERSON(s) COLLECTING SAMPLES: Wendell Leonard
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/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 PERMIT NO.: NCO027197 PERMIT VERSION: 4.0
FACILITY NAME: Shelby WTP CLASS: PC-1
OWNER NAME: City of Shelby ORC: Billy J Wilkie
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 11-2017 (November 2017) VERSION: 1.0
Report Comments:
The flow duration was 7 hours on November 7 2017. The flow duration was 6 hours on November 212017
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

ppppppp-
NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 10-2017 (October 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Billy J Wilkie � V COUNTY:
ERT NUMBER: 98537.7
ORC HAS CHANGED: No D E C 12 L 0 p 7 1- I.
VERSION: 1.0 CC;NT STATUS: Processed DEC 1 d Z017
C-U1JR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:' N0 =
"
E
B
G
�
F
w
Y
8
O
a
O
c
a
a
:L
50050
00400
50060
COS30
01105
01042
01045
TGP311
00070
2 X month
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
PH
CHLORINE
TSS-Cone
ALUMINUM
COPPER
IRON
CER17DPF
TURBIDTY
2400 clock
Hn
2400 ctock
Hn
WB/N
mgd
so
ug4
mg4
mg4
mg/1
mSA
pass/fail
ntu
1
0700
8
N
1
0
2
0700
8
N
0.109
3
0700
8
Y
0.095
6.8
< 15
< 2.5
< 1
4
0700
8
Y
0.119
5
0700
8
Y
0,102
6
0700
8
Y
0.125
7
1
10700
8
Y
0.089
s
0700
8
Y
0.111
9
0700
8
Y
0.185
10
0700
8
Y
0.133
11
0700
8
Y
0.164
12
0700
8
Y
0.132
13
0700
8
B
0.116
' 14
0700
8
B
0.32
15
0700
8
N
0
16
0700
B
N
0.182
17
0700
B
N
0.473
6.8
< 15
< 2.5
0.167
0.022
0.062
F
< I
18
0700
8
N
0.099
19
0700
8
Y
0.042
20
0700
8
Y
0
21
0700
8
Y
0.04
22
0700
8
Y
0.067
23
0700
8
Y
0.131
24
0700 19
Y 1
0.108
25
0700
8
Y
0.12
26
0700
8
Y
0.071
27
0700
8
N
0.108
28
0700
8
N
0.18
29
0700
8
N
0.249
30
0700
8
N
0.118
31
0700
8
N
0.11
Monthly Avenge Limit:
30
Monthy Avemgc:
0.125419
0
0
0.167
0.022
0.062
0
D.By M..I--
0.473
6.8
0
0
0.167
0.022
0.062
0
D.Ity Minim.tn:
0
6.6
0
0
10.167
0.022
0.062
0
""NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation -Holiday

I 1 R ort Form - Chronic Pass/Fall and Acute LC50 Date 25-Oct-17
Effluent Tox c ty ep
NPDES# NCO027197 PI e # 001
co-ty, Cleveland
Facility: Shelby WTP
Comments
Laboratory Performing Test:
X
Signature of Operator in Responsible Cha e
X
Signature of La )oratory Supervisor
lofWaterQuaronmental lity Branch
MAIL ORIGINAL TO
Div. of Water Quality
Div.
N.C. DENR
1621 Mall Service Center
Raleigh, North Carolina 27699-1621
Reproduction
Toxicity Test
Chronic Test Results
North Carol) ia Cerlodaohnla Chronic Pass/Fall
Rank sum= 79
Critical Value= 109
6 7 B B 10 11
12
%Reduction= 85.6%
CONTROL ORGANISMS 1
2
3
4
6
24
23
20
23
22
24
% Mortality
Avg. Reprod.
# Young Produced
EL
12
]23a22
L
L
L
L
L
L
0%
22.0
Adult L Iva Deed
Control
Control
58%
3.2
Effluent%
0
90.0 o
Treatment
Treatment
Control CV
3
4 5 6 7 B 9 10 11
12
15.4%
TREATMENT 2 ORGANISMS
%3rderood
PASS FAIL
#Youn Produced
EI
EEER
0 0
6 4oL 4L!
R
D
L
92%
X
Adult (L)Ive (D)ead
Complete This for Either Toot
Tart Start
1&Oct-17
1 17-Oct-17
Sam let 19-oct-17
pH letaam Is istaample 2nd Semple Sam le
Control 7.7 8.0 7.7 8.2 7.6 8.0
tioril
Treatment 2 6.8 7.4 7.0 7.7 7.0 7.7
ff
Duration tat 2nd
Semple 1 Tax Tax
Semple 2 Dilution sample Sample
Mart and start end start and Hardness (mg/L) 46.0
D.O. letaam le leteem le 2ndeam Ia
Control 7.9 8.3 8-.107.9 7.9 8.6
Speo. Cond. (Pmhos) 184 91 110
Treatment 2 8.8 7.9 9.0 8.1
8.0 8.7 Chlorine:(mg/L) 405 0.08
- - - - 0.6 0.7
LC50/Acute Toxicity Test
(Mortality expressed as %, combining
LC50 =
95% Confidence Limits
%
organism Tested
DEM Form AT-1
Method of Determination
Average Probit
,an Kerber El Other
Celioda hnia dubia
Page 2 of 6
start/end startfand
Control
Ba
High Conc.
pH D.O.

NPI'✓ES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 09-2017 (September 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 RECEIVED y� COUNTY: Cleveland
ORC: Billy J Wilkie ORC CERT NUMBER: 985377
ORC HAS CHANGED: No
Ni)v i 0 Z017 NLU—E-1VED!Nk:FjEN1=;/D%7R
VERSION: 1.0 CEN 1 RAL FILES STATUS: Processed N O V 2 0, 2lJ
DWR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*, E.— ;0'-,'AL o-F;cE
C
E
H
e
E
U
E
—
E
u
—
[=
E
'E
0
—
n
E
O
U
O
—
a
w
L
50050
00400
50060
C0530
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
PH
CIILORINE
TSS - Cane
ALUMINUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
Nil. clock
1.-
2400 clack
Ilrs
YB/N
mgd
5u
ug/I
mg/I
mg/I
ntu
deg c
Mgt]
mg/l
t
0700
8
N
0.134
2
0700
8
N
0.177
3
0700
8
N
0.326
4
0700
8
N
0.11
5
0700
8
Y
0.032
7.1
< 15
3.5
6
0700
18
B
0.237
1.1
7
0700
8
Y
0.074
8
0700
8
Y
0.124
9
0700
8
Y
0
10
0700
8
ly
0.091
11
0700
8
Y
0.03
12
1
0700
8
Y
0.112
13
0700
8
Y
0.107
14
0700
8
Y
0.09
15
0700
8
N
0.263
16
0700
8
N
0.116
17
0700
8
N
0.097
1s
0700
8
Y
0.128
19
0700
8
Y
0.124
7
<15
<2.5
20
0700
8
Y
0.131
1.7
21
0700
8
Y
0.111
22
0700
8
Y
0.116
23
0700
8
Y
0.114
24
0700
8
Y
0.091
25
0700
8
Y
0.11
26
0700
8
Y
0.097
27
0700
8
N
0.088
28
0700
8
Y
0.101
29
0700
8
B
0.166
30
0700
8 1
N
0.115
Montbly Average Limit:
30
Monthly Avcmge:
0.120067
0
1.75
1.4
Daily Maximum:
0.326
7.1
0
3.5
1.7
Daily Minimum:
O
7
0
0
1.1
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow;- HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 09-2017 (September 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
d
C
E
F
c
U
E
~
u
c
[-
E
P
—
O
_
m
O
O
o
U
x
O
-
ii
K
2
00951
01045
00927
01055
TGP36
Grab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
h/GNSIUM
MANGNESE
CER17DPF
2400 clock
Ilm
2400 clock
11.
y1m
mg/1
mgA
mg/1
mg/1
pass/fail
1
0700
8
N
2
1
0700
8
N
3
0700
8
N
4
0700
8
N
5
10700
8
Y
6
0700
8
B
7
1
0700
8
Y
8
0700
8
Y
9
0700
8
Y
to
0700
8
Y
11
0700
8
Y
12
0700
8
Y
13
0700
8
Y
14
10700
18
1 Y
15
0700
8
N
16
0700
8
N
17
0700
8
N
18
0700
8
Y
19
0700
8
Y
20
0700
8
Y
21
0700
8
Y
22
0700
8
Y
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
N
28
0700
8
Y
29
0700
8
B
30
0700
8
N
Monthly Avenge Limit:
Monthly Avenge:
Daily Maximum:
Daily Minimum:
****NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPD'ES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 09-2017 (September 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4_0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 10/30/2017
4 V1a1zX4k1z 0'_C_-0jyj q_C4 10/ 1 1 /2017
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, pleas att ch 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+ PD, ermit.
10/30/2017
Permittee Submitter Signature:*** David V Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: SHELBY WTP
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie and Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the'state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
PERMIT VERSION. 4.0
FACILITY NAME: Shelby WTP
CLASS: PC-1
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
GRADE: PC-]
ORC HAS CHANGED: No
eDMR PERIOD: 09-2017 (September 2017)
VERSION: 1.0
Report Comments:
September 5, 2017 flow duration was 3 hours and September 19, 2017 was 6 hours
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

WE
NPDES PERMIT NO.: NCO027197
FA ILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 08-2017 (August 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC -I RECEIVED COUNTY: Cleveland
ORC: Billy J Wilkie ORC CERT NUMBER: 985377�ECEIVED/fJCDENFdIDWI?
ORC HAS CHANGED: No CENTRAL FILE
VERSION:1.0 DW�SECTIS 6�
0i.] STATUS: Processed OCT I, 3 20I7
1NQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGUIR WOLE REGiORAL OFFI
o
n
E
F
E
c°�
E
F
_
5
u
m
[-'
E
[
<
E
O
y
o
E
C
a'
5i
o
U
o
o
a"
°c.
a"
50050
00400
50060
C0530
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pli
CHLORINE
TSS - Can.
ALUMINUM
TURDIDTV
TEMP-C
CALCIUM
COPPER
2400 clack
Iln
2400 clock
11rc
WRIN
mgd
Su
ug/1
mg/I
mg/1
am
des c
mg/l
mgA
1
0700
8
Y
0.115
7
<15
<2.5
0.8
2
0700
8
Y
0.111
3
0700
8
Y
0.099
4
1
0700
8
N
0.052
s
1
0700
8
N
0.137
6
0700
8
N
0
7
0700
8
N
0
8
1
0700
8
Y
0.054
9
0700
8
Y
0.099
10
0700
8
Y
0.082
11
0700
8
Y
1
0.102
12
0700
8
Y
0.086
13
0700
8
Y
0
14
0700
8
Y
0.116
15
0700
8
Y
0.07
7
< 15
2.9
4
16
0700
8
Y
0.108
17
0700
8
Y
0.105
18
0700
8
B
0.469
19
0700
8
N
0
20
0700
8
N
0
21
0700
8
N
0.121
22
0700
8
Y
0.118
23
0700
8
Y
0.101
24
0700
8
Y
0.121
25
0700
8
Y
0.117
26
0700
8
Y
0.088
27
0700
8
Y
0.073
28
0700
8
Y
0.115
29
0700
8
Y
0.114
30
0700
8
Y
0.119
31
0700
8
Y
0.12
Monthly Average Lima:
30
Monthly Av gc:
0.097129
0
1.45
2.4
Daily Maximum:
0.469
7
0
2.9
4
Daily Minimum:
0
7
0
0
0.8
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY =No Visitation— Holiday

NPDES,PERMIT NO.: NCO027197
1-
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 08-2017 (August 2017)
COMPLIANCE STATUS: Compliant
C\
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 09/28/2017
09/25/2017
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
111
09/28/2017
r
Permittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
FACILITY NAME: Shelby WTP
CLASS: PC-]
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
GRADE: PC -I
ORC HAS CHANGED: No
eDMR PERIOD: 08-2017 (August 2017)
VERSION: 1.0
Report Comments:
The flow durations were 6 hours on Aug I and 4 hours on Aug 15
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
N

0,
NPDE$'PERMIT NO.: NCO099656
FACILITY NAME: Dimensional Place
OWNER NAME: DC Charlotte Plaza Lllp
GRADE: PC-1
eDMR PERIOD: 09-2017 (September 2017)
SAMPLING LOCATION:
PERMIT VERSION: 1.0 PERMIT STATUS: Active
CLASS: PCA COUNTY: Mecklenburg
ORC: Christopher David Orrell ORC CERT NUMBER: 1003546'= � `:'=='_; '; _.
ORC HAS CHANGED: No
NOV 17 2017 _ .. _tLr-
VERSION: 1.0 CENTRAL FILES
OWR SECTION
EFFLUENT DISCHARGE NO.: 001
STATUS: Processed NOV
,;
NO DISCHARGE*: `NG' `,-' `' ^ I
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Rccycic; ENVWTHR=No Visitation —Adverse Weather, NOFLAW=No Flow; HOLIDAY=NoVisitation—Holiday

NPDES PERMIT NO.: NCO099656
` FACILITY NAME: Dimensional Place
OWNER NAME: DC Charlotte Plaza L11p
GRADE: PC -I
eDMR PERIOD: 09-2017 (September 2017)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Christopher David Orrell
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Mecklenburg
ORC CERT NUMBER: 1003546
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE': NO (Continue)
****No Reporting Reason: ENFRUSE =No Flow-11cuse(Rccycle; ENVWTHR= No Visitation — Adverse Woather, NOPLOW = No Flow; HOLIDAY =No Visitation —Holiday

NPDES PERMIT NO.:14CO089656
FACILITY NAME: Dimensional Place
OWNER NAME: DC Charlotte Plaza Lllp
GRADE: PC-1
eDMR PERIOD: 09-2017 (September 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC4
ORC: Christopher David Orrell
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Mecklenburg
ORC CERT NUMBER: 1003546
STATUS: Processed
SUBMISSION DATE: 10/27/2017
ORC/Certifier Signature: Christopher Orrell E-Mail:[e-mail] Phone #:[phone]
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
10/23/2017
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 time -table for improvements to be made as required by part II.E.6 of
the IMES permit.
10/27/2017
Permittee/Submitter Signature:***- David Valentine E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 1515 S Tryon St Charlotte NC 28203 Permit Expiration Date: 06/30/2020
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: Prism Laboratories Inc., ETT Environmental, Inc.
CERTIFIED LAB #: NC Certification No. 402, NCDENR Certification No. 022
PERSON(s) COLLECTING SAMPLES: Christopher D Orrell
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/pslnpdes/forms.
0ZS3tRMSI M
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).

- PRISM
-V LASORATORIES, ING,
Full -Service Analytical &
Environmental Solutions
ECS Carolinas, LLP (Charlotte)
Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
NC Certification No.402 Case Narrative
NC Drinking Water Cert No. 37735 09/29/2017
SC Certification No. 99012
Project: Dimensional Place - Monthly - Construction Phase
Lab Submittal Date: 09/14/2017
Prism Work Order: 7090239
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Narrative Notes:
Toxicity analysis was subcontracted to ETT Environmental. Laboratory report is attached.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
a --.-I
Angela D. Overcash
VP Laboratory Services
Reviewed By Terri W. Cole For Angela D. Overcash
Project Manager
Data Qualifiers Key Reference:
OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for TPH (SGT-HEM).
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-800/629-6364 - Fax: [phone] Page 1 Of 14

C� R Full -Service Analytical &
i I Environmental S utions
ism
�LABOnATOflIE$ ING
Sample Receipt Summary
09/29/2017
Prism Work Order: 7090239
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
001 7090239-01 Water 09/14/17 09/14/17
L-1
7090239-02 Water 09/14/17 09/14/17
L-2 7090239-03 Water 09/14/17 09/14/17
Samples were received in good condition at 4.8 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 2 of 14

Fun -Service Analytical
Environmental Solutions
•-�i/LABORATORIES, ING
ECS Carolinas, LLP (Charlotte)
Attn: Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
Project: Dimensional Place - Monthly -
Construction Phase
Sample Matrix: Water
Laboratory Report
09/29/2017
Client Sample ID: 001
Prism Sample ID: 7090239-01
Prism Work Order: 7090239
Time Collected: 09/14/17 13:05
Time Submitted: 09/14/17 14:45
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
Datefrime
ID
General Chemistry. Parameters
Oil & Grease (SGT-HEM)
BRLOG
mg/L
5.0
1.1
1
*1664B
9119/17 10:38 SLS
P710291
Total Suspended Solids
BRL
mg/L
2.5
0.40
1
*SM2540 D
9/18/17 10:23 SLS
P710263
Turbidity
BRL
NTU
1.0
0.18
1
*180.1
9/14/17 15:40 EGG
P710224
Total Metals
Total Hardness
140
mg/L
0.91
0.035
1
200.7
9118117 14:28
JAB
[CALC]
Calcium
40
mg/L
0.20
0.0053
1
*200.7
9118117 14:28
JAB
P710245
Copper
BRL
mg/L
0.010
0.0010
1
*200.7
9/18117 14:28
JAB
P710245
Lead
BRL
mg/L
0.0050
0.0010
1
*200.7
9/18117 14:28
JAB
P710245
Magnesium
10
mg1L
, 0.10
0.0054
1
*200.7
9118117 14:28
JAB
P710245
Zinc
0.037
mg1L
0.030
0.0013
1
*200.7
9118117 14:28
JAB
P710245
Volatile Organic Compounds by GC/MS
1,1-Dichloroethane
BRL
ug/L
1.0 0.083
1
*624
9/20/17
0:33
KDM
P710287
1,1-Dichloroethylene
BRL
ug/L
1.0 0.083
1
*624
9/20/17
0:33
KDM
P710287
1,2-Dichloroethane
BRL
ug/L
1.0 0.066
1
*624
9/20117
0:33
KDM
P710287
Chloroform
BRL
ug/L
1.0 0.076
1
*624
9/20/17
0:33
KDM
P710287
Tetrachloroethylene
BRL
ug/L
1.0 0.098
1
*624
9/20/17
0:33
KDM
P710287
Trichloroethylene
BRL
ug/L
1.00.078
1
*624
9120117
0:33
KDM
P710287
Surrogate
Recovery
Control Limits
4-Bromofluorobenzene
101 %
74-126
Dibromofluoromethane
100 %
75-127
Toluene-d8
95 %
74-122
This report should not be reproduced, except in its entirety,_without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 3 of 14

p5 n n Full -Service Analytical
IS - ' V' Environmenen tal Solutions
®�LABOPATOPIE3, INC.
Laboratory Report
09/29/2017
ECS Carolinas, LLP (Charlotte)
Attn: Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
Project: Dimensional Place - Monthly -
Construction Phase
Sample Matrix: Water
Client Sample ID: L-1
Prism Sample ID: 7090239-02
Prism Work Order: 7090239
Time Collected: 09/14/17 13:07
Time Submitted: 09/14/17 14:45
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis
Analyst
Batch
Limit
Factor
Datemme
ID
Volatile Organic Compounds by GC/MS
1,1-Dichloroethane
BRL
ug/L
1.0
0.083
1
*624
9120/17 1:07
KDM
P7I0287i
1,1-Dichloroethylene
BRL
ug/L
1.0
0.083
1
*624
9/20/17 1:07
KDM
P710287
1,2-Dichloroethane
1.7
ug1L
1.0
0.066
1
*624
9120117 1:07
KDM
P710287
Chloroform
BRL
ug/L
1.0
0.076
1
*624
9/20/17 1:07
KDM
P710287
Tetrachloroethylene
BRL
ug/L
1.0
0.098
1
*624
9/20/17 1:07
KDM
P710287
Trichloroethylene
BRL
ug/L
1.0
0.078
1
*624
9/20/17 1:07
KDM
P710287
Surrogate
Recovery Control Limits
4-Bromofluorobenzene 103 % 74-126
Dibromofluoromethane 101 % 75-127
Toluene-d8 92 % 74-122
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 4 Of 14

