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HomeMy WebLinkAboutNC0057401_Regional Office Historical File Pre 2018MIT NO.. NCO057401 PERMIT VERSION: 4,0 PERMIT IiTATUS- Active 'Y NAME: TheHideaways W TP CLASS: WW-I C OUNTV' cCklenwur� F R NAME.: Go Go Proeerttes U,C ORC : LocgP iry Alexande1' � Ir a ORC. C:ER NUMBER: 1005905 '}IANGED- FAICE�1!1 iEWWa2 fTRC, Ft<1�± CCOENRIDWR No PF:RJOI). f)7-2019 (July 2019) VERSION: L0 t I-tA FILE STATUS, Al US, Processed CEN DWR SEGT "l SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC"• � S � I R E e9it4t# atYUfU `: 00400 MOW) t'ttdl{f # £Mlb ('0530 MW " u G a i$°6��i4 I.b'Ji�,I1 � �i tttUlRtb' m `✓t Ctik'EA � X F110C4(15 �t'iEltlt}YlV i X YktilYSfIT "'. X kFtitlkt(1 Ittsl"saz meouus Grail G,ab Gisab Grah Gi €+b Grab Ufab 1 v° Faaw rEri9P-c pst CHLORINE tsaawco- rv143-N_0— °t�.o— rTcat.trsst Z4111 h,11 Hrx r. S.Caa c4r:ch :. HrR s^e6rty and +3r.0.c [u up 11:: 'mitt utt„fi iix;,I :,COUInI 1 -IL, i ,, ! '3 1334 ,25 Y 0 001 ^- 17 '4 5 T €930 25 " y" 17 to it Ib2t? 25 : Y 04t)1 2f3 - 17 12 14 1� -:ih Uw15 25 :- Y 2'7 :cl 0935 25 Y' 0001 31 . 73 17 : 3 t : 25 � 1 4 .,. i, +1 22 za ttwon 33 Y ,. 17. 24 25 * 0920 33 l y 0,001 27 17 >7 30 1935 .33 Y .17 31 M-olw A: 91, Limit: a.1i112 311 30 200 M—thls,A-ragrt 0 001 2875 3 1 s- 0 0 1 ;U At, Mulimumc 0001 31. 7327 1 tit 0 0 a s4 No RepouinF Reason: ENFRUSft No Flow-Rcuse,Reeycle: FNVW`I HR - No Visitation Adverse Wemliec, NC)FLOW No Flow: HOLIDAY No \' walti0n . Holiday F C?.:NCO057401 PERMIT VERSION: 4.O PERMIT TATUSs Active The hideaways WWTP CLASS. WW-1 COUNTY: ecklenbur& ER NAME- Go Go Properties L "C" ORC: Gregory Alv ander T"rtin lello ORC C FRT NUMBER: 1005905 DE- W-2 ORCHAS C"IIrANGFD: No PeDrVIR PERIOD: 07-2019 (July 2019} VERSION: l (1 STATUS: S: }processed OMPLIANCE STATUS. Compliant CONTACTPHONE #: 7ia=1�)t?90165 SUBMISSION DATE: t) 13Ut'2tiir) Ci /30/2i1I9 ORC/Certifier Signature: Car ' Trombello E-Mail:gmetwate.r( yahoo.co n Phone 4:704-989-0165 Date 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 orally within 24 Hours from the time the pernnittee became aware of the circumstances. A written submission shall also be provided within 5 clays 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 innprovements to be made as required by part ll.E.6 of` the NPDES permit. 08/30/2019 Permittee/Submitter Signature.*** C3 eg Troanbello E-Mail:gmetwater(ii?yahoo.com Phone 4:704-989-0165 Date Pertnnittee Address': I6I04 York Rd Charlotte NC: 2 278 permit Expiration Date: 06/:30/2024 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 system, or those persons directly responsible for gathering the information, the information submitted is, to the best rifiny knowledge and belief; true;, accurate, and complete. I am aware that there are significant penalties for submitting false: irnformatioan, including this possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES .AB NAME: Water Tech Labs Inc: CERTIFIED LAR M 50 PERSON(s) COLLECTING SAMPLES. tGregory Frombellca PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (9I9) 07-6300 or by visiting http://portal.n:denr.org/vvebtyvg/swp/ps/tipdes/ibrcaas, Use only units of measurement designated in the reporting facility's NPDES permit for reporting data, No Flom°/Discharge From Site:. Check this boa if'no discharge occurs <and, as a result, there are no data to be entered for all of the parameters on the DNiR for entire monitoring period. `* ORC on Site?: ORC must visit facility and document visitation of facility as required per I5A NC AC 8G ,0204. *** Signature of f'ermittee. If signed by other than the permittee, then delegation of'the signatory authority must be on Zile with the state per 15A NCAC 213 0506(b)(2)(D). Nil.; NCO057 01 PERMIT `i' RSION: 4.0 PERt1' IT STATUS. Active IVEDAMEN The Hideaways ww,r' 1 L.A S. WW-1 � COUNTY. Mecklenburg jjlRI"1 NMP; Crct iat I'ra'pertics t.ic C?RC": Cxa'¢«r 11cx<ancicc Ti<l�b�l " C}RC CFIiT NCx13E ) 0 _' E; W- C}1RC FiA' CLIAN(F.13: No �4 # FILES RIOD: 06-2019 (June 2019} VEI2SIt)N`. J tF � � ��! STATUS; Frl�c essccl WQROS SAMPLING LOCATION: EFFLUENT ISC E NO.: 001 NO LEIS NC-. "ONAL OFFICE z ::00.40 WPM) 04F400 SAW) C0310 410610 C0530 . tIf, i(I wiu CtlF:Iy: Wiekly k 111,11,11, 3 . 11-1k I t1t015E11 nl llllly 2 ri 1111Yt1111 i:X I7l l"ll y r fnt+tarieattafYvn t;ratY tirul7 drab Grob (rtah Grab Eisah Fl,okk IEmPd: PH CHLORINE 800•0— Nff,)N-Ow l54-Ceeyc Ff,"0E.1 UK 2+itiU tMuck Hrs 2S#itr CikTlk. Fit'S YrFtfN 1i7#tl{ €1G"",,, ti21 11*- C47 �?.=i. Ektff'} FYiiY„i f1'14)liill 1 2 4 ,i925 .;i3 : !' "': 1.7 iti15 - .33 5' ff.0(li. ?g 7.`? "`"1.7 ? 3 IQ £t.7 t y 1� It 2920 .25 1' rz 14 0935 .25 Y 0001 27 .:::.17 15 , 16` "s 20,5 25 Y 17 (lol 21 7 u {:: 17 : 2 .,-15 20 ;.2 14 25 18,55 :25 Y ': 17: 26.. zs Of St1 33 Y ? 17 30 00i.. Mot,thiyt�t, i Y $I# 2W) MJI0I 27 0 1.1.5 0 4.35 t D.0(Si � ..,�.. fi.3 (l �. 3 0 tx.7 CiD,001 25 '7.2 0 ti ti t t *** No Reporting Reasow ENERUSE — No Fluw-Reusc/Rcryclet FNVW1'14R - No Visita,tlui --Adverse Weather: NOFLC?W No Flow; HOLIDAY - No Visitation - Holiday PERMIT VERSION: 4,0 PE;i2MI T STATUS. Active GLASS. -1 COUNTY -Mecklenburg ORC. Gregory Alexander Trombello ORC C RT NUMBER. 1005905 ORC HAS C14ANGED: No VERSION: 1.0 STATUS: I'r€tcessed CONTACT PHONE #. 7049890165 SUBMISSION DATE: 07/30/201 i " 07/30/2d ORC/Certifier Signature: Qfeg Trornbeilo E-Mail:gtnetwaater(dy<ahoo.com Phone 4704- 89-p165 Date By this signature, I certify that this report is accurate and complete to the best of illy 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 periuittee became aware of the circumstances.A written submission shall also b 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 he made as required by part II.E.6 of the NPDES permit. 07/30/2019 perratittec.lSubitter Signature:*** Cirt`" Trortabcllca E- Mail: metatcr(cslyalaoca.c.orn Phone #:7C}-919-I65 I>ftte Permittee Address: '16104 York Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information subtrritted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for fathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations: CERTIFIED LABORATORIES LAB NAME. Water Tech tsars Inc. CERTIFIED LAB #a 50 PERSON(s) COLLECTING AMPLE:S: Gregory Trornbeilo PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (19) 807-6300 or by visiting http://porta 1.tiedcnr:orL,lweb/wgl'swp/pslnpde,;/f>ruas: 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 as result,, there are no data to be entered for all of the parameters on the DMR" for entire monitoring period. * "- OR on Site?. ORC must visit facility and document visitation of facility as required per 15A NC AC`. ii ,0204 *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on rile with the state. per I Sty NC"AC 2 .0506(b)(2)(D). IT NO.: NCO057401 M I T PERMIT VERSION: 4.0 PERMITSTATUS. Active N A M E. The Hideaways WWTP CLASS. WW-1 COUNTY: Mecklenburg. -3 dRC CFRTNUMBER: 10OS905 F: Go Go Properties LLC F NAM�W ORC- � �hv�ory 2 F E: WW-2 ORC HAS CHANCED: N LN-0 JUL I 1 2019 114 E CG,'� VELYNCO EN R.10WR R PERIOD: �05-221019 (May '210 19) VERSION- 1.0 STATUS: Processed V -,R(),S SAMPLING AMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCI SREGIO'NAL ORFIC 0000 NOW io"# co-W COMO 31616 t %; _klv -�Y—eekbl cc ±L Ix --mith Lx —11-k 2 X -mal, NUalitv , x monn) 2x a itti Lnstanum..., t3t`ab Lab L, ra b L, FLOW Trmp�c pH CHLORINE BOD C.w Nlul-N C.w I SS - C— F(10111 HR 14" d"k on umkwk Hrs V19I1Y mgd Ligl M0 itILI n7r..I loolm 1 195 3 Y tl.(10t _.L7 9 1015 1-5 17 LU —09452--li-- 0Aol 24 < 17 LL LE 140 14 0950 15 y < 17 Ll- 16 11250 �2-41YE 1) 001 23 17 L7 is 20 21 2920 5 17 22 1010 Z y 0.001 27 72 < 17 4, 6 <2,5 13 24 zs 28 0915 17 10 1-140 5 17 31 UO2 IO 10 L10— Moothkv A, erape: 0.001 25A 0 4,3 0 0 1 Deity M#Omu— 0,001 29 76 0 4.6 0 0 10 DuitN minhimm: 7.2 o 0 0 0 No Reporting Reason: ENFRUSE == No Flow-Rewe/Recycle; ENVW'f FIR w No Visitation Adverse Weather; NOFLOW = No Flow; 140LI13AY No Visitation — lioliday IT NO.: NCO057401 PERMIT VERSION: 4,0 PERMIT STATUS, Active NAME: Hideaways WWTP CLASS. WW-1 COUNTY: Mecklenburg NAME: '"M E:!20 GO —Properfies LLC ORC: Gregory Alexander T ..... �bello� ORC CERT NUMBER: 1005905 W W_, - No W-2 ORC HAS CHANGED. 101 R PERIOD: 05-2019 (May 2019) VERSION- 1.0 STATUS- Processed PER M Mr C SUBMISSION DATE. 06/30/2019 _I PLIANCE STATUS: �Cjornpliant CONTACT PHONE 7049890165 06/30/2019 a g ORC/Certifier Signature: G eg Trombello E-Mail: gmetwater(c# yahoo.com Phone #:704-989-0165 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 hour-, 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 it to be made as required by part ILE.6 of the NPDES permit. A,7 I'lil"611— 06/30/2019 Permittee/Submitter Signature:*** Or/9' Trorribello E-Mai Lgirietwater@yahoo, coin Phone #.-704-989-0165 Date Permittee Address: 16104 York Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2020 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 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 complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations, CERTIFIED LABORATORIES LAB NAME: Water Tech Labs Inc, CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES- Gregory lrombello PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 orr by visiting hitp:Hportal,tiedenr.org/web/wq/,,,,wpilps/npde.-,,/fonii,-,. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No FlowUscharge 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 tire DMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC'. 8(3 0204. *** Signature of Pennittee: If signed by other than the permittee, then delegation of tire signatory authority must be on file with the state per 15A NCAC 211 .0506(b)(2)(D). C00574O1 PERMIT VERSION: 4,0 PERMIT: STATUS- US- Active he Flideaways W WTP CLASS- W W-I COUNTY. Meckletibitrt f Go Cici PrrPertiu^s L.L C!}tC: Gregory AIe tandcr Trcit�hciic fJRC E12 t`tUAtTT3ET2r 1 �d �� WR " �" �` �,� 19 _2 CT�TC HAS CTTA;SCETI: iVct d IOD: 04-2O19 (ti (April 201 } VERSION. : l .0 " ; t.., '. `' S T"A T US� Processed �gpy�gp OS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 00 NO DJSCIf 'jtf tN� � �OFFICE . 504,49 twit) 040 -%am C'OMO 00610 t t75,1tl 316,16 it ra nc a W`cekl 1vC4'1C!}' 4+. 7tSe'tFIC1Y. 2WL`i1< 7 X 17umt�i ^Rt1S1ft11}' : X TR.ittik ? .t4': t91ofltlk Inst nt[{iteow Gratt ( rah Grab (3rab Grab : drat} Graf, R`"08 t`tiATY-C' PH CHLORINL #iftU -i, ane YFt,#-N-C:erOe 1'�x4•C:unc NCiXLt OR 2440 dxadk ties 2400 dark 33rs Y N mid cfiE Iu ug/1 -11 nr I mz?tt €''loon" t 5020 .25 Y < 17 S010 �.25 Y 0001 15.. ...:. g ,.. k"7 d 9,1 �'0:a '� 35 < E- 4 6 � l k n 0955 .25 Y': '4 iQ tt 12 0950 .33 Y : 0.001 21 ` 17 lY 14 15 0855 ::2g Y. < 17 16 t7 1010 1.25 Y (Loo 1 20 ' 7 5 < 17 ^= 2.5 tx 19 2t1 r 2t 22 29 1035 A2 Y' �" 17 23 is 1240 25 Y 0.001 22 - < 17 26 27 : 24 0925 ;;25 Y": 17 30 ,1 .oddy Awmp Limit: 0.001 .30 Mt zoo .moit61t Av mgei 0,001 19.5 1666657 4,55 0:.. 0 1 '.. Nay rd.o rmmz: 3}.0(}1 72 ii. t 24... 9.1 L1 is t) Daily yti mume 0n01 Is 7.5 U 0 0 0 is ****"No Reporting Reason: ENFRUSE - No Flriw•Reusc/Rccyelc, ENVW`rfiR — No Visitation -- Adverse Weather; NOF"LOW No Flow; 14 LkDAY - No Visitation - IFutiday Hideaways C0057401 PERMIT VERSION: 4k PERMIT STATES. Active no `he Hideaways WWTP CLASS: WW-1 COUNTY- �Lccktenburg 57 .w 40' ays W'WTP a LL ORC: Crcgmy Alcx.rde, Twinbeflo ORC CERT NUMBER: 1005905 Properties LI-C �22 GO -2 ORC HAS CHANCED. No 2019 pot - Pro RI 1. 24-1019 (April 2019) VERSION: 1.0 STATUS. cessed OD: 4 I -7049890165 SUBMISSION DATE: 06/02/2019 T TUS. L.L ropleout PLIANCF STATUS: Compliant CONTACT PHONE #. 06/02/2019 t.C/Certifier Signature: Gr g Trombello E-Mail:gmetwatcr(cL,tyahoo. coin Phone #:704-989-0165 Date this signature, I certify that this report is accurate and complete to the best of my knowledge, mation shall be provided orally within 24 hours from the fine the permittee became aware of the circumstances. A written submission shall also be within 5 day-, of the time the permittee becomes aware of the circumstances. City 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 ,S permit. 06/02/2019 ee/Submitter Signature:*** 6 g Trombello E- Mail: gnietwater@yaboo, coin Phone #:704-989-0165 Date Address: 1,6104 York Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2020 inder penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed bat qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of time person or persons who managed the accurate, and complete.1 am aware that there are significant penalties for submitting fialse information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech Labs Inc. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: �C,regory Trombell. 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/l)s/npdes/fciniis. 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 is result, there are no data to be entered for all of the parameters oil the DMR for entire monitoring period. ORC on Sfte?ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204, *** Signature of Pertnittee: 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). NC0057401 PERMIT VERSION.4.0 PERMIT STATUS. Active The Hideaways WTP CLASS. WAS-] 7 Ct7iJC4'; tv9ecklcriiturl 11 Ilk IF. C'so o Properties LLC ORC: Gregory Alexander "Tr€�nllacllo ORC CERT NUMBER. 1005905 WW- C]IRC HAS CHANGED: ED: No JUL 01"1 ..tVEDt DE ' 1R PERIOD: U3-2111 (March t11) YIE RS1C) . l.t> g STATUS: Processed tit 1 $ SAMPLING LOCATION: EFFLUENT DISCHARGE W IS NO.: 00t NO DIS "* :11L OFFICE :-a -4010 00610 ' 00400 5111i60 COMO C06m C"o5311 31616 a cr w x t R` W� Weekly ,,,rkly 2 X month 2:X week 2 X month R2cnoly 2 X snlxtti, X month n {x V U ' 11111i3illilC MI4 IIrdll 13l b CX`Pab b Cara b C rah Grab Crab G t° f° v' O p; FLO Ny TEMP-C pH CHLORINE HOD -(imc N113-N-Cane r51,-Coro PCOU OR 1; 2400 dork Rev 2400o"k H" }MIN m d 00mI 2 4 1240 25 Y 25 6 7 1020 - .33 Y (L001 12:. 7.t 17 2A L1 4,€+ S 9 10 it 12 f)445 .33 )L 13 14 . 1240 .33 : 4X 0.001 16 <::17 15 16 17- IS 0°735 :. 15 Y �`17 llr 20 t{725 .33 Y 0.001 14 7,9 '17 17 .°.15 1 21 22 Z3 " 24 25 n115 :: 15 ' y <.:17 26 '. 27 28 1305 ,25 .. y OM : 17 ..:17 31 tilaad111y: Av TOge Ltmit: PAW 10 10 204 '4ran€hly At erago t1.f3Gt 14.75 i.t25 2.55 i,l 2.3 ! May Maxlmu . 0.001 17.. 74 25. 2.7 1A 4,6 11; Uaily :4 ialm.ne 0.001 .. 12. 