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HomeMy WebLinkAboutNC0083887_Regional Office Historical File Pre 2018NPDES PERMIT NO.: NCO083887 FACILITY AME: Charlotte Douglas International Airport OWNER NAME: City o _Charlotte GRADE: PC-2 eDMR PERIOD: 08-2019 (August 2019) PERMIT VERSION. 4.0 PERMIT STATUS: Expired CLASS: PC -I COUNTY: Mecklenburg ED ORC: Kellie H Hedrick ORC CERT NUMBEIR "TftOEMCDeNROW ORC HAS CHANGED: No , 01 Y'ts. 9 SAMPLING LOCATION: EFFLUENT } CEN"fkAL FIB„ $TATLIS:Processed N's ' t,) 1)WR SECTION DISCHARGE NO.: 001 NODISt4jjkjjetr*PN`O`)NAL0FF10C o y u c u a 50050 00400 C0530 C0600 C0665 34030 34,471 TAr:6C :00556 Once per Month!X Mandtl Quarterly Quarterly Monthly Monhly Qtrarterl Manthty Estimate Grab Grab Grab.. Gran Grab Grab Grub Grab 1a1.0W PH TSS- Cane ... TOTAL N- TOTAL P-(:anc" BENZENE E"rflYlill6Ti FTHD24.4{' 0IG-t;RSE. 2400d ek He$ 2400 clock Hrs :V/WN so m rn /1 mg/1 Uo/1 UtO Ci'cent Me_ 1 2 4 5 7 11040 0'40 B Q.00 t 6.1 1 < 7:1 <1 <1 *.100 - e4.9 t0 I 12 :1055 0:10 Y 13 14 15 16" 17! 15 191 20 1700 10.40 Y 21 rs2 14-. 25 26 27" 1.450 t:30 ly 29 24 3t<' Monthly Average Lhtot; Monthly Average: 0,001 0 0 it too 0 Daily Maximum: 0.001 6.1 0 10 0 100 0 Daily Minimum: 0:001. 6A 0 0 0 ****NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTI-1R—No Visitation— Adverse Weather; NOFLOW = No Flow; HOLIDAY=NoVisitation— Holiday NPDES PERMIT NO.: NCO083887 FACILITi AME: Charlotte Douglas International Airport OWNER NAME: City of Charlotte GRADE: PC-2 eDMR PERIOD: 08-2019 (August 2019) PERMIT VERSION: 4.0 CLASS: PC-1 ORC: Kellie II Hedrick ORC HAS CHANGED: No VERSION: 1.0 SAMPLING LOCATION: EFFLUENT DISCHARGE O.: 001 PERMIT STATUS: Expired COUNTY: Mecklenburg ORC CERT NUMBER: 28628 STATUS: Processed NO DISCHARGE*: N4 (Continue) q U � N F "E C1 O `iw 34010 81551 Monthly Monthly moi,ltic Ct'aYi Glafz Totem, XYLENE 2400 r1oole Ars :2400 dark . H. Y/BtN n>/1 : Ikg/1 1 2 4 5 s '.. 1040 0:40" B < I: < 1 9 it Is 14 Is afi 1s 19 207 1700 0:40 ,Y 21 22 23 24..: 25 26". 217 :. 1450 0:30 Y 28' 29, J 30.. 34 Monthly Average Lioat; Monthly Average: ..0 0 Daily M.Antuxa: 0. 0 Daily Aliutmuth:: 0 0.. **** No Reporting Reason: ENFR[ JSE = No Flaw-Rc uselRecycle; ENV WTER = No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday a NPDES PERMIT NO.: NCO083887 FACILITY t,,AME: Charlotte Douglas International Airport OWNER NAME: City of Charlotte GRADE: PC-2 eDMR PERIOD: 08-2019 (August 2019) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: PC-1 ORC: Kelhe 11 Hedrick ORC HAS CHANGED: No VERSION: 1.0 #:9802022377 PERMIT STATUS: Expired COUNTY- Mecklenburg ORC CERT NUMBER: 28628 STATUS: Processed SUBMISSION DATE: 09/11/2019 09/05/2019 #: 9 8 0 - 2 0 2 - 2 3 7 7 Date The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 clays of the time the permittee becomes aware of the circumstances. If the facility isjaohcot pliant, 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 e ORC/Certifier Sil; lie—Hedrik,/E-Mail:kettie.hedrick@,epscharlotte.com Phone By this signature, I certify that this report is accurate and complete to the best of my knowledge. the NPDEaiermtt; -I_ —'-- Permittee/S k /itter Sig --- b�ynature:*** Joshua Eller E-Mail:jgeller@cltairport.com Phone 4:704-793-7706 Date Pertnittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 I certify, under penalty of law, that this docranent 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 infortnation 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: Pace Analytical CERTIFIED LAB #: 12 PERSON(s) COLLECTING SAMPLES: Josh Eller 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/foiLiis. 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)� NPDAPKRMIT NO.. NCO083887 Ailp,L OWNER NAME- Cit GRADE. PC-2 eDMR PERIOD: 07� mflotte PERMIT VERSION: 4,0 PERMIT STATUS: t2jLLd mat oval CLASS: PC-] R F F I V E D. cOUNTY: MecklenNn AUG 2 7 2019 ORC: Kellic H Hedrick C E N r -,A t- F 11, � ES ORC CERT NUMBER: 286 m OR HAS CHANGED. N )WR SECTION VERSION- L0 STATUS: processed �;:EFFLIJENT DISCHARGE Na.: 001 NODISCHAkt�Elk'-;W.-RFw(-',IONA,�OFFI, C0530 COW tv"i 340,10 EMS mm mm mm ice__ �__ ._._ mm No Reporting Reason: ENFRUSE = No Flow-Rcuse/Recycle; ENVWTHR - No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPACIS PERMIT NO.: NCO083887 PERMIT VERSION. 4.O PERMIT' STATUS: E2jEEII FACILITY NAME: Charlotte Dcwuglas International CLASS- PC- I COUNTY: Mecklenburg ALrr-lt—lt OWNER NAME: City of Charlotte ORC- Kellic 11 Hedrick ORC CERT NUMBER. 28628 GRADE. PC-2 ORC HAS CHANGED: No eDMR PERIOD: 07-2019 (July 2019) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) warti WSI 'E Monthly Grab Grab cc TOLVENT XYLENE 2400 dwk H. 1400 dk lin Y/WN I Uiv, ug/I 2 1135 0:10 y 3 0800 1:00 y < I < I 4 7 8 9 '1030 Uhl y- to sz 13 14 is L6- 17 1050 0:10 y 20 21 22 23 133tJ 0:10 ly 24 25 Z6 27 L8— L9 30 0845 0:10 y 32 M-thly A—p Linde ,Monthly A,"agc 0 0 D.41m..imm 0 0 ", 0.0y 141.1— 10 0 No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No VWtafiorr - At Weather; NO LOW = No Flow; HOLIDAY = No Visitation - Holiday NPI)ES PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS: PC-1 COUNTY: Mecklenburg Airaort OWNER NAME: City of Charlotte ORC: Kellie H Hedrick ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: 07-2019 (July 2019) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CO T T PHONE #: 9802022377 SUBMISSION DATE: 08/02/2019 08/01/2019 ORC/Certifier S491�,re. Kellie Hedl"ri�E-MaiI:keIlie.hedrick@epscharlotte.com Phone #:980-202-2377 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The pernintee 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 pennittee became aware ofthe circumstances. A written submission shall also be provided within 5 days of the time the pennittee becomes aware of the circumstances. If the facility is noncompliant, please attacha 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 perxmC. 08/02/2019 Permittee/ � mines ' Signature:*** Joshua Eller E-Mail:jgeller@cltairport.com Phone #:704-793-7706 Date Permittei Press: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 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 infonnation 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 ofmy knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false infortnation, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME- Pace Analytical CERTIFIED LAB #: 12 PERSON(s) COLLECTING SAMPLES. Kellie Hedrick PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.nedenr.org/web/Wq/swp/ps/npdes/forms. FOOTNOTES Use only units ofineasurement 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 ofPermittee: If signed by other than the pennittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). OWNER NAME: GRADE: PC-2 eDMR PERIOD: I) SA NC0083887 PERMIT VERSION: 4.0 PERMIT STATUS: Ex arlotte Douglas Intemational CLASS. PC-1 COUNTY: MecklenbuM �I\/ED R F F )f Charlotte ORC. Kellie H Hedrick JUL 3 0 2019 ORC CERT NUM13EMEIS&WEI,)INCr,)FzNR/r)WF? ORC HAS CHANGE 1 ","AkL OLES, 19 (June 2019) VERSION: 1.0 7'v'R S'l—ECTION STATUS: Processed WOROS gVjj,R J�-W:P%ONAL OFF -ICE "LING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DI 'Xiie. �1417t TAE6C oases **** No Reporting Reasow ENFRUSE = No Flow-ReiLge/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation— Holiday a SAM Iff NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: E2jELd kME. Charlotte Douglas International CLASS: PC-] COUNTY: Mecklenburg IE: City of Charlotte ORC: Kellie H Hedrick ORC CERT NUMBER: 28628 ORC HAS CHANGED: No to: 06-2019 (June 2019) VERSION: 1.0 STATUS: Processed "LING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: Na (Continue) % 34010 81551 morally moodily Grab Grab TOLUFNE XYLENE 12400 dod, 11. 2400 ddk 14n VIRIN p,JS 119/1 3 4 1100 0:10 y 9 to 0855 0:50 Y < I it 13 14 Is 16 11 1340 0:10 y 18 19 20 H_ 22 23 24 .1425 0:05 It is I 26 27 28 as 30 Woffly Average thaft Wmhky Amget 0 0 b.fly td..h..w 0 0 Daily Minimum: 0 0 **** No Reporting Reason: ENTFRUSE = No Flow-Reuse/Recyc1c, ENV WTHR = No Visitation —Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Emile FACILITY NAME: Charlotte Douglas international CLASS: PC-1 COUNTY: Mecklenburg Airport OWNER NAME: City of Charlotte ORC: Kellie H Hedrick ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED: No eDMR PERIOD:06-2019 (June 2019) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Complia CONTACT PHONE #: 9802022377 SUBMISSION DATE: 07/22/2019 07/ 17/2019 ORC/Certifier S . Kel 'e e " E-Mail:kellie.h;edrick@epscharlotte.com Phone #:980-202-2377 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge, The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit. 07/22/2019 PermitteefSu itt r Signature *** Joshua Eller E-Mail:jgeller@cltairport.com Phone #:704-793-7706 Date Permittee Address. I Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 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; Pace Analytical Services, LLC CERTIFIED LAB #: 12 PERSON(s) COLLECTING SAMPLES: Kellie Hedrick 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/lipdes/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 Permitted: 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) Esxpired NPDES PERMIT NO.. NCO083887 PERMIT VERSION, 4.0 PERMIT STATUS: FACILITY NAME: Charlotte Douglas International CLASS. PC-] COUNTY: Mecklenburg Airptart''WED CE'VEDINCDENR/DWR OWNER NAME: City of Charlotte ORC: Kellie H Hedrick ORC CER NUMBER: 28628 2 019 C.RAiii;r P-2 C)itC HAS CHANG;&c} eDMR PERIOD: 05-2019 (May 2019) VERSION: I 0 CEW-RAkL FILES STATUS: Processed WORDS DWR SECTION MOORESVILLE REGIONAL OFFIC SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO 50454 04400 Ct?D# WOO COW 34030 :14371 TAt.6t.`. 005% . � u n }; t7nca er Muraihl Monthly Quarterlyy C,�uarterly Montld hforrdrl rzartetl Munttltu ... E < u Estimate Grab (irate Grab Grab Uiab Grate Grdali.: Grab za a" C ."°. F`LOVA, pit Irss-Cane TOTALN_ 7YJ`C'A7.P-Cone 6k:�4'7�A'E Ti1tlYT,LtEtr" FT#iD2da4t: i7ff..CRSti 3dfl0 etork 11. 2400 rio& fir, VON mad .. au m 1 Ii1 fl � in<x$ a>Ji v I l7etCGnf. rn /{ 1 2 4 % 15:05 t}Att:.... Y 8 '. 9 ,.... t0 it 13 (420 2,35 t t}.o06 7A3 <2.5 <; 1 c 1 <.t}:R 16 17 is 19 2Q 21 Min 0:10 Y zz 2a 24 25 26 '. 27 28 ` 29 30 19:45.:. 0:15 Y Mmthly A,e p Lha t: !4lonthb Avnragc: OM6 0 0 0 0 Dat1y NI.A.unr: ti,taOG 7.43 ll : 10 0 Daily MI.I n— U.o 6 7.43. 10 0 10 (} ** * No Reporting Reason. ENFRUSE - No Flow-ReuselRccycle; ENL'W TFIR - No Visitation-. Adverse Weather, NOFLUW No Plow: HOLIDAY = No Visitation - Holiday NPIIES PERMIT' NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: E2± d FACILITY NAME: Charlotte Douglas International CLASS. PC-] COUNTY: Mecklenburg <Air ort OWNER NAME. City of Charlotte ORC: Kellic H liedrick ORC CFR1' NU BER: 28628 GRADE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: 05-2019 (May 2019) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) v s �w a` ;.: <`< 2 � ar # C e ;i3R1Q " aMoraht Grab $igSt Monthly Gras 2Q11etnek ilrs 2400 ctrrtk lira Yf87Lti u9il p ,. l r a [5 5 U.-to Y.... x 2 to as t. 13 14:20 0:35 Y : s 14 is to t� iA " 19 24 21 13.50 0:10 Y 2'! " 23 25 26 27 29 ". 29 Su 19:45 0:15 Y M-thty A-90 Y.imit. NI-tha five pa it tl Daily 41fISj.I.M: +� 0 **** No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle ENVWTIIR = No Visitation-_ Adverse Weather; NQFLOW = No Ploy; HOLIDAY No Visitattlon - Holiday NPOES PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expiaed FACILITY NAME: Charlotte Douglas International CLASS: PC-i COUNTY: Mecklenburg irport ' OWNER NAME: City of Charlotte ORC: Kellie H Hedrick ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED: Na eDMR PERIOD: 05-2019 (May 2019) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT E #: 9802022377 SUBMISSION BATE: 06/10/2019 06/10/2019 ORC/Certifier Signature: Kellie Hedrick E-M ilACellie.hedrick@epscharlotte.com Phone #;980-202-2377 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge: The pernittee 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 perntittee becomes aware of the circumstances. If the facility is noncontplian lease attach a list ofcorrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit.„,.'°` w r" 06/10/2019' Permittee/5ubm' er Signature:*** Joshua -Eller E-Mail:jgeller@cltairport.com Phone #:704-793-7706 Date Permittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration hate: 06/30/2015 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: Pace Analytical CERTIFIED LAB #: 12 PERSON(s) COLLECTING SAMPLES: Kellie Hedrick 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/f'ornis, 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 NCACy' 8G .0204. *** Signature of Permittee: If signed by other than the pern ittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D) a�����k�rra� ��aG������� Do-icingDo-icing Fluid Asa a 201 8-1j KI it$ .Sasso "finis form should be used to report De-Iting Fluid Usage for 2918. 9 Writer Season This ftm shouldtw oornpleled and retumed Monthly or as requestwiAirport Your Comps rsy IDS Phi Barefoot Phone ti (person whom Is prwkM9 this in 1 crrirriercial Carriers (.g. AA, Delta, etc CARRIER IDErrTrrcAricarr GenerW Air' n e.g. Wilson Airy Cargo (e.g. FedEx, UPS, Non tenant(Others Deicing Fluid Usage - Please report the number at Gallons usedACEMNlubon Month r retie Glycol . Saftet Type 1 'type October-1 8 1 sti si6ctns Novemb r-18 3 tec ber•18 21,670 January2338 -19 17 February-19 2792 March-19 20 April-19 2131 Add r monft. y PLEASE NOTE PM GLYCOL (Type 1,4) IS _NOT APPROVED FOR USE AT CL r This form should be completed and returned Monthly or as requested by ft Airport MAIL this form to* Jimaw D. jorttan, P.G. Phone 980.2 Comments on this form, or other De-lding information? rmati PLe4glng Fluid Usaa.2018-1,9,fflater Slason This form should be used to report De4cing Fluid Usage for 2018-19 WinterSeason This form should be completed and returnedMonthly or as requested by the Airport ' Your Company IDS Phil Barefoot Phone # T (person whom is providing this in , n) Ckcie AL,L All Commercial Carriers (e g. AA, Delta, ate.) General Aviation ( e.g. Wllsw Aar) CARRIER IDENTIFICATION Cargo (e.g. Fed, UPS, t.) Non tenen e Deicing Fluid Usage w Please report the number of Gallons used 6 + Dilution propylene l - SOW Month Type i Type A October-1 November-18 o 0 December-18 a€Itt so January-19 Q February-19 0 March-19 0 April-19 0 Add ' Mwths muds hater PLEASE NOTE ETHYLENE GLYCOL (Type 1,4) IS N iT APPROVED FOR USE AT iCLT This form should be completed and returned Monthly or as requested by the Airport gm -All. thls farm 19, Jimmy D. Jordan, P.G. d ' s to k Phone 980,2844791 Cornments on this form, or other Icing Information? This form- can be used to report De-lcing Fluid Usage for 2018-2019 Winter Season Tenant Name / Youi Company Federal Express De Icing Provided for (if other than own) use one form for each group that you service Contact Person Lyndon Gaddy Phone # 704-369-6110 Location Environmental Coordinator Which Aircraft I Airline? FedEx Deicing Fluid Usage - Please report the number of Gallons used PgEM Dilution Month Propyiene GI coI - Select a Type ylene Glycol - So ect a Type im it Type IV Type It IV October-1 8 0 0 0 -Type 0 November-1 8 it 0 0 0 December-18 2443 475 0 0 January -I 9 50 0 0 0 February-jp_ March-1 9 0 0 0 0 Aprifl-I 9 0 0 0 0 Other Months? If so, write in here I This form should be completed and returned Monthly or as requested by the Airport Return this form to: Jimmy D. Jordan, P.G. (email is preferred) Charlotte Douglas Int'l Airport Environmental Affairs Manager Comments on this form, or other De -Icing Information? 704-369-4950 (tax) Idiordan0chadgotteair oort.com Phone 704-3594916 This form should be used to report De leing Fluid Usage for 2018-19 Winter Season Tenant Name 1 Your Company Wilson Air Center Cie Icing Provided for {if other than General Aviation Contact Person Crave Tresaloni Phone # 704- 59.6 08 (person whom is providing this information) Which Aircraft ! Airline? General Aviation Deicing Fluid Usage - please report the number of Gallons used 0 Dilution Month Propylone, Gi ccai - se1 a ! Ethylene Glycol - elect a Type YjLe 1 T 4 T eI Type October-18 9 Janus -19 13 6 NOT APPROVED FOR USET CLT Feb a -19 6 9 March-19 4 0 A ril-19 14 9 OtherMonths? If so, write in Caere This form should be completed and returned Monthly or as requested by the Airport Return this fbffn to. ` Jimmy 0. Jordan, P.G. (entail Is preferred) Charlotte Douglas Intl Airport Environmental Affairs Manager on tl+ai form,car outer De -Icing Info 'ation`? df°arrin curl ttedl sa rri ERMIT NO.: NC0083887 ` PERMIT VERSION: 4.0 PERl NIT STATUS: Expired lF ITY NAME. Charlotte Douglas International CLASS: PC-1 COUNTY: Mecklen urg RECEIVED OWNER NAME: City of Charlotte ORC: Kellic H Hedrick ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED: No w N 0 5 Z019E E R eDMR PERIOD: 04-2019 (April 2019) VERSION: L0 EN TRL FILE TATUS: Processed DVVR SECTION JU 11 SAMPLING LOCATION: EFFLUENT DISCHARGE NO,: 001 NO DISCHARGE*: N MOORESVILLE REGIONALOFFK a a :EJ �:o O O �' O CK 7i 50050 00400 C0530 Cnd1i0 CC15d5 74030 3437t. TAY,fiC" 00556 Ctnce per Monthly Monthly Quarterly Quarterly tilunth] Monthly:.. Quarterly MrnthtV Estimate Grab Grab Grab Grip Grab Grab Ciraln Grab FLOW Ptt.. ' T83-Cone TOTAL N- TOTAL P-Cane BENZENE ETnYLU N F lID24AC OIL-GR.SE 2400d.k It. 2a00ctotk Itrs —11 ml,,d: _. ra mgll nP+i mg/l uN1 2gil Percent mg/1 t 1355 gat} '' Y 2 4 8 d 1400 0:30 Y 7 1010".. 0:30 Y 1 0.009 6.26 17.3 4.2 0.15 1<1 < I > 100 < 4�8 Lu II t2 —A 1305 0:10 Y Is 14 t5 16 IT 1025 0:35 Y 18 19 20 21 22 I340 O:IU n 23 24 2s 2r 2s 30 lbfl0 It 1S 5` NI-thly Average Limit Nlnnthty Average: 0.009 7.3 4.2 0.15 0 0 100 - 0. WHY m..ltnnm: 0.009. 6.26 7.3 4.2 0,15 0 0 100 0 Dairy mi.uttnms 0,009 ... 6.26 7.3 4.2. 0.15 - 0 0 100.. 0 **** No Reporting treason: ENF'RUSE = No Flaw-Reusc/Recyele; ENVWTHR = No Visitation -- Adverse Weather; NOF'LOW = No Flow; HOLIDAY = No Visitation Holiday NU.: NC(3083887 PERMIT`VERSION- 4.0 PERMIT S"TA'UU : Lxpired p!ERMI'F A E: C]iarlotte Douglas Intemational CLA. : PC"-1 +COUNTY: ecklenbu g; OWNER NAME: City Of`Chsarlotte ORC: Kellie H ttedrick ORC CERT NUMBER: 28628 GRADE PC-2 ORC HAS CHANGED: No eDMR PERIOD:04-2019 (April2019) VERSION- Iatl STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) 34010 w '� ,E m alonthty M—thh, a < Grab Grab. & u a 33arctnr: XYLIENE tahu tlo-h I1rs ztuo�torh tt xnun u ri ag/I t 1355 0d0 Y r a a h 1010 . th34 ... .. 5' <; f" c t' r8t tr 1205 : 010 y tla 5 M1A i5 1G s3 IU2S f9 ttt ttl ' xx (3f0 0:10 f3" .. zt x3 as z� a� 3t1 1.600 10:15 Y' Nb thly A—.p 1A. t: Munthty A-mgi:. .. 0 _. pally, mini.— b 0 **** No Reponfi g Reasow EN RUSE. = No flow-Rouse/Recycle,, ENV WTtiR _. No Visitation -- Adverse Weather, NOFLOW - No Flow, HOLIDAY -' No Visitation tlohday VERMITO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expired ALITY NAME: Charlotte Douglas International CLASS. 11C-1 COUNTY: Mecklenburg Airperrt OWNER NAME: LI y of Charlotte ORC. Kellic II I-Tedrick ORC iC EWr NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED. No eDMR PERIOD. 04-2019 (April 2019) VERSION: 1.0 STATES: Processed COMPLIANCE STATUS- Compliant C S`IACT PH NE #: 9802022377 SUBMISSION DATE: 05/24/2019 05/23/2019 ORC/Certifier Signature:: Kelli Hedrick Mail:kelli .l edrick(tr�?epscharlotte.com Phone ##:980- 02-2377 Date By this signature,, I certify that this report is accurate and complete, to the best of my knowledge, The pertrittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment, Any infonnation 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 ofthe time the pertlittee becomes aware ofthe circumstaurces. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of the NNPDES permit. , a ar� 05/24/2019 Permitteel toitI e Signature:`** Joshua Eller E-Mail jg,eller@cltairport.eonl Phone ##:704-793-7706 Date Pe:rmittee Address: 5501 Josh Birmingham Pkwy PO Box 1 066 Charlotte NC 28208 Perrnit Expiration Bate: 06/30/201 S I certi fy 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. Rased on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the inforanation, the information submitted is, to the best ofmy 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: Pace Analytical CERTIFIED LAI #: 12 PERSON(s) COLLECTING SAMPLES: iCelhe Hedrick PARAMETER CODE 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 most visit facility and document visitation of facility as required per 15ANCAC: 8 .0204. *** Signature of Peronttee: If signed by other than tire pennittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.:NCO083887 PERMITVERSION: 4.0 PERMIT STATUS. Expired FACILITY NAM Charlotte Douglas International CLASS. PC-1 RECEIVED COUNTY. Meckleni3nrg Ai ort AP R 42, 5 RER. OWNER NAME: City of Charlotte ORC- Kellie H Hedrick ORC CERT Nt( 28628 GRADE: PC-2 ORC HAS CIIANGED. No EN't ! -AL R F-1Vrz /N' '0F,N 4/DWPi eDMR PERIOD: 03-2019 (March 2019) VERSION- 1.0 0WR S U ION STATUS. Processed SAMPLING LOCATION. EFFLUENT DISCHARGE A, NO.: 001 NO DISCRARGE*% MOORMUE REGIONAL OFFICE $0050; 00400 C0530 C0600 C0365 34030 34371 TAC6C 001,56 5 � ° fJuce er NFaxvthly cS7lrnthl Quarterl . Quttrturi fviaaday �. Muntlilv QaartcrlL ontlliy Estimate Grab .:.Grab (nab Grab Crab : Grab Grab Grab a 9 FL.bFV pit T`.h4-Caae TOTAL lti - TOTAL Y-Cane BFNZI;NT, ETLIXI.CIFN FTIILI24AC bit,-GRSE 2400 dwk W. 2404 clock. I ff. WRIN I mgel su M l navl m l awl 1 lag/1 percent mskl! 2 3 4 0945 0:10 y 0A017.24 115 ! <1 ". 7 9 tt 13 - 0430 0:10 y 14 IN tb 17 is 1650 0:45 : Y '.: 14 xa 21 E2 2G 1430 ala : y° 27 28 30 31 Nlnnthly A—ge Linif: Monthly Average: 0,001 0 0 0 0 I)ail} Nlaximnm: 0.C101 7.24 :.0 0 0 0 DaibA".banr 0.001.... 7.24 0 0 ll.... 0 **** No Reporting Reason. EiNFRUNF = No Flow-ReuselRecycle; F.NVWTHR - No Visitation -- Adverse Weather; NOF OW = No Floes'; HOLIDAY = o Visitation -- Holiday NPDES PERMIT NO.: isC0083887 PERMIT VERSION: 4.0 PERMIT STATus: Emiisat FACILITY NAMYe, Charlotte Douglas International CLASS: PC- I COUNTY: MEi!LnburS L11—por, OWNER NAME- Lay of Charlotte ORC: Kellie H Hedrick ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED: Na eDMR PERIOD: 03-2019 (March 2019) VERSION: L0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) 34010 $1551 Monthly Monthly Grab Grab 2L TOLUENE XYLENE 12400.10tk flo, 2400 el.91, It. YWN ug/1 awl 0940 0:20 B 1550 0:30 y 6 0945 11lo y —<I < 1 ILI it 2— 29-3-0— 2-1 L4 Is to to 11650 0:45 y 22 24 25 1430 010 y 29 �L L 31 Monthly Avenge Limit: M.Mbly Average: 0 0 =0, 0 0 Way MWonon: 0 No Reporting Reason: ENFRUSE = No Flow-Rett5e/Recycle; ENV WTHR No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY No Visitation -- Holiday NPDES PERMIT NO.: NCO083887 PERMIT VERSION: 4,0 PERMIT STAJLS. Expired FACILITY NAN17 Charlotte Douglas International CLASS: PC-1 COUNTY: Mecklenburg Air —port OWNER NAME: Lily of Charlotte ORC: Kellie H He trick ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED. No eDMR PERIOD: 03-2019 (March 2019) VERSION: 1.0 STATUS: Processed I COMPLIANCE STATUS: Compliant CONTAC ONE 9802022377 SUBMISSION DATE: 04/12/2019 7" j 04/12/2019 ORC/Certifier Signature: KeYffe' Hedrick E-M ,�il:kcllie.hedrick@epscharlotte.com Phone #-980-202-2377 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 pertnittee becomes aware of the circumstances. If the facility is nonco t, 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 I the NPD e t 04/12/2019 Permittee/Su mitt ignature:*** Joshua Eller E-Mail jgel ler@cltairport.com Phone #:704-793-7706 Date Permittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 1 certify, tinder penalty of law, that this document and all attachments were prepared tinder 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 systern, 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: Pace Analytical CERTIFIED LAB#-. 12 PERSON(s) COLLECTING SAMPLES: Kellie Hedrick PARAMETER CODES parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal,iiedenr.org/web/wq/swp/ps/iipdes/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 pentrittee, then delegation of the signatory authority must be on file with the state per I 5A NCAC 2B ,0506(b)(2)(D). NPDES PERMIT NO.: NCO083887 A LCILITY NAME: Charlotte Douglas International Airport OWNER NAME: City of Charlotte GRADE: PC-2 eDMR PERIOD: 02-2019 (February 2019) PERMIT STATUS: Expired. PERMIT VERSION: 4.0 CLASS: PC -I ter t ORC: Kellie 14 Hedrick R' tit 19 ORC HAS CHANGED: No �d VERSION: 1.0 9 1 t, ':1 4 V 1 + 50050 04400 C0430 Coot) COW 34034 34371. TAFIC 44556 19iice per l�If777fttt molithiy QuarteCl QtteltiCft MonthlyI'lIi171tItI (hlfirterl Mo}Sthl Fzstnnate Grab Grab Grab. Grab Grab (!tab Grab.. Grab z FLOW Pit TS.i. Cone TOTAL. N- TOTAL P-Cane BENZENE EEY1,11EN rrivamAC 017.GRSE 2400 ClWk if. 2400 &.1, 13ry TOWN m 0 su mg/1 tire) m I a k I Percent mg/1 1 2 3 4 4 s 0915 010 Y 7 M IQ t7 12 1 1520 0:10 Y 13 14 1$ t7 is 1555 0.10 iY " Vt 0900 0:30 1 Y 0.009 7.35 t c2.S r, l < I <48 x1 22 1100w,''. a4 z$ 0955 26 27 OEi450930 Nlntii&ly AvervaVLunit: Monthly:AvernOc: 0.009 ft 0 0.. 0 Dolly Maximniv 0.009 7:3k 0 0 0 0 ****Nil Reporting Reason.ENFRUSE=NoFlow-Reuse`Recycle; ENVWI'IiR=No Visitation- Adverse Weather., NOFLt7W==NOFIow; HOLIDAY=NoVisitation— Holiday NPDES, PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Ex fired I�XCILITY NAME: Charlotte D2uglas International CLASS: PC-1 COUNTY: Mecklenburg A!11� OWNER NAME: City of Charlotte' ORC- Nellie H Hedrick ORC CERT NUMBER. 28628 GRADE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: 02-2019 (February 2019) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS. Coaph PHONE #- 9802022377 SUBMISSION DATE: 03/21/2019 /x� 03/17/2019 ORC/Certifier Signature: KeVi,,;;Ivedrik,,E-'Xail:k,lli,,hedrick@epscharlotte.com Phone #:980-202-2377 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 none nt, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11,E.6 of le e f ci' y s none nt' lease the NPDES p it. 03/21/2019 Permi i mi ter Signature:*** Joshua Eller E-Mait:jgelter@cltairport.com Phone #:704-793-7706 Date Pennittee Addr s• 501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Pennit Expiration Date: 06/30/2015 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, Pace Analytical Services, LLC CERTIFIED LAB #.- 12 PERSON(s) COLLECFING SAMPLES: Kelfie Hedrick PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr,org/weblwq/swp/Ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's PDES 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?: OR must visit facility and document visitation of facility as required per 15A NCAC 86 M04. Signature of Pennittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B NPDES PERMIT NO.: NCO083887 PERMIT VERSION:4.0 FACYATV NAME: Charlotte Dougias Intertnttional CLASS: PC -I Alrpuit {OWNER NAME: City afCharl atte ORC: Kelhe H Hedrick GRADE: TIC-2 : ORC HAS CHANGED. No eDMR PERIOD: 01-2019 (January 2019) VERSION: 1.0 SAMPLING LOCATION: EFFLUENT RF'r, a•µto IT STATUS: k"2iTr �,� I v. Mecklenburg FEB,2 CC CER1' NUlYt33EI�� s �. b m STATUS: Processed DISCHARGE NO.: 001 NO DIS NO 50050 00400 C0534 C06011 (70665 M)30 34371 TAW 005§6 e a «� g 1P a r a Y m c C1uoer Mf711t1f1 Mtanttil Clunrteci (%uaxtcrl Mc+ntttl MonOrt (?uurturl Mtintltly ti p° Estimate Gmb (;Nb Grab Crab Grab Grab Grab Grab —, •. u" FLOW pit TS.4-C— TOTAL. N- TOTALP1 Cone BENZENE ETn51SEN f111024AC din,IGIERE .. 