Full -Service Analytical &
AP
R l S M I Environmental Solutions
` LABOMTOBIE$ ING
ECS Carolinas, LLP (Charlotte)
Attn: Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
Project: Dimensional Place - Monthly -
Construction Phase
Sample Matrix: Water
Laboratory Report
09/29/2017
Client Sample ID: L-2
Prism Sample ID: 7090239-03
Prism Work Order: 7090239
Time Collected: 09/14/17 13:10
Time Submitted: 09/14/17 14:45
Parameter -
Result
Units
Report
MDL
Dilution
Method
Analysis
Analyst
Batch
Limit
Factor
Date/Time
ID
Volatile Organic Compounds by GC/MS
1,1-Dichloroethane
BRL
ug/L
1.0
0.083
1
`624
9/20/17 1:41
KDM
P710287
1,1-Dichloroethylene
BRL
ug/L
1.0
0.083
1
'624
9/20/17 1:41
KDM
P710287
1,2-Dichloroethane
BRL
ug/L
1.0
0.066
1
`624
9/20/17 1:41
KDM
P710287
Chloroform
BRL
ug/L
1.0
0.076
1
'624
9/20/17 1:41
KDM
P710287
Tetrachloroethylene
BRL
ug/L
1.0
0.098
1
'624
9/20117 1:41
KDM
P710287
Trichloroethylene
BRL
ug/L
1.0
0.078
1
'624
9/20/17 1:41
KDM
P710287
Surrogate
Recovery
Control Limits
4-Bromofluorobenzene
Dibromofluoromethane
Toluene-d8
99 % 74-126
102 % . 75-127
94 % 74-122
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 7-77-1
Phone: [phone] - Toll Free Number: 1-8001529.6364 - Fax: 704/52"409 Page 5 Of 14

IRR Full -Service Analytical &
,6.-Il Ism M Environmental Solutions
�7LABOPAM.Wr, ING
Level II QC Report
9/29/17
ECS Carolinas, LLP (Charlotte)
Attn: Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
Project: Dimensional Place - Monthly -
Construction Phase
Volatile Organic Compounds by GC/MS - Quality Control
Prism Work Order: 7090239
Time Submitted: 9/14/2017 2:45:OOPM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P710287 - 624
Blank (P710287-BLK1)
Prepared & Analyzed: 09/19/17
1,1-Dichloroethane
BRL
1.0
ug/L
1,1-Dichloroethylene
BRL
1.0
ug/L
1,2-Dichloroethane
BRL
1.0
ug/L
Chloroform
BRL
1.0
ug/L
Tetrachloroethylene
BRL
1.0
ug/L
Trichloroethylene
BRL
1.0
ug/L
Surrogate:4-Bromofluorobenzene
51.1
U91L
50.00
102
74-126
Surrogate: Dibromofuoromethane
51.9-
ug/L
50.00
104
75-127
Surrogate: Toluene-d8
46.0
U91L
50.00
92
74-122
LCS (P710287-BS1)
Prepared & Analyzed: 09/19/17
1,1,1-Tdchloroethane
22.3
5.0
ug/L
20.00
111
52-162
1,1,2,2-Tetrachloroethane
18.2
5.0
ug/L
20.00
91
46-157
1,1,2-Trichloroethane
21.3
5.0
ug/L
20.00
106
52-150
1,1-Dichloroethane
21.1
1.0
ug/L
20.00
105
59-155
1,1-Dichloroethylene
20.4
1.0
ug/L
20.00
102
10-234
1,2-Dichlorobenzene
19.2
5.0
ug/L
20.00
96
18-190
1,2-Dichloroethane
20.9
1.0
ug/L
20.00
105
49-155
1,2-Dichloropropane
21.4
5.0
ug/L
20.00
107
10-210
1,3-Dichlorobenzene
19.1
5.0
ug/L
20.00
95
59-156
1,4-Dichlorobenzene
18.6
5.0
ug/L
20.00
93
18-190
2-Chloroethyl Vinyl Ether
19.4
10
ug/L
20.00
97
10-305
Acrolein
44.3
100
ug/L
40.00
111
10-196
Acrylonitrile
42.4
100
ug/L
40.00
106
60-134
Benzene
21.5
5.0
ug/L
20.00
107
37-151
Bromodichloromethane
21.6
5.0
ug/L
20.00
108
35-155
Bromoform
20.4
5.0
ug/L
20.00
102
45-169
Bromomethane
18.0
10
ug/L
20.00
90
10-242
Carbon Tetrachloride
20.8
5.0
ug/L
20.00
104
70-140
Chlorobenzene
19.7
5.0
ug/L
20.00
99
37-160
Chloroethane
19.3
10
ug/L
20.00
96
14-230
Chloroform
21.1
1.0
ug/L
20.00
105
51-138
Chloromethane
16.4
10
ug/L
20.00
82
10-273
cis-1,3-Dichloropropylene
21.6
5.0
ug/L
20.00
108
10-227
Dibromochloromethane
19.7
5.0
ug/L
20.00
99
53-149
Ethylbenzene
19.5
5.0
ug/L
20.00
98
37-162
Methylene Chloride
20.2
5.0
ug/L
20.00
101
10-221
Tetrachloroethylene
19.0
1.0
ug/L
20.00
95
64-148
Toluene
20.9
5.0
ug/L
20.00
105
47-150
trans-1,2-Dichloroethylene
21.3
5.0
ug/L
20.00
107
54-156
trans-1,3-Dichloropropylene
20.8
5.0
ug/L
20.00
104
17-183
Trichloroethylene
21.7
1.0
ug/L
20.00
109
71-157
Trichlorofluoromethane
20.7
10
ug/L
20.00
103
17-181
Vinyl chloride
20.2
10
ug/L
20.00
101
10-251
Surrogate:4-Bromofluorobenzene
50.2
ug/L
50.00
100
74-126
Surrogate: Dibromocuoromethane
48.7
ug/L
50.00
97
75-127
Surrogate: Toluene-d8
47.3
ug/L
50.00
95
74-122
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001629.6364 - Fax: [phone] Page 6 of 14

IFull -Service Analytical Environmental Solutions
- �WLABOM MES. ING
Level II QC Report
9/29/17
ECS Carolinas, LLP (Charlotte)
Attn: Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
Project: Dimensional Place - Monthly -
Construction Phase
Volatile Organic Compounds by GCIMS - Quality Control
Analyte
Batch P710287 - 624
Prism Work Order: 7090239
Time Submitted: 9/14/2017 2:45:OOPM
Reporting Spike Source
Result Limit Units Level Result %REC
LCS (P710287-BS1) Prepared &Analyzed: 09/19/17
%REC RPD
Limits • RPD Limit
Notes
LCS Dup (P710287-13SD1)
Prepared &Analyzed: 09/19/17
1,1,1-Trichloroethane
22.3
5.0
ug/L
20.00
112
52-162
0.2
20
1,1,2,2-Tetrachloroethane
18.8
5.0
ug/L
20.00
94
46-157
3
20
1,1;2-Trichloroethane
21.3
5.0
ug/L
20.00
107
52-150
0.2
20
1,1-Dichloroethane
20.8
1.0
ug/L
20.00
104
59-155
1
20
1,1-Dichloroethylene
21.2
1.0
ug/L
20.00
106
10-234
4
20
1,2-Dichlorobenzene
19.4
5.0
ug/L
20.00
97
18-190
0.7
20
1,2-Dichloroethane
20.8
1.0
ug/L
20.00
104
49-155
0.7
20
1,2-Dichloropropane
21.0
5.0
ug/L
20.00
105
10-210
2
20
1,3-Dichlorobenzene
19.7
5.0
ug/L
20.00
98
59-156
3
20 .
1,4-Dichlorobenzene
18.6
5.0
ug/L
20.00
93
18-190
0.2
20
2-Chloroethyl Vinyl Ether
20.4
10
ug/L
20.00
102
10-305
5
20
Acrolein
44.5
100
ug/L
40.00
ill
10-196
0.5
20
Acrylonitrile
45.1
100
ug/L
40.00
113
60-134
6
20
Benzene
21.4
5.0
ug/L
20.00
107
37-151
0.1
20
Bromodichloromethane
21.8
5.0
ug/L
20.00
109
35-155
1
20
Bromoform
21.2
5.0
ug/L
20.00
106
45-169
4
20
Bromomethane
17.6
10
ug/L
20.00
88
10-242
2
20
Carbon Tetrachloride
21.1
5.0
ug/L
20.00
105
70-140
1
20
Chlorobenzene
20.0
5.0
ug/L
20.00
100
37-160
1
20
Chloroethane
19.2
10
ug/L
20.00
96
14-230
0.2
20
Chloroform
20.4
1.0
ug/L
20.00
102
51-138
3
20
Chloromethane
16.4
10
ug/L
20.00
82
10-273
0.2
20
cis-1,3-Dichloropropylene
22.2
5.0
ug/L
20.00
ill
10-227
3
20
Dibromochloromethane
20.7
5.0
ug/L
20.00
103
53-149
5
20
Ethylbenzene
19.9
5.0
ug/L
20.00
100
37-162
2
20
Methylene Chloride
20.4
5.0
ug/L
20.00
102
10-221
1
20
Tetrachloroethylene
20.4
1.0
ug/L
20.00
102
64-148
7
20
Toluene
21.5
5.0
ug/L
20.00
107
47-150
3
20
trans-1,2-Dichloroethylene
21.6
5.0
ug/L
20.00
108
54-156
1
20
trans-1,3-Dichloropropylene
21.6
5.0
ug/L
20.00
108
17-183
4
20
Trichloroethylene
22.3
1.0
ug/L
20.00
ill
71-157
3
20
Trichlorofluoromethane
20.6
10
ug/L
20.00
103
17-181
0.4
20
Vinyl chloride
20.2
10
ug/L
20.00
101
10-251
0
20
Surrogate:4-Bromofluorobenzene
48.4
ug/L
50.00
97
74-126
Surrogate: Dibromofluoromethane
50.0
ug/L
50.00
100
75-127
Surrogate: Toluene-d8
48.2
u92
50.00
96
74-122
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001629-6364 - Fax: [phone] Page 7 of 14

�: .
.RRFull -Service Analytical &
I S. M Environmental Solutions
- ®�LA90RATORIES ING
Level II QC Report
9/29/17
ECS Carolinas, LLP (Charlotte)
Attn: Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
Total Metals - Quality Control
Analyte
Batch P710245 - 200.7
Project: Dimensional Place - Monthly -
Construction Phase
Reporting Spike Source
Result Limit Units Level Result
Prism Work Order: 7090239
Time Submitted: 9/14/2017 2:45:OOPM
%REC RPD
%REC Limits RPD Limit
Notes
Blank (P710245-BLKI)
Prepared & Analyzed: 09/18/17
Calcium
BRL
0.20
mg/L
Copper
BRL
0.010
mg/L
Lead
BRL
0.0050
mg/L
Magnesium
BRL
0.10
mg/L
Zinc
BRL
0.030
mg/L
LCS (P710245-BSI)
Prepared &Analyzed: 09/18/17
Calcium
5.03
mg/L
5.000 101
85-115
Copper
0.246
mg/L
0.2500 99
85-115
Lead
0.250
mg/L
0.2500 100
85-115
Magnesium
5.02
mg/L
5.000 100
85-115
Zinc
0.252
mg/L
0.2500 101
85-115
Matrix Spike (P710245-MSI)
Source: 7090239-01
Prepared & Analyzed: 09/18/17
Calcium
45.1
0.20
mg/L
5.000 40.1 100
70-130
Copper
0.256
0.010
mg/L
0.2500 0.00369 101
70-130
Lead
0.251
0.0050
mg/L
0.2500 0.00197 99
70-130
Magnesium
15.3.
0.10
mg/L
5.000 10.1 103
70-130
Zinc
0.290
0.030
mg/L
0.2500 0.0370 101
70-130
Matrix Spike Dup (P710245-MSD1)
Source: 7090239-01
Prepared & Analyzed: 09/18/17
Calcium
44.3
0.20
mg/L
5.000 40.1 84
70-130
2
20
Copper
0.254
0.010
mg/L
0.2500 0.00369 100
70-130
0.8
20
Lead
0.254
0.0050
mg/L
0.2500 •0.00197 101
70-130
1
20
Magnesium
15.0
0.10
mg/L
5.000 10.1 98
70-130
2
20
Zinc
0.285
0.030
mg/L
0.2500 0.0370 99
70-130
2
20
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643
Phone: [phone] - Toll Free Number: 1-800/529.6364 - Fax: [phone] Page 8 of 14

..yyhi
Full-Service Anal tical&
�P+I S M Environmental Solutions
--WLABON MRIES INC.
Level II QC Report
9/29/17
ECS Carolinas, LLP (Charlotte)
Attn: Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
General Chemistry Parameters - Quality Control
Analyte
Batch P710224 - NO PREP
Project: Dimensional Place - Monthly -
Construction Phase
Reporting Spike Source
Result Limit Units Level Result
Prism Work Order: 7090239
Time Submitted: 9/14/2017 2:45:OOPM
%REC RPD
%REC Limits RPD Limit Notes
Blank (13710224-131-K1) Prepared & Analyzed: 09/14/17
Turbidity BRL 1.0 NTU
LCS (P710224-BSI) Prepared & Analyzed: 09/14/17
Turbidity 20.8 1.0 NTU 20.00 104 90-110
Duplicate (P710224-DUP1) Source: 7090239-01 Prepared & Analyzed: 09/14/17
Turbidity 0.920 1.0 NTU 0.910 1 20
Batch P710263 - NO PREP
Blank (13710263-BLK1) Prepared & Analyzed: 09/18/17
Total Suspended Solids BRL 5.0 mg/L
LCS (P710263-BS1) Prepared &Analyzed: 09/18/17
Total Suspended Solids 490 5.0 mg/L 477.0 103 90-110
Batch P710291 - NO PREP
Blank (P710291-BLKI) Prepared & Analyzed: 09/19/17
Oil & Grease (SGT-HEM) BRL 5.0 mg/L
Prep Method: 200.7
Lab Number Batch Initial
Sample Extraction Data
Final Date/Time
7090239-01 P710245 50 mL 50 mL 09/18/17 8:20
Prep Method: 624
Lab Number Batch Initial Final Date/Time
7090239-01 P710287 10 mL 10 mL 09/19/17 11:19
7090239-02 P710287 10 mL 10 mL 09/19/17 11:19
7090239-03 P710287 10 mL 10 mL 09/19/17 11:19
I
Subcontracted Analyses
The following analyses were subcontracted to ETT Environmental, Inc
Lab Number Analysis
7090239-01 Acute Toxicity, Pirnephales Promelas, 24-h
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529.6364 - Fax: [phone] Page 9 Of 14

CHAIN OF CUSTODY RECORD
Full -Service Analytical &
Environmental Solutions PAGE_ OF _ QUOTE # TO ENSURE PROPER BILLING.
x;L...�SLABORATORIES, INC.
449 Springbrook Road ° Charlotte, NC 28217 Project Name:
Phone [phone] Fax: [phone] Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
S�c�.%�fS% *Please ATTACH any project specific reporting (QC LEVEL 1 11 111 IV)
Client Company NameG S
provisions and/or QC Requirements
Report To/Contact Name: CRA27f 01O e. 6- Invoice To: �P- � c—
Reporting Address: lefic: n1 r' ',4/r° � i °� / Address:
S-4 ,cr', D CI mCLo e % g r-v +C
Samples INIAVT u�an .arnvaf
.Recelved.ON.WETiCE?
PROPER PRESERVATIVES it
Received WITHIN HOLDING
MCS?
CUSTODY SEALS INTACT?
VOLATILES reed WIOUT HEA6$i� E?
PROPER CONTAINERS used? e__
TEMP: Therm ID: 1EV-3 o6serye'd: ,!j�°C / Corr:_,-)
Phone: 9011 _ ax (Yes) (No): Purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Email Address: C°egeiZ4L ED �,cs ��"z� �^ Lam:
Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days
Certification: NELAC D®® FL NC
EDD Type: PDF Excel Other "Working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ Pre -Approved ork Must Be
SC OTHER NIA
Site Location Name: i)�T04 Fire sz Samples received after 14:00 will be processed next business day.
Site Location Physical Address: Turnaround time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)SERVICES
Sample Iced upon Collection: YES_ NO_
CLIENT
DATE
TIME
COLLECTED
MATRIX
(SOIL,
SAMPLE CONTAINER
PRESERVA-
ANALYSIS REQUESD
\ I REMARKS
Y
PRISM
LAB
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
*TYPE
NO.
SIZE
TIVES
��
'
ID NO.
HOURS
SLUDGE)
SEE BELOW
ego
t
�-
✓3��I
7`
Q),
/:3 / 0
Sampler's Signature a Sampled By (Print Name),�UXJre) Affiliation �Z
Upon relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be ® u
submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized.
Relinquished By: (Signature) Received By: (Signature) Date Military/Hours Additional Comments: Site'Andval:Time:
Relinquished By: (Signature) Received By: (Signature Date Site:Departura,Time:
R
Fie)d`Teci ree:'7
: (Signs ) Received FOr Hsm orat P es By: Dante
ent: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH C STOD SEAL OR TRANS A T THE LABORATORY. C C Group . o.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UNTIL CENED AT THE LABO ORY.
L�.dExPS ❑ Hand -delivered ❑Prism Field Service ❑Other
UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA. CERCLA LANDFILL OTHER:
❑NC ❑SC I ❑NC ❑SC ❑NC ❑SC ❑NC ❑SC ❑NC❑SC❑NC ❑SC I QNO ❑SC ❑NC ❑SC
❑ ❑ ❑R
TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL

tame p ttle. (E ).aa74S4� , FAX [phone],6939
I O, Box 16414, Geeenv te, SC 29606 4 Cr-dftsmun Court; Greer; SC 29460
Pimephales promelas 48 Hour Acute Deimitive Test
EPA-821-R-02-012 Method 2000
Client: ECS SOUTHEAST
Facility: DIMENSIONAL PLACE
NPDES #: NCO089656
Test Date: 15-Sep-17
Laboratory ID #: T50013 AD
Test Reviewed
'and Approved By:
gq
9�Y*
Robert W. Kelley, Ph.D.
QA/QC Officer
Certification #E87819
Test results presented in this report conform to all requirements of
Farhad Rostampour
Laboratory Director
SCDHEC Certification #23104
NELAC, conducted under NELAC Certification Number E87819
Florida Dept. of Health. Included results pertain only to provided samples. NCDENR Certification # 022
Page 1 of 4
Page 11 of 14

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50
Date 18-Sep-17
Facility: ECS SOUTHEAST DIMENSIONAL PLACE NPDES# NCO089656 Pipe # 001 County: Mecklenburg
Laboratory Performing Test:
X
Comments
Signature of Operator in Responsible Charge
X
Signature of Laboratory Supervisor °
MAIL ORIGINAL TO Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 276994621
North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
Calculated t=
Critical Value=
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced
Adult (L)Ive (D)ead
Effluent %
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced
Adult (L)Ive (D)ead
Complete This for Either Test
Collection (Start) Date
pH 1stsample 1st sample 2nd sample Sample 14-Sep-17
Control Sample I=e (Duration)
Treatment 2 crab comp Duration
Sample 1
Sample 2
D.O. start end start end start end
1st sa le 1st sem le 2nd sa Is Hardness (mg/L)
Control Spec. Cond. (pmhos)
Treatment 2 Chlorine (mg/L)
ample Temp. at receipt (°C)
LC50/Acute Toxicitv Test
(Mortality expressed as %, combining
[0[6.251 12.5 25
0 0 0 0
LC50 = >100 %
951% Confidence Limits
NA % NA
Organism Tested
FEW! -i-s.
10001
Method of Determination
Average Pro
an Kerber Rottl
Control Control
'eatment 2 Treatment 2
Dntrol CV
%3rd Brood PASS FAIL
X
Test Start Data
15-Sep-17
Sample 2 NA
1 st 2nd
Tox Tox
Dilution Sample Sample
470
0.9
Mortality start/end start/end
7.4 7.7 Control 7.8 7.4
6.51 7.21 High Conc. 1 7.3 7.2
X pH D.O.
DEM Form AT-1
Page 2 of 4 Page 12 of 14

48 Hour Acute Toxicity Test
!1•In \�elhnrl �f/1lV� Dimenh�lee n meloc
Client:
ECS SOUTHEAST
Sam le ID: DIMENSIONAL PLACE Lab 1D#: T50013 AD
Start Date:
09/15/17 Time: 03:20 PM
Set By: AM
End Date:
09/17/17 Time: 03:04 PM
Ended By: AM
MORTALITY DATA
.WMN�C47
UlatiVe MortlditY72 .1 96 h,
Initial
FRI
Cond/
I
Cond/
I
Temp
D O
pH
Sarml
By:
Temp
D.O. pH Salini
BY
24.71
7.81 7.41 JAM
25.31 7.41 7.71 JAM
Ej
ftl#-L-
}8.21
24.71, 7.3 AM
25.31 7.41 7.71 JAM
L''-
, J
24.7 7.8 7.3 AM
25.3 7.3 7.5 AM
swIQ,
MIN 6-1
191M llill
Y-"
2177763
24.81 7.61 7.21 AM
25.3 7.31 7.4 AM
ri
�
24.91 7.31 7.11 JAM
25.31 7.31 7.3 AM
24,91 7.31 6.51 JAM
25.31 7.21 7.21 JAM
°C I mg/Lj PPT
°C m PPT
Page 3 of 4
Page 13 of 14

0
r,TT
I
CEWN 0-- CUSTODY RECORD
IM
'"F uiliuultlk�ll F'
�o Box 16414, GreenYllls, SC 28006-7414
Page of --t-
1064) 077--6942, [phone] F=[phone]E
shlppin0 Address: 4 Cralleman Ct, Greer, SC 29060
.
NW W.CCTRMYIRGNMQNTAL.ROM
Client:
•
`
Facility:
I Program Contalners Presen•ative Pnramcters
(
\Yllola MueneT'nsielq• RE
a
Acura Chronic TestOrgnnisms
5tnte: / NPDES #: 1 (�L;;�
_
R
(Composite only)
(Grab or Composite)
¢ U a ZO
G
I y ro
.0 i9 HDS04 w m .0
Sign, andPrintbelow 3 n, o u s.htct. i2 = w m .c o E
z[ 05
o°
Ilia dolled lino E U c y aetiNos E o n g e
'r� d 4-NaOH o o f fn d K
9 m
SAMPLE ID
Compaatrn5lnrt Dnto rims
anmptn Celledton Dnle Ttmn
e U o o O Ys 5=2nAe U U .c >, r? i. t ft1 W W
I Conncted by V W rn Z 0. C7 > fi= 00— 4 Q U U Ci O is rn x U 3 Chemleal Analysts &other
x
�60013I
I
-----------
CD
o_
JII
--------
A
l
i------------
I ,
.
Special Instructions:
Sample Custody Transfer Record
secure
Receipt
Sample
Date Time Relinquished B / Organization
Re ' ed,15/ OrizanizWon
Area
Temp nC
Preserved
o
e . I
0.
I I
I
OSiTL SAMPLING PROCEDURES
TEMPEYU1'URE
MONITORING PROCEDURES
HOLD TIMEPROCEDURES
-0
1posile samples mast be collected over a 24 hour period.
Sample
temperature during collection mid transport mustbo between
For toaicily testing ilia sample must first be used within 36 hours
tp
a Proportional: 1 sample each hourfor 24 hours. Equal volul
0.0 mid:b!'C.
Samples must not be frozen. Use eater ice in sealed bags.
of samplo collection (completion of composite sample).
CD
minimum I sample every 4 hours over 24 hours.
Sample may not be used after 72 hours from sample collection.
.p.,
v Proportional: As per instructions in NPDES permit.
O
I .