7.1 0 12.4 1.I 10 0:: ** No Reporting Reasow ENFRUSE = No t low_Ret15e11tecycie; ENVWTHR No Visitation-- Adverse Weaiher; NOFLOW No Flow; HCii.tDAY:= No Visitation -- Holiday F 1057401 PERMIT VERSION: 4.0 PERMIT STATUS: Active ILeeaways WWTP CLASS: WW-1 COUNTY. Mecklenburg )perties LLC CRC. Gregory Alexander Trombello ORC CERT NUMBER- 1005905 WW-2 ORC HAS CHANGED: No R PERIOD: 03-2019 (March 2019) VERSION: 1.0 STATES: Processed IJ COMPLIANCE STATUS. Compliant CONTACT PHONE #-. 7049890165 SUBMISSION DATE: 04/30/2019 04/30/2011 Uv- ORC/Certifier Signature: Csrc Trombetto E-Mail: gmetwater(cv;yahoo.com Phone #:704-989-0165 Dat, By this signature, I certify that this report is accurate and complete to the best of my knowledge, The pennittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health ox Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written subtr provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is tioncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as requi the NPDES permit. A Permittee/Submitter Signature:*** G4rg2_Tr_ombelIo E-Mail:gmetwater@yahoo,com Phone #:704-989 Pennittee Address: 16104 York Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2020 rly gather and evaluate the information submitted. Based on my inquiry of the isible for gathering the information, the information submitted is, to the best of -ell by part 11,E,6 of' knowing violations. CERTIFIED LABORATORIES LA R NAME: Water Tech Labs Inc, CERTIFIED LAH #: 50 PERSON(s) COLLECTING SAMPLES: Cjregory Trornbeflo PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http,/Yportil,iiedenr.org/web/`wq/swp/psinpdes/`fon-ns, 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 I SA NCAC 8G .0204. *** Signature of Permittee: If signed by other than the pernrittee, then delegation ofthe signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D) ry N O: NCO057401 0 PERMIT VERSION: 4.0 PERMIT STATUS,. Active RE(N-FIN/F iEs The Hideaways WW'1'11 CLASS: WW-1 DIOUNTY. Mecklenburg - burg ME: Go Go Properties LLC Go ORC: Gregot-y Alexandcr Trombell AY 0 8 2 019 ORC CER,r NUMBER: 1005905 -2 WW-2 ORC HAS CHANCED: No CENI fIAL FlUES RECElVED/NCDr-.NRjDWFZ PERIOD- 02-2019 (February 2019) VERSION: 1.0 DWR SECT*N STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:VNPO,, MOORESVILLE REGIONAL OFFICE' 00400 59060 CoMil ("061 it (70530 31616 4 t Weekly 2 X month 2 X week 2 X In"Tall L4 mol"hly2 X imaith 2 X month Inmannawous Grat, (',Fab Oat, Grab Grab Giab Grab g FLOw TEM114" fHCO HLRINE _ Bon C.- N113-N TSS - c-, f(,ll()i,f BR 2400 clock Hn, 1400 d.& firs VIIIN mgd dcg c 19"] mg/1 wmoml 1 2 1050 50 Y NMLOW 4 1015 42 Y 17 6 7 1015 .33 Y 0.001 17 &2 < 17 IrA 1,77 T5 10 it Into '25 Y 17 ra 14 1255 .25 Y 0.001 16 17 rs 16 17 10935 .25 Y 17 7 8.3 1 < 2,5 21 22 23 24F �s 2 16 6 0910 37 25 Y 0,00 1 14 17 Month: AoerageUiuif: 1002 30 30 200 NUmbly A—.g,: 0.001 16 2.125 6.2S 1,7-, 3,75 1 H1001 17 ----- - ------- 8,3 1, 9.4 T5 _0 Mill0.001 t4 8.2 U. 3.1 *No Reporting Reason: ENF , RUSE - No Flow -Rcusc/Rccycle; FNVW'l'FlR­ No Visitation - Adverse Weather-; NOKOW-Noflow HOLADAY - No Visitation- Holiday rT0— NCO057401 The Hideaways WWTP o G a Properties LI-C P.FWW-2 F - PERIOD: 02-2019 (February 2019) 'LIANCE STATUS: (:onrpfianl ORC/Certifier Signature PERMIT VERSION: 4.0 ORC: Gregory Alexander Trombello ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE 9: 7049890165 PERMIT STATES: Active COUNTY: Mecklenburg ORC CERTNUMBER: 1005905 STATUS: Processed SUBMISSION DATE- 03/30/2019 eg Trombetlo E-Mail:gmetwatcr(c(,,,yahoo,cotn Phone #:704-989-0165 By this signature, I certify that this report is accurate and complete to the best of my knowledge, 03/30/2019 mm The permittee shall report to the Director or the appropriate Regional Office any noncon-ipliance that potentially threatens public health or the environment. Any infori-nation 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 tirne-table for improvements, to be made as required by part 111.6 of' the NPDES pen -nit. 0.113 �01 2 0 �19 Permittee/Submitter Signature:*** GJeg Trombello E-Mail:gmetwater@yalioo.com Phone 1#:704-989-0165 Date Pennittee Address: 16104 York Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2020 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 intonnation submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech Labs Inc. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Gregory Trombello PARAMETER CODES Parameter Code assistance may be obtained by calling the NPI)ES Unit (919) 807-6300 or by visiting http://poi-tal.ticdeiir.org/web/wql/swp/`ps/tipdes/`forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discbarge 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 NC AC 8G .0204. *** Signature of Permittee: If signed by other than the pennittee, then delegation of the signatory authority must be on file with the state per I 5A NCAC 213 ,0506(b)(2)(D). CJ.; NCO057 01 PERMIT VERSION. #.#� PERMIT STATUS: rlrtays: The Hideaways IAITP CLASS: W W- t �„ L. C'OU T`Y- e eklcnlau� ME: Go Ci£I Properties LLC C?RC.; Gre�£�ry Alexander Ti°crt�ah£ 1 C)}2C; CEi2 i' NUi��BEit: 1C O5)t1 W _ C)I2C` HAS C"IIAItiC:Ei?. N P IC}ti» (k�-2O1t3 (Jarrnaay 2011) VERSION: l (i t: x 4 � : STAT11Si Prnci sed w i. SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*. NO IN" " 40r1t4 00400 t Cil31dY C:fi5f0 t'Ci53A Sib 6 E tm li'cckty k eekI} x month 2 X week 2 x month m4`lntill} 2 Xi nIlInlh 2 x-nulntll W C Instantaneous Gratr Grab Unub Grata Otab (hab Grob RIOW. TcAlp-C° PR (HLitRINY, ROD _ TA.4-('— FC0111 OR I 24M1 etmk Hp5 2400 Wk Nrx VIRSt in d dcr,c vg U I na �d m*,i rn �'] #e1Q{Int1 3 h 7 L(100 i2 Y 24 R 0 10 6725 .25 Y ^ 0,001 112 91 ..:.t7 143,7 w 0,2 5A „ I:: II a3 t4 I< in 0950 .33 Y t+t . 17 125i 42 Y <0.00t d 17 tit ry 2IJ 2I ti435 '25 Y < "17 22 z3 1025 ,25 Y < 01301 5 9.5 .�. 17 29.2 °� IS 2d =s 1(130 : o 5' k7 as 34 ttE)-0 : 25 Y 'NOFLOW 34 M WnthnA,mp Limit: fi.Mk2 30 30 200 Ai«tathlp Mlraae. El £; i23 +23 7.1E+6hta:" 35.05 t1 2,55 1 Wit Ma dorm: b ,12 9.5 24 0.7 0 5 t 0 Ii:1L11 Ai4gki91km: t} h,.�, {I 79' 2 0 (t (} ** No Reporting Reasup ENFRUSE —,- Na Flon-Rcusc `Rccycic; EPv\'WTHR No Visitation Adlcrse Wcathm NOFLOW" No Flaw; 140LIDAY No Visitation A foliday .: NCO057401 PERMIT VERSION. 4.0 PERMIT STATUS: Active T1ae hideaways WwITP CLASS:-WW-1 COUNTY- Mecklenburg ME: Go Go Pr ernes % f C iiRC. Crrcgory Alexander Troanbello CIRC C RT NUMBER. 1005905 W4U- CIRC HAS C HANGEM No PERIOD. 01-2f119 (January 2019) VERSION: 1.t0 STATUS. Processed 1ITPI IRIS, +TA1"U : Ncan-Coinplian, CC3N"FACT PNC)NE #. itt49tt9t1165 SUBMISSION BATE: 02r/27/2o19 t 02/27/201 ORC/Certifier Signature. oreg, rrcimbelto I:-M ail: aetwater(yr yaboo,c€ m Phone #:704- 89-0165 Barre By this signature; I certify that this report is accurate and complete to the best of my knowledge. The pernottee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any inf araaation shall be provided orally within 24 Hours from the time the permmttee 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 tinge -table for improvements to be made as required by part 11,E,6 of The NPI)ES peraait. 021 ?I t119 PermitteelSubmitter Signature:*** Gre' Trombeilo E-Mail:gm tw€ater(u),yahoo,com Phone #:704-989-0165 gate Permittee Address: 16104 York Rd Charlotte NC 28278 permit Expiration Bate: 06/30/2()20 I certify, under penalty of law, that this document and all attachments were prepared under arty direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on nay inquiry of the person or persons who`maanaged the system, or those persons directly responsible for gathering the information, the iufonnation submitted is. to the best of my knowledge and belief, true, accurate.:, and complete. I am aware that there are significant penalties tsar submitting false information, including the possibility of fines and imprisonment for knowing violations, CERTIFIED LABORATORIES LAB NAME: Water Tech Labs Inc; CERTIFIED LAB : 50 PERSON(s) COLLECTING SAMPLES: Gregory Tron Bello PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http:/,,portal,ticdenr.org/web/wq/swl),Ipsitipdos`/`fortiis. itipdes?foraaas. FOOTNOTES I)se only units of measurement designated in the reporting facility's NPDES pennit for reporting data. * No Flow/Discharge From Site: Cheek this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the 17MR for entire monitoring periort ** ORCon bite`': CRC must visit facility and document visitation of facility as required per 15A NCAC Ci ,02)04. *** Signature ol`'Peraaittee: Ifsigned by other than the permittee, then delegation of the signatory authority must be on life with the state per 15A NC AC 2B .0506(b)( )(D). NC?.. NCO057401 PERMIT VERSION: 4.0 PERMIT STATUS; Active ME. The Hideaways W�'TP CLASS; WW-1 COUNTY: Mecklenburg AME. Go Czi Pio ernes LL CJR: Crory Alexander Tioruhello CFRC CIERi" NLtMt2ER. lt}OS 10 -2 ORC HAS HANGED, No R PERIC)D. C?1 201r1(lanua 2019} VERSION: 1.0 STATUS. Processed Report Comments. Non compliance in samples was due to an inconsistent, on/off flow, There way a very very small trickle of flow for the monde. NPDES PERMIT NO.. NCO057401 PERMIT VERSION. 4,0 PERMIT STATUS: Active FACILITY ILITY NAME: I' ^e Hideaways W W'I P CLASS: W W - I UNTY: Meck1 nb! rg � OWNER NAME: Go Go Properties LL C ORC: Gregory Alexander 1 rombello ORC CE:RT NUMBER: t0059O5 } $g 0 19 GRADE: WW-2 ORC HAS CHANGED: No� � r eDMR PERIOD: 12-2018 (December 2018) VERSION: 1.0 = I'RA ,, s IL E,w S I AT LIS: Processed s _ w` 4... # 8 *w n ei. z �.i:, SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE: NO :WSO OWN 0400 S01ib0 COMO C0610 iW1w 315ifi E n c. o '€'t,'i,lY VvF�CgIV . x n-11117 „)i tV4 , ix"❑2 l", LIrinthly 2\ 1-In, i X 11,111111, U `�' ^`' C"+� �• Inar,+nriine€xis {aYa}5 liCl#13 ii%IiY t�rui� €+t°Ul+ {iiYil4 GrTal7 Ck GJ W 4q3• G�]+ 'w T Fi.Q11` Tr41Vn'-C: p1i CHLORINE, IiGtY. C'ntac ,1'ti3-N-C'PttC f,.zroC t+CGLI RR 2400 muck Urs 1400 cluck um 'k°•[ifll mgd de . , >it €-0 mI €tic:,) iti+J3 #f'3pCim1 i 2 i1945 .t0 Y NOFLOW 3 5 0925 10 Y' NOFLOW.... 6 7 IWO .08 y NOFLOW a in 11: 1015 :" '10 Y NOFLOW iz 1-.'1315 - .t0 '.Y NOFLOW 14' S 16 '. 17 is ; U94O tsa y N<iROW L zn Ot2-5 10 y NOFLOW 2B 23 24 is 26 {3955 " '10 y NOFLOW 27: 3340 .10 y NORM 28 30 ' 31 11045 : .10 y NOFLOW". \4nflfW Average Limit t7.Oq: 30 :SO 2n0 lfanFhly .Average. Daily maxinmw [)Stl4 MitlfiltumC ** No Repotting Reason: EW'RUSE = No Flow-ReiisclRecycle; 1iNVW'rlfR No Visivaion — Adverse Weather., NOFLOW = No F'lowHOLIDAY - No Visitation -- Holiday NPDES PERM[% NO.. NCO057401 PERMIT VERSION: 4,0 PERMIT STATUS: Active FACILITY NAME: T" Hideaways WW"CP CLASS: W-1 COUNTY: Mecklenburg OWNER NAME: Go Go Properties LLC ORC: Gregory Alexander T rcmabetlo ORC CERT NUMBE", U 1005905 GRADE- Wye-2 ORC HAS CHANGED- No eDMR PERIOD: 12-2018 (December 2018) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS. Ccampli tnt C ONTA+CT I'"ONE #: 7049890165 SUBMISSION DATE. of /30/2Ot9 01/30/2019 Trombello E-Mail:gmetwaterCa,,yahoo.c:om Phone i#:704-989-0165 Date ORC/Certifier Signature; ere 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 front the time the permittee became aware of the circurnstances. A written submission shall also he provided within 5 days of the time the permitter becomes aware of the circumstances. If the facility is noncoanplia t, please attach a list of corrective actions being taken and a bane -table for improvements to be made as required by part 11,E,6 of tire NPDES permit. Perm ittee#Subn itter Signature:*** Cir'g Trombello E- Mai l,,gn"setwvaterta,yahoo.corn Phone ##,704-989-0165 Date: Permittee Address: 16104 York Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information. the: information submitted is, to the best of my knowledge and belief, true, accurate„ and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations: CERTIFIED LABORATORIES LAB NAME: Water Tech Labs Inc. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Gregory Trombello PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDFS Unit (919) 807-6300 or by visiting http://I)oti al.nedenrorg/web/wwgi''swp/ps/npdcsiforms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data * No Flow/Discharge From Site: Cheek this box if no discharge occurs and, a; 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 NC"AC 2B .0506(b)(2)(D). NPDES PERMIT NO: NCO057401 PERMIT VERSION: 4.0 PERMIT STATUS- Active I+ ACII.,WY:N E: The Hideaways W W'TP _.._ C"L<ASS. WW t RECEIVED COUNTY. Meckletibur C? ER NAME: Cio GO Properties L.LC' ORC • Gregory Ale:xande 'Frc}mbeflo ORC C'ERT NUMBER- 1005905 RAI'I�W-2 OIL(.r HAS CILANt,LII. NO A.tt eDMIt PERIOD: 11-2018 (November2018) VERSION: 1,2CEN ! RAL FILESSTATUS: Proccs ed � 7 r;ill,� SAMPLING LOCATION: EFFLUENT DISCHARGE NO.. 00t NO UIW 0, ..OFI CE x 50050 WoO 00400 3000" Ctf9ttl' C0610 C0540 31416 e o W h iYVFarth 1.31 Ys rek. 3 K ret.tlt}t htraYrYOig• 2. nt«itch 23y#tseYnth �,- � � `rs, tct�raititat,iv. C�ats t;iA?> ts`z,tb tint, Cc'xtsb fir�h Csob U r• CS '..^ ;% ri t)t� ...- #`0i#*-i: pif {.fir.tf#tt\F. Sirif- £'line VFi3-Pi-Guar � 'PIS4. Cone FG,i)i.l OR 240clock Hrs 24004mk firs j4VN m>~d - disc a tl�el mgil avll Yt1 1 #1100ml 3 1540 .33 Y" 0J)01 18 15 4 :1050 .25 ,Y lei 5 6i i '.09-10 .25 Y 0,001 20 7.5 is R"_ 174 IT 1 8 0 10 0930 : 25 :. y 23 13 14 f5 16'. "1120 O.iIC)t 1 s 12 i7 Its 14 0940 20 ,: 0950 .25 :y 0,001 r5 7.tt _'t? WA 15 1 21' 22I 23; 24 as 26 -0935 .16 y NOF .OW 25 2$:. 1255 A( y N)FLtlW 2v 114C± .10 ' y N.OFL.t7W M1inntb1y Average 1 hock 0,002 v.. 3{X 30 20 1'ihfli1k14'Y CF NgC. 0.001 1t•.5 t9.714286 9.3 t;m4 43 1:. IDaity Maxinrnnc: t).001 2() 7 9 2ti 10:4 11,74 5.5 Aka#1}etlninxtxnr; f).0d}l 15 7.> I' }*? I:T4 3.} (} ***NoReporting Reason: ENFRUSE=NoFlow-Reusc/Rc ycle; 1,N WTIIR NoVisitation --Adveme4teather, OFLOW-, No Flow, 1'1C?LWAY =NoVisit)ition- Holiday NPDES PERMIT" NO.: NCO057401 PERMIT VERSION: 4:0 PERMIT STATUS: Active FACILITY NAME: The Hideaways W TP CLASS: WW-1 OUNTY: , Lecklcnbur OWNER NAME: Go Cast Pmerdes LLB' ORC: Gregory Ale aender Tronibello ORC CERT NUMBER: 1005905 GRAD(i,*W W-2 ORC IIAS C IIANCwED: No eDMR PERIOD: 11-2018 (November 2019)VERSION- LO. STIATUS: Processed COMPLIANCE STATUS: Criinpliant CONTACT PtIONE. #. 7049990165 SUBMISSION DATE: 1213012018 .