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HomeMy WebLinkAboutNCG590008_Regional Office Historical File Pre 2018 (3)DES PERMIT NO.: NCG590008 ACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 08-2019 (August 2019) PERMIT VERSION: 1.0 REeEI ELD PERMIT STATUS: Inactive 3 CLASS: PC -I 20 201� COUNTY: Gaston CT ORC: Rufus Mason Masters O 5 ORC CERT NUMBER: 990478 ORC HAS CHANGED: No CENTiV\L FILES RECEIVED/NCDENR/DWR DWR SECTJO 3 VERSION: I.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCRGE*MODS RESVILLE REGIONAL OFFICE **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday ES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Inactive ACILITY NAME: Fox Run WTP CLASS: PC -I COUNTY: Gaston OWNER NAME: Aqua North Carolina Inc ORC: Rufus Mason Masters ORC CERT NUMBER: 990478 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 08-2019 (August 2019) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) A F 7 y 2400 clock H. 2400 clock Hn YIB/N 3 4 5 6 24 1116 0.45 Y 7 9 9 10 11 12 1605 24 1521 0.72 Y 13 24 1019 0.68 Y U 15 i6 17 Is 19 20 21 24 1001 0 Y 22 23 24 25 26 1643 24 1556 0.78 Y 27 29 29 24 1247 0.07 Y 30 31 Monthly Menge Unit: Monthly A—W: Deily Mo I.— Mly Mlni— ♦a. No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY — No Visitation — Holiday DES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Inactive AGILITY NAME: Fox Run WTP CLASS: PC -I COUNTY: Gaston OWNER NAME: Aqua North Carolina Inc ORC: Rufus Mason Masters ORC CERT NUMBER: 990478 GRADE: PC-] ORC HAS CHANGED: No eDMR PERIOD: 08-2019 (August 2019) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 7048531478 SUBMISSION DATE: 09/27/2019 l v , 09/26/2019 ORC erti 'er Signature: Rufus Mason Masters E-Mail:RMMasters a aquaamerica.com Phone #:704-489-9404 Date By this signature, 1 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. 09/27/2019 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner_aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). FPC MIT NO.: NCG590008 AME: Fox Run WTP ME: Aqua North Carolina Inc -I eDMR PERIOD: 07-2019 (July 2019) PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Inactive 3 R r-� If` r—IVE&INTY: Gaston OCT q r 7QjfRCCERTNUMBER:990478 E J G RECEIVEDNCDENR/DWR CcN I IV\L FILE;IFATUS: Processed ii ; `� IDWR SECi10P I 4 G S SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC%C ONAL OFFIr!- **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow: HOLIDAY" = No Visitation — Holiday IT NO.: NCG590008 NAME: For Run WTP NAME: Aqua North Carolina Inc rADE: PC -I eDMR PERIOD: 07-2019 (July 2019) PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Inactive COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) s Y�j N Y e` F � E 3 { y Mgt e• u ,C z 2400 d-k H. 2400eWit H. V/BM 1 2 24 1110 0 Y J J 5 6 7 R 9 24 807 0.43 Y 10 1556 24 1508 0.8 Y 1 12 13 14 15 16 24 1409 0 Y 17 IR 19 20 21 22 23 24 952 0 Y 24 1500 24 1401 0.98 Y 25 26 27 28 29 70 24 1036 0 Y 31 Monthly Mempe Limit: M-thb A ... W: Nib, Mnimum: D.ik Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle: ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday IT NO.: NCG590008 NAME: Fox Run WTP IER NAME: Aqua North Carolina Inc DE: PC -I eDMR PERIOD: 07-2019 (July 2019) COMPLIANCE. STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7048531478 PERMIT STATUS: Inactive COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 08/30/2019 08/30/2019 OR /Certi 'er Signature: Rufus Mason Masters E-Mail:RMMasters (raquaamerica.com Phone #:704-489-9404 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. 08/30/2019 Perm ittee/Submitter Signature:*** Matt Costner E-Mail:mrcostneraaquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters 6 CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: if signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). VNER IT NO.: NCG590008 NAME: Fox Run WTP AME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 06-2019 (June 2019) PERMIT VERSION: 1.0 RECEIVED PERMIT STATUS: Active 3 CLASS: PC-1 COUNTY: Gaston ORC: Rufus Mason Masters AUG 13 2flt9 ORC CERT NUMBER: 9900„EIVEDMCDENRroWR ORC HAS CHANGED: No CEN'FFlAL FILES ,Q- VERSION: 1.0 DWR SECTION STATUS: Processed 1 e WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHIielWMFftLNaEG10NAL OFFICE ••** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday IT NO.: NCG590008 NAME: Fox Run WTP WWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 06-2019 (June 2019) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) Y 8 y E � a = F `gg 6 1< `gg 5 a 24M d-k Hn 2400 cock Hn V/a/IV 2 3 J 1 24 1045 0 Y 6 7 8 9 to 11 1650 24 1545 1.07 1 Y 12 24 1133 0.35 Y 13 IJ 15 16 17 18 24 941 0.8 Y 19 26 21 22 23 24 25 1635 24 1551 0.73 Y 26 27 24 1349 10 1 Y 28 29 .lY M-" A-1p 13mk: MwMh A,,,.W: D. k Maa1— Dmllr Mlnknnm: 9999 No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NO.: NCG590008 NAME: Fox Run WTP MNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 06-2019 (June 2019) COMPLIAKE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7048531478 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 07/30/2019 07/24/2019 ORC/Ce;ifier S&nature: Rufus Mason Masters E-Mail:RMMasters n_aaquaamerica.com Phone #:704-489-9404 Date By this signature, 1 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. 07/30/2019 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostneraaquaamcrica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.://,NCG590008 FACILITY NAME: F z Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 05-2019 (May 2019) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 RECEIVE�71�RMIT STATUS: Active 3 COUNTY: Gaston AUG 13 2019 ORC CERT NUMBER: 990478 CEN"TRAL FILES RECEIVED/NCDENR/DWR DWR SECTION STATUS: Processed AUG 1 9 %'(ih SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:tMos MOORESVILLE REGIONAL OFFICE **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.•-NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 05-2019 (May 2019) PERMIT VERSION: 1.0 PERMIT STATUS: Active CLASS: PC-1 COUNTY: Gaston ORC: Rufus Mason Masters ORC CERT NUMBER: 990478 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) 2400.Iwk H. 2400dwk H. YnuN 1 24 937 1.27 Y 2 3 4 5 6 7 1533 24 1336 1.95 Y 0 1 24 1627 0.2 Y 9 1e 1 12 13 14 1 24 1053 0 Y I5 16 17 10 If 20 21 22 24 1513 0.3 Y 23 24 25 26 27 29 1628 24 1534 0.9 Y 29 30 24 1140 0 Y 31 M-tkl-v Aver W U k: N-My A—V: DaIW M-1— D.* W.I. • **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.:.NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 05-2019 (May 2019) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7048531478 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 06/27/2019 06/25/2019 ORC/�rtifier jignature: Rufus Mason Masters E-Mail:RMMasters a aquaamerica.com Phone #:704-489-9404 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. __.y 06/27/2019 Perm ittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/fonns. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). REdENF-E) -j NPI)EWERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNPR NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 04-2019 (April 2019) PERMIT VERSION: 1.0 CLASS: PC-1 JUN 7 2019 ORC: Rufus Mason Masters CENTRAL FILES ORC HAS CHANGED: No DWR SECTION VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUM'%& ],$4 NCDENR/DWR STATUS: Processed J U L - 8 2019 WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DI9CIIk1RIMONAL OFFICE ••** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDE% PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 04-2019 (April 2019) PERMIT VERSION: 1.0 PERMIT STATUS: Active CLASS: PC -I COUNTY: Gaston ORC: Rufus Mason Masters ORC CERT NUMBER: 990478 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) 2400 dwk H. 24Md k Hn Y/a/N 1 1 24 1139 0.2 Y 3 1400 24 1259 1.18 Y J 3 6 7 8 9 24 1411 0 Y is 11 12 13 14 Is 16 24 1204 0 Y 17 1505 24 1409 0.93 Y Is 1s 2e 21 22 23 24 1041 0.92 v 24 25 26 n sa 29 >. M.MW A—W 1AW1: Mmd* Average: D.a7 Maxie: D.av Mbb— .e" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPD:; PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 04-2019 (April 2019) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7048531478 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 05/31/2019 05/15/2019 ORC/ rtifi r Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. /`�\ 05/31/2019 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true. accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/pstnpdes/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). U RTAWfflimrm LHOSInc. POST OFFICE BOX IM a #6 PINEWOOD PLAZA DR. GRANITE FALLS, NORTH CAROWdA 28630 (820) W"444 SAMPLE: Fox Run PERMIT#: NCG590008 ADDRESS. Aqua North CaroUna P.O. Box 859 Denver, NC 28037 COLLECTION DATE. 4/3/2019 COLLECTION TIME: 14:00 RECEIVED DATE: 4/4/2019 RECEIVED TIME: 14:32 REPORTED: 4/25/2019 LOG ID: 1904-114 REPORTED BY: NC CERTIFIED LAB # 50 Torry Gregg, Lab Supervisor RESEARCh ANAL T*1CA1 LA ORATORIES, ING ,3; I For: Water Tech Labs, Inc. P.O. Box 1066 Granite Falls, NC 28630 Attn: Joe Gregg Report of Analysis 4/18/2019 NC434 Zi NC937701 �! Client Sample ID: Fox Faun Lab Sample ID; 65380-03 Site: Water Tech Labs Collection Date; 413120/9 14.00 era later Method Result Units Rep Liml Anal Analysis {late/Time Iron, Total EPA 200.7 2420 ug/L 25 JF 4/1612019 Manganese, Total EPA 200.7 94.4 ug/L 5 JF 411612019 NA a not cn*zed P.O. Box 473 108 Short Street KernersvlNe, North Carolina 27284 Tel; 336.996-2841 Fax: 336.996-0326 wwvi,randalabs.com Page 1 rai_cwa_basic_v1d morcrROKcH LiMmEhic. POST OFFIOE SOX 1060 • 03 PINEWOOD PLAZA DR. GRANITE FALLS, NORTH OAROLINA 28630 " (828) 3964444 SAMPLE Fox Run COLLECTION DATE., 4/17/2019 PERMIT #` NCO590DOB COLLECTION TIME: 15:05 ADDRESS,' Aqua North Carolina RECEIVED DATE 4118i2019 P.O. Sox 859 RECEIVED TIME: 14:30 Denver, NC 28037 REPORTED: 4/25/2019 ws. :E.s' � K',,••i+;. •i;I f•T,t NN�,�17'r. '.i.