•NP.OtS PERMIT NO.: NCO089656
F FACILITY NAME: Dimensional Place
OWNER NAME: DC Charlotte Plaza Lllp
GRADE: PC-1
PERMIT VERSION: 1.0 PERI UT STATUS: Active
OUTY: MecklebugCLASS: PC-1 ECaV_ r; E EIVED/tNCDENRIDWR
ORC: Christopher David Orrell y ORC CERT NUMBER: 1001546
ORC HAS CHANGED: No o C T 1 2 Z O 17 G C I 117 20171
eDMR PERIOD: 08-2017 (August 2017) VERSION: 1.0 CENTRAL FILESSTATUS: Processed
VQROS
pWMOORESVILLE
R SECTION `EGI
REGIONAL OFFICE
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE: NO
"""" No Reporting Reason: ENFRUSE = No Flow-Rcuse/Recycle; ENV%VTHR = No Visitation — Advcrsc Weather, NQFLUW =Not tow; HULIVA r = rvo v saauuu — nuuuay

NPDES PERMIT NO.: NCO089656
FACILITY NAME: Dimensional Place
OWNER NAME: DC Charlotte Plaza Lllp
GRADE: PC-1
eDMR PERIOD: 08-2017 (August 2017)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Christopher David Orrell
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Mecklenburg
ORC CERT NUMBER: 1003546
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
!°N° No Reporting Reason: ENFRUSE = No Flow-Rcuse/Reeycle; ENVWTHR = No Visitation -Adverse Weather, NOFLOW = No Flow; H(JL IuAY = No vtsuanon- rtouuay

NPDES PERMIT NO.: NCO089656
FACILITY NAME: Dimensional Place
OWNER NAME: DC Charlotte Plaza Lllp
GRADE: PC-1
cDMR PERIOD: 08-2017 (August 2017)
COMPLIANCE STATUS: Compliant
PEFANIIT VERSION: 1.0
CLASS: PC-1
ORC: Christopher David Orrell
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE M 7045255152
PERMIT STATUS: Active
COUNTY: Mecklenburg
ORC CERT NUMBER: 1003546
STATUS: Processed
SUBMISSION DATE: 09/27/2017
09/25/2017
ORC/Certifier Signature: Christopher Orrell E-Mail:[e-mail] Phone 11:704-525-5152 Date
By this signature, I certify that this report is acc-Date and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
09/27/2017
Permittee/Submitter Signature:*;'* David Valentine E-Mail:[e-mail] Phone 4:704-525-5152 Date
Permittee Address: 1515 S Tryon St Charlotte NC 28203 Permit Expiration Date: 06/30/2020
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: Prism Laboratories Inc., ETT Environmental, Inc.
CERTIFIED LAB 4: NC Certification No. 402, NCDENR Certification No. 022
PERSON(s) COLLECTING SAMPLES: Christopher Orrell
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ticdenr.org/xvebhvq/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).

PRISM
-Fl UIBORATORWA INC.
Full -Service Analytical &
Environmental Solutions
ECS Carolinas, LLP (Charlotte)
Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
NC Certification No. 402
Case Narrative
NC Drinking Water Cart No. 37735 08/25/2017
SC Certification No. 99012
Project: Dimensional Place - Monthly - Construction Phase
Lab Submittal Date: 08/15/2017
Prism Work Order: 7080258
This data package contains the analytical results for the .project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Narrative Notes:
Acute Toxicity analysis was subcontracted to ETT Environmental. Laboratory report is attached.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
a ----I
Angela D. Overcash
VP Laboratory Services
7-Z
Reviewed By Robbi A. Jones For Angela D. Overcash
President/Project Manager
Data Qualifiers Key Reference:
OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for TPH (SGT-HEM).
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 1 of 14

Sample Receipt Summary
Jl I S M
LIJ
Full -Service Analytical
Environmental Solutionss
OS/25/2017
Prism Work Order: 7080258
Client Sample ID
Lab Sample ID
Matrix
Date Sampled Date Received
001
7080258-01
Water
08/15/17 08/15/17
L-1
7080258-02
Water
08/15/17 08/15/17
L-2
7080258-03
Water
08/15/17 08/15/17
Samples were received in good condition at 5.2 degrees C unless otherwise noted.
1,
u This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone]
Page 2 of 14

, M I Full -Service Analytical &
L�M'-d`hoiq
GEvironmental Solutions
ECS Carolinas, LLP (Charlotte)
Attn: Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
Project: Dimensional Place - Monthly -
Construction Phase
Sample Matrix: Water
Laboratory Report
08/25/2017
Client Sample ID: 001
Prism Sample ID: 7080258-01
Prism Work Order: 7080258
Time Collected: 08/15/.17 10:55
Time Submitted: 08/15/17 11:25
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
General Chemistry Parameters
Oil & Grease (SGT-HEM) BRLOG mg/L 5.0 1.1 1 *166413 8/22/17 8:43 SLS 1371-10402
Total Suspended Solids BRL mg/L 2.5 0.40 1 *SM2540 D 8121/17 10:50 SLS P71-10383
Turbidity 1.2 NTU 1.0 0.18 1 *180.1 8/15/17 11:30 BMS P7H0285
Total Metals
Total Hardness
110
mg/L
0.91
0.038
1
200.7
8/18/17 16:02
JAB
[CALCI
Calcium
25
mg/L
0.20
0.011
1
*200.7
8118/17 16:02
JAB
P7H0341
Copper
BRL
mg/L
0.010
0.00040
1
*200.7
8/18/17 16:02
JAB
P71-10341
Lead
BRL
mg/L
0.0050
0.00090
1
*200.7
8/18/17 16:02
JAB
P71-10341
Magnesium
12
mg/L
0.10
0.0026
1
*200.7
8/18117 16:02
JAB
137H0341
Zinc
BRL
mg/L
0.030
0.010
1
*200.7
8/18/17 16:02
JAB
P71-10341
Volatile Organic Compounds by GC/MS
1,1-Dichloroethane
BRL
ug/L
1.0
0.083
1
*624
8/19/17 4:15
KDM
P71-10367
1,1-Dichloroethylene
BRL
ug/L
1.0
0.083
1
*624
8/19/17 4:15
KDM
P71-10367
1,2-Dichloroethane
BRL
ug/L
1.0
0.066
1
*624
8119/17 4:15
KDM
P71-10367
Chloroform
BRL
ug/L
1.0
0.076
1
*624
8/19/17 4:15
KDM
P71-10367
Tetrachloroethylene
BRL
ug/L
1.0
0.098
1
*624
8/19/17 4:15
KDM
P71-10367
Trichloroethylene
BRL
ug/L
1.0
0.078
1
*624
8/19/17 4:15
KDM
P71-10367
Surrogate Recovery Control Limits
4-Bromofluorobenzene 103 % 74-126
Dibromofluoromethane 95 % 75-127
Toluene-d8 101 % 74-122
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-8001529-6364 - Fax: [phone] Page 3 Of 14

�© 1 Full -Service Analytical &
R I S M I Environmental Solutions
S�UIBORAlOfl1E$ ING
Laboratory Report
08/25/2017
ECS Carolinas, LLP (Charlotte)
Attn: Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
Project: Dimensional Place - Monthly - Client Sample ID: L-1
Construction Phase Prism Sample ID: 7080258-02
Prism Work Order: 7080258
Sample Matrix: Water Time Collected: 08/15/17 10:57
Time Submitted: 08/15/17 11:25
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Volatile Organic Compounds by GUMS
1,1-Dichloroethane
BRL
ug/L
1.0
0.083
1
*624
8/19117 4:41
KDM
1371-10367
1,1-Dichloroethylene
BRL
ug/L
1.0
0.083
1
*624
8/19/17 4:41
KDM
1371-10367
1,2-Dichloroethane
1.4
ug/L
1.0
0.066
1
*624
8/19/17 4:41
KDM
P7H0367
Chloroform
BRL
ug/L
1.0
0.076
1
*624
8/19/17 4:41
KDM
P71­10367
Tetrachloroethylene
BRL
ug/L
1.0
0.098
1
*624
8/19/17 4:41
KDM
P71­10367
Trichloroethylene
BRL
ug/L
1.0
0.078
1
*624
8/19/17 4:41
KDM
P7H0367
Surrogate
Recovery
Control Limits
4-Bromofluorobenzene
103 %
74-126
Dibromofluoromethane
94 %
75-127
Toluene-d8
101 %
74-122
F-A
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] -Toll Free Number: 1-800/529-6364 -Fax: [phone] Page 4 Of 14

/JPFull-Service Anal ical&
R.I ISM I Envlronmental solutions
OV I ABORATOMEA ING
Laboratory Report
08/25/2017
ECS Carolinas, LLP (Charlotte)
Attn: Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
Project: Dimensional Place - Monthly - Client Sample ID: L-2
Construction Phase Prism Sample ID: 7080258-03
Prism Work Order: 7080258
Sample Matrix: Water Time Collected: 08/15/17 11:00
Time Submitted: 08/15/17 11:25
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date/Time ID
Volatile Organic Compounds by GC/MS
1,1-Dichloroethane
BRL
ug/L
1.0
0.083
1
'624
8/19117
5:06
KDM
P71-10367
1, 1 -Dichloroethylene
BRL
ug/L
1.0
0.083
1
'624
8/19/17
5:06
KDM
P71-10367
1,2-Dichloroethane
BRL
ug/L
1.0
0.066.
1
'624
8/19117
5:06
KDM
P7H0367
Chloroform
BRL
ug/L
1.0
0.076
1
`624
8/19117
5:06
KDM
P71-10367
Tetrachloroethylene
BRL
ug/L
1.0
0.098
1
'624
8/19/17
5:06
KDM
P71-10367
Trichloroethylene
BRL
ug/L
1.0
0.078
1
`624
8/19/17
5:06
KDM
P71-10367
Surrogate
Recovery
Control Limits
4-BromoFluorobenzene
Dibromofluoromethane
Toluene-d8
102 % 74-126
94 % 75-127
100 % 74-122
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
a
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 5 Of 14

PARISM I Full -Service Analytical
Environmental Solutions
�:�LABOflATOFIES ING
Level II QC Report
8/25/17
ECS Carolinas, LLP (Charlotte)
Attn: Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
Project: Dimensional Place - Monthly -
Construction Phase
Volatile Organic Compounds by GC/MS - Quality Control
Prism Work Order: 7080258
Time Submitted: 8/15/2017 ' 11:25:OOAM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P7HO367 - 624
Blank (P71-10367-13LKI)
Prepared & Analyzed: 08/18/17
1,1-Dichloroethane
BRL
1.0
ug/L
1,1-Dichloroethylene
BRL
1.0
ug/L
1,2-Dichloroethane
BRL
1.0
ug/L
Chloroform
BRL
1.0
ug/L
Tetrachloroethylene
BRL
1.0
ug/L
Trichloroethylene
BRL
1.0
ug/L
Surrogate:4-Bromotluorobenzene
52.0
ug/L
50.00
104
74-126
Surrogate: Dibromofluoromethane
49.7
ug/L
50.00
99
75-127
Surrogate: Toluene-d8
51.3
ug/L
50.00
103
74-122
LCS (P71­10367-13SI)
Prepared &Analyzed: 08/18/17
1,1,1-Tdchloroethane
19.6
5.0
ug/L
20.00
98
52-162
1,1,2,2-Tetrachloroethane
20.8
5.0
ug/L
20.00
104
46-157
1,1,2-Trichloroethane
19:2
5.0
ug/L
20.00
96
52-150
1,1-Dichloroethane
21.1
1.0
ug/L
20.00
105
59-155
1,1-Dichloroethylene
21.6
1.0
ug/L
20.00
108
10-234
1,2-Dichlorobenzene
19.4
5.0
ug/L
20.00
97
18-190
1,2-Dichloroethane
19.4
1.0
ug/L
20.00
97
49-155
1,2-Dichloropropane
21.3
5.0
ug/L
20.00
106
10-210
1,3-Dichlorobenzene
19.2
5.0
ug/L
20.00
96
59-156
-1,4-Dichlorobenzene
19.1
5.0
ug/L
20.00
96
18-190
2-Chloroethyl Vinyl Ether
16.5
10
ug/L
20.00
82
10-305
Acrolein
39.4
100
ug/L
40.00
98
10-196
Acrylonitrile
41.7
100
ug/L
40.00
104
60-134
Benzene
21.4
5.0
ug/L
20.00
107
37-151
Bromodichloromethane
19.8
5.0
ug/L
20.00
99
35-155
Bromoform
14.0
5.0
ug/L
20.00
70
45-169
Bromomethane
20.6
10
ug/L
20.00
103
10-242
Carbon Tetrachloride
17.6
5.0
ug/L
20.00
88
70-140
Chlorobenzene
20.6
5.0
ug/L
20.00
103
37-160
Chloroethane
23.8
10
ug/L
20.00
119
14-230
Chloroform
20.3
1.0
ug/L
20.00
101
51-138
Chloromethane
16.2
10
ug/L
20.00
81
10-273
cis-1,3-Dichloropropylene
20.7
5.0
ug/L
20.00
104
10-227
Dibromochloromethane
16.0
5.0
ug/L
20.00
80
53-149
Ethylbenzene
21.3
5.0
ug/L
20.00
107
37-162
Methylene Chloride
19.1
5.0
ug/L
20.00
96
10-221
Tetrachloroethylene
18.2
1.0
ug/L
20.00
91
64-148
Toluene
20.8
5.0
ug/L
20.00
104
47-150
trans-1,2-Dichloroethylene
21.7
5.0
ug/L
20.00
108
54-156
trans-1,3-Dichloropropylene
20.0
5.0
ug/L
20.00
100
17-183
Trichloroethylene
18.9
1.0
ug/L
20.00
94
71-157
Trichlorofluoromethane
17.9
10
ug/L
20.00
90
17-181
Vinyl chloride
22.5
10
ug/L
20.00
113
10-251
Surrogate:4-Bromofluorobenzene 48.9 ug/L 50.00 98 74-126
Surrogate: Dibromofluoromethane 48.0 ug/L 50.00 96 75-127
Surrogate: Toluene-d8 50.0 ug/L 50.00 100 74-122
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] -Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 6 of 14

Full -Service Analytical &
PAR I S Environmental Solutions
�T�LABORATORIES ING
Level 11 QC Report
8/25/17
ECS Carolinas, LLP (Charlotte) Project: Dimensional Place - Monthly - Prism Work Order: 7080258
Attn: Chris Orrell Construction Phase Time Submitted: 8/15/2017 11:25:OOAM
1812 Center Park Drive, Suite D
Charlotte, NC 28217
Volatile Organic Compounds by GC/MS - Quality Control
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P7HO367 - 624
LCS (P7H0367-1BS1)
Prepared &Analyzed: 08/18/17
LCS Dup (P71-10367-13SD1)
Prepared & Analyzed: 08/18/17
1,1,1-Trichloroethane
19.4
5.0
ug/L
. 20.00
97
52-162
0.8
20
1,1,2,2-Tetrachloroethane
20.1
5.0
ug/L
20.00
101
46-157
3
20
1,1,2-Trichloroethane
19.2
5.0
ug/L
20.00
96
52-150
0.2
20
1,1-Dichloroethane
21.1
1.0
ug/L
20.00
105
59-155
0.05
20
1,1-Dichloroethylene
21.6
1.0
ug/L
20.00
108
10-234
0.05
20
1,2-Dichlorobenzene
19.7
5.0
ug/L
20.00
99
18-190
2
20
1,2-Dichloroethane
19.4
1.0
ug/L
20.00
97
49-155
0.3
20
1,2-Dichloropropane
21.1
5.0
ug/L
20.00
106
10-210
0.7
20
1,3-Dichlorobenzene
19.2
5.0
ug/L
20.00
96
59-156
0.5
20
1,4-Dichlorobenzene
19.1
5.0
ug/L
20.00
96
18-190
0.1
20
2-Chloroethyl Vinyl Ether
14.4
10
ug/L
20.00
72
10-305
13
20
Acrolein
38.9
100
ug/L
40.00
97
10-196
1
20
Acrylonitrile
38.5
100
ug/L
40.00
96
60-134
8
20
Benzene
21.2
5.0
ug/L
20.00
106
37-151
0.9
20
Bromodichloromethane
19.8
5.0
ug/L
20.00
99
35-155
0.3
20
Bromoform•
13.7
5.0
ug/L
20.00
69
45-169
2
20
Bromomethane
20.5
10
ug/L
20.00
102
10-242
0.3
20
Carbon Tetrachloride
17.4
5.0
ug/L
20.00
87
70-140
2
20
Chlorobenzene
20.4
5.0
ug/L
20.00
102
37-160
0.8
20
Chloroethane
24.1
10
ug/L
20.00
121
14-230
1
20
Chloroform
20.1
1.0
ug/L
20.00
101
51-138
0.6
20
Chloromethane
18.6
10
ug/L
20.00
93
10-273
13
20
cis-1,3-Dichloropropylene
20.6
5.0
ug/L
20.00
103
10-227
0.6
20
Dibromochloromethane
16.1
5.0
ug/L
20.00
81
53-149
1
20
Ethylbenzene
21.5
5.0
ug/L
20.00
107
37-162
0.7
20
Methylene Chloride
18.8
5.0
ug/L
20.00
94
10-221
1
20 .
Tetrachloroethylene
17.8
1.0
ug/L
20.00
89
64-148
2
20
Toluene
20.9
5.0
ug/L
20.00
105
47-150
0.4
20
trans-1,2-Dichloroethylene
21.9
5.0
ug/L
20.00
109
54-156
0.8
20
trans-1,3-Dichloropropylene
19.6
5.0
ug/L
20.00
98
17-183
2
20
Trichloroethylene
18.9
1.0
ug/L
20.00
94
71-157
0.05
20
Trichlorofluoromethane
17.9
10
ug/L
20.00
90
17-181
0.2
20
Vinyl chloride
21.9
10
ug/L
20.00
110
10-251
3
20
Surrogate:4-Bromofluorobenzene
50.7
ug/L
50.00
101
74-126
Surrogate: Dibromocuoromethane
49.0
ug/L
50.00
98
75-127
Surrogate: Toluene-d8
51.6
ug/L
50.00
103
74-122
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] -Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 7 of 14