�� 12/30/2018 ORC/Certifier Signature, Greg Trombello - ail:grtetwater(iz?yahoo,co Phone :70-9b9-0165 Date By this signature, I certify that this report is accurate: and complete to the best oafuny knowledge, The pennittee shall report to the Director or the appropriate Regional 011 ice any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hour-, from the titre the; pe nnittee became aware of the circumstances: A written submission shall also b provided within 5 days of the time the permittee becomes aware of tile circumstances. If the facility is noncompliant, please attach a list of corrective actions acing taken and as tine -table h r improvements to be trade as required by part 11,E.6 of the NP )ES permit. i 12/30/2018 Permittee/Submitter Signature:*** Greg Trombcllo E-Mail:gavetwateig(4}yaahoo.cotn Phone; #:704-989-0165 Hate Permittee Address: 16104 York Rd Charlotte NC 28278 Permit Expiration Date- 06/30/2020 1 certify, under penalty of law, that this document and all attachments were prepared d 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 belie" trite, accurate, and complete. I am aware that there are significant penalties for submittim false information, including the possibility of fines and imprisonment for knowing violations, CERTIFIED LABORATORIES LAB NAME: Water Tech Labs Inc. CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Careg Tro nbell i PARAMETER CORES Parameter Code assistance may be obtained by calling the NPDE S Unit (919) 807-6300 or by visiting littp://portzal,nedenr.org/web/wq/swpfpslnpde.s/fortes. FOOTNOTES Use only units of measurement designated in the reporting facility's N 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: ** ORC on Site?. ORC must visit facility and document visitation of facility as, required per 15A NCAC '80' ,0204. *'** Signature ofP rmittee: If signed by other than the permittee, then delegation of the signatory authority merit be on file with the state per 15A NC:AC 2B .0 06(b)(2)(Lt). DIES PERMIT NO.: NC O057401 PERMIT VERSION: 4.0 PERMIT" STATUS: Active ' JL ITY NAME: The Hideaways Wth CLASS: WW-1 COUNTY: ! lcckIcnb-g INER NAME. Go Cite Propertics LLC ORC: C,rci cart' Ale..ndc:r l rombello ORC C RT NUMBER: 1005905 ADL?*. -2 ORC" HAS C HANIGEW No ✓IR PERtOD: 11-2018 (November 018) VERSION: l.ft STATUS: Processed Report Comments. During Week 5, days 11/25/18-12/1/I , it was observed t hat no tioty is week. NP PS PERMr l' O.: NCCO057401 PERMIT VERSION: 4.0 � PI RMI S iI � USs Active F�,. . r (`I s 'ri' NAM1t : LThe Hideaways WWTP C 1 SS: 4VW-I C OVNIA` kl�ck� enirulg _..,�.. OWNER NAME. Go Go P122211i s LLC" ORt . (;regoity ,,1lcxai3Ller "Iroirit,t IA � 2019 ORC C'ER f Nt 'k1B W 1005905 OVEDINCDENRf MIN GRADE. WW-2 ORC HAS CHANGED: No KAL FILES el)MR PERIOD. 10-2018 (October2018) VERSION- 10 �oWR SECTION ST All Ss d'i<>cc5s,d �t WOROS SAMPLING LOCATION: EFFLUENT DISCHARGE ARG.: 001 NO I I "IIA REGIONAL. OFFIC * 4iiai6 twal0 E fli 400 A0040 t f1MO & (Y€,tfi '� g � iVeeklv 'Gakly 2 X nsaetlr . X "t°cl. 2 X in ndtt \f ,ntW le ° X €r ,.iiti7 l ,tc.r7sfa ;._ Milan€ailer,aa Grab Gray t,aA t r ab Oat, Oat u FLOW t'N:N(!'.0 118 CHLORINE,01111»a not M1PIa\-€,rare �. t � i WWI BR...» 4Af}if C?�CCk Firs $3lii# CAxCR. ff. 4f61N Y4ittfi i1C ".ri I I( I .»...«....... 1410 42 1100 25 V 28 .02 Is 17 ,...». r �. �...........»..,...,. au 1200 25 Y 0001 26 �5 1 i 10 25 ttss5 a5 r €iota _ 24 rv{) 71 w. € ,... {.. ,.. 13 1630 25 Y .n 1135 25 V 0 ON 9 20 27 0 1140 21 Y tllaathl A era#r, 1". R.iMtY � Sit 30 € 00 t o�ti, nra.+a,asF�,: EE 1)4ntitai- € ' .� tiui-tin8 Rrtasori: PN�RUSJ =` � F7�w-Rr;id�afFt�cy°cis; FN\/V�7"NIZ ` N� �'is7lata<a€t �-Az3ti*¢. < t: �.�i1,4•t. `�t'ii�1=;}1S' � Nrr Fi7u_ t 3t.zt 1T).1°i 'ti7e, i i�siatai,n i 8,�1i�?;a,< \ 1,I)ES PERMIT NO.: NCO057401 PERMIT i`EFC!s[ON.- 4,0 PEE MIT Active 4-'ACILITY NAME: The Ilideaways WWTP CLASS'. WW-1 COUNTY: Weklenbtffi. OWNER NAME: Go Go Properties LLC ORC: 91-1292L'2A-le-22du1 —rr2'n"rL'2 ORC` CERTNUMBER: 1005905 GRADE: WW-2 OR(" HAS Ct1ANGEph No eDx1R PERIOD: 10-2018 (October2018) VERSION: 1,0 STAI VShocessed COMPLIANCESTATUS: Compliant CONTACT PHONE #. 7049890165 SUBMISSION DATL 11/30/201� ORC/Certifier Signature: 6 rtrg Trombello E- Mai 1:grnctsvater'ir) ahoo,coni Phone #:704-989-0165 By this signature, I certify that this report is accurate and complete to the best of npknowledge, 'I lie perynittee shall report to the Director or the appropriate Regional Office any noncompliance that potenflatt� threatens public health or the eras h-orinlent, Any information shall be provided orally within 24 hours frorn the time the permittec [vcarnc aware ofthe circumstances. A wrincii submission shall also be provided within 5 days ofthe time the pertnittee becomes aware ofthe circumstances, 1 I'the flacility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as reqt6red bN part 11, F,6 of DES permit. 11/30/2018 Perm ittee/S ubm itter Signature:*** Dreg rrombello E-Mail:gnictN%atter4i,vahoo,eain Phone 4:704-989-0165 Date Pennittee Address: 16104 York Rd Charlotte NC 28278 Permit I'Apiration Datc: 06i3012020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with as system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons rNho managed the system, or those persons directly responsible for gathering the information, the itil'ortriation submitted is, to the best of iny knowledge and befiel' true, accurate. and complete. I am laware that there are significant penalties for submitting lulse intbi'mation, including the possibility of fines and imprisonment f'61, knowing violations, CE,RTIFIFID LABORATORIFS LARNAME- Water Tech Laboratories CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Gregory Trombello PARAMETF'R (,'ODES Code assistance may be obtained by calling the NPDES Unit (919) 807-6,300 or by visiting h'00 INOTE'S Use only units oftneasurement designated in the reporting facility's NPDII',S pernin I'm, reporting data, * No Flow/Discharge From Site: Check this box if do discharge occurs and, as a result, there are no data to he entered liar, qH of the paranieters on the DMR f'or entire monitoring period. ORC on Sfte?: ORC must visit facility and document visitation of facility as required per I SA NCAC 86 0204, "" Signature of Permittee: Ifsigned by other than the permince, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D)= NP 'PERMIT NO.: NCO057401 PERMIT VERSION- 4.tl PERMIT STATUS: Active TACII IT1 NAME: The Flideaways WW iP CLASS. W-1 COUNTY: s Mecklenburg OWNER it NAME: Go Rio Properties LLC C1RC : Gregory, Aie 1n 1cr C rtimbc C1RC CI.I2'i" N(1 9BE � E31 (iERD GPADE WW_2 C)R " HAS CIIANCE1 s Pik -. eI)MR PERIOD: 09-2018 (September 2018) VERSION: 1,0 - i V STATUS: Processed OECTIOW WQROS IONAL OFFICE SAMPLING LOCATION: EFFLUENT WSCHARG NO.: OUl NO DISCHARGE,*.- NO MOM) MAIN 004M) iYmlo ".. C4310 CtX,TU - r OMO M616 � `' i4'eokdy.. LVeukiy2 X month 2 X week 2 X month Monthly 2 X month 2 X month cn $ Inatantatiecw Czrah Limb CCrtab :. Ckab Grab Grab Grab '. a< CtiT.CtRINF1 4CkD-C'ertix. N!l3-kV-Cone ;1'S`'4. Cone C"C"01A8R FY,ttW pit 240001.* It" 2400A" It. N't" ns8..d dCk;C sU nig"I enatl:. m8t1 (#100mt k(yt 6 V 1155 .25 Y 1— f1815 25 : Y 1 U OUI 28 .. 20 7 d wr gg x 9 9 fq iY at 1315 .33 Y 2:0 ' ' 1445 25' y Y.7 i1U1 30. 7 20 12 x.0 <25 <1 tJ E9 fu 17 1245 .33 Y 21.: to is .tY 2S 1145 .33 Y I 1001 : 27 '20 32 1155 .33 Y 1 23 1 -�* 1040 '25 Y 0,001 .. 27. 77 24:. 7 5 3.6 < 1 27 2fi 24 30 Monelik Arr..V 13.1: II.UO2 38 30 It* Mo."Axcrias: 0001 28 85 375 GG ". 1.8 �t� 00W 3t} 77 24 7 5 0 3.b Dait<• Minimum: 0001 27 7 0 0 0 0 0 ° **** No Reporting Reason: ENFRUSE = No Flow-RetsselRecycle; ENV%5 THR = No Visiunio t -- Adverse Weather, NOFLOW .. No Flow: HOLIDAY w: No Visitation Holiday A NPI)�S PERMIT NO.: NCO057401 PERMIT VERSION. 4.0 PERMIT STATUS-. Active FAC.` LTTY° NAME: The Hideaways WWTP CLASS. W W-1 COUNTY: Mecklenburg OWNER NAME. C a Go Preaperties LLC t RC. Gregory Alexander Trornbelto CTRC C.ERT NUMBER: 1005905 GRADE: -2 C)RC HAS CHANGED. ED. No eDMR PERIOD.09-2018 (September 2018) VERSION: 1,0 STATUS: processed COMPLIANCE STATUS: C omplr`ant CONTACT PHONE #: 7049890165 St1RMISSION DATE: 10I3012018 10/30/2018 z'iCertifier Signature: Lire` Trombello E-Mail:Snietwater ir,,,yai ot),corrm Phone #:704-989-0165 Bale 1y this signature, I certify that this report is accurate: and complete to the beast 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 front 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. ,6 a the NPDS permit. 10/30/20, Permittee/Submitter Signature:*** CarTrombello; E-Mail:gmetwatc:r(cryahoca,eom Phone /€:704- 89-OIEr Date. Permittee Address. 16104 York. Rd Charlotte NC: 28278 Permit Expiration Date: 06/30/2020 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 personas who managed the ;system, or those persons directly responsible for gathering the information, the information submitted is, to the best of m knowledge and belief, true, accurate and complete. I am aware that there are significant penalties for submitting false information., including the possibility of Dries and imprisonment for v i ng violations. CEktTIFI ,D LABORATORIES LAB NAME: Water Tech Laboratories- CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES. Gregory Trombeflo PARAME` E'R CODES Parameter Code assistance may be obtained by calling the NPIIES Unit (919) 807- 300 or by visiting http:,I/portal.nedenr.org/xveb/Nvq/swp/ps/npdes/forms, FOOT"NC) l ES 11se only units of measurement designated in the reporting lacihty`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 DMl2 for entire monitoring period. * ORC on "Situ C)RC must visit facility and document visitation of facility as required per 15A NC°AC 8G VIM. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority inust be on file with the: state per 15A NCAC 2H 0506(b)(2)(D)< NPI)ES ARMIT NO.- NCO057401 PERMIT VLRSIC)N. 4,0 PERMIT S`17AT11S: Active EACI'",Y NAME: The Hideaways WWTP CLASS- -1 � x � �, COUNTY: Mecklenburg t, OWNER NAME: Go GoProperties LLC ORCw: C3regory Alexan Icr Trornbello C)RC CERT NUMBER: 100 ,, � ` a�' 018 GRADE: W- CIRC 14AS CHANGED. No, �, e �- eDMR PERIOD!: 08-2018 (August 2018j VERSION: L0 ice [; ` i KAL FILES STATUS: Processed E OORESVUE, RfMIONAL OFFICE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO Weekly �.. 3 X rtranih " \ week 2 X tttexttt#i Mt3nebEp < X martth 2 X moth ° u lnstantao-m, Grab drab iirab C1rab Gkab; .Gran jrab rtctw lES (!'.8" p€6 fti[.C1RiNlc :. HttT}-Coac hFi3.N-t"uam 'TS;S-C:nasr E'COLt Hl2 t 240 ebek Ifin: 2400 vbwk: Fin Y/wN mv;e1 c#etc :;u ttyl} tns;;l#tAromf z2 3 1300 ,21 Y 0,001 22 26 6 x 1230 25 ... Y `. a 9 1025 33 Y 0,001 29 83 .: 20 265 L92 108 c ! l to 1a 12 as 1130 '25 Y 28.. 22 r' 1515 -25 Y 001 20 is 1� 20 21 1030 33 :.. Y 29 75 <. 20 5 A , 2 5 1 02 24 1605 '33 Y O 011 { 20 a4 2e z6 2 28 1145 33 Y 29 41 1355 .25 Y 0.001 39 20 M-thil Ate W Utai ; tool 0 : 34 2" M.rdhhA—W., (001 28.2 7555, 6 t5'd5 1,93 SA 1 " D.ity m1rom— 0.of) 1 22 7S Q 5A: 193 10 O * No ReportingReason: ENFRUSE = No Flaw-Rcuselftecycle, ENVW TFIR No Visnitior2 adverse Weather. NOFL.CtW No Flaw; HOLIDAY - No Visitation - Ilofidary NP DES ARMIT NO.: NCO057401 PERMIT VERSION: 4.() PERMIT STATUS Active " 'Will V NAMB: The Hideaways WWTP CLAMS: WW-I COUNTY- Mecklenburg . E :NAME: GoGo Properties LLC.' ORC- Gregory AlexanderTrombeflo ORC C;ERT NUMBER: 1005905 GRADE: WW-2 ORC RAS CIIANGETD: No e Di4'TT2 PERIOD: 08-2018 (August 2018) VERSION: ID STATUS: Processed COMPLIANCE STATUS: Compliant CONTACTPHONE #: 7049890165 SUBMISSION DATE: 09/30/2018 09/30/2018 ORC/Certifier Signature: Greg rombello E- Mai l:gmetwater(r?yahoo.eo'm Phone 4:704-989-0165 Nate 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 permitter became aware of the circumstances. A written submission shall also be provided within 5;days of the time the permttee 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 11,E,6 of the N PDES permit. 17 (17 09/30/2018 ,c�'mittee/Submitter Signature:*** G g Trombello E-Mail: gmetwater(it,yahoo com Rhone 4:704- 89-01 55 Date Permittee Address: 16104 fork RdCharlotte NC 28278 Permit Expiration Date: 06/ 30/2020 1 certify, under penalty of law, than 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 inforration, including the possibility of fines and imprisonment fkn knowing' violations. CE;R1'IFIED LABORATORIES LAB NAME. Water Tech Laboratories' CERTIFIED LAB #: 50 PERSON(-,) COLLECTING SAMPLES: Gregory Trombello PARAMETER COD'S parameter Cade assistance may be obtained by calling the NP TES t Init (9I9) 807-6300 or by visiting http // portal,ncdennr.oi+g/web/� q/swpp/pslripdes/forms. FOOTNOTES # we only units of measurement designated in the reporting facility's Nl'DFS 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 ofthe parameters on the DMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation oft4cility as required per 15A NCAC" 86 VO4 *** Signature of Permitteei 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). P�VERMITNO., ACILITY NAME. Th NCO057401 PERMIT VERSION: 4,0 PERMIT STATUS: ATUS: !active e H1rleaways WWTP CLASSWW-1 COUNTY, Mecklenburg OWNER NAME. Go Go Properties LLC ORC : Dustin Kyle Metrey eon ORC' f'UR NUMIIE.R: 11697 f.RADE. WW-4. ORC IiAS ('IIANCJ:D. NO RFF C :1 ,D/NC1)El��(�1!("� 1"f et)MR PERIOD: 07-20I8 (July 2018) VERSION: 2.0 STATICS: Processed a: SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO WQF40S a �e 50,% OWD) 00400 '1406fiI . C 4't).}FO f"tk'.YO t'tk330 3t6i6 n 4kC I }C F11{4i1t1! a. �. d15 ? X nxwnill Mc7I1f111y 2 i month X 3tit}tlili 8 ' 1ns.Lanwenus (crate (`lrah trrab Ci.ah Grab Grab Grab FLOW21:.atF".l pYi 4llL.ttRtNti : ROD -Cnnc NIL#•tV"Conn 't"CS-t"ane FC()Gi BR 2400 awk Iles : 2400 clack Nrs YIWN tnp;c3 c sr3 rY0°F Lnpy1 n7�.=`7 l s 1525 10 Y NOFLOW 6 1140 66 .. Y NOFLOW k 4 iu 1105 '10 Y NOFLOW 18 13 1200 i0 Y NOFLOW it _. is 1130 10 Y NOFLOW :: pk R SE 2u 1300 #,0,"NOFLOIV 22 :: 020 23 1 1200 a 1020 .33 Y 26 82 20 367 47 77 27 CF 001 31 M-tki2 A-9. lJoRt: 4012 ... 30 200 tY,7 Monthpp A, a .0! 0 001 26 U... � 47 :7 7 1 y ilaiN Madmatrex A 001 26. 82 0 3(7 3..7 77 0 DA., M»slntum: 4$@# No Reporting R '$.won: ENFRUSE = No Flow-Rcusd'Recycle� ENVWTlilt No Visitation Adi erne "'eat1 crC NOFLOW Noflowe HOt. DA) No Visitation ^ Holiday FPERMIT O.. NCO057401 PERMIT VERSION. 4 0 PERMIT STATES: Active FAC ITY NAME. The Efi eaways W W"r " C I.Ass; WXV COUNTY. NTY. Mecklenburg OWNER NAME: Go Go Properties LL+C ORt : Dustm KN is 10cire),con ORC" CERT NUMBER: 11697 GRADE: W -4. ORCIIAS C:,DAN(` ED: No eDMR PERIOD: 07-2018 (July 2018) VERSION: 10 STATUS- Processed COMPLIANCE, US: Comph CONTACT PHONE #. 