•4 r'::'`*�: �'•.T Yt.. 1.91' ".'.:" -0T- t . J, . '�i24Aipi! ^aY}.4 a.a.!, di v f} 9 �G. �{Y,!� TW ... `. ��,.rr �'?i`(ir''f'.+ ..rQci" •.ist.•. r-- k" g�, N :� 2.�r<7 �+� t• qsS�.� 'i .`µ'Y K':Gyi�. L. t.� � .C� }.f. .=��Yr�,�v:;rn.•� �. ''.�.•� "�`9��. �'�{'8:'t'..�o- �•�1� ,.".C' .ir :,1�-IS i>,., � F, f=ii. �ac� '�'? �y� .,`� �`,,,<�:.�:f;t:�;t�j`x+T•}�r:'.;•j;;^���'^Rr�.��At::��%f�+: ���� t���l .•s.s.-:v= .�'� ,r �•'�."j?r. :S^°'�.+,�:.�T+'p. f .a, rl�ir'�yJ}��y }L�� ti r r)� •. ; L i T "c s�G , , �'�•.:' C 'i 7t., ,"- 4;�t"�R'3a � Yti���ll:'t``�'�,lc�!1:� �i` a�;:•1!►�'Z�!'•;G';;-•,>3�.Nsr::, v ,4��, ' ..; s• �• �Y °�.�'�^?'>r�' Y - •�'j�':'_� •; 4:: ''�' e:.. :. •n.r..tti P....:� „�f#. �;. i, y a3; :i. � ei r,.._ e. i. � !% 17'• .rt� .e._..' Turhldity 16 ntu 4I18119 lag 7SS 6.6 mg/L 4/23119 Jig +} '3.r x ?> ti;', {f 3;:a� .r,.' f '„� 4,47, j� 9��,.�i�� .f�... ;t..5^.!+.'f:�•,�.•S�S!� ^it.:Yii . �•�. . cr:n, 1'^' ,^ti`�'•. ,y}'.M r i'_T;t.^ r:t�ii,•',`: -.f,, T•!,.•r • n { r. � L f�^'. Y' ^•�,..,t, K. i'ti"^ y' yir.S! :tM1+yrJa:Y.•r �'� •i` '�Y•:: _; '�''•'a. r, •; f i ? .ra •i:t r�`ri �1��.i1 C,.L'. 1Fil X�1•�.,, ... ;ni. +n �li,l'1 :'�.�Z:•' Srr• ., :. Y:•i. � 'a^;. �5.: � ... ,_ .�:i, '%v t,•.. � .-. . «." .i.,. 3 •r ..,h N>!i:•± .wS:Y .ae.p Y w.T•;;t r� y.C!Y.':i: f)::.ii'!�x"�'.t!. ^�'t;•�.::T`::'�?ii ;. `7.r'.r-.."'i�.^,,�ii`..•`•ii. Y�r`: �'if;• i' Z '' 4i' •• C au � •; fe^,.' .o. .�'s7xiy> .. t . � �y' F r 9 ti•��i, .• t x. , rs , ?7 ,, t x =� 9 %+�',.,t • ; . A.. ,` w :t 4.u'��it''t 4 .. r`•5:�..,yH;y { r:! �ti ., ;•.t "5'b.'•-y. +ir :"•�'v. ": Z�}'..Yy'• .r... �. 2} a..Ua.�?wtiY; j;.':4�w. r• t �"a:?: \n �\,y{'•,7..-. '�,..,)'7K .ia-7 viJ.w,]9•:4-. r!.:Y.y21•-ice.-.a.•�::1-: v.`�x': 3.ie:��t:�awrJnnl:]:��c. '�1ti. �.L): ri',�=-. '4•i9: Y7=w i'.'�a. .. rih v.: r-.�.s,:+::rrr:.:.. . _ty} 'y3•.��t!:,.... •,1-. ;:r.'., .::iJ•`' �:...'.':':'jI.': i..';.�::d..•..:'.:'�.i �( :a. i:'1 :.C• 'i� :4` r}.' .�..S,Ir �- ':i•: :'1, •'�ty,':�t•" ..1 •. ,...i};9:�1 ::i ..., ♦...i l:...�. .���ti•:'`x�t`�;;.�;.r;::a•Y..',is�:'•x��+{:^:7.r•ri•J:�1vxyGL �r��;� fg;��� r�!:t,,'�'e-i(..F:% 'i'.k"�'"^S+�,S`:k,' .}� �?•l�v:ty G. �{7 LOG ID: 1904-354 REPORTED BY: NC CERTIFMD LAB # 50 frl* Tony Gragg, Lab Supervisor eElveb NPDES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 �uN os Zo�9 PERMIT STATUS: Active 3 _ — FACILINA : Fox Run WTP CLASS: PC-1 COUNTY: Gaston OWNER NAME: Aqua North Carolina Inc ORC: Rufus Mason Masters CENTRAL FI_ES ORC CERT NUMBER: 990478 GRADE: PC-1 ORC HAS CHANGED: No DWR SECTION eDMR PERIOD: 03-2019 (March 2019) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO ssss No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Active FACILITVAIN`: Fox Run WTP CLASS: PC-1 COUNTY: Gaston OWNER NAME: Aqua North Carolina Inc ORC: Rufus Mason Masters ORC CERT NUMBER: 990478 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 03-2019 (March 2019) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) F 3 I ! 8 ¢ (p� ,, f je Fy�.r_. iw... 'M/ i [1� 4�. D MAY 2 9 2019 Scienclrs Section UN dwk tin 24M clack Hn V- 2 3 4 ! Iwo 24 1425 1.58 Y 24 1043 0.1 Y 7 9 9 10 11 12 13 24 1058 0.88 Y t4 IS if 17 to 19 1525 24 1420 1.07 Y m 24 1038 0.28 Y 21 22 tl 24 :s 24 24 843 0.5 Y n za n x n Mwlhly Av..W [A": Mwlhly Averaw: D.My M1.b ••** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCG590008 FACILIT,!j.N 11; :Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 03-2019 (March 2019) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7048531478 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 04/26/2019 04/25/2019 ORC/C rtifier Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 04/26/2019 Perm ittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner(c)aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/pslnpdes/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). ES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 02-2019 (February 2019) PERMIT VERSION: 1.0 CLASS: PC -I REC H V ED ORC: Rufus Mason Masters APR 2 6 2 p 19 ORC HAS CHANGED: No VERSION: 1.0 CEN I RAL FILES DWR SECTION PERMIT STATUS: Active 3 COUNTV:Gaston ORC CERlt11NUMBER: 990478 l RECEREDINCDENR/DWR STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DIWe&WQ R$ANAL OFFICE •"' No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday ES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 02-2019 (February 2019) PERMIT VERSION: 1.0 CLASS: PC- I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) 9 a F F a E _ 24M clock H. 24M clack H. Y/a/N 2 3 4 3 1602 124 1457 1.08 Y 6 24 1118 0.47 Y 7 8 9 to 12 13 14 24 1138 10 Y 13 16 17 IB 19 1545 24 1436 1.15 Y 20 21 24 1216 0 Y 22 23 24 26 26 24 840 0.63 Y 27 28 M.Nk1y Avenge Usk: Monthly Avenge: Dolly Mo.[—.: Dolly Mob— **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday mppppp, DES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 02-2019 (February 2019) COMPLIANCE STATUS: Compliant ��. in, PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7048531478 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 03/28/2019 03/14/2019 ORCCertitier Signature: Rufus Mason Masters E-Mail:RMMasters n aquaamerica.com Phone #:704-489-9404 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 attac a list corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 03/28/2019 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostnercot aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). PNPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 01-2019 (January 2019) PERMIT VERSION: 1.0 R E 0 F IV E l) PERMIT STATUS: Active CLASS: PC-1 COUNTY: Gaston 5 ORC: Rufus Mason Masters APR 01 2019 ORC CERT NUMBER tlEbIPJCDENRID'NR ORC HAS CHANGED: NoCEN i lq! l- PILE,) VERSION:2.0 LX/,3 SE'CTIO�J STATUS: Processed \n)„ROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCfifl4M)9jj:'!0NAL OFFICE ••** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday PNPPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 0 1 -2019 (January 2019) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 2.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) a � tS 2400 dwk IHn 2490.1..11 Hn Y/9�N 2 3 S 6 7 8 1525 24 1359 1.42 Y 9 24 11040 0.17 Y t 11 ti 13 i 15 16 17 24 924 0 Y Is 19 20 21 22 1643 24 1602 0.68 Y 23 U 24 1453 0.03 Y 23 26 27 n 29 24 1324 0.17 Y 31 M..tht7 A—W: D.W M-1— D.W MYIM- "" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday PPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 0 1 -2019 (January 2019) COMYJJANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 2.0 CONTACT PHONE #: 7048531478 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 02/21/2019 m 02/21/2019 ORC/ ertifi ignature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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-- c` " 102/21/2019 Perm ittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/pslnpdes/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). FESPERMIT NO.: NCG590008 PCILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 12-2018 (December 2018) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters MAR 0 4 Z019 ORC HAS CHANGED: No VERSION: 1.0 CCN I R AL FILE:'j WIR 51,CT101&J m PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 EC`E VEDINCEENR/DWR STATUS: Processed Vv' QROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISlq#A1v *g I cNOONAL OFFICE **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday S PERNO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 12-2018 (December 2018) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) A a F- L e 3 2400 clock Hn 2400 clock H. Y/9VN 2 3 24 1319 0.23 Y 5 6 7 0 9 to 11 24 1413 0.05 Y 12 1555 24 1450 1.07 Y 13 14 15 16 17 Is 24 1 1425 0.35 1 Y 19 20 21 22 23 24 24 1834 0.1 Y V; 26 1555 24 1446 1.15 Y 27 2s 29 30 31 24 1527 0.48 Y Moodily Ae ..V Lima: Mmtby Average: Deily Mulsm: DeBv Mielmam: "i6 No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday S PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 12-2018 (December 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7048531478 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 01/29/2019 01/17/2019 OR(f/Cer ' ier Signature: Rufus Mason Masters E-Mail:RMMasters gaquaamerica.com Phone #:704-489-9404 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 a 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 /29/2019 Perm ittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). ppp- r 590008 IFLITYNAME:Fox RunWTPOAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 11-2018 (November 2018) PERMIT VERSION: 1.0 PERMIT STATUS: Active 3 CLASS: PC-1 �j �.•,1 UNTY: Gaston ORC: Rufus Mason Masters R F- . ' ' C CERT NUMBER: 990478 ORC HAS CHANGED: No AN 2 9 2019 RECEIVEDINCDENRIDWFR VERSION: 1.0 , .-.STATUS: Processed SAMPLING LOCATION: EFFLUENT ��^^�� r i UV/1i :Si--" 1V+ l DISCHARGE NO.: 001 NO DISCHARGEhC)NO r,ennRESVILLE REGIONAL OFFICE •"' No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday P- IT NO.: NCG590008 PI,LITY NAME: Fox Run WTPOWER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 11-2018 (November 2018) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) e a g 24M d" Hn 2400 dwk H. YIWN 3 4 5 6 24 11031 0.58 Y 7 B 9 1 11 12 13 14 1530 24 1425 107 Y 13 24 1304 0 Y 16 17 l0 19 20 24 1132 0 Y 21 22 2.3 24 2.i 26 27 1600 24 1501 0.98 Y 28 24 1437 0.17 Y n 30 M-1My A—V Llma: Mwtkly Ave-W: Day- Mail — May Mbl.