2400 elocA t 1400 clack 11. WIEN su ttt * I nl f 1. to 1. u � I u> 1 errent. m 'I S 2 3 4 S d 7 2220...... 1:30 Y 8 1410 _ 0:45 y 0.008 6,68 3.I 1.4 0.054 +: 1 < 1 > 100 4A i0 E 11 1x ---- — — — t3 la 1640 0:2$......y 16 7 Is 1� an x1 22 Za 24 0925 0:10 Y zs 26 27 . is xv 1445 0:20 Y S0 0830 8:00 B 31 Momhty ArmgeU it:. M.Mbly Avermp:. 0.008 31 1:4 0.054 0 0 100.. 0. Roily Ylacfmam:. 0.008 6.68. 3.1 1.4 0.054 0 0 14I0 0 Ra11y M€»imam: 0.008 6M 3.1.... I.$ 0.054 0 0 100 0 **** No Reporting Reason: LNFRUSL :- No Flaw-Reuse/Recycle; LNVWTHR = No Visitation - Adverse Weather; NUFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NC1083887 PERMIT VERSION:4.0 PERMIT STATUS: P.xpired FACILITY NAME: Charlotte Douglas International CLASS: PC -I COUNTY: Mecklenburg Ai t OWNER NAME: Eity of Charlotte ORC: Kellie H Hedrick ORC C RT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED: No eDMRPERIOD: fit-2019(7annary2(i19) VERSION: I;O STATUS: Processed COMPLIANCE STATUS: Co2ipliant CONTACTPHONE #: 9801-022377 SUBMISSION DATE: 02/14/2019 02/14/2019 ORC/Certifier Signature: e lie Hedrick E-Mail:kellie.hedrick a,epscharlotte.com Phone #:980-202-2 77 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. ; The pertmttee 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 per nittee became mare of the circumstances. A written submission shall also be provided within 5 days of the nine the perm ttee becomes aware of the circumstances. If the facility is nonco p iant, 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. ap. 02/14/2019 Pero eel u' muter Signature:*** Joshua Eller E>-Mailjgeller(cz?�cltairport.com Phone #:704-793-7706 Date Permittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 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: Pace Analytical Services, LLC CERTIFIED LAB #: 12 PERSON(s) COLLECTING SAMPLES: Kellie Hedrick 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/tipdes/fon-as. 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 8C .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 I A NCAC 2B .0506(b)(2)(D) 0 Ar re OWNER T GRADE: 1 eDMR PE PERMIT VERSION:4.0 PERMIT STATUS: Ex fired ternational CLASS: PC-] µ COUNTY: Mecklenburg w4 ORC: Kellie If Hedrick ANORC CERT NUMBER: 28628 ORC HAS CHANGED: e; 't a�s�,rR 8) VERSION: I.O 0WR SECTION STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC RGE*T ° i s, 8 � 8 50050. f)nee er Estimate FLOW. 00400 Monthl Grab pit C0530 MnnOkl Grab INS -Con, cow Qnarteri Grab TU"MALNv C0665 (;uarteri Grab TOTAL P-C'me '34030 Monthly Grab BENZENE 34371: Monthly Grub ETfINLRE{N TAE6C tsvteo Grab fTH024AC 00556 Monthl Grab OIL-GRSE 2400d ck tha 2400atack firs V/ktN.. rand I. nagil nign I. '1 . U 1 UW1 percent Egli 1 2 3 '4 1420 nt10 Y 5_. 6 7 8 9 10.-. 11 1050 0:10 Y 12 0840 0:30 - y 0o(G 7,07 1<15 <1 <1 <4.8 13 14 1030 0:15 Y r5 16 17 18 is 14.25 0:30 Y 20 26 22 23 24 25 26 27 0945 0:15 V 2B 30 31 0915 0.25 Y ;b othly A,,oage Limit: 4lauthly,k ecm e. 0,003::.. 0 in 0 0 Dully Maximum! 0.003 17.07 10 0 In 0 rallyN11a1umue 0.003 7,07 1 0 0 0.: *# " No Reporting Reason: ENFRUSE = No Flow-RcusetRecyele ENVWT14R - No Visitation -Adverse Weather, NOFLOW = No Flow; HOLIDAY - No Visitation - Holiday I NPD "v PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: E2ircd EACI TY NAME: Charlotte Douglas International CLASS: PC -I � COUNTY: Mecklenburg Ai ort OWNER NAME: Cisy of Charlene ORC: Kellie H Hedrick ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: '12-2018 (December 2018) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) a 34410 81551. 8 " E� � « cg a Monthly Monthly c j Grab . Grab a Tb1.C"EI•iE X1ZE?tiF„„... 2400 clock 11rx 1400 dock Hrs VAVN Una 1 2 t 4 1420 0:10 Y 5 t S s t0 11: IM 0A0: Y. 12 10840 0:30 Y c 1 <..1. 13 14 1 1030 0:15... y 15 1s 17 is 14 14:25 ' 0:30 Y 20 it 22 23 24 25 in 27 094-5 0:15 Y 2e 29 11 9t5 0:25 Y Monthly Average Lhoto hloatbly Average: Ct 0 Daily ToWmom; 0 tl DeilyilGei— 0 0.. **** No Reporting Reason: ENFEUSE -- No Flow -Reuse Recycle; EN VWTHit =- No Visitation - Adverse Weather; NOFLOW - No Flaw; HOLIDAY =tea Visitation -- Holiday NPD' ,+ PERMIT NO.. NCO083887 PERMIT VERSION. 4.0 PERMIT STATUS: Expired I+ACI ITV NAME: Charlotte Douglas International CLASS: PC -I COUNTY: Mecklenburg Ai rt OWNER NAME. City of Charlotte ORC: Kellie H Hedrick ORC CERT NUMBER: 28628 GRADE PC-2 ORC HAS CHANCED: No eDMR PERIOD: 12-2018 (December 2018) VERSION: In STATUS: Processed COMPLIANCE STATUS. Compliant CON ACT PHONE #: 9802022377 SUBMISSION DATE:01/18/2019 01/ 17/2019 ORC/Certifier Signature: Kellie Hedrick ,-Mail:kellie.hedrick'epscharlotte.co Phone #:980-202-2377 Date By this' signature, I certify that this report is accurate and complete to the best of sap 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 pennittee 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 pernrit 01/18/2019 Permitteet mitter Signature:*** Joshua Eller E-Mail:jgelleracltairport.com Phone #:704-793-7706 Date Pennittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 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. Eased 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: Pace Analytical CERTIFIED LAB #. 12 PERSON(s) COLLECTING SAMPLES: Kellie Hedrick PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.nedenr,org/web/wq/swlt/Ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES pennit for reporting data.. * No Flow/Discharge From Site. Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 86 .0204. *** Signature of Permittee- If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I5A NCAC 2B .0506(b)(2)(D). NPDES PERMITNO.: NCO083887 PEF2MIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS: PC"-1 R COUNTY: Meekl nbtr'g 1 {Y. Airport „ OWNER NAME: LIty of Charlotte ITRC: Kellie H Hedrick i�( r .� C CURT NUMBER. 28628 GRADE: PC-2 ORC HAS CHANGED: No 1� " eDMR PERIOD: 11 -2018 (November 2018) VERSION: 1,0 �" � ��TL175Pmces,ei ? „ `.: 2' OROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCW: MGIONAL OFFICE & a St}445Q Cd114{r{r coloU C"T7600 .. ("0665 '34044 .14371 1"AE6C 4141556 m + Once per €vtonrbl 'Monthly Quarterly Qu!trwrt morahly Mosalty tluarterly monaily u C kstrnrrrte Coat, liratr C3rat1 Grab Crab Grab Grab Graf) FLPi't5' pht "fh"4. -Corte TOTAL K- TOTALP-C'o-nc a$NZF6E ER`!1Y`L.Nk'.N F"Tl1t323Ai 01I;_f.R4ii 2400 do.1, 11. 2400 elod, kits 1 WHIN rn :d sr�r 11) rll m =,1 . flt ='i u.: r't rz�;'! rercent. mg,/l 2 z 4 c 7 a #733 it845 £l.�tit �` ft.QtiS 5.4 , 7 to It -` 12: 1: 1005 o: to Y . to is {a 18 14 err 1015 - 0:20 Y zr xz as 24 zs 2s 27 tF)55 0.25 y 28 ao so Airxrr;hty A+era;e hCmfE: . ZffiCi•Avexayle: fi.afl5.:.: -5.4 0 fi tb I7ai12• Nuo. um: t4.t)o5 7:33 5,4 : tt: 0it 1lnityAliniiriam: (h:o(>ti 7.33 5.4 t} tl t7 ^`�"�* No Reporting Reason: ENFRUSE _- No How-Reuse/Recycle; ENVW ]IR = No Visitation - Adverse Weather; NOFI.OW = No How; HOLIDAY - No Visitation Holiday NPDES IMF RMI`i" NO.. NC O083887 PERMIT VERSION: 4.0 PERMIT STATES- t iced FA,CIL1TY NAME. Charlotte Douglas International CLASS. PC -I 1. COUNTY. Meeklenburg Airport OWNER NAME: City ofCharlotte ORC: i{elhe El Hedrick ORC CERT NUMBER. R. 28628 GRADE: PC-2 ORC HAS CHANCED. No eDMRPERIOD: 11-2018(November 2018) VERSION: 1.0 S"I'ATIIS.Proeessed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) t= g w a IGrab a Z a Monthly htontblY.. _.. Crab TG)r.C'F.RF;... 1400 stnck On I400 d"k Un VIHtti tt IL Lt lI 7 a 7 N tQ ii to 5t 1005 0:10 Y tS t 20 ZS 1025 kz 23 as 25 N 'xtonkhkv et-.cra};x• S;3enit.. Ds lr A9nxtiixoin: 0 0 rJnt� 19in[tuurrr. �. I) ** No Reporting Reason. ENI RUSE = No flow-Reuse/Recycle; ie; C;NVW1'RR = No V shation - Adverse Weather; NOFLOW - No Flow; 110LID AY -- No Visitation - lioliday I NPDES PERMIT Nth.: NCi083887 C,cCILITY NAME: Charlotte Douglas International Airport OWNER NAME: City of Charlolle; GRADE: PC-2 eDMR PERIOD: '1 1-2018 (Novernber2018) COMPLIANCE STATUS: Ccanipliant fr , ORC/Certifier Signature: Kellie II PERMrr VERSION: 4.0 PER14ILF STATUS: Expired CLASS. PC;-1 COUNTY: MEcklenburg ORC: Kellie H Hedrick ORC CERTNUMBER: 28628 ORC HAS CHANGED: No VERSION: L0 STATES: Processed COOT"ACr PIII)I*E #: 9802022377 SUBMISSION DATE: 12/12/2018 12/12/201 Late The: pertnittee 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 permittec> became aware of the circumstances. A written submission shall also be provided within 5 days of the time the pen- mace becomes aware of the circumstances. If the facility is rioncompliant, please atta "a ist of corrective actions being taken and 8 time -table for improvements to be made as required by part ti.E.6 of the NPI7ES permit. 12/12/2018 Per ittee/Submitter Signa ore:*** Joshua EllerP-Mait:jgeller@cltairport.com Phone :704-793-7706 Date Pennittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Perrint Expiration bate: Ofi/30/2015 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 property gather and evaluate the information submitted. Based on my inquiry ofthe 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: Pace Analytical Services, L.L.0 CERTIFIED LAB #: 12 PERSON(s) COLLECTING SAMPLES: Kellie 1ledrick 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/psfi`atlades/forrrrs. l lie.hedrick�Cr�,epscharlotte.cont By this signature, I certify that this report is accurate and complete to the best of my knowledge. FOOTNOTES Phone #:980-202-2377 Use only units of measurement designated in the reporting facility's NPDES permit for reporting data, * No 1~ low/Disci arge 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 roust visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature ofPermittee: If signed by other than the pertnittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(1)). NPDES HERMIT NO.: NCO083887 PERMIT VERSION.4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS: PC-t COUNTY: Mecklenburg Airllor, G1tiVNER NAME: City of Charlotte ORC. 1Ceitie FI Hedrick EC 8 ..., ,, ORC CERT NUMBER: 28628 RECMEDINCDENR/DWR GRADE: PC"-2 ORC HAS CHANGED. No eDMR PERIOD: 10-2018 (October 2018) VERSION: 1,0 STATUS( Processed ; .. WO SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DjSk%0 W MNAL 1 E 5005() 06400 :00530 C0600 C0665 34430 : 34371 `t'AE6C, 40556 '& m y'¢,.. A a Once, per Mnniht Mnntht rrartcrl r„}llarCCC1 14tU71tiit Mnnttll9rt3IlC'ri ' M hi u° a $, Estimate Grab Grab Grab drab Grab Gnar Crab Grab a a A" F $ q 1! BI,C1W pE{.'. "tSS-Coat TOTAL N- TOM Y-One I7ENZENk; FTHYLBEN FTAD24AC I tkTL,-GEi`riF 2400 doctc fha 1400 dory urs SINN to d sn "nr S malt mg,11 as '1 sr i erceni m<=td 1 0825 0:10 B 2 " 0950 " 0:15 y 3T 4, E ID i" 6 L 7 11 ES 8 0940 0:10 Y 9 14 is 08:50 030 Y 0.002 17.05 7.9 <0.52 OM8 < 1 { 1 --100 ".:<4S 16 17 18 19- 2t , 22 s 2.1 1025 0:10 Y 24 25 26 27 28 29.. 1135 0:25 Y 3€t 3t 14-thi2. Average Limit: tiloathly Average. 0.002 1 7.9 0 0:068 0 0 100 0 Daily Maximum: 0,002 7,05 7.9 0 0,068 6 0 too 0 naty Minh+ram: 0.002 7.05 7.9 0 0,068 0 100 0 **** No Reporting Reason: ENFRUSF, = No Flaw-Reuse/Recycle; ENV 'FFIR= No Visitation _.: Adverse Weather; NOFLOW =l No Flow; HOLIDAY = No Visitation - Holiday NPDE.S XRMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas international CLASS: PC.-1 COUNTY: Mecklenburg Arpar. OWNER NAME: City of Charlotte ORC: Kellie 14 Hedrick ORC+CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANCED: Ni eDMR PERIOD: 10-2014 (October 2018) VERSION: 1.0STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO ;(Continue) * 34010 $1551 e E d d Y G. ... u 14i0itihl... �tOiltiit" r Y. U S O $ Grab Grab TOLUENE XYLEME 240 cluck ilrs 2400 cluck F1ne k'f!§ N n :n. a el 0825 0:10 B 2 0450 0.15 Y s a 6 7 0840 0:10 Y 9.. r 14 15 08.50 030 1 Y µ I < 1 15 17 is 14.- Ll t3.. 1025 Ot10 : Y 2a.. 25 26 yq.. 28 xi 11135 0:25 ' :Y it 3T: Monthly Average Limit: M.ot ly Aver gei U Uai1y Maximum: 0 U Oftily Minimal: 0 t) ** No Reporting Reason: ENFRUSE = No Flaw-ReusctRecycle; ENV W"rHR = Na Visitation - Adverse Weather; NOFLOW - N0 Flow; HOLIDAY - Na Visitation - Holiday NPDES t*ERMIT NO.: NCO083887 PERl4IIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS: PC-1 COUNTY: Mecklenburg Airport OWNER NAME: City of Charlotte ORC: Kellic H Hedrick ORC CURT NUMBER. 28628 GRADE: PC-2 ORC HAS CHANGED: Na eDMR PERIOD: 10-2018 (October 2018) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 9802022377 SUBMISSION DATE: 11/13/2018 7 1 1 /07/2018 ORC/Certifier Signature: IKellie Hedrick E-Mail:kettie.hedrick@epscharlotte.com Phone #:980-202- 377 Date By this signature, I certify that this report is accurate and complete to The hest of my knowledge; The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a tune -table for improvements to be made as required by part II.E.6 of the NPDES permit.,- I1/13/2018 Perm ittee/S mitter Signature:*** Joshua Eller E-Mail:jgel] e`r(aeltairport.com Phone #:704-793-7706 Date Permittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 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: Pace Analytical Services, L.LC CERTIFIED LAB : 12 PERSON(s) COLLECTING SAMPLES: Kellie Hedrick PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://porta1.ncdenr:org/web/wq/swp/ps/npdeslforms. 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 ofPermittee: Ifsigned by other than the permittee, then delegation of the signatory authority must be on file with The state per 15A NCAC 2B .006(b)(2)(D) NPIQES PERMIT NO.: NCO083887 FA CITY NAME: Charlotte Douglas International ,Airport OWNER NAME: City of Charlotte GRADE: PC-2 eDMR PERIOD: 08-2018 (August 2018) PERMIT VERSION: 4.0 PERMIT STATUS: Expired CLASS: PC-] COUNTY: Mecklenburg RECEIVED ORC. Kellie H Hedrick 2 0 1 eIRC CFRT NUMBER: 28628 SE P 2 6 �TEIVEDINC MENRIDWR ORC HAS C14ANGED: No CEN"I'14,AL FILE VERSION: 1.0 T DWR FATUS: Processed I SECIP INQR0,11, SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO OFFICE 50050 moo COAM C0665 34034 34,171 TAF.6C 40546 2 ELnthly 2H2!IEri 2ullerly Monthly Quaftc-_rlZ h7 -nd.,111 L".m— L,,L�b (i_,so L,,_-L_ Grab Gnb Grab 2 jt — PH TSS - C.- TOTAL N - TOTALP-C- . BENZENE ETHYLBEN FTM)24AC OHIGRSE 2400cNnek ILL 2400.1.1k R. YIDIN Ingd SU mg/1 ml_ iL_ ug/1 Percent TL__ 1040 030 B 0,017 —21111 62 5.1 K1 < I 4.S 1120 0:20 Is 4 5 6 8 1 R* 0:30 Y 12 13 1 14 151 16 11400 0:10 y 17 19 24 it t 1050 0:10 y 22 23 24 25 L 27 L 1110 0:10 y 29 30 31 Mmatho, Aventge Limit: Mm,thly A­jge: 0,017 8A 0 0 Nity M—mmul 10,017 1&1 1 1 0 to 0. Nit, MW ... 10.017 16.2 I 1 10 6.2 Is., 10 **** No Reporting Reason: FNFRUSE .= No Flow-Reuse/Recycle; ENVWTfIR = No Visitation -- Adverse Weathm NOFLOW m No Flow; HOLIDAY — No Visitation - Holiday NPOES PERMIT NO.. NCO083887 PERMIT VL+:RSION:4,0 PERMIT STATUS: Expired IF'A ILITY NAME: Charlotte Douglas International CLASS: PC -I � COUNTY: Mecklenburg Aim OWNER NAME: City of Cliarlatte ORC: Kellie It Hedrick ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED.- Na eDMR PIERIOD:08-2i118 (August 2018) VERSION: I,0 STATUS: Processed COMPLIANCE STATUS. Compliant CONTACT PHONE #: 7047937706 SUBMISSION DATE. 09/19/2.018 t r 09/14/2018 ORC/Certifier Signature - 'e edrick E-Mail:kellie.hedriek@epseharlotte.com Phone #:9 ±0-202-2377 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 drat] be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5days 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 tinge -table for improvements to be made as required by part ILE.6 of the NPDES permit. 09/19/2018` permittee ues: it gnature:*** Joshua Eller E-Mail:jgeller@cltairport.com Phone :704-793-7706 Date permittee Addre5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 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: Pace Analytical CERTIFIED LAB #: 12 PERSON(s) COLLECTING SAMPLES: Josh Eller PARAMETER CODE Parameter Code assistance may be obtained by calling the NPDES Unit (91 ) 807-6300 or by visiting http://portal.ncdenr,org/web/wq/swp/ps/npdes/forms, FOOTNOTE 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.NCA.0 8G .0204. *** Signature of permittee: If signed by other than the permittee, there delegation of the signatory authority must be on file with the state per 1 SA NCAC 2B 0506(b)(2)(D). NPDES PEPN3T NO.. NCO083887 If FACILITY NAME; Charlotte Douglas International n,rport OWNER ER NAME. Ciq, of Charlotte GRADE: PC-2 eDMR PERIOD: 09-2018 (September 2018) SAMPLING LCICATI PERMIT VERSION: GLASS: PC -I tJ ORC HAS CHANT VERSION: 1.0 N. EFFLUENT 4.0 PERMIT S'I'ATUS: Expired RN L— C .IVED COUNTY: Mccklenburg OCT k ORC CERT STATUS. Processed DISCHARGE NO.: 001 NO DISCHARGE*: NO 50050 00400 : Ct}530 C0600 C'0665 34430 1071 rA"C 00556 WE t'3nce er nc>nchl h9ontnl carter eri Me�nthl �.xithi: tiurtert zantla} Btimatc Cixab Grab Gmb Grab drab Grab Grab Grob 1`11054'.. pH TSS-Cant TOTALN- rOTALP-Cane.. BENZFNE ETHYLBEN FTHA4AC OIL-GPVSE 2400 crack tin 2400:Tack :: lin : Y/WN sn .. : mg/1 m +} rit .. a �1 .0 ruent m , i 2 3 4 51 0955 0:20 ly 6 08+35 '.. 0:35 Y OMI . 7.12 14 <1 <1 <4,8 ii zt> 1z' 13= - 0835 0:20 ly 14:. 16 19. 1250 0:25 Y 1$r 19 20. 0855 010 :.:Y 21 " 1700 0:30 : Y 22 23. 24 25 26 1000 0:15 IB z7+ is 0840 0:20 B . 30 Monthly Average lJmit: Monthly Avemge: 0.001 14 10 0 0 Daily Maximum: 0.001 7.12 14 0 0 0 Daily minlnium. 0.001 7.12 14 0 0 0 No Flaw-ReuselRecycle, FNV WTHR = No Visitation- Adverse. Weather; NOFLOW = No Flow; HOLIDAY = No Visiiation -Holiday NPDES PE" IT NO.: NCO083887 PERMIT VERSION: 4.t7 PERMIT STATUS, Expired FACILITY NAME: Charlotte Douglas International CLASS: PC:-1 COUNTY: Mecklenburg Air -port OWNER NAME: City of Charlotte ORC: Kellie H Fledrick ORC C"ERT NUMBER: 28628 GRAVE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: 09-2018 (September 2018) VERSION: 1.0 STATUS- Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) ;t4t110" alssi k S c v' Monthly Monthly . w c° � � � � CJrt1a Grab Lk � TOLitENF XYLLNE 3400 clack Firs : 2400 doac Hrs V/RN u l tt tl 1 2 a 4 ' $ 0955 0:20 y 6 0835 - 0:35 Y *. l t. 7.. 9 Il 11 08is - 0.20 Y 14r is 16'J 17.: 1250 015 y l8 19 20 0855 0:10 ly 2l 1700 0:30 Y as 24;.. 1000 0:15 E3 2-5 as 27 U 0840 0:20 n 291 MoaYlzly.3t=erage Limit. Monthly Average: 0 10 :Daily mazimum: . **** No Reporting Reason: FNFRUSF = No Flow-Reuse/Recycle: LNVWTHR = No Visitation - Adverse Weather, NOFLOW No Flaw, HOLIDAY No Visitation -- Holiday NPDES PEI, I I NO.- NCO083887 FACILITY NAME: Charlotte Douglas International Airport OWNER NAME: City of Charlotte GRADE: PC-2 eDMR PERIOD. 09-2018 (September LO I 11117,11i / PERMIT VERSION: 4.0 CLASS: PC-1 ORC: Kellie H Hedrick ORC HAS CHANGED: No VERSION. LO CONTACT PHONE #: 9802022377 PERMIT STATUS: Expired COUNTY: Mecklenburg ORC CERT NUMBER: 286.18 STATUS: Processed SUBMISSION DATE: 10/17/2018 7/2018 I ORC/Certi4T/Vilg"nature: Kclk/e" 4'Ud ick E-Mail:kellie.bedrick(a.)epscharlotte.com Phone #:980-202-2377 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 oft orrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit. 10/17/2018 Perm�ltee/s itter Signature:*** Joshua Eller E-Mail:j gel fer@cltairport. com Phone #:704-793-7706 Date Perm - kh�e'sr:M5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 = Permit Expiration Date: 06/30/2015 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 property 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: Pace Analytical Services, LLC CERTIFIED LAB : 12 PERSON(s) COLLECTING SAMPLES: Kellie Hedrick PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http:/,/portaLncdenr.org/web/Wq/swvp/ps/tipdes/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 SG 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 M06(b)(2)(D)• NPDES PERMITNO.: NC 0083887 PERMIT VERSION.4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS: PC"-1 D coUNT°Y. Rlecklenbiug , lrport > 018 OWNER NAME: City of Charlotte ORC: Kellie, H Hedrick ORC CF RTNUMBER: 28628 GRADE: PC-2 ORC HAS CHANC,,D: N� i t, k.1 � i S EI f E MAIP eDMR PERIOD. 07-2018 (July 2018) VERSION: I.O S CATM Processed , c 1 AN O SAMPLING LOCATION EFFLUENT UENT DISCHARGE NO.. 001 NO D1SCHAAW/; , EGI L OFFICE a � G c '^ «. m 50050 C)bGC`per Estimate F1.ilN' 00400 Mgrllzzly Grab p12 COM 6 onthly Grab '15,5-Cnnc C060 Quarterly Grab Tf)TAt; e'ti'» C06615 2211@1'l i nor TflTftt P.Conn 34030 tti1,1CkFhlt" Cita6 13ti1N7.ENF 34371 k\do",hh, Gab F1'ISYi.BGN TAF,6C ()ua111-ly Grab 4'131i1NAC 0136 31101111ilV Grab 011rL'.12SF 2400 dock tlrs 2400 dwk 11rs YlBtly nzucl su mr'S nikl an=rE ux3 nt!!i 13ett�ent met] z 4 5 1115 00:10 Y 6 Z 0 . zu 11. Ct!TXO t)£;C}tl Y t5.02 7.1, lft LS 4,16 i < i too :4.8 . I2 14 .. 15 16 17 0915 00:d5: .. Y rx 19 zo 2X 71 24 1525 00:35 Y 2� 26 27 2& 2v i0 31 1145 (7ti: iS B. Jtnn�hly irirag+r: .. 0,02 is 11.5 0.16 0 0 1t}0... 0 Dai}1 titaxhrtnm: C1.02 7.1 18 1.5 0.16 0 4 100 0 11ai12 Nitniml- 001 7.1 Ix la'i ti.f6 0 0 iwa 0 **"* No Reporting Reason: ENFRUSI? No F low-Keuse/Reeyele; ENVW'THR = No Visitation- Adverro Weather; NOFLC)W - No Flow; HOLIDAY =No Visitation Holiday NPDES PERMIT NO.: NCO083887 PERMIT VF,RSION:4,0 PERMIT STATUS: lsxpired FACILITY NAME. Charlotte Douglas Inteniational CLASS: PC -I COUNTY: Mecklenburg Airport OWNER NAME- t"ity of Charlotte ORC: Kellie H Hedrick ORC CERT NUMBER: 28628 GRADE: t'C-2 ORC HAS CHANGED. No eDMR PERIOD: 07-2018 (July 2018) VERSION. 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) NOW 81551 w Y " Mmr4t1 M�11YtlYfy .� (tab Grab cu ct t1J1.1i1;:NR Xt'LFN1: 1400"do& H,,, 2400.1-1, It. VIIVN tC.•''i -A t ,a ' c I5:(.5 00A0 y d 8 5 11 0920 0L00 y < I � 1 12 1a la Is 18 17 (111S 01ht5 " Y (& 1 ".. '.:.20 .: 21. r 22:. 23 24 1525 00:35 y 26 2 28 29 34 31 1 11145 00A5 B . 19 athly A,mge t..Wt, M.Ohly A,1r 91e 0 U Daily kt..W. n. 0 '"NOKOPOrCIt7�gKea,son:t'.Nt'KUNC--i'401"tktW-IKCUSCd KCCYCIC;tNVWIHIt—NOViSitallOn—AOVCTSCVVCatIlCr; IV(rl,VN' NOI-IOW-, HUI,lt)/kY=NOViSilatEC7II—noiiilav ,0 x ok NPDES PERMIT NO.: NC O083887 PERMIT VERSION:4.0 PERMIT STATUS; I?xpired FACILITY NAME: Charlotte Douglas International CLASS: PC-t COUNTY: Me klrnburt, Airport OWNER NAME. City of C'hartotl ORC. Kellie 14 Hedrick ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED. No eDMR PERIOD: 07-20I8 (July 2018) VERSION. 1.0 STATUS: processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 980 022377 SUBMISSION DATE: 08/17/2018 -C C 08/16/2018 ORC/Certifier Signature: Kell Hedrick 1 -Mail:.kellie.hedrick(c)epscharlotte.com Phone ##:980-202-2377 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 ofthe time the penuittee becomes aware; ofthe circumstances. If the facility is notico iant, please attach a list of corrective actions being taken and a tithe -table for improvements to be trade as required by part II.E.6 of the NPDES perrin . 08/17/2018 Pertuitteel, mitter Signature:*** Joshua Eller E-Mail:jgeller@cltairport.c.om Phone #i:704-793-7706 Date Permittee Address: 5501 Josh Birtningla€am Pkwy PC) Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 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 informations submitted. Based on my inquiry of the person or persons who managed the system„ or those persons directly responsible for gathering the inftrrnttation, the information submitted is, to the best of my knowledge and belief, trace, 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. Pace Analytical Services, 1.LC"; E'IT Lnvironasental CERTIFIED LAB #: 12,022 PERSON(s) COLLECTING SAMPLES: Kellic Hedrick PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.nscdenr.org/web/wq/swp/ps/rapdos/foruts.. 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 'ernintee: if signed by other than the permittee, then delegation of the signatory authority must be on file with the state pert SA NCAC 2B ,0506(b)(2)(D): NPDE,�NIRMIT-NO- NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: I.xpired WILITY NAME; Charlotte Douglas International CLASS: PC-1 COUNTY: Mecklenburg ", A OWNER NAME: City of Charlotte ORC: Kellie: H Hedrick � t0 0 18 ORC CERT NUMBER: r=1 J Did R1DW GRADE. PC-2 ORC HAS CHANGED: No CEO-1 @" AL FILE§TATUS• (1DMR PERIOD:06-2018 (June 2018) VERSION: 1.0 --DWR Processed SECT10t\t WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE Al2G NO.: 0(}1 NO UI C JONA . OFFICE x. 5054 00400 i't7W C0600 C0665 34030 34371 T'.AE6C 40556 s Once per monthly Monthly Quarterly Quarterly MonthlyMenrt7ll� Quarterly Monthl Estimate Grab Grab Grab Grab ..Grab Grab Grub Grab u 04 FLOW ptt TSS - Cone TOTAI,.N. TOTAL P - Cone BENZENE fiVEVIIII&N bYH024AC t7li..IGRSE: I 2400400k 111.. 2400 rind, Elm YID/N nMd su :aryl mg/I nt Jl u/1 uI'L/1 retec-itt rn>t 2 3 4 1330 0:45 Y i 6 7 v 20:00 0:30 t3 t0 IM00 7:00 B It 13 14 15 I, 17 to 10:30 0:15 : H 19 20 aI 22 23 24 25 i 26 16700 0:15 Y 27 28 1510 0,25 Y 24 30 Monthly Average Mena: 374nth11 .1F`dYAgC: Unfly 19:axtennmc. **** No Rupurtnng Reason: ENFRLISE _=' No Flow-Rcusev'Reeycle; FNVW 1`HR Net Visitation ,.. Adverse Weather: NOFLOW -- No FlowHOLIDAY - No Visitation Holiday NPDES 'ERMTT"NO.. NCO083887 PERMIT VERSION:4.0 PERMIT STATUS: 1 xt3ired ACILITY NAME:: Charlotte Douglas International CLASS: PC-1 COUNTY: Mecklerdyar8 A ilport OWNER NAME: City of"Charlotte ORC: Kellie H Hedrick ORC CERT NUMBER. 28628 GRADE: PC-' ORC HAS CHANGED: No eDMR PERIOD.06-2018 (June 2018) VERSION: L0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: YES (Continue) e m monthly n2 mt,t Grub Cithb c ° c °' a1ot.crvc xe�tr:3: 3AUO clack 24r•s 2#ti6 ekce$ 11. ]'rklfh 4,-+ owl n =1 r a 7 g A 20:00 0:30 F! to 07:00 7:00: B tt :.. 12 l5:05 0:10 Y . . :i 13. 14 1s 16 17 ;. Is l0131} 0:15 - B 19 ZO 21 ". 22 23 ry 24 25 Mon . 0:15 2a 27 29 I5:10 0::25 Y zs ao Monthy Avmgu*L4nit: Monthly A - go: Wily vtaxtrnnnz: Nor xMonnrnwlr **** No Reporting Reason: F,NFRUSE -Net Flory-Reuse/Recycle; FNVWTHR No Visitation,_ Adverse Weather; NOFLOW -No Flow; HOLIDAY No Visitation Holiday NPDES PERMIT NO.: NCO083887 FACILITY NAME. Charlotte Douglas International Airport OWNER NAME: City of Charlotte GRADE: PC-2 eDMR PERIOD- 06-2018 (June 2018) COMPLIANCE STATUS: Compliant ORC/Certifier Signature PERMIT VERSION: 4.0 CLASS. PC-1 ORC: Kellie H Hedrick ORC HAS CHANGED. No VERSION. 