/�iigo y. FuII-Service Anal tical &
::� ISM I Evironmental Solutions
c LABORATORIEr, ING
Level II QC Report
8/25/17
ECS Carolinas, LLP (Charlotte)
Attn: Chris Orreil
1812 Center Park Drive, Suite D
Charlotte, NC 28217
Total Metals - Quality Control
Analyte '
Batch P7H0341 - 200.7
Project: Dimensional Place - Monthly -
Construction Phase
Reporting Spike Source
Result Limit Units Level Result
Prism Work Order: 7080258
Time Submitted: 8/15/2017 11:25:OOAM
%REC RPD
%REC Limits RPD Limit Notes
Blank (P7H0341-BLK1)
Prepared & Analyzed: 08/18/17
Calcium
BRL
0.20
mg/L
Copper
BRL
0.010
mg/L
Lead
BRL
0.0050
mg/L
Magnesium
BRL
0.10
mg/L
Zinc
BRL
0.030
mg/L
LCS (P7H0341-BS1)
Prepared &Analyzed: 08/18/17
Calcium
4.83
0.20
mg/L
5.000 97
85-115
Copper
0.254
0.010
mg/L
0.2500 102
85-115
Lead ',
0.255
0.0050
mg/L
0.2500 102
85-115
Magnesium
5.09
0.10
mg/L
5.000 102
85-115
Zinc
0.256
0.030
mg/L
0.2500 103
85-115
Matrix Spike (P7H0341-MS1)
Source: 7080258-01
Prepared & Analyzed: 08/18/17
Calcium
31.5
0.20
mg/L
5.000 25.4 122
70-130
Copper
0.264
0.010
mg/L
0.2500 0.00280 104
70-130
Lead
0.258
0.0050
mg/L
0.2500 BRL 103
70-130
Magnesium
18.1
0.10
mg/L
5.000 12.4 114
70-130
Zinc
0.287
0.030
mg/L
0.2500 0.0234 106
70-130
Matrix Spike Dup (P7H0341-MSD1)
Source: 7080258-01
Prepared & Analyzed: 08/18/17
Calcium
31.2
0.20
mg/L
5.000 25.4 117
70-130
0.9
20
Copper
0.262
0.010
mg/L
0.2500 0.00280 104
70-130
0.7
20
Lead
0.254
0.0050
mg/L
0.2500 BRL 101
70-130
2
20
Magnesium
18.0
0.10
mg/L
5.000 12.4 111
70-130
0.7
20
Zinc
0.285
0.030
mg/L
0.2500 0.0234 105
70-130
0.7
20
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 8 of 14

f Level II QC Report
ISM Full -Service Analytical & 8/25/17
/AOR2, Environmental Solutions
• �''�' LABORATORIES ING
ECS Carolinas, LLP (Charlotte)
Attn: Chris Orrell
1812 Center Park Drive, Suite D
Charlotte, NC 28217
General Chemistry Parameters - Quality Control
Analyte
Batch P7H0285 - NO PREP
Project: Dimensional Place - Monthly -
Construction Phase
Reporting Spike Source
Result Limit Units Level Result
Prism Work Order: 7080258
Time Submitted: 8/15/2017 11:25:OOAM
%REC RPD
%REC Limits RPD Limit Notes
Blank (P7H0285-BLK1) Prepared & Analyzed: 08/15/17
Turbidity BRL 1.0 NTU
LCS (P7H0285-BSI) Prepared & Analyzed: 08/15/17
Turbidity 20.8 1.0 NTU 20.00 104 90-110
Duplicate (P71-10285-DUP1) Source: 7080258-01 Prepared &Analyzed: 08/15/17
Turbidity 1.21 1.0 NTU 1.17 3 20
Batch P7H0383 - NO PREP
Blank (P7H0383-BLKI)
Prepared & Analyzed: 08/21/17
Total Suspended Solids
BRL 5.0 mg/L
Blank (P7H0383-BLK2)
Prepared & Analyzed: 08/21/17
Total Suspended Solids
BRL 5.0 mg/L
LCS (P7H0383-BS1)
Prepared & Analyzed: 08/21/17
Total Suspended Solids
470 5.0 mg/L 477.0 98 90-110
Batch P7HO402 - NO PREP
Blank (P7H0402-BLKI) Prepared & Analyzed: 08/22/17
Oil & Grease (SGT-HEM) BRL 5.0 mg/L
Prep Method: 200.7
Lab Number Batch Initial
Sample Extraction Data
Final Date/Time
7080258-01 P71-10341 50 mL 50 mL 08/18/17 7:25
Prep Method: 624
Lab Number Batch Initial Final Date/Time
7080258-01 P7H0367 10 mL 10 mL 08/18/17 15:48
7080258-02 P71-10367 10 mL 10 mL 08/18/17 15:48
7080258-03 P71-10367 10 mL 10 mL 08/18/17 15:48
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone],-Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 9 of 14

µ CHAIN OF CUSTODY RECORD
fkt'
rJ Full -Service Analytical &
Environmental Solutions PAGE_ OF _ QUOTE # TO ENSURE PROPER BILLING:
RR I S M I
eL SaTj1
.R; +,y ;; tf �"a,? `LA60RATosirs, INC.
449 Springbrook Road •Charlotte, NC 28217 Project Name: �innfX - sm 4 1 RecE
Phone [phone] • Fax: [phone] Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) PROPER PRESERVATIVES Indicated? '.
*Please ATTACH any project specific reporting (QC LEVEL 111111 IV) Received WITHIN. HOLDING 'TIMES? ` '
Client Company Name: ��� < ^IIA -14' provisions and/or QC Requirements. CUSTODY SEALS INTACT?
Report To/Contact (dame:-Zrr-.� � cr,l Invoice To: jt VOI_ATILES rec'd W/0UT HEADSPACE?
� � � .�r+,J� /+,rY�./L
Reporting Address [!91R,,Ce,nE= V�� t� � ) -�, s PROPER CONTAINERS used?::.:
Address•
V•��i'169 _n we, TEMP: Therm ID: P)�-r'7. Observe(
Phone: -i sas tea -Fax (Yes) (No): Purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Email Address: Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days QU Days
Certification: NELAG DOD FL NC
EDD Type: POF Excel Other "Working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ RushWorkMust Be
$C OTHER N/A
• a
Site Location Name: � �� 4 ice= ,� . Samples received after 14:00 will be processed next business day.
Site Location Physical Address: Turnaround time Is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES
Sample iced Upon Collection: YES_ NO_
p p
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
CLIENT
DATE
TIME
COLLECTED
MATRIX
(SOIL,
SAMPLE CONTAINER
PRESERVA-
ANALYSIS REQUESTED a
N j7
PRISM
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
TIVES
r� .jC REMARKS
r ry
LAB
ID NO.
*TYPE
HOURS
SLUDGE)
SEE BELOW
NO.
SIZE
`
t-1647
LJ
X
Vim.
It
Affiliation
Sampler's Signature Sampled By (Print Name)
o
Upon relinquishing, this Chain of Custody Is your authorization for Prism to proceed With the analyses as requested above. Any changes must be 1 ``
submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized.
Relinquished By: (Signature Received By: (Signature) Date MilitaryHours Additional Comments: SiteiArrrvai.Tiiime.'.
Relinquished By: (Signature) Received By: (Signature) Date Site`D:epaure Tile:
(Signature) Re Prism Laboratories By: Dante
�or
`
OS!ent: NO LE COOLERS SHOULD BE TAPED SHUT WITH CUSTODY SEALS FOR TRANSPORTATION TO THE LABORATORY. CDC Group No.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC UNTIL RECEIVED AT THE LABORATORY.
UdE-xPS ❑ Hand -delivered ❑ Prism Field Service O OtherUST
GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
I❑NC ❑SC i ❑SC 0❑NC ❑SC ©SC ❑SC 0❑NC ❑ICI ❑❑NC ❑SC
®NC ®NC ANC❑SC oNC
R TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL

Elwoa,�at a a hta.. (t: M 077� 4% .1-AX SO d HT7-G93$
Lilo, Box 16414, dreenulple, 60. 2660 4 Cra(lstr an Ctittrt; Gmfi;
Pimephales promelas 48 Hour Acute Definitive Test
EPA-821-R-02-012 Method 2000
Client: ECS SOUTHEAST
Facility: DIMENSIONAL PLACE
NPDES #: NCO089656
Test Date: 16-Aug-17
Laboratory ID #: T49869 AD
i
Test RevieweedA and Approved By:
Robert W. Kelley, Ph.D.
QA/QC Officer
Certification #E87819
Test results presented in this report conform to all requirements of
Farhad Rostampour
Laboratory Director
SCDHEC Certification#23104
NELAC, conducted under NELAC Certification NumberE87819
Florida Dept ofHealdL Included results pertain only to provided samples.
Page 1 of 4
NCDENR Certification # 022
Page 11 of 14

Effluent Toxicitv Reoort Form - Chronic Pass/Fail and Acute LC50
Date 22-Aug-17
Facility: ECS SOUTHEAST DIMENSIONAL PLACE NPDES# NCO089656 Pipe # 001 County: Mecklenburg
Laboratory Performing Test: comments
X
Signature of Operator in Responsible Charge
X
Signature of Laboratory Supervisor
MAIL ORIGINAL To tnvironmennr acrerces
Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxidity Test
CONTROL ORGANISMS
#Young Produced
Adult (L)Ive (D)ead
Effluent %
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7
# Young Produced
Adult (L)Ive (D)ead
pH 1st sample Istsample 2nd sample
Control
Treatment 2
start end start end start end
D.O. 1st sam le Isis le 2nd sa Is
Control
Treatment 2
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates)
0 6.25 12.5 25 501 100
0. 0 0 0 0 0
LC50 = >100 % Method of
95°% Confidence Limits Moving Average
NA % NA % Spearman Kerber
Organism Tested PIMEPA
DEM Form AT-1
Probit ED
Other X
PROMELAS
Page 2 of 4
9 10 11 12
to This for Either Test
3n1S3tTi Date
1 15-Aug-17
Sample 1
Sample 2
Hardness (mg/L)
Spec. Cond.(Nmhos)
Chlorine (mg/L)
led t=
Value=
Control Control
•eatment 2 Treatment 2
ontrol CV
°%3rdBrood LPASSFAIL
Test Start Date
16-Aug-17
Samole 2 NA
1st 2nd
Tox Tox
Dilution Sample Sample
184
start/end start/and
7.4 8.1 Contra 1 7.51 7.2
6.70 8.31 HIgh Conn 1 7.71 7.2
pH D.O.
Page 12 of 14

48 Hour Acute Toxicity Test
Ghent: ECS SOUTHEAST
�...,......�.. ......... . _...-'--
am le ID: DIlVIENSMAL PLACE Lab ID#: T4 869 AD
Start Date: 08/16/17 Time: 04:30 PM
Set By: JC
Ended By:' JC
End Date: 08/18/17 Time: 03:44 PM
Test Vessel
Test Solution Volume
Incubator Transfer Volume
Dilution Water
2 0 L
Fal�ead Mlnnowl9 ( ¢OOG plastic cup , y A In
#7 05mt Sofl$ynth(4oH)� }
t , i i
to ,
andomtzahon attem erSOP a ' Neonates from common holding vessel
Lt t: 50 100 ft c 16 halt ht / 8 hr ark 4
IV.
1`
1' ' J ..;�
,.:.'PEST ORGAriISMS f
^ or Cenod httza dub:a ;l i , f } ts. �{
Comments
t;l s Between and
l I ORGAI iIS�VIS HATCI�ED 8/12/17! 1000 130 MDT
Date'euioved
„
' ` J,t: t, `�;.:
Prme'ligles"rv»ielas. �ls Soutce.:�BSB/]$/17•:�a sold � t 4 �;<
-;'°' jiI:SSF8/6/17 s t, , f �, , it,
,ia Tamr..:'�!
I nIDTAT.ITV DATA
MMICUMUlativemorwity
7
1'
1'
Cond/
Page 3 of 4
Page 13 of 14

I
CEAW 0 - CUSTODY RECORD
a 1�
gal
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PO Box 18414, GrasnAlIc, SC 29808-7414
I
[phone], [phone] Fax[phone]
y
Shlpping Address: 4 Crallsman Ci, Greer, SC 29850
WWW.LrT6N�IAGNMSNTAL.CaM .I
CIient:
Program
Contniaers
Prescnmtive
Parameters
Cacllity:
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Date Time Relinquished By Organization
Received By ! Organization
Area
Tem nC
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RTC- s .7 s�•
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Sample
temperature during collection and transport must be between
For toxicity testing the sample must first be used within 35 hours
NProportional:
I sampla each hourfor24 hours. Equnl volul
0.0 and:5.0InC.
Samples must not be frozen. Use water [cc In sealed bags.
of sample collection (completion of composite sample).
minimum 1 sample every 4 hours over 24 hours.
I
Sample may not be used after 72 hours from sample collection.
'4'
Pro ortionnI: As per instructions in NPDES�
0

NPDES PERMIT NO.: NCO027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
3
FACILITY NAME: Shelby WTP
CLASS: PC-1
RECENEU
COUNTY: Cleveland
OWNER NAME: City of Shelby
GRADE: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No .SEP 01 2017
ORC CERT NUMBER: 985377
eDMR PERIOD: 07-2017 (July 2017)
VERSION: 1.0
CENTRAL FILES
STATUS: Processed
DWR SECTION
SAMPLING LOCATION: EFFLUENT
DISCHARGE NO.: 001 NO DISCHARGE*: NO
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00070
2 X month
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pit
CHLORINE
TSS -Conc
ALUMINUM
COPPER
IRON
CER17DPF
TURBIDTY
2400 clack
11.
2400 clock
Ilrs
Y/B/N
mgd
su
ug/l
mg/1
mg/l
mg/l
mg/I
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1
0700
8
Y
0
2
0700
8
Y
0.046
3
0700
8
Y
0
4
0700
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0.095
5
0700
8
Y
0.074
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-
0.7
6
10700
8
1 Y
0
7
0700
8
N
0.103
8
0700
8
N
10
9
0700
8
N
0
10
0700
8
N
0
I
0700
8
Y
0.104
12
0700
8
Y
0.119
13
0200
8
Y
0.112
14
0700
8
Y
0.095
15
0700
8
Y
0.1
16
0700
8
Y
0.061
17
0700
8
N
0.137
18
0700
8
N
0.141
7
< 15
< 2.5
0.172
0.016
0.052
P
1.1
19
0700
8
N
0
20
0700
8
N
0
21
0700
8
N
0
22
0700
8
N
0.095
23
0700
8
Y
0.097
24
0700
8
N
0.089
25
0700
8
Y
0
26
0700
8
Y
0.156
27
0700
8
Y
0
28
0700
8
Y
0.131
29
0700
8
Y
0.13
30
0700
8
Y
0.093
31
0700
8
Y
0.056
Monthly Average Limit:
70
Monthly average:
0.065613
0
0
0.172
0.016
0.052
0.9
Daily Maximum:
0.156
7.1
0
0
0.172
0.016
0.052
1.1
Da11y Mi❑imam:
0
17
10
10
0.172
10.016
0.052
0.7
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation- Holiday
RECEIVED/NCDENR/DWR
SEP 11 2017
WQROS
MOORESVILLE REGIONAL OFFICE

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 07-2017 (July 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
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2
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Y
4
0700
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5
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6
0700
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7
0700
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0700
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9
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10
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11
0700
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12
0700
8
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13
0200
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Y
14
0700
8
Y
15
0700
8
Y
16
0700
8
Y
17
0700
8
N
I9
0700
8
N
19
0700
8
N
20
0700
8
N
21
0700
8
N
22
0700
8
N
23
0700
8
Y
24
0700
8
N
25
0700
8
Y
26
0700
8
Y
27
0700
8
Y
28
0700
8
Y
29
0700
8
Y
J0
0700
8
Y
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0700
8
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Monthly Avcrege Lint:
Monthly Avenge:
Daily M..hn •
Daily Minimum:
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 07-2017 (July 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 08/17/2017
Cf��'� 08/16/2017
t
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
c
08/17/2017
Permittee/Submitter Signature:*** 19ad W/Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: ShelbyWTP
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: billy Wilkie
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-]
eDMR PERIOD: 07-2017 (July 2017)
Report Comments:
On July 5 the discharge duration was 4 hours
And July 18 was 6 hours
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

Effluent Toxicity Report Form - Chronic Pass/Fall and Acute LC50
Date 26-Jul-17
Facility: Shelby WTP NPDES# NCO027197 Pipe # 001 County: Cleveland
Laboratory Performing Test: Comments
r �
X
Signature of O rator in 7nible arge
X
Sig nature of Laborato Su ervisor
MAIL ORIGINAL TO Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodanhnia Chronic Pass/Fall Reproduction Toxicity Test Chronic Test Results
Calculated t= 1.8082
Critical Value= 2.508
CONTROL ORGANISMS
# Young Produced
Adult (Live (D)ead
Effluent %
TREATMENT 2 ORGANISMS
# Young Produced
Adult (L)ive (D)ead
pH
Control
Treatment 2
1 2 3 4 . 5 6 7 8 9 10 11 12 % Reduction= 12.9%
L IL IL IL IL IL IL IL IL IL IL IL 1 0% 23.3
Control Control
0% 20.3
Treatment 2 Treatment
Control CV
1 2 3 4 5 6 7 8 9 10 11 12 14.2%
22 21 20 17 13 24 21 24 24 24 10 24 %3rd Brood PASS FA
L L L L L L L L L L L L 100% X
ff
Thls for Either Test Test Start Date
19Jul-17
1st sample 1st sam le 2nd sample Semple 1 18,1ul-17 Sample 2 20Jul-17
7.7 7.9 7.8 7.6 7.7 7.7
7.1 7.4 7.2 7.1 7.2 7.4
start end start end start end
D.O. tat sam le 1st sam le 2nd sam le
Control 7.7 7.8 7.5 7.6 7.5 8.0
Treatment 2 8.3 8.2 8.6 7.5 8.7 7.8
LC50/AcuteLC50/Acute Toxicity
(Mortality expressed as %, combining replicates)
Sample 1 X
Sample 2 X
Hardness (mg/L)
Spec. Cond. (pmhos)
Chlorine (mg/L)
ple Temp. at receipt VC)
1.41 0.7
Mortality start/end staNend
LC50 = % Method of Determination I I control
95% Confidence Limits Moving Average Probit I I High Conc.
Spearman Karber ROther pH D.O.
Organism Tested Cerioda hnia dubia
DEM Form AT-1
Page 2 of 6

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 06-2017 (June 2017)
PERMIT VERSION: 4.O,�y
CLASS: PC-1
CEIVED
ORC: Billy J Wilkie AUG o 9 2017
ORC HAS CHANGED: LtENTRAL FILES
VERSION: 1.0 DWR SECTION
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
RECEIVED/NCDENR/DWR
STATUS: Processed
AUG 2 4 2017
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NOROS
MOORESVILLE REGIONAL OFFICE
a
C
E
E
U
E
E
u°
e
F
E
6
—
O
5
F
—
O
—
o`
U
O
C
Z
50050
00400
50060
C0530
01105
00070
00010
00916
0104E
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
PH
CHLORINE
TSS - Cant
ALUMINUM
TURRIDTY
TEMP-C
CALCIUM
COPPER
2400 clock
11.
2400 clock
It.
Y!D/N
mgd
su
ug/1
mg/1
mg/1
nm
deg c
mg/1
mg/1
1
0700
8
Y
0.121
2
0700
8
Y
0.103
3
0700
8
Y
0.098
4
0700
8
Y
0.049
5
0700
8
Y
0.125
6.9
<15
<2.5
1.1
6
0700
8
Y
0.108
7
0700
8
Y
0.158
8
0700
8
Y
0.05
9
0700
8
N
10.105
10
0700
8
Y
0.043
11
0700
8
N
0.01
12
0700
8
N
0
13
0700
8
Y
0.051
14
0700
8
Y
0
15
0700
8
Y
0.151
16
0700
8
Y
0.07
17
0700
8
Y
0.036
18
0700
8
Y
0.042
19
0700
8
1 Y
1
0.07
7.1
<15
<2.5
0.7
20
0700
8
Y
0.036
21
0700
8
Y
0.105
22
0700
8
Y
0.058
23
0700
8
N
0.027
24
0700
8
N
0.183
25
0700
8
N
0
26
0700
8
Y
0.086
27
0700
8
Y
0
28
0700
8 1
Y
0
29
0700
8
Y
0.058
30
0700
8
Y
0.104
Monthly Average Limit:
30
Monthly Average:
0.068233
0
0
10.9
Daily Ma:imum:
0.183
7.1
0
0
1.1
Daily Miaimame
0
6.9
0
0
0.7
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 06-2017 (June 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Billy J Wilkie ORC CERT NUMBER: 985377
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
F
—
_
E
u'
E
—
<
O
Fiz—
—
O
o`
O
ZZ
00951
01045
00927
01055
TGP3B
Grab
Grab
Gmb
Grab
Grab
F-TOTAL
IRON
MGNSIUM
MANGNESE
CER17DPF
2400 dock
nrs
2400 clack
Iirs
Y/B/N
mg/1
mg/1
mg/1
mg/1
pms/fail
1
0700
8
Y
2
0700
8
Y
3
0700
8
Y
4
0700
8
Y
5
0700
8
Y
6
0700
8
Y
7
0700
8
Y
8
0700
8
Y
9
0700
8
N
10
0700
8
Y
11
0700
8
N
12
0700
8
N
13
0700
8
Y
14
0700
8
Y
15
0700
8
Y
16
0700
8
Y
17
0700
8
Y
18
0700
8
Y
19
0700
8
Y
20
0700
8
Y
21
0700
8
Y
22
0700
8
Y
23
0700
8
N
24
0700
8
N
25
0700
8
N
26
0700
8
Y
27
0700
8
Y
28
0700
8
Y
29
0700
8
Y
30
0700
8
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