— ••99 No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday PMIT NO.: NCG590008 Y NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 11-2018 (November 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7048531478 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 12/27/2018 12/24/2018 ORC/Cert ier Svignature: Rufus Mason Masters E-Mail:RMMasters rr aquaamerica.com Phone #:704-489-9404 Date By this signature, 1 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 ' of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit. 12/27/2018 Perm ittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner_aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/fortns. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). FERMIT NO.: NCG590008 TY NAME: Fox Run WTP R NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 09-2018 (September 2018) PERMIT VERSION: 1.0 CLASS: PC-1 RECEIVED ORC: Rufus Mason Maste2DU C C O q e7 2 n 18 ORC HAS CHANGED: No C U VERSION: 1.0 CEN I KAL FILES DWR SECTION PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 DECEIVED/NCDENR/DWR STATUS: Processed 1, ( () �1118 WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCH F6(,t L1W&EGIONAL OFFICE ••" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday FERMIT NO.: NCG590008 Y NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 09-2018 (September 2018) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) y ` u 2400 clock IHn 24M clock Hn Y/B/I4 2 3 4 s 24 1132 0.1 Y 6 7 B f ,a 11 1635 24 1635 0 Y 12 13 14 Is 16 17 Is 24 1536 0.07 Y 17 26 21 22 23 14 n 1740 24 1740 0 Y 26 27 29 29 36 Mnulkh A•xr W llmk• Monthly Avenge: Dnih Maximum: Daily Minimum: ••** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday V NCG590008 AGILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 09-2018 (September 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 10/30/2018 10/22/2018 OR Certi er Signat Rufus Mason Masters E-Mail:RMMasters 0aquaamerica.com Phone #:704-489-9404 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 10/30/2018 Perm ittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner�aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). pr IT NO.: NCG590008 PFArCNAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 08-2018 (August 2018) PERMIT VERSION: 1. CLASS: PC -I 10R EC R IUED ORC: Rufus Mason Masters O C T 81 2018 ORC HAS CHANGED: �ENl HAL FEES VERSION: 1_0 DWR SECTION PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed RECEIVED/NCDENWE)WR SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*VAWOS MOORESVILLE REGIONAL OFFIrr 3 g g Z se050 00409 5e0611 C0530 00951 01065 oloss own O1o91 2 X month Monthly 2 X month 2 X month Quarterly Quarterly Quarterly Monthly Quarterly Instantaneous Gab Grab Grab Grab Grab Grab Grab Crab FLOW pH CHLORINE TSS • Coed F-TOTAL IRON MANCNESB T11RBm7'Y ZINC 2400 clock Hn 2400 deck H. Y/&N an d so USA m8A u u ugA ntu u 1 3 4 5 6 7 1539 24 1539 0 Y 0.0024 7.2 < 10 4.8 13 0 9 to t 12 13 16 1s 1 24 1130 0.2 IY 1 0.0024 16 17 IB 19 20 21 1610 24 1519 0.95 Y 0.0024 7.2 < 10 5.8 13 22 24 1014 0.2 Y 0.0024 23 24 25 26 n za 29 24 1305 0.32 Y 1 0.0024 30 31 Mealky Arenas Lbalt 30 Maa61y Ave W. 0.0024 O 5.3 13 Daily Muieym: 0.0024 7.2 0 5.8 13 Daly MI.I.— 0.0024 7.2 0 4.8 1 1 13 see• No Reporting Reason: ENFRUSE = No Flow-Rcuse/Recycle; ENVWTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday S PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aaua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 08-2018 (August 2018) PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: I.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) I � �7 F s ® � F a { < 8 � r 24M d.* H. 24M dads H. Y/RON 2 3 4 3 6 7 1539 24 1539 0 Y 0 9 10 1 12 13 14 1s 24 1130 0.2 Y 16 17 10 19 20 21 1610 24 1519 015 Y 22 24 1014 0.2 Y 23 24 23 26 27 20 24 1305 0.32 Y 30 31 M—&y A....p 13mi1: M-6y A—W: Daft Maximum: Daily Mbimum: •"' No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday S PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 08-2018 (August 2018) COMP LI NCE STATUS: Compliant ORC/C tifier PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 09/27/2018 09/21/2018 nature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 arhfcorrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 1l 09/27/2018 Permitte /e Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). F ERMIT NO.: NCG590008 Y NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 07-2018 (July 2018) PERMIT VERSION: 1.0 1♦ L C F) V E D PERMIT STATUS: Active CLASS: PC-1 CC p y 1 o lu Q COUNTY: Gaston ORC: Rufus Mason Masters G r ORC CERT NUMBER: 990478��C'VE�/NCOENR/DWR cEN rKAL FILES SEA ORC HAS CHANGED: No DWR SECTIOINI VERSION: LO STATUS: Processed MOORESVILLE OROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO REGIONgt oFr=jc **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday ES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 07-2018 (July 2018) PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) y S Y e U � F 9 -d a yU O m Z 2400 clock Hn 2400 clock H. YfWN 2 3 4 5 6 7 0 9 10 1650 24 1600 0.82 Y 11 124 1439 0.15 Y 11 13 14 Is 16 17 24 1611 0.22 Y 10 19 20 21 22 23 24 1705 24 1624 0.67 Y 2s 26 24 1144 0.07 Y 27 20 29 30 31 24 1 1047 0 ly Mautkly Avenge Unit: Monthly Avenge: Daily Maximum: Daily Mln6num• "'• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday FES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 07-2018 (July 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: LO CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 08/29/2018 YY 08/28/2018 ORC/C tifier Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 li co ctive actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. __11 / 08/29/2018 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Active NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 06-2018 (June 2018) CLASS: PC -I RECEIVED ORC: Rufus Mason Masters ORC HAS CHANGED: Net E P 04 2018 COUNTY: Gaston ORC CERT NUMBER: 990478 RECEIVED/NCDENR/DWR VERSION: 1.0 CENTRAL FILES STATUS: Processed SEP .10 ?018 DWR SECTION WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCH IL?�RF01ONAL OFFICE **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday ; NCG590008 NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 06-2018 (June 2018) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) A d e 1- e F a F S F � 2400 doh H. 2400 clock 11. Y/" 2 3 4 1 1659 24 1615 0.73 N s 24 1659 0.13 Y 6 7 8 9 10 11 12 24 1521 0.22 Y IJ 1 13 16 17 Is 1515 124 1428 0.78 N 19 24 11222 0.3 Y 20 21 22 23 24 25 26 27 29 24 852 0.03 B 29 JO Monthly Avenge Unit: Monthly Avenge: D.Hy M..I.— D.Ily mWen m: "'• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NCG590008 NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 06-2018 (June 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 07/23/2018 07/17/2018 ORC/ rtifi Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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. 07/23/2018 Permittee/Sutmitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31 /2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. ,Aqua NC CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). PES.,PERMITNO-: NCG590008 rppp- PNAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 05-2018 (May 2018) PERMIT VERSION: 1.0 PERMIT STATUS: Active CLASS: PC -I RECEIVED COUNTY: Gaston ORC: Rufus Mason Masters JUL 2 3 2018 ORC CERT NUMBER: 9%478 ORC HAS CHANGED: -CNo RECEIVED/NCDENR/DWR —EN f KHL FILES VERSION:1_0 DWR SECTION STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: hQROS MOORESVILLE REGIONAL OFFICE *•** No Reporting Reason: ENFRUSE = No Flow-Rcus&Rceycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday PES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 05-2018 (May 2018) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) g 3 2400 clock lln 2400 clock Hn YB/N 1 2 24 1527 0 Y 3 5 6 7 1755 24 1721 10.56 N 9 24 1421 0 Y 9 10 I 12 13 14 15 16 17 24 1158 0 Y 18 19 20 21 1629 24 1553 0.58 N 22 24 1331 0.15 Y 23 24 25 26 27 20 29 24 1447 0.55 Y 30 31 Monthly Average Umit: Monthly Avenge: Daily Mncimnm: Dully Minimum: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday PFppr- ESERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 05-2018 (May 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 07/05/2018 06/15/2018 OR ertifie tgnature: Rufus Mason Masters E-Mai1:RMMasters@aquaamerica.com Phone #:704-489-9404 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 att t f corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 07/05/2018 Perm ittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech.,Aqua N C CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the Permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 04-2018 (April 2018) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: LO PERMIT STATUS: Active 3 R E C E I V E LYUNTY: Gaston ORC CERT NUMBA 9%)4 8 J U N 2 12018 ECEIVED/NCDENR/DWR CENTRAL FILESTATUS: Processed � J�ll)s DWR SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAe QROS gjjN REGIONAL OFFICE •••• No Reporting Reason: ENFRUSE = No Flow-Reuse/Rccycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday Pp FV PERMIT NO.: NCG590008 TY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 04-2018 (April 2018) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) I 2400 dock H. 2400 dock firs VIWN I 2 3 24 949 0.07 Y 4 s 6 7 8 9 10 II 1600 24 1458 1 1.03 N 12 24 1556 0.17 Y 13 14 15 16 17 24 1610 0.25 Y 10 19 20 21 22 23 1600 24 1501 0.98 1 N 24 25 26 124 11012 0.05 Y 27 u z9 30 Monthly Average u®it: Monthly Average: Dolly mulmom: Doily MI.I. : **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Wcathcr; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday P ES PERMIT NO,: NCG590008 ITFACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 04-2018 (April 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 05/31/2018 ell 05/21/2018 ORC/ ertifi Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 ective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. _ 05/31 /2018 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31 /2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 03-2018 (March 2018) PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Mi t C E I v E D ORC HAS CHANGED: Noo, /� VERSION:1.0 MAY 18 2018 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBERED/NCDENR/DWR STATUS: Processed MAY 2 9 2018 C��Evv��Ntt I KHL FILES WQROS SAMPLING LOCATION: EFFLUENT DISCWkk s %.: 001 NO DISCVffifft*EA0I0NAL OFFICE 1 O 9Y i Q U F S pa O m Z' 50050 09400 sow C0530 00"1 01045 01055 00070 01092 2 X month Monthly Z X month 2 X month Qu-erly Quarterly Quarterly Month! Quarter! Instantaneous Grab Grab Grab Grab Grab Grab Grab Grab FLOW pH CHLORINE TSS • Coac F-TOTAL IRON MANGNESE TURBIDTY ZINC 2400 elock Hn 2400 clock H. VIBIN I an d so I u m u9A u l u ntu 2 3 4 S 6 24 1102 0.5 Y 0.0024 7 8 9 10 11 12 13 1325 24 N 0.0024 7.2 < 10 4.8 16 14 24 1541 0 Y 0.0024 IS 16 17 10 19 20 24 1452 0.2 Y 0.0024 21 22 23 24 25 26 1615 24 N 0.0024 7.2 < 10 7 14 27 28 1 24 1151 0.28 Y 0.0024 L3. Monthly Avekage limit: 30 Monthly Avenge: 0.0024 0 5.9 15 Doily Muio u n: 0.0024 7.2 0 7 16 Doty Mlaimum: 0.0024 7.2 0 4.8 14 swaa No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNEi NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 03-2018 (March 2018) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) x 1 g o F g s t 2400 clock H. 2400 cock Hn Y/B/N 3 4 s 6 24 1102 0.5 Y 7 0 9 10 11 12 13 1 1325 24 N 14 24 1541 0 Y is 16 17 10 19 20 24 1452 0.2 Y 21 22 23 24 2s 26 1615 24 N 27 28 24 I151 0.28 Y 29 30L] Jl Maothy Avenge Limit: Mootky Avenge: Daily Maximum: Daily Mid ma.• a"" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNS& NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 03-2018 (March 2018) COMPLIANCE STATUS: Compliant T ,,y r ORC/CenAfi,r Si PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 04/27/2018 04/27/2018 ture: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 a,%ZTrj list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 04/27/2018 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Active ✓ FACILITY NAME: Fox Run WTP OWNE4NAME: Aqua Notch Carolina Inc GRADE: PC -I eDMR PERIOD: 02-2018 (February 2018) CLASS: PC-1 RECEIVED ORC: Rufus Mason Masters ORC HAS CHANGED: NA P R 2 3 2018 VERSION: 1_0 CENTRAL FILES DWR SECTION COUNTY: Gaston ORC CERT NUMBER: 990478 1�D/NCDENR/DW,, STATUS: Processed APR 3 (1 18 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISg4 *u'1VRAs �LLE REGIONAL OFFICE •ssf No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNEotNAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 02-2018 (February 2018) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) 2400 clod If. 2400 clock H. YIWN 1 24 1519 0 Y 2 3 4 3 6 1450 24 1348 1.03 Y 7 24 1158 0 Y 8 9 10 11 t2 I3 24 1614 0 Y 14 Is I6 17 I0 19 20 1457 24 1421 0.6 Y 21 24 1125 0.28 Y 22 23 24 25 26 27 24 I049 0 Y 2e Mon" Avenge Limit: Muthy Average: Daily Maxim — Daily Mloimam: "" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation -Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNEIetNAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 02-2018 (February 2018) COMPLIANCE STATUS: Compliant a PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 03/16/2018 03/15/2018 ORC Certkier Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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, pl se 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 NPDES permit. 4 03/16/2018 Perm ttee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213 .0506(b)(2)(D). DES PERMIT NO.: NCG590008 ACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 01-2018 (January 2018) PERMIT VERSION: 1_0 PERMIT STATUS: Active CLASS: PC-1 COUNTY: Gaston ORC: Rufus Mason MasIR EC E I V E D ORC CERT NUMBER: 99ORWEIVED/NCDENR/DWR ORC HAS CHANGED: No MAR 2 3 2018 VERSION: 1.0 SAMPLING LOCATION: EFFLUENT STATUS: Processed CEN'I'iwL FILES WQROS DWR SECTION �y REGIONAL OFFICE DISCHARGE NO.: 001 NO DISCHAII .$ •"■ No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday DES PERMIT NO.: NCG590008 AGILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 01-2018 (January 2018) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) y e g a 1' s Cg S a u o oe z 2400 cock Hn 2400 clock Lin V/NN I 2 3 24 938 0.68 Y 4 5 6 7 8 9 1620 24 N 10 24 1325 0.47 Y 1 12 13 I Is 16 17 24 1449 0.3 Y to 19 20 21 22 23 1355 24 1325 0.5 Y 24 24 1444 0.17 Y 25 26 27 20 29 30 31 %tmthly Avenge Limit: Moothly Avenge: Doily M.A.— Noy Mioimom: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday ES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Active ACILITY NAME: Fox Run WTP CLASS: PC-1 COUNTY: Gaston OWNER NAME: Aqua North Carolina Inc ORC: Rufus Mason Masters ORC CERT NUMBER: 990478 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 01-2018 (January 2018) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 7044899404 SUBMISSION DATE: 02/23/2018 ,t 02/23/2018 ORC/ ert ier ignature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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, plea atta a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 02/23/2018 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Active FACILITY NAME: Fox Run WTP CLASS: PC -I R E C E I VE [YUNTY: Gaston OWNED NAME: Aqua North Carolina Inc ORC: Rufus Mason Masters �ORC CERT NUMBER: 990478 GRADE: PC-1 ORC HAS CHANGED: No FEB 21 2018 RE EVEDINCDENRIDWR eDMR PERIOD: 12-2017 (December 2017) VERSION: 1.0 CENTRAL FILES STATUS: Processed DWR SECTION W ROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC JL�EKtJMONAL OFFICE 8 '! ,§ t sOV10 004M 50060 Cos36 00931 01045 010ss 00070 01092 2 X month Monthly 2 X month 2 X month Quarterly Quarterly Quarterly Monthly Quarterly Instantaneous Grab Grab Grab Grab Grab Grab Grab Grab FLOW pH CHLORINE TSS-Con< F-TOTAL IRON MANGNESE TURBID2'Y ZINC 7400d tt H. 2400.10 k Hn v1wN I m d I so u m ug/I u u9n nm 2 3 4 S 1 24 1454 10 Y 0.0024 6 7 8 9 10 11 1645 124 1558 0.78 Y 0.0024 7.2 < 10 4.9 17 12 13 24 1112 0 Y 0.0024 14 Is 16 17 IB 19 20 24 1627 0.09 Y 0.0024 21 22 23 24 2s 26 1415 24 1321 0.9 Y 0.0024 7.2 12 4.1 9.4 27 28 29 30 31 Monthly Average Lift 30 Monthly Arernge: 0.0024 6 4.5 13.2 Milt' Maximum: 0.0024 7.2 12 4.9 17 D.oy Minimom: 0.0024 7.2 0 4.1 19.4 "'• No Reporting Reason: ENFRUSE = No Flaw-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNE� NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 12-2017 (December 2017) PERMIT VERSION: 1.0 PERMIT STATUS: Active CLASS: PC-1 COUNTY: Gaston ORC: Rufus Mason Masters ORC CERT NUMBER: 990478 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) 2t O d U s F a O 8 c O z 2400 clock an 2400 clock Hn Y/B/N 2 3 4 5 24 1454 0 Y 6 7 8 9 10 11 1645 24 1558 0.78 Y t2 13 24 1112 0 Y 14 Is 16 17 is 19 20 24 1627 0.09 Y 2t 22 23 24 25 26 1415 24 1321 0.9 Y 27 28 19 30 31 Monthly Avenge Limit: '.Ninthly Avenge: Daily M.A.— D.ay Mloinan: **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc 4 GRADE: PC-1 eDMR PERIOD: 12-2017 (December 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 01/30/2018 01/25/2018 ORCM,tifikr Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 c a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. _ 01/30/2018 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). P PESPE77ME: NCG590008 PCILITYx Run WTP OWNER NAME: Aqua North Carolina Inc PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters PERMIT STATUS: Active vJ LINTY: Gaston R F0F1VCZ&kCERT NUMBER: 990478 GRADE: PC-1 ORC HAS CHANGED: No FEB 0 5 Z013 9ECEIVED1NCDENR/DWF? eDMR PERIOD: 11-2017 (November 2017) VERSION: 1.0 STATUS: Processed C'-'v i tC"L FILE-' "INR SECT1W.1 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:#gos MOORESVILLE REGIONA 8 S U puq' St F f3 = g 5 S ee O Z' soon 00400 50060 C0530 o0951 01045 01055 00070 oio92 2 X month Monthly 2 X month 2 X month Quarterly Quarterly Quarterly Monthly Quarterly Instantaneous Grab Grab Grab Grab Grab Grab Grab Grab FLOW pH CHLORINE 1SS-Coat F-TOTAL IRON MANCNESE 77JRBIDTY ZINC 2400 clock Hn 2400 elodc I Hn Y/R(N I m d Su u m ug/l 11911 u ntu UgA 1 2 24 1340 0.13 Y 0.0024 3 4 5 6 1635 24 1550 0.75 Y 0.0024 7.24 < 10 4.8 15 7 0 9 24 1435 0 Y 0.0024 to 11 12 13 14 Is 24 1219 0.03 B 0.0024 16 17 l0 19 20 1615 24 1507 1.12 Y 0.0024 7.2 < 10 4.3 16 21 22 24 1253 0.15 Y 0.0024 23 24 25 26 27 20 24 1434 0 Y 0.0024 29 30 M-thly Avenge Imfr: 30 Monthly Avenge: 0.0024 0 4.55 15.5 DaOy M."a n n: 0.0024 7.24 0 4.8 16 Dh' mini— 0.0024 7.2 0 4.3 15 •"" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday It ES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE:PC4 eDMR PERIOD. 11-2017 (November 2017) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) e !— E E E -_ E F — e - N O F - u L z 2400 clack Hrs 2400 clock Hn Y/B/N 1 2 24 1340 0.13 Y 3 4 5 6 1635 124 1550 10.75 Y 7 8 9 24 1435 0 Y 10 I 12 13 14 15 24 1219 0.03 B 16 17 18 19 20 1615 24 1507 1.12 Y 21 22 24 1253 0.15 Y 23 24 25 26 27 28 24 1434 0 Y 29 30 Momhly Avenge Limit: Monthly Avenge: Drily 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 rESPYERMIT NO.: NCG590008 FAAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 11-2017 (November 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 12/22/2017 12/14/2017 ORC/C#tifier �igrhture: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 12/22/2017 Perm ittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forrns. 