1.0 #.7046079181 PERMIT STATES. LExpiied COUNTY: Mecklenburg ORC CERT NUMBER: 28628 STATus: Processed SUBMISSION DATE. 07116/2018 07/16/2018 — V ellic Hedrick EV-ail:kellie.hedrick(47epscharlotte.com Phone #:980-202-2377 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The penuittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any inforruation shall be provided orally within 24 hours from the time the peonittee became aware ofthe circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit, 11-17 07/16/2018 --- V Perm i ttee/S ubmi tter Signature:*** Joshua Eller E-Mai I:j gel ler@,c Itairport, com Phone #:704-793-7706 Date Permittee Address: 5501 Josh Birmingbarn Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 1 certify, . , tinder 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 CERTIFIED LABORATORIES LAB NAME: N/A CERTIFIED LAB #: N/A PERSON(s) COLLECTING SAMPLES: N/A PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting httl):/r'portal,iicdenr.org/web/wq/swp/lis/npdes/fonns. Foo,rNOTES 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 Srte?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. Signature of Pen-nittee: If signed by other than the permittee, then delegation of the sign atory authority must be on file with the state per 15A NCAC 213 .0506(b)(2)(D). L'i1i - i llsae 2017-18 Winter Season This farm should be used to report De -Icing Fluid Usage for 2017-18 Winter Season This form should be completed and returned Monthly or as requested by the Airport Your Company IDS Phi Barefoot Phone # 704-389-1128 (person whom is providing this Information) Circle I ALL A >ro riate Res onses cccalttl�lerclal Carvers Delta — General Aviation (e, : Wilson Air) CARRIER IDENTIFICATION Cargo (e.g. FedEx, UPS, etc.) Non tenant/Others Deicing Fluid Usage - Please report the number of Gallons used BEFORE Dilution Prspyle Glycol - Select a Type Month Type I Type 4 October-17 54 Testina 50 Gallons November-17 372 0 December-17 10,455 11,141 January-18 9900 1000 February-18 978 971 March-18 1860 220 April-18 10 0 Additional months include here: PLEASE NOTE ETHYLENE GLYCOL (Type 1,) IS NOT APPROVED FOR USE AT CLT This form should be completed and returned Monthly or as requested by the Airport EMAIL this form to: Jimmy D. Jordan, P.G. Phone 980-88-3793 Comments on this form, or other De -king Information? De-inDe-licing FluidUsage 2017-18 Winter Season This form should be used to report De -Icing Fluid Usage for 2017-18 Winter Season This form should be completed and returned Monthly or as requested by the Airport our Company IDS Phil Barefoot Phone # 704-369-1126 (person wham is providing this information) Circle ,ALL A pro rlate Responses .All Commercial Carriers (e.g, AA, Delta, etc.) CARRIER IDENTIFICATIONIDENTIFICATIONGeneral Aviation e.g. Wilson Airy Cargo e.g. Fe E , etc.) Non tenant/Others Deicing Fluid Usage - Please report the number of Gallons used BEFORE Dilution Month Propylene octal « Select a "Type Type 1 Type 4 October-17 e November-17 December-17 Site 125 January-18 1679 142 February-18 36 March-18 6 April-18 0 0 Additional months include here, PLEASE NOTE ETHYLENE GLYCOL (Type 1,4) I NOT APPROVED FOR USE AT CLT This form should be completed and returned Monthly or as requested by the Airport EMAIL this form to: Jimmy D. Jordan, P.G. Phone 980-298-379 Comments on this form, or other De-leing Information? This form n be used to repo a -king Fluid Usage for 2017-2018 Winter Season Tenant Name J Your Company " Federal Express' De Icing Provided for {if other than own} use one form or each group that you service Contact Person Lyndon Gaddy Phone # 704-369-5110 Location Environmental Coordinator Which Aircraft C Airline"? FedE Deicing Fluid Usage - Please report the number of gallons used BEFORE Dilution This form should be completed and returned Monthly or as requested by the Airport Return this form to; Jimmy D. Jordan, P.G. (email is preferred) Charlotte Douglas Int'I Airport Environmental Manager Comments on this form, or rather be -Ding Information? Idlordan charlotteai ort.cdm Phone 980- 8-379 This form should be used to report De-lcing Fluid Usage for 2017-18 Winter Season Tenant Name f Your Company Wilson Air Center De Icing Provided for (if other than General Aviation Contact Person Crave Tresaloni Phone # 704-359-6708 (person whom is providing this information) Which Aircraft / Airline* General Aviation This farm should be completed and returned Monthly or as requested by the Airport Return this farm to. Jimmy D. Jordan, P.C. (emall is preferred) Charlotte Douglas Int"l Airport Environmental Manager Comments on this farm, or other De -Icing Information? Id"or n' I r e lr c Phone 980-229-3793 NPDES PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 FACILITY NAME: Charlotte Douglas International CLASS: PC -I Airport ` OWNER NAME: City of Charlotte ORC: Kellie H Hedrick GRADE. PC-2 ORC HAS CHANGED: No eDMR PERIOD: 05-2018 (May 2018) - VERSION: 1.0 SAMPLING LOCATION: EFFLUENT PERMIT STATUS: Expired COUNTY: Mecklenburg ORC CERT NUMBER: 28628 STATUS: Processed 50050 00400 C0530 C0600 C0665 - 34030 34371 TAE6C 00555 H t7nce per MonfinX 2uarterly Quarterly Monthly Monthly Quattert Munthly Estimate Grab Grab Grab Grab Grab Grub Grab : Grab a q E t° f°, �` �j' u �-,, a FI,O4X pl}. TS5•Conc TOTALN• TOTAL P-ConeBENZEltiE ETA[LREN FT1SD24AC OIL-GSt,SE 2400 clock n'rx 2400 cluck. Ilrs I WIEN in d Su mg!] I tt1 I mg/1. ug/1 ug71 percent mg/1 1 2 13440 . 0:30 y 9 4 5 e 7 112f).... o:Io..:. Y 8 9 10 I1 12 l3 14 093t7 0:10- Y 16 17 18 1340 0:15.... Y 19 to- 21 1530: o:10". Y.. 22 23 24 25 16 27 28 29 1215 0:20 Y 0 007 6.9 2.6 9.6 0.055 <: 1 < 1 too <.5.. 30 31 Monthly Average Limit:. Monthly Average: O.C)07 0 9.6 O:o55 0 10 too 0 DailyNiaximnm: 0.007 6.9 o 9:6 0.055 0 0 loo 0 Daily NS3ntnmm: 0.007 6.9 0 9.6 0.055 0 0 100 0 *** No Reporting Reason: ENFRUSE -- No Flow-Reuse/Recycle; ENVWTHR = No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY =No Visitation — Holiday NPDES PEA IT NO.. NCO08388 i PERMIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME. Charlotte Douglas International CLASS: PC -I COUNTY: Mecklenburg A1rpllrt OWNER NAME: City of Charlotte ORC: Kellie H Hedrick ORC CE;RT NUMBER: 28028 GRADE: PC-2 ORC HAS CHANCED. No eDMR PERIOD:05-2018 (May 2018) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) aauro Mist s v d w h MonthlyGrab tv4onttil' Grat, 1Yt.ENti 2400 do& It,, 2400 do & It. 'Y1WN tt r i u s / 1 ... 1 +— ;." L— — a S 6 T 1120 1 0:1 f1 y & 9 PO t* ris12 to 0930 0:10 Y 16 17 18 1340 0:15. Y 1§ " 21 1530 0:10 Y 22 23 Y4 26 2? 28 29 1215 0: 0 y <: t. <: 3 �u 1 M.thty Average Lkint: nta.thly Average: (P 0 OuIIy M.o.0m:.{1 t Deity Mr. -1- a o ***" No Reporting Reason. ENFRUSE '= No Flow-Reuse/Recycle; ENV WTHR - No Visitation ... Adverse Feather; NOFLOW - No Flow; HOLIDAY No Visitation Holiday NPDES PERMIT NO.: NCO083887 FACILITY NAME: Charlotte Douglas international Airport OWNER NAME: City of Charlotte GRADE- PC-2 eDMR PERIOD: 05-2018 (May 2018) COMPLIANCE STATUS: Compliant f ✓ qKelli, ORC/Certifier Signature: PERMIT VERSION: 4.0 CLASS: PC-1 ORC: Kellie H Hedrick ORC HAS CHANGED: No VERSION: 10 CONTACT PHONE #: 9802022377 PERMIT STATUS: Expired COUNTY: Mecklenburg ORC CERT NUMBER: 28628 STATUS: Processed SUBMISSION DATE:06/26/2018 06/25/2018 drick E-Mail:kellie.hedrick@epscharlotte.com Phone #:980-202-2377 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 Il.E.6 of the NPDES permit, X 06/26/2018 Permit /Submitter Signature:*** Joshua Eller E-Mail:jgeller@cltairport,com Phone #:704-793-7706 Date Permittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 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 tines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Pace Analytical, ETT Environmental CERTIFIED LAB #: 12, 022 PERSON(s) COLLECTING SAMPLES: Kellie Hedrick PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/ivq/swp/ps/npdes/forms, FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permitfor 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.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expired 3 FACILITY NAME: Charlotte Douglas International CLASS: PC-1 � " a COUNTY: Mecklenburg -- « E Airport OWNER NAME: City of Charlotte ORC: Kellie H Hedrick MAY 22 9 ORC CERT NUMBER: Q GRADE: PC-2 ORC HAS CHANGED: No,",C i • ; ' b< t.. > 1q"C' eDMR PERIOD: 04-2018 (April 201 VERSION: 1.0 °' ' STATUS: Processed Wi SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC Plit " � --:3!a NA . CE B. v 0 " m O a z°. 50050 00400 C0530 C0600 C0665 34030 34371 LAW 0055E 1 ce per Aitpnthl Monthly Quaetetl 2uarterl x Monthly Monthly Quarte'rty tvtauthl Estimate Grab Grab .dial. Grab Grab Crab Grab . Grab FLOW pit TSS - Goat TOTAL N- ..TOTAL P-Canc SEtiZF.PSE ETIIYI:OEN FTnDE4AG Otl-Gr#SE 2400 clack lirs 2400 do& rfrs Y18{N marl so nrWl ur 1 no F l I u g* 1 "U ereent m _,I 1 2 1020 0:10 B 4 s 6 7 a s 1210 09.o Y ...; ;a 11 tz 13 14 is noa 03a__ 0.017 66 4.2 <1 <1 <5 1600 0:15 Y 21 22 23 " 24 26 0915 0:45 Y 27 1430 0:15 Y 21l 1030 0:40 1 Y >4 30 Monthly Average Limit:.. Monthly Average, 0.017 4.2 10 0 0 ..it, M.huumtl":Qo17 6.6 4.2 to o o Daily Mim""u 0.017 16.6 141 0 0 1 10 **** No Reporting Reason: ENFRUSE - No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW — No Flow; HOLIDAY = No Visitation -- Holiday NPDES PERMIT NO.: NCO083887 PERMIT VERSION:4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS: PC-1 COUNTY: Mecklenburg Lat OWNER NAME: City of Charlotte ORC: Kellie It Hedrick, ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: 04-2018 (April 2018) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant C TACT PHONE #: 9802022377 SUBMISSION DATE: 05/11/2018 0511 i/2018 ORC/Certifier Signature: Kellie Hedr d E Mail:kellie.hedrick epsct arlotte. corn Phone #:980=202-2377 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 permitted became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of the NPDES permit � t 05/1 /2018 PermitteetSub ttter S ature.`*** Joshua Eller E_Mail:jgel ler@clta rport,corn Phone #:704-793-7706 Date 'ermittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 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: Pace Analytical CERTIFIED LAB #: 12 PERSON(s) COLLECTING SAMPLES: Kellie Hedrick 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 8C .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) NPHES PE IT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS. PC-1 COUNTY: Mecklenburg OWNER NAME: City of Charlotte ORC: Kellic H RedrickRF(7 ,,FiN ED GRADE: PC-2 OH RC AS CHANL GED: N _ e ORC CERT NUMBER: -- MAY 10 Z018 eDMR PERIOD: 03-2018 (March 2018) VERSION: 1.0 CEN-1-KAL FII.ES STATUS: Processed DWR SECTION Iwo WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NODISC XWftiV�N%,,,,.,,,,, o o z 51050 00400 C0$30 C0600 C0665 34030 34371 TAE6C 00556 E22±�y_ Q—efly Quarterly Monthly M(—)nt,"y Quarterly Monthly Graff Grab Grab Grab; Grab Grab Grab Grab FLOW PH I Tss - Cone — TOT14L N - TOTAL P - Cone BENZENE ETHYLBEN FTIII)24AC 01L-GRSE 240 doek It" 2400 etoek fill WON nad EL Ing/I ug/l ug/l Percent m g/l 1120 0:10 i1 Y — 4 5 1530 0:15 y 6 7 13-20 0.10 y 13 14 0915 1:55 y 0A13 7.79 7,1 < I < 1 15 to 17 is 19 20 0940 0:35 y 22 23 14 25 26 1610 0:30 y 17 28 29 30 31 Monday Average Lhoit Monday A—ge: 0.013 7A 0 0 0 Daily Maximum: 0.013 7,79 7J 0 0 0 Doily NEW-- 0,013 1 739 1 iL— 0 0 0 **** No Reporting Reason: ENFRUSE -- No Flow-Rcuse/Recycle; ENVWTHR - No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPUES PERMIT NO.. NC0083887 PERMIT VERSION.4.0 PERMIT STATUE±. E 7!r q FACILITY NANIE. Chulotte Doualas International CLASS. PC-1 COUNTY. Mecklenburg Airport OWNER NAME: City of Charlotte CIRC. Kellic H Hedrick ORC CERT NUMBER. 28628 GRADE. PC-2 ORC HAS CHANGED: Na cDMR PERIOD: 03-2018 (M rch 2018) "VERSION: I:O- STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.. 001 NO DISCHARGE*: NO (Continue) o, x Moto $list Y y U� U E= J'� Ct 9t 7'. TOLL'k»`F: Y"YIsENE 2400 clock Res 24001!1k:. RC5 S fwN p r j II I ' l 1120 0:10 Y 4 1530 0:15 - Y 6 7 �5 to : 1320 0ao Y it t to 14 0915 t:55 Y I t iS 16 17 to iv 20 0940 0:35 1 Y it zx 24 FZ62i xs 1610 n;3ik Y. S7 28 19 30 \4untkiw As .gr U.ft. '110nt.1 Aserxge: nntt> ".Minimum, 0 0 ** No Reporting Reason: ENFIRUSE = No Flow-RcuselRecyr ie ENVWTTIR - No Visitation - Adverse Weather; NOFLOW No F lovv„ HOLIDAY - No Visitation - Holiday NPDES PERMITNC).. NCO083887 PERMIT VERSION 4.0 PERMIT STATUS. Expired FACILITY NAME: Charlotte Douglas International CLASS. PC -I COUNTY: Mecklenburg rport Ai OWNER NAME: ORC. Kellie H Hedrick ORC CERT NUMBER. 28628 GRADE PC-2 ORC HAS CHANGER. No eDMR PERIOD: 03-2018 (March 2018) VERSION: In STATUSs Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #. 9802022377 SUBMISSION BATE. 04/20/2018 04/ 19/2018r �41 ORC/ erti ignaturc: lie Hedrick E-Mail:kellie .hedrick @epscharlotte.com Phone #.950-20 -2377 Tate 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 noncompLplee list of corrective actions being taken and a time -table for improvements to be made as required by hart I .E.6 of the NPDES permit. 04/20/2018 Permittee/Sit` 9It ter qnature:*** Joshua Eller E-Mail:jgeller@cltairport.:conr Phone #:704.793-7706 Date Permittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/201 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 ofmy 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. PaceAnalytical Services LLC CER`rIFIED LAB #. 12 PERSON(s) COLLECTING SAMPLES: Kellie Hedrick PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal,nedenr.org/Aeb/cq/s p/ps/npdes/forms. FOOTNOTE Use only units of measurement designated in the retorting 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 trust visit facility and document visitation of facility as required per 15A NCAC 8G .OM04. *** Signature of Pennittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D)• NPDES PERMIT NO.: NCO083887PERMIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS: PC -I COUNTY: Mecklenburg Airport OWNER NAME: City of Charlotte ORC: Kellie H Hedrick r "' ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED: No APR 04 2018 eDMR PERIOD: 02-2018 (February;2018) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*. NO a u G 9 imeo) 00400 C0530 C0600 C0661 34030 34371.. TAE6C 00556 Matrthly Mnnkhlp Quanerly. Quarterlylhicantbl Mnrstbty Quarterl Monthly Estimate Grab Grab Grab Grab.. Grab Grab Grab Grata FLOti'. pFT. 3'3S•Canc 'rOTAt. N- TOT.M1L i"-Gone BENZENE ETH1`LIYEP' E1111)24AC. OYt,CRSE 2400 ckxk fn 2400 clock tlrs YBAv m cl so mWl m 1 rn 1 ug/I a 1 ercent m 1 t 2 1620 0.10 Y 3 4 1410 0:25 Y 5 6 7 0905 W5 Y 0.037 7.71 31 18 <U5 <.1 <I too <5: to tk 12 1200 0:25 Y 13 14 15 0910 0:10 Y 16 17 19 19 20 1225 0:10 Y 21 22 23 24 25 26 27 28 Monthly Average Ltmtt: Monthly Average 0.037 31 2.$ 0.:. 0... 0 too 0 Daily Max omen: 0.037 7.71 31 2.$ 0 0: 0 100 0 DanlyMaine— 0.037 7;71 "EEL 0.. 0 0 itlo 8 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR= No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY =No Visitation— Holiday NPDES PERMIT NO,: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS: PC-1 COUNTY: Mecklenburg 1alrp4ti OWNER NAME: City of Charlotte ORC: Kellie H Hedrick ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: 02-2018 (February 2018) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) C L Eil 0:5 c SI Ca O `2xi. 34010 s1sc1 Monthly : Montla Grab Grab TOLUENERS LFNE' 2400 ela¢k nn": 2400 clack.: nrx WRIN u 1 Il 1 2 1620 0:10 Y 3 4 1410 0:25 Y 5 6 7 $ 1 0905 035 Y <1 <1 9 ro 11 12 11200 0:25 Y 1a 14 15 0910 0:10 Y 16 17 ss 19 20 1225 0:10 Y 21 22 23 24 25 26 27 28 Monthly Average MWIt: Monthly Average: 0 0 daily Maximum. 0 0 . May MisimiRo: 0 0 ****No Reporting Reason: ENFRUSE = NoFlow-ReuselRecyele; ENVW`rHR = No Visitation- Adverse Weather; NOFLOW =No Flow; HOLIDAY = No Visitation -Holiday NPDES PE IT NO_ NCO083887 PERMIT VERSION:4.0 PERMIT STATUS: x aired FACILITY NAME: Charlotte Douglas International CLASS: PC-1 COUNIA- Mecklenburg Ai ont OWNER NAME: City of Charlotte ORC: Kettle H Hedrick ORC CERT NUMBER. 28628 GRAVE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: 02-2018 (February 2018) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant C NTACT PHONE ##: 9802022377 SUBMISSION DATE: 03/22/2018 03/21/2018 ORC/Certifier Signature Kellie Nedri E-Mail:kellie.hedrick epschartotte. oi-n 'Phone #:980-202-2377 hate By this signature, I certify that this report is accurate and complete to the best of my knowledge. The per ittee 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 rurally within 24 hours from the time the perrnittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the perittee becomes aware of the circumstances. If the facility is noncompliant, p1 earn h a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 03/22/2018 Permittee/ ubrnitter ignature:*** Joshua Eller G-Mail jgeller cltairport,com Phone :704-793-7706 Date Permittee Address: 5501 Josh Birmingham Pkwy PC Box 19066 Charlotte NC" 28208 Permit Expiration hate: 06/30/201 I certify, under penalty of taw, 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 eery inquiry of the person or persons who managed the system„ or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of flues and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Pace Labs LLC CERTIFIED LAB ##: 12 PERSON(s) COLLECTING SAMPLES: Kellic Hedrick 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/npde-,/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 1 A NCAC 8G .0204 *** Signature of loermittee: 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 VERSION: 4.0 PERMIT STATUS: Expired ntemational CLASS: PC-1 UN'TY: Mecklenburg ,harlotte ORC: Kellie H Hedrick ORC CERT NUMBER: 28628 ORC HAS CHANGED: No CENTRAL FILE,, F, ':°.r,:.. ECTI (January 2018) VERSION: 1.0 NTATUS: Processed ING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC RG * iVE ' = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Plow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas; International CLASS: PC-1 COUNTY: Mecklenburg Airport t OWNER NAME: City of Charlotte ORC: Kellie H Hedrick ORC C'ERT NUMBER:28628 GRADE. PC-2 ORC HAS CHANGED: No eDMR PERIOD: 01-2018 (January 2018) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 N4 DISCHARGE*: YES (Continue) A 2 cJ F "a H n O C7 O C Z, 34010 81551 Monthly Monthly. Grab Grab TOLUENE XVLENE 2400 cluck Firs 2404 Mork : JIM v/RN U 1 U I 1 2 3 4 .: 1535 ' 0:10 '. Y 5' a' 7' s` ta! 1325 0:10 Y I1 12 1I35 ': 0:10 Y F3 14 15. 1115 0:10 Y 1& 17 Is 14 11310 0:05 Y 20 21- 22 23 24'` 25 1430 0:15 Y 26 -: 27 28 29... 30 1 0925 Y 11:30 31 ' 0930 1:00 Y Monthly Average Limit: '.Monthly Awrsge: 'Daily ;M omum. Daily;Minimtim: **** No Reporting Reason: ENFRUSE = No Flow-ReuselRecycle; ENV W THR = No Visitation Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCO083887 PERMIT VERSION: 4,0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS: PC-1 COUNTY: Mecklenburg Airport OWNER NAME. City of Charlotte ORC: Kellie H Hedrick ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: 01 2018 (January 2018) VERS ON: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant C TACT PHONE #: 9802022377 SUBMISSION DATE: 02/20/2018 02/19/2018 ORC/Certifier Signature: ellie' Hedri E-Mail:kellie,hedrick@epscharlotte.com Phone #:980-202-2377 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 perinittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit.' ." 02/20/2018 Permitted ub"' I-er Signature:*** Joshua Eller E-Mail:jgeller@cltairport.com Phone #:704-793-7706 Date Pe rnittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 , Permit Expiration Date: 06/30/2015 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 and aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations: CERTIFIED LABORATORIES LAB NAME: CERTIFIED LAB # PERSON(s) COLLECTING SAMPLES: PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/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 ofPermittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .006(b)(2)(D). 1� er f PDES PERMIT NO.: NC00$38$7 PERMIT' VERMCIN:4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte,Douglas international CLASS: PC-1 tt � � 1 �COUNTY- Mecklenburg OWNER NAME: G'ity of Charlotte ORC: Kellie H Hedrick 1dORC CERT NUMBER. 2I162$.. GRADE: PC-2 ORC HAS CHANGED: Yes eDMRPERIOD: 10-2017 (October VERSION: ��� = a l � �.�� sa.� ��i,,.i STATUS. Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO ca: .. " . 50050 ... 40400 -00530 C'0600 ;. C0665 34030 34371 TAE6C..: 00556 Once per Monthly Monthly Qutslterly.: Quarterly E2j !y onthly Quarter] Montlniy F.stlmate Grab Brat, Grab Grab: Grab Grab Grab drab FLOW pk#. 'rE1s-C— TOTAL N• TOTAL P_Conc 6EN7hENt, ETAVLSER. F"rAU24AC Olt-GRSE 14- ekod 1k- 2400 e1aek. nrs Y713lN m zd su Mgul mg/1 mg/1 119/1 UWI percent. In ] k 2 3 4 5 " 6 0810 00.25 1) 7 10 i1 t2 13 1415 00:20 B 14 k5 16 17 i8 1# 20 1335 00:10 B 2k 2� 23 1615 00:45 Y 24 0900 00:30 B 7.8 6.3 c l < I < 5 25 26 71 1300 00:30 H 28 29 30 1345 t)6.5© Y 3k Monthly Ax—ge k;WO: 7.04y average. 5.3 0 0 0 ilaiBy biaxiinuwwa. 7.8. 6.3 0 6 10 Dat#p Ninirirum; 7,8 , 6,3 0 ` 0 1 3rting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTI1R = No Visitation — Adverse Weather; NOFLOW = No Flow; HOI.II)AY = No Visitation - Holiday r * NPDES PERMIT NO.. NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: I x fired i+ACILITY NAME. Charlotte Douglas Intemat onal CLASS. PC -I COUNTY: Mecklenburg firs mI OWNER NAME. L!tyof01-flrlottc ORC: Kellie H Fledrick ORC CERT NUMBER: 28628 GRADE C?-2 ORC HAS CIIANGEM Yes cDMR PERIOD. Itl-2017 (October 2017) VERSION: I.{I STATUS: Processed SAIVIPL NG LOCATION: EFFLUENT DISCHARGE NO.. 001 NO DISCHARGE*: NO (Continue) Moto 81551 � � a E Ntcxtrt3lfy Mrrrathly ' k Grab tirrlb t Cox t«: °, TOLUENE xY1.PNF 240 dock klrxihMl clerk- F#rs V?DIN kia<1 t1 it t a 3 3 5 0810 GU5 11 Z 8 to 1t t1 1415 tJta,20 '. B 1a 1s 16 17 1$ 19 1335 00:10 B ai za z+ 105 00:45 - Y 19 09(m 00:30 :. b < I I a� an 27 1300 0030 It 28 19 ". 1145 00:50 Y 31 W.tthty Av .gk 1.A.W 1..rtaly Arrr #r: 0 0 Wits Mlnh.— 0 *** No Reporting Reason: FNFRUSE ,- No Flow-Reuse/Recycle; I^N V"N rllR = No Visitation Adverse. Weather; Nt7FLOW = No Flow; HOLIDAY - No Visitation - Holiday t' NPDES PERMITNO.: NCO083887 'EL214 IT VERSION:4.0 PERMIT STXfU : Lxpired FACILITY NAME. Charlotte Douglas international CLASS: PC-1 COUNTY.- 14ecklenburg r�i ort OWNER NAME: City ofChartouc ORC: Kelfie H Hedrick ORC; CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED: Yes eDMR PERIOD: 10-2017 (October 2017) VERSION: 1.0 STATUS- Processed COMPLIANCE A I'IJS: Compliant CONTACT PHONE #: 7047937706 ISSION DATE: l 111112017 xj � 11r1612017 ORC/Certifier Signature: J :;hurt Ell,, E"s-Mail.jgelter c irport co�� Plaotie #:704-793-7706 Elate By this signature, I certify that this report is accurate and complete to the hest 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 pail II.E ,6 of the NPDES permit. '1� 1 d.. 9 w , te-• { 11rI6r2017 Permittee/S wr Signature:*** Joshua Eller E3-Mail':jgellei c( cltairport,com Phone :704-793-7706 Date Pennitte ° Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 40r U/2015 t 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 any 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. CER,rI IEI7 LABORATORIES LAB NAME: Pace Analytical CF RTIF EU LAZE #: 12 PERSON(s) COLLECTING SAMPLES. Josh E ler PARAMETER CODES Parameter Code assistance may be obtainedby calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/`wq/s��wp/Ps/tipdes/foniis. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC. must visit facility and document visitation of facility as required per 15A NCAC 86 .020 . *** Signature of Pernnittee: If signed by other than the perinittee, them delegation of the signatory authority must be on file with the suite per 15A NCAC 2B ,0506(b)(2)(D); F NPDES FE ITNO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY" NAME: Charlotte Douglas International CLASS: PC-1 COUNTY": Mecklenburg E :Airport M VE , .�... OWNER NAME: City of Charlotte ORC: Kellie H Hedrick ORC CERT NUMBER: 28628 GRADE: PC-2 CRC HAS CHANGED: No eD R PERIOD: II-2017 (November2017) VERSION: t.0 CENTURAL FILES, STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: YES *** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR No Visitation -. Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NCO083887 17) SAMPLING LOCATIO] PERMIT VERSION: 4.0 PERMIT STATUS: Expired CLASS: PC-1 COUNTY: Mecklmburg ORC: ICellie H Hedrick ORC CERT NUMBER: 28628 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: YES (Continue) v e w: it gl E o .€ *. .. 34010 815,51 MonthlyMn.1lthTy., Grab Grab TOLiTNE XYLENE 2400 d.& H. 2400 d.k It. YtBtN Ugjl u,I. 1 2 3 4 6 7 S 4 1545 00:25 Y 10 u r2 13 14 15 1605 00:10 Y 16 17 1% 19 20 1540 00:10 Y 21 22 2a 24 25 26 27 28 24 1155 0:13 ;. Y 30 Mon{fi1,v A�eeege C:ixatt: blanthly Averages Deis, Ma hn— DnilyMini— : **** No Reporting Reason. ENFRUSE = No Flow-Reusc/Recycic; ENVWTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY =No Visitation Holiday NPDES PERMIT NO.: NCO083887 PERMI'I' VERSION: 4.0 PERMIT' STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS: PC-1 COUNTY: Mecklenburg Air o_rt OWNER NAME: City of Charlotte- ORC: Kellie H Hedrick ORC CERT NUMBER. 28628 GRADE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: l I-2017 (November 2017) VERSION: 1.0 STATUS. Processed COMPLIANCE STATUS: Compliant NTACT PHONE #: 9802022377 SUBMISSION DATE: 12/04/2017 12/04/2017 ORC/Certifier Signature: Kellie Hedrick E-Mail:kellie.hedrick@epscharlotte.com Phone #:980-202-2377 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge: The perniittee 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 pennittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES perm,a 12/04/2017 Permitt / ubmitt ignature: * Joshua Eller E-Mail:jgellercltairport.com Phone#:704-793-706 Date Permittee ddress: 5501 Josh Birmingham Pkwy PC) Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 l certify, under penalty of law, that this document and all attachments were prepared tinder my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed'; the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate; and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: CERTIFIED LAIR PERSON(s) COLLECTI G SAMPLES: PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/fonns. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES pennit 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 DN4R 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) PERMIT VERSION.4,0 PERMIT STATUS. Expired CLASS. PC-1 COUNTY: Mecklenbue ORC: James Jefferson Smith ORC CERT NUMBET k ORC HAS CHANGED: Ye VERSION: 1.0 STATUS: Processed EFFLUENT DISCHARGE NO.: 001 NO DISMAL : r" # 5050 00400 CL55;40 COW C060 33020 ;i#27I TAVAC 00556 e G. 2 .r Meitrhi nnthl uarleiy 2tairtarl R =21 Miwnt]tly :: 2uarreci Epntirl Grab Grab Crab Grab Grab Crab Grab Estunate: itab G O b ° FLOW Of: "ryS-Cone TgTAi, N:- TOTAL V-Cw BENZENE ETRYLOEN FI 11129AC OIL•GItSE 1400:.Wk fln 2480 d"k Idra YPB;'6i ni ti au ` iti� I m�j'i m l: rat ' a * 1percent n5 gjt tl 2 3 A IS 6 7 8 0 10 tt 12 I3 14 f t5 I6 17 IR Io 20 8I as IT a 2$ za 2T 28 YB 1605 0:20 : b iVOFLOW 34 M.. Wy A—ge Irvin Mombly Aweregc: I)oi}y Nf..b. m: °* r No Reporting Beason: FENFRUSE - Net Flow-Reuse/Recycle, ENVW THR No Visitation - Adverse feather. NOt°LOW q Flow; HOLIDAY = No Visitation - holiday NPDES PERMIT NO.: NCO083887 PERMIT" VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas international CLASS: PC-1 COUNTY: Mecklenburg Airport OWNER NAME:'Ciry of Charlotte ORC: James Jefferson Smith ORC CERT NUMBER: 28219 GRADE PC-2 ORC HAS CHANGED: Yes eDMR PERIOD: 09-2017 (September 2017) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: YES (Continue) a 5 g � .. s m o E u C c a i � " 34010 $1551 - Monthly Mantfily.... Grab Grab TOLCENE XYLENE 2400 doek ors 2400 dIaek. H. Y/is/N u * t uyrl( l 2 i 4 S 6 7 8 9 Y0 it 12 13 14 1s 16 17 19 19 20 21 E2 23 24 2S 26 27 28 29 1605 0:20 b 'NOFLOW 10 Monthly Average hima: Monthly Averages Daily 6Qaxun.on : Daily Minimum: **** No Reporting Reason: ENFRUSE ® No Flow-Reus&Rccycic; ENVWTHR — No Visitation - Adverse Weather; NOFLOW = No Flow, HOLIDAY = No Visitation -- Holiday: NPDES PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS- Expired FACILITV NAME, Charlotte Douglas Intemational CLASS: PC- I COUNTV: Mecklenburg Airport OWNER NAME: City of Charlotte ORC- Jaines Jefferson Smith ORC CERT NUMBER: 28219 GRADE: PC-2 ORC HAS CHANGED: Yes eDMR PERIOD: 09-2017 (September 2017) VERSION: I .O STATUS.- Processed COMPLIANCE STATUS. Noti-Compliant CONTACT PHONE #: 7047937706 SUBMISSION DATE: 10/11/2017 10/11/2017 0 R C C e r t i fi e r gnature: J-16shua Eller E-Mail:jgeller@cltairport.com Phone #:704-793-7706 Date By this sifmature, I certify that this report is accurate and complete to the best of my knowledge. The pennittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the pernrittee becomes aware of the circumstances. If the facility is noncompliant, please atta�i,,, 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 N`PDESpermit. 10/11/2017 Permittee/SuVitter Signature:*** Joshua Eller E-Mail:jgeller@cltairport.com Phone #:704-793-7706 Date Perinittee Address: 5501 Josh Binningliam Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 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 informatio knowing violations. CERTIFIED LABORATORIES LAB NAME: N/A CERTIFIED LAB #: NIA PERSON(s) COLLECTING SAMPLES: N/A PARAMETER CODES parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting FOUT'NOTES ittp://portal.ne(tenr.org/web/wq/swp/p�s���/npdes/fomis, 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 AMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 86.0204. *** Signature of Permittee: If signed by other than the pertnittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213 .0506(b)(2)(D). NPDES PERMIT NO.. NC0083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS: PC-1 COUNTY: Mecklenburg Airport OWNER NAME: City of Charlotte ORC: James Jefferson Smith ORC CERT NUMBER: 28219 GRADE PC-2 ORC HAS CHANGED: Yes eDMR PERIOD.09-2017 (September 2017) VERSION: 1.0 STATUS: Processed Report Comments: NPDkS PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: E2jELd FACILITY NAME: Charlotte Douglas International CLASS- PC-1 COUNTY: Mecklenburg LI—rpor, OWNER NAME: City of Charlotte ORC: James Jefferson Smith ORC CERT NUMBER. 28219 GRADE: PC-2 ORC HAS CHANGED. Yes eDMR PERIOD: 09-2017 (September 2017) VERSION: I .O STATUS: Processed Per our phone discussion with Wes Bell on October 4th, 2017, Charlotte Douglas International Airport (CLT) is writing this letter to inform the North Carolina Department of (NCD data loss for our National Pollution Discharge Elimination System thall 001 during the month of September, Outfall Offs Operator in Responsible Charge (ORC), Mr, James Smith of Smith Environmental Services, was eckly field observations as well as collecting nsible for maintaining the rich recorded his field observations, pump flow rate, pH readings, and his hours on site. Data submittal to CL'r and data certification on NCDFQs onitoring Report (eDMR) had also been the responsibility of Mr, Smith. Unfortunately, we at CLT' have been unable to make contact with Mr. Smith cedure (SOP) between Mr. Smith and CLT was to communicate Outfall 001 findings on the last week of the month unless Mr. Smith required materials or are currently working with Ms. Hedrick and the Charlotte Mecklenburg Police Departure logs are recovered, a revision will be filled via eDMR with the NCDEQ We at CLT have since discontinued our service agreement with Mr. Smith and assigned requirements since September 29th and will continue to do so until a suitable replacerner The last measurable rainfall in the month of SepLem�beroccurredon Se�ttember 1 l th, (set Mr. Smith. So, while a measurable rainfall had occurred earlier in the month, we were u was in a No -Flow state. Due to these circumstances and in lieu of any additional inform, Unfortunately, there will also be no observation hours available for the first three week! We at the Airport will work diligently to rectify this situation in an expedient fashion ara you have any further questions, please do not hesitate to contact me. Sincerely, Jimmy D. Jordan, P.G. Environmental Affairs Manager Charlotte Douglas International Airport Airport Development Desk: 7043594789 Cell: 980-288-3793 Email: jdjordan@eltairportxorn Enclosed: Rainfall Data, September 2017 Rainfall Data, September 2017 DATE SEPTEMBER 1 2 3 4 0.94* 50.14 sville Regional Office and gained contact information for another of Mr. Smiths k informed CLT that Mr. Smith had been incarcerated earlier in the month. We at C1:f nt to recover the logs associated with Outfall 001 from Mr. Smith. In the event that these qr. Joshua Etter as the back-up ORC. He has been performing Outfall 001 monitoring .t can be found. ;;enclosed rainfall data for September 2017) well before CLT knew the whereabouts of 'taware that the system was not being monitored until the 29& At that time, the system ition, a No -Flow observation will be submitted for the month of September. of September unless we are able to acquire visitation/observation logs from Mr. Smith, (will tnl,e an neceecnr mnngimq to emme. each definiencies are, not reneated. Should NPDES PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS. Expired FACILITY NAME: Charlotte Douglas International CLASS: PC- I COUNTY: Mecklenburg Airport OWNER NAME: City of Charlotte ORC: James Jefferson Smith ORC CERT NUMBER: 28219 GRADE: PC-2 ORC HAS CHANGED, Yes eDMR PERIOD: 09-2017 (September 2017) VERSION: 1,0 STATUS: Processed 60,84 7 trace 8 9 10 0* 111.29 12 trace 13 14 0* 15 16 17 0* 180 190 200 210 22 23 24 0* 250 260 270 280 29 30 NOTES: = NO DATA = includes data collected from weekends and holidays, **= indicates data collection from multiple days S = indicates snow and ice event. trace = rain event with accuracy of <0.0 I Data collected at 0800 unless otherwise noted. NPDES, PERMIT NO.. NCO083887 PERMIT VERSION. 4.0 PERMIT STATUS: E2irecl FACILITY NAME: Charlotte Douglas International CLASS- PC-1 COUNTY- Mecklenburg Air 0-11t OWNER NAME: City of Charlotte ORC. James Jefferson Smith ORC CERT NUMBER: 28219 GRADE: PC-2 ORC HAS CHANCED: Yes eDMR PERIOD: 09-2017 (September 2017) VERSION: 1.0 STATUS: Processed Outfall 001 - Effluent Comments: NPDES PERMIT NO.: NCO083887" : PERMIT" VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas international CLASS: PC -I COUNTY: Mecklenburg Airport OWNER NAME: City of Charlotte ORC.: James Jefferson Smith ORC CERT NUMBER: 28219 GRADE: PC-2 ORC HAS CHANGED: Yes eDMR PERIOD: 09-2017 (September 2017) VERSION: 1.0 STATUS: Processed Per our phone discussion with Wes Bell on October 4th, 2017, Charlotte Douglas International Airport (CLT) is writing this letter to inform the North Carolina Department of Environmental Quality (NCDEQ) ofrecent events that have led to adeficiency in filed notes and subsequent data loss for our National Pollution Discharge Elimination System (NPDES) Permit for Outfall 001 during the month of September. Outfall 001 s Operator in Responsible Charge (ORC), Mn James Smith of Smith Environmental Services, was contracted to conduct weekly field observations as well as collecting monthly and quarterly effluent water samples. In addition, Mr. Smith was responsible for maintaining the Outfall 001 log book which recorded his field observations; pump flaw rate, pH readings, and his hours on site. Data submittal to CLT and data certification on NCDEQs Electronic Discharge Monitoring Report (eDMR) had also been the responsibility of Mr. Smith, Unfortunately, we at CLT have been unable to make contact with Mr. Smith since September 6th, Standard Operation Procedure (SOP) between Mr. Smith and CLT was to communicate Outfall 001 findings on the last week of the month unless Mr. Smith required materials or discovered mechanical issues with the treatment system. However, throughout the last two weeks of September, we at CLT were unable to get in touch with Mr. Smith and could not get hire to return our calls. On September 29th, 2017, C'LT reached out to the Mooresville Regional Office and gained contact information for another of Mr. Smiths employers, a Ms, Kellie Hedrick of Environmental ProcesssSolutions, PLLC. Ms. Hedrick informed CLT that Mr. Smith had been incarcerated earlier in the month. We at CLT are currently working with Ms. Hedrick and the Charlotte Mecklenburg Police Department to recover the logs associated with Outfall 001 from Mr. Smith. In the event that these logs are recovered, a revision will be filled via eDMR with the NCDEQ. We at Cur have since discontinued our service agreement with Mr. Smith andassignedMr. Joshua Eller as the back-up ORC. He has been performing Outfall 001 monitoring requirements since September 29th and will continue to do so until a suitable replacement can be found. The last treasurable rainfall in the month of September occurred on September I I th; (see enclosed rainfall data for September 2017) well before CL,r knew the whereabouts of Mr, Smith, So, while a measurable rainfall had occurred earlier in this month, we were unaware that the system was not being monitored until the 29th. At that time, the system was in a No -Plow state. Due to these circumstances and in lien ofany additional 'information, a No -Flow observation will be submitted for the month of Se teinber. Unfortunately, there will also be no observation hours available for the first three weeks of September unless we are able to acquire visitation/observation logs from Mr. Smith. We at the Airport will work diligently to rectify this situation in an expedient fashion and will take all necessary measures to ensure such deficiencies are not repeated. Should you have any further questions, please do not hesitate to contact me. Sincerely„ Jimmy D Jordan, P.G. Environmental Affairs Manager Charlotte 2ouglas International Airport Airport Development Desk:704.359-4789 Cell: 980-288-3793 Email: jdjordan@_cltairport.com tairport.com Enclosed: Rainfall Data, September 2017 Rainfall Data, September 2017 DATE SEPTEMBER I 2- 3- 4 0.94* NPDES PERMIT NO.: NCO083887 ; PERMIT VERSION: 4.0 PERMIT STATUS: t2tsd FACILITY NAME: Charlotte Douglas International CLASS: PC -I COUNTY: Mecklenburg Airport OWNER NAME: City of Charlotte ORC: Jaynes Jefferson Smith ORC CI+RT NUMBER: 28219 GRADE: PC-2 ORC HAS CHANGED: Yes eDMR PERIOD: 09-2017 (September 2017) VERSION: 1.0 STATUS: Processed 50.14 60.84 7 trace 8- 9- 10 0* 11 1.29 12 trace 13 — 14 0* 15- 16M 17 0* 180 190 200 21 0 22 — 23 M 24 0* 250 260 270 280 29 10 NOTES. NO DATA * = includes data collected from weekends and holidays. **= indicates data collection from multiple days S indicates snow and ice event. trace = rain event with accuracy of <0.01'". Data collected at 0800 unless otherwise noted. INTERNATIONAL AIRPORT ,,'' .,.... .. EjC'[ 17 C E � � P', i iA � l' w. .wr October 10, 2017 Central Files North Carolina Department of Environmental and Natural Resources Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: unavailable ORC Cogs/Data: September 2017 Electronic Discharge Monitoring Report (eDMR) Charlotte -Douglas International Airport NPDES Permit No. NCO083887 Per our phone discussion with Wes Bell on October 41", 2017, Charlotte Douglas international Airport (CLT) is writing this letter to inform the North Carolina Department of Environmental Quality (NCDEQ) of recent events that have led to a deficiency in filed notes and subsequent data loss for our National Pollution Discharge Elimination System (NPDES) permit for Outfall 001 during the month of September. Outfall 001's Operator in Responsible Charge (ORC), Mr. lames Smith of Smith Environmental Services, was contracted to conduct weekly field observations as well as collecting monthly and quarterly effluent water samples. in addition, Mr. Smith was responsible for maintaining the Outfall 001 log book which recorded his field observations, pump flow rate, pH readings, and his hours on site. Data submittal to CLT and data certification on NCDEQ's Electronic Discharge Monitoring Report (eDMR) had also been the responsibility of Mr. Smith. Unfortunately, we at CLT have been unable to make contact with Mr. Smith since September 6th. Standard Operation Procedure (SOP) between Mr. Smith and CLT was to communicate Outfall 00 findings on the last week of the month unless Mr. Smith required materials or discovered mechanical issues with the treatment system. However, throughout the last two weeks of September, we at CLT were unable to get in touch with Mr. Smith and could not get him to return our calls. Can September 29th, 2017, CLT reached out to the Mooresville Regional Office and gained contact information for another of Mr. Smith's employers, a Ms. Kellie Hedrick of Environmental Process Solutions, PLLC. Ms. Hedrick informed CLT that Mr. Smith had been incarcerated earlier in the month. We at CLT are currently working with Ms. Hedrick and the Charlotte Mecklenburg Police Department to recover the logs associated with Outfall 001 from Mr. Smith. In the event that these logs are recovered, a revision will be filled via eDMR with the NCDEQ. We at CLT have since discontinued our service agreement with Mr. Smith and assigned Mr. Joshua Eller as the back-up ORC. He has been performing Outfall 001 monitoring requirements since September 291h and will continue to do so until a suitable replacement can be found. The last measurable rainfall in the month of September occurred on September 1 1th; (see enclosed rainfall data for September 2017) well before CLT knew the whereabouts of Mr. Smith. So, while a measurable rainfall had occurred earlier in the month, we were unaware that the system was not being monitored until the 29th . At that time, the system was in a "No -Flow" state. Due to these circumstances and in lieu of any additional information, a "No -Flow" observation will be submitted for the month of September. Unfortunately, there will also be no observation hours available for the first three weeks of September unless we're able to acquire visitation/observation logs from Mr. Smith. We at the Airport will work diligently to rectify this situation in an expedient fashion and will take all necessary measures to ensure such deficiencies are not repeated. Should you have any further questions, please do not hesitate to contact me. Sincer Jimmy D. Jordan, P.G. Environmental Affairs Manager Charlotte Douglas International Airport Airport Development Desk: 704.3594789 Cell: 980-288-3793 Enclosed: Rainfall Data, September 2017 c1tairport,corn I PO Box 19066 1 Charlotte, NC 28219 1 P, 704,359A000 O,ovnod xid operMnd by fhc� City of Chariolle b Rainfall Data, Se r 2017 DATE SEPTEMBER 1 2 3 4 5 0.94* 0.14 6 0.84 7 trace 8 9 10 11 0* 1.9 12 trace 13 14 0* 15 - 16 17 0* 18 0 19 0 20 0 21 0 22 23 w 24 0* 25 0 26 0 27 0 28 0 29 — 30 NOTES: NO DATA includes data collected from weekends and holidays. *= indicates data collection from multiple days S = indicates snow and ice event. trace = rain event with accuracy of <0.01" Data collected at 0800 unless otherwise noted. c hair ort.com 1 PO Box 19066 066 C hadotte, NC 28219 j R 704,359A000 Ovv ,, t3 and Matte mted by t"x= City of ,,harlottry NPDES PERMIT NO.; NCO083887 PERMIT VERSION: 4.O PERMIT STATUS; Expired CLASS: PC-1 COUNTY Mecklenburg Airprak OWNER NAME: City of Charlotte ORC. James Jefferson Smith 0 C T I� C` 3 � � ORC CERT NUMBER: 28219 GRADE: PC-2 t7RC HAS CHANCED. No 'F<FIBS eDMR PERIOD:08-201' (August2017) VERSION: 1.0 ° SECTION STATUSt Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: 1 t Ie e +f ****NoPeportinReason:ENMUSE= oFlow-i2euselllecycle; E 'VWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow, HOLIDAY -No Visitation —Holiday NPDFS PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Lax imd FACILITY NAME: Charlotte Douglas lntemational CLASS: PC -I COUNTY: M-klenburg Airport OWNER NAME: City of'Charlotte ORC: James Jefferson Smith" ORC CE T N ER: 28219 GRADE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: 08-2017 (August 2017) VERSION: L0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE": NO (Continue) 8 ti 'w$ i � C � ,°, 34910 8153X Monthly Xl'lO0tt11 Crab Grab TtiLUSNE XYX,BM1E 2400c1nek :11rs 1400 e1*ek ties YMN 11911u i 3 4 5 [it 12 13 14 is 16 17 t8 19 20 21 22 23 24 25 26 2T 25 29 36 31 hConWtp Avarsgu3..hni#. .:. MaNHtp AversBe: 0 DAyMmd—au 0 0 Daily Mb hn.nu 0 0 ****No Reporting Reason: ENFRUSE -No Flow-Reuse/Recycle; ENVWTHR =No Visitation —Adverse Weather, NOFLOW=No Flow, HOLIDAY -No Visitsfion- iotiday NPDES PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte, Douglas International CLASS: PC-1 � COUNTY: Mecklenburg OWNER NAME: City of Charlotte ORC: James Jefferson Smith ORC CERT NUMBER- 28219 GRADE: PC-2 ORC HAS CIIANGEI;: No eDMR PERIOD: 08-2017 (Au S 20 j7) VERSION: 1.0 STATUS: Processed u COMPLIANCE STAT : Coznpl'or C TACT PHONE #: 7042228617 SUBMISSION DATE: 10/05/2017 10/05/2017 ORC/Certifier i Jg nature. Joshua Eller E-Mail:" eller cltair ort.com Phone #:704-793-7706 Date g P : B this signature, I certify that this report is accurate and complete to the best of m knowledge. , y � � y p p y g 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 perrnince became aware of the circumstances. A written submission shall also be provided within 5 days of the e the permittee becomes aware of the circumstances, If the facility is noncompliant, ease art* list of corrective actions being taken and a time -table for improvements to be made as required by part II.E 6 of r the NPDES permit,.,," 10/05/2017 i Permi u ter Signature: * Joshua Eller E-Mail:jgelter@cltairport.com Phone # 704-793-7706 Date 501 Permittee Address" Josh Birmingham Pkwy P() Box 19066 Charlotte N0 28208 Pent Expiration Date. 06130I2015 I certify, under penalty of law, that this document and all attachments were prepared cruder 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. (i CERTIFIED LABORATORIES LAB NAME: Pace CERTIFIED LAB #: 12 PERSON(s) COLLECTING SAMPLES: james j smith PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http,./Iportal.nedenr.org/we"b/Wq/swp/ps/npdes/forms. j- FOOTNOTES I Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. i * 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., NCO083887 PERMIT VERSION. 4.0 � PERMIT STATUS. Expired FACILITY NAME. Charlotte Rouglas International CLASS, PC-1 COUNTY: Mecklenburg tier 7� ort OWNER NAME: City of Charlotte ORC. lames Jefferson Smith ORC CERT NUMBER; 28219 , GRADE- PC-2 ORC HAS CHANGED: No eDMR PERIOD. 08-2017 (August 2012) VERSION: 1.0 STATUS. Processed Report Comments: field parameter data unavailable due to repeated failed attempts at communication with ORC n E> G t, t, i, i f I { : j i i NPDES PE Tr NO.: NCQ083887 PE IT 'VERSION: 4.0 PFRMITSTATUS. Expired PC-1 RECEIVED g FACILITY NAME: Charlotte Douglas Ixxternatiranal CLASS:CLASS:�»� CE�iSi'�fi"4�: NSerckleax�ur Aixl>ort AUG 2 9 2011 OWNER NANW: City of Charlotte ORC: James JeBerson Smith. ORC CERT NUMBER: 28219 - eDMR PERIOD. 07-2027 {July 20i7) VERSION. 1.0STATUS: Processed RECPt,)='N'CD'„R,L)Wi SAMPLING LOCATION EFFLUENT DISCHARGE GE NO.: 001 NO DISCHARGE*: NO QRO 50050 00400 C0530 C0600 CO"S 34030 34371 °i C" F fince er Monthly PvTonthly Quarterly; Q1lar 1y auUy ivSontir varler3y Moodily c C F ar tz o Fstimate Grab Grab Grab Gab Grab Grab Grab : Grab a E= O ci SLOW gsH.. Tss-Cone TOTAL N.-' TOTAL P-Colic RENZYNE E'A'EYLREN. STET>24AC OITIGRSE i4Q4 cfoek Hss 240p clock Ers VVIWN mall 9U m 1 mgfi mgtl: Ugjl U CrCOiit: Ill z 3 0800 2 y 4 5 d T S 9 i0 0700 : t ly n Lx L3 14 U700 i y Ls Lc t7 Ls Ly 20 2i 0715 x 22 23 24 as 26 27 ' 0700 : d.5 y 29 130 31 1230 2 0.049 7 <4.4 <.1 "<1 <5:: Man€hly .ivcregc Limits Mmah1yAv gt: O.Q09 Q 0" 0 Q v xtzfi3yntsxuxiumc 0.009 7...... i}aiayMi6m wl U09 7 0 0 0 0 ****NoReporting Reason: E HRUSE=NoEiow-Reuse/Recycle ENVWTHR= NoVistation— adverse Weather; NOFLt)W=NoFlow; HOLti9AY-No Visitation —Holiday' NPDES PERMIT NO.- NCO08388.7 PFPMT VERSION: 4.0 PERMYf STATUS. Expired FACILITY Y NAME. Charlotte Douglas International CLASS: PC -a COUNTY: Mecklenburg Ai ort OWNER. N Ez City cf Charlotte ORC: Saznes Jefferson Smith ORC C Wf NUMBER: R: 28219 GRADE- PC-2 ORC HAS CIIANGED. No eDMR PERIOD: 07-2017 (July 2017) ION: I.O STATUS: Processed SAWLING G OCATION. EFFLUENT DISCHARGE NO.: 001 NO C GE*: NO (Continue) 34410 31551 1sj 4 m6nthty nthly s Grab c Grab rar,DExr; xxz.: x400 etnek ttrs 2400.1.ade lin VB#N t x 3 C184(7 I y s 6 s s 10 0700 3 y it ix 13 4 6700 i y 15 is 17 is as au xt 2715 1 y 2x ', x3 24 26 27 30 31 12 <1 ¢1 MooWy Mmget,imitx MnnthiyAv gez p 0 riaily Maximum: 0 0 DAY Minimum: `***NoReporting Reason: ENFRU E=No Flow-Reuse/Recycle; ENVWTHR=NoVisitation--Adverse eatiler; NOT1,O =NoF1aw; HOLIDAY= NoVisitation-Holiday } 111 itltS PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATIJS: Expired FACILITY NAME. Charlotte. Douglas International CLASS: PC-1 COUNTY: Mecklenburg Airport O E R NAME+:; Czty of Charlotte ORC: fames Jefferson Smith ORC CERT NUMBER: 28219 GRADE: PC-2 ORC HAS CHANGED. No eDMR PERIOD: 07-2017 (7uly 2017)VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE : 7042228617 SUBMISSION DATE:08/2212017 08/21/2017 ORC/Certifier Signature: Tames Smith E-Mail:james.smith@epscharlotte.com Phone :704-22 -8617 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. S 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 tinge -table for improvements to be made as required by part 1I.E.6 of the NPIaES permit. 08/22/2017 Perrnittee/St ttt r Signature:*** Joshua Eller E-Mail:jgeller@cltairport.com cltairport.com Phone ##:704-793-7706 ::late Pemaittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06130/2015 I certify., tinder 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 LABORKrORIES LAB NAME- Page Analytical Services, LLC CERTIFIED LAB #: 12 PERSON(s) COLLECTING SAMPLES: James Smith PARAMETER CODE Parameter Code assistance may be obtained by calling the. NPDES Unit (919) 807-6300 or by visiting http://portal.nedenr.org/web/Wq/swp/ps/npdes/fonns. FOO`FNOTES 'Use only units ofrneasurement designated in the reporting facility's Nk DES 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. ** ORS: on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G M04. *** Signature of Perrnitt e: 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)(0) yr NPDES PERMIT O.. NCO083887 PERMIT VERSION:4.b � PERMIT STATES: Lwxpited FACILITY NAME: Charlotte Douglas; International CLASS: PC-] , ,. OUNTY: Mecklenburg +ClWNER NAME: f'ity of Charlolle ORC: James Jefferson Smith ORC CERT NL1NIiII+R: 28219 ORC" HAS CHANGED: NoCENTR4L FILES GRADE: PC;-2 eDMR PERIOD: 06-2017 (June 2017) VERSION: 1.0 STATUS: Processed REGIONAL O1 = MOC)RESVILL5 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO 901)itl 00400 CCT5.30 C'Ct600." C10665 34030 34371.: TAF.6C 00556 onceper monthly onthf QnarterS 2uarterly Monthly QuarterlyM6hth1 9..... d > c & Estimate Gran Grab Grab Grab Grab Crab Grab Grab + Cy'. E°. „4' FLOW PH "rss -cnoc 'rC)'TAf,24- T<>TAL,P-C'ernc BENZENElilT')!V`LSk1N F1'FfU?r4AC on7ctase, 2401 ,1.dt nrs 2400 d rk t Orx W BIN nSYd SU an dl mg1l mat u g /l u w l ev t:eu2 nl(Ty11 _. 2 4 s 0700 1 b 9 �' to rx 1000 2 to 13 14 is 16 040 1 M7 t8 t4 20 22 z3 OAC)0 1 24 23 27 28 29 30 0730 2 y 0r03 7 ._ 3.8 < I. < 1 < 5 M-thly AS ruge Tradt: Daiky Nfi. A5YliOr. 0,03 ' . 0 ) 0 . **** No Deporting Reason: ENFRUSE = No Flaw-ReusetRecycle; ENVWTIIR - No Visitation -Adverse Weather, NOFLOW =- No Flow; 110LIDAY = No Visitation - Lloliday 4r 'NPDE EACH, Airport PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expired ITY NAME: Charlotte Douglas International CLASS: PC -I COUNTY: Mecklenburg R NAME: City of Charlotte ORC: James Jefferson Smith ORC CE tT NUMBER: 28219 E: PC-2 ORC HAS CHANGEII;'No PERIOD: 06-2017 (June 2017) VERSION: L0 STATUS: Processed AMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGES'. NO (Continue) G e .: 2 C5 _ y u is F m ca `� 2 ". O 9 i m. $ 1:' 34010 81551 Monthly Mont)11y.. Grab Grab TOLUENE XYLENE 2440 d.& It. 2400 d.& H. VWN g u 1 2 3 4 5 0700 1 6 7 S 9 to 11 1000 2 y 17, 13 14 is 16 0900 1 f7 ,. 19 19 20 21 22 23 : 08W 1 24 25 2@ 127 28 29 as 0730 2 y Nlaulttl„v Average Lbuit: < 1 Wwhtt Average; 0 t1 Mot, Nlaxh.— 0 0: Wily Moo—: 0 10 ****No Reporting Reason:ENFRUSE- No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW —No Flow, HOLIDAY -NoVisitation— Holiday a NPOES PERMIT NO.. NCi083887 PERMIT VERSION.4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS: PC -I COUNTY: Mecklenburg Airport OWNER NAME: City of Charlotte ORC: James Jefferson Smith ORC CERT NUMBER: 28219 GRADE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: 06-2017 (June 2017) VERSION- 1.0 STATUS: Processed COMPLIANCE STATUS: Coinpliant CONTACT PHONE #: 7042228617 SUBMISSION DATE: 07/11/2017 07/11/2017 ORCI'Certifier Signature: JC P Weaver E-Mail:jc,weaver@cltairport.com Phone #:704-589-3891 Date By thisVonmation ture I ee 'fy at this report is accurate and complete to the best of any knowledge, The pee shall r 'fry the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any in 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 S days of the time the permittee becomes aware of the circumstances. , If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit: 07/11/2017 PermitteelSubmitter Signature:*** JC P Weaver E-Mail:jc.weaverc@acltairport.com Phone #:704-589-3891 Date Permittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 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 any 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. C//� CERTIFIED LABORATORIES L R AME: Pace Analytical Services, LLC TIFIED LAB #: 12 PERSON(s) COLLECTING SAMPLES: James Smith PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http:llportal.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 FlowlDisebarge 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 CAC 2B ,0506(b)(2)(D). f? PIIES PERMIT NO.: NCO083887 PERMIT VERSION. 