704989016i SUBMISSION DATE: 09/17/2018 09t l 7/2018 ORC/ 'er,t"ifs r 'sigma, e: Dusty lc Metreyco" L- Mail: duietwater4iiaoI,corn Phone :704- 06-4 55 bate By this signature I certify that this report is accurate and complete tea the best ofmy knowledge. The permittee shall report to the Director or the approprulic PegitmaI Oft any ,ncarn.ompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours froin the fnnie the perinnttee became aware: of the circumstances. A written submission shall also be provided within 5 days of the time the; pert iinc:e becomes aware of Die circumstances: If the facility is noncompliant, please ttach a list ofcorrectivve actions being taken and a time -table for improvements to be: made as required by part II.E.6 of the NPDES permit. �.. 09/17/2018 Perm ittee/SubmitterSi eat e:*** usty F:yle M reveon I Mai l dmetwater�riaill.com Phone #:704-506-4255 Date Per ittee Address: 16104 Yo s Charlotte NC 8274 Pcrmrt F.xpir<ation Date: 06/30f2020 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. Btewd ore in) inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information„ tine 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 dines and imprisonment for knowing violations: C"1i12I`IFIED LABORATORIl'. t LAB NAME. Water Tech Laboratories CERTIFIED LAB #. 50 PERSON(s) COLLECTING SAMPLES- Greg:'l rombellir Parameter Code assistance may be obtained by calling the NPIyES 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 NfIDE'S permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs aod, as a result, thereare no data to be entered for all of the partuneters on the DMR for entire monitoring period. ** ORC on Site`): ORC must visit facility and document visitation of facility° as required per 15A NCAC tics .0204. *** Signature of Pe ittee: If signed by other than the permittee, then delegation of tic: signatory authority must be on file with the state per 15A NC AC" 2B .0506(b)(2)() VPF-RMtT,: NC0057401 PFRMl` VERSION: 4.0 PERMIT STATUS Active ACILITY NAME. The Hideaways WWTP CLASS: WW-1 COt NFY. Mecklenburg �WNJKRNAMIE: Go Go Properties LLC ORC: Dustin K, le tWocve n ORC C"ERT NUMBER. 11697 RADEt WW-4. '+ ORC HAS CHANGE..). No 7MIR PERIOD:07-2018 (July 2018) VERSION: 2,0 STATUS; Processed eport Comments; BC drum and motor for RBC were installed on 07/06/201 . RBC° drum collected biomass until Sunday 7/22/18, System began discharging effluent on Sunday 7/22/18, First sample was collected Wednesday 7/25/18. C'1iETTLUENT MO1"w W ORos 1 CIE PERMIT O. O057 01 t.IY C HA1C & nit O. 001 MONTHJanuary6 C S' 1 t Ak e CERTIFIED imoRATolty (,j) Water Tech Labs CLASS I COINTY Mecklenhurg (list additional laboratories on tilt backside/page 2 of This ii1n1t3 So OP OR N POINSI L CHAR L OftC I t ustias ;t1 te,ze r#a is=3CADE WW-4 (,,T- '1%.1CA'J0N 0. 1169 PERSONS) COLLECTING MP 1�r� Ciro tetr����,r# Ct1C `%'11Ci 3-° � Ci 7-k 1 CHUCK Id i C IkA C ii NO FLOW 1 DISC;:ILAA(�E FROM SITE � Mail ORIGINAL d ONE COPY Icy; DWISION OF WATER QWvLFrV 5,7.2018 MmA 1617 III. URVICE 1TIIIi x A I 4t yj—VI i�d , d+# xr s N 9r" 11IS S1 ", Ilk b R ,. F>F F jrri 'v F11 " '#jv,; pvp(jR r #fi A('6� AND I t1�1E1E F TF vcw rut, 13EN!' O N14' Ff,NOC VT JWC.F . g � w �1ON a.,. 1m tow CaRLd for Pom Natal low It VAS No floiv Cst%i ,%ar I'Wrr a �°lstal30 t MINIMUM a%k fl. 39145 #i#te3elei} BUlafl Facility Status. (Please check one 4 All monitoring data and sampling frequencies (including weekly averages, if All monitoring data and sampling frequencies do t The permittee shall report to the Director or the appropriate Regional I threatens public health or the environment. Any information shall be T perm ittee became aware of the circumstances. A written submission sl permittee becomes aware of the circumstances. This plant is operating on a pump and haul basis until further notice. 1g) equirements 7 type) Certified Laboratory (2) KACE Environmental, Inc Certification No. 5424 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) 733-5083 or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the unit's information pages. Use only units oTm;easurernent 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 DM R for the entire monitoring period. ORCOnSite?: ORC must visit facility and document visitation of facility as required per 15ANCAC 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 ZB .0506(b)(2)(D). Page 2 [T NGk. NCOt757401 PERMIT VERSION. 4.O PERMIT STATUS: Active NAME;'T'hetiirleaways AlWTP FNWV�NERNviE: CUASS: W -1 w, UNT` : Me.klenbE-9 Go C3o Properties LLC RC: Dustin Kyle Metre eon OR CERT' NUMBER: 11E9'7 1 GRADE: WW-4, ORC HAS CHANGED. No � e€ MR PERIOD: 11-2017 (November2017) VERSrTON. 1 U �� ` $ k � � � STATUS: Processed vocowvv�-nw PROCESSING UNIT - SAMPLING LOCATION: EFFLUENT DIS HARD NO.: 001 O DIS HARGE*: NO KkWO kNl RO ". 1*40 ;S(?Yw C0316 i70610 COSX) 31616 5 A �. c'�L !2t I X ix 2 X —h ontist 2 N -O-th ix month va Inslankmnuous Grah —month Grab Grab Gmh carats G mb crab G i3 4 FLOW Tfimp-C FLL CHLORINE Hol)-Cone NW-.N_C— Us^Coot FCpL.11tkk ?,4000.k R. 24Mclack on VIViN rn ri. deg c su URA men mull uINI Afloftl 1.. 1040 025 Y NOFLi}w... . 3- 16 2 0.25 Y NOFL.OW 4.. 6: 1520 q.2S " Y NOFLt)W X. v 1622 0.15 ":y NOFLC2l4r.. to 0822 q.15 y Norl.t7St'' it !s is 15m). 0,15 B NC?t•7.OW 16 17 1520 (1.15 k" Norl okV.. tv 21 1750 01:5 8 NOPLOW 21 az 23 21 :2ss5 021 Y Nt111,1111 ar: xx 2 1730 . i115 n CiFi:OW moothty A-rw Uwe %02 1) 30 20 Ain»khts Arerr: pairs lonimum. pasta NfWmum'. *" No Reporting Reason: ENFRUSE = No glow-Reuse/Recycle, EM7WrffR= o Visitation —Adverse Weather, NOFi:OW - No Flops; HOLIDAY No Visitation - Holrtiky NC0057401 t, 1ASS: sk kk ° I poleerties U.0 ORC: Dustin kyle M,,,ueVon ORCIIAS CIUMAA)- No 7 (November 2017) VERSION: 1 o is: CLO-Mpllanl C'ONTACF)"I ION F' 1: 8M6,571810 PE,RMITSTATUS: Active "q1q COUNTY: LIC-1-kienhurs OIrCCFRT NUMBER: 11697 STATUS: Processed SUBMISSION DATE: 12119/2017 V 11 e 12/19/2017 0 R C I C, r i i e r S i g n a t it re: tt a e he c I Uf K ra ui 1, - % I a i u, it a e l 4 k a c c i n c-, c o lit 11 It o n c it - 8 28 - 6 5 7 - 18 10 Date By this signature, I certify that this report is accurate and completo to the best to my knowledge The peritrittee shall report to the Director or the appropriate Regiowd (it fice tm', that pownfially threatens public health or the environment. Any information shall be provided orally within 24 hours from the link 0ic penoitreu, became av4krre of" the circumstances. A written submission shall also be provided within 5 days of the time the perinittec becomes a%Narc of'trie eirctmistanee,;, If the facility is noncompliant, please attach a list of corrookc actionz, heing takon and it time;-lable hir improvements to be made as required by part H.E.6 of the NPDES permit, 12/1912017 —41S , bit i t te r 1, i g liatu ,i in t: It, c 1, Permit litter Signatu hacl 0 Klame 0:1ach,( it , cciric.vorn Phone #*828-657-1810 Date "11 1 �11 I I,, � v 11 in p Perm ittee Address: 16104 York Rd CharloncNC28278 Permit 1'. \vitil i(m Datcr 06`30!2, 20 it I cattilyunder penalty of hov, that this document and all attschnicut;eis4 etc preparcd under my dircetion or supervision in accordance with a system designed system, car those persons directly responsible for gadicringt (lie inl4mation. thew 416ormalion submitted is, to the best ofiny knowledgge and belieC true. accurate, and complete. I uni aware that there are significant pkmalties lifr�tjbrnittillll fial::c illfibrillation. including (lie Possibility of fines and imprisonment for knowing violations, CHUIVII'D LABORA,H)RIl-'s LAB NAME- Watertech Labs; KACE Environmental, hic, CERTIFIED LAD #-, 50, 5424 PERSON(s) COLLECTING SAMPLES- I)ustm Merrelveon VARAMI, Wk ('001,.S Parameter Code assistance may be obtained bx calling (lie NVDFS Unit (9191807-o.100 or by'visiting littli:/ipoilai.nedetir,org/\keb/wq�/swp/psinpdes/fortns. 1`001 NOI E�S Use only units oftneasurement designated in the rep dingy fa ciliti,'s NPDF'; perniit 16r ieporting dahl, No Floos'Discharge From Site: Clieck this bo-,,z if no discharge octmrs tArid, a. at resuiL there are no data to be cntctvd for all ofthe parameters on the, DMR for entire monitoring period. ORC on Site?: ORC must visit facility and docurnent visitation tiffibeitily as required per 15A NCAC 8G M204, Signature of Permitter.: Irsigned by other than the permitter. then dele"tioll ofthe Signatory aothorit-, most be on the with the state pet, 15A NCAC 2B .0506(b)(2)(D), ITT NO.: NCO057401 PERMIT VERSJON- 4.0 PERiti9IT ST TUS: Active TY NAME: The Hideaways �"�' SS GV -1 COUNTY. Mecklenburg, lenbur NASVIE. tzo Cc Properties LLC RCz iusiizz yte tw4ztreyetan C?RC CERT IiiVII3ERs 1i6? PWN,t,,R -4. #JRt; S CHANGED: No eTlMR PERIOD: i i-20i i (November 2017) VERSION: 1,0 STATUS-. Processed Report Comments This ianf is sa erazB on znzrsp and hanl ants"1 further netiice. The rat ttzn ct stcr ed ivcr} ink.Owner is aware, NCO057401 PERMT VERSION: 4.O PEMIT STATUS, Active Hideaways 4V 4V i +CLASS. tVVJ-1 r �" "TY. ecklenbur� OWNER 1V IE.:C;o GoPrtaperties e t, e ' LLC ARC: I7uscin Kyle Metrcyecln ARC C WI` NCU4Y B ER: 11697 C> WAY'-4. ARC HAS CIIANf;IEI). No � ' eDMR PERIOD: I I-2017 (October 2017) VERSION: 1.t} 'ETA TUS. Processed SAMPLING LOCATION: EFFLUENT DISCHARGE O.: 001 NO DISCHARGE*: NO "050 00010 MOO SOO50 f:d}iil7 C061t) C.'f151G 31616 e X lnaoth 2' X week 2 X month Monthly 2 X month 2 X month IMIT:OVA.. ACII.TTY NAM1E. 7 -' In anlineous rsb Clrab L mb Laub Grab iirtb Cirirb ^ °. FLOW TENMC pit CHLORRIX Ron -Cuac ti!€3-\-£:mse 'Ms -C".- F00111 OR 2.ip4 0d, Hrs 240 Oodc Hrs YMN na d degc +,u it¢11 rn r1 Ptt 1 M 1 #'I(Nitrrl 1 1600 11.25 Y NOFLO4V 3 a 0930 0.25 B NOPLO 8 0 as 030 0,25 Y NOFLOW 16 16 1120 025 X NOFLOW P 2 n3C 0.25 Y M 1030 0,23 Y '.NOFLOW zt sx 23 11150 o.zs v rttirLOW 24 fk$')a Cl.2S 8 NOF LOW 2s 1100 015 v OPLOU 6 30 tt22 i7.2S Y �NOKOAI JS 51un1})}' tXrernOe 1.dmd1. 0.002 3p 30 xUii Pvtnnt0lr �4rcrages ilaih^S4azimum: * ** No Reporting Reason; ENFRUSE - No Flow-ReusetR.ecycle, ENVWTHR- No Visitation ,... Adverse Weather; NOFLOW - No Farm; HOLIDAY = No Visitation Holiday NPDES PERMITNO,: NCO057401 pt"WAIII'VERS10 ''lo PERIND'I'STATUS. Active FACILITY NAME. The flideawilys ICLASS- WW-1 COUNTN% OWNER NAME: Go Go OW": Ptv,,�n K-, L, 22 olio LLC ORCCERTNUMBER- 11697 GRADE: WW-4. ORC HAS (11ANGVDw LDMR PERIOD: 10-210 L7 (Octebc, 20LI) VERSION- t.o STATUS. Processed _ --- -- COM PLIA NCE , SI'ATUS: Coniphant CONTACT PDO'NI, #'-31V61810 SUIPOISSION DATE: 1 U-17/2017 11/27/2017 ORC/C —Emer Phone #:829-657-1810 Date rti f et 9,gnature: Ra c h a c, I G a By this signature, I certify that this report is accurate and uovljlklf< W be rot r'nr' Knwo lt'dLw The pennittee shall report to the Director or the. appropriate Regioll,11 Offijcc jjj)� 11,011coinpliance that polentiall y threatens public health or the envirotunent, Any information shall be provided orally within 24 hours born the time the rennitwe bccunrei'mare of the circumstances. A written submission shall also be provided within 5 days of the time the pernottee becomes awarc o fhe If the facility is noncompliant, please attach a list jit-jimls, b'Jilk" ial'clr itod a limc-fable for improvonents to be made as required by part H.E.6 of the NPDESp. uc 11/27/2017 Per tt -/So s ter Signature."" achael 0 kranwr E- I il i i chaehii,kaceiri coin Phone #-828-657-1810 Date p ;i itte A ress., 16104 York Rd Charlotte NC 2827k Permit l.xpjr �()20 I certify, under penalty of law, that this docurnentand all yll,cT,1, PT','rnvd ondtn- w', dince"on or stipervision m accordance with a system designed to assure that qualified personnel property gather and cvaluatc the Bwwd on my inquiry of -the person or persons who managed the systern, or those persons directly responsible for gathering the informati0l, 111C H1101'1110601 SUbllliftd is. to the hest ofmy knowledgw and belief, true, accurate, and complete. I am aware that there are significant penfotwY for 4;'uhnwlina ?'Ok'e infomiation, including the possibility of fines and imprisonment for knowing violations, 1 (0111 l IN!"I" LABNAME, Watertech Labs; KA(.1i Environmental, hlk, CERTIFIED LAB #: 50, 5424 PERSON(s) COLLECTING SAMPLES: D 21LI", —tviell-cyc"n Parameter Code assistance may be obtained by calling the NTTIDEtjaijf o)19g(t--,,)300 or h.k ejsjtjng litti):"",pL)rtal.iicdetir.org/web/xvq/swp/ps/npdes/fonii& 100TNQ'! LS Use only units of measurement designated in the reporting NPIA"S pormit for tcponiny data, No Flow/Discharge From Site: Check this box if no discharge, uc,,urs sand, a'sa iesuh, 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 e isitatt;ara rat fat, i il it', i:,r,,,.qt6redp,-n 15AMAC' 8G,0204, *** QN—f— L- -1-. .1-- - - '. I e x" I I ,0506(b)(2)(D), nnnmpppp� V PRI f NC).. NC'0057401 PERMIT VERSION.4A PERMIT STATUS. Active ACILi1['Y NAME. Elie hideaways WWTP CLASS: W -1 COUNTY: t45eckkenburg OWNER NAME: t o GO properties LLG ORC. Cdustin Kyle Met- .. ORC CERT NiJMBEI2. 11697 GRADE: -4.O RC HAS CHANGED: No eilMR PERIOD; O--2017 (October2017) VERSION: 1.t STATUS: Processed Report Comments: The rotating drum stopped working. Owner has been notified. The plant is o crating on a u and beak basis unfit further no Lice: ~3 ' !Nl-kly X month X week I X month 'M�� IX month IX —nlh 18 In zi ,14 25 26 L29 L 030 0.25 LLi 13 NOFLOW 30 No Reporting Reasom rNFRUSE = No Flow-Rcuse/Rmycle, ENVWFHR No Visitation -- Polverse Weathcr, NOFLOUI No Flow� HOLIDAY = No Visitation -- Holidav r Ft P"ES PERMIT IT. NCO057401 PERAN H'I'VERSIO. 4PER A) MIT STATUS: Active ACILITY NAME: The Hideaways AMITP CLASS. `eA'- I COUNTY. OWNER NAME. (,xo Go P ORC's DwTir ORC` CVK'J'NUM8CR- 11697 GRADE: WW-4, ORCHAS eVMR PERIOD: N'ERSION: Lo STATUS: Processed COMPLIANCE US: Non-Cont iant CONTACT PIJONVIfr 828657 181(t SUBMISSION DIVIT. L10017,'27,' _2 2 10/27/2017 tRCf ertifi ignatur Rachael G Krnmci Iaceinc'c In PI onne #:828-657-1810 Date PI e 8 28 By this signature, I certify that this report is accurate and cornpicle to the bv,,,t itf mly 1,11o"'(ettge The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment Any infian-nation shall be provided orally tvitbin 24 houis fron) the unit the permitice became aivare oft circumstances. A written submission shall also ire provided within 5 days of the time the pernottee beconwN em me 4the citcuntstawcs. If the facility is noncompliant, please attach hm of corroelvv iwfions§ ht-mg rkxktni and a fitne-lable for inn'troventents to be n-tade as requiredby part II.E.6 of the NPDES permit, 10/27/2017 Perntitte brat Signa r Rach el to Krainer 1--Alail.racha rci,kaceinc,t�o i P one #.