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.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Active /FACILITY NAME: Fox Run WTP CLASS: PC -I RECEIVED COUNTY: Gaston OWNER NAME: Aqua North Carolina Inc ORC: Rufus Mason Masters o�7 ORC CERT NUM/NCDENR/DWR GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 10-2017 (October 2017) VERSION:1.0 CENTRAL FILED STATUS: Processed JAN 8 r� DWR SECTION WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO 6%t9GBtG1WAL OFFICE- **** No Reporting Reason: ENFRUSE = No Flow-Reuse(Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 10-2017 (October 2017) PERMIT VERSION: 1.0 PERMIT STATUS: Active CLASS: PC-1 COUNTY: Gaston ORC: Rufus Mason Masters ORC CERT NUMBER: 990478 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) ® � � � I a r U � 24M clock an 24" clack Bn Y11/N 1 2 3 24 1320 0.28 Y s 6 7 0 9 1546 24 1447 0.97 Y 10 11 12 24 1343 0 Y 13 1 Is 16 17 10 19 24 920 0.13 Y 20 21 22 23 24 1253 24 1142 1.17 Y 25 26 24 1649 0.23 Y 27 28 29 30 31 MoNkly Ar..y. U.W. Mo." A—W.. Dolly M..imms: May ml b. : '•" No Reporting Reason: ENFRUSE = No Flow-ReuseJRecycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 r FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 10-2017 (October 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 11/29/2017 11 /27/2017 ORC/ertif(er Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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, 7�_?, list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. _ 11/29/2017 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Active FACILITY NAME: Fox Run WTP CLASS: PC -I OUNTY: Gaston OWNER NAME: Aqua North Carolina Inc ORC: Rufus Mason Masters RECEIVE RC CERT NUMBER: 990478 GRADE: PC-1 ORC HAS CHANGED: No U E_ U 2 9 2017 eDMR PERIOD: 09-2017 (September 2017) VERSION: 1.0 CENTRAL FILES STATUS: Processed DWR SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO •*** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday =ICE P PPPP' NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 09-2017 (September 2017) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) u � 2400 clerk Hm 2480 clock 11. YRIN 1 24 1017 0.1 Y 2 3 4 3 6 7 s 24 1307 0.18 1 Y 9 10 11 1740 24 1705 0.57 Y 12 l3 14 24 1633 0.17 Y IS 16 17 l0 19 30 24 851 0 Y 21 22 23 24 23 1616 24 1519 0.95 Y 26 27 26 24 1335 0 Y 29 30 Monthly Avenge Umh• Momhly Average: Daily Mocluum• Dilly Mi.fmm— •*** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday Pp NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 09-2017 (September 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 10/30/2017 1 -ry 10/16/2017 ORC/Ce ifier ignature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 a ch a list of rrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 10/30/2017 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PEJJMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT J YSTATUS: Active 'i FACILITY NAME: Fox Run WTP CLASS: PC-1 1\ E C E I V E V � Gaston OWNER NAME: Aqua North Carolina Inc ORC: Rufus Mason Masters ORC CERT NUMBER: 990478 ! GRADE: PC-1 ORC HAS CHANGED: No OCT 3 0 2017 RECEIVED/NCDENR/DWR eDMR PERIOD: 08-2017 (August 2017) VERSION: 1.0 CENTRAL FILF%TUS: Processed DWR SECTION ��1� iilll SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:vNPoS MOORESVILLE REGIONAL OFFICE **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NODES PERMMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 08-2017 (August 2017) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) s 7 e 3 F g a a 2400 clack H. 2400 dock H. Y/a/N 2 3 4 24 1151 0.22 Y 5 6 7 1716 24 1635 0.68 Y 8 9 24 1642 0 Y 10 1 12 13 14 is 16 24 1520 0.03 Y 17 I8 19 20 21 1712 24 1634 0.63 Y 22 23 24 1731 0 Y 24 25 26 27 28 29 30 31 Monthly Average Lima: Meathly Average: Daily M.A.— Daily N0.1 : **** No Reporting Reason: ENFRUSE = No Flow-Rcuse/Recycic; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPAES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 08-2017 (August 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 09/27/2017 I 1, 09/27/2017 ORC/ rti r Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 pe becomes aware of the circumstances. If the facility is noncompliant, pleas ttach a list o e ctions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit. 09/27/2017 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31 /2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 907-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES° PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 07-2017 (July 2017) PERMIT VERSION: 1_0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1_0 PERMIT STATUS: Active 3 REC EIVEDUNTY: Gaston ORC CERT NUMBER: 990478 OCT 0 9 2017 TTMIVED/NCDENR/DWR CENTRAL FILESTATUS: Processed 0( T 1 r1 1 0 j] DWR SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC Vmw*• w-Os GI IL•L�'h'�GlONAL OFFICE **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDESa PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua Notch Carolina Inc GRADE: PC-1 eDMR PERIOD: 07-2017 (July 2017) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) S F Ua pe 3 Fa P O Z 3g col O q s Za 24H clack I 1rn 2400 clock R. vfWN 3 4 5 6 24 1603 0.29 Y 7 8 9 to 1742 24 1655 Us Y H 12 13 24 1356 0.01 Y 14 Is 16 17 10 19 24 1545 0.22 Y 20 21 22 23 24 25 1515 24 1430 0.75 IV 26 24 1250 0.13 Y 27 28 29 38 31 Maotkly Average t3ua: Mwlhiy Avenge: Dilly Ma I.— Daay MMM- 9aa' No Reporting Reason: ENFRUSE = No Flow-Rcuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flaw; HOLIDAY = No Visitation — Holiday NPDES'PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 07-2017 (July 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: LO CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 08/24/2017 y /408/23/2017 ORC/ tifier .Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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. 08/24/2017 Perm ittee/Submitter Signature:***_'NTa� Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213 .0506(b)(2)(D). NPDES PERMIT NO.: NC0590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 06-2017 (June 2017) PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday A Cry, I ""r-04 C ic 6 /"z 3 #NPDES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Active FACILITY NAME: Fox Run WTP CLASS: PC -I Gaston OWNER NAME: Aqua North Carolina Inc ORC: Rufus Mason Masters R E CEr' V E C CERT NUMBER: 990478 GRADE: PC-1 ORC HAS CHANGED: No AUb 17 2017 eDMR PERIOD: 06-2017 (June 2017) VERSION: 1.0 CENTRAL FFL&ATUS: Processed DWR SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO **** No Reporting Reason: ENFRUSE = No Flow-Reme/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday RECEIVEDMCDENROWR A(il1 2 j 101! WQROS MOORESVILLE REr innlgl nrelr•F NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 06-2017 (June 2017) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) AI e doh H 3 I O u O Z 2499 clock tin UN clock H. Y/aM 3 4 N 5 1634 24 1555 0.65 y 6 7 a 9 10 1 13 13 1 is 16 17 is N 19 1505 24 1414 0.94 V 20 21 22 13 L 25 26 27 28 29 Meotky Avenge uva• Mmtkly Average: Daily Maalmen• Do* Mlel— '•" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday RECEIVED/NCDENR/DWR WQROS MOORESVILLE PFzrinkl4l nM(N: 0PDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 06-2017 (June 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 07/28/2017 07/17/2017 ORC/ ertifi Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 ;=f: a g taken and a timetable for improvements to be made as required by part II.E.6 of the NPDES permit. 17�� 07/28/2017 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per I SA 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). RECEIVED/NCDENR/DWR WQROS NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 05-2017 (May 2017) PERMIT VERSION: 1.0 ���` '��ERMITSTATUS:Active v CLASS: PC-1 COUNTY: Gaston 3 ORC: Rufus Mason Masters AUG 0 2, 2017 ORC CERT NUMBER: 990478 RMWR ORC HAS CHANGED: No RECEIVEDINCt04 CENTRAL FILES 1 vERSION:1.o DWR SECTION STATUS: Processed r- SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGOE ORES : O E REGIONAL OFF _ mmmmmmm©® ••** No Reporting Reason: ENFRUSE = No Flow-Reuwaecycle; ENVWTHR = No Visitation - Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Active FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 05-2017 (May 2017) CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) e � f a 24" clock rtre 2440cbcb Hn V/nm 1 2 3 4 5 6 7 N 9 1618 24 1540 0.63 Y 9 10 11 ti la 1 1s 16 17 19 19 21 31 N 21 1534 24 1447 0.78 Y 23 24 25 26 n 29 29 30 31 Mm" Avenge Lima: Mwlbly Avenge: Niy Moeimom• Dilly m,W. • **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 05-2017 (May 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 06/28/2017 I N yff 4A2 06/26/2017 ORC/CeP ier i nature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 ttee be2ective s aware of the circumstances. If the facility is noncompliant, p ase attach a r f actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 06/28/2017 Perm ittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213 .0506(b)(2)(D). NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 04-2017 (April 2017) PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active REC E I V E pOUNTY: Gaston JUN 16 2017 ORC CERTNUMBER:99 EIVED/NCDENR/DWR CENTRAL FILESSTATUS: Processed Fi DWR SECTION WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCINIMdt1LNQEGIO11!A!