4,0 PERMIT STATUS. Expired FACILITY NAME. Charlotte Douglas International CLASS. PC -I COUNTY: Mecklenburg Ai lint psi, CE',IV„.. tN C 11 RIDWR D OWNER NAME- City of Charlotte ORC. Kellie H Hedrick ORC C RT NUMBER: 28628 GRAVE; PC-2 ORC HAS CHANGED- Yes eDMR PERIOD: 10-2017 (October 2017) VERSION- 2.0 STATUS. Processed W Q R 0S, SAMPLING LOCATION. EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE`: NO **** No Reporting* Reason. ENFRUSE = No Flow-Reuse/Recycle; ENVW'1'11R = No Visitation — Adverse Weathcr; NOFLOW —Ater Flow; HOLIDAY _. No Visitation -- Holiday ' NPDES PERMIT NO., NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Ex !Tr FACILITY NAME: Charlotte Douglas Intertlat anal CLASS: 'PC- I COUNTY: Mecklenburg Airport OWNER NAME: City of Charlotte ORC: ICellie H Hedrick ORC CERT NUMBER. 28628 GRADE PC-2 ORC HAS CHANGED: Yes eDMR PERIOD: 10-2017 (October 2017) VERSION: 2.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) r 34810 91351. "> s x c• 1i'it7kliill.. toURittl u Grab Grab XYLENE 1400 dmk Un 2400 doO, It" YBFA a x`i ug/l 1 2 3 4 6 10810 Was t3 7 4 to 11 12 13 1415 00:20 I3 14 t5 16 17 1a 19 20 1335 00:10 S 21 22 23 1615 00745 Y 24 0900 0030 `: S I 4 1 a5 26 27 1300 00:30 B 28 39 30 t345 00:50 Y 31 M-thty Awe p1,10W Mmobly Average. 0 0 DAY M1niGriurnx tl In **** No Reporting Reason: ENFRUSE -- No Flow-RcusetRecycle, FNVWTfIR = No Visitation._ Adverse Weather; NO LOW = No Flow; H0L IDAY = No Visitation — Holiday NPDES PERMIT NO.: NC O083887 PERMIT VERSION: 4.0 PERMITSTATUS: Ex irvd FACILITY NAME- Charlotte Douglas International CLASS: PC-1 COUNTY: Mecklenburg Ai ort OWNER NAME: City of Charlotte ORC": ICethe U Hedrick ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CRANGED: Yes eDMR PERIOD: 10-2017 (October 2017) 'VERSION: 2,0 STATUS: Processed COMPLIANCE STATUS: COMP, CONTACTPHONE #: 7047937706 SUBMISSION DATE, 12/0 /2017 ,t 12/01/2017 ORC/Certifier Si ,ature J shua Eller E-Mail:jgeller@cltairport.cotit Phone #;704-793-7706 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 providedorally within 24 hours from the tune the permittee became aware of the circumstances. A written submission shall also be provided within 5 days ofthe ti c the pen ittee becomes aware ofthe circumstances. If the facility is noncompltiit, p aseattach i, of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. r 12/01/2017 E Permitt fitter Signature:*** Joshua ;Eller E-Mail:jgellercltairportcom Phone #:704-793-7706 Date Permittee Ad s: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 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 ofthe 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: Pace Analytical CERTIFIED LAB #: 12 PERSON(s) COLLECTING SAMPLES: Josh Eller 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 ofmeasurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if nip discharge occurs and, as a result, there are no data to be entered for all ofthe parameters on the DMR for entire monitoring period, ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Pennittee: If signed by other than the permittee, then delegation ofthe signatory authority must be on file with the state per 15A 'NCAC 2B .0506(b)(2)(D). .r NPDES PERMIT NO.: NCO083887 PERMIT VERSION. 4.0 PERMIT STATUS: Ex iretl FACILITY NAME. Charlotte Douglas International CLASS: PC-i COUNTY: Mecklenburg il�irpart OWNER NAME: City of Charlotte ORC: "Kellie H Hedrick ORC CERT NUMBER: 28628 GRADE: PC-2 ORC HAS CHANGED: Yes eDMR PERIOD. I0-2017 (October 2017) VERSION. 2.0 STATUS: Processed Report Comments: Revision made to include flaw calculations. . NPDES PERMIT NO.: NCO083887. PERMIT VERSION:4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International GLASS: PC -I RECEIVEDCOUNTY: Mecklenburg Airport � e a E OWNER NAME: City of Charlotte ORC. James Jefferson Smith `^ ` 1 ? ORC CART NUMBER: 2 9 GRADE: PC-2 ORC HAS CHANGED: No CENTFL FIL,ES eDMR PERIOD: 04-2017 (April2017) VERSION: L0 WR SECTION STATUS: Processed � wQR0S SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC Z_NOE!0s,'AL OFF,i a V 5 a c:l: F: C6 a, O Cy O :r c I. z 50050 00400 C0930 C0600 C0665. 340.10 34371 TAE6C 00556 Once per Montlil Nteutlil Quarterly " Quarterly Monthly Mombly Quarterly Monthly Estimate Gratz Grab Grab Grab Grab Grab Grab Grub FLOW Pn. TSS-Catte TOTAL N< TOTAL P - Cane BENZENE k;TiiYLBER A"111027AC 0IL-CRSE 2400 clock 11. 2400 clack: Firs WON mgd su . mg11 m 11 rnu 1 Hgll u i percent mg/1 1 2 3 t Y 4 5 6 r a 9 1 Y to It 12 13 14 li I Y 16 t7 tx 19 20 21 22 3 ;. Y 7.1 3.2 ,I ;. K I < 5: 23 . .. 124 25 26 27 I Y 28 29 30 Monthly Average l,irnit: Monthly Average: 3.2 0 0 0 DailyMaximu�n: 7.t.... 3.2 0 10 0 Daily Minlmnn : 7.1 ..3.2 0 0 0 ****No Reporting Reason: ENFRUSE = No Flow-RcuselRecycle; ENVWTHR No Visitation--AiverseWeather; Nt3FLOW -No Flow; HOLIDAY =No Visitation Holiday D083887 PERMIT VERSION- 4.0 PERMIT. STATUS: Expired :te Douglas International CLASS: PC-1 COUNTY: Mecklenburg aarlotte ORC: James Jefferson Smith ORC CERT NUMBER: 2821 ORC HAS CHANGED: No A.pril 2017) VERSION: 1.0 STATUS: Processed 34010 81551 Monthly Moil LhLy Gmb Grab TOLUENE XYLENE 2400 On& 11. 2400 W), firs VIWN ug/1 I 2 3 1 y 4 5 8 y I it tt 13 14 1 1 2- I y 16 — to 18 19 20 21 22 y< 1 < 1 23 24 25 26 27 28 29 30 Monthly Average Lbaltz Monthly A —go: 0 Daily Mulanoto 0 0 Dally,Nll.h.— 0 0 Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; 1101,1DAY = No Visitation — Holiday w NPDES PERMIT NO.: NC}083887 PERMIT VERSION: 4.0 PERMIT STATES: Ifxpired FACILITY NAME: Charlotte Douglas International ' CLASS: PC-1 COUNTY: Mecklenbrarg Airport OWNER NAME: Lily of Charlotte ORC: Jaynes Jefferson Smith CIRC: C ERT NUMBER: 28219 GRADE PC-2 ORC HAS CHANGED. No eDMR PERIOD. 04-2017 (Apri12017) VERSION: l:0 ESTATES: Processed COMPLIANCE STATUS: C'ocnpliant CONTACT PHONE #: 7042228617 SUBMISSION DATE: 05/01/2017 05/01/2017 ORC/Certifier Signature: JC P Weaver E-Mail:jc.weaver@cltairport.coin Phone ## 704- 89-38 1 Date I3 this signature, l ccrtif that'�tort is accurate and complete to the t of my knowledge. y g y The permittee shall repo 4he 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 requiredby part 1I.E.6 of the NPDES permit. 05/01/2017 Permittee/Submitter Signature:*** JC P Weaver E-Mail:jc.weaver@cltairport.com Phone ##:704-589-3891 Date Permittee Address: 5501 Josh Birmingham Pk y PC) Box 19066 Charlotte NC 28208 permit Expiration Date: 06/30/2015 l certify,:` under penalty of taw, 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 can 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, tare, 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: Pace CERTIFIED LLB ##: 402 PERSOIN(s) COLLECTING SAMPLES: James Smith PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdetir.org/web/wq/swp/ps/nl)des/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 Zile with the state per 15A NCAC 2B ;0506(b)(2)(IJ); PERMIT NCI,. NCO083887 PER VERSION-. 4.0 PERMIT STATUS: n iced : Ckcarlotte Ilcsuglas Internaiional A.S. PC-1 CCI YMeck]enbur g RE C.,, �, � NAM: : Czty of Charlaite ORC. James Jefferson Smith A P HPi ORC C RT NUMBER. 28219 C I MI DWR GRA R: PC-2 ORC HAS CHANGED: No eDMR PERIOD. 03-2017 (March 2017)VERSION: 2ti IA S.Processed )��a w 0 � STATUS: SAWL NG LOCATION: EFFLUENT DISCHARGE NO.: 001 NO Dw# wenvL-NAL OFFICE « SOON 0040 iC0630 cow co"s 34030 34371 TAUC M56 2xsce as iwlonihl A2tra ado Alon@ai A4 estimate Gram Grab Grab Grab Grab Grab A now pm, T$s-COaa TOTAL N- TOTALP-Cana E PS ETIII1t4AC a F 140stank an 3400 Mack Ths 14 gIl ei6a9st 1 3 4 6 7 a 12 33 Y4 15 3 # <15 19.6 0.16 100 <S 16 17 is xo 21 zs Ls 1 16 za 30 31 3 100 Maatuty Av�aga.Ltmtt; Maathty AveaCe 0 19.6 0.16 0 0 100 0 many ac 8 0 19.6 0.16 0 0 100 0 matkytaum: S 0 i9.6 0.15 0 0 100 0 ****No Reporting ' on: 124FRUSE=NoFlowm ycle, EN kllt-NoVisitation— Adverse Weather, NO - oFlow; HOLIDAY oVisitation— oliday IDES PERMIT NO.. NCO083887 PERMIT VERSION; 4.0 PERMi':C STATUS: E! irecl ACILITY NAME. Charlotte .Douglas International CLASS: PC-1 COUNTY. Mecklenburg !1 NER N a Ciiy of Charlotte ORC. James Jefferson Smith ORC CERT NUMBER: 28219 RADE: PC-2 ` ORC HAS CHANGED: No )MR PERIOD: 03-2017 {March 2017) VERSION: 2.0 STATUS: Processed SA LING LOCATION EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) MAIN ****No tep on: RUSE=No Flow-R,euae(Recycle WVWM =NoVisitation —AdverseWo then; NOF OW=NoFlow; HOLIDAY -No Visitation —Holiday 1?E C NO.: NCO083887 PERMIT VERSION: 4A PERMIT STATUS: Expired :rt ITYNAM: Charlotte D2uglas International CLASS: PC-t COUNTY: MecklenburgAi OWNER NAM: City of Charlotte ORC: James Jefferson Smith ORC CERT NUMBER. 28219 GRADE.- PC-2 ORC HAS CHANGED: No eDMEt PERIOD: 03-2017 (March 2017) VERSION.10 STATUS: Processed COMPLIANCE S'TATUS:1Non-Compliant CONTACT PHONE #: 7042228617 SUBMISSION DATE. 04/03/2017 04/03/2017 ORC/Certifier Signature: JC P Weaver E-Maid:jc.weaver@cltairport.com Phone # 704-589-3891 Date By this signature, I certify that this report is accurate and complete to the hest of my knowledge. The per nttee all report to the :D rector or the a ropriate Regional Office any noncompliance that potentially threaaten& public health or the environment. y info on`shall be providedorally within 24 ours 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. 04/03/2017 Per ittee/Submitter Signature:*** JC, P Weaver E-Mail:jc.weaver@cltairport.com Phone #.704-589-3891 Date Permittee Address. 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28209 Permit Expiration. Date. 06/30/ 015 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 persona 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: PACE CERTHMD LAB #. PERSON(s) COLLECTING SAMPLES. James Smith PAR TER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.nedenr.org/web/Wq/swp/ps/npdes/foTm. 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 D MR 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 rather 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&l€cs Snternationai CLASS: P-1 VAaC1,te.A't� A 4-3+ VAi4'AA,tAAl GA#1Al♦�..TAlf3lw:d\G eDMR PERIOD: 03- 017 Mijch 2017) VERSION: 2.0 STATUS: Processed Report Comments: Retesting per requirements NPDES PERMIT NO.: NCO083887 PERMIT" VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS:'PCNC COUNTY: Mecklenburg Airport RECEIVED OWNER NAME: City of Charlotte ORC: Not Required ORC CFRT NUMBER: 995491 GRADE: PCNC ORC HAS CHANGED: No MAR 0 6 2017 IECEIVE I CDENRI, W eDMR PERIOD: 02-2017 (Febmary 2017) VERSION: 1.0 CENTRAL FILES STATUS: Processed DWR SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE A: -"MOCREE-AhLLE REGIONAL .t c aa U 5 4 8 �+, t5 O {. S z° 50050 00400 Cw10 COb00 C06655 34030 34371 LAW 005% Once per Monthly Morably Quarterly Quarterly Monthly Mondaly 2UM!!y Monthly Estimate Grab Grab Grab Grab Grab Grab Grab Grab FLOW pit "q-Conn TOTAL :- TOTALP - Cone BENUNE ETHYL$EN FrHIMAC 011'G83E 2400.clock Hxs 2400 clock Hrs YIWN mpd Su:. m `I m /l mg/1 i9a U911 percent nx (i 1 F 3 4 1000 3 : Y 0003- 7 3.4 ct xI c5: S b 7 S 4 1100 1 Y 10 11 12 13 14 1230 1 Y 15 16 17 16 39 20 woo I :. Y 21 `r 22 to 24 25 1000 1 S' 26 27 28 Monibly,Averege U.41 Monthly A—ge: 0.003 3A 1 0 - 0 0 Daily Masi.-oc 0.003. 7 3.4 0 0 0 Daily Minimum: 0.003 7 3.4 ****No Reporting Reason: ENFRUSE = No Flaw-Reuse/Recycle ENVWTHR= No Visitation -Adverse Weather; NOFLt3W = No Flow; HOLIDAY =No Visitation —Holiday NPDES PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERM FACILITY NAME: Charlotte Douglas lntemational CLASS: PCNC COUN Airport OWNER NAME: City of Charlotte ORC: Not Required ORC C GRADE: PC`Ni C ORC HAS CHANCED: No eDMR PERIOD: 02-2017 (February 2017) VERSION: 1.0 STATC SAMPLING LOCATION EFFLUENT DISCHARGE NO.: 001 NO DID Processed ;HARGE*: NO (Continue) a NPDES PERMIT NO.: NCO083887 PERMIT VERSION:4,0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS: PCNC COUNTY: Mecklenburg Airport OWNER. NAME: City of Charlotte ORC: Not Required ORC CERT N ER: 99 491 GRADE: PCNC ORC HAS CHANGED: No= eDMR PERIOD 02-2017 (February 2017) VERSION: L0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 7042228617 SUBMISSION DATE: 02/28/2017 02/27/2017 ORC/Certifier Signature: JC P Weaver E-Mail:jc.weaver@cltairport.com Phone #:704-589-3891 Date By this ;signature, I certify that this report is accurate and complete to the best of my knowledge. The perittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided. within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time table for improvements to be made as required by part II.E.6 of the NPDES permit. 02/28/2017 PeritoAd ubmitter Signature:** C P Weaver-Mailjc.weaverrccltairport.com Phone #:704-589-3891 Date Permitteess: 5501 Josh Birmingham Pkwy PO Box 1 066 Charlotte NC 28208 'Permit Expiration Date: 06/30/2015 Icertify;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: PACE CERTIFIED LAB #: PERSON(s) COL.ECrINO SAMPLES: PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.nedenr.org/web/wq/swp/Ps/npdes/farms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reportingdata. * No Flow/Discharge From Site: Check this box ift o 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 ofPermittee: If signed by other than the permittee, then delegation ofthe signatory authority must be on file with the state per =15A NCAC 2B .0506(b)(2)(D). 5 NPDES PERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas International CLASS.:PCNCRECEIVED COUNTY: Mecklenburg Airport _ } OWNER NAME: City of Charlotte ORC: Not Required E i1 ORC CERT NUMBER. 9954 , .SVF 1NtM t7ENR/ R GRADE: PCNC ORC HAS CHANGED-TOENTRAL eDMR PERIOD: 01-2017 (January 2017) VERSION: L0 DWR SECTION STATUS. Processed WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO D1SCH ` ' REGIONAL OFFIC' eG 6 8 M +� p 50050 00400 C0530 C 0600 C0665 34030 34371 TAE6C W.56 Once per Monthly :MonOily 2utvierly (?uaeterl Monthly Moathl gnu--erly Monthly Estimate Grab =Grab Grab Grab Grab Grab Grab Grab FLOW pH;: : TS5-Conn TOTAL N- TOTAL P-Cone $ATZr6F FTIIViSEN NTNU24AC 0I1—CR,SF 2400'.dark Her 2400 dek Firs trRm Mad su anal mg/1 m f ¢911 ugfl Percent L H 2 1100 1 y 3 4 5 6 t B 9 11000 1 10 AH 12 13 14 15 0900 } 16 17 Is 19 20 21 0900 1 22 23 24 26 1000 1 Y 27 29 29 13tXH 4 ly 0.038 ... 7.1.. 14.7 O)13 0.22 :. } c l «.. 34 31 Moaeh}y Average Limit: Monthly Average: 0,038 14.7 0,13 0.22: 0 0 0 Oaily Maximum: 1 0.038 T1. 14.7 10,13 1 0.22 10. 0 0 Way Minimum. 0.038 7.1:.: 14.7 0,f3 0.22. 0 .0 0 **** No Reporting Reason: ENFRUSE = No Flow-Rcuse/Recyelei; ENVWTHR = No Visitation _,Adverse Weather; NOFLOW = No Flow; HOLIDAY =No Visitation - Holiday ES FERMI I NO.: NC:U024368 / [LITY NAME: Charlotte Douglas Internation€ rt PERMIT VERSION: 4.0 PERMIT STATUS: Expired CLASS: PCiNC COUNTY: Mecklenburg nDtl Not Required 4RC CI RT NU I3EI2: 94S49I GRADE: PCNC ORC HAS CHANGED. No eDMR PERIOD: '01-2017 (January 2017) VERSION: 1,0 STATUS: Processed SAMPLING LOCATION. EFFLUENT DISCHARGE NO.: OUI NO DISCHARGE*: NO (Continue) n € y' a 34910 S1551. Monthly Monthly.. Grab Giab TOLUENE X17.ENF... 1404 dock It. 2400 dm k H. Y/" uH/l ug/1 1 2 11oo I 3 4 4 b 7 8 9 1000 I y to 1y 12 IJ 14 is 1 0900 1 y M 17 18 19 29 21 0900 1 22 23 24 2s 26 1000 l 27 28 29 1300 4 y 3. < 3 31 Monthly Average Limit. Monthly A—ge: 0 Witt Maxi mw G Daily Mbim— 0 0 **** No Reporting Reason: EsNFRUSE = No Flaw-Reuse/Recycle; ENV WTHR __ No Visitation - Adverse Weather, NOFLOW _. No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NC1083887 PERMIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas international CLASS: PCNC COUNTY: Mecklenburg Airport OWNER NAME: City of Charlotte ORC: Neat Required ORC CERT NUMBER: 995491 GRADE: PCNC ORC HAS CHANGED: No eDMR PERIOD: 01-2017 (January 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS Compliant CONTACT PHONE #: 7042228617 ' SUBMISSION DATE: 01/31/2017 01/31/2017 ORC/Certifier Signature: JC P Weaver E-Mail:je.weaver(cltairport.com Phone #:704-589-3891 mate By this signature, I certify that this report is accurate and complete to the best of my knowledge. The pe tttee all report to the Director or the appropriate; Regional: Office any noncompliance that potentially threatens public health or the environment. Any ' f rination shall be to orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be Prow d within 5 days of the time the pennittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 01/31/2017 Permittee/Submitter Signature:*** JC P Weaver E-Mail jc.weaver c@?r cltairport.com Phone #:704-589-3891 Date Permittee Address: 5501 Josh Birningham'Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 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 theme are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations, CERTIFIED LABORATORIES LAB NAME: PACE CERTIFIED LAB #: 28619 PERSON(s) COLLECTING SAMPLES: James Smith PARAMETER CODES Parameter Code assistance may be"obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.nedenr,org/web/Wq/swp/ps/npdes/fomis, FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box ift o discharge occurs and, as a result, there are no data to be entered for all of the parameters on DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAG 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)• S PERMIT NO.: NCO083887 PERMIT STATUS: Expired L : Mecklenburg :Airport " OWNER NAME: City of Charlotte ORC: James Jefferson Smith: JUN 2 2 7CERT NUMBER: 28219 GRADE: PC-2 ORC HAS CHANGED: No CENTRAL FILES eDMR PERIOD: 05-2017 (May 2017) VERSION. I.0 DWR SEC; IS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO PERMIT VERSION:4.0 al CLASS: PC-1 ® . E < H E L i v' y ggMOM : q 00400 C0530 C0600 cowl 34030 34371 TAF6C:: 00556 Once er Morathl Monthly (quarterly Quarterl Monthly Monthly Qnatterl Monthly Estimate Grab Grab Grab Grata. Grab Grab Grab Grab FLOW PH TSS-Cann TOTAL N:- TOTAL Y -Conr BENZENE : ET11§'LBEN FLUD24AC Oft GRSE 2400 clock H. 2400 murk: Do : VIRIN m d sit T' I mg/1 I m I.... ugil u I 0 ml MO 1 1100 1 i P •m» 3 4 a f 5 6 t 7 i¢OORESMLLEf 8 1100 1 1u It r139 12 14 1s 1130 1 ly 16 17 18 19 20 21 ly 22 23 24 25 1200 3 g 1 7 15 1.4 a 0o5 .1 < I too 5: 26 27 Z8 20 30 31 1200 Monthly Average Liinit. Monthly Aversge: 1 0 1.4 0 0:. = 0 100 0 Deily Ma:imam: I 7. 0 1.4 0 0 0 100 0 " Daily Minimum: 1 7. 0 1.4 0 o 10 100 0 **** No Reporting Reason: ENFRUSE = No Flow-ReusetReeycle„ ENVWT"HR= No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY =No Visitation - Holiday NPDES PERMIT NO.: NCO083887 PERMIT VERSION: 4,0 PERMIT STATUS: Expired FACILITY NAME: Charlotte Douglas Intmational CLASS: PC-] COUNTY: Mecklenburg Airport OWNER NAME: City of Charlotte ORC: James Jefferson Smith ORC CERT NUMBER: 28219 GRADE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: 05-2017 (May 2017) VERSION: 1.0 STATUS. Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) M010 Inss] TGE3B Month!j Monthly Grab Grab Calculated TOLUENE XYLENE CER124PF 2404 dk H. 12400 d"k Ws WHIN ug/I ug/l pass/fail y 7 1100 1 1 y to 12 13 14 15 1130 1 1 y I 17 18 19 20 21 1200 1 1 y 22 23 24 25 1200 3 y < I < 1 PASS 26 27 28 29 30 31 1 11200 1. Jy- M-thly Avenge U.U� Monthly Mempz 0 0 My M-I.— 0 0 1 Way mitm­ 0 0 **** No Reporting Reason: ENFRUSE = No Flow-Rcuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday NPDES PERMIT NO.: NC D083887 PERMIT VERSION: PERMIT STATUS: Ex iced 'FACILITY NAME. Charlotte Douglas International CLASS: PC-1 COUNTY ec:ktenbum Ai oft OWNER NAME: City of Charlotte ORC: James Jefferson Smith ORC CERT NUMBER: 28219 GRADE: PC-2 ORC HAS CHANGED: No eDMR PERIOD: 05-2017 (May 2017) VERSION. 1.0 STATUS: Processed COMPLIANCE STATUS- Com liant CONTACT PHONE #: 7042228617 : SUBMISSION DATE: 06/19/2017 06/ 19/2017 ORC/Certifier Signature: JCP Weaver E-Mail:jc.weaver(c�r�,cltairport.com Phone ##:704-589-3891 Date By this signature, I certify` that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit. 06/ 19/2017 Permittee/Submitter Signature:*** JC P Weaver E-Mait.-jc.weaver@cltairport.com Phone #:704-589-3891 Date Permittee Address: 5501 Josh Birmingham Pkwy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: O6/30/2015 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 any 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 nay knowledge and belief, true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the passibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Pack CERTIFIED L : 402 PERSON(s) COLLECTING SAMPLES: James Smith PARAMETER CODE Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal nedenr,org/web/wq/swp/Ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?ORC must visit facility and document visitation of facility as required per 1 SA NCAC 86.0204. *** Signature ofPermittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NAC 2B .0506(b)(2)(D). Charlotte -Douglas' INTERNATIONAL AIRPORT June 12, 2017 Central Files North Carolina Department of Environment and Natural Resources Division of Water Quality 1617 Dail Service Center Raleigh, North Carolina 276 -1 1 Subject: Seasonal Tie -Icing Report National Pollution Discharge Elimination System (NPDS Permit Compliance pliance Charlotte Douglas International Airport NPDUS Permit No. NCO083887 Central Files: In accordance with permit stipulation Part 'V°II Section "B" of the "Special Conditions" section of this permit, we are providing information summarizing the airport's de-icing fluid usage for the winter season of October 2016 through April 2017. The D% R for May is additionally included; The total amount of aircraft de-icing fluid usage (ADF) was reported to be 67,439 gallons prior to dilution. Of this amount, almost all was sprayed by our service provider, International Deicing Services, Inc,, (IDS). Their services are provided on behalf of ICU, to gU domestic regularly scheduled caniers providing service to/from U.N. For General Aviation (Wilson Air Center), such as private charter or corporate flights, the total fluid amount used was 18 gallons The quantities presented this year represent a decrease of that used and reported to your agency in 2016. The decrease is primarily attributed to the minimal frozen precipitation :recorded during this past winter, as well as our primary hub carriers decision to cancel all flights into and out of Charlotte during the January storm. If you should have any questions or concerns, please contact me, at 704- 06-3 t11. Sincerely, Jimmy D. Jordan, P.G. Environmental Affairs Manager Charlotte/Douglas International Airport CC File, MRCJ, Wes Bell De-leing Fluid Usage,,2016-17 Winter Season t [ This form should,be used to report cing Fluid Usage for 2016-17 Winter Season { This form should be completed and returned Monthly or as requested by the Airport Your Company lC DO Contact Person n 1 Phone �1 (person whom is providing this fnf canon) 0 } C4rcle ALL Age2Lnate,Et nses All Commemial Caniers e.g. Alk,Delta, etc.) General Aviation e.g. Wilson Air CARRIER IDENTIFICATION i Cargo (e.g. FedEx, ill's, etc.) C" M 1 Non tenantl thers Deicing Fled Usage - please report the number of gallons used BEI O.Rg Dilution Propyler►e Glycol 4 Select a Typo Month Type 1 Type d October -lit 71 µ E December-1 t 4806 January-17 31930 8460 .a. . February-17 March-17 April-17 7) Addhional m $ Indude PLEASENOTE ETHYLENE GLYCOL (Type 1,4) IS N "T APPROVED FOR USE AT CLT This form should be completed and returned Monthly or as requested by the Airport IL;.this formtwt;, Jlmow 0. -Jordan, P.G. {tI t phone # A7 t Comments on this form, or other De4tkV Information? This form should be used to report De-lclng Fluid Usage for 2016-17 Winter Season Tenant Name I Your Company Wilson Air Center Do Icing Provided for (if other than General Aviation Contact Person Dave Tresaloni Phone # 704-36"708 (person whom is providing this information) Which Aircraft / Airline? General Aviation Deleing Fluid Usage - Please report the number of Gallons used §EFORE Dilution Month Propylene CAII - Select a Type hylene Glycol - select a TyPe Type I Type 4 Type 1 October-16 Cl 0 November-16 1 0 h-1 7 0 0 1-17 -7- so, write in here This form should be completed and returned Monthly or as requested by the Airport Return this form to: Jimmy 0. Jordan, P.G. (email Is prefenrd) Charlotte Douglas Int'l Airport En -nents on this form, or other DA-.1cing Information? ronmental its Manager Affa w Wro-a naghar—lomea i mgm p 9m Phone 704-50"011 NPIII'.S PERMIT NO.: NCO083887 FACILITY NAME: Charlotte Douglas It �Yt�o2 OWNER NAME: City of charlotte GRADE: PCNC eDMR PERIOD: 12-2016 (December 20 PERMIT VERSION. 4.0 PERMIT STATUS: Expired tternational CLASS. PC -NC: COUNTY: Mecklenburg CIRC. Not Required ,BAN I I P6f7CERTNUMBFRc995491 ORC HAS CRANG alit No E " l #P NPJ 16) VERSION: 1,0 OVnk E( !st Processed SAMPL,UNG L UA'l'tO.N: k+ VT'LtJL N'l' t)1 ENO.: 001 NO DISC* )�mos aLLE REGIONAL OFFICE ****NoReporting Reason: FNFRLTSF=-No Flow-RcuselRecycle; ENVWTHR No Visitation- Adverse Weather; NOFLOW .- No Flow; ROLIDAY=NoVisitation- holiday x 2016) PERMIT VERSION. 4,O PERMI"T STATU : Expired CLASS: PCNC? COUNTY: Mecklenburg ORC: Not Required ORC CERT NUMBER: 99549 ORC HAS CHANGED: No VERSION: l.O STATUS: Processed 11* FACILITY NAME: Charlotte Douglas International CLASS.- PCNC COMPLIANCE STATUS- Lomplian, CONTACT PHONE #: 70427228 within 24 hours from the time the pem vy PO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/30/2015 -nt and all attachments were prepared under my direction or supervision in accordance with a sy� er and evaluate the information submitted. Based on my inquiry of the perso n or persons who on CERTIFIED LABORATORIES G SAMPLES. James Struth PARAMETER CODES FOOTNOTES * 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 M04. *** Signature of Pennittee: If sumed by other than the permittee, then delegation of the signatory authority must be on file with the state per I SA NCAC 213 PrRMITNO.- ' 'ILITY MIT 1, 0 ILlTVNAME:Ch NAM . �:h NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS* tm!E� 0 arlotte Douglas International CLASS- PCNC RECEIVED COUNTY. MEKS2!Lum LIM-Ott FER 0 6 Z017 OWNER NAME.!��jry of Charlotte ORC. �!ot Required ORC CERT NUMBER: 995491 GRADE- PCNC ORC HAS CHANGED: QENTfiAL FILES DWR SECTION RECEIVEDINCDENROWR eDMR PERIOD: 11 -2016 (November 2016) VERSION: 2.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO waklos MOORP5,Vit t r- rjr-r�frlktA I FFICE Clow Cows 34034 34171 Z161-1 2=M— �12--!—hly 2±q2E!X— 22!Let— M2!2!�— MMEX— 9m=1211 monthly Fstimate Grab Grab _Grab Grab Gmb Grab Grab Crab RIM all TSS - Co- TOTAL N TO'I'Al. P C.. RENZENF ETIMAWN fl'11024AC 011,G)iSf, Hn 2404 dock low YAWN perceInt mg/1 3 4 6 9 10 112 3 0.5 <M PASS it 15 17 is 20 24 to y 26 L7 29 30 12 6,5, < 2�5 <0,5 <5 .L. Monthly Avemil, Lima , Nfi,,nhh, A—gll� 0 Nih, Nl-hu— 1 16, 5 0 0 0 0 Milymi.1—ml 16's In 0 0 No Reporting Reason: FNFRUSE =- No Flomr-Rcuse/Recycle; ENVWTHR No Visitation Adverse Weather; NOFLOW No Flow; HOLIDAY No Visitation - Holiday I'NO- NCO083887 PERMIT VERSION: 4,0 PER W. Charlotte Douglas International CLASS: PCNC cot Li.