I
NPDES PERMIT NO.: NCO027197
1
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 06-2017 (June 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 07/14/2017
®��'� 07/13/2017
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NE< permit. A v
07/14/2017
Permittee/Submitter Signature** david W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: ShelbyWTP
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: billy wilkie
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
FACILITY NAME: Shelby WTP
CLASS: PC-1
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 06-2017 (June 2017)
VERSION: 1.0
Report Comments:
The Discharge duration was 3 hr. on June 3 and 5 hr. on June 19
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
1P I

Ppppp�
ERMIT NO.: NCO027197
PCILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 05-2017 (May 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 RECEIVED COUNTY: Cleveland
ORC: Billy J Wilkie J U N 2 9 2 017 ORC CERT NUMBER: 985377
ORC HAS CHANGED: No
CEN I R- L FILES
VERSION: 1.0. DWR SECTIOill STATUS: Processed
3
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
e
H
e
v
�
�
O
s
S`
O
o'
O
8
z°
50M
00400
50060
C0530
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Crab
Crab
Crab
Grab
Grab
FLOW
PH
CHLORINE
TSS-Can.
ALUMINUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
2400 clock
Hrs
2400 clock
Hrs
Y/M
mgd
su
u (1
mg/l
m d
mu
deg c
-9/1
mgil
t
0700
8
N
0
2
0700
8
Y
0
6.8
< 15
< 2.5
1.1
3
0700
8
Y
0.061
4
0700
8
Y
0.067
5
0700
8
N
0.032
6
0700
8
Y
0.059
7
0700
8
Y
0.073
S
0700
18
N
1
0.055
9
0700
8
Y
0.087
10
0700
8
Y
0.075
11
0700
8
Y
0.055
12
0700
S
1 N
10.298
13
0700
8
N
0.155
34
0700
8
N
0.15
15
0700
8
N
0.137
16
0700
8
Y
0.079
7.2
29
< 2.5
1.3
17
0700
8
1 Y
0.038
18
0700
8
N
0.066
19
0700
8
Y
1
0
20
0700
8
Y
0
21
0700
8
Y
0.082
22
0700
8
Y
0.047
23
0700 is
Y
0.043
24
0700
8
Y
0.052
25
0700
8
Y
0.203
26
0700
8
N
0
27
0700
8
N
0,081
28
0700
8
N
0.053
29
0700
8
N
0.01
J0
0700
8
N
0.037
31
0700
8
Y
0.063
Monthly Average Limit-
30
Monthly Average:
0.069613
14.5
0
1.2
Daily Mmimum:
0.298
7.2
29
0
1.3
DailyMiolmum:
0 16.8
10
10
11.1
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow, HOLIDAY = No Visitation — Holiday
RECEIVEDINMENRIDWA
WQROS
.)ORESVILLE Pr-GIONf f OFFICE

PS PERMTT NO.: NCO027197
CELM NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 05-2017 (May 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
q
s
u
e
t:
$
3
O
f
3
1 O
—
0
a
O
°
:
z
00951
01045
00927
01055
TGP3B
Grab
Crab
Grab
Grab
Crab
F-TOTAL
IRON
MGNSIUM
MANGNESE
CER17DPF
2400 dock
H.
2400 clock
Hre
Y/B/N
mg/1
m /1
-gA
mgA
passlfail
1
0700
8
N
2
0700
8
Y
3
0700
8
Y
4
0700
8
Y
5
0700
8
N
6
0700
8
Y
7
0700
8
Y
S
0700
18
N
9
0700
8
y
10
0700
8
Y
11
0700
8
Y
12
0700
8
N
13
0700
8
N
14
0700
8
N
15
0700
8
N
16
0700
8
Y
17
0700
8
Y
18
0700
8
N
19
0700
8
y
20
0700
8
Y
21
0700
8
y
22
0700 18
Y
23
0700
8
Y
24
0700
8
Y
25
0700
8 1
Y
26
0700
8
N
27
0700
8
N
as
0700
8
N
29
0700 is
N
30
0700
8
N
31
0700
8
y
Mauthy Average Limit
Mouthy Average:
Daily Maximum:
Daily Mblmum:
***a No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

pppp-
PEMNO_-. NCO027197
FACILITY: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 05-2017 (May 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone] -
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 06/19/2017
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone]
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
06/05/2017
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 time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
n n
06/19/2017
Perm ittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr_org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
* * ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

ppp-
ES!PEPMNO.: NCO027197
FACIL: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 05-2017 (May 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
Report Comments:
The Discharge durations were 6 hours on may 3 and 7 hours on may 16
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 04-2017 (April 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active 3
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 06/01/2017
05/22/2017
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
DECEIVED/NCDENRIDWR
By this signature, I certify that this report is accurate and complete to the best of my knowledge. J U N 19 NO?
WOROS
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens pub,li�c)heaLt grdh eta LQi3 eYit.OFFICE
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. n n
06/01/2017
Permittee/ ubmitter Signature:*** Da/id W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie Wendell Leonard
PARAMETER CODES
RECEIVED
JUN 12 ?_017
CENTRAL FILES
DVVR SECTION
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* * * Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 04-2017 (April 2017) VERSION: 1.0 STATUS: Processed
Report Comments:
The Discharge flow durations were 7 hours on April 4 and 7 hours on April 15

NPDES PERMIT NO.: NCO027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 04-2017 (April 2017)
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
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00916
00951
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Grab
TEMP-C
CALCIUM
F-TOTAL
MGNSIIIM
MANGNESE
2400d-k
H.
2400 clock
Hn
WRIN
deg
mgA
mgtl
mgA
mgtl
1
10700
8
N
2
0700
8
N
3
0700
8
N
4
0700
8
B
5
0700
8
Y
6
0700
8
Y
7
10700
8
N
9
0700
8
Y
9
0700
18
Y
10
0700
8
N
11
0700
8
Y
12
0700
8
Y
13
0700
8
Y
14
0700
8
N
15
0700
8
N
16
0700
8
IN
17
0700
8
N
18
0700
8
N
19
0700
8
N
20
0700
8
N
21
0700
8
Y
22
0700
8
Y
23
0700
8
Y
24
0700
8
N
25
0700
8
N
26
0700
8
Y
27
0700
8
Y
28
0700
8
N
0700
8
N
+30
0700
8
N
Monthly Avenge Limit:
Monthly Avenge:
Daily Maximum:
Daily Minimum:
"" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCO027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 04-2017 (April 2017)
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
2
4
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i-
E
E
d
E
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d
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50050
00400
50060
C0530
01105
01042
01045
TGP3B
09070
2 X month
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
PH
CHLORINE
TSS-Coot
ALU511NUM
COPPER
IRON
CER17DPF
TURBIDTY
2400 clack
H.
2400 clock
H.
Y/BM
mgd
so
ug/I
mg/l
mg/l
mg/l
mg/1
pass/fail
ntu
1
0700
8
N
0.05
2
0700
8
N
0.27
3
0700
8
N
0.475
'
4
0700
8
B
0.156
6.9
<15
<2.5
1
5
0700
8
Y
1
0.064
6
0700
8
Y
0.033
7
0700
8
N
0.026
8
0700
8
Y
0.012
9
0700
8
Y
10.033
10
0700
8
N
0
11
0700
8
Y
0.028
12
0700
8
Y
0.02
13
0700
8
Y
0.125
14
0700
8
N
1
0.293
15
0700
8
N
0.179
16
0700
8
N
0
17
0700
8
N
0.001
7
< 15
is
0700
8
N
0.3
<2.5
0.105
0.012
1 <0.05
P
0.6
19
0700
8
N
0.043
20
0700
8
N
1
0.026
21
0700
8
Y
0.074
22
0700
8
Y
0.066
23
0700
8
Y
0.08
24
0700
8
N
0.137
25
' "
0700
8
N
0.395
26
0700
8
Y
0.079
27 1
0700 18
1
Y 1
0.037
28
0700
8
N
0.094
29
0700
8
N
1
0.142
30
0700
8 1
N
0
Monthly Arcrage Limit:
30
Monthly Aremge:
0.109
0
0
0.105
0.012
0
0.8
Dully M..imum:
0.475
7
0
0
0.105
0.012
0
1
Daily Minimum:
0
6.9
0
to
10.105
0.012
0
1
0.6
* *** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation- Holiday

pppppp,-
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50
Date 27-Apr-17
Facility: Shelby WTP NPDES# NCO027197 Pipe # 001 County: Cleveland
Laboratory Performing Test: Comments
X
Signature of Operator in p n 'ble ar
X
Signature of Laboratory Supervisor
MAIL ORIGINAL TO Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test
Calculated t= 1.9022
Critical Value= 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction= 16.5%
#Young Produced 23 15 19 24 18 18 24 19 1 24 17 24 17 % Mortality Avg. Reprod.
Adult (L)ive (D)ead L L L L L L L L L L L L 0% 20.2
Control Control
Effluent % 90.0% 8% 16.8
Treatment 2 Treatment 2
Control CV
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 16.8%
j.
#Young Produced 17 11 24 18 22 10 22 16 16 15 22' 9 %3rtl Brood PASS FAIL
Adult (L)ive (D)ead L L L L L L L L L L L D 100% X
Complete This for Either Test Test Start Date
Collection19-Apr-17
pH 1st sample 1st sample 2nd sample Sample 1 18-Apr-17 Sample 2 20-Apr-17
Control 7.6 . 7.9 7.4 7.8 7.7 8.0
Treatment 2 7.1 7.4 7.1 7.3 7.2 7.6 Grab Comp Duration 1st 2nd
Sample 1 X Tox Tox
Sample 2 X Dilution Sample Sample
start end start end start end
b.o. 1st sample Isis le 2nd sam le Hardness (mg/L) 46.0
Control 8.0 8.3 8.0 7.7 7.5 8.1 Spec. Cond. (pmhos) 186 97 93
Treatment 2 8.3 8.3 8.3 7.7 8.2 8.1 Chlorine (mg/L) <.05 0.07
Sample Temp. at receipt ('C) 1.8 05
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates)
Concentration
Mortality, start/end start/end
LC50 = % Method of Determination r Contra
95% Confidence Limits Moving Average Probit High Conc.
% % Spearman Kerber ROther pH D.O.
Or anism Tested Cerioda hnia dubia
DEM Form AT-1
Page 2 of 6

PNPDpppppp-
ES PERMIT NO.: NCO027197
FACILITY•NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 03-2017 (March 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
13
ORC CERT NUMBER: 28—WCEIVEDNCLIENR/MP
STATUS: Processed MAY y 2
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE—t�ii OOrFciONAL OFFICE
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50050
00400
50060
C0530
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
PH
CHLORINE
T8s-Cone
ALUMINUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
2400 clock
Hn
2400 cock
Hn
Y/B/N
mgd
5u
ug/l
1119/1
mg/I
ntu
deg e
m
mg/l
1
0700
8
N
0.317
2
0700
8
Y
0.144
3
0700
8
N
0
4
0700
8
N
0
5
0700
8
N
0
6
0700
8
N
0.13
7
0700
8
Y
1
0.013
16.9
< 15
< 2.5
0.4
8
0700
8
Y
0.124
9
0700
8
N
0
A
la
0700
8
Y
0.11
11
0700
8
Y
0.125
12
0700
8
Y
0.09
A
M; _..�-�i.%i1. : i.�
'tV
13
0700
8
IN
1
0.14
17
14
0700
8
Y
0.072
15
1
0700
8
N
0
16
0700
8
Y
0.013
17
0700
8
N
0.045
18
0700
8
N
0.73
19
0700
8
IN
1
0
20
0700
8
N
0
21
0700
8
Y
0.084
6.9
<15
<2.5
0.6
22
0700
8
Y
0.069
23
0700
8
Y
0.07
24
0700
8
Y
0.076
25
0700
8
1 Y
1
0.074
26
0700
8
Y
0.084
27
0700
8
N
0.023
28
0700
8
B
0.06
29
0700
8
B
0
J0
0700
8
Y
0.063
31
0700
8 -
B
0
Monthly A—gc Limit:
30
Monthly Average:
0.085677
0
0
0.5
Doily Mavmum:
0.73
6.9
0
0
0.6
Daily Minimum:
0
6.8
0
10
1
0.4
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

ppppp
IDES PERMIT NO.: NCO027197 PERNHT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 03-2017 (March 2017) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
m
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6
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12
~
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00951
01045
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TGP311
Grab
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Grab
Grab
Grab
F--TOTAL
IRON
MGNSIUM
MANGNGr4E
CERI7DPP
2400 clock
H.
2400 dock
H.
Y/BIN
m
m
m
ail
1
0700
8
N
2
0700
8
Y
3
0700
8
N
4
0700
8
N
5
0700
8
N
6
0700
8
N
7
0700
8
Y
8
0700
8
Y
9
0700
8
N
10
0700
8
Y
11
0700 Is
Y
12
0700
8
Y
13
0700
8
N
14
0700
8
Y
15
0700
8
N
16
0700
8
Y
17
0700
8
N
1a
0700
8
N
19
0700
8
N
20
0700
8
N
21
0700
8
Y
22
0700
8
Y
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
N
28
0700
is
I B
29
0700
8
B
30
0700
8
Y
31
0700
8
B
Monthly Average Limit
Monthly Awmgo:
Daily Maz:mum:
Dally Mlulmum:
**** No Reporting Reason: ENMUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

Ppppp
DES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 03-2017 (March 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE M 7044846885
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 04/17/2017
04/13/2017
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The pennittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
04/17/2017
Permittee/Submitter Signature:*** I David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: SHELBY WTP
CERTIFIED LAB M 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.orghveb/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).

P pppp�
DES PERMIT NO.: NC0027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 03-2017 (March 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
Report Comments:
The flow durations on March 7 2017 were 7 hours and 6 hours on March 21
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

W
NPDES PERMIT NO.: NCO027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
CLASS: PC-1
RECEIVED
COUNTY: Cleveland
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
ORC CERT NUMBER: 985377
GRADE: PC-1
—
) n
ORC HAS CHANGED: No MAR 27 L U
—
RECEIVED/NC®ENRIDWR
eDMR PERIOD: 02-2017 (February 2017)
VERSION: 1.0
CENTRAL FILES
STATUS: Processed
DWR SECTION
A P 2 011
SAMPLING LOCATION: EFFLUENT
DISCHARGE NO.: 001
NO DISCHARGE: MROS
r,nnnRr--cull I 7: RT=t;10NAL OFFICE
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50050
00400
50060
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2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Gab
Grab
Grab
Gab
FLOW
PH
CHLORINE
TSS - Con.
ALIJAHNUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
2409 dark
H.
2400 da.k
H.
Y/B/N
mgd
su
I ug/I
mg4
Me
ntu
I deg c
1119/1
mg/I
1
0700
8
B
0.138
2
0700
8
B
0.096
3
0700
8
B
0
4
0700
8
N
0
5
0700
8
N
0.317
6
0700
8
N
0.175
7
0700
8
Y
0.13
6.7
< 15
< 2.5
1
e
0700
8
N
0
9
0700
8
Y
0.195
10
0700
8
Y
0.141
11
0700
8
N
0
12
0700
8
Y
0.324
13
0700
8
N
0
14
0700
8
1 Y 1
0.16
15
0700
8
N
0
16
0700
8
Y
0.19
17
0700
8
N
0.141
to
0700
8
N
0.141
19
0700
8
N
0.182
20
0700
8
N
0.179
21
0700
8
Y
0.163
6.9
< 15
< 2.5
0.5
22
0700
8
Y
0.14
t
23
0700
8
Y
0
24
0700
8
Y 1
0.168
25
0700
8
Y
0.11
26
0700
8
Y
0
27
0700
8
N
0.349
28
0700
8
Y
0.157
Monthly Average Limit:
30
' Mauthly A—g�:
0.128429
0
0
0.75
Daily maximum:
0.349
6.9
0 1
1
Daily Minimum:
0
6.7
0
0 1
0.5
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

"Nq
NPDES PERMIT NO.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 02-2017 (February 2017) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
E
F
u
E
E
E
F
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00951
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TGP311
Grab
Grab
Grab
Grab
Gab
F-TOTAL
]RON
MGNSIUM
MANGNESE
CER17DPF
2400 clock
Hn
2400 clock
Hn
Y/"
m9/1
tn9/1
mg/1
m9/1
pass/fail
1
0700
8
B
2
0700
8
B
3
0700
8
B
4
0700
8
N
5
0700
8
N
6
0700
8
N
7
0700
8
Y
S
0700
8
N
9
0700
8
Y
10
0700
8
Y
11
0700
8
N
12
0700
8
Y
13
0700
8
N
14
1
0700
8
Y
is
0700
8
N
16
0700
8
Y
17
0700
8
N
18
0700
8
N
19
0700
8
N
20
0700
8
N
21
0700
8
Y
22
0700
8
Y
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
N
28
0700
18
1 Y
Monthly Avemge Limit:
Monthly Average:
Daily Maximum:
Duly Minimum:
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 02-2017 (February 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 03/15/2017
03/14/2017
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone 4:704-484-6885 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. n
i' N _1 I . A
03/15/2017
v
Permittee/Submitter Signature:*** Dlivid W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* * * Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
CLASS: PC-1
COUNTY: Cleveland
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
ORC CERT NUMBER: 985377
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 02-2017 (February 2017)
VERSION: 1.0
STATUS: Processed
Report Comments:
The Discharge Durations were 5 hours on Feb 7 and 6 hours on Feb 21