-828-657-1810 Date Permittee dress. 1 04 York Rd Charlotte NC 2 78 Permil E\pirawm Doteof 09" 2)20 I certify, der a4 of law, that this document and all wer", P.Telm;e'd under ni) Ifirection or super\ ision in accordance with a system designed toassure t t qualified personnel property gather and cvaluate the information stibmitlet,f Based (in my inquiry ofthe person or persons who managed the system, or those persons directly responsible for gathering the mformafionthe in f ormat kin submitted is, to the best of my know ledge and belief, true, accurate, and complete, I am aware that there, are significaw juca;ftc'; For .'.a.rlirniiiinp 1'.also information. including the possibility of fines and imprisonment for knowing violations, (A"PTIT 11-1) LAW")RATORILS IA R NA IVIVVfwa,fAh I nh.c k' A rVV-4---m I hu, CERTIFIED LAS #.- 30; 5424 PERSONo;) COLLECTING SAMPLES: Dustin Metreveon I'AbAkil', 11'p, ( ODES Parameter Code assistance may be obtained by calling the NWDES Unit t9i 9) sl(t 7-6300 or by ViSiting III 1p;!;P()Ttal . ticdenr,(irg,�webiwq,,'Swptps,/npdes/forms, V0O'f NOTES Use only units of measurement designated in the reporting Facility's NPDPj pen ail fim repotting data. * No Flinv/Discharge From Site: Check this box if no dischartIc occurs and, a. ' at f'osult, flicre lire no data to be entered for all oftlic parameters on the DMR for entire monitoring period. ORC on Site?: OR C must visit facility and document wisitafion of facility as ivqurred per 15A N('A(,'8cj 0204, Signature of Permittee: If signed by other than the pernottec, then delegation of the signatory authority mus , t be on file with the state per I SA NCAC 2B ,0506(b)(2)(D). EMPFF, P RM[T Nay,: NCO057401 PERMIT VERSION. 4.0 PE CT" STATUS: Active FACiLiTV NAME. The Hideaways WWTP CLASS: -1 COUNTY: Meeklenburg OWNER NAME, Go Flo Properties LLC ORC. Dustin Kyle Metreyeon ORC CERT NUMBER: 11697 GRADE: WW-4. ORC HAS CHANGED: No eDMR PERIOD: 09- 017 (Septexxber 2017) VERSION: 1.0 STATUS: Processed ReportComments: - The rotating drurn stopped working. Owner has been notified. Plant is on purap & haul until further notice. IT NO.: NC0057401 PERMIT VERSION- 4.0 PERMIT STATUS: Active V0VWNER NAME. The Hideaways W TP CLASS: WW-1 - � » � COUNTY: Mecklenburg AMEt Go Go Properties GLf C1RCs lltrti❑ kyle Metre ye#?n t1RC CER I" NUMBER, 11697 0 V 0j; t. GRADE. W-4, ORC HAS CHANGED: No l =N t AL tE ILSTATUS: Processed i UMR PERI{)D°� VERSION: 1:(1 .� SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO D1S HAR.G : NO 50050 0"10 00400 StiYNiO C 0310 C: CO C05% 31616 � � a m u ca:kty Wockly 2 X month ? X wc`uk 2 X month Ntvnchl k naatnth 2 -Onth w Instantaneous Grab Grab Ux3th Cmah Crab Citab Ca`t0b FLOW TEMP-C* CHLOWNE 000-Coat NH3•N-Cane 7`S.4-Cant Mot OR p1# I 2400 t€mk on 2400 elatk on Y/WN' ingd deg a au un l nt 1 EEL— to ! #11 11m1 1 2 : 0930 0.25 Y 28 8.2 ."i.N.. 17 2 : 8:55 5.7 260 3 4 0933 0.25 Y (Loot 20 ti 7 0 0930 O25 Y 0,001 30 .2t) 10 li 1450 0.25 Y bran 30 <20 12 sa 4 5 Ia 0942 0.25 IY 29 7.7 < 20 41A 15 <'2 1 t8 0950 015 Y 10.001 2+9 <20 21 28 2,2 : 0920 0,25 1 Y 30 120 24 25 0810 015 ..... Y 0.001 0 20. :28 29 0930 0.25 Y' 0001. 30 <20 30 it MaatOty M rake Limes: 0.002 ". 30 30 i00 .. Maathly al—ge. o.001. 29,428571 3.111711 29.5 8.55 10.35 l6,124516 ou0y 4Saalatnm: o.001 :30 9.2 28 41 N 8.55 15 260 Daily Miah nuaa; o of 28 7:7 0 17.2 1835 5.7 0 **** No Reporting Reason. L:NFRUSE = No Flow-Reuse(Recycie; ENVV WTHR = No Visitation -Adverse Weather; NOFLOW = No Flow; 110LIDAY = No Visitation - Holiday FPPi MIT i�i— NC00 74t)1 PERMIT vt"ttSIO-N: 4a ,t Pt�:#iNIFF N"A'i US. Active OAWNEIR LTY A P:The I�itieatma s V°4t�T`P CLASS: r:�ia�.1 CCr!�"L�':htecktenhtar I IAlYt Cin Cram Pr t roes LLC C)ttC'; C irstin tale tttk�ra t)LEC" C: Ii t" SIUhLLi6s1Lc 11697 tomRPERIODVVI(SKY's-t.ti - STATUS: Processed C#iiLPLIAN ATUSr Co tit C"t)NIA(:"U P110N #t 91861s*ist0 StiBNOSSI b^3`Dr TE, 10110,127017 10/10/2017 0 er Fier nature. Rach<a a @�r£rme � aikratc;ha, {cr°kcaccinc: i nt P tone _C�7-lfi1C} i>�t By this signature, i certify that this report is accurate and complete to the best of tray knowledge, The permittee shall report to the Director or the appropriate Regional Olfma,c ears rr tac°carl't1a?,tratt e that potentially threatens public health or the environment, Any information shad be provided orally within 24 hours frerrn the brae the Entire€tic becatne artnre of the circutnstatnces. A written submission shall also be Provided within 5 days ofthe time the Permittee becomes aaac arc of ltc_ eirt-ItTiv wlic°e" . If the facility is none Isl ant, please attach a fist gat-Corrccratac "'wtio'ns behig; laken and a tiratcr«table For improvements to be made as required by hart II.F,6 o the NPD S it. 1011012017 P r `e?Su titter^ .,igna�ture.*a* Paaznel fc Kraincr f.MaiLra bacW`kaccine,co It tie :828-657-1810 Irate Pe it e Add s ; 16104" Rd C'harlcattc NC" '278 Permit C lairation Dare: 06, 3Ca.2Ct2t) 1 certify;"I er Penalty of law, that this document andall attachments were lrrr l'irned under race direction or supervision in accordance with a system designed to assure that qualified personnel Property gather and "ev akunic tltc .Based can nayx inquiry, ofthe person or persons who ntana ed the system, or Haase persons directly responsible for gatho inn the incorni ation, the is. tea the best ofmy knowledge and belief, true, accurate, and complete. I arn aware that there an., signific°aaut lac°ttahws Cor sutrwning lzrlse inforniattion, including the possibility of fines and imprisonment for knowing violations. CERTIFIED 1,AB0RAT0RlfS LAB NAMEWatertech Labs, KAC E Environmental, Inc. CERTIFIED LAB #: W 5424 PERSON(s) COLLECTING "IN MPLES� Drist n tstcnvr 2rar PAR Mt11 P CODES Parameter Code assistance may be obtained by, calling the faf"1" ES Unit (91o) w)7 (.7tyt) or by visiting http",!,Iportal.tiedenr.eargr' eb/ wq/s ifas tipdealfonns. r{at TN11'tilIwo Use only units of measurement designated in for reporting. la€ ilitc's N111 1;S lierniit Iiar rc�jy rrtsaag daatra. No Flow/Discharge From Site: Check this box if ttaa &,chaNc oc ors and, as az result, there are no data to be: entered for all ofthe parameters on the DMR for entire monitoring period, ORC on Site?: C>SC racist visit facility and document visitation of firc°iHty as requir-eet per 15A WAC" ftf i ,0204, Signature of ertrtittee, lf'signied by either than the perruipcae, theca delegation of the sigicomy authoroy must be can file with the state Per 15A NCAC .0506(b)( )( ): NPOES PERMIT NO.: NCO0574 1 PERMIT VERSION: 4.0 PERMIT STATUS. Active FACILITY NAME: The E[i eFi a W P CLASS.WW-I COUNTY: Mecklenburg OWNER NAME-. Go Go Ptoperties L C OR(,- T3tisiin E le etreyein OR+C CERT NUMB ERs�� �, W y,' GRADE: W W-4. ORC HAS CHANGED: No eDMR PERIOD: Q7-2017 (July 2017) VERSION: I:O STATUS- Processed SAMPLING LOCATION: + d Cs U E= J 0 ;° 24W do& Rm 24#0tWek Firs YtHfti a t , n :HOLIDAY:.. 5 - 0820 0.25 '. Y 6 0950 025 Y k v so EFFLUENT ENI" DISCHARGE NO.: 001 NO DIS 1)1 A.F t-C 5i} 00010 MW C0310 C0610 C0530 31616 2Skl eekky 2 X month 2 X week jXmnth i4raTnd tv 2 X nmtt h X: month instnnrancrrnv Grab Grab omb Grab Grab rimb Grab FLOW TFINFP-C PR CHLORINE 801)•Cone NftU,k'_Caoa TSS-Cane FCOU skt in d deg a So cn 1k F€110)renl 28 16 e 20 21.6 3A c i_5 < 0,001 2+3 <20 C0057401 PERMIT VERSION� 4,0 - PERNIMOATU&, Active Lideaways INAITI, CLASS- WIA - " I COUNIA" Ll�,.L:klen!a Lm Okcz ORCCERT NUMBER: 11697 MIC HAS CIIANCIA): Na, (July 2017) VE'RSI(M Ill STATUS- Proces'scd Comph SUOMISSION DATE- 09126/2017 gn a t u R a 11 :j e I ramor -M, ai 1: rn C hae !,,y, Lace i 11C.00111 Phone #:828-657-181 that this report is accurate and c0l"PICte to the best (if my knoltIctige, t to the Director or the appropriate Regional noucompliame that potentially threatens puhlic health or the provided orally within 1-4 hool,,i firliol tile little 111c lice-utterbecame ,mare' of the CircunlManccs. A written sulartussii F tile time tile pernliftee beconles ae-art: of the liant, please attach a list ofCorrectil e actions Lleina taken aud it time -table hit inalrovements to be made as required I 4 Af — -I'll FLvuw» 1 0 -�. 0 - 111 .3 1 - t 0 1 u Penno Fxpiratwn [)tile: OK -10:2020 ttacluncilts wOT I)WIMIt"d undcl 111V direction or supervision in accordance with a system desig .tv d persons directly responsible for gathering tile infiirnlalhnl. tile infiblinnjou Wbolitled is, to the best of my knowledge and belief, true, mmlete, I am aware that there are significant jai nalfies I'm sofinulling is se in fort nation, including the possibility offines and imprisonment for ens, CERTIFIED LABORAI ORTES iter Tech Labs, KACE Environmental, Inc, B M 50; 5424 1 �LCCTING SAMPLES: PAR AAWITY COJ)J'� FOOTN'O Ms Use only units of measurement designated in the reporting facitit•y's fif,-rillu, ibr re -,porting data, No Flow/Discharge From Site: Check this box if no diseharl;L ecctors atill, iuis result. there are no data to be entered for all elf the parametei ror entire monitoring period. ORC on Site`?; ORC must visit facility aud document visitation elf' facjju� it', required per 15A NCAC 8G -0204 eNCAC2B M06(b)(2)(Ey), NPDES PERMIT NO.: NCO057401 PERMIT VERSION: 4,0 PERMIT STATUS: Active FACHAT'3l NA , i' e Hi! ea ays LIX9 P CLASS: - i _ " " Ct)UN i ti : Ivieckl 5bur .�� OWNER NAME: Czo Go Prod>erlies GLC U s CJ"" Kyle "'ey'"' � ORC LERT NUMBER: 1 l697 CIRADE� W_4. caR CHANGED: No MCEIVEDACDENRIDWR eDMRPERIOD: 20 -2017 (June 2017) VERSION: L0 � �NTFF tv, Fly -ES STATUS: Processed , WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGEftiNLOREGIONAL OFFIC �ERMIT NO.: NCO057401 PERMIT VERSION. 4.O PERMIT STATUS. Active rV NAME: The CLASS: WW-1 COUNTY- Mecklenburg NAME: t'roG ru roes LLt ORC, Dustin Kyle Marcy on ORC CEWl"NUMBER: 11697 WW4 ORC HAS C"ANGED. No Z RIOD: 06-2017 jLune 2017) VERSION. 1.0 STATUS: Processed 'ANCE STA US: Compliant CONTACT PHONE #: 82865718 10 SUBMISSION DATE. 07/20/2017 BN"'SS'0 U '#* '8' Co NF 0 7�) a tif .8 rtif r Signat re: Ra�ehaal G Kramer E-Mail:rachact(�@4,,kacei�nc.comn Phone #:828-657-1�810 �gnature, I certify that this report is accurate and complete to the best of any knowledge. iittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the envirot he time the permittee becomes aware of the circumstances, ant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required y part 11.L.6 of Date 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 NANIE- Wastertech Labs; KALE Environmental, Inc. CERTIFIED LAB #: 50; 5424 PERSON(s) COLLECTING SAMPLES. Dustin Metreyeon PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting littp./,(portal.ncdenr.org/%veb/wq/swp/ps/npdes/fornis. FOOTNOTES only units of measurement designated in the reporting facility's NPDES permit for reporting data. --.-A -­ 1 4 A NTT' A 0 Qt-. AIAA M06(b)(2)(D). the DMR MCAC 2B NPDES PERMIT NO.: NC0057401 PERMIT ION: 4.O PERMIT STATUS. Active FACILI'TV NAME: The hideaways WnP CLASS: _iRE ECEIVElyUNTY.LMEeckleribburg 3 OWNER NAME: Go Go Properties LLC ORC: R-lirl Kyle McBreyeon ORC CERT NUMB < I7Ea W-4, Ji,4 0 �D? ORHAS �IANEi3. No eil~i41EIi PERIOD: 5-2(717'(lviay fll) VERSION. 1.0 CENTRAL FILES; STATUS. Processed Wl" SECTION WOROS SAPLING LOCATION: EFFLUENT DISCHARGENO.: 001 NO D"W40FMWAL Or sow In sn Cli3I } c0s#a c4 3kliis a ell iVeekl c kl 2 mQ"'h 2 cacek 2 mnnfh M92nehl 2 Y 1h 2 It nonll Instamane«us drnh ri-b drab Grab Omb Grab Grb h4oYV 'r`.I P-c pti DWORIN19 ROD -colic lrT3»i_CuMar 'NS-C�nr 11COLl an Its-& flre 2400Omk. Un Y1RJ.V A„e Lu u {# Yn.g}1 ME— to 1 dkJlClosnl # {I85Et 225 Y 24 it,2 c t5 R.7 (},}:! 4 s @84A 0.25 Y 0,001 < 20 a 7 ll- 0.25 : Y 25. .0 l fA to 0830 0,25 Y OAX)l 36 3 r4 rs 1100 0,25 Y 0,001 "10 16 17 0912 0,25 Y" 27 8.2 <'sp 3(re3 19 I t8 tit Ep 22 xi x4 0822 0,25 Y 0.001 28< 20 25 26 0942 0,25 Y e 2ti 2'. a� 3k . 0955 0,25 y : 0,001 28 :. 8 26 15.7 4.45 ' 7.3 < I loonday:Araragal.iml#e 0102 " 30 200 3fontic#yAw•cragc 0,001 26.4 h.888889 18.233333 2.38 10,566667 1 #Iistkw :alaz8oeuae: t1.G0I 2fi 8.2 36 30.3 4,45 :19 0 really 2IIm#mane:: fi,001 24 : R tl ii,7 0 31 5.4 p No Reporting Reason: ENFRU E = No Flory-Reus ecycle; E HR = No Visitation — Adverse Weather„ NOFLOW = No Flow; HOLIDAY = er Visitation - Noliaiay NPDES PERMIT NO.. NCO057401 PERMIT VERSION: 4O PFERMITSTATUS. Active, FACILITY NAME: The Hideaways WWTP CLASS: WW-1 COUNTY- tMecklenbing OWNER NAME, Go Go Properties LLC ORC- Dustin Kyle Merreyeon ORCCERTNUMBER: 11697 GRADE: WW-4, OR C HAS CHANGED, No eDf*IR PERIOD. 05-2017 (May 2017) VVRSIONz LO STATUS* Processed '60 1 SUBMISSION DATE- 06/2612017 COMPLIA;r-E r S. Comp), t, CON , C �t ONE #-. 8286571810 - 06/26/2017 C, Sig attire. R /bael G Kramer r,.-Mail:rachiel(ar,,kaeciiie.com Phone #.828-657-1810 Date � By this signature, I certify that this report is accurate and complete to the best of my knowledge, The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours frorn the time the permiltee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the pernuttee becomes aware of the circumstances, If the facility is noncompliant, please attach a list ofcorrective actions being taken and a turie-Gable for improvements to be made as required by part TLE.6 of the NPD7c A A ky If Z. I A 06/26/2017 Permits e�-61S ub;4itter i�g ature G Kramer Mail: chaelt a C.com Phone #:828-657-1810 Date �g chael 69 C/11 Permittee Adc Tess. 16104 York Rd Charlotte NC 28278 Permit Expiration Date: 06, 0/2020 1 certify, under penalty of law, that this document and all attachments were prepared Linder my direction or supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate the information submitte(t Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the inforination, the inforritation 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 Ines and imprisonment for knowing violations, CERTIFIED LABORA,rORIES LAB NAME. Watertech Labs, KACE Environmental, Inc, CERTIFIED LAB #: 50; 5424 PER COLLECTING SAMPLES: Rustin Metreyeon PARANIETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting htip:/Iportal.ncdenr,org/vxeb`/wq/swp/ps/jipdes/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 iftio 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 ofPennittee: Ifsigned by other than the permittee, then delegation ofthic signatory authority must be on file with the state per 15A NCAC 2E3 .0506(b)(2)(D), O.