� �ofCharlo�tte ORC: Not REquired OR( ORC HAS CHANGED. No 11 -2016 (November 2016) VERSION: 2,0 STA ocessed ARGE*: NO (Confinui M�m m� M�m IN mm m IN m m m M�m MEOW PFFFERMIT NO.: NCO083887 PERMIT VERSION: 4.0 PERMIT STATUS: Ent!!� CILITY MLF 1, 0** ��C' — ILITY NAME. Charlotte Douglas Intentational CLASS: PCNC COUNTY: Mecklenburg Sk i art OWNER NAME: LJ.!X ofChriotte ORC: Not uir�ed ORC CERTNUMBER- 995491 GRADE: PCNC ORC HAS CHANGED. No eDMR PERIOD. 11 -2016 (November 2016) VERSION: 2,0 STATUS: Processed COMPLIANCESTATUS: L---,Plia-t CONTACT PHONE #: 7042228617 SUBMISSION DATE. 01/09/2017 01/06/2017 ORC/Certifier Signature: JC P Weaver E-Mail:jc.weaver@cltairport.com Phone #:704-589-3891 Date By this signature, I certify that this report is accurate and complete to /ob ledge. th The pennittee steal e ort to the Director or the appropriate Region '10 liance that potentially threatens public health or the environment. Anyinfrintratior hal be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be s provided within yof the time the permittee becomes aware of the circumstances. If the facility is norcontpliant, please attach a list of corrective actions being taken and a time -table for in to be made as required by part II.E.6 of the NPDES permit, 01/09/2017 Permittee/Submitter Signature:*** JC P Weaver E-Mail:jc.weaver@cltairport.com Phone #:704-589-3891 Date Pennittee Address: 5501 Josh Birmingham PkwyPO Box 19066 Charlotte NC 28208 Permit Expiration Date: 06/3 0/2015 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 inarrisonnient for knowing violations. CERTIFIED LABORATORIES LAB NAME: Prism CERTIFIED LAB #: 402 PERSON(s) COLLECTING SAMPLES: James Smith PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting littp://portal,ncdenr.org/web/wq/swp/ps/npdes/fonns, FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES pertnit for reporting data. * No Flow/Discharge From Site: Check, this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 86 M04. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15ANCAC 2B ,0506(b)(2)(D), rENS PE IIT NO- NCO083887 PE IT VERSION. 4.Q. PERMIT STATUS: L3xpired ITY NAME: Charlotte Douglas International CLASS: PCNC UNTY:1 Iecklenbuq- att urt JAN 2 0 2017 OWNER NAME: City of Charlotte {7RC: Not itequrccti ORC ClERT NUMAt wD RJ E `I E GRAVE: PCNC C}RC' IIA CHANCED: SECTIONDWR NNo eDMR PERIOD: 11-2016 (Novernbes 2016) VERSION: 2.0 STATUS. Processed ... . WQRO SAMPLING LOCATION: EFFLUENT DISCHARGE Na.: 001 NO DKCKARGEft AL OFFICE $0010 00400 CM30 C0600 C0665 3400 34371 CAEK, 06530 ' t)n-Fer hStmthi M..,aly uurh.rl'. l uzattcrl Marnbly Motithty }uartexS h2onthlt ? E tab Estimate C' '.Grab Grab Grate Grab Crab Grab Grab FLOW p7E. TSS-Cone TOTALN- TOTAL P-Cane BEN7,FNE ETHYLSFA FLUD24ACe o11AMS�E 2400 clock It" 2440 clack ttrs VAN .gd cv:: tl nr r'I m * `S m T i u 1 u , 3 percent m' 1 2 3 4 3 SUtNI : 1 6 1 A 9 to 12 3 c03 <q.5 PASS tF t2 ra 14 t5 t6 F7 tl r Y f0 i9 24 2t :2 i3 24 10 1 y 2S 26 .30 15 2 &S <2.5 <-03 <03 <5'. ritanthh, Areeage Limit 6tanihlyAverage: t7 (). 0 U tsnrt2 tirtaxixnnuac 63 0 0 0 0 unit. Niniuiei 63 to :. *« No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVW7THR = No Visitation- Adverse Weather; NOPLOW - No Flow; HOLIDAY - No Visitation- Holiday PERMIT NO.: NCO083887 PEIMIT VERSION: 4.0 PERMIT STATUS: 1Wxti [TV NAME: Charlotte Douglas International CLASS: PCNC COUNTY. Mecklenburg R NAME- City of Charlotte ORC: Mot Required ORC CI RT NUMBER: 995491 ?'t PCNC ORC HAS CHANGED: No PERIOD: 11- 016 (November2016) VERSION. 2.0 STATUS: Processed AMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) «»** No Reporting Reason. ENTwRUSE = No Plow-RcusefRccycle; ENV WTHR = No Visitation - Adversa Wcathcr; NOFLOW = No Flow„ 14OLIDAY = No Visitation -- Holiday P!NP,0F,S,PFRMIT NO.: NCC0338I7 PERMIT VERSION: 4.0 PERMIT STATUS: Ex fired FACILITY NAME: Charlotte Douglas International CLASS: PCNC COUNTY. Mecklenburg Alm OWNER NAME- City of Charlotte ORC: jot Required ORC C RT NUMBER- 99 491 GRADE; PCNC ORC HAS CHANGED: No eDMR PERIOD: 11-2016 (November 2016) VERSION: 2.0 STATUS: processed COMPLIANCE STATUS: Lompliant CONTACT I' PHONE : 7042228617 SUBMISSION DATE- 01109/2017 01 /O6/2017 ORC/Certifier Signature: JC P Weaver E_ ail.jc,w aver(i{` ltairport.c Phone #.704- 89- 8 1 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge; The: permittee shalt 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 shalt also be provided within 5 days of the time the petxnittee 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 IfE.ft of the NPDES permit, tea'' O 1 /09/2017 Perm itteelSub `it er Signature:*** JC. P We ver C- il:jc.*eaver@cltairport.com Phone' #:704-89-3891 date Permittee Addre 1 Josh Birmingham, Pkwy PO Box 19t?b Charlotte hiC° 28208 Permit Expiration Date. 6/30/201 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 parsons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Prism CERTIFIED LAB #: 40 PERSON(s) COLLECTING SAMPLES: James Sinith PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting littp,//portal.nedenr.org/web/-,vq/swp/Ps/tipdes/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 DN4,R for entire monitoring period. ORC on Site? ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204: *** Signature ofPernuttee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). a OA EUTfit L UEN NPDI3S I'I:I MIT NO, t,'wCOQ,33887 MONTHm OCT YF"AR FACJILITY NAmr," ;r�r�Ce�xx Docic S Exit'l Alrnor;' COUNTY _.."'FATIVIUD LABORATORY (1) Prism Laboratories, I,ra.402 (nt4-402 (fistadditional nal laboratories on th , backside /pa c 2 orthis Eirrin) 011EiI2i1`i OR IN REISPONSIBIr13 Cl lAR(.ali (ORCe) James J. Smith CiIiADFf PC 2 C'EM'IFI(;°r1TION NO3 704 ` 2 861 Oil"C:K 21OXI1, T,'CA I+LO6a//DISC.HAIv.GE, VdZ�}! Mail ORIGMI,andONt Ctrtr` lo: pi"I'MtartiVx'r`RAi °ILN',S a(y i �(_1p ?Ay/1 _u({y C _flr�p,R_M F CO tn{y} Fi Y:iii!<4F Xdari?\yi?rr°6«irSF l.Jl tIi�tI:tlt1\I4V [41,;.31h#i'J.SII>1,3:,1.. I'EP%IS iS) 1617,%'IAH SXAVI C'YS`JNTF,r RV PTSSMNAl lit(s`,iC:;121i 1 tPtir iif3 t25.1'ilii'r`t NC 27699, 617 ACC RA t l,, AND Comfl'Llrj' TO ` HIl ' BESTOR NIV rc`fiC)1Vi.EDG ?. 50050 00556 w 00530 C0mo .I .a,34030 81551 34010 34371 00400 00665 Mar 6t: 00600 wt c P:t (J t :aa n j rey 4 - O uS U7 U) Cis C n E) '21 u r CIS Ft. k [IRS FR, YIt IN MGD MGlt MGJL ug1l u rJ(I uqt� itc�rl a rI Std Unit mgIt pass/fail in I 4 W 3 12 I7-7 16 'T i T i No I I I U, %,, L,,, 1 4 inic I "r I '' 1 -W I I I I I I I I_ AVERAGE &UNIMUM cfr�,, rrcr+ srt') 45 .... Facility Status: Pieaase check one of the folloNvin ) Fr All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) E�g Compliant All monitoring data and sampling frequencies do NO meet permit requirements � p � Noncompliant The permittee shall repot-t to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shallbe provided orally within 24 Hours from the time the; perin ttee became aware of the circumstances. A written submission shalt also be provided within 5 days of the time the permittee becomes aware of'the circumstances. I the facility is noncompliant, latease at acRa a list: of corrective aactions bein talcen rand �a tinge-ialaie fcaa" improvements to be made as re uia•ed b Part I l.E.6 of the 1" PDIES permit. °`I certify, under penalty of laze, than this document and all attachments were prepared under my direction or supervision in accordance with az s,fstem designed to assure that qualified personnel properly gather and evaluate the information submitted. used on my inquiry of the person or persons who managed the system, or those personas directly responsible for gathering, the information, the information submitted is, to the best of my Imowledge 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." Tack Christine, Deputy A Permittee (P1+ m g afore of P ( quired unl c.. r:a..axx.xwu. x•�..,.0 k,. u..:.,..,� 4 .y Certified Laboratory (5) Certification No, PARAMETER CODE, S Parameter Code assistance may be obtained by calling the NPD S Unit at (919) 07-6300 or by visiting http://portal.ncdeiir.org/web/wq/swp/ps/i pdes/appforms. Use only on its of measurement designated in the reporting facility's NPDPS permit for reporting data. >. No Flow/Discharge Fiona 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 DM12 for the entire monitoring period. ORC Orr Site?: O C must visit facility and document visitation of facility as required per 1 rA NCAC 80 ,0204. Signature of Perroitteea If signed by other than the permittee, then the delegation of the signatory authority{rust be on file avitla the state per 15A NCAC 2B .0506(b)(2)(D). Page ± a ZkFFLUENT 3 N[°DI'S 1'I:IZMIT NE . NC00 3887 MONTH "T. _a Yl.,' l; FACILITY NAME miamCoua Douglas hit'l AlrporL PC2 COUNTY iafa #rrj C'l:i2` IFII:I> L,Al3t}Ittt,"I`ORY C li_ _...,.. Prisia, Laboritovies, 00. 402 cart tr ,.02 (list additional Iitt oratkiiics on the backside/page 2 ofthis torn-1) t)1't:ICrl't'O1t 1N C2iSl'(lNSll31.i'wt�lirli�Clk'? (()12C�')«f�nies.LCmfi#7 C1hA11: P02 CL:I2`I`IirIC,"li°I'1C.}N NO, 1'I"sl'SON{S} COLLECTING tytkMPIAS --t' C)RC PHONE'- � ,_. 04 222-8617 ..,. w P`'trtat.t�roirll:+i,�i{°T3ti'{Yt�. +I�CI�t`'il`I"$=, i��r ra p .w rye. �.Srt�k3� Il v 1 Stfil C3RIGINAL alit! ONECOPY OPY to ii'i'N:CP',N `RAI ti ih 42Vffi[C)NEJ€ait<4 dti}1,1 "9' " ( ltEI1L ! f71'tit'/tt)i21NC:il'<)NSI[3II�CItttl2Crli 1617N,1A1l,S11,RVfe t".K CE! i3 ttiSSeCrS.`l"LLI62t af.,'i€2tCf 1EPAi t 1t�aE21 &f%3�dtS+ 12A i,YsWD, .NC 27699-i6l7 50 00556 00530 C061t� __ 3403C1 II155w1. 34Ci1t� 3371�Ut7�Qti C}CJC6 #'1�ECC t703C;0 E a; _ _ !" } u I> rS; s cs ra X r o} c U CL 3ul n y Q i`•' ft. . u '7'{i llS/e{k{tkrIt k]Jtitii lC{l pass/fail rgil .. 0 22 ._ -�t 26 28 2r, §i AVI 12AG # 3 0 0 C 40 0 : l 4046) $10 � gkG�iap" � ,r pt yt4,S,O 6..,.w �•^9s« LBO iyL_+_: • y }§ �e*oe_ 's t O.Su p y�w o s $,,,,, Pd �.. s+` { ., RIAtt C$t FtY3t$ 45 5 51 11 t! 9 13!} Q form MR-1 (11/{)4) r PV Facility Status: (FlIe nse cheel( dice of €lac follof ing) All tnaotnitorin-nf; data and sampling frequencies meet pertanit requirements (including weekly averages, il`tapplic able) Compliant :lilt nnaotitcnn-iang data and sanalatinff frelincricies do NE?'1` ranee[ }fen°tacit requirements Eil i Ionaconnnpliant The peranittee shall report to the i)i sector or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours Fyon-t the brace the pernnittee became aware ofthe cirCtnnstan ces, A written submission shall also be provided within 5 drays of the thane the pertnittee, becolues aware of the circumstances. If tile facility is a ttatacornplhant, pl vase at(ach at list of corrective aactions heing hater and as tii c-Oble fot" improvements to be naaaade :ns regUired lay l'arE II.1f,.6 of the NPDES permit. 111 certify, under penalty of law, than this document and all attachments were prepared under racy direction or supervision in accordance with c systctai designed to assure than qualified personnel property gather and evaluate the information submitted. Lased on my inquiry of the person or persons who r narnaaggcd the system, or those, persons directly responsible for - th rim, the information, the information submitted is to the hest of aany knowledge and belief, true accurate, and complete. 1 am aware that there are significant penalties rc r submitting false: inibrnnation, inncluclang.; the; possibility of fines and imprisonment for knowing violations." Jack Christine, Deputy Aviation Director, City of Charlotte Pennittee (Please print or type) Sitry n, tire of lVirrittee' Date (I uired unless submitted electronically) 5501 Josh Birmingham pk y Charlotte NC; 28208 70-359-4000 jdjot'tlart(c �l't rlotte irport o S cr aaitt a AddressPhonecinanhcr e-mail address Permit I xpiration Date ADDITIONAL ('ERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No, Certified Laboratory (4) Certification No. Certified ed Laboratory () Certification No. PARAMETER CODES parameter Code assistance may be obtained by calling the Nl)DFS Unit at (19) 807--E 300 or by visiting http://portal.iicdetir.org/Nveb/wq/swp/ps/iipdes/appforiiis, Use only units of nnae< sarcme t designated in the aLLclaorfing ltacslity's N11i)1,5 l ennit for reporting data. V No Flow/Discharge trrOU-1 vice: Check this box ifnno clisch aqg occurs and, as <a result, there are no data to be entered for all ref"the parameters on the DMR for the: entire nnotnitoring period. O C: On Site?: ORC roust visit facility and docutnaenat visitation of facility as required per 15A NCAC., SG .6204 ,* r`gn:ataa •e of Ve1-rnWee: 11'sii nned by other than the perntnittee, therm the delegation of the: signatory iauttnority r aust tae on file with the state per 15A NCt1C 2B .0506(b)(2)(D). Page 2 EII,OFLUENT NPD11S" 1'11`,RMITNO; NC0083887 MONTH .� c�_ Y1"�hl� _ " i,I CaHAaR{il NOi FACILITY NAME, Dovcfes tnt'i Airpc 1, ��.? C OUN` 1. ia,w� l,t �o.i?trt t ,r 440 ttlt is s on the t�I ckside/page 2 ofthis florin) NSIBLI3 C 11ARGH" (0RCw) J,',Mc51 Smith (iRAIN', PG2 ChsRTIFICATION NIO, C TING SilMPI.;.1:S ORCa PHONE' 704-222-86,17 ,finS caf,`�N("'E'D �....�,��........., .i) 11"M;�V I DISCir�.ia'trt: tt'tb£,f!�i;tii.3"t�; 0. COPY I y II )It a.t`I'r` (l 1 t}l2 : (11 Ut'Iil ft l f)l 11 i C t.�1 C)i 1S113I.1s'i'HAR1GF') n) ," ww �.. aE4 k^C,#7 ,N C K1,1 C3 Yi4S 51CFd,LI UIU , I c It f Il f titO &, -I'll is !2e' ait ttC,4.:flit`1tlli[chil7C�die":i'frtsi3S I'C? lfll.3S[..''Y'Y'd}€+i4't�'tc.7:{ii�k..:iS"�r. 5665 } NO C70'b30 CCJIiit) � .3A0,30 f�1 6�fw 4010 :343T1 0(i kC}U JaC6 � i't�FtiG fJtiGQU ni FI r ci v n cr 2 a c u ai -6 I F X 7) It �Wi F31N N#t317, NGId Mli uq/t utJf6 It gld urfti Std Unitnigfl pass/fail cf/i 30: i` AMI24GH f I�1?3+i`£ta?i t tft ty7 �{Cr}t`S rt f}{t r) . Nlontftty Unlit Facility bat,ras. (Please elleck etaa+'. (it° the following) All anonitortug data and saamplira-1 lrcque ncies meet permit requirements (including weekly averages, it'ap alicable C:`oraalrli<ant All monit oring toring data and sampling frecluencies do Nt.�T rnect permit requirements E:1 � l .� Noncompliant "I"lac perrn'rtte-,e shall report to the I.)ire.ctor or the appropriate Regional Office any noncompliance that potentially threatens public; health or the environment. Any inlbrraaation shall be provided orally within 24 hours front the time the perinittee became aware oi`the eircurnstaances. A written submission shall also be provided within 5 days of the time the; perrnittee becomes aware of the Cr urnsttrraccs. If the raIcffity is rton omplitant, pl€ nse attach a% last: of cca-rAeetive <tctioais I)e1jig taalcen and as untiet.alale for•. improvcar rents to be made as r-erpdrYed by mart: 1LE.6 orthe NPDES perm t. "I certify, under penalty of law, that this document and all attachments were prepared under nay direction or supervision in accordance with at systern designed to assure that qualified personnel property gather- and evaluaate, the information submitted. Rased on tray 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 ofiny knowledge e and betiet, true, accurate, and complete. i yarn aware that there are: significant penalties lair- submittin.; false information, including the possibility of fines and imprisonment for knowing violations." Jack Christine,Deputy Aviation Director, City ofCharlotte parraaittee (please print or type) Signature of Pernnittee' Date (Rccluired unless submitted electronically) 5501 .Cosh Birrningliann Pkwy Charlotte NC 28208 704-3 9-4000 jdjord rn@ arlotteairporlCOM Perraittee Address Phone Nur7lhcr c;-finer€t address Permit expiration Date ,torte 30 20 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No, CertifiedLaboratory (4) Certification No. Certified La boratoty (5) Certification n No. PARAMETER CODES Parameter Code assistance nnany be obtained by calling the NPDIIa s Unit at (91 ) 807-6300 or by visiting littp://portall.iicden ,org/xvcb/aver/soap/ps/iipdc /appforraas. [1se only urars caf rrae:<rstrr•erar�arat tCe.;;igrr<atcd irr tine rclaor�irat; larcilit"s IJI'I)l: raer-rars't fear rclaortirr� datar. No [ ow/Discharge From Site' heck this boxit no discharge occursa nd, aas €i r-�sult, rlar.r are, no data to be entered for all of the parameters on the DMR. for the entire, monitoring period. 1 COn aite?: O C; inust visit: facility and document visitation of facilit as required per I Sty NC AC' t 1.fi: 04l i otiture of Permutes: if signed lay other than the p(crm ttee, then the delegation of the signatory authority must be: on file with the state; per i 5Aa NCAC 211 .050 (b)(2)(D). Paago 2 Facility stable: (Please check one of the followisi ) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet perrrait requirements X , Compliant 0 Noncompliant 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 prodded orally within 24 hours from the time the perinittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the perla ittee becomes aware of the circumstances. If the facility is noncorriplilant, please attach a list of corrective actions being taken and a rime -table for` improvements to be made as requir-ecl lty Tirt U.l of the NPDES permit, "[ certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a systerri designed to assure that qualified personnel properly gather and evaluate the information submitted, used on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the inforination 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." Jack Christine, Deputy Aviation Director, City of Charlotte Pertnittee (Please print or type) i nature o Pertnittee Date equiled unless submitted electronically} 5501 Josh Birmingham Pkwy Charlotte NC 28208 704- 59-4000 jdjordan@ch rlott airports r Pern ittee Address phone Number e-mail address Pennzit Expiration Date June 30 2015 ADDITIONAL CERTIFIED LABORATORIES` Certified Laboratory (2) Certification No. x Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Cettifrcation No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by visiting littp://portal.nedenr.org/Nveb/wq/swp/Pshapdes/appforiiis. i7se olaly units of Inasurelrielat designated in floe reporting facility's NI'Il Serinst for repoltiltg data. >. No Flwv /Dischar e From Site: Check this box ifno discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for the entire monitoring period. 0jjC CsI Site"; ORC njust visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *,',* ignnllin re of permirtee: if signed by either than the pernuttee, theca the delegation of the signatory authority'raust be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 ov. iAffLUENT NI-'I,I S I'IiI MIT N ?. iCt7u 3S8i" MON'I"I I_.._ � YI?"AR « ,I 4pI?#SC'I I/aI CiLt NC : �� <'OUNTY i�/'#u^1dei-aburo FACILITY Ni1IVtI, cl,��to��:� E3r5uf(rs lt,t���[t;�t7t�t ��� � C:Ia'�TI II:I):3,AB{)I2h`I'OI:Y I Prism Laboratodes, i4o.402 Cort1.4G (list additional laboratories on the backside/page 2 o this Iorni) Oi'[sC2ri'IOR IN RF'SI'ONSIBLE' Cl IARIGHE (OW") James.l. Smith CiRADI,' _ PC2 C'1 RTIVICC TION NO. � � ..- I'I I;.SON(S) C O I.I.( I INC. SrlitilPLE'S . _ _ - ORCP ONl:,.. _._ _ 704 222-8617 w.tllti .sa 20", .,I ii4` C 1 C1hhl'.Cpt;l? i m I `.r itI.CD�v 1 s3T � ,h6 glad t: C�iZ i t i i`I'; m INCDENR/DWFt Mail ORIGINAL and ONE' (,' )IIY to: 016 ;iv't"TN C EN'f'€ AI i ti tS ARG PItYEtitE#N C3i� "4VAd C:It C3iJ.1i.i'�4` (�I _ t1'I'tll2li{)t (�1't:I2lk"I'f)Ik IN itT:Sl'{)NSII3LC:C.IIrlIiCH) M 71 MAILSCti2t'WE t:KN I`Ki i3!''t €CS ft;fJ.o'E' IZE, I (.'ER'i'!t�!"t'i9r%'9"'['CLi4WQROS RALKIGII, N€. 276994617 ACCURATE AND COTYIIiLETI>..I.O:IIlNBEST t Te9' ' It L OFFICE m 500�at1 _ 00556 00630 (C061 _ 340 30 8155 i 34010 34371 00400 00665 t`AE6C 00600 _....... 2 u c ear h ca c t? ktiF 0(D C ct i "' S - z7 _ _. ._ 0 mu CU 0 0 4 HRS IJRS Y/B/N 1 iGI) MG/G MG/L Sid. Unit clll ass/Earl meJli i4 4 MIN Alu: w 10 I 1 orithty Limit 45 45 I)th Q 1`01-111 MtRA (i 1104) r MEE PV, Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet perrtrit requirements (including weekly averages, if applicable) El Compliant .All monitoring data and sampling frequencies do Nth"f% meet perrnrit requirements JOZ11conipliant 'l"he pernnittee shall report to the Director or the appropriate Regional Cuff"sce any noncompliance that potentially' threatens public health or the environment. Any information shall be provided orally within 24 hours lion the time the perm ittee became aware of the circumstances. A written submission shall also be prgvided within 5 days of the time the perrnittee becoutes aisrare of the circumstances. If the facility is noncontpllant, please atta lr to list of corrective actions being taken and a time -table hicr improvements to be rnade'as required lay Part it E.6 of the NPDES permit. "I certify, tinder penalty of law, that this document and all attachments were prepared under nary 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 Nvho managed the system, or those persons directly responsible for gathering the inforntration, 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.' Jack CYltristine„j uty Aviation Director, City of Charlotte Pt ntnittee (Please print or type) 4 mature ofPerrnittee*** Da e' equired unless submitted electronically) 5501 Josh Biruaingharn Pllva Charlotte 114c, 2 2(}l3 7t?4-3 9-4t)tl4 ldjarcl�n a(} rftrtt it err . e+t�r Perin ttee Address Phone Number e-mail address Permit Expiration Date June 0 201 ADDITIONAL 'IONAC. CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory () Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by visiting littp://I)ortal,ncdenr.org/web/wq/swlt/ps/npdes/appforrtns. Use only twits of rnensure:m�nt desigrratecl irn the reportirng facility's NI'I�Ii hermit for reporting data. ` No Flow/Discharge From it Check this box if no discharge occurs arid, as a result, there are no data to be entered for all of the parameters on the DMR t'or the entire monitoring period. ORC On Site`: OIZC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. Signature of Per mittee: If signed by other than the perrrr ttee, then the delegation of the signatory authority innust be on file with the state per 15A NCAC 2B .050 (b)(2)(D). Page E- T E .` NPDI"S ['Ia2iv IT NI'. NCOGS3887 MONTH ._... _ --YiA w�` EICl I t VLI FACILITY NMI", 3c�rsInt'lAirpot P02 COUNTY-- C„iDilGUQ r E I''I`ilttl::I) Lt1L,OItIV'I"OR P € risn'i Laboratories, No.402 Coot #402 (list additional laboratories on the bac:ksidelpage 2 orthis, IOrm) t'lPERA't'f)lL IN RESPONSIBLE C',I lARGH; (C RC) Jamas J. Smith G«Zt DH' P 2 CL,' TIl'1C',h'i"ION NO. _ PF-I k`iON(`i) t;C)I..I.I:C;`1°1NC3 SAMPJ S_ 1, ti t ()IZf E'II()NIv:w -70 - 2-240 704-22-u86a17 Mail ORIGINAL and ONE COPY to. MVISION £lt i% i t i R Q t; LiT ' (Sift t URE C)i' )1'tilt/ l f)l2 EN REP( 1131.1: C'HARCI ) 1617N1A1f SR Vt a i'E,NTK: WIT SSrf\,i'4Y112„iC( P2#fi it3A1 4ttt4it':I'(}€2"1E !L,IJ 6 IGII, ANC 27099-1617 ACC(RATI,AN' 1) CO JNIT PLKTi ;'ro'nix11f.S'!"d7ta Mfi'KNOW Ld.W;1F. u _500.50 ... CJG} a6 - CIt75w 0 CQ(51 ] �_..34030� €31551 —34010 µ34 >L'1 2100 _0066a l � 6c 55c)0U _- ua v j st LU 65 t 4r o 0 { I u) a 01 c nu o NCtS HRS YIl3IN iUt('.C) MGIL Cv1 CL ugJl U01I uc11l uueJXI Std Unit nigfl passifail mgI zµ�r 4 6 T {) _ _ 10 12+ 14 I li w_... •.. _ .... 16 ! c,"I _y 22 tZOO I 3' s � - � LIT 26 21 pm ryr 28 Cldi 30 VY w�yy "Y pp Pun ZAGM s �li'4`Itit€3�a . `'ems , •- +�.:_..,..5 `�„,.. �, �? * �._.,_, nit vnittnt6 M% _n _. A.t � �tI i s 6 4,7, etsi"'o " t nh Facility tis€st[tws:(Plense elwekOne Oftile following) All raaonito'ing data, and sarxrplinI frequencies nicer per nut requirements FF (including weekly averages, if applicable) Compliant All monitoring dataaar d sampling frequancwies'do NOT sleet permit requirements L.. Noaacomplizant The pe>rmittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment, Any inlormaation shall- be provided orally within 24 hours from the tinge the permittcc beet€ne a aarc of the circumstances. A written submission shall also be provided within 5 clays of the tinge the per°€nittee be:c;onaes aware of the circumstances. It data facility is € oncornpl'aaant, itie<ase attach a list of eol-reeaiv+ 'ietions leering taker, and 9 franca -table lot° mope°ovenlents to be made as requir-ed by Part II.Ia',AC orthe Nl?DE S per snit. 41 certify, udder penalty of law, that Chi% document aad all =attsach e nt a were prepared under nay direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted, Based on my ingUir-y Of tile Person or persons who managed the system, or those persons directly responsible for gathering the: information, the information submitted is, to the best of ,€ray knowledge and belief, true;, accurate, and complete, I am aware: that there are significant penalties for submitting fllse information, including the possibility of lines and imprisonment for knowing violations," Jack Christine ; Deputy Aviation Director, City of Charlotte Pernaittee (Please print or type) &VIij S' " a tare of 'ernlittce*** Date ( - aired unless submitted electronically) 5501 Josh Birmingham Pl<wy Charlotte NC; 28208 704-359-4000 jdjordan@charlotteairport.com Permittee Address ss Phony Number e-mail address Verrnit Expiration Darter ,!eagle 30 20 ADDITIONAL CERTIFIED LABORATORIES Certified led Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory () Certification No. PARAME'rER CODES Parameter Code assistance may be obtained by calling; the NPDt,.S unit at (91 9) 07-600 or by visiting little /lfaortatl.ncdenr,org/wola/ q/swp/ps/iipdos/<appfornis. tSse only a nits of measurernent designated in dre reporting facility's N IDES permit for reporting, data, No trlow/Dischaarge tt turn Site: Check dais box if no discharge occurs arid, as ar result, there arc, no dar€a to b entered for all of the parameters air the. DM12 for the entire monitoring period, ORC On Site?-.. O C most visit facility and document visitation of facility as required pe,r,15A NC'A(,', 8Cl 0204. Si nart are» of P rmittee lfsit;ra d by other than fliepermittee, then the delegation of tlac signatory aauthority uaust be can file with the state per 15A NC:IaC 2I3 .050 (b)(2)(% Patg ; EFFLUENT NPIA. S 1'HRMIT Nt . ",=083887 MONTH + " # � Yl ht� v ?� 6 t6_,_ I7ISC,'I IAR(il3 NO:�.? __k FACALITY N!` MU' _. ciiarlowa oovc;tus Intl Airport PC2 COUNTY Mac1;fer,1)urr_,i C'1;I2TIFIED I,AI3C)R!t`I"E7RY (1).___._:Prism Laboratories, 1',10.402 Cart#-4-02 (list additional laboratories on the backside/page 2 of this lbrm) � OPERATOR .N RESPONSIBLE CI It\RGE (ORC) James J. Smith GRADE, _ PC,2 i:'1.;RTIFICATION NO PERSONS) COLLECTING LEC 1 ING SIlMP1,FS 4 C RC' PI IONL" `04 �?2 8c1 f _ ti�1�t ('mT,,C i 0X,!<< ORC HAS ..Cli"N(' 's D NO s�L(Aly/ DiiSCi6t1R{yE F[ Opel SITE M of ORIGINAL,and ONECOPY to: ^ t TNt CENTkAL Y11AS _.. _ _ 1)WIS[ON 0 W11 MZ �,`i(Ir1I.ITV (SI ' , t CCJIii� I� C)I'l-i2t�`I'O1t IN I L.SI�t}NSII3I,I:`C:i{e1I2tiI3) 1617 MA If SE[ZVI CK CE NTIr ',i i3 `I"E€1S 5EC.N,1'l lif2E., I r)i t1 Cd 5 1JA rttfS :ts r< ° AC:£:(Jtt,1i'k�.