_ OFFICE ****No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday NPDES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Active FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 04-2017 (April 2017) CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) S U F O 6 O Z 2480 dock Hn 2688 ebek H. V/6M 3 a 5 6 7 8 9 18 1515 .75 V 11 12 13 1 Is 16 17 Is 19 28 21 n 23 24 1515 .75 V 25 26 27 28 M M—chly Avenge U ": M-"- Avenge: Ddly mulmun: DNy Mlmhnun• ♦w9• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday 10 NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 04-2017 (April 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: LO CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 05/24/2017 05/23/2017 ORC/ ertifi r Sig Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 I orrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. oe �� �� V '�__ 05/24/2017 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/Ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). V MIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 03-2017 (March 2017) PERMIT VERSION: 1.0 'R E C F I \/F f-TERMIT STATUS: Active J CLASS: PC -I COUNTY: Gaston JUN 0 6 Zp17 ORC: Rufus Mason Masters ORC CERT NUMBEj.4W4WD/NCDENR/DWR ORC HAS CHANGED: No CENTRAL FILES i'r. i i 7 ` VERSION: 1.0 DWR SECTION STATUS: Processed WORDS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISmk p§dONAL OFFICE "'• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday F PERMIT NO.: NCG590008 ITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 03-2017 (March 2017) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) e e s a U F A. .4 1= 7 ` O O O u O E ei i 2400 clack I nm 2400 clock I Hn Y/B/N 1 2 3 5 6 7 1545 Y B 9 935 Y 1 11 12 13 14 1440 Y Is 16 17 IB 19 20 21 22 1200 Y 23 24 25 26 27 1345 V 20 29 1245 Y 30 31 Mouthy Avec.Oe Lima: Mmlhh Av< p: Dolly M.A.— Daly Mlnimom: e666 No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday PPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 03-2017 (March 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 04/26/2017 04/26/2017 OR /Certifier Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 facilitv 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 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Petmittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 02-2017 (February 2017) PERMIT VERSION: 1.0 RECEIVED PERMIT STATUS: Active CLASS: PC-1 COUNTY: Gaston �(�E����/ 3 ORC: Rufus Mason Masters APR 21 2017 ORC CERT NUMBER 971d78 ED/NCDENR/DWR ORC HAS CHANGED: No CENTRAL FILES VERSION: 1.0 51A'R SECTION STATUS: Processed WQROS MOORESVILLE REGIONAL OFFICE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO "'• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 t FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 02-2017 (February 2017) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) r F F A 2406 clack Mrs 2406 dock H. Y/B/N 1 2 3 4 5 6 1630 .50 Y 7 e 9 U 1 12 13 14 1215 .25 Y IS 16 17 Is 19 20 21 1440 1.0 Y 22 23 24 23 26 17 2s 1600 .25 Y Monthly Average Limit: Meathly Average: Daily Maaimam: Daffy Mialmam: •*•* No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle: ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 02-2017 (February 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 03/30/2017 V of 03/29/2017 ORC/ tifier Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 lis o orrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 03/30/2017 Perm ittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per I SA 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.: NCG590008 • FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 01-2017 (January 2017) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1_0 PERMIT STATUS: Active R E C E I \ffia: Gaston MAR 0 8 Zff�CERTNUMBER: 22Wi_EIVEDNCDENR/DWR CENTRAL FILWus: Processed V I 3 DWR SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC 11��iwiliQEGI �sCAL'LONAL OFFICE **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Active FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 01-2017 (January 2017) CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) g u 9 3 q 8 2600 eMek an 2400 dwk H. WRIN 3 A 1325 .25 Y 5 6 7 0 9 10 11 1625 .58 Y 12 l3 16 15 16 17 1115 .25 Y IB 19 20 21 22 23 24 25 1555 .59 Y 26 27 20 29 38 31 Monthly Arwge Link: Nu.thly Avenge: Dray M.A.— May Minlnon: •*** No Reporting Reason ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 01-2017 (January 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 02/23/2017 °� y s —1 7 02,09/2017 ORC/ ertifier Signature: Rufus Mason Masters E-Maii:RMMasters@aquaamerica.com Phone #:704-489-9404 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 of convective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 02/23/2017 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Active /� FACILITY NAME: Fox Run WTP CLASS: PC-1 R EC E VE DUNTY: Gasto �J•{ OWNER NAME: Aqua North Carolina Inc ORC: Rufus Mason Masters FEB 0 9 2017 ORC CERT NU ER: 9ENED/NCbENRIDWR _ GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 12-2016 (December 2016) VERSION: 1_0 CENTRAL FILESSTATUS: Processed C DWR SECTION WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCIMIEGIONAI. OFFICE ••" No Reporting Reason: ENFRUSE = No Flow-Reuse(Recycle; ENVWTHR = No Visitation - Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCG590008 t FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 12-2016 (December 2016) PERMIT VERSION: 1.0 CLASS: PC-i ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) 2490 d k H. — .I.ek B. Y/BIN 3 4 5 6 7 1600 .75 Y 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 1620 .58 Y 36 31 M-" A—g. Limk• MwNy A—Sm May M..h.— May Mhd.—: 6ss6 No Reporting Reason: ENFRUSE = No Flow-Reuse(Recycle; ENV WTHR = No Visitation - Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDE§ PERMIT NO.: NCG590008 t FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 12-2016 (December 2016) COMPLIANCE STATUS: Compliant o� ORC/ rtifi PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 01/18/2017 01/16/2017 Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 li rrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 01/18/2017 Permittee/Sulmitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). +NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 11-2016 (November 2016) PERMIT VERSION: 1.0 ERMIT STATUS: Active 3 CLASS: PC- I — R E C E I V E LJOUNTY: Gaston ORC: Rufus Mason Masters JA,N 18 2017 ORC CERT NUMBER: 9%478 RECEIVED/NCDENR/DWR ORC HAS CHANGED: No VERSION: 1.0 CCN I RAL FILES DWR SECTION STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAR�, �* AWQROS Imvt7ft�5�LLE REGIONAL OFF mmmmmmmmm •... •m **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation -Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation- Holiday INPDES PERMIT NO.: NCG590008 PERMIT VERSION: 1.0 PERMIT STATUS: Active FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 11-2016 (November 2016) CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) 2480 d.k K. 2400 ekek an WRIN 1 2 15:45 .83 Y 3 5 6 7 B 9 10 1 12 13 14 is 16 15:45 .75 Y 17 IB 19 20 21 22 23 24 25 26 27 29 29 30 .M* Avenge Link: Moethiy Avenge: May W.I.— May N1119— **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 11-2016 (November 2016) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 12/27/2016 12/27/2016 ORCa Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 convective actions being taken and a time -table for improvements to be made as required by part ILEA of Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forTns. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the 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.: NCG590008 / FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 10-2016 (October 2016) PERMIT VERSION: 1.0 CLASS: PCA ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 IT STATUS: Active R EC E I VE COUNTY: Gaston JA N 11 20 i %ORC CERT NUMBER: 990478 CENTRAL FILES RECENED/NCDENR/DWR DWR SECTIOWTATUS: Processed JAN 17 201, SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*,q#QS MOORESVILLE REGIONAL OFFICE mpg ••** No Reporting Reasom ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCG590008 i FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 10-2016 (October 2016) PERMIT VERSION: 1.0 PERMIT STATUS: Active CLASS: PC-1 COUNTY: Gaston ORC: Rufus Mason Masters ORC CERT NUMBER: 990478 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) S 8 e U 2: u � = € a o 8 o f z 00076 Grab 'ruxsm'n' 2400 d k 24M dwk an YlB/N ntt 1 In. 2 3 4 5 6 7 s 9 10 1755 24 1720 0.57 Y 13 11 12 13 14 15 16 17 10 19 20 21 22 23 24 1645 24 1601 0.72 Y 9.5 2S 26 27 ra 29 30 31 —4— b%.thly A.—V LI®It: M■■thy Avenge: 10.75 May W.I.■m: 13 D.ay MW—.: 8.5 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 10-2016 (October 2016) COMPLIANCE STATUS: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 11/29/2016 11 /28/2016 ORC/#rtifi(L Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 permi becomes aware of the circumstances. If the facility is noncompliant, please ch a list o rrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 11 /29/2016 v Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Perrtittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). J NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 09-2016 (September 2016) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1_0 PERMIT STATUS: Active 3 COUNTY: Gaston ORC CERT NUMBER: 990478 —RECEIVED/NCDENR/DWR STATUS: Processed Nov 2 9 2016 QROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCI��*\AJ .EGIONALOFFICE ii i s No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; EN V WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 09-2016 (September 2016) PERMIT VERSION: 1.0 PERMIT STATUS: Active CLASS: PC-1 COUNTY: Gaston ORC: Rufus Mason Masters ORC CERT NUMBER: 990478 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) S a O F � d 0 F 0 s H g a O y 8 O i z M76 crab TURBtDTY 2400 clock fin 2400 clock Bra Y/B/N mu 1 2 3 4 5 6 7 8 9 10 11 12 1821 1737 0.73 Y 16 13 14 15 16 17 18 19 20 21 22 23 24 25 26 1740 1647 0.88 Y 19 27 28 29 30 Monthly Avenge Limit: Monthly Avenge: 17 Daily Maximum: 18 Daily Minimum: 16 •••* No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC -I eDMR PERIOD: 09-2016 (September 2016) COMPLIANCE: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 10/27/2016 10/27/2016 OR'&,rtlfier Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 ctive actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 10/27/2016 Perm ittee/Submirier Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). 