- N The POWNFERNAME.GoGit '0057401 PERMIT VERSION: 4.0 PERMIT STATUS: Active VV Hideaways WTP CI.AS . -1RECEI NTY- Mecklenburg Properties LLC OR . Dustin Kyle Metreyeon g 5 Z `QRC CE RT° NUMBER: 11697 GRADE: WW-4. ORC HAS HANG D. No E L eI) PERIOD. i)A-�017 (ftpril2{l17} VERSION: 1.0 ATS. Processed DWR wEI SAMPLING LOCATION: F`LUEN I DISCHARGE .: 001 NO DISC �M..,u. 0000) -54W »..-_ -400 C0310 C0614 "..C(ma 31616: Weeki a kl 2 X month 2 X week 2 X month Monthlp X month Z X mouth e u Instantaneous 11rab C3rab Grab Grab Grab Grab Grab FLOW TRMR-c PH CHIA)RINP, Bait? -Coat: NH3•N-Cone 'C5S-Cone FC'OU RR 2400dwh Hrs 2400dotk a. Ytltra su u kl :. m tt m 1::. m 3 t11 (An! 1, 2 3' 3 n920 0.2$ Y 18 83 41 111 4,03 23 < 1 20 '.0842 : 0.25 Y 9 rti 1045 0,25 Y Nt)FLOW 12 I3O 0,25 'Y NOYLOW 13" 14 1 0930 ;.0.25 Y NOFLOW 16 d7. 19 0922 0,25 Y 23 8.1 <7-0. 26.1 <1: 24k:.. 23` 24 16 Qi2 {i?5 Y 25 <20 27` 2S' 091O 0.'s Y 0401 26 < 20 29` :FiortEhlv'.Avcr t»ias##:u Q.UQi :::;U 1i1 '.Y}O Mmthb, Acucaar- 0*OO1 22.4 10,166667 19A 4,03 13-11, t Daily 4lactmums () 01 16 8.5 41 26 1 4,t13 23 0 ually Waimam: O.t)Qf 13 8.1 0 1t.! 4,03 3.5 0 * * Net Reporting Reason: LNCRUSE - No 1«le),v-Reuse/Recy cle; ENVWTHR = No Visitation - Adverse Weather, N FLQ =No Flour; HC3I TRAY = No Visitation.. Holiday 7401 PERMff VERSION: 4.0 PERMYt Lays WWTP CLASS- WW-I COUNT, sties LLC ORC: Dustin Kyle Metreyeon ORC CE ORC HAS CHANGED: No it 2017) VERSION: I k STATUS upliant CONTACT PHONE #: 8286571810 SUBMIS :ure: Rachael G Kramer E-Mail:rachael : this report is accurate and complete to the best of my knot ie Director or the appropriate Regional Office any noncom ),kaceinc.com Phone 9:828-657-1 edge. el G Kramer E-Mail-racliael@kaceine.com Phone Permit Expiration Date: 06/30/2020 CERTIFIED LABORATORIES 3 NAME. Watertech Lab., KACE Environmental, Ine- 1TIFIED LAB #: 50; 5424 2SON(s) COLLECTING SAMPLES. Dustin Metreyeon PARAMETER CODES neter 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, FOOTNOTES Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the pararr ,0506(b)(2)(D). FYrTNO. flttit757atttl Pt,,RNII'I'VEIISIC) :4.0 PERMIT IATUS:Active Thcffidea4vays WWT'I' CLASS: WW-1 COUNTY. Mecklenburg GRADE: -a1" ORC I IAS "II;iIi"GEI). MU ORC CERT NUMBER- 11697 eiDaMR PERIOD: ' -7T7 (Fp—nFM 7} VERSION: COMPLIANCE STATUS. Compliant C'C)rN"I AC T %ItiN #: 8286571810STATUS: Processed SUBMISSION iD,ATE:05/23/2017 05/231201 telitcei�.eouj1'I1�' r iCCEv=:£5_C,? I I fDate By this signature, I certify, that this report is accurate and complete to the best ol'rny knovvIedge. The pertintlee shall report to the Director or, the appropriate Regional Office any.. noncompliance that potentially threatens public health or the environment. Any information shad be provided orally within 24 hours from the time the pertn ttec became rte aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee be ornes aware of the c:ircumstaances. If'the facility is noncompliant, please attach a list of"corrective actions being taken and a uric -tabu; for improvements to be'made as required by part ILE.6 of the NPDES permit. 05 `2 3/201 7 I'ernaitt /Stabmitter Sign :* achael G Kramer E-Maail:rear.haela`ir`ksaccinc,conr Phone #-828-657-1 10 Date Permittee Address: 1 104 York Rd Charlotte NC 25275 Permit Expiration Daatc: 06.'30/202{) 1 certify, under penalty of lave, 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 sin 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 be ietx true;, as rate, and complete. i am aware that there are significant penalties s for submitting false information. including the possibility ort aces and imprisonment for m'ing violations. C.1 R'nIaIfEI)1.ABORA3O IES tA9 NAME, Watertech' Lahs. "ACE " v ironmen l 1ne. CERTIFIED LAD#. So• 54 a� PERSON(s) COLLECTING SAMPLES: Dustin Metre eon 1'Ai2:A%4["IT' R f. ODIS Parameter Code assistance may be obtained by calling the lvl'DES Unit (919) 807-6300 or b�y visiting http://portal.ncdenr.or/vvveblrv=cl/swp/ps/npdes!/I'onns. 1:001NtT1"I S Use only units of measurement designated in the reporting facility's M'DES 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 17MR for entire monitoring period. ** ORC on She?. ORC must visit facility and document visitation of fair ility= ass required per 15A NC.'AC 80 .Q204, ' PERMIT VERSION: 4A PERMIT STATUS: Active 3 rFP '� � ~ 'ORC -_ ` - SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: N0(,C)fqor,, .4 2�eekly Instantaneous lKeekly 2 X month 2 X week 2 X month �jonthly X month 2 X month Grab Grab Grab _ Grab Grab GrAb Grab it 12 13 is Is 19 20' r 23 Is 27 23 30 ~ , **** No keporting, Reasow FNFRUSE = No Flow-Reuse/Recycle; E�NVWTFIR = No Visitation — Adverse Weather, NOFLOW - No Flow; HOLIDAY = No Visitation Holiday NPDES PERMIT NO.: NCO057401 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: The Hideaways WWTP CLASS: WW- I COUNTY: Mecklenburg OWNER NAME: Go Go Properties LLC ORC: Dustin Kyle MEtreycon ORC CERT NUMBER: 11697 GRADE: WW-4. ORC HAS CHANGED: No eDMR PERIOD: 03-2017 (March 2017) VERSION. 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT ZPRONE#: 82 71810 SUBMISSION DATE: 04/27/2017 IA I eb /I Z'1�4 04/27/2017 ORC/Certifier Signature: Ra/qlael G Kram67E-/4ail-rachael@kaecine.com Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or t Any information shall be provided orally wit provided within 5 days of the time the permil If the facility is noncompliant, please attach f the NPDES permit. (4 opriate Regional Office any noncompliance that potentially threatens public health or the environment tours from the time the permittee became aware of the circumstances. A written submission shall also be 3mes aware of the circumstances. corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of Perm ittee/S ubm itter Signature:** Rachael G to e�E-Mail:rachael@kaceine.com Phone #:828-657-1810 Date Permittee Address: 16104 York Rd Charlotte NC 28278 Pernutxpiration Date: 06/30/2020 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech Labs, Inc.; KALE Environmental, Inc. CERTIFIED LAB #: 50; 5424 PERSON(s) COLLECTING SAMPLES: Dustin Hetreyeon PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.nedenr.org/web/wg/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 visit facility and document visitation of facility as required per 15A NCAC 8G .0204. Signature of Perminee: .0506(b)(2)(D). NPDES, PE IT NO.: NCO057401 PERMIT VERSION: 4.0 RECEIVEDPERMIT STATUS: Active FACILITY NAME: The Rideaways WWTP CLASS: WW- I APR 0 5 ?017 COUNTY: Mecklenburg 1!5 OWNER NAME: Go Go Properties LLC ORC: Dustin Kyle Metreyeon ORC CERT NUMBER: 11697 GRADE- WW-4, ORC HAS CHANGED: No CENTRAL FILES MMEIVEMINCDENRIDWR eDMR PERIOD: 02-2017 (February 2017) VERSION: I A DWR SECTION STATUS: Processed , A I , . . ..... SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO Dl� #0 t-* CWI . AL OFFICE **** No Reporting Reason: F,NFRUSE — No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOIJDAY = No Visitation — Holiday NPDES PERMIT NO FACILITY NAME: 7 OWNER NAME. Go ORC/( The pern Any info provided If the fac 4: 4.0 PERMIT STATUS: Active COUNTY: Mecklenburg Ietreyeon ORC CET NUMBER: 11697 ED: No STATUS: Processed c rrtviNE : 8286571810 SUBMISSION DATE:03/30/2017 ifier Signature: Rachael r -Mail:rachael@ka-ceinc.com Phone #:828-657-1810 Lute ure,1 certify that this report is accurate and complete to the best of my knowledge. shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. & ww-1 Dustin Kyle ri HAS CHANC LION: I.O the circumstances. ins being taken and a time -table for improvements to be made as required by part IL.E.6 of the NPDES permit. 03/30/2017 Permittee/Submitter Signature:*** Rachael to r met E-Mail:rachael@kaceinc.com Phone #:8 8-657-1810 Date Permittee Address: 16104 York Rd Charlotte NC 28278 Permit Expiration :mate: 06/30/2020 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. L am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech Labs, Inc.;>KACE Environmental, Inc. CERTIFIED LAB #: 50, 5424 PERSON(s) COLLECTING SAMPLES: Dustin Metreyeon PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/Wq/swp/Ps/npdes/forms, FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G ,0204. *** Signature of Permittee: If signed by other than the perittee, then delegation of the signatory authority must be on file with the state per 15A NAC 2B .4506(b)(2)(D). FP E FRM IT N 0.,: EACILIT 0V NAME. Th NCO057401 PERMIT VERSION:4,0 PERMIT STATUS: Active: e Hideaways WWTP CI,rASS: WW-1 � W CC)UNTY. Mecklenburg Ci YNER NAME. Can a Prvpertles LL ORC. tfn Kyle lvtetra yec3nn ORC CERT NUMBER: GRADE. WW-4. ORC RAS CHANGED: No NAAR 0 2 2017 eDMR PERIOD: 01-2017 (Jana° 211i7) VERSION: I STATUS: Processed x SAMPLING LOCATION. EFFLUENT DISCHARGE NO.: 001 NO UIS ." R E M A OF 5mm lk a Ct)318 C0610 CU53k 318t6 a W cekly.: rk1 2 X mOnEta X' week 2 X trnantit cmthly �. X niotith. 2 X irten0t u a in4tatftanetras (Irab Grab Grab '. Grab Grab Grab Grab FLOW TFMF`-C pH Off )PINT ROD -Cane NF13-N-Coos T'3S. C— FC101.1 DR 24" d k It. 2444k k ft k'fWN mgd deg C SU upJ1 g/1 mg;t mg, #1100mi a 0915 0.23 Y a 0920 0.25 Y 13 7.1 <20 2.5 4.18 11.3 e 6 1500 0,25 : Y 01101 L20 8 v Fa it 0925 0,25 Y 7 20 12 t3 #8930 0.25 y 0,001 <20 14 -ts 16 V I.B 0910 : 0,25 Y 14 9 0 b.2 1. 1y 20 09,40 0.25 ;: Y 0,001 .. <20 21 22 S3 24 0930 125 : Y <20 5 aT 941 0.23 Y 0,001 14 ' 20 #8 24 Sit 31 0940 025 Y <20 Monthly Aa,Mgr, 140at 4,002 38 39 200 Mnn00y Av g., 0.001 :12 0 4,35 4,18 ITO 1 0n0y 14n11num 0.001 14. 7.1 0. 6.2 4,18 113 0 Ewa WOW—. o3lnm 7 16,9 10 12.5 4,18. 4 0 *� * No Reporting; Reason: ENFRUSE m No Flow-Rense'Recycle•, ENVWTHR = No Visitation ... Adverse Weather•, NOFLOW = No Flow, HOLIDAY = No Visitation — Holiday NPDES PERMIT NO.: NC,0057401 PERMIT VERSION: 4A PERMIT STATUS: Active FACILITY NAME. The Hideaways P CLASS- WW- I COUNT V: Mecklenburg OWNER NAME: Go Go Prix qo2s LLC ORC: Dustin Kyle Metreyeon ORC CERT NUMBER* 11697 GRADE- WW-4. ORC HAS CHANGE 0. No eDMR PERIOD: 01 -2017 (January 2017) VERSION- LO STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8286571810 SUBMISSION DATE: 02/27/2017 J02/27/2017 ORC/Certifier Signature: achael GXra' cr E-Mail:rachael@kaceinc.com Phone #.828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. 'The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of REM assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the stem, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, -urate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for awing violations. CERTIFIED LABORATORIES A NAME: Watertech Labs; KACE Environmental, Inc. 'RTTFIED LAB #: 50; 5424 RSON(s) COLLECTING SAMPLES: Dustin Metreyeon PARAMETER CODES rameter Code assistance may be obtained by calling the NPDES, Unit (919) 807-6300 or by visiting http://portal.nedenr.org/web/wq/,swp/Ps/npdes/fortns. FOOTNOTES Use only units of measurement designated in the reporting facility's PDES 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 entire monitoring period. ORC on Site?- ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D)- P RMIT IYtJ.a PILIT tNAME 2h NCO057401 PERMIT VERSION: 4,0 PERMIT STATUS: Active Hideaways WTP -I � � �,, � � N � COUNTY: Mecklenburg e CLASS. „,n OWNER NAME: Cite City Prt ,sties LLC ORC: Dustin Kyle Metreyeo r ORC CFRT NUMBER. If 697 GRADE: W-4. TRC HAS CHANGED: No eL7rMR PERIOD: 0 - 017 (J!neiary 2017) VERSION. 1.0 ; ' STATUS- Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCIIARGE*: NO 500% 90010 #No# som CM10 Cossia {'itS,i0 315tir '^ + Weekly.: Weekly 2 X month 2 X week 2 X month Monthly 2 X month 2 X month d 2 S ° Cnsuantaz euus Grab Grab Grab Grab Grab Grab Gmb' y C � � wpmm d I° .7 qa tj' p ",' FLOW Tump-C pN CULORINE � ROD • i~— N113AN Co0e TIM-t'oue : FY om DR 2400 stack It. 2400ctftk : ors YfR1N load degc au tt9 mg- t1. mgr`l #+)"Ontl 2 a 0915 0.25 Y 4 0920 025 Y 13 73 <20 2.5 4.18 113 e I: 5 6 1500 U S Y (IJ101 <:20 +-+ Eil 9 I0 tt 0925 £1.25 Y 20 x3 0930 0.25 01001 <20 4 u ; ,s c A4 IS 16 PS £1t71U 0.25 Y 14 1.4 i 20 f+.2 4 t as 20 0930 0.25 Y 0.001 <20 3I 22 23 24 0930 0,25 Y <20 26 27 0942 o25 Y-1 0,001 14 20 4 at 0x40 025 y° <20 lo"flay Avexakc 11mit: 9.003 34 34 't7ontkty Aravoge: O.t?Q} 1.2 0 4,35 4.18 7.ti5 1 Dmtty Pont w 0,001 14: 7J 0 6.2 4.18 : 113 Ck ... itaity Wtt0l um: to 001 7 6.9 tY .. 23 4.1 g 4 0 * * No Repotting; Reason: FNFRIJSE = No Flow-Reuse/Recycle, ENVWTIIR = No Visitation Adverse Weather; NOFLOW --No Flow; 1401,fDAY = No Visitation - Holiday PERMIT VERSION: 4.0 PERMIT STATUS. Active WWII, CLASS: WW-1 COUNTY: MESklenburg LLC ORC. Dustin Kyle Metreycon ORC CERT NUMBER- 11697 ORC HAS CHANGED- No 1017) VERSION: I .O STATUS: Processed nt CONTACT PHONE #. 82865718 10 SUBMISSION DATE: 02/27/201 rtify that this report is accurate and complete to the best of my knowledge. port to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be s of the time the permittee becomes aware of the circumstances. anpliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.EE.6 of 02/27/2017 tier Signature:* * Rachael W-KraVer E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date 004York Rd Charlotte NC 28278 Permit Expiration Date: 06/3012020 y of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed d personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the )ns directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, M In CERTIFIED LABORATORIES teftech Labs; KALE Environmental, tic. I #: 50; 5424 LE IN SAMPLES- Dustin Metreyeon PARAMETER CODES FOOTNOTES Jse only units of measurement designated in the reporting facility's PDES permit for reporting data. d document visitation of facility as required per 15A NCAC 8G .0204. .0506(b)(2)(D). NPDES PERMIT NO.: NC0057401 PERMIT VERSION: 4.0 PE IT STATUS: Active ItACILITYNAME: The Hideaways WWTP CLASS: -1 cOU Y. Meklv VtN ;NrwNRIDWR OWNER NAME: Go Go Prc+ ertles LLC ORC. Dustin Kyle Metreywn FEB2017 ORC CEKI" NUMBEII. 11697 GRADE: WW-4. ORC HAS CHANCED. No - CENTRAL FILES eDMR PERIOD: 1 -2016 (December 2016) VERSION- I b DWR SECTIONTATCSz 1'10ccssed Q ROS SAMPLING LUNATION. EFFLUENT DISCHARGE GE NO.: 001 NO DISCHARGE*: NO m R0014 as C0310 C 31616 kly 2 x' month %%,-k 2 --oath 2 x tti,-,h 2 X E,Gmb a p Keekly f $ fastantaneous crab Grab Grab R1-lh : Grab Grab Grab: FLOW "ct MP-C" pLi C01,09roy goo _ C.