�i%�tJt..NIPIr,1'bs"3"C TI-11,BE:5'E't?I3i1PI4�' C�I�'��✓��:I3�`.�,., .,,`","`." `.C„' h.[,P+atf,5"., ivC: 7.7G)) ttat7 50C 0_ 005(a0i� 00500 C0f10 p 340;i0 81551 � 34010 34371_i 00400 00605 �TAE6G 0t}G00 }.�.. y a E C= � � E r CDN a` i taei Li Q) ci, a N k T I3 v 0E r rtC :f h p d y k ! C € HRS I-iRs'YJiTt W D MGfL MG/L ugll uJfl cqf( ugii ugfl Sid Unit ni011 assffaB mg/I l-9..._. 1)WQ Form CVIIe- (I II04) Facility tutus. (Please check One of the folloAving) All monitoring data and sampling frequencies meet permit requirements N lo (including weekly averages, if applicable) Compliant All monitoring data and sampling frequencies do NOT rrrset permit rcgtriresiaetats El Noncompliant "rhe perinittee 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 pern ittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the pernlittee becomes aware of the c rcunistances. If tine facility is noncornpli ant, pleese attach <a list of corrective actions being fral;.en;and a t ale -table for' arnp •ovenaeiats to be rntade as reguirAed ley 'rart;ILE.6 of the NPI)EKS permit. t. "I certify, under penalty of law, that this document and all attachments were prepared under nay direction or supervision in accordance with a system designed to assure that uualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person car' persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the hest 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." Tacit E1r°itino; fie ut Aviation Iirctarm, i rsf ratltatte Derr ittee (I�lsrass prinf car° tylae) afore 0, Psriaaitts Date, squired unless submitted electronically) 5501 Josh Birmingham Pkwy Charlotte NC 28208 704- g-4000 jdjc r n a(,�,�charlotteairport.com Pern ittee address Phone Number e-mail address Permit Expiration late ,Tufts 30 2015 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory () Certification No. Certified Laboratory (4) Certification No. Certified Laboratory () Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (p 1 J) 807.6300 or by visiting http://portaLncdeiir.org/xveb/wq/sN,vp/ps/ripdes/appforms. s. Use only units of measurement designated in the reporting facility's NPDES permit for reporting data, No Forty/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 the entire monitoring period. ORC On Site?: CRC: must visit facility and document visitation of facility as required per I5A NCAC 8G .0204. n>" Sigroaature of Permittee: If signed by other than the permittee, then the delegation of the signatory4authority'niust be oil file with the state per 15A NCAC 213 .050 (b)( )(13)• 'rage 2 { NI'II:?S J'i;IZrII"I" N{}. s:0033387 MC N`i'I k1 YI iI iCc, I)ISC'I ItIZ aI AN. Fr' ( ILITY NAM]-" chuvioUe Douglas tnt'l Airport, PC2 COUNTY Y 66kidnbur LABORATORY I Prima i_a65cit tcst•ios,.a o.402 I'`'C' � ��`�+�02 (list additional laboratories on the baekside/p age 2 of this ` i't OPE.RA"P`OR IN RESPONSIBLE CHARGL', (ORC;) James J, Smith CiI21 DE PC2 C'I'.`.RTIFIC"/- TIt 3N Nrt3. ,,�. � In1S.Icp\:• ONag (S) Cgg:O/LD� i ]:CY),TIN{{G Sl1ld�,rlEl'RCt,1.�; .. + s._ k ORC P IC)1NIYy' ttg. P 704-2K22-8617 Clit,'ClR BOX I 4l RC HAS'C'[bF�l�'e'CED Mail ORIGINAL and ONH Cpe{SPY to: Arm C'ENTRAL FILES I3tvISI(3N crt �h € t to Elti€.t"t'' {SIC Ai I tJ1i3 C KJi�1t1t 1N ILC.I�C)lSl[IrIW C I°IAIGI:) 16171t�iia9.;";10E3,l�ICE,CEN9HRI t3�"1 t6SS€C�'i`d`i[tt,tC:iBt2'6'!!ro'1"aSri'P'B'iSi IZB,$"C)EtR"is E2hl,t+a{>iT, 1k 27fi9 -Lf17 hE.:CCJ12i'i"r��,iVi?CC➢'Fi'[t.i'a?'Y'OTHtv.IMS`I"0€�Wk11KNi?i4'I,6?i}GV_ 50050 00555 00530 C0610 34030 € 1551 34010 34371 00400 00666 '€ AE6C 00600 if:o ,. cam. All . : fn c . N 0. X c: k 10J <`C U) €hit Ll� C3" 0. z1 z n tau _ J a C 0 p 0 0 � iTR HFiS YtE31N MGD MGfL MGIL uqt€ ug!€ ugll ugfi ugi€ Std. Unit n9/I passftati rn fC 2 4 ... __ .. i G CTION 10 _ Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant The pennittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of tile time the perm ttee becomesaware of the circumstances. 'If the faacility is noncom pliant, please attach a list of corrective actions being taken and a tinge -table for` imptoveanents to be made as required lay Part If.E.6 of the NPDES permit. "I certify, under penalty of law, that this document and all attachments were prepared under nay 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 infonriation, 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 infonnation, including the possibility of fines and imprisonment for knowing violations." Jack Christine, Deputy Aviation Director, City of Charlotte Pe. 'ttee (Please print or type) i attire'of Permittee"* Date ' equired unless submitted (electronically) 5501 Josh Birmingham Pkwy Charlotte NC 28208 704-39-4000 jdjordan(cchrlc�lfiairpt�rk.ccarrl Permittee Address phone Number e-mail address Permit Expiration i ,Jame 30 201 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Cet-titication No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by visiting bttp://poital,ncdenr.org/web/wq/swp/Ps/lipdes/appforms, Use only units of measurement designated in the reporting facility's NPLIES permit for reporting data. No Flow/Discharge From Site; Check this box it no discharge, occurs and, as a result, there are no data to be entered for all of the parameters on the DMR fo • the entire monitoring period. }; r' ORC: On Site?: 012C must visit facility and document visitation of facility as required per 15A NCAC 8G M04. ***Signature of Permitteed 1f signed by other than the permitter, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(l ). _ I 1MINIit°itJli....... M itlaEy i' O t 41ti I)NV(,) Form iv112-1; (11 /04) �, LU NT F" W fr _ _23 . ,o 4t,o ` Fric€lit,y `status: (1>1case checle: one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if tapplicable) (ig Compliant All naot itoring data and sampling frequencies do NCB' ' rmect permit requirements 'N 'Noncompliant `rhe per-mittee shell report to the Director or the appropr iatu Regional oft ce any noncompliance that potentially threatens public irealih or the environment:Any information shall be provided ovally within 24 hours from the time the perm ttee became aware ofthe; cir(tarostancwes. /t written submission shall also be provided within 5 days of the time the pernaittee becomes aware of the circumstances; if File facility is nor compliant, I <ase atf,oell a list of corrective actions I)ejarg taken nrrcl �a t raac:-t.taiaEe ti°or°` improverne ats to he made as required by Part 1L1:;,6 of'the i'dl'17ES perniit, "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 inforn-1 ation submitted. Based on illy 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 nay knowledge and belief, true., accurate, and complete:. 1 am aware that there are significant penalties for ;submitting false information, including tlae possibility of fines and imprisonment for lcnowin(,I> violaatioris." Jack Christine; Deputy Aviation Director, City of Charlotte Permittee> (Please print or type) 4�(Io f "Permitteet'"k,* Date unless submitted electronically) 5501 Josh Birmingham i'lcwy Charlotte NC; 28208 704-359-4000 jdjordan c(", ,chai-lotteairport.cot-n Perniittee Address Phone Number e-mail address I'ernrit Lxpiraaion gate ADMIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) _ Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-630t1 or by visiting http://I)ortal. ncdenr, or,-/web/awq/swp/ps/npdes/appforiiis. tlse only units ormersurenaeiit designated in the reporting facility's NPDF.'S permit for reportirig data. A No [+laarv/19ischaar e Frain Site Check this box if no discharge occurs arid, as at result, there are no data to Inc entered for all of the parameters on the DMR for the entire monitoring period. }ltC C?ra "rite?; CJZ C nitrst visit facility grad doctarnerat visitation of facility as required per 15A NCAC 86 .41204. ' Signature of Pcrmittee: if signed by other than ttac peririttue, then the delegation of the signatory authority roust be oil file with the state per: 15A NC:AC 213 .0506(b)(2)(D). Pa PPV EFFLUENT NPDE� S I'IsF MITN(l NiC0033887 MON`n-I YP"AR ol-0 1 i>IS .IIAI tII NC , , , I'A: II.I"I"Y NAME, PC 2 COUNTY PA a�€;irwi i)twr`ut r E:I TIFII:E? LABORA` 01)Y I} _ Prism, Laboratories, ii,!O: 402 cert#402 {list additional laboratories on the barcksi(Cc Page 2 of this form) ClPFRATOR IN RESl'ONSIBL.E, (.I IARGH (OW.:) James J. Smith Cit2ADE PC2 E}C E C %d(S) °CJI..I.C:C;"C'CNCi Sa11\fiPLE" ._ sCrl'C.". III ION L 704-222-8617 � ii F q)) DISCHARGE 2y{ T p T> f #yY� ( .,.a O r 9 6 U ryryyy Fd' `4 gam^ - gi I F lVilo L 11,M)PA SITE �"' •.�� CHECK 2101N,'i E� .J E�e.i,:E Y�7"} ...h �A`.'E!.Er d...�:m+� .,..,Y$.....,.,.,� ,..,,..,.«.,�... Mail t)RKNNAI wand ONE COPY to: t)[VISION Otrh 3 t is Ciiftr t I'�z� {. `NFt l t)I 1 t?P1iRA't"{I 1N EZ3iS}'C)NSIE3i„E: C:hiAi2CCI';) (GI7 Itiridt, Si�.C3.VCf.f. € iad d't��lb t3 � a #YFS IiALEIGH, N 276994017 AC=,*URVl't3.41�'i>£:c7A�fC�6�E.'PI+.'i`t? I#di:BESt'W7 INt5'tiROWLE:; M", 5000 _, 005 00530 C£?iilt) 34030 815 I_ 34010 :34371_� Uf1400 00805 i Ai GC {10807 1 FLOW e to � as az c 0) s C% C o Xc} cs N "Y3-1 0 � 16 o ut t `m _. FIRS ,1-IRS Y/BIN MGD WiG/L MG/ ugtf u fl ti ll ugJk a 11 Ltd Unit m 1t asstfait m ti 1E a... 2+ V : .. _.... p s. X. 3 E10. 12 c t ( ? aE.... .. E _- _ a.w _w....::.... , AVERAGE 6tt}atwriyt tetttt �_.. _.. ___ E> DWQ L%crib i1 R-I (I 1I04) _ I.11169___1��_a_m P PPV Facility Status: (please elaeck oaae of the ftattowing) All iuonitoring data and sampling +frequencies meet permit requirements (including weekly averages, of applicable) Compliant g Alt monitoring sampling f data and sang al ng frequencies do NOT meet permit requirements E__1 Noncompliant '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 l tom the time the perriaittee became aware of the circumstances, A written submission shall also be provided within 5 days of tile time: the oerratittee becomes awaare of the circumstances. If tine facility is 11011coil) plhanI., pleaseattach a list: of eorrective setions toeing taken and a tine -tattle for, improvements to be aaaaacle as requi►~eel ley Paart l:t E.6 of the NPDIES perrnait� "I certify, under penalty of law, that this document and all attachments were prepared under nay direction or supervision in accordance with a system designed to assure that gualif ed personnel properly ,gather and evaluate the information submitted. cased on nay inquiry of the person car persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the hest of nay knowledge and Relief, 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.'' Aviation Director, City of Charlotte Pena ittee (please print or type) a natare of Periaaittee"" Dat (Required unless submitted electronically) 5501 Josh, Birtninghani Pk,, y Charlotte NC 28208 704- 5 -4000 jdjordan@chaYarlott airport.co Perna ittee Address Plione Number e-coral] address Perraiit t rtairation Date June 30 201 ADDITIONAL TONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory () Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No, PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (10) 807- 300 or by visiting http://portal,ncdenr.or /web/wq/step/ps/t pdes/a pforms. fise only units of measurement designated in the reporting facility's NPDE i permit for reporting data, * No Flo—vv/Disc taar e FrOrn Site: Check this lacy if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMit for the entire monitoring period. O C On Site?: ORC must visit facility and document visitation of facility as required per I5A. NCAC 8G .0204, ..r>w Signature of Perrittcu: If signed by other than the pernittec, tlac.aa the delegation of the signatory autlaority:rraust be oar file with the state per I5A NCAC 2l3 .0506(b)(2)(D). Pale 2 OWN PV EFFLUENT MAR DWQ) Form MR- I (11104) pr Fneility Slat:ars. (Vieaase cheek one of the follolvin ) All monitoring data and sainpl n£, frequencies inee:t permit requirements (including weekly averages, if applicabl ) Wit All monitoring data and sampling frcilate:ricic;s do NO"I` raact permit a'celuirerarerats Ej Noncorripliant `Mire perruitteac slaaall report to the Director or the appropriate Regional Office any that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours fronr the tinge the pear ittee becarne alvaarc oftho eircunastances. A written submission shall also be provided within 5 clays of the time the perinittee b corneas ttw are of the: circumstances. IFtile Pacility is noncolarpli.int, please �At.aeh as list of cart r eetivc actions heing valeta slid as bane -table for' improvements to he riraade as requirewrl I)y Part 11.E.6 of the Nl'f31fS permit. "i certity, under penalty of law, that this docunicnt and all attachments were prepared under any direction or supervision in accordance ruing a systeiar &signedto assure that qualified personnel properly gather and evaluate the information submitted. Based on nay inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the inforniaition, the information submitted is, to the hest of my knowledge, and belief, true, accurate, and complete. f any aware that there are significant icanat penalties for submitting False information, including thepossibility of fines and imprisonment for knowing violations." .lack. Christine Deputy Aviation Director, City o1` Charlotte Perrnittee (Please fir tit or Gyp ) a-° C S�raatrrr� f1'r ttee.Y:>;: 1)artc (Required unless submitted electronically) 5501 Josh Birmingham haam P wy Charlotte NC 28208 704-359-4000 jdjordan a@ h rlotteairpotf.00m Perniinec Address Phone Number e-mail address Permit 17Npiration Mite ADDITIONAL CERTIFIED LABORATORIES II I Certified Laboratory (2) Certification No. Certified Laboratory () Certification No.. Certified Laboratory () Certification No. Certified Laboratory (5) Certification No.. PARAMETER CODES parameter Code assistance may he obtained by calling the; N111?l'WS Unit at (919) 807- 300 or by visiting littp:Hpoi°tal,tiedetir.org/web/Nvq/swp/l)s/ripdcs/appforiiis. t7se;nuly taints of raar:asurernerit clesi,gnaaled in tire~ reporting Iiic=ility's NpIk"S permit for reporting d arl, No FloaaalDisclat r e F"aare Sitet Check this box if no discharge occurs and, as it result, there: are no data to he entered for all of the par peters on the MR for the entire, monitoring period, O Ct On Site?: O C must visit facility and document visitation of facility as required per f 5A NC A('t G ai204, Sigotatrsm•e of t'crmittee: If signed by other than the peraaaittee, theta the delec. ation of the si naatory rauthority must be air Mile. with the: state per° 15A NCAC 213 .0506(b)(2)(13). ARC* PV EFFLUENT JAN NPDES I'la.iwrrNO. NCO083887 MON'I'II _.._C�� ? �' _. YEAR, DISC[ I P,,'- L;NO. FACILITY N MI' �ieelrtie 7 �u�las Int'i t�Cr,�crc [�C'� COUNTY--''. Ev acki nburg CIaRTIFII:I? LABORATORY Y (I)__.... —Irish Laboratories, No.402 Gert11402 (lis t)P1�'J 1XFORadditional Ri SPONSIBLE CHAR C E, (O Q James J. Smith form)GRr DE' .,.__ PC2 .'I I�"I'I[' IC`t1`I`Ii)N NO. � PERSON(S) C'.6?[,I,EIC TINC"r SAMPLES Sit ca t ORC PHONE,- _ _.. __.704-222-8617 CCt-itt.0 K E3OX I O RC`. HAS C'.PI NGED IN'() F1.4:W / DISC:HARC R FRONI SITE I? Mail ORIGINAL and ONECOPY lo: ATTN: CENTRAL P I6 t.S h.... 13Ev[;[€s>v Clt� C'I'is'PE rta I,1 `Y (SIC ! l`iilZL' I '13R-I't)I2IN i2LSI't�NSIL31,1. C'1ThI2CiIi} 1617 MA 11 SERVICE CENTER, B E IS MGNA "4. i i C xwrti 1 `rtYA1" rniS w,,,P01n' TS S2r:E,i IGH, NC; 27699-161 7 ACC lizu'rK AND CC7�'1I1'i ETE,.'&' "C"i�tk, Fat:S"E" C?F N'M° Ieiw OWLtsDCH. a0050 00556 0t)5>0 goMo 34 3Ci 81551 4010 �34371 00400 00665 TAE6Ct 00600 _m FLO EFF o I cl 65 III F LI CI3 0 w. J h ascorsco uj 5C t U-4 a f t p O q P 0F al tiiu HRS FIRS YtB/N fy1G 7 MG/L MGIL 1111 a I/( min cJil Std Unit rncJ/I }�asslPail mgl! d 2 C* «s I T. :. ..... "3..W .. Avt=.RAGE 1 1 21711 I 1 ill I I slto 7777 L�cte#7; (I }tit Monthly Limit ,..... ..._. 45 ..,.._._... 45 DWQ) Form MR. -I (I I/04) P..6 I' ;MHKM'. 11 6-9JY 'r 1>fII '.ram) Facility Status. tt Iense check One � � t� ct s� � All nrcrnitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) _ w. Compliant All monitoring data and sampling f i°equencies do i O'F iriect permit requirements El Noncompliant I'he permitte;e 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 pernrittee became aware of the circumstances. A written submission shalt also be provided within 5 days of the time the lean ttee Becomes aware of the circumstances. If tiro racility is lioncompliant, please attach a list of corrective Factions being fnken and a time-tablefor, Inrproventents to he made as required iTy Part ILE.6 or tire:. NfIDES permit. . "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 they information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, n, 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 inforrmtion, including the possibility of fines and imprisonment for knowing violations." Jack. Christine; Deputy Aviation Director, City of Charlotte Permittee (Please print or type) i Signature of 'ertnittee�� �'x Date (l .equired unless subn teed electronically) 5501 Josh Birmingham Pkwy Charlotte NC 28208 704-359-4000 jdjordan a harlotte irport.com Permittee Address Phone Number e-mail address Permit Expiration Date June 30 201 Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratoay (5) Certification No. PARAMEI'ER CODES Parameter Code assistance may be obtained by calling the NPDE a Unit at (919) 807-6300 or by visiting littp://I)ortal.iicdenr.org/web/wq/swp/l)s/iipdes/appforiiis. tine only units of rneasurernent designated in the; reporting tacility's NP )I;5 permit for reporting data. No Flow/Discharge From Site: Check this boy if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the. DMR for the entire monitoring period. k ORC On Site?: ORC crust visit facility and document visitation of facility as required per 15A NOW,', 8C, M04 Signatur-e of t'ermittee: if signed by other- than the perr rittec, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(1)). Page 2' lor EFFLUENT 3 NI'I.)I_sS I'I°,RMITNO. NCO083887 M()N'I'tI ' w YI~A � � _.m_.._ _ DISCI II RGL�� 2 Of - '_ — t�;i.C.'II..:I 1 Y NAME i`lIal`lotta Douglas GCft"I Airport PC2 COUNTY--" Y..,..._.. Mecklenburg C'IiI I'IIYII I71,>AI3C)RATORY(I)_w__...,.Prism Laboratories,No.402 Crort',AG2 (list additional laboratories on the backside/page 2 ofthis florin) OPERATOR IN Rl SI'<)t�:a(i U3 C' It4RGH, (ORC) James J, Smith Ca[tiADI-i. ._ pc-2I. [ I"II [C."1�'I`Et }I I �f.}. u � '� ' PFUSON(S) t)I J IiCTING:�I�I��PLE'h .___....w � C)I tw i,[(C)Nl ..m. 't u"7 704-22 8617 (,t'jj;'Cj< BOX IFORCHAS CHANGED !t) i"T;C)4111)1 �d.2Fr1 F2Cxis tr1CC) 4I €11. ',__ p/NCDE / W � Mail ORIGINAL and ONE COPY Uy l uo's � ..... - OE 5 20115 �: A{"I N: C G,t" 'P'RA L FILE'S t11VlSIOi f3itixalilIt€ ft("A- 2INt tIl S5IC 1617 RAStRVIE C.N'1*tE "'" ➢f31fC4)! 88 WQROS i<I, vt r -Itt7 {ser>tt {sia Eas{a{1.Rs aV 4tW9 (fiEG1 ItAi OFFICE 50050 00556 00530 C06j 4930 61,0! 34010 00400 00665 TAF6G 00500 F p Z FLOW u Ee_ s s .., ED a i CD 2 0 1c >< w coINF (4 £2 c c- a a 0 w is 0 L' u i = ci 0 O !" 0 9 ua w M° C i P- t= FIRS R YTB7 i MGD MGIE_ MOIL. uqA uc I n u3t1 Std Unit ��ptt ass/fail II 77 .: ...: 3o I2 1 _ ZEE 14 16 r I, 017 m 22 B 21 26 0 r1V RA L 0ttls� G, d � 3.iS G$ tt+s ' 4i i �f Yft 11R . ' t g 4,I +5$ a MINIMUM ' Y k .$ "oS°' '71 L 14 77 k sc i;sdf I ar77 tt (t`} Monthly Limit I � 45 45 h 11 Ct 9 I`3WQ I-orni MR- (11/04) Irr Facility Status: Please Check one of the following) All monitoring data and sampling frequencies ni et permit requirements (including weekly averages, of applicable) Compliant All ironitoring data and sampling frequencies do NO i` me et permit requirements El :� I Noncompliant The permittee shall report to the Director or theappropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall he provided orally within 24 hours f'rona the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 clays of the time the permittco becomes aware of the, circumstances. If tite l,Icility is a aoneornpliataa(, pfet= aat.t<ach as list or Corrective ecaive actions bt-ing t; ken and s time -table for, improvements to be aaaaade as required I)y Part I I.E.ti of the NPI)ES Ife a sapid. "I certify, tinder penalty of law, that this document; and all attachments were prepared under any direction or supervision in accordance with as system desig;ii d to assure that qualified personnel prolperly gather and evaluate; the information submitted, Based on nay inquiry of"the persona or persons who managed the systean, or those persons directly responsible for gathering the inforanation, the iial'ormation submitted is, to the best of my knowledge and belief. true, accurate, and compicte. f am aware that there are significant penalties for submitting false information, including, the possibility of fines and imprisonment for knowing violations." Jack Christine, f c putt' aviation I�ir� tor, fy taf C lass°lone I'eraaai (fleaasc prit oa' type) Sig,fia re of l'errui tee' `a' Bate {IIe aired unless subnaikf d electronically) 5501 Josh Birnainghana Pkwy Charlotte NO 2820 704-359-4000 jdjordan@charlotteairport.com Permiltee Address Phone Number e-mail address Permit Expiration Date ,Taupe 30 201 ADDITIONAL CERTIFIED LABORA170RIES Certified Laboratory (2) C:ertilication No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No.. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPD11 S Unit at (91 ) 807-6300 or by visiting http://portail.aaedenr.org/welp/wq/swp/pslnpdes/aptpforans. Use only units of me asurentent designated in the reporting lzac.ility's MIDE'S permit for reporting daataa. No f+ltawllfischaarge 1+a•om Site: Check this boy if no discharge occurs and, as [a result, there are no data to be entered for all of the parameters on the; DMR for the entire monitoring period. ORC On Site : O C waist visit facility and document visitation of facility as required per 15A NCAC M 0204. Si mature of Pe rmittee: irsigiied by other tlaaata the laerntiitec;, tlaea°r the delefatioaa oftlae, signatory ratstlaority mast be on file with the state per 15A NC;AC 2B .050 (b)(2)(1)), agc 2 EFFLUENT lory NOV16,11205 _ ._u__.. .___.� s N;.. 00 N1'I)I'S r11,RJTNOPG013887 MONTH �i�C�3_ FACILITY NAMH � CharIoua Douglas WWI Airport PC2 � COUNTY-- MacF.ienb rg Prism Laboratories, Mo. 402 Cort44-402 (list additional laboratories 4 on the back-sine/page 2 of this form) 0p[:RXr0R 2 [ C:SIxi)NSri>l.li C' t ltlrtCa[s (C)r2C) James J. Smith CRANE PC2 i.'ERTIIa IC,:'�TION NO} I i_ I'is"iISON(S) CC)r,UCTING hMPtA,"S ORC,111-10Ni, 7 LM11-22 -8 17 R EWED/ 6 i € 1 R c[-If,.C".lay B(X Iit ORC MAS 0 IANN.:rED NO FLOW f DI C.rrrCRGE ia'r%OM SITE I � D '^"UFFIM-RkMi) Mail ORIGINr' Land ONE COPY 1v.TTNa C€;N'4'I(AF P ILE vtlti�SMN,C)lF riiIs`ttt?tra�r,tTV ( CNi�7`t3lT I2ir11.5['t3i�SIt3��i:�1i1�ttCr1) WQR t t7 )nrt,wr=lr e tt t. a tra t�,r r r it rcrt : "t �irri�., r c�€ ai~ri=1-1` ir�•i��s�r€iS IM, SVILL" REGIONAL k , € t RALEIGH, NC 27699-1617 ACC LUZATK AND C"C};MP1, r is "i`C} ITI , BEST OFF MY RNOWLN:iGE. _50050_ _.00556 _00530 C0610 34030 81551 34010 34371 00400 00666 IAFCC NO-6 0 F a r gy n c N sa ca c� r.. s u ca rs E i= C> C0 < 79RS HRS Ylr3{N MGD MC1E. Ni7. C,/(. ug1l rigtl ugli ugfl Std Ur�rt i L 3• 4 # I AVERAGE Di MINIMUM '> Monthly Limit 1 WQ) Form NM-1 (11/04) 45 Facility Status: (Plesase"Check oaaa: of the folloNvin All monitoring dataand sampling frequencies nicet permit requirements (including., weekly averat,cs, if applicable): Coaaalalttnat All atataniicai'iaat; data, and saasaaplintif irecltac;aaciescica NCJT aaacet �permit requirements Lj Nonconaphant ` ,he permittee shaft report to the Director or the appropriate lZeI�icirtial Office any noncompliance that potentially threatens public health or the environment. any information shall be provided orally within 74hours frown the time the: perraaittee became; aware of'the circumstances. t l written submission shelf also be provided within 5 clays of tile time the permittee beeonaos aware of the Cia-c:uaaastaanccs. If tile facility is nonccnapliaant, Please attach a list of errs re Live actions beiiif taalcen and a nitre -treble for-' inaprovenaet is tea be made as rte',juireel by Part ILE.6 of the NPDES permit. "I certify, tinder penalty oflaw, that this document and all attachments were prepared tinder any direction eaa• sup:rvisio in accordance with a system (lesif aced to assure that qualified personnel properly gather and evaluate the information submitted. Based on nay inquiry of tile person or persons who managed the systern, or those persons directly responsible for gathering the information, the information submitted is, to the hest cif my knowledge and belief true, accurate, andcomplete. i am aware that there are significant penalties Tor submitting false information, including the possibility of fines and imprisonment ent for knowing violations." Jack C hristinc i e} tat Aviation Director, City ofCharlotte 1'ca•naittee (I'letase pa•itat-or tylatt.) s 4Rcquircd e of 'ennttec� �Date unless submitted electronically) 5501 Josh Birmingham m Pkwy Charlotte NC 28208 704•-359-4000 jdiordan@charlotteairport.com Perniittee Address Phone Number cv-aaaail address _ Permit Expiration Date June 30 2015 ADDITIONAL L. CERTIFIED LABOR 'TC [ `S Certified Laboratory bor<atory (2) Certification No. Certifies] Laboratory (3) Certification No.. Certified Laboratory (4) Certification Net. Certified Laboratory (5) Certification No. PARAMETER IE"I ER CODES Parameter Code assistance aaaaay be obtained by calling the NPDEIS Unit at (919) 807-6300 or by visitirig lattl):Hportal.nedenr,carp/wela/xvq/swp/ps/npdesf appf oratis. use only units of nteatsurement designated in the reporting facility's NI1f}13S permit for reporting data, No F It w/Discharge to ruin Site: Check this box if no discharge occursand, as a result, there are no data to be enterer] for all of the parameters on the SJMR for the entire monitoring period. ORC On Sate?: O C`; must visit Cacility and document visitation of facility as required per 15A NC AC; 8G :02K '•':' i nattii'e of Pcrmitt e: f f si nee by other than the perinittee, then the delegation of the signatory authority aaaust be oil file with the state per 15 A NCB C 2B .0506(b)(2)(C ). Page 2 EFFLUENT FACILITY NAME Charlotte Douglas Int'l Airport P02 COUNTY-- MacMenburg (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) James J. Smith GRADE-- PC2 CEWFIFICATION NO.