P pp
NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 01-2017 (January 2017)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 R CEN'E LJNTY: Cleveland
ORC: Billy J Wilkie �i ORC CERT NUMBER: 985377
ORC HAS CHANGED: No MAR 2 7 Z017
- RECEIVEDINCDENFt/DWR
VERSION: 1.0 C E� T RQI FII_ESTATUS: Processed
SAMPLING LOCATION: EFFLUENT
DWR SECTION AP;?
DISCHARGE NO.: 001 NO DISCHARGEK• ,- ,
unnprF,vll 11= Pr-GIONAL OFFICE
q
E
F
m
E
V
E
F
E
=
F
E
F
6
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F
O
o`
U
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C
a
z
50050
00400
50060
C0530
allay
01042
01045
TOP3B
00070
2 X month
2 X month
2 X month
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
TSS - Cane
ALUMINUM
COPPER
IRON
CERI7DPF
TURB—`1
2401 clock
Hrs
2400 clock
H.
WRIN
mgd
su
❑FA
RIO
mg/I
mg/I
m9/1
pass/fail
ntu
1
0700
8
Y
0
2
0700
8
Y
0.172
3
0700
8
Y
0.06
6.7
<15
<2.5
1.1
4
0700
8
Y
0
5
0700
8
Y
0.157
6
0700
is
B
0.045
7
0700
8
N
0
8
0700
8
N
0.425
9
0700
8
N
0.298
10
0700
8
Y
0.127
11
0700
8
Y
1
0
12
0700
8
Y
0.175
13
0700
8
Y
0.073
14
0700
8
Y
0
15
0700
8
Y
0
16
0700
8
B
0.142
17
0700
8
Y
1
0
1
0.114
<0.005
<0.05
P
18
0700
8
B
0.543
19
0700
8
B
0.121
6.7
< 15
< 2.5
0.3
20
0700
8
N
0.116
21
0700
8
N
0
22
0700
8
N
0
23
0700
8
N
0
24
0700
8
Y 1
0.154
25
0700
8
Y
0.119
26
0700
8
Y
0
27
0700
8
Y
0.108
28
0700
8
Y
0
29
0700
8
Y
0.196
30
0700
8
N
0.521
31
0700
8
N 1
0.312
Monthly A,—gc Limit:
30
Monthb Awmge:
0.124645 1
0
0
0.114
0
0
0.7
Deily Mxcimum:
0.543
6.7
0
0
0.114
0
0
1.1
Deily Minimum:
0
6.7
0
0
0.114
0
0
0.3
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 01-2017 (January 2017)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 995377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
u
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F
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=
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9
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00010
00916
00951
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01055
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Grab
Grab
TEMP-C
CALCIUM
F-TOTAL
MGNSIUM
MANGNESE
2400 clock
H.
2400 d-k
Hn
IN
deg a
mg/l
mg/1
mg/1
m9/1
1
0700
8
Y
2
0700
8
Y
3
0700
8
Y
a
0700
8
Y
5
0700
8
Y
6
0700
8
B
7
0700
8
N
8
0700
8
N
9
0700
8
N
10
0700
8
Y
11
0700
8
Y
12
0700
8
Y
13
0700
8
Y
14
0700
8
Y
15
0700
8
Y
16
0700
8
B
17
0700
8
Y
tS
0700
8
B
19
0700
8
B
20
0700
8
N
21
0700
8
N
22
0700
8
N
23
0700
8
N
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
Y
28
0700
8
Y
29
0700
8
Y
30
0700
8
N
31
0700
8
N
Monthly Are pLimit:
Monthly A -rage:
Daily Mu i.—
Daik Minimum:
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

Ppp
NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 01-2017 (January 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 03/15/2017
02/16/2017
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please nch 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. n
T e
03/15/2017
Permittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
FACILITY NAME: Shelby WTP
CLASS: PC-1
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 01-2017 (January 2017)
VERSION: 1.0
Report Comments:
The discharge duration was 3 hours on January 3, 2017 and 7 hours on January 19, 2017
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

Effluent Toxicity Report Form - Chronic Pass/Fall and Acute I_csn
pprp-pp'-
Facility: Shelby WTP NPDE4
NCO027197 Pipe # 001 County: Cleveland
Laboratory Performing Test:
Comments
X
Signature of Operator i Jess onnslbl C e
X
Signature of Laborato Su ervisor
MAIL ORIGINAL TO Environmental Sciences Branch
Div.. of Water Quality
N.C. DENR
1621 Mall Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodachnla Chronic Pass/Fall Reloroduction Toxicity Test Chronic Test Results
Calculated t= 0.958
Critical Value= 2.508
CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 % Reduction= 4.8%
# Young Produced EL
19 21 20 22 20 21 19 19 22 22 26 rConntrol
Avg. Reprod.
Adult L)Iva Deed L L L L L L L L L L 20.9
Control
Effluent % 199
TREATMENT 2 ORGANISMS
# Young Produced
Adult (L)Ive (D)ead
22
22
22
22
1 13
1 20
19
22
1 19
21
15
22
L
L
L
L
L
L
L
L
I L
L
L
L
pH lstsampIs 1stsample 2nd sample
Control 7.9 8.0 7.7 7.8 7.5 7.9
Treatment 2 7.7 7.5 7.4 7.5 7.8 7.5
D.O. start and start end start end
1st sam le 1st sam le 2nd sam le
Control 8.2 7.8 7.5 8.8 8.3 8.9
Treatment 2 8.6 7.9 8.4 8.0 8.0 8.9
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates)
LC50 = %
95 % Confidence Limits
Organism Tested
DEM Form AT-1
Method of Determination
Average Pro
an Kerber ROth
to This for Either Test
m (Start) Date
1 17-Jan-17
Sample 1 X
-i
Sample 2 X
Hardness (mg/L)
Spec. Cond. (pmhos)
Chlorine (mg/1.)
reatment 2
Treatment 2
onlrol CV
9.4%
%3rdBrood
PASS FAIL
100%
X
Test Start Date
18-Jan-17
Sample 2
1 &Jan-17
lot 2nd
Tox Tox
Dilution Sample Semple
180 1 1061 108
'wA<.05 <.05
0.2 0.1
monaliry staryend start/end
Q FR-
control
High Conc. .
pH D.O.
Page 2 of 6

P pppr-
DES PERNIIT NO.: NC0027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 12-2016 (December 2016)
PERMIT VERSION: 4.Q..,,
CLASS: PC-1 RECEIVED
ry
ORC: Billy J Wilkie MAR 0 d 2017
ORC HAS CHANGED: Np, r NTRAL FILE
VERSION: 1.0 �DWR SE"ECTION
w
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
RECEIVED/NCDENR/DWR
STATUS: Processed AIR I." t,l�� M t/
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE t%1CNW-,
PJIOORESVILLE REGIONAL OFFRC'`
A
S
V
O
[=
m
O
S�
O
O
°
z
500"
00400
50060
C050
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Crab
Grab
Crab
Grab
Grab
Grab
FLOW
PH
CHLORINE
TSS-Con.
ALUMINUM
TURBIDTY
TEMP-C
CALCIUM
COPPER
2400 cock
firs
2400 clock
H.
YB1/N
mgd
Su
u
mg/l
mu
deg c
m94
/1
1
0700
8
B
0.101
.111911
2
0700
8
Y
0.194
3
0700
8
Y
0.165
4
0700
8
Y
0.177
5
0700
8
B
0.139
6
0700
8
B
0.002
7
< 15
< 2.5
0.8
7
0700
8
Y
0.164
0
0700
8
y
0.178
9
0700
8
N
0
10
1
0700
8
N
0
11
0700
8
N
0.22
1z
0700
8
N
0.111
13
0700
8
Y
0.141
'
14
0700
8
B
0
15
1
0700
8
Y
0.101
16
0700
8
Y
0.069
"
17
0700
8
Y
0
18
0700
8
Y
0.146
19
0700
8
Y
0" 166
20
0700
8
B
0.018
6.9
< 15
10.6
1
21
0700
8
Y
0.066
22
0700
8
Y
0.126
23
0700
8
N
0.165
24
0700
8
N
0.201
25
0700
8
N
0.1
26
0700
8
N
0
27
0700
8
N
0.197
20
0700
8
Y
0.155
29
0700 18
B
0.186
30
0700
8
N
0.176
31
0700
8
Y
0
Monthly Averoge Limit:
30
Mouthy Average:
0.111742
0
15.3
0.9
Daffy Mazlmum:
0.22
7
0
10.6
1
Daily Minimum:
0
6.9
0
0
0.8
sacs* No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

P p
P
DES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 12-2016 (December 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
C
8
U
F
8
[=
4
O
O
1 O
N
O
ZZ
00951
01045
00927
01055
TGP3B
Grab
Crab
Grab
Grab
Grab
F-TOTAL
IRON
MGNSIUM
MANGNESE
CER17DPF
2400 cock
Hm
2400 clock
Hm
Y!B/Nn
m 0
mg/1
mg9
passHa
1
0700
8
B
2
0700
8
Y
3
0700
8
Y
4
0700
8
Y
5
0700
8
B
6
0700
8
B
7
0700
8
Y
8
0700
8
Y
9
0700
18
N
10
0700
8
N
11
0700
8
N
12
0700
8
N
13
0700
8
Y
14
0700
8
B
15
0700
8
Y
16
0700
8
Y
17
0700
8
1 Y
is
0700
8
Y
19
0700
8
Y
20
0700
8
B
21
1
0700
8
Y
22
0700
8
Y
23
0700
8
N
24
0700
18
N
25
0700
8
N
26
0700
8
N
27
0700
8
N
128
0700
8
Y
a9
0700
8
B
}0
0700
8
N
31 1
1
0700 18
1
Y
Moat6lyAvemage Limit
Monthly Average:
Daily Maximum:
DallyMI.I. :
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow, HOLIDAY = No Visitation — Holiday

Ppppr'
DES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 12-2016 (December 2016)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 01/27/2017
01 /27/2017
ORC/Certifier Signature: David W Hux E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit. /�
11
01 /27/2017
Permittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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 far
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: Shelby WTP
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/f`onns.
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).

Fpp-
DFS PERMIT NO.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 12-2016 (December 2016) VERSION: 1.0 STATUS: Processed
Report Comments:
The duration of discharge was 2 hours on 12/06/2016.
The duration of discharge was 2 hours on 12120/2016.

FDFS PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 11-2016 (November 2016)
PERAM VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 R I V F' ® COUNTY: Cleveland
ORC: Billy J Wilkie ORC CERT NUMBER: 985377
FEB 14 2017 R UI EDACDENR/DWR
ORC HAS CHANGED: No
VERSION: 1.0 CENTRAL FILES STATUS: Processed FEB 2 0- 2,917
DWR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISQ t t �'r E $#OVAL OFFICE
°
c°
H
4
n
s
u
g
i
u
a
4
F-
4
3
O
8
O
O
O
°
z°
50050
00400
50060
Como
01105
00070
00010
00916
01042
2 X month
2 X month
2 X month
2 X month
Quarterly
2 X month
Recorder
Grab
Grab
Crab
Grab
Grab
Crab
Grab
Grab
FLOW
pH
CHLORINE
755-Coot
ALUMINUM
tURBIDtY
7Eh1P-C
CALCIUM
COPPER
2400 crock
H.
2400 clock
1tre
Y78/N
mgd
so
u9/1
m 0
m9A
ntu
deg c
m
mg11
I
07M
8
B
0.521
6.9
< 15
< 2.5
0.7
2
0700
8
1 B
0.293
0700
8
B
0.217
4
0700
8
N
0.269
5
0700
8
N
0.073
6
0700
S
B
0.224
7
0700
S
1 B
0.184
S
0700
8
B
0.256
9
0700
8
B
0.326
10
0700
8
B
0.313
11
0700
8
N
0
12
0700
8
N
0.183
13
0700
8
N
0
14
0700
8
N
0.309
15
0700
8
Y
0.122
6.6
< 15
2.5
0.9
16
0700
8
Y
0.009
17
0700
8
Y
0.197
1s
0700
8
Y
0.173
19
0700
8
Y
0,111
20
0700
8
Y
0
21
0700
18
Y 1
0.1
22
0700
8
B
0.089
23
0700
8
B
0.14
24
0700
8
N
0
25
0700
8
N
0.106
26
0700
8
N
0.352
27
0700
8
N
0.114
28
0700
S
Y
0.147
29
0700
8
Y
0.132
30
0700
8
B
0.02
Monthly Average Mmia
30
MonthlyA—go:
0.166
10
1.25
0.8
Daily Manimum:
0521
6.9
0
2.5 1
10.9
Daily Minimum:
0
6.6
0
0 1
0.7
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

PNPDES PERMIT NO.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD. 11-2016 (November 2016) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
E
�
O
O
m
Z
00951
01045
00927
01055
TGP3B
Grab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
MGNSIUM
MANGNESE
CER17DPF
2400 clock
Hm
2400 clock
Hm
Y/B/N
mg/1
mgI I
m0/1
sJltil
1
0700
8
B
2
0700
8
B
3
0700
8
B
4
0700
8
N
5
0700
18
N
6
0700
8
B
7
0700
8
B
e
0700
8
B
9
0700
8
B
10
0700
is
B
11
0700
8
N
12
0700
8
N
13
0700
8
N
14
0700
8
N
1s
0700
8
Y
16
0700
8
Y
17
0700
8
Y
1s
0700
8
Y
19
0700
8
Y
20
0700
8
Y
21
U700
8
Y
22
0700
8
B
23
0700
8
B
24
0700
8
1 N
25
0700
a
N
26
0700
8
N
27
0700
8
N
i
28
0700
8
Y
29
0700
8
Y
30
0700
8
B
MaathlyAv... ge Limit
Monthly Average:
Daily Maximum:
Daily Minimum:
**** No Reporting Reason: ENFRUSE = No Flow-Rcuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

FDESERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 11-2016 (November 2016)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE M 7044846885
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 01/10/2017
12/19/2016
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES p\rnnit. Z�
01/10/2017
Perm ittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/webhvq/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).

Pp
?DES PERMIT NO.: NC0027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PCA COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 11-2016 (November 2016) VERSION: 1.0 STATUS: Processed
Report Comments:
The discharge durations for was 0.521 on Nov 1 and 0.122 on Nov 15

P pppp�
FDFSPERX[TN0.-.NC0027I97
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 10-2016 (October 2016)
PERNHT VERSION: 4.0
PERMIT STATUS: Active
CLASS: PC-1 8 3 E[ VE
b 9 COUNTY: Cleveland
1
ORC: Billy J Wilkie DEC y 2 2016 �d ORC CERT NUMBER: 985377
ORC HAS CHANGED: No
VERSION: 1.0 CC=j 'rr,,A FILES STATUS: Processed
DWR 33ECT101.1
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
A
a
m°
$
u F
E
E
B
w
U
F1
E
H
a
O
m
e
O
E
4
O
O
O
c .
a e
50050
00010
00400
50060
C0530
01105
00916
01042
00951
2 X month
2 X mouth
2 X month
2 X month
Quarterly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
1 PLOW
TEMP-C
PH
CHLORINE
I TSS-Cone
ALUMINUM
CALCIUM
COPPER
F-TOTAL
2400 clod:
Ilrs
2100 clock
Hrs
Y!B/N
mgd
deg c
su
u ll
mg/1
mg/1
mgn
m A
m /1
1
0700
8
N
0.21
2
1
0700
8
N
0
3
0700
8
N
0.135
4
0700
8
Y
0.148
7
< 15
< 2.5
5
0700
8
Y
0.131
6
0700
8
Y
0.144
7
1
0700
S
Y
0.146
8
0700
8
Y
0.132
9
0700
8
Y
0.076
10
0700
8
Y
0.121
_
11
10700
8
Y
0.144
12
0700
8
Y
0.208
13
0700
8
B
0.071
14
1
0700
8
B
0.182
15
0700
8
N
0.142
16
0700
8
N
0.142
17
0700
8
N
0
18
0700
3
B
0.121
6.9
< 15
< 2.5
0.257 1
0.034
19
4
0700
8
B
0.079
20
0700
8
B
0.245
21
0700
8
B
0.02
22
0700
8
N
0.083
23
0700
8
N
0.244
24
1
0700
8
N
0.14
25
0700
8
B
0.073
26
0700
8
B
0
27
0700
8
B
0.2
28
10700
8
B
0.084
29
0700
8
N
0.306
30
0700
8
N
0.234
31
0700 is
IN
1
0.284
Monthly Average Limit:
30
Monthly Average:
0.136935
1
10
10
10.257 1
10.034
DailyMasimum:
0.306
7
0
0
0.257
0.034
DailyMinimum:
0
6.9
0
0
0.257
0.034
**** No Reporting Reason: ENFRUSE =No Flow-Reuse(Recyele; ENVWTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday

Pp
DES PERMITT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 10-2016 (October 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
19
E
�
a
U F
fi
S
E
o
U
EF
F
m
O
=
�
e
O
E
a
O
d
e
U
O
ea
uu a
Z tx
01045
00927
01055
TGP3B
00070
Quarterly
Quarterly
2 X month
Grab
Crab
Grab
Grab
Grab
D20N
MGNSIUM
MANGNESE
CER17DPF
TURBIDTY
2400 dads
jHn
2400 do&
Hrx
Y!B/N
m 9
m
mg9
acclfail
rrtu
1
0700
8
N
2
10700
8
N
3
0700
8
N
4
0700
8
Y
1
5
0700
8
Y
6 1
0700
8
Y
7
0700
8
Y
8
10700
8
Y
9
0700
8
Y
10
0700
8
Y
11
0700
8
Y
12
0700
IS
Y
13
0700
8
B
14
0700
8
B
15
0700
8
N
16
0700
8
1 N
17
10700
8
N
IS
0700
8
B
0.098
P
0.9
19
0700
8
B
20
0700
8
B
21
0700
8
B
22
0700
8
N
23
0700
8
N
24
0700
8
N
25
0700
8
B
26
0700 18
B
27
07W
8
B
28
0700
8
B
29
0700
8
N
30
0700
8
N
31 1
1
10700 Is
N
Monthly Average limit:
Monthly Average:
0.098
0
0.95
Daily Maximum:
0.098
1
Daily Minimum:
0.098 1
1
1 10.9
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTUR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

Ppppp'-
FDESPERM[1T NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 10-2016 (October 2016)
COMPLIANCE: Compliant
IvAilTUI 131wo# ►AM1 1
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE M 7044846885
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 11/23/2016
%/G'G2l!'151Z:4 11/20/2016
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit. n
11/23/2016
Permittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP
CERTIFIED LAB M 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting littp://portal.ncdenr.org/xvebhvq/snip/ps/npdes/f`onns,
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).

P pppp'
FDESPERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 10-2016 (October 2016)
Report Comments:
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
The discharge durations was 7 hours on Oct 4 and 5 hours on the 18
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50
Date 27-Oct-16
Facility: Shelby WTP NPDES#NCO027197 Pipe# 001 County: Cleveland
Laboratory Performing Test: comments
X °
Signature of Operator in ponsibl
X
Signature of Laboratory Supervisor
MAIL ORIGINAL TO Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mall Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Pass/Fall Reproduction Toxicity Test Chronic Test Results
CONTROL ORGANISMS Calculated t= 2.4737
Critical Value= 2.508
1 2 3 4 5 6 7- 8 9 10 11 12 % Reduction= 17.7 %
# Young Produced
Adult (L)lve (D)ead
Effluent %
TREATMENT 2 ORGANISMS
# Young Produced
Adult (L)ive (D)ead
pH
Control
Treatment 2
L IL IL IL IL IL IL IL IL IL I IL I 0°h 22.9
Control Control
0% 19.0
Treatment 2 Treatment 2
Control CV
1 2 3 4 5 6 7 B 9 10 11 i2 12.8%
20 18 16 1 19 23 1 17 21 18 23 21 25 7 % 3rd Brood PASS FAIL
L L L L L L L L L L L L 100% X
Fcomplate�hlafc�,ElltherTed - Test Start Date
- 19-Oct-16
lstsample lstsample 2nd sample Sample 18-Oct-16 Samp1e2 20-Oct-16
8.2 7.6 7.5 7.7 7.6 7.8
6.9 7.6 7.0 7.6 7.1 7.7
c
start end start and start and
D.O. lstsam le 1stsam le 2nd samDle
Control
Treatment 2
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates)
Grab lComp IDuratlon 1st 2nd
Sample 1 X 24hrs. Tox Tox
Sample 2 X I 24hrs. Dilution Sample. Sample
Hardness(mg/L) 48.0
Spec. Cond. (pmhos) 189 135 132
Chlorine (mg/L) <0.05 0.07
iple Temp. at receipt (°C) 0.3 FOT
Mortally, start/end start/end
LC50 = % Method of Determination Control
195% Confidence Llmits Moving Average Probit High Conc. :F�
Spearman Kerber ROther pH D.O.
Organism Tested Cerioda hnia dubia
DEM Form AT-1
Page 2 of 6

VDESMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 09-2016 (September 2016)
PERMM VERSION: 4.0 PERMIT STATUS: Active 3
CLASS: PC-1 FRECE1e QOW: Cleveland
ORC: Billy J Wilkie "�ERT NUMBER: 985377
ORC HAS CHANGED: No DEC 12 2016 R E C E 1 V C D1 /Nu1)ENR,/DWR
VERSION: 1.0 CENTRA I ,,, ATATUS: Processed
DWR SECTfco
Oii! DEC 1
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGES :FN�O
P^C3C�!Y�u
y
O
Vp
O F
_
py
U
F
,E
F
V
E
1 O
m
a
£
O
0
O
C
a e
Z a
50050
00010
00400
50060
C0530
01105
00916
01042
00951
2 X month
2 X month
2 X month
2 X month
Quarterly
Recorder
Crab
Crab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
I TEMP-C
P11
CHLORINE
TSS-Cone
ALUMINUM
CALCIUM
COPPER
F-TOTAL
2400 clock
1b,
2400 clock
Hrs
-111N
m d
des c
an
u911
mpjl
mg/1
m 0
mgd
m 4
1
0700
R
Y
0.134
2
0700
8
B
0.122
3
0700
8
N
10
4
0700
R
N
0.159
4
5
0700
8
N
0.103
0)
6
0700
8
Y
0.138
7.1
<15
<2.5
y
DEG 1
)�
'
1 2016
7
1
0700
8
Y
0.133
8
0700
8
Y
0.136
L
_ e
E
-� e
9
0700
8
Y
0.12
ON
10
10700
S
ly
1
0.15
11
0700
8
Y
0.145
12
0700
8
Y
0
13
0700
8
Y
0.145
14
0700
8
Y
0.148
is
0700
8
Y
0.154
16
0700
8
N
0.154
17
0700
8
N
0.148
18
0700
8
N
0.16
19
0700
8
N
0.15
20
0700
8
N
0.136
7
< 15
< 2.5 u
21
0700
8
N
0.104
22
0700
8
N
0
23
0700
8
Y
0.134
24
10700
8
1 Y
0.129
25
0700
8
Y
0.129
0700
8
Y
0.146
27
0700
8
Y
0.13
r26
28
0700
8
Y
0.151
29
0700
8
Y
0.139
30
10700 Is
IN
10.1
Monthly Average Limit
30
Monthly Average:
0.123233
0
0
Daily Maximum:
0.16
7.1
0
0
Daily Minimum:
0
7
0
0
**** No Reporting Reason: ENFRUSE = No Flow-Rouse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow, HOLIDAY = No Visitation — Holiday

VDESRMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 09-2016 (September 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
q
s
c
e
O F
E
s
V
t
F'
8
E+
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O
y
c
O
a
a
O
O
a
O
°' o
a d
Z g
01045
00927
01055
TGP31l
00070
2 X month
Grab
Grab
Grab
Crab
Grab
II20N
MGNSIUM
MANGNESE
CER17DPF
TURBIIITY
2400 dock
Hn
2400 dock
Hrs
WRIN
m 0
m
mg/J
a&%/ful
ntu
0700
18
Y
2
0700
8
B
3
0700
8
N
4
0700
8
N
5
0700
8
N
6
0700
8
Y
0.8
7
0700
18
Y
8
0700
8
Y
9
0700
8
Y
10
0700
8
Y
11
0700
8
Y
12
0700
8
Y
13
0700
8
Y
14
0700
8
Y
15
0700
8
IY
16
0700
8
N
17
0700
8
N
18
1
10700
8
N
19
0700
8
N
20
0700
8
N
0.6
21
0700
8
N
21
0700
8 IN
23 1
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
1
10700
8
Y
28
0700
8
Y
29
0700
8
Y
30
0700
8
N
Monthly Average Limit:
Monthly Average:
0,7
Daily Maximum:
0.8
Daily Minimum:
0.6
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow, HOLIDAY = No Visitation — Holiday

VNPDESRMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 09-2016 (September 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION. 1.0
CONTACT PHONE M 7044846885
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 10/1312016
10/11 /2016
ORC/Certifier Signature: Billy Wilkie E-Mail: billy,[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit. n A
10/13/2016
Perm ittee/Submitter Signature*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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 flues and imprisomnent for
knowing violations.
LAB NAME: Shelby WTP
CERTIFIED LAB M 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting lnttp://portal.ncdertr.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).

VOES PERMIT NO.: NC0027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 09-2016 (September 2016)
Report Comments:
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
The lagoons discharge durations were 7 hours on Sep 6 and 9 hours on Sep 20
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

FIDES PERMIT NO.: NCO027197
ACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 07-2016 (July 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 2.0
PERMIT STATUS: Active 3
COUNTY: Cleveland
ORC CERT NUMBER: 98�3KEIVED/NMENRIDWR
STATUS: Processed
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISClLl(W8 ',V.!L�ft)REGIONALOFFICE
A
-
E
=
c
E E
U i-
E
fi
U
F
E
F
-
Eli
Q
O
c
O
E
F
s
O
in
c
1 O
•5 i
o
Z. 04
50050
00010
00400
50060
C0530
01105
00916
01042
00951
2 X month
2 X month
2 X month
2 X month
Quarterly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW -
TEMP-C
pH
CHLORINE
TSS - Cone
i ALUMINUM
CALCIUM
COPPER
F-TOTAL
2400 clock
Hrs
2400 clock
H.
Y/BM
mgd
deg c
su
u9A
mgA
mg/1
mgA
mg/1
mg/I
I
6
0700
8
Y
1
0.103
?
6
0700
8
Y
0.104
3
6
0700
8
Y
0.122
4
5
0700
8
Y
0.104
5
6
0700
8
Y
0.13
6
6
0700
8
Y
0.117
7
6
0700
8
Y
0.104
8 1
16
0700
8
N
1
0.106
7
0700
8
N
0.148
10
5
0700
8
N
0.115
r9
11
8
0700
8
N
0.157
6.9
< 15
3.8
12
6
0700
8
N
0.115
13
7
0700
8
B
0.138
14
5
0700
8
N
0.08
15
6
0700
8
Y
0.097
16
6
0700
8
Y
0.122
17
6
10700
8
Y
0.119
18
7
0700
8
Y
0.13
19
5
0700
8 IY
1
0.079
10.274
0.014
20
6
0700
8
Y
0.12
21
6
0700
8
Y
0.52
22
6
0700
8
N
0.106
23
0
0700
8
N
0
24
24
0700
8
N
0.517
25
0
0700
8
N
0
26
6
0700
8
Y
0.101
6.9
< 15
3
27
7
0700
8
Y
0.143
28
7
0700
8
Y
0.129
29
6
0700
8
Y
0.135
30
7
0700
8
Y
0.144
31 1
7
0700 is
I
Y 1
0.134
Monthly Average Limit:
30
Monthly Average:
0.136742
0
3.4
0.274
0.014
Daily Maximum:
0.52 1
6.9
0
3.8
0.274
10.014
Daily Minimum:
0
6.9
0
3 10.274
0.014
****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation -Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation -Holiday
CI'
SEP 0 8 2016
CENTRAL FILES
DWR SECTION

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-]
eDMR PERIOD: 07-2016 (July 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 2.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
A
c
�'„
t
E E
O F
E
E
=
F^
E
—
6
O
•,`�
O
E
E=
O
in
c
C
O
•t
C
Z C
01045
00927
01055
TGP3B
00070
Quarterly
Quarterly
2 X month
Grab
Grab
Grab
Grab
Grab
IRON
MGNSIUM
MANGNESE
CER17DPF
TURBIDTY
2400 clock
Firs
2400 clock
Hm
Y/B/N
mg/I
mg/I
mg/I
Pass/Fail
ntu
1
6
0700
8
Y
2
6
0700
8
Y
3
6
0700
8
Y
4
5
0700
8
Y
5
6
0700
8
Y
6
6
0700
8
Y
7
6
10700
8
1 Y
8
6
0700
8
N
9
7
0700
8
N
10
5
0700
8
N
11
8
0700
8
N
1.8
12
6
10700
8
N
13
7
0700
8
B
14
5
0700
8
N
15
6
0700
8
Y
16
6
0700
8
Y
17
6
0700
8
Y
IS
7
0700
8
Y
19
5
0700
8
Y
0.06
P
20
6
0700
8
Y
21
6
0700
8
Y
22
6
0700
8
N
23
o
0700
8
N
24
24
0700
8
N
25
0
0700
8
N
26
6
0700
8
Y
1.7
27
7
0700
8
Y
28
7
0700
8
Y
29
6
0700
8
Y
30
7
0700
8
Y
31 1
17
10700
18 1
Y
Monthly Average Limit:
Monthly Average:
0.06
0
1.75
Daily Maximum:
0.06
1.8
Daily Minimum:
0.06
1.7
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

JPDES PERMIT NO.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 07-2016 (July 2016) VERSION: 2.0 STATUS: Processed
COMPLIANCE: Compliant / CONTACT PHONE #: [phone] SUBMISSION DATE: 08/29/2016
08/16/2016
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any •information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required, by part II.E.6 of
the NPDES permit.
08/29/2016
Permittee/Submitter Signature:**FDavid W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: ShelbyWTP
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance maybe obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* * * Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC -I COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC -I ORC HAS CHANGED: No
eDMR PERIOD: 07-2016 (July 2016) VERSION: 2.0 STATUS: Processed
Report Comments:
The flow duration was 8 hours on july I I and 6 hours on july 26
io

I
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date 28-Jul-16
Facility: SHELBY WTP WTP NPDES# NCO027197 Pipe# County: Cleveland
Laboratory Performing Test Comments
X / G
Signature of O erator in . e o le Charge
X
Signature of Laboratory Supervisor
MAIL ORIGINAL TO Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mall Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
CONTROL ORGANISMS Calculated t= -1 .58
Critical Value= 2.508
1 2 3 4 5 6 7 8 9 10 11 12 % Reduction= -10.8%
# Young Produced
Adult '(L)ive (D)ead
22
E
25
18
18
24
13
19
24
24
19
20
23
L
L
L
L
L
L
L
L
L
L
L
L
% Mortality Avg. Reprod.
0% 20.8
Control . Control
Effluent % 90.0% 0% 23.0
Treatment 2 Treatment 2
Control CV
TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 17.1 %
# Young Produced
Adult (L)ive (D)ead
25
24
22
25
21
14
22
23
27
27
24
E22
L
L
L
L
L
L
L
L
L
L
L
L
% 3rd Brood PASS -FAIL
92% r X I
Complete This for Either Test Test Start Date
Collection (Start) Date 20-Jul-16
pH 1st sample 1st sample 2nd sample Sample 1 19-Jul-16 Sample 2 21-Jul-16
Control 7.8 8.1 8.0 7.6 7.5 7.7
Treatment 2 7.0 7.8 7.7 7.4 7.1 7.6
start end start end start end
D.O. 1st sample 1st sample 2nd sample
Control 8.0 7.9 7.7 8.3
Treatment 2 8.3 8.0 8.8
LC50/Acute Toxicity Test
(Mortality expressed as %, combining replicates)
LC50 =
95% Confidence Limits
Organism Tested
DEM Form AT-1
Method of Determination
loving Average Probit
pearman Kerber ROther
CeriodaDhnia dubia
Grab Comp Duratl
Sample 1 X .
Sample 2 X
Hardness (mg/L)
Spec. Cond. (pmhos)
Chlorine (mg/L)
rmple Temp. at receipt (°C)
1st 2nd
Tox Tox
Dilution Sample Sample
46.0u
182
140
165
�f
<.05
0.05
0.4
2.6
start/end start/end
Control
High Conc.
pH D.O.
Page 2 of 6

r'
NPDES PERMIT NO.: NCO027197
\CILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 08-2016 (August 2016)
PERMIT VERSION: 4.0
CLASS: PC -I
ORC: Billy Wilkie
ORC HAS CHANGED: No
VERSION: I_0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER,9&,5377 _
- E D/NCDENRIDWR
STATUS: Processed U (. T 11 2016
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE,;tSNQE(�,ColJrer)�F�C>
q
a
E
N
E E
O F
E
..
-
E
``••
F
E
—
•F
a
O
O
c
O
U
C
O
`
m
Z C
01045
00927
01055
TGP3B
00070
2 X month
Grab
Grab
Grab
Grab
Grab
IRON
MGNSIUM
MANGNESE
CER17DPF
TURBIDTY
2400 clock
Hrs
2400 clock
Hrs
I YB/N
I
me
mg/I
mg/l
pass/fail
out
I
0700
8
Y
2
3
0700
0700
8
8
Y
Y
?
4
0700
8
Y
r,
5
0700
8
N
6
0700
8
N
� N
rrU L FILES
7
0700
8
N
DWF,
SECTION
81
10700
8
N
9
0700
8
Y
2.4
10
0700
8
Y
11
0700
8
Y
12
0700
8
Y
13
1
1
0700
18
Y
0700
8
Y
15
0700
8
Y
16
r1814
0700
8
Y
17
0700
8
B
0700
8
N
19
0700
18
B
20
0700
8
N
21
0700
8
N
22
0700
8
N
23
0700
8
Y
1.8
24
0700
E
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
Y
28
1
0700
8
Y
29
0700
8
Y
30 1
0700
8
Y
31
0700
8
Y
Monthly Avenge Limit:
Monthly Average:
2.1
Daily Mmcimum•
2.4
Daily Minimum:
1.8
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 08-2016 (August 2016)
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC -I COUNTY: Cleveland
ORC: Billy J Wilkie ORC CERT NUMBER: 985377
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
A
s
E
m
O F
E
F
=
E
F
E
P
E
Q
O
e
O
E
F
1 O
�.
�
rn
O
m
f
1 Z tX
50050
00010
00400
50060
C0530
01105
00916
01042
00951
2 X month
2 X month
2 X month
2 X month
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
I TEMP-C
pH
CHLORINE
TSS -Conc
ALUMINUM
CALCIUM
COPPER
F-TOTAL
2400 clock
Hrs
2400 clock
Hrs
YB/N
mgd
deg c
su
ug/1
Me
mg/l
mg/l
mg/l
mg/l
1
0700
8
Y
0.107
2
0700
8
Y
0.125
3
10700
8
Y
0.114
4
0700
8
Y
0.343
5
0700
8
N
0.132
6
1
0700
18
N
1
0.128
7
0700
8
N
0
8
0700
8
N
0.102
9
0700
8
Y
0.436
6.3
< I5
2.8
10
0700
8
Y
0.142
11
0700
8
Y
0.134
12
0700
8
Y
0.131
13
0700
8
Y
0.123
14
0700
8
Y
0.099
15
0700
8
Y
0.106
16
0700
8
Y
0.123
17
0700
8
B
0.153
18
0700
8
N
0.043
19
0700
8
B
0.131
20
0700
8
N .
0.174
21
0700
8
N
0.211
22
0700
8
N
0.111
23
0700
8
Y
0.117
7.1
< 15
3.1
24
0700
8
Y
0.106
25
0700
8
Y
0.108
26
0700
8
Y
0.131
27
0700
8
Y
0.121
28
0700
8
Y 1
0.13
29
0700
8
Y
0.118
30
0700
8
Y
0.123
31
0700
8
Y
0.136
Monthly Average Limit:
30
Monthly Average:
0.137355
0
2.95
Daily Maximum:
0.436
7.1
0
3.1
Daily Minimum:
0
6.3
0
2.8
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

1
NPDES PERMIT NO.: NC0027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
.FACILITY NAME: Shelby WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 08-2016 (August 2016) VERSION: 1.0 STATUS: Processed
COMPLIANCE: Compliant CONTACT
CONTACT PHONE #: [phone] SUBMISSION DATE: 09/22/2016
411 09/15/2016
,01
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time_ the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permit ee 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.
k
09/22/2016
Permittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP
CERTIFIED LAB #: NC 5340
PERSON(s) COLLECTING SAMPLES: Billy Wilkie
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* * * Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
FACILITY NAME: Shelby WTP
CLASS: PC-1
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 08-2016 (August 2016)
VERSION: 1.0
Report Comments:
The discharge durations were 24 hours on Aug 9 and 6 hours on Aug 23
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

N
NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP.
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 06-2016 (June 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
u
G
E
a
E E
E
-
. E
U
E
R
�
�`
a
rn
c
m
O
;4
f«
e
a R
Z C
50050
00010
00400
50060
C0530
00951
01042
01045
00927
2 X month
2 X month
2 X month
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
TEMP-C
pH
CHLORINE
TSS-Cant
F-TOTAL
COPPER
IRON
MGNSIUM
2400 clock
Hm
2400 clack
Hrs
Y/B/N
mgd
deg c
su
-9/1
mg/I
mg/1
mg/l
mg/I
m9/1
1
6
1500
8
Y
0.128
2
6
0700
18
N
0.122
3
6
0700
8
Y
0.119
4
6
0700
8
Y
0.12
5
6
0700
8
Y
0.121
6
16
0700
8
Y
0.118
7
6
0700
8
Y
0,132
6.8
< 15
2.6
8
7
0700
8
Y
0.173
9
6
0700
8
Y
0.107
10
6
0700
8
1 N
0.128
11
9
0700
8
N
0.218
12
6
0700
8
N
0.136
13
7
0700
8
N
0.I52
14
7
0700
8
Y
0.15
15
24
10700
8
B
0.517
16
24
0700
8
Y
0.431
17
7
0700
8
Y
0.139
18
7
0700
8
Y
0.147
19
7
0700
8
Y
0.135
20
7
0700
8
Y
0.114
21
7
0700
8
B
0.156
7
< 15
< 2.5
22
6
0700
8
Y
0.102
23
7
0700
8
B
0.4
24
6
0700
8
N
0.155
25
9
0700
8
N
0.537
26
6
0700
8
N
0.314
27
4
0700
8
N
0.121
28
5
0700
8
Y
0.089
29
6
0700
8
Y
0.125
30
6
0700
8
Y
0.119
Monthly Average Limit:
30
Monthly Average:
0.184167
0
1.3
Daily Maximum:
0.537
7
0
2.6
Daily Minimum:
0.089
1
16.8
0
0
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday
FIECEIVEDINCDENRIDWR E i�
AUG 0 9 ZM
AUG 0 3 Z016
WQROS
MOORESVILLE REGIONAL OFFICE CEI\iTP- L FILES
DWR- SECTIUNI