— NuaYN _ C— r.4�s°` - C:ane FCUIar OR 2daad k firs BJaad k firs Y1S'N tti c9 ilcgC au ugiF mgr`1 mg11. : rn.1 #3tltHhnl 1 1 1440 US 8 1 jo,001 20 <20 0920 015 :. Y ti.001 3 4 5 1800 : 0.25 ' Y -20 7 0920 0.25 Y 0,001 24 7 < 20 < 2 4A 5 . 1. N It to 11 12 !3 14 10905 0.25 'Y —t 30 15 1 — 16 ' 0910 6.25 Y 0,001 22. <20 °r za rta is 2t 0910 0.25 1 Y 20 7 <20 112 8 < i 22 own 0,25 Y 24 a001 <20 2? 0910 0.25 Y 10 <<20 ()910 0.25 Y st 0.001.. <20 Moothty Average Un#tx aoaa ". 34 34 2 UmthlyMrmgv 0,001 19:2 3.331333 '. 0 4.6 - 6.5 1 batlp Maxho w 0,001 24 7 30 0 4.6:. 8 0 Untiw Mlai..w 0A01 110 7 0 tl 146: :: 5 0 *** No Reporting Reason: ENF USE = No Flow-Reuse/Recycle; FNVWTUR = No Visitation — Adverse Weather; NOFLO = No Flow; HOLIDAY =No Visitation —Holiday' r NO,. NCO057401 PERMIT" VERSION: 4.t1 PERMIT STATUS: Active IE: The 1lideaways WWTP CLASS: < -1 COUNTY: eckienburg C Go Properties L C ORC. Dustin Kyle: Metreycon ORC CERT NUMBER. 11697 ORC HAS CHANCED. No 12-2016 (December 2016) VE ION. 1.0 STATUS: Processed STATUS. Learn leant CONTACT PHONE #: 8286571810 SUBMISSION DATE: 01126/2017 01 /26/2017 ier Signature: Rachael q Kr mer-Mail:rachael@kaceine.com Phone )#:828-657-1810 Date e I certify that this report is accurate and complete to the best of my knowledge. hall report to the Director or the appropriate Regional Office any noncompliance; that potentially threatens public health or the environment. a shall be providedorally within 24 hours from the time the permittee became aware of the circumstances.'A written submission shall also be days of the time the permittee becomes aware of the circumstances. noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part'll.E.6 of .� 01 /26/2017 abmitter Signature A** Racha "G rarner E-Mail:rachael@kaceine.com Phone ##:828-657-1810 Date -ss: 16104 York Rd Charlotte NC; 2827 Permit Expiration bate: 06/30/2020 penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed' i lifted personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, rmplete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for ens. CERTIFIED LABORATORIES attertech Labs, KACE Environmental. Inc. ,B #.50; 5424 LLECTING SAMPLES: Dustin Metre con PARAMETER CODES assistance may be obtained by calling the NPDES Emit (919) 807-6300 or by visiting http://portal.ncdenr.org/we`b/wq/swp/ps/npdes/forms. FOOTNOTES' of measurement desienated in the renortine facility`s NPDES permit for reporting data. _. _..�.i .i...A_..;._......s _....... ,. a..... .a C'..4:_...:t:a... �, _,...»..._«..9 ......, 1 CA XV1 A r'+ Of- 1111nA .0506(b)(2)(D). NPDES PERMIT NO.. NCO057401 PERMIT VERSION: 4.O fpER IT STAITIS: Active FACILITY NAME. The Hideaways WW'rP CLASS. WW- I ZWJN`rY: Mecklenbur G OWNER NAME. o Go Properties 1,LC ORC: Dustin Kyle Metreyeon JAN 03 UkiiiCCERTNUMBER- 11697 BE: WV4. ORC HAS CHANGED- No CCENTiIAL FILES eDMR PERIOD: It -2016 (November 2016) VERSION: 1.0 E)WR SEC­nw-rus- Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE": NO Weakly Weekly 2 X awanth 2 X week 2 X amah mo—n"Y i X i X __n1h —1-1h L (CMUManeDUS Grab Grab Grab Grab Grab Grab Grab 1z FLOW TEMP-C PEI CHLORINE 801) clft NHXN-Cw TMI - clanc frol.1 BR 11404 dk Rm 2400dk ft. YAWN Mgd Agr Lu_ ugl M&I mgA mg4 #1100ml t foglo 015 ly I 2 0925 0,25 ly 24 7 <20 <2 < 01 5 < 4 lo(K) 0,25 Y (rool 20 6 7 0920 0,25 Y tl 0900 0.25 Y LO of is 0930 025 Y 0,001 24 20 13 14 Is 16 0920 0,25 Y 0,001 22 7 <20 <2 12 L —<I Is 100D 0,25 Y n0ol <20 19 30 ZI 22 23 1410 225 Y 0,001 22 -20 14 2220—.2-25 Y OMI <20 26 27 29 29 30 0920 0.25 Y 0,001 22 < 20 Mmthly Avemp Umb, &001 30 34 1246 M­00' A­g�.' nool 21A 0 0 0 B'S I I 0,001 24 7 0 0 a 12 0 0.1ty mbhom 0,001 122 17 10 0 0 5 0 **** No Reporting Reason: ENFROSE = No flow-Rcuse/Recycle; FNVWTHR = No Visitation - Adverse Weather-, NOFLOW - No Flow; HOLIDAYNo Visitation -- Holiday NPDES PERMIT NO.: NCO057401 PERMIT VERSION: 4,0 PERMIT STATUS. Active FACILITY NAME: The Hideaways WWTP CLASS: WW- I COUNTV: Meeklerib OWNER NAME: Go Go Properties LLC ORC: Dustin Kyle Metreyeon ORC CERT NUMBER. 11697 GRADE: WW-4, ORC HAS CHANGED. No tDMR PERIOD. It -2016 (November 2016) VERSION: I .O STATUS- Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #. 82865718 10 SUBMISSION DATE: 12P-7/2016 12/27/2016 ORC/Certifier Signature:/ Rachael G rder E-Mail:rachael(k)kaceine.com Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the envirominent. 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 NPDFS permit. 12/27/2016 Permittee Address: 16104 York Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2020 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervi to assure that qualified personnel property gatlier and evaluate the information submitted. Based on my inquiry of system, or those persons directly responsible for gathering the information, the information submitted is, to the be� accurate, and complete. I am aware that there are significant penalties for submitting false information, including t knowing violations. CERTIFIED IABORATORIES LAB NAME: Watertech Labs; KACE Environmental, Inc. CERTIFIED LAB #z SO- 542-4 ZZZZ7 PERSON(s) COLLECTING SAMPLES- Dustin ,Metre yeon PARAMETER CODES FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. e possibility of fines and imprisonment for irdi-nr nrc,/weh/wn/,,wn/r q/nntit-.q/fnri",; 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.: NCO057401 PERMIT VERI N: 4,0 PERMIT STATUS: Active FACILITY N E: The Hideaways CP CLASS; W W-1 OUNTY- Mecklenburg OWNER NAME; Go GoProperties LLC CIRC: Bustin Kyle MetreyeonRECEIVED ORC CFRT NUMBER I1fs97 GRADE: -4, #SRC HAS CHANGED: No » C eD PERIOD; 10-2016 (October 2016) VERSION: L0 CENTRAL FILES STATUS: Processed DWR SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO 1IISCHARGt . N6 q at Um h" 5 C F zz e C Ci C c : 4 e' 50 10 00400 5 CO310 C0610 CO530 3161E Weekly.: Weekly 2 X month 2 X week 2 X mmnth Mominy 2 X month: 2 X month instantaneous Grab Grab Cmab Grab Grab Groh Grab'. FLOW. TFMP-C PH CHLORINL : Roll -Cone N111-N-Cone "i5S-Cone FCCL.iBR 2400 clock Hrs. 2400 dock Hn WRIN mgd de c so u@/1 mo sA mglt #110(w 2 3 4 0830 025 Y S 0950 O25 Y 28" 7 2i3: <2 <0:2 - 67 <1:... 6 7 0830 025 Y Onto <2O 9 10 :: 04930 0.25 Y <20 11 12 13 14 0930 0,25 Y Oo01 : <2O 15 1040 0,25 Y 0001 24 <20 16 1215 0.25 Y - 1430 0.25 ".: Y F 0900 0.25 Y o 001 ' 23 7 39 .<2 6 4 < 1 21 0910 025 Y <20 22 23 24 25 0930 0,25 Y <20 26 27 1100 0,25 $ "1 0925 025 Y 0,001 22:.. < 20 24 30 31 Monthly. Average Limit: 0.002 30 30 200 MointhlyAveraget. Daily Maximum: 000t.... 0.00i 2425 28 7. 0 7 39 0 0 : 0 655 1 6 7 0 :. Daily Minimum: 0.00i 22 7 CJ O 0 " 6.4 Ct **** No Reporting Reason: ENFRIJSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather„ NOF'LOW = No Flow; HOLIDAY = o Visitation — holiday NPDES PERMIT NO.: NCO057401 PERMIT VERSION: 4.0 PERMIT STATUS: Active. FACILITY NAME:'rhe Hideaways WWFP CLASS: WW- I COUNTY: Mecklenburg OWNER NAME: Go Go Properties 1,LC ORC: Dustin Kyle MctreySon ORC CERT NUMBER: 11697 GRADE: WW-4. ORC HAS CHANGED: No eDMR PERIOD: 10-2016 (October 2016) VERSION: L0 STATUS. Processed COMPLIANCE: Compliant CONTACT PHONE#: 82865718 10 SUBMISSION DATE: 11 /28/2016 6Z,15 Aev 11/28/2016 ORC/Certifier Signature: Wachael G Kr(xerh-Mail :rachael(c kaceinccom Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. )e provided orally within 24 hours tram the time the pertnittee became aware of the circumstances. A written submission shall also be of the time the permittee becomes aware of the circumstances. ipliant, 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 11/28/2016 -,er Signature:*** l(achael G Kr4r X Mail: rachael(q?kace i nc.com Phone #:828-657-1810 Date 04 York Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2020 of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed 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 1AR NAME., Watertech Labs, KALE Environmental, Inc. CERTIFIED LAB#: 50; 5424 PERSON(s) COLLECTING SAMPLES: Dustin Metreyeon PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/f`orms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B ,0506(b)(2)(D). NPDES PERMIT NOi: NCQ057401 PERMIT' VERSION; 4.0 PERMIT STATUS: Active I=ACHA NAME: The Hid -ways WWTP CLASS: WW-I � COUNTY: Mecklenburg OWNER NAME: tics Go Prrlperties LLC ORCs Cltlstin Kyle Iyietreye0n t)RC CERT Nt7MRER. 1 GRADE: W -4, ORC HAS CHANGFD; t+ica' � eDMR PERIOD: 09-2016 (September 016) VERSION: t.il STATUS: Prtacesseti SAMPLING LOCATION: EFFLUENT DISCHARGE O.: 001 NO D1SCIIAIt4 ' : NCB► u 50 t0 00,010 C0314 C0610 #"( 30 3161tr Weekly.. w kly 2 X numAh 2 X week 2 X month: Mvtahly 2 X ..In 2 X month Instantaneous Grab Grab Grab Crab Grab Grab Grab: .. FLOW TEMP•C ptl ICHLORtNE : ROD- Cent NN2-N - Cone TSS- Cost FcoLl DR 2400 clock U s 2400 clock fin Y1RIN m d deg c so u t#1100ml 2 0915 0.33 Y 0,001 <20 4 5 6 080(1 0.25 Y 2.8 •:20 1 g 0840 0,25 . y 0,001 <20 10 1t 12 0825 0.2 B 27 28 13 14 !3 0820 k1.2 :8 0.001 31 <2 <0.2 '<2.5 <1 16 I7 t8 19 1015 0.25 Y 20 21 0750 0,25 1 26 7.1 30' 22 23 0930 025 Y 0.001 1<20 24 25 26 27 0740 0,25 Y Z8 t1740 121 Y ;30 7 0 4:6 t0 <I 24 30 0915 0,25 Y obol... <:20 Mouthly Average Limit: 0.002 30 30 200 Monthly Averages O.f1t#t 27,75 9,888889 : 2.3 0 5 1 Daily maximum. 0.001 O 7.1 31 4.6 in: t0 00 Daily Minimum: 0.001 1 26 . 7 0 :. 0 0 0 0 * +* No Reporting Reason: FNFRUSF = No Flow-Reuse/Recycle; ENVWrHR = No Visitation — Adverse Weather; NOFLOW - No Flow; HOLIDAY = No Visitat on - Holiday 4CO057401 PERMIT VERSION: 4O PERMIT STATUS: Active Iii!Le—aways nLP CLASS: WW- I COUNTY: Mecklenburg .Properties LLC ORC: Dustin Kyle Metreyeon ORC CERT NUMBER: 11697 ORC HAS CHANGED: No 6 (SLptcniber VERSION: 1.0 STATUS: Processed ant CONTACT PHONE #: 82865718 10 SUBMISSION DATE. 10/27/2016 10/27/2016 4 otl'o— -A -oz ,ignature: —�chael - G ' K�lm e r /I- Mail.rachael@kaceine.com Phone #:828-657-1810 Date ify that this report is accurate and complete to the best of my knowledge. ort to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. )e provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be of the time the perTnittee becomes aware of the circumstances. A Ah'oie A L.".4'e 10/27/2016 ,ter Signature:" XRachael G rame E-Mail:tachael@kaceinc.com Phone #.828-657-1810 Date 104 York Rd Charlotte NC 28278 PejitrExpiation Date- 06/30/2020 knowing violations. CERTIFIED LABORATORIES LAB NAME: Watertech Labs; KALE Environmental, inc. CERTWIED LAD #: 50; 5424 PERSON(s) COLLECTING SAMPLES: Rustin Metre eon 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 PDES permit for reporting data. for entire monitoring period. ** OR on Site?: ORC must visit facility and document visitation of facility as required per I SA NCAC 8G .0204, .0506(6)(2)(D). NPDE NO.: S PERMIT NC O057401 PERMIT VERSION: 4,O PERMIT STATUS- Active FACILITY NAME: The Hideaways WWTP CLASS- WIN-1 COUNTY- MMecklenburg OWNER NAME: Go Cris Properties LL.0 ORC: Dustin Kyle Metwyeon ORC CERT NUMBER- 1 t697 RECENaw.WNC1)EN GRADE: W -4, ORC HAS CHANGED: No eDMR PERIOD: 08- 016 (August 20 6) VERSION: N: I bSTATUS: Processed � k " SAMI PLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DIS 9-.1 { 50 50M C0310 C0610 i Ayo 31616 ,�°', +C [•" W eok# eekly 2'X nann€h 2 X.eveck 2 X. month Monthly 2 X ssutnth 2 X month instantaneous Grab Grab Grab Grab crab Gmb : Crab A C7 'F C m FLOW TEP-C C i..OMNE 800-Cone TSS Clan, PCOU PH : NH3-N_Cone I - R 2404clock firs 2400clock firs YAWN onto de c sa up l ne na 11 #11t8>ml 1 €04`a 013 Y treat 25 7 42 1000 0,2 Y 31 , 3 0800 0.2 Y 21.9 <01 5.6 III 4 5 6 7 1100 0.2 Y I anal 24 6,9 37 9 : 0940 0.2 Y 29 10 11 :. loon 0.5 Y 12 13 Id f5 093{) t€,25 Y 16 0830 0.25 Y 13 0850 0.25 Y 28 < 20 to 10,001 26 21 22 # 100 0,25 Y 3 24 0820 0,25 Y 27 C9 '20 8,1 4,8 <.k 25 26 ita( 00,25 Y 0,001 20 29 28 29 0945 125 Y 30 31 0830 0.25 Y 30 6.5 <20 Monthly Average Limit. (k0#2 30 30 Monthly Average. 0,001 268 15,444444 15 0 5.2 1 Daily Maximum; 0,001 30. 7 42 .. 21.4 0 S.fi 0 Daily Minimum. 0,001 24 63 0 8.1 0 *o* o Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV THR = No Visitation — Adverse Weather; NOFLOW — No Flow; HOLIDAY = No Visitation Holiday OCTRECEIVED 04 201b CENTRAL 1..E DWR SECTION 0057401 PERMIT VERSION: 4u PER CLASS: WW- I COO roes LLC ORC: Dustin Kyle Meneyeon ORC ORC HAS CHANGED: No August 2016) VERSION: 1.0 STA' CONTACT PHONE #: 8286571810 SUR tone #:828-( I U report is accurate and complete to the best of my knowledge, ctive actions being taken system, or those persons directly responsible for gathering the information, the information submitted is, to the bes accurate, and complete. I am aware that there are significant penalties for submitting false information, including fl knowing violations. CERTIFIED LABORATORIES LAD NAME: Watertech Labs, KACE Environmental, Inc, CERTIFIED LAB #- 50, 5424 PERSON(s) COLLECTING SAMPLES: HDuustiin Menvy-n PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portaL 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 ente for entire monitoring period. .0506(b)(2)([)). pp _LRM1TNO..-pN'0 PFApC711,Jf17Y NAME:fbe Hi 0057401 PERMFF VERSION: 4.0 PFRMIT STATUS: Active deaways WWTP CLASS: WW-1 COUNTY: �Mjechdenburg OWNER NAME- Go Go Properties LLC ORC: Kenneth M Deaver ORC CERT NUMBER- 24ECF1VED/NCDENFVDWFZ GRADE. WW-2 ORC HAS CHANGED: No eDMR PERIOD: 07-2016 (July 2016) VERSIO0 N. 1, STATUS: Processed J, J R 116 Worjos SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO D'SCHARGEftAqq�,,GfONAL OFFICE 5050 00010 00400 $0060 C0310 C0610 CQ"o 31616 2 Weekly Weekly 2 X month 2 X week 2 X month �io_whly i X _1111ffilb LX a-,,— Imstantantous Grab Gmb Grab Grab Grab Grab Gmb At A A r1low TEMP-C PH CHLORtNE DOD - Cove N113-N - Cone M - Cone FCOM OR 12400clack IFirs" 2400 clock lira Y ±,gd deg L gIL1l _ 2e Mg n 2e 00no #11_ 2 4 i0i —0 0.3 y it)(, 1 28 7 37 10825 0.2 y 32 12 <02 4,7 5 9 floo 01 y (X00 1 27 7.1 41 12 10-10 0.2 y ---------- 34 14 rs 17 is I _ 1020 0,_2 1 01001 25 7 42 19 1 1005 0.2 Y 34 0825 0,2 Y < 2 < 2,5 ET A 23 24 —11010 25 .2 1 fl,.(X)l 25 6,9 48 16F211 11010 0,2 ly 31 27_ Monthly Average Limit 0.002 34W 30 200 MoathlyAverage: 0,00, 26,25 37,375_ 0 0 175 3 2136068 Daily Maximum 0,00t 28 Tt 48 0 0 E43 5 EEL78J Daily minhaton: 01001 25 6,9 31 0 ------ L(L— 0 0 No Reporting Reasorr FNFRU.SE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather; N0r1,0W= No Flow, HOLIDAY - No Visitation - l4olidicr RZ 1": C ELIV EE "D j SEA' 0 2 2016 -MR 401 PERMIT VERSION: 4.0 PERMIT STATUS: Active Lly 2016) L this signature, I certify that this report is )NE #: 82865718 10 G Kymet/ E-Mail:rachael@kaceine.com ate and complete to the best of my knowledge. )propriate Regional Office any noncompliance that potentiall, RT NUMUFR: 27295 : Processed 01"W " AVt. AQ MIPIAI 4 08 provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of the NPDES permit. 08/29/2016 Permittee/Submitter Signature:* hael G 0a E-Mait:rachael@kaceine.com Phone #:828-657-1810 Date Pennittee Address: 16104 York Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2020 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, knowing violations. CERTIFIED LABORATORIES LAB NAME. Watertech Labs CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES: Kennetb Deaver PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting bttp://portal.nedenr.org/we`b/Wq/swp/ps/npdcs/fortns. FOOTNOTES Use only its of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result; there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per I SA NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). 57401 PERMIT VERSION: 4,0 PERMIT STATUS: Active �e—awayswwTp CLASS: WW- I COUNTY: Mecklenburg OWNER NAME. Go Go Properties LLC ORC: Kenneth M Deaver ORC CERT NUMBER: 27295 GRADE: WW-2 ORC HAS CHANGED: No eDM,R PERIOD: 07-2016 (Luly 2016) VERSION: 1.0 STATUS: Processed Report Comments: Additional Lab: KACE Environmental, Inc. Certification NO, 5424 .....—ERMITNO N-' ACILITY NAME- The Fli IT NO.: NC0t157401 PERMIT VERSION; 4.0 PERMIT STATUS: Active PLIT f NAME: The Hideaways WW t P CLASS: WIN COUNT': Mecklenburg R NAME. Go Go Properties L LC ORC: Kenneth M Deaver ORC CERT NUMBER: 27295 GRADE: W W-2 ORC HAS CHANGED: No eDMR PERIOD: 06-2016 (June 2016) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT" DISCHARGE NO.: 001 NO DISCHARGE*: NO d E cn 0 G c q : 50 MID 0400 50060 C0310 C0610 C0534 3161E Weekly Weekly 2 X month Instantaneous Grab Grab 2 X week Grab 2 X month Mmahly 2 X month Grab Grab Grab 2 X month Grub' FLOW TEMP-C PH CHLORINE ROD _ Cone NH3-N - Cone TSS - Cone i" EC CULL 2400 clock firs - 2400 clock Hrs Y/D/N mb*ti cieg c so 41 mgtl -911 M94 #/1001111 1 2 : 810 0.2 32 <2 e0.2 :: 3.2 1 3 rl 5 - fi 11020 0.2 1 Y 1 0.001 24 6.7 34 .. - 7 ": 945 0.2 Y 44.:. (I 9 Lid 12 13 1010 0.2 :. Y (1001 25 6.4 31.:. 14 1005 0:2 Y 43 S 815 0.2 Y <2 - <2.5 <. I 16 17 18 19 20 1045 0.2 ' Y 0.001 25 7 47 3l 1005 0.2 Y 36 22 23 24 5 26 27 2s 29 1010 955 0.2 0.2 S" Y 0.001 26 6.9 47 31 30 Monthly. Average Limit- OX02 . 30 30 200 `. Monthly Average: 0.001 25 38 333333 0 0 ,. 1,6 1 Daily Maximum: 0.001 26.. 7 147 10 10 13,2 to Daily Minimum: 0.001 24, 31 0 1 () 0 0 *«* No Reptoling Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWT R = No Visitation - Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday RFCF 1LEU N: R N WQROS M a ` ILLS, REGIONAL L. OFFICE NPDES PERMIT NO.: NCO057401 PERMIT VERSION- 4,0 PERMIT STATUS: Active -q4N FACILITY NAME. The Hideaways CLASS: WW-1 COUNTY: Mecklenburg OWNER NAME., Go Go Properties LLC ORC: Kenneth M Deaver ORC CERT NUMBER: 27295 GRADE: WW-2 ORC HAS CHANGED: No eDMR PERIOD: 06-2016 (June 2016) VERSION: 1.0 STATUS: Processed COMPLIANCE-. otn hant ONTACTPHONE #: 8286574810 SUBMISSION DATE: 07/18/2016 1,17 'k 07/18/2016 ORC/Certifier Signature: Racha/ G Krame.D;�-N �it rachael@kaceinc.com Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit. 07/18/2016 Permittee/Submitter Sign/tre:*** Rae I / Kramer E-Mail:rachael@kaceinc.com Phone #:828-657-1810 Date Permittee Address: 16104 York Rd Charlotte NC 2Z f88 ' Permit Expiration Date: 06/30/2020 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 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 LAD NAME: Water Tech Lab, CERTIFIED LAB #: 50 PERSON(st COLLECTING SAMPLES: Ken Deaver PARAMETER CODES aL-XTT)T'110 r 1-:. 14A I AN on? f'7AA -- L— --A ------ FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. 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). Discharge No.001 M Year2016 CountC URU Sire UT TO CATA A`R.- LocationAPPR. 200' BELOW EFFLUENT PPPPPP"- Attachmentto June, 2016 Discharge Monitoring Report GoughEc n, Inc This report shows noncompliancethe Ammonia Nitrogen parameter. The required e a f 2.0 mg./L was exceeded it an average f 2.13 mg./L. However slight the result, noncompliance must be reported. Remedial Action The entire t July, 2016 saw extensiveeffort to addressy r ll facility performance. The filter was fouled and failingto pass water at the normal l rate n t optimal treatment. The facility vessels re pumped out to halt the discharge and allowfor removal f filter media and its replacement. search for contractors finally culminated in action during the last week f July. Old media was removed, alls patched and waterproofed, and loose blocks replaced. This nded with the total replacement the sand media. The entire`month was without discharge andfull operation will commence c facility ss is are full. Full compliance should result. NPDES PERMIT NO.: NCO057401 PERMIT"VERSIONN: 4.0 PERMIT STATUS: Active FACILITY NAME: The Hideaways W TP CLASS: W-i COUNTY: Mecklenburg OWNER NA14IE. Go Go Properties LLC ORC: Kenneth M Deaver ORC CERT NUMBER' . �295 GRADE: : ^2 VR4,y S CHANGED: N{t eDMR PERIOD: 04-2016 (April 2016)VERSION: 1.0 STATUS: Processed ,x SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO IS G�* 50050 00010 00400 50060 C0320 COriO C05 cx .. U F0 w -e a 1 F 0 ai O C en *x 30 31616 Weekly Weekly IX month 2 X week 2 X month Maniialy 2 X In 2 X month instantaneous Grab Grab Grab Grab (3mb Grab Grab FLOW TEMP-C PH CHLORINE ROD - Cana NH3-N - Coat TSS - Cone FEC COL1 2400 clock Hra : 2400 clock. Res YtB1N mgd deg't su ugFl.. 9 retgtl. mgfl 1i1300ml f 2 3 4. 1100 0.2 Y 0,001 17 T2 46 5 950 0.2 Y 31 6 , 815 0,2 Y a 2 <.0.2 3.5 c 1 7 9 0 1.1 1050 0.2 Y 0.001. 20 7 39 i2 950 0.2 " Y 32 13 14 YS i6 i7 i8 19 1020 955 0.2 0.2 Y Y 0.001 2.1 68 42 37 20 21 920 0.2 Y c 2 <2.5 < 1 22 23 za 2s 1150 0.2 Y 0.001 20 6.9 32 26 :: 930 0.2 Y 41 7 28 9 30 Monthly Average Limit: 0.002 30 30 200 . Monthly Average: 0,00, 19.5 37.5 0 0 1,75 [ [ialty Maaaimum. 0.001 21 7.2 46 0. 0 ".. 3.5 0 Daily Minimum: 0.00I: 17 6.8 31 0 0 0 0: ****No Reporting Reason: FNFRUSF= No Flow-Reuse(Recycle; ENVWTHR = No Visitation:— Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday RECEIVED NPDES PERMIT NO.: NCO057401 PERMIT VERSION- 4.0 PERMIT STATUS: Active FACILITY NAME: The Hideaways WWTP CLASS. WW-1 COUNTY: Mecklenburg OWNER NAME- Go Go Properties LLC ORC: Kenneth M Deaver ORC CERT NUMBER: 27295 GRADE: WW-2 ORC HAS CHANGED: No eDMR PERIOD:!OL4-2016 (April 2016) VERSION: L0 STATUS: Processed COMPLIANCE: Co--Pll-t CONTACT PHONE #: 82865718 10 SUBMISSION DATE: 05/16/2016 05/16/2016 ORC ertifier Signature: Rachael G Kramer E-Mail:rachael@kaceine.com Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment, Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 05/16/2016 Permittee/Subm' ter Signatu :*** Rachael G�Kramer�E-Ma�il.rachael@kaceinc.com Phone #:828-657-1910 Date 8 2�� Pennittee Address: 16104 York Rd Charlotte NC 28278 Permit Expiration Date.- 06/30/2020 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech Labs CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES- Ken Deaver PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.nedenr.org/web/wqfswp/Ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period, ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204, *** Signature of Perinittee: 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.: NC 057401 PERMIT VERSION: 4.0 PERMIT STATUS: Active' FACILITY NAME: The Hideaways WWTP CLASS: W- I COUNTY: Mecklenburg OWNER NAME. Go Go Properties LLC ORC: Kenneth M Deaver ORC C.FRT NUMBER 27295 t'_.ts C D 'E.,`JFRO@� GRADE: W-2 ORC HAS CHANGED: No eDMR PERIOD: 03-2016 (March 2016) VERSION: 1.0 STATUS. Processed s SAMPLING i O CATION: EFFLUENT DISCHARGE NO.. 001 NC11)IS� � .'�� . _, C)PPIC *** No Reporting Reason: ENFRU5E = No Flow-Reuse/Recycle; ENV W'l°HR = No Visitation - Adverse Weather; NOFLOW = No Flaw; HOLIDAY - No Visitation -Holiday r VERSION. 4,0 PERMIT STATUS: Active VW-1 COUNTY: Mecklenburg meth M Deaver ORC CERT NUMBER. 27295 i CHANGED: No q: Lo STATUS. Processed T PHONE#. 82865718 10 K A SUBMISSION DATE: 04/2112016 V / ul complete to the best of my knowlec tiate Regional Office any noncomplia, 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. 04/21/2016 Perm ittee/Subm itter Signatu Rachael Kr mer E-Mail: rachael Cq),kaceinc. co in Phone #:828-657-1810 Date Ex, Permittee Address: 16104 r Zrl*otte NC 28278 ermi Expiration Date: 06/30/2020 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: Water Tech Labs CERTIFIED LAB #: 50 PERSON(s) COLLECTING SAMPLES- Ken Deaver PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/Ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data- * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). MIT O.. Ni tM}57II) POWNER PERMIT VERSION: 4,0 PERMIT STATUS: Active rY NAME: The Hideaways T CLASS: -I CO(INTY: Mecklenburg NAME: o Go Properties LLC ORC: Kenneth M [heaver ORC CERT NUMBER: 2"7 9 GRADE WW«2 ORC HAS CIIANG I); No eDMR PERIOD: 02-2016 {February L11 6) VERSION: N: 1,0 STATUS. Processed SAMPLING LOCATION: EFFLUENT" DISCHARGE O.: 001 NO DISCHARGE*: NO .00010 00400 50060 C13310 COMO C0530 3161 ca 5i eek1y 2 X month 2 �k' wCRIC 2 ,' 1nDt1CI1 Moofirly 2 X ilmatl5 2 X 1f5/5tt%15 ° .. E..' a r Grab Grab Crab Grab Grab Grab C'xrab O PH Cft,"RiIYE ROD- Cone NH-1-N - Cyst "i'�.5 - Came RIIC (."Oil I 01"k firs clock firs Y c sa ai4 mgJi_... -94 mn,,+9 t ,00 1 l 1005 03 Y I0 67 41 2 : 905 0.2 Y 30". 3 8I0 02 Y <.2 <0.2 43 < I 4 5 6 8 01 tt 3 Y 12 6.9 46. 11 12 13 14 is 1105 03 Y t0 G.7 34: f6 930 0.2 Y 29 17 8I0 0.2 Y.. <2 5A cl 1s i9 20 22 945 0.2.. i^",. it &9 43 23 1000 0.2 Y 28 24 26 27 29 29 945 0.3 Y I1... 7.2 37 Monthly Average Limn% 3p 30 206 Monthly Average: 112..... 35,222222 0 0 4,85 1 Daily Maximum: 13 7.2 46 0 0 5.4 0 D ° inivanm: 10.. 16,7 28 E? t} +ti.3 ti * * No Reporting Reason: ENFRUSF. - o Flow-Reuse!Recycie: 6 if THR = No 'Visitation — Adverse Weather„ NOFLOW = No Flow, HOLIDAY No Visitation Holiday RECEIVED MAC CENTRAL FILES W S`+�1' NPDFS PERMIT NO.: NCO057401 PERMIT VERSION: 4,0 PERMIT STATUS: Active FACILITY NAME: The Hideaways WWTP CLASS. WW-1 COUNTY- Mecklenburg OWNER NAME: Go Go Properties I.LC ORC. Kenneth M Deaver ORC CTRT NUMBER: 27295 GRADE: WW-2 ORC HAS CHANGED: No eDM,R PERIOD: 02-2016 (February 2016) VERSION: 1,0 STATUS: Processed SAMPLING LOCATION: INFLUENT DISC14ARGE NO.: 001 P Weekly rn Q0 tnstmmnwuq 4 FLOW 12400clock Hrs 2400 dock firs Y/WN 21gd too$ 03 Y 0.0W 905 01 Y 3 810 0-2 Y ti 1030 03 Y 0,001 9 930 02 Y to I 12 13 14 is 1105 0.3 Y 0,001 16 930 U Y 17 810 0.2 Y Is 19 o 21 �22 945 0-2 Y 0,001 iL- 1000 ol Y 24 25 26 27 28 29 1 1945 103 , LY I oJ101 No Reporting Reason: ENFRUSE No Flow-Rause(Recycle; ENV = No Visitation - Adverse Weather-, NOFLOW - No Flow; HOLIDAY = No Visitation - Holiday 14II'r N0.: NGOQ5740t PERMri VERSIAN: 4.0 PERh E1" TATt? : Active POWNER NAM : The Hideaways SS: WW COUNTY: Mecklenburg NAME: (1ca G. Properties I>I,C ORC: Kenneth M Deaver ORC C RT NUMBER. 27295 GRADE: V1 Wi 2 ORC HAS CHANGED. No eDMR PERIOD- 02-2016 (February 2016) VERSION: l o STATUS: Processed COMPLIANCE- anmha t CONTACT PRONE##: 8286571810 SUBMISSION DATE: 03/14/2016 03/14/2016 ORC/Certifier Signature: R chael (i a' er a-Mail:rack el(ii ka ein .c o Pharr -657-1 10 Date y this signature., l 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 n incompl ant, 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. 6; 0t1412016 Perm ittee/Submitter Signatal. :*** Ruche e G ramer F-Mail:rachael r(;kaceinc.coc Phone #:828-657-1810 Date Permittee Address: 16104 York Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2020 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. l am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES B NAME: Water Tech Labs CERTIFIED LAB f#: 50 PERSON(s) COLLECTING SAMPLES: Ken Deaver PARAMETER CODES S Parameter Code assistance may be obtained by calling the NP17ES Unit (914) 807-6300 or by visiting http://portal.nedenr,orgtweb/wq/swp/Ps/npdes/fbnns. Use only units of measurement designated in the reporting facility's NPDE3S 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 can Site?.- ORC mast visit facility and document visitation of facility as required per 15A NCAC 86.0204. ** Signature of Pe ittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B €1506(b)(2)(D)• Ala NPDES PERMIT NO.: NCO057401 PERMTT VERSION.4.0 PERMIT STATUS- Active FACILITY NAME: The Hideaways WWTP CLASS. W-1 COUNTY: Mecklenburg OWNER NAME: Co Go Properties LLC GRC: Kenneth M Deaver ORC CERT NUMBCR: 272V £`.I `":,` NODE Ns'~ DW GRADE: W W-2 ORC HAS CHANGED: No � eDMR PERIOD. 04-2016 (January 2016) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCH is 'i st , L OFFICE A Cl 0 E a Q C O : 50050 00010 Week1 00400 2 X month 50U60 C0314.;. 2 X week 2 X month C0610 CD530 31616 Maa0z1 2 kmon#h 2 X month Calculated Grab Grab Grab Grab Grab Grab Grab FLOW TEMP-C PH CHLORINE $00-Cone NH3-N-Cone TSS-Cent FCCCOLI: 2400 Hrs 2400 Hrs VIR/N mgd da c :. su ug/I.: m : :m _ mLA *100MI I 2 3 4 12:15 02: Y 0;001 11 6.9 42 5 11:15 0.2 Y 28 6 7:55 0.2. Y 9.7 <0.2 .3.7 <1 7 8 9 70 i t 10:20 0.2 Y 0,001 10 7 34 t2 9A5 0,2 . Y 36' l3 t4 r15 16 IS t045 02 Y 0001: 9 6.9 47 19 10:10 0.2 Y 34'. 20 8:10 02: Y <:2 r25 <I 21 az 23 24 25 I3:45 02 Y t7. 01 :7 7 39 26 9.50 0.2 " Y 31 E 28 29 30 31 Monthly Average Limit: 30 30 200 Monthly Average: fE001 9.25 6.925. 36,375 4.85 0 L95 1 Maxim. :Daily um: 0.001. 1.1. 7 47 9.7 0 3.7 0 Daily Minimum- 0,001 7 6A 28 0 0 10 0 Monthly Avg `Y Removal (RS fa): NPDES PERMIT NO.: NCO057401 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: The Hi4caways WWTP CLASS: WW- I COUNTY: Mecklenburg OWNER NAME: Co Go Properties LLC ORC: Kenneth M Deaver ORC CERT NUMBER: 27295 GRADE: WW-2 ORC HAS CHANGED: No eDMR PERIOD: 01 -2016 (January 2016) VERSION: 1.0 STATUS- Processed COMPLIANCE: Compliant CONTACT PHON #: 82865718 10 SUBMISSION DATE. 02/24/2016 J011— I k^ blld AO 02/24/2016 in ORC/Certifier Signature: Gael Cr # ae E-Mail -rachael@Aaceinc.com Phone #:828-