4 NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 09-2016 (September 2016) PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO IN1111-01 MEMMENEME ��mz Mill **** No Reporting Reason: ENFRUSE = No Flow-ReusetRecycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 09-2016 (September 2016) PERMIT VERSION: 1.0 PERMIT STATUS: Active CLASS: PC-1 COUNTY: Gaston ORC: Rufus Mason Masters ORC CERT NUMBER: 990478 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) s s g � b m O S'i jW8, a z 00076 Grab TURBWTY 2400 clock Hrs NO da k Hrs Y ntu 1 2 3 4 s 6 7 8 9 l0 12 1821 1737 0.73 Y 16 13 14 Is 16 17 18 19 20 21 22 23 24 25 26 1740 1"7 0.88 Y 18 27 28 29 30 Monthly Avenge Lbnk: Monthly Avenge: 17 Daft Maximum: 18 Daft Mhrimum: 16 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCG590008 FACILITY NAME: Fox Run WTP OWNER NAME: Aqua North Carolina Inc GRADE: PC-1 eDMR PERIOD: 09-2016 (September 2016) COMPLIANCE: Compliant PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 10/27/2016 QW__ 10/27/2016 OR /Cert ier Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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 ctive actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. -7 10/27/2016 Permittee/Submi6er Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/pstnpdes/forrns. 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). NO.: NCG590008 NAME: Fox Run WTP NAME: Aqua North Carolina Inc PC-1 eDMR PERIOD: 08-2016 (August 2016) PERMIT VERSION: 1.0 CLASS: PC -I ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston 3 ORC CERT NUMBER: 990478 RECEIVED/NCDENR/DWR STATUS: Processed 0 C T 2 4 Z SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DIS�, qE*Nb)S /ILLS Rtr--10NAL OFFICE _ II I II�II III 1 I II' I® I® III I I I` **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NO.: NCG590008 NAME: Fox Run WTP orR NAME: Aqua North Carolina Inc E: PCA eDMR PERIOD: 08-2016 (August 2016) PERMIT VERSION: 1.0 CLASS: PC4 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS. Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) S a p U E F F f w a O m C O F O m O Z a4 BW76 Grab NRBmTY 2400 clock Hro 2400 clock Hrs Y/B/N mu I 2 3 4 S 6 7 8 9 10 17:35 .75 Y 1 12 13 14 is 16 17 18 19 20 21 22 23 24 15:45 .66 Y 25 26 27 28 29 30 31 Monthly Average Limit: Monthly Average: Daily Maximum: Daily Minimum: •"• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NO.: NCG590008 NAME: Fox Run WTP NAME: Aqua North Carolina Inc PC-1 eDMR PERIOD: 08-2016 (August 2016) COMPLIANCE: Compliant ORC/C of PERMIT VERSION: 1.0 CLASS: PC-1 ORC: Rufus Mason Masters ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 7044899404 PERMIT STATUS: Active COUNTY: Gaston ORC CERT NUMBER: 990478 STATUS: Processed SUBMISSION DATE: 09/28/2016 09/28/2016 Signature: Rufus Mason Masters E-Mail:RMMasters@aquaamerica.com Phone #:704-489-9404 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. l7 `1 09/28/2016 Permittee/Submitter Signature:*** Matt Costner E-Mail:mrcostner@aquaamerica.com Phone #:704-489-9404 Date Permittee Address: 4311 Greenhaven Ln Gastonia NC 28054 Permit Expiration Date: 07/31/2019 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water tech. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Rufus Masters PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/pslnpdes/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 T NO. NCG590008 Discharge No.: 001 Month: JULY Year: 2016 FOX RUN WTP 001 Class: PC 1 County GASTON :)onsible Charge (ORC): Rufus Masters Grade: PC 1 itory (1): Water Tech Labs Inc #50 (2) IRC HAS CHANGED r�^ PERSON(S) COLLECTING SAMPLES Mail ORIGINAL and ONE COPY to: X ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 Phone: 704-489-9404 Operators (SIG I�AT E OF OPERATOR IN RESPONSIBLE QtWQk/NCDENR BY THIS SI TURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. S E P 13 2 J 16 WQROS MOORESVILLE REGIONAL OFFIrF III ��•II II.I ►11r��Z9YWI 001 NCG590008 Facility Status: (Please check one of the following): All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc. and a time table for improvements to be made. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permittee Address 202 Mackenan Court, Cary, NC 27511 00010 Temperature 00556 Oil & Grease 00076 Turbidity 00600 Total Nitrogen 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 00082 Color (ADMI) 00625 Total Kjeldhal Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 00300 Dissolved Oxygen 00310 BOD5 00665 Total Phosphorous 00340 COD 00720 Cyanide 00400 pH 00745 Total Sulfide 00530 Total Suspended 00927 Total Magnesium Residue 00929 Total Sodium 00545 Settable matter 00940 Total Chloride Thomas J. Roberts, President, Aqua North Carolina, Inc. Permittee rint e) Signature of Permittee ** Phone Number 919-467-8712 PARAMETER CODES Date Permit Exp. Date August 31, 2015 00951 Total Fluoride 01055 Manganese 01002 Total Arsenic 01067 Nickel 01077 Silver 01027 Cadmium 01092 Zinc 01105 Aluminum 01032 Hexavalent Chromium 01034 Chromium 01147 Total Selenium 31616 Fecal Coliform 01037 Total Cobalt 32730 Total Phenolics 01042 Copper 34235 Benzene 34481 Toluene 01045 Iron 38260 MBAS 01051 Lead 39516 PCBs 50050 Flow 50060 Total Residual Chlorine 71880 Formaldehyde 71900 Mercury 81551 Xylene Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. * ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the State per 15A NCAC 213.0506 (b) (2) (D)• EFFLUENT ES PERMIT NO. NCG590008 Discharge No.: 001 Month: JUNE Year: acility Name: FOX RUN WTP 001 Class: PC 1 Couni Operator in Responsible Charge (ORC): Rufus Masters Grade: PC 1 Certified Laboratory (1): Water Tech Labs Inc #50 (2) CHECK BOX IF ORC HAS CHANGED r, PERSON(S) COLLECTING SAMPLES Mail ORIGINAL and ONE COPY to: X ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 3 2016 GASTON Phone: 704-489-9404 Operators (SIGNAVJRE 01� OftRATOR IN RESPONSIBLE CHARGE) DATE BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOvVWE*ED/NCDENR/DWR - • •�-E REGIONAL OFFICE A� 000000����� roxRunWTPOOINCG590008 Facility Status: (Please check one of the following): All monitoring data and sampling frequencies meet permit requirements All monitoring data and sampling frequencies do NOT meet permit requirements X Compliant El Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc. and a time table for improvements to be made. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permittee Address 202 Mackenan Court, Cary, NC 27511 00010 Temperature 00076 Turbidity 00080 Color (Pt -Co) 00082 Color (ADMI) 00095 Conductivity 00300 Dissolved Oxygen 00310 BOD5 00340 COD 00400 pH 00530 Total Suspended Residue 00545 Settable matter 00556 Oil & Grease 00600 Total Nitrogen 00610 Ammonia Nitrogen 00625 Total Kjeldhal Nitrogen 00630 Nitrates/Nitrites 00665 Total Phosphorous 00720 Cyanide 00745 Total Sulfide 00927 Total Magnesium 00929 Total Sodium 00940 Total Chloride Thomas J. Roberts, President, Aqua North Carolina, Inc. Permittee (Please r' Signature of Permittee ** Phone Number 919-467-8712 PARAMETER CODES Date Permit Exp. Date August 31, 2015 00951 Total Fluoride 01055 Manganese 01002 Total Arsenic 01067 Nickel 01077 Silver 01027 Cadmium 01092 Zinc 01105 Aluminum 01032 Hexavalent Chromium 01034 Chromium 01147 Total Selenium 31616 Fecal Coliform 01037 Total Cobalt 32730 Total Phenolics 01042 Copper 34235 Benzene 34481 Toluene 01045 Iron 38260 MBAS 01051 Lead 39516 PCBs 50050 Flow 50060 Total Residual Chlorine 71880 Formaldehyde 71900 Mercury 81551 Xylene Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. * ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the State per 15A NCAC 2B.0506 (b) (2) (D)• EFFLUENT PERMIT NO. NCG590008 Discharge No.: 001 Month: May Year: cility Name: FOX RUN WTP 001 Class: PC 1 County: Operator in Responsible Charge (ORC): Rufus Masters Grade: PC1 Phone: Certified Laboratory (1): Water Tech Labs Inc #50 (2) CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES Mail ORIGINAL and ONE COPY to: X ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 �� 2016 GASTON 704-489-9404 Operators 6/ 15/2016 (SIGN URE Ot OPERATOR IN RESPONSIBLE CHARGE) DATE BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS - r` ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. P1x un WTP 001 NCG590008 Facility Status: (Please check one of the following): All monitoring data and sampling frequencies meet permit requirements IX Compliant All monitoring data and sampling frequencies do NOT meet permit requirements F-1 Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc. and a time table for improvements to be made. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Thomas J. Roberts, President Aqua North Carolina, Inc. Permittee r' / Signature of Permittee * * Date Permittee Address Phone Number Permit Exp. Date 202 Mackenan Court, Cary, NC 27511 919467-8712 August 31, 2015 00010 Temperature 00556 Oil & Grease 00076 Turbidity 00600 Total Nitrogen 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 00082 Color (ADMI) 00625 Total Kjeldhal Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 00300 Dissolved Oxygen 00310 BODS 00665 Total Phosphorous 00340 COD 00720 Cyanide 00400 pH 00745 Total Sulfide 00530 Total Suspended 00927 Total Magnesium Residue 00929 Total Sodium 00545 Settable matter 00940 Total Chloride PARAMETER CODES 00951 Total Fluoride 01055 Manganese 01002 Total Arsenic 01067 Nickel 01077 Silver 01027 Cadmium 01092 Zinc 01105 Aluminum 01032 Hexavalent Chromium 01034 Chromium 01147 Total Selenium 31616 Fecal Coliform 01037 Total Cobalt 32730 Total Phenolics 01042 Copper 34235 Benzene 34481 Toluene 01045 Iron 38260 MBAS 01051 Lead 39516 PCBs 50050 Flow 50060 Total Residual Chlorine 71880 Formaldehyde 71900 Mercury 81551 Xylene Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. * ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the State per 15A NCAC 213.0506 (b) (2) (D)• EFFLUENT N•PDES PERMIT NO. NCG590008 Discharge No.: 001 Month: I'vility Name: FOX RUN WTP 001 Class: Operator in Responsible Charge (ORC): Rufus Masters Grade: April Year: —3 2016 PC 1 County: GASTON PC1 Phone: 704-489-9404 Cerfified Laboratory (1): Water Tech Labs Inc #50 (2) CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES Mail ORIGINAL and ONE COPY to: X ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 n Operators (SIGIPTUkE OF OPERATOR IN RESPONSIBLE CHARGE) DATE BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS RECEIVE7D,Ni, ,7,,'-,![- /R ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. �� � ��•�� II.� I� I � I• � � III ���� • I - I 1 / CIlls Ii. LA LA FIRM,kA m®�®®� _ • ������ fox Run WTP 001 NCG590008 Facility Status: (Please check one of the following): All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements 7 Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc. and a time table for improvements to be made. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permittee Address 202 Mackenan Court, Cary, NC 27511 00010 Temperature 00556 Oil & Grease 00076 Turbidity 00600 Total Nitrogen 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 00082 Color (ADMI) 00625 Total Kjeldhal Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 00300 Dissolved Oxygen 00310 BODS 00665 Total Phosphorous 00340 COD 00720 Cyanide 00400 pH 00745 Total Sulfide 00530 Total Suspended 00927 Total Magnesium Residue 00929 Total Sodium 00545 Settable matter 00940 Total Chloride Thomas J. Roberts, President, A ua North Carolina, Inc. Permittee Signature of Permittee * * Phone Number 919-467-8712 PARAMETER CODES 00951 Total Fluoride 01002 Total Arsenic 01027 Cadmium 01032 Hexavalent Chromium 01034 Chromium 01037 Total Cobalt 01042 Copper 01045 Iron 01051 Lead Date Permit Exp. Date August 31, 2015 01055 Manganese 01067 Nickel 01077 Silver 01092 Zinc 01105 Aluminum 01147 Total Selenium 31616 Fecal Coliform 32730 Total Phenolics 34235 Benzene 34481 Toluene 38260 MBAS 39516 PCBs 50050 Flow 50060 Total Residual Chlorine 71880 Formaldehyde 71900 Mercury 81551 Xylene Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. * ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the State per 15A NCAC 213.0506 (b) (2) (D)• EFFLUENT 3 NPDES PERMIT NO. NCG590008 Discharge No.: 001 Month: March Year: 2016 Facility Name: FOX RUN WTP 001 Class: PC 1 County: GASTON Operator in Responsible Charge (ORC): Rufus Masters Grade: PC 1 Phone: 704-489-9404 Certified Laboratory (1): Water Tech Labs Inc #50 (2) CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES Mail ORIGINAL and ONE COPY to: X ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 Operators (SIGNflTUA OF OPERATOR IN RESPONSIBLE CHARGE) �� BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDG 3/2016 DATE M A`'' 1 ,Is 2016 E Fox Run WTP 001 NCG590008 Facility Status: (Please check one of the following): All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements El Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc. and a time table for improvements to be made. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permittee Address 202 Mackenan Court, Cary, NC 27511 00010 Temperature 00556 Oil & Grease 00076 Turbidity 00600 Total Nitrogen 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 00082 Color (ADMI) 00625 Total Kjeldhal Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 00300 Dissolved Oxygen 00310 BOD5 00665 Total Phosphorous 00340 COD 00720 Cyanide 00400 pH 00745 Total Sulfide 00530 Total Suspended 00927 Total Magnesium Residue 00929 Total Sodium 00545 Settable matter 00940 Total Chloride Thomas J. Roberts, President, ua North Carolina, Inc. Permittee (Pleas Signature of Permittee ** Phone Number 919-467-8712 PARAMETER CODES Date Permit Exp. Date August 31, 2015 00951 Total Fluoride 01055 Manganese 01002 Total Arsenic 01067 Nickel 01077 Silver 01027 Cadmium 01092 Zinc 01105 Aluminum 01032 Hexavalent Chromium 01034 Chromium 01147 Total Selenium 31616 Fecal Coliform 01037 Total Cobalt 32730 Total Phenolics 01042 Copper 34235 Benzene 34481 Toluene 01045 Iron 38260 MBAS 01051 Lead 39516 PCBs 50050 Flow 50060 Total Residual Chlorine 71880 Formaldehyde 71900 Mercury 81551 Xylene Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. * ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B). * * If signed by other than the permittee, delegation of signatory authority must be on file with the State per 15A NCAC 213.0506 (b) (2) (D)• NCDo-12p (e ( EFFLUENT 2) ES PERMIT NO. NCO190M Discharge No.: 001 Month: February Year: 2016 Fpcility Name: FOX RUN WTP 001 Class: PC 1 County: GASTON erator in Responsible Charge (ORC): Rufus Masters Grade: PC1 Phone: 704-489-9404 rtified Laboratory (1): Water Tech Labs Inc #50 (2) ECK BOX IF ORC HAS CHANGED "�ERSON(S) COLLECTING SAMPLES Operators 1 -1 Mail ORIGINAL and ONE COPY to: X ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 (SIGNATURE ORATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. DATE 11 1 11.11 11.1 11 1 1 1- 1 1 111 -____ ICE 0 12-ol, t ox Run WTP 001 NCel9VO S Facility Status: (Please check one of the following): All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements El Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc. and a time table for improvements to be made. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permittee Address 202 Mackenan Court, Cary, NC 27511 00010 Temperature 00556 Oil & Grease 00076 Turbidity 00600 Total Nitrogen 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 00082 Color (ADMI) 00625 Total Kjeldhal Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 00300 Dissolved Oxygen 00310 BOD5 00665 Total Phosphorous 00340 COD 00720 Cyanide 00400 pH 00745 Total Sulfide 00530 Total Suspended 00927 Total Magnesium Residue 00929 Total Sodium 00545 Settable matter 00940 Total Chloride Thomas J. Roberts, President qua North Carolina, Inc. Permittee P a rint 3 ;7,f Signature of Permittee ** Phone Number 919467-8712 PARAMETER CODES Date Permit Exp. Date August 31, 2015 00951 Total Fluoride 01055 Manganese 01002 Total Arsenic 01067 Nickel 01077 Silver 01027 Cadmium 01092 Zinc 01105 Aluminum 01032 Hexavalent Chromium 01034 Chromium 01147 Total Selenium 31616 Fecal Coliform 01037 Total Cobalt 32730 Total Phenolics 01042 Copper 34235 Benzene 34481 Toluene 01045 Iron 38260 MBAS 01051 Lead 39516 PCBs 50050 Flow 50060 Total Residual Chlorine 71880 Formaldehyde 71900 Mercury 81551 Xylene Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. * ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B). F, rkAoZ"(o ( W* EFFLUENT ERMIT NO. Discharge No.: 001 Name: FOX RUN WTP 001 it in Responsible Charge (ORC): Rufus Masters dL b 1 AirT h # 3 Month: January Year: 2016 Class: PC I County: GASTON Grade: PC 1 Phone: 704-489-9404 a oratory ( )* ater ec Labs Inc 50 <<) BOX IF ORC HAS CHANGED _ PERSON(S) COLLECTING SAMPLES Operators Mail ORIGINAL and ONE COPY to: X ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 (SIGN�TURE PERATOR IN RESPONSIBLE CHARGE) DATE BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. i LIAR 3 - 2016 III gin 1, mmm ki LA :E TP 001 NCG590008 Facility Status: (Please check one of the following): All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc. and a time table for improvements to be made. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permittee Address 202 Mackenan Court, Cary, NC 27511 00010 Temperature 00556 Oil & Grease 00076 Turbidity 00600 Total Nitrogen 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 00082 Color (ADMI) 00625 Total Kjeldhal Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 00300 Dissolved Oxygen 00310 BOD5 00665 Total Phosphorous 00340 COD 00720 Cyanide 00400 pH 00745 Total Sulfide 00530 Total Suspended 00927 Total Magnesium Residue 00929 Total Sodium 00545 Settable matter 00940 Total Chloride Thomas J. Roberts, President, Aqua North Carolina, Inc. Permittee �fle Signature of Permittee * * Phone Number 919-467-8712 PARAMETER CODES 00951 Total Fluoride 01002 Total Arsenic 01027 Cadmium 01032 Hexavalent Chromium 01034 Chromium 01037 Total Cobalt 01042 Copper 01045 Iron 01051 Lead Date Permit Exp. Date August 31, 2015 01055 Manganese 01067 Nickel 01077 Silver 01092 Zinc 01105 Aluminum 01147 Total Selenium 31616 Fecal Coliform 32730 Total Phenolics 34235 Benzene 34481 Toluene 38260 MBAS 39516 PCBs 50050 Flow 50060 Total Residual Chlorine 71880 Formaldehyde 71900 Mercury 81551 Xylene Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. * ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B).