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 06-2016 (June 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
1
e
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
6
E
E
E
R
O
Ev
in
c
ee
° `
C o
01055
TGP3B
01105
00070
00916
Quarterly
2 X month
Grab
Grab
Grab
Grab
Grab
MANGNESE
CER17DPF
ALUMINUM
TURBIDTY
CALCIUM
2400 clock
Hrs
2400 clock
Hrs
YB/N
Img/I
Pass/Fail
mg/l
ntu
mg/l
1
6
1500
8
Y
2
6
0700
8
N
3
6
0700
8
Y
4
6
0700
8
Y
5
1
6
0700
8
Y
6
6
0700
8
Y
7
6
0700
8
Y
1.4
8
7
0700
8
Y
9
6
0700
8
Y
10
6
0700
8
N
11
9
0700
8
N
12
6
0700
8
N
13
1
7
0700
8
N
14
7
0700
8
Y
15
24
0700
8
B
16
24 10700
8
Y
17
7
0700
8
Y
18
7
0700
8
Y
19
7
0700
8
Y
20
7
0700
8
Y
-
21
7
0700
8
B
1.2
22
6
0700
8
Y
23
7
0700
8
B
24
6
0700 18
N
25
9
0700
8
N
26
6
0700
8
N
27
4
0700
8
N
28
5
0700
8
Y
29
6
0700
8
Y
30
6
0700
8
Y
Monthly Average Limit:
Monthly Average:
1.3
Daily Madmum•
1.4
Daily Minimum:
1.2
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCO027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Shelby WTP.
CLASS: PC-1
COUNTY: Cleveland .
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
ORC CERT NUMBER: 985377
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 06-2016 (June 2016)
VERSION: 1.0
STATUS: Processed
COMPLIANCE: Compliant
CONTACT PHONE #: [phone]
SUBMISSION DATE: 07/20/2016
07/13/201.6
ORC/Certifier Signature: _Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.. .
Any information shall be provided orally within 24 hours from the time the.permittee became aware of the circumstances. A written submission shall also be_
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
07/20/2016
v v
Permittee/Submitter Signature:***, David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Perm ittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: Wendell Leonard
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* ** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
FACILITY NAME: Shelby WTP
CLASS: PC-1
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 06-2016 (June 2016)
VERSION: 1.0
Report Comments:
The Discharge Durations were 6 hours on June 7 and 7 hours on June 21
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 04-2016 (April 2016)
PERMIT VERSION: 4_0
CLASS: PC -I
ORC: Billy 7 Wilkie
ORC HAS CIIANGED: No
VERSION: 1_0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 9U- .7a
---EIVED/NCDENR/DWR
STATUS: Processed J U L V C 2016
C C,- , WQRCS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE.i.-NOc1C)RtAL OFFICE
CS
m
y
U F
F
S
U
E.
_E
E+
y�y
C
O
y
O
Opp
F
1 O
it
y
V
O
a Q
Z a
50050
00010
00400
60060
C0530
00916
00927
01055
TGF3B
2 X month
2 X month
2 X month
2 X month
Quarterly
Recorder
. Grab
Grab
Grab
Grab
Grab
Grab
Grab
Drab
FLOW
TEMP-C
iPH
I CHLORINE
TSS-Cone
I CALCIUM
MGNSIUM
MANGNESE
CIM7DPF
2400 clack
Hrs
2100 clock
73ra
WRIN
an d
deg c
so
u 6
mg/1
mg11
mg/1
m 11
P=Nuij
1
7
0700
8
1 N
0.05
2
5
0700
8
N
0.07
3
5
0700
8
N
0
R
P Ilk}
4
6
0700
8
N
0.4
5
7
0700
8
Y
0.135
6.9
<15
<2.5
lUN 2
6
7
0700
8
Y
0.129
7
6
0700
8
Y
0.135
a
6
0700
8
Y
0.124
LPVVf
9
7
0700
8
Y
0.134
10
6
0700
is
Y
1
0.126
11
6
0700
8
Y
0.112
12
6
0700
8
Y
0.133
13
7
0700
S
Y
0.128
14
7
0700
8
Y
0.103
IS
6
0700
8
N
0.29
16
7
0700
8 1
N
0.323
17
9
0700
8
N
0.36
IS
9
0700
8
N
0.143
6.8
< 15
16.2
19
7
0700
8
Y
0.149
P
20
7
0700
8
Y
0.153
21
7
0700
8
Y
0.145
22
7
0700
8 ly
0.131
23
6
0700
8
Y
0.138
24
07M
8
Y
25
6
0700
8
Y
0.121
26 1
16
0700
8
Y
0.137
27
6
0700
8
Y
0.132
28
5
0700
8
N
0.11
29
7
0700
S
N
0.28
30
10
0700
8
N
0.45
Monthly Average Ltmlt•
30
Monthly Avemge:
1165833
0
8.1
0
DallyMa:lmum:
0.45
6.9
0
16.2
Daily Minimum:
0
6.8
0 10
**** No Reporting Reason: ENFRUSE = No Flow Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow, HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 04-2016 (April 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 955377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
i
H
Ue F
E
F
6
F
E"
E
i£
O
=
L
9
iS
1 O
c
V
PS
O
a
e g
Z%
01105
00951
01042
00070
01045
uort Qer
Quarter
2 X month
Quarly
rte
Grab
Grab
Grab
Grab
Grab
ALUMINUM
FLUORIDE
COPPER
TURB
IRON
2400 dock
Hrs
2400 dock
Hm
YIB/N
m
m
-to
m
1
7
0700
8
N
2
5
0700
8
N
3
5
0700
8
N
4
6
0700
8
N
5
7
0700
8
Y
0.9
6
7
0700
8
1 Y
7
6
0700
8
Y
8
6
0700
8
Y
9
7
0700
9
Y
10
6
0700
8
Y
11
6
0700
8
Y
12 j
6 10700
8
Y
13
7
0700
8
Y
14
7
0700
8
Y
15
6
0700
8
N
16
7
0700
8
N
17
9
0700
8
N
IB
9
0700
8 1
N
9.8
19
7
0700
8
Y
0252
< 0.005
0.094
20
7
0700
8
Y
21
7
0700
8
Y
22
7
0700
8
Y
23 1
6 107DO
8
Y
24
7
0700
8
Y
25
6
0700
8
Y
26
6
0700
8 1
Y
27
6
0700
8
Y
28 1
5
0700
8
N
29
7
0700
8
N
30
10
0700
8
N
Monthly Average Limit
Monthly Avenge:
0.252
0
5.35
0.054
Daily Maximum:
0.252
0
9.8
0.054
Daily Minimum:
0.252
0
0.9
0.054
""t° No Reporting Reason: ENFRUSE - No Flow-ReusetRecycle; EN V WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow, HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCO027197 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Shelby WTP CLASS: PC-] COUNTY: Cleveland
r
OWNER NAME: City of Shelby ORC: Billy J Wilkie ORC CERT NUMBER: 985377
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 04-2016 (April 2016) VERSION: 1.0 STATUS: Processed
COMPLIANCE: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 06/17/2016
05/18/2016
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
06/17/2016
Permittee/Submitter Signature:-t" David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP
CERTHUD LAB #: 5340
PERSON(s) COLLECTING SAMPLES: Billy WiMe
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/iipdes/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.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 04-2016 (April 2016)
Report Comments:
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1_0
The discharge durations were 7 hours on Apr 5 and 9 hours on Apr 18
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERTNUMBER: 985377
STATUS: Processed

Effluent Toxicitv Report Form - Chronic Pass/Fail and Acute LC50 Date 28-Apr-16
Facility: SHELBY WTP PIPE 001 NPDES# NCO027197 Pipe# County: Cleveland
Laboratory Per -forming Test: Comments
X
Signature of Operator in Responsible
X
Signature of Laboratory Supervisor
MAIL ORIGINAL TO Environmental Sciences Branch
Div. of Water Quality
N.C. DENR
1621 Mall Service Center
Raleigh, North Carolina 27699-1621
North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test Chronic Test Results
CONTROL ORGANISMS Calculated t= -0.38
Critical Value= 2.508
1 2 3 4 5 6 7 8 9 10 11 12 % Reduction= -4.0%
# Young Produced
Adult (L)ive (D)ead
21
31
21
26
15
25
20
12
22
18
34
27
LE
L
L
L
IL
JL_
L
L
L
L
L
L
L
% Mortality Avg. Reprod.
0% 22.7
Control Control
Effluent % 90.0% 0% 23.6
Treatment 2 Treatment 2
TREATMENT 2 ORGANISMS
#Young Produced
Adult (L)ive (D)ead
1 2 3 4 5 6 7 8 9 10 11 12
22
19
24
28
32
25
28
26
11
21
25
L
L
L
L
L
L
L
L
L
L
L
H
pH 1st sample 1st sample 2nd sample
Control 7.7. 8.0 7.9 7.9 7.9 7.9
Treatment 2 7.0 7.5 7.5 7.4 6.9 7.5
start end start end start end
D.O. 1st sample 1st sample 2nd sample
Control 7.9 7.7 7.7 8.6 E86 7.9
Treatment 2 8.4 7.5 7.7 8.8 7.9
LC50/Acute Toxicity Test
(Mortality expressed as %, combining. replicates)
LC50 = Method of
95% Confidence Limits Moving Average
% i Spearman Karber
Organism Tested Cerodaj
This for Either Test
1
Sample 1
Sample 2
19-Apr-16
X
X
Hardness (mg/L)
Spec. Cond. (pmhos)
Chlorine (mg/L)
at receipt UC)
Control CV
27.9 %
% 3rd Brood LZ
FAIL
92%
Test Start Date
20-Apr-16
Sample 2 21-Apr-16
1st
2nd
Tox
Tox
Dilution
Sample
Sample
;0.
1<0.05
123
0 . a,;' � ME
0.21
0.0
not frozen
Mortality
start/end start/end
rmination
Control
Probit 1:1
I
High Conc. EIE
Other
pH. D.O.
DEM Form AT-1
Page 2 of 8

NPDEW)cRMIT NO.- NCO027197
PERMIT STATUS: Active
FACMITYNAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE:PC4
eDMR PERIOD: 03-2016 (March 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERTNUMBER:,F�95-�4`-WED/NCDENR/DWR
STATUS: Processed 'MAY - 2 2016
Vti'C?ROS
MOORES n I e^IOhdAL OcFICE
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGfE : RNO'
d
V E.
Fa
EF
E.
E
F
4
1 O
m
o
O
L
O
O
O
S' °�
2 a
50050
00010
00400
50060
COS30
00916
01055
00070
01042
2 X month
'2 X month
2 X month
2 X month
2 X month
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Crab
FLOW
I TEMP-C
PH
I CHLORINE
TSS - Conc
. CALCIUM
MANGNES'E
TURD
COPPER
2400 dock
Hrs
2409 clock
Hrs
YIB/N
m d
deg c
su
UgA
mg1j
MG4
mg4
ntu
t]
1
7
0700
8
B
0.046
6.8
< 15
< 2.5
0.8
2
0700
8
Y
3
10700
8
1 Y
4
0700
8
N
5
0700
8
N
6
0700
8
N
7
0700
8
N
8
0700
8
Y
9
0700
6
1 Y
4. 2
6
10
0700
8
Y
11
0700
8
Y
12
0700
8
Y
13
0700
8
Y
14
0700
8
Y
15
17
0700
8
B
0.092
1
6.7
< 15
< 2.5
11.3
16
0700
8
Y
17
0700
8 ly
18
0700
8
N
19
10700
8
N
20
0700
8
N
21 1
0700
8
N
22
0700 18
Y
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
Y
28
0700
8
Y
29
0700
8
N
30
0700
8
B
31
0700 Is
B
Monthly Average Limit:
30
Monthly Average:
0069
0
0
11.05
DallyMavmum:
0092
6.8
0
0 1
1.3
DallyNntmum:
0046 1
6.7
0
0 1
0.6
**** No Reporting Reason: ENFRUSE = No Flow ReuselRecycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow, HOLIDAY = No Visitation — Holiday

NPDF.S-PERMIT NO.: NCO027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Shelby WTP
CLASS: PCA
COUNTY: Cleveland
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
ORC CERT NUMBER: 985377
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 03-2016 (March 2016)
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
fS
H
$
U P
V
�
G
V
O
tl
a o
x a
00927
TGP3B
01045
00951
01105
Quarterly
Grab
Grab
Grab
Grab
Grab
MGNSIUM
CER17DPF
IRON
FLUORIDE
ALUMINUM
2400 dock
Hrs
2400 dock
Hm
Y/B/N
/1
nas/fai]
mg1j
mgA
m 84
1
7
0700
8
B
2
0700
8
Y
3
0700
8
Y
4
0700
8
N
5
0700
8
N
6
0700
8
N
7
0700
8
N
8
0700
8
Y
9
0700
8
Y
10
0700
8
Y
11
0700
8
Y
12
0700
8
Y
13
1 1
0700
8
Y
14
0700
8
Y
15
7
0700
8
B
16
0700
8
1 Y
17
10700
8
Y
18 1
0700
8
N
19
0700
8
N
20
0700
8
N
21
0700
8 IN
22
0700
8
Y
23
1
10700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
0700
8
Y
28
0700
8
Y
29
0700
8
N
30
0700
8
B
31
0700
8
B
Monthly Average Umit
Monthly Average:
'
Dolly Mazimum:
Daily Minimum:
•°*� No Reporting Reason: ENFRUSE =No Flow Reuse/Recycle; ENV WTHR = No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY — No Visitation —Holiday

NPDES T.IERMIT NO.: NCO027197
FACILITYNAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 03-2016 (March 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION. 1.0
CONTACT PHONE 0: 7044846885
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 04/14/2016
04/11 /20I 6
ORC/Certifier. Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the pormit tee 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.
V`-
04/14/2016
Permittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP
CERTIFIED LAB 1f: 5340
PERSON(s) COLLECTING SAMPLES: Wendell leonard
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/Ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 03-2016 (March 2016)
Report Comments:
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
The discharge durations were 7 hours on Mar-1 and 7 hours on Mar-15
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed

NPDES PERMIT NO.: NCO027197
F1ICIIITY NAME: Shelby WTP
I
OWNER NAME: City of Shelby
GRADE: PC -I
eDMR PERIOD: 02-2016 (February 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
o
U F.
E
o
E.
E
C
QE
a
O
y
E
F
c,
O
o
h
U
a
O
m
a c
o
Z ai
50050
00010
00400
50060
C0530
00951
TGP311
00070
01105
2 X month
2 X month
2 X month
2 X month
2 X month
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Crab
Grab
FLOW
TEMP-C
PH
CHLORINE
TSS-Conc
FLUORIDE
CERI7DPF
TURD
ALUMINUM
2400 clock
Hrs
2400 clock
Hrs
YB)N
mgd
deg c
su
up/1
mg/1
mgA
passMA
can
m 0
1
0700
8
Y
2
0700
8
Y
0.031
7
< 15
< 2.5
3.3
3
0700
8
Y
4
10700
8
Y
5
0700
8
N
O F1VF
f.nENF
/QWR
6
0700
8
N
7
0700
8
N
AR
1 p I
B 9 Z L
1 6
8
0700
8
N
9
0700
8
Y
t'vcRoS
10
10700
8
Y
MC
DRESVILL
= F EEG10I'1
AL OFFI—Ut
11
0700
8
Y
12
0700
8
Y
13
0700
8
Y
14
0700
8
Y
IS
0700
8
Y
16
10700
8
Y
0.117
6.9
< 15
< 2.5
0.7
17
0700
8
Y
I8
0700
8
Y
19
0700
8
N
20
0700
8
N
21
10700
8
N
22
0700
8 1
N
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
8
Y
27
1
0700
8
Y
28
OA)u
8
Y
29 1
1
0700 1
S I
Y
Monthly Average Limit:
30
Monthly Average:
0.074
0 10
12
Daily Maximum:
0.117
7
0
0
3.3
Daily Minimum:
0.031
6.9
0
0
0.7
**** No Reporting Reason: ENFRUSE = No Flow Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday
9D
APR 11 2016
CE.NTI�-AL FILES
DWR SECTION

NPDES PERMIT NO.: NC0027197
PERMIT VERSION: 4.0
PERMIT STATUS: Active
Fj,kCILITY NAME: Shelby WTP
CLASS: PC-1
COUNTY: Cleveland
1
OWNER NAME: City of Shelby
ORC: Billy J Wilkie
ORC CERT NUMBER: 985377
GRADE: PC-1
ORC HAS CHANGED: No
eDMR PERIOD: 02-2016 (February 2016)
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
q
a
E
U H
E
E
�
U
e
E+
E
E
$
O
y
e
O
E
4
Q
c
O
.
�
C
V
O
m
g
Z a
01055
00927
00916
01045
COTHR
01042
Grab
Grab
Grab
Grab
Grab
Grab
MANGNESE
MGNSIUM
CALCIUM
IRON
C01IM
COPPER
2460 clock
Iirs
2400 clock
Ilrs
YIB7N
mga
mg4
mg/1
mgd
ug/1
m n
1
0700
8
Y
2
0700
8
Y
3
0700
8
Y
J
10700
8
Y
5
0700
8
N
6
0700
8
N
7
0700
8
N
8
0700
8
N
9
0700
8
Y
10
10700
8
Y
11
0700
8
Y
12 1
0700
8
Y
13
0700
18
Y
14
0700
8
Y
15
0700
8
Y
16
0700
8
Y
17
0700
8
Y
18
0700
3
Y
19
0700
8
N
20
0700
8
N
21
0700
8
N
22
10700
8
N
23
0700
8
Y
24
0700
8
Y
25
0700
8
Y
26
0700
18
Y
27
0700
8
Y
28
0700
8
Y
29
0700
8
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.: NC0027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 02-2016 (February 2016)
Report Comments:
On 2-2-16 the discharge flow duration was 2 hours
On 2-16-16 the discharge flow duration was 6 hours
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Billy J Wilkie ORC CERT NUMBER: 985377
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed

NPDES PERMTI' NO.: NCO027197
FACILITY NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 02-2016 (February 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy 7 Wilkie
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SUBMISSION DATE: 03/31/2016
03/31/2016
ORC/Certifier Signature: Billy Wilkie E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a tune -table for improvements to be made as required by part II.E.6 of
the NPDES permit. >V��jW
U3/3112016
Permittee/Submitter Signature:*** David W Hux E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 801 W Grover St Shelby NC 28150 Permit Expiration Date: 05/31/2020
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: Shelby WTP
CERTIFIED LAB #: 5340
PERSON(s) COLLECTING SAMPLES: Billywilkie
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting littp://portal.ncdeiir.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.: NCO027197
FAIL, ELM NAME: Shelby WTP
OWNER NAME: City of Shelby
GRADE: PC-1
eDMR PERIOD: 01-2016 (January 2016)
PERMIT VERSION: 4.0
CLASS: PC-1
ORC: Billy J Wilkie
ORC HAS CHANGED: No
VERSION: 2.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 985377
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
q
fi
$
O F
m
F
6
E
O
y
a
O
a
O
U
O
wv
z a
50050
00010
00400
50060
C0530
o0951
00916
01055
00927
2 X month
2 X month
2 X month
2 X month
Recorder
Grab
Crab
Grab
Grab
Crab
Grab
Grab
Grab
FLOW
TEMP-C
PH
CHLORINE
TSS-Cone
FLUORIDE
CALCIUM
MANGNESE
MGNSTUM
2400 dock
11irs
2400 clock
Hrs
YAMN
mgd
deg c
so
ug/1
MSA
mg/1
mgA
m 4
-84
1
0700
8
Y
2
0700
8
Y
3
0700
8
Y
RE
CE{VED/N
DENR/D%''
/R
4
0700
8
Y
_
5
0700
8
Y
0.145
6.7
< 15
2.7
�n
MAR 6
'I
3 b
L I
6
0700
8
Y
7
0700
8
Y
_
8
0700
8
N
9
0700
8
N
10
0700
8
N
11
1
0700
8
N
12
0700
8
N
13
0700
8
N
14
10700
8
IN
IS
0700
8
Y
16
0700
8
Y
17
0700
8
Y
18
0700
8
Y
l9
0700
8
Y
0.112
69
< 15
< 25
20
0700
8
Y
21
10700
8
I Y
22
0700
8
N
23
0700
8
N
24
0700
8
N
25
0700
8
N
26
0700
8
1 Y
27
10700
8
Y
28
0700
8
Y
29
0700
8
Y
30
0700
8
Y
31
0700
8
Y
Monthly Average Limit:
30
Monthly Average:
0.1285
10
1.35
Daily Maximum:
0.145
6.9
0
2.7
Daily Minimum:
0.112
6.7
0
0
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday
KaLlME)
MARA 4 2016
CENTRAL FILES
DWR SECTION

19
Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 01/25/16
Facility: CITY OF SHELBY WATER PLANT NPDES#: NCO027197 Pipe#: 001 County: CLEVELAND
Laboratory Performing Test: PACE ANALYTICAL
Comments:
X
Sigriaturot Operator Responsible Charge
X
Sign urebt pabor&tory Supervisor-. * PASSED: 5.44%Reduction
Work Order: 92283532 Environmental Sciences Branch
MAIL ORIGINAL TO: Div. of Water Quality
N.C. DENR .
1621 Mail Service Center
Raleigh, -North Carolina 27699-1621
utll uli..L
Chronic Pass/Fail Reproduction Toxicity Test'
:=TROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12
# Young Produced
25
18
31
31
29
23
29
30
29
28
27
31
Adult (L)iv e. (D) ead
L
D_
L
L.
L
L
L
L.
L
L
L
L
affluent %: 90% -
^REATMENT 2 ORGANISMS 1 2 3. 4 5 6 7 8 9 10 11 12 Control CV.
14.122%
# Young Produced 17 27 30 28 24 27 28.24 29 24 27 28 % control.orgs
producing 3rd
brood
Adult (L)ive.(D)ead L L L L L L L L L L L IL 91.69k
Chronic Test Results
Calculated t
Tabular .t
!k Reduction = 5.44
96 Mortality
c
Avg.Reprod.
8.33
27.58
Control
Control
0.00
26.08
Treatment 2
Treatment 2-
PASS FAIL
X
Check One
last sample lst;sample '2nd sample Complete This For'Either Test
PH Test Start Date 01/20/16
Control 7.48 -8- 03- 7. 78--8'01 7:78 =7:79 -Coll-ect: on= (start)= Date- - = -
Sample 1: 01/19/16 Sample 2: 01/21/16.
Treatment 2 7.11 7.47 7.67 7.53 7.73 7.40. Sample-Type/Duration 2nd
1st P/F
s s s Grab Comp. Duration 'D
t e t e t e I S S
a n a n a n Sample 1 X hrs L A-.. A
r d r d r d U M M
t t t Sample 2 X hrs T P P
lst sample 1st sample 2nd sample
D.O. Hardness (mg/1) 48 .•••.•..•• .. ..........
Control 7.99 7.87 8.00 7.64 7.77 7.36
Spec. Cond.(µmhos) 279 Ill 104.3
Treatment 2 7.66 7.94 7.51 7.11 7.70 7.26
Chlorine (mg/1) ........ <0 . 1 <0 . 1
LC50/Acute Toxicity Test Sample temp. at receipt(°C) ........ 0.9 1.5
(Mortality expressed as %, combining replicates)
%
%
'c
%
Note: Please
Concentration [jeion
omplete This
tAlso
Mortality
start/end start/end
LC50 = % Method of Determination
9596 Con i ence Limits Moving Average _ Probit _
-- % Spearman Karber _ Other
ontrol
High
PH
Organism Tested: Ceriodaphnia dubia Duration(hrs):
copiea rrom liw(,j =orm K-u-1 t6/ai) rev. 11/in .ojub1Ei vex:-. �.�1