__----RECEiVEDt'N(,DENRfDV� CHECK BOX IF ORC 14AS CHANGED NO FLOW / DISCHARGE FROM SITE OCT 2 1 2015 Mail ORIGINAL ind ONE COPY to: ATTN: CEN'rRAL F1 LES DIVISION OF WATER QUALITY ELC *(sA u R L C -'*96 h E, WQROS I C',WLILE REGIONAL 0, 64 UJ 12 k 24 1,0'c> y --------------- Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements FV (including weekly averages, if applicable) Nliant All monitoring data and sampling trequencies do NOT meet permit requirements El Noncompliant The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any inforniation shall be provided orally within 24 hours front the tinie the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the pennittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part ILE.6 of the NPDES permit. "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 infortnation 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 fines and imprisonment for knowing violations." Brent Cagle, Aviation Director, CL of Charlotte Permittee (Please print or type) e ignature of OMitte, - _' Date (Required unless sub itted electronically) 5501 Josh Binningliant Pkwy Charlotte NC 28208 704-359-4000 —jdjordan@�harlotteairport.com Permittee Address Phone N Limber e-mail address Permit Expiration Date June 30 2015 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No, Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by visiting http://portal.ncdeti-r,org/web/Wq/swp/Ps/�pdes/appfortns. IJse 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 pararneters on the DMR for the entire monitoring period. ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 86.0204. Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet pennit requirements (including weekly averages, if applicable) or Comp�liant All monitoring data and sampling frequencies do NOT meet permit requirements El Noncompliant The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part ILE.6 of the NPDES permit. "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." Permittee (Please print or type) Signature of Pdrmittee Date (Required t electronically) 55A I Airminahim PVwxt Chnriattp N(' IRIM '70A-150-4ACIA iriir)rriAnr73)e-hArinttPAimnrt nnm Permittee Address Phone Number e-mail address Permit Expiration Date June 30 2015 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/Ps/�pdes/appforms. 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 the 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 the delegation of the signatory authority must be on file with the state per 15 A NCAC 2B 0506(b)(2)(D). Page 2 EFFLUENT NPDES PERM T NO. NCO083887 MONTH i, .._:T -4 6 �- YEAR I IS H, RGM NEB._ '_ .4 1°AC:ILI T NAME Charlotte Douglas hit'i Airport PC2 COUNTY-1— Meckienburg RECEIV /NC:I NRIDW CERTIFIED LABORATORY (T) �_. _. Prism Laboratories, Isla.402 Cert#402 (list additional laboratories On the backside/page 2 of this forin) G 12 2015 NO. _ E OPERATOR IN RESPONSIBLE CHARGE(t3TtQ lames J. Smith G ADE .. _ PC `ER I [FIC � I ION PERSON(S) C OL1E "TING SAMPLES_.—, CIRC I'Lit�NT __- _. 704-22 8617 CHECK t1C3 I CBttC HAS C lflAPdGED NO FLOW W / DISCHARGE FROM St't,1t * C T2 �� REGIONAL OFFICE Mail ORIGINAL and ONE COPY to: ATT : CEWRAL FILES OF rATia )EtA LIT ELC x :10NS11hL) i 7C$ 2E 3CZC TCA MAIL SERVICE CENTER Sd�')ivISE?N 3 IHKGA'EC "ER3lA1 HI'CR IS IS Y1617 gg gg Ei� {{.. yW NpCx(v 7ro6,+.. 6 7 &�A &+b:1k31At tY 6, 2lV99"'1Ulf ".' ACCURATE r�..ND COMPLETE "9 0 THE RE91' t. F MY IC.tvC744°IJI�iiL"» , 2. 5005O 005 OO 30 C0610 34O3{l 81551 34Utt? 34371 C3O4OQ OOC.65 i LiC OOSOO > � :C1_t. Bpi ®�__y U i}a 1%I� u. C2. T3 N (4k C> i ry G .CE t� e7„ is 0a� w Z3 0 0 t! ill � 2 0 E_ '] pay. 0 1 ^,w.^t7 h xraq titan WRIN Li ti MG/L MGIL ug/1 ug/1 a it ugli _ u 11 Std" UnitEass/fait rntd ___ I I E I I I I I 14lonklx3y T,ilnit 4J�w -)NVQ l l rm W-t (I 11O4) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) 1Z Compliant All monitoring data and sampling frequencies do NOT meet permit requirements D Noncompliant The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment, Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "I 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 systern, or those persons directly responsible for gathering the inforination, 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." Jack Christine, Deputy Aviation Director, City of Charlotte Penn* ee (Please print or type) n n re of I ertn"wtee* Date 1. 0 u uir ired unless submitted electronically) 5501 Josh Birming gharn Pkwy Charlotte NC 28208 704-359-4000 —jdjordan@(Iharlotteairport.com Pennittee Address phone Number e-mail address Permit Expiration Date June 30 2015 ADDITIONAL CERTIFWD LABORATORIES - - Certified Laboratory (2) Certification No. Certified Laboratory (3) Ceitification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by visiting http://portal,ncdenr.org/xveb/wq/swp/ps/npdes/appfornis. Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. No Flow/Discharge From Site: Check this box iftio discharge occurs and, as a result, there are no data to be entered for all ofthe parameters on the DMR for the entire monitoring period, ORC On Site?: ORC must visit facility and document visitation offacility as required per 15A NCAC 80 �0204. ***Signature ofPermittee: If signed by other than th e perin ince, then the delegation of the signatory authority must be on file with the state per I SA NCAC 2B .0506(b)(2)(D)� Page 2 pppv EFFLUENT 1.3 es r• 1� m « • s � • il=ljl I I I PV Facility Status: All monitoring data and sat (including m All monitoring data and satnplh se check one of the following) ,ig frequencies meet permit requirements ly averages, if applicable) Compliant equencies do NOT sheet pennit requirements El Noncompliant iate Regional Office any noncompliance that potentially ition shall be provided orally within 24 hours from the time the I aware of the circumstances. A written submission shall also be provided within 5 days of the time the aware of the circumstances. incompliant, please attach a list of corrective actions being taken and a time -table for' be made as required by Part ILE.6 of the NPDES permit. malty of law, that this document and all attachments were prepared under my direction or supervision of the person or persons who ignificant penalties for Jack Cbr!Ltjne, I�ep Per Per itt "_1 in ir Re 11 5501 Josh Birmingham Pk wy Charlotte NC 28208 704-359-4000 Penniffee Addres Phone Ntimher e-snail address ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by visiting http://portal,ncdeiir.or,o,/web/Wq/swp/ps/npdes/appforms. Use only units of measurement designated in the reporting facility's NPDES pen -nit 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 the 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 permittce, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B.0506(b)(2)(D). Page 2 EFFLUENT 3 RECEIVED/NMEMM iUllN PERMIT NO. NCO083887 MONTH YEAR - � DISCHARGE NO. a Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet pert -nit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements qoncompliant The pertnittee 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 front the time the pertnittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the pertnittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "I 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 infortriation submitted is, to the best of my knowledge and belief, true, accurate, and complete. I ant aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Jack Christine, Deputy Aviation Director, City of Charlotte Pe iffee (Please print or type) ig toreo er ittee*** ,-Date quired unless submitted electronically) 5501 Josh Birtningham Pk wy Charlotte NC 28208 704-359-4000 —jdjordan@c Permittee Address Phonc Number e-mail address Permit Expiration Date June 30 2015 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by visiting http://portal.ncdenr,org/Nveb/wq/swp/Ps/npdes/appfomis. 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 the 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 tire delegation of the signatory authority must be on file with the state per 15A NCAC 213 0506(b)(2)(D). Page 2 EFFLUENT Pv NPDES PERMIT NO. NCO083887 MONTH P YEAR 2-6 1 DI'3CIIARGEN0. 00 FACILITY NAME Charlotte Douglas Int'i Airport, PC2 )1NCDENR/DWF-K,7E en ecklburg E CO UNTY— ML CERTIFIED 1-,ABORA:FORY Prism Laboratories, No. 402 Cert#402 1 2015 C (list additional laboratories on the backside/page 2 of this forin) IJ OPERNFOR IN RESPONSIBLE C14ARGE (ORC) James J. Smith GRADE___ PC2 CERTIFICATION NO.,-4tSZX-�_ PERSON(S) C01,LECTING SAMPLESj", RC P1l0NE---- ______ .----- 704-222-8617 Rr, WQR(,)S SITE, - ONAL OR L5L0 CHECK BOX IF ORC HAS C14ANGET) NO FLOW / DISCI 1ARG E FRON4 Mail ORIGINAL and ONE COPY to: NIS ATTN- CENTRAL FILES F131-E CHARGE) �A DIVISION OF WATER QUALITY IS -L I I' 1617 MAIL SERVICE CENTER III S�SIIJCNA®REI)l C�P�1'1 EPORT is RALEIGH, NC 27699-1617 ACCORATE AND COMPLETE TO TH E HEST OF MY KNOWLEDGE, 50050 00556 00530 C0610 34030 81551 34010 34371 00400 00665 T FLOW 0 C� -0 Z a 0 Uj Fo INF 4, 81 -8 0 X C 0 0 0 0 a vu C U) = = 0 0 W -6 0 L11 x E w 0 CL U- 0 P 0 tz - — --------- HRS HRS Y/B/N IV GD MG/L MG/L u /I ug/l Std, Unit 2 4 6 8 II 12 14 16 18 20 22 24 26 28 '43,-0 40'', 4,460 Nis 7 30 =25-Tki, E, - � =1 = = i 4,, P, , 31 44°O AVERAGE I 4 4 o F *p 4a�, 73 Monthly 7— 51 )WQ Form MR- I (11/04) Facility Status; (Pleast All monitoring data and sampling (including weekly All monitoring data and sampling fires The perntittee shall report to the Director or the approprit threatens public lic health or the environment. Any inforntat pert-nittee became aware of the circumstances. A written pertnsttee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of ct improvements to be made as required by Part ILE.fs a "I certify, under penalty of law, that this document and al in accordance with a system designed to assure that qualij submitted. Based on my inquiry of the person or persons for gathering the information, the infinination submitted i complete. I am aware that there are significant penalties fines and imprisonment for knowing violations." Brent s check one of the following) fireguencies sweet permit requirements averages, if applicable)'" Compliant uencies do Nar meet permit requirements El Noncompliant e Regional Office any noncompliance that potentially on shall be provided orally within 24 horns from the time the ubmission shall also be provided within 5 days of the time the riective actions being taken and a fitlie-table for 'the sNPDES permit. attachments were prepared under my direction or supervision ed personnel properly gather and evaluate the information , ho managed the system, or those persons directly responsible , to the hest of my knowledge attd belief, true, accurate, and ar submitting false information, including the possibility of `agle, Aviation Director, City of Charlotte Permittee (Please print or type) Signature of Pe ntiftee* * Date (Required unless subs tied electronically) 5501 Josh Birmingham Pkwy Charlotte NC 28208 704-359-4000 —jdjordan@�.harlotteatrport.com Permittee Address Phone Number e-ntadaddress Permit Expiration Bate Certified Laboratory () Certification No, Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER ODE Parameter Code assistance may be obtained by calling the NPDES Unit at (19) 807-6300 or by visiting bttp://pot-tal.nedenr,org/wwreb/ q/sw/Ps/npdes/appfoimi . Use only units of measurement designated in the reporting facility's NPDCS 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 the entire monitoring period. ORC On Site?: €7RC must visit facility and document visitation of facility as required per 15A NCAC 8 .0204. * Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be oil file with the state per I5A NCAC 2B 0506(b)(2)(D). Page 2 VChar otte-Douglas' INTERNATIONAL AIRPORT 29 September 2015 NCDENR — Division of Water Quality Central Files RECEIVED 1617 Mail Service Center Raleigh, NC 27699 OCT 0 2 2015 CENTRAL FILES WR SECTION CLT Airport NPDES Permit NCO083887 March 2015 DIVIR To whom it concerns: Enclosed you will find a revised copy of the March 2015 DMR for outfall 001 at LILT Airport: t�miftt�� eemed to indicate that total nitrogen was not reported foaf4he rn, o6th of ch. Th water sample was indeed analyzed for this constituent; however, the value was not reported can the original DMR Please accept this REVISED DMR as part of your compliance file, Jimmy D. Jordan, P.G. Environmental Affairs Manager Charlotte Douglas International .Airport c.c. Wes Bell, NCDENR MRC} c.harlotr airporLc orn PO Brix 19066 1 Charlotte, NC 28219 € : 704359.= 000 F: 704,359,403 Owned and operated by the C€iy of Cli arbtte RECEIVED/NCDEI EFFLUENT WQROS MOORESVILLE REGIO WITNO, NCO083887 MONT14 NAPLCA-k YEAR Q DISCI-IARGENO.- C NANT,— Charlotte Douglas Intl Airport -PC2 COUNTY— Mecklenburg I LABORATORY (1)_ ' Prism Laboratories" No. 402 Cert #402 ial laboratories on the backside/page, 2 of this forin) '1,0a,011 [N RESPONSIBLE CHARGE (ORC) James J. Smith GRADE— PC2 CERTIFICATION NO,-- COLLECTING SAMPLES ORC PHONE 704-222-8617 IF ORC HAS CHANGED NO FLOW /DISCHARGE FROM SITE - L and ONE COPY to: RAL FILES OPERATOR IN RESPONSI13 ` WATER QUALITY I ATURE F LE CHARGE) ??VICE CENTER THIS SIGNAT%i RE, I CERTIFY THAT THIS REPORT IS C 27699-1617 ACCURATE AND COMPLETF TO THE HEST OF MY KNONVUEDGE, 50050 00556 00530 C0610 34030 81551 340,10 34371 00400 00665 TAE6( FLOW c- 6a EFFIS -HN—F -5 25; z sa CL :2 X 0 w W -6 7� i,- W 0 Uj $= 0 to 0 CI 0 < LL j x x j(j-PN-XT—U THIS Sk o. HRS Y1B/N MGIL MGO MG/L unit passfia Std, Uni min 28 30 1 21,�> <o �40,So 7' 4 Spa AVERAGE -7, br 45 45 5t I I 6-9 DWQ Fomi MR-I'(1 1/04) Facility Status: (Please e All monitoring data and sampling (including weekly a All monitoring data and sampling frequ Gittee shall report to the Director or the appropriate public health or the envirormient.. Any inforniatio became aware of the circumstances. A written an becomes aware of the circurnstances. filmy is noncompliant, please attach a last of cor me is to be made as required by fart I &6 of under penalty of law, that this document and all a ance with a system designed to assure that qualify 1. used on nay inquiry of the person or persons Ines and imprisonment for knowing violations." one of the rollowing) 4encies meet permit requirements gs if applicable) Compliant as do NOT meet pernrit requirements D Noncompliant ,Yior al Office any noncompliance that potentially all be provided orally within 24 hours frost the three the ssion shall also be provided within 5 days of the time the ive actions being taken and a time -table for W'DES permit. hnnnts were prepared under my direction or supervision es for submitting false information, including the possibility of Per:: (Re jdjor ian@charlott( Pernottee Address Phone Number e-mail address Permit Expiration gate, ,fine 30 201 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory () Certification No. Certified. Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the N13DES I7nit at (919) 807-6300 or by visiting http:/1por-tal.ncdenr;orglwebl gls p%psJnpdeslap foi-ms. 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 Inc entered for all of the parameters on the DMR for the entire monitoring period. * ` 3RC tin Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .02041 ***Signature of Per mitteei If signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2i3 .0 06(b)(2)(D). Page 2 .ee unease print or Type) IPPFF" EFFLUENT NPDES PERMIT NO.- NCO083 87 MCINTII C V _ , YEAR I DISCHARGE NO. FACILITY NAME Charlotte Douglas int'l Airport PC2 COLiNTY Mecklenburg CERTIFIED LABORATORY (I) Prism Laboratories, No. 402 Cert #402 ELC Mist additional laboratories on the backside/page 2 ofthis form) OPERATOR IN RESPONSIBLE CHARGE (ORC) ,lames J. Smith GRADE— PC2 CERTIFICATION NCI. �� ER ONO COLLECTING SAMPLES ,_— _ R. . O SHONE 704-222-8617 I `I HECK BOX IF ORt HAS CHANGED � NO FLOW / DI CHARGE FROM SITE. / DE / W Mail ORIGINAL and ONE COPY to: _ MAY 2 6 2015 ATTN. CENTRAL FILES DIVISION OF WATER QUALITY NATCRJ ' OPERATOR IN RESPONSIBLE CHARGE) 4HTHTS 1617 MAIL SERVICE CENTER SI NAT;RE, I CERTIFY THAT THIS RE W WII a LEIGH, NC. 27699-I6I7 ACCURATE AND COMPLETE TO THE HEST OF MPKA%"V"E REGIONAL OFFICE m 50050: 00556 00530 C761iJ 34030 8i55 34010 34 7I' 004Ct0 00665 TAE6C' 00600 iNF .FLOW c c rya c 2 P C C 0 91I-~ 'i3 ua ret G G8 4 M ° LU a�v W i t0 L� F � � u_ F#RS NRS YIB/N' O - MGJt. Gti a tt ugti a fl a /t u ii Std. Unit m tt assffait m 1 i 2 4 5....1:x. .,. .,.,... 6 ILL 10 12 14 [ALOFFICP- 16 18 20 1 22 24 26 7 :`:.......,. 7777 28 30 I ? CI . ` t tw: c� AVERAGE g� <D,�;b L),so :? t3[NlNttts Ist s lonthty I,iseSit 45 45 51 11 6-9 DWQ Force R-I (11/04) Facility Status: (Please check one of the following) All monitoring data and sampling trequencies meet pertnit requirements (including weekly averages, if applicable) Compliant All monitoring data and sampling frequencies do No,r meet permit requirements E] Noncompliant 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 PDES permit. "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 property gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the systern, or those persons directly responsible for gathering the infortnation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I an aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Mrk-0 y Aviation Director, City of Charlotte Permittee (Please print 0 e) atu, e of Perim te, mate (Required unless submied electronically) Pennittee Address Phone Number e-mail address Pennit Expiration Date June 30 2015 ADDVIJONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the PDES Unit at (919) 807-6300 or by visiting http://portal.ncdenr.org/web/,A,q/s-vvp/ps/npdes/appforills. Use only units of measurement designated in the reporting facility's NAFFS 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 the entire monitoring period. ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8(i .0204 Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B :0506(b)(2)(D). Page 2 RECEIVED/NWENROWR EFFLUENT Niff 15 2015 WQROS NPDES PERMIT NO. NCO083887 MONTH rC-P-. YEAR �FICE FACILITY NAME Charlotte Douglas Intl Airport PC2 COUNTY— Mecklenburg CERTIFIED LABORATORY (1)_ Prism Laboratories, No. 402 Cert #402 t MOM 28 30 AVERAGE 4 0-1-0 4;3,0 0-00 404*0 MINIMUM Monthly Limit 45 45 51 11 6-9 DWQ Fonn A4R- I (11/04) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet pen -nit requirements (including weekly averages, if applicable) [L"5q Compliant All monitoring data and sampling frequencies do NOT meet permit requirements E Noncompliant The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the envirminient, Any information shall be provided orally within 24 hours from the time the pert ittee becarne 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 noncrimpliant, pienseattach a list of carrectiveaetions being talken find a tirae-table for improvements to be made as required by Part II.E.6 of the NPDES permit. "I certify, under penalty of law, that this document and all attachments were prepared under ray direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my it of the person or persons who managed the systern, or those persons directly responsible for gathering the infori-nation, the hiperination 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." Jack Christine, De uty Aviation Director, Ciiy cif Crarlotte Pen ittee (Please print or type) I tore of Pertnittee*** Date quired unless submitted electronically) 5501 Josh Birmingabam Pkwy Charlotte NC 28208 704-359-4000 —jdjordan@(,.harlotteairport.com Perri ittee Address phone Number e-mail address Permit Fxpiralion Date June 30 2015 ADDITIONAL CE IFI LABORATORIES Certified L6boratory (2) Certification No. Certified Laboratory (3) Certification No, Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES parameter Code assistance maybe obtained by calling the NPDES Unit at (919) 807-63 00 or by visiting http://I)ortal.ncdenr,org/web/�uq/swp/ps/npdes/appfoi-ms. Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. Noflow/Discharge From Site: Check this box if no discharge occurs and, as a result, diere are Tro data to be entered for all of the parameters on the DMR for the entire monitoring period. ORC On Site?: ORC must visit facility and document visitation of facility as required per. 15A NCAC 8G M04. ""SignatureofPermittee-, If signed by other than the permittee, then the delegation of the signatory authoritymust boon file with the state per 15A NCAC 2B .0506(b)(2)(1)), Page 2 EFFLUENT ELC OV . 9 205 3 NPDES PERMIT NO.-- NCO083887 DISCHARGE O:___. MON`I`H_ ; t-' YEAR FACILITY NAME Charlotte Douglas tnt'I Airport PG2 CQ TY�_ Mecklenburg CERTIFIED LABORATORY (1) Prism Laboratories, No, 402 Curt#402 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (OR.C)_ .James J. Smith GRADE— pc2 CERTIFICATION NO. 28619 PERSON(S) COLLECTING SAMPLES es.J» Smith ORC PHONE 704-222.8617 CHECK BCC% IF ORC HAS CHANGED NO FLOW 1 DISCHARGE FROM SITE. Mail ORIGINAL and LINE COPY to: A fit: CE NTRAL FILES NPR' �, � � DIVISION O WATER QUALITY (S rATURE OPE TC1R IN RESPONSIBLE CH GE) I1617 IL SERVICE CENTER 0NATURE, I CERTIFY THAT HIS R _PORT Is �{ i EIGII NC 27fi99-I617 ACCU TL AND CojMIpLETE Tti THE BEST OF M Y QWL DGE» It 15 50050 00556 00530 61427 00600 00665 a 81551 34010 34371 34030 00400 i » FLOWw t FOR ILLF EGIO AL OFFICE o I EFF 0g w ut sa v a vs F l t o a o r IFJ ❑ zs c et tttuj 0t, a 0 t? ua u- HRS HRS YID/N MGD CMGIL MG/L asslPnfl m I ti u li a fl a ti u tI Std. nit LaL 2: 4 6 4 , 10 12 14 IS............... 16 1 ......,te..,, 18 20 ` ...... 22 24 ' 6 9 .'. ......L 30 AVERAGE 0,107 e °3 a .88 40,i It ...ICI, .. .. . ` .�kl .. '.,.."� .... . ::...... .....::. , ...�.. »: .. .:` .. . . 1111110 Monthly Limit 45 45 11 51 DWQF'onnMR- I (11t04) Facility Status: (Please check one of the following) All monitoring data: and sampling frequencies meet permit requirements OV (including weekly averages, if applicable) E� Compliant All monitoring data and sampling frequencies do NOT meet pennit requirements El Noncompliant 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 pennittee 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 I1 E.h of the NPDES permit. "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. Lased on my inquiry of the person or persons who managed the system, or these 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 passibility of fines and imprisonment for knowing violations." PeVdCttte (Please t or type) ,I/ Phone Number e-mail address ADDITIONAL CERTIFIED LABORATORIES 71'g/ )ate catty) ctrl.00 'ermit Expiration ]late [one 30 2015 Certified Laboratory (2) Certification No. Certified Laboratory(3) Certification No. Certified Laboratory'(4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (91) 07- 30u or by visiting http,-//poi-tal.ncdenr.org/web/wq/swp/ps/npdes/appfonns. Use only units of measurement designated in the reporting facility's NPDES permit for reporting; data. No Flaw/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 the entire monitoring period. ** ORC On Site''. CfRC must visit facility* and document visitation of facility as required per l A NC'AC 86.0204, * * Signature of Permitter: if signed by other than the permittee, then the delegation of signatory authority must be on file with the state per: 15A NCAC 213 .11506(b)(2)(D). Page 2 , ' EFFLUENT MAY 15 WOROS MOORESVUE REGIONAL OFFICE FACILITY NAME_ Charlotte Douglas Int'l Airport PC2 CER,rIFIED LABORATORY Prism Laboratories, (list additional laboratories on the backside/page 2 of this form OPERATOR IN RFSPONSrBIE CHARGE (ORC) James J. Smith PERSON(S) COLLECTING SAMPLES_Z� CHECK BOX IF ORC HAS CHANGED Mail ORIGrNAL and ONF COPY to: ATTN. CENTRAL FILES DDq,SI0N OF WATER QUALITY 1617 MAIL SERVICE CENTER � ~ -_-_' _ ~ _-_C—._~-^~_^'^�^_~,��^~~ OUNTY.— Mecklenburg Cart #402 704-222-8617 )ISCRARGE FROM SITE * OF OPERATOR IN RESPONSIBLE CHARGE) XURE, I CERTIFY THAT THIS REPORT IS '^ �'- / ' ' zc � CL ' `� � �� ~»0 1 *~ � ' l 0 0 14 16 20 777777 26 28 30 Ali! AK 99 Facility Status:; (Please cheek one of the follolving) All monitoring data and, sampling frequencies meet permit requirements (including' weekly averages, if applicable) Compliant 11 monitoring data aiid sampling frequencies do NOT naeetpernait requirements El Noncompliant The pernaittee 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 lho n the time the pennittee became aware of the circumstances. A written submission shall also be provided within 5 days of the three the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach as list ofcorrective actions being taken and a these -table for "improvements to be made as required by leas~t 1I.E.6 of"the NP ES permit. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with systern designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on any 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 nay 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. .lack Cilaristhap I3 uty aviation Director, City of Chaa lotte Pen ittee (Please print or type) lonr turd ofP'emiittee*** fir' Date quired unless submitted electronically) 5501 Josh jdjordan@charlofteairport.com t'ermittee Address Phone Number e-mail address Permit Expiration Date June 30 20I5 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory () Certification No. Certified Laboratory () Certification No. Certified Laboratory (5) Certification No. PARAMETERCODES Parameter Code assistance may be obtained by calling the NPD S Unit at (1) 807-6300 or by visiting http://portal.nedenr.org/web/avq/sWp/Ps/npdes/appfori-ns. Use only units of measurement designated in the repotting 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 the4aMR for the entire monitoring period. >: < O C On Site?. ORC must visit facility and document visitation of facility as required per 15A NCAC 9Ct .0204. *** Signature of Eerrnittee. If signed by other than t e permittee, then the delegation of the signatcary authority must be on file with the state per 15A aNC'AC 213 n050 (b)(2)(D)• Page 2 A Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements Or (including weekly averages, if applicable) El Compliant All monitoring data and sampling frequencies do NOT meet permit requirements El Noncompliant 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 pennittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the pennittee 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. .6 of the NPDES permit, "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. 1 am aware that there are significant penalties for submitting false information, including the passibility of fines and imprisonment for knowing violations." Jack Christine, **sow lie a Aviation Director, City of Charlotte Pennittee (Please print or type) 2-12 Sim ore of Permittee*** Date aired unless submitted electronically) 5501 Josh Birmingham Pkwy Charlotte NC 28208 704-359-4000 —jdjordan@oh rlcttt it acark. ctr Pennittee Address phone Number e-marl address Permit Expiration Date June 30 2015 I)I)ITI(iNAL CERTII IEU LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODE Parameter Cone assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/appforms. Use only units ofmeasurement 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 the entire monitoring period. * O C On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC-80.0204, * Signature of Permittee: if signed by other than the per ittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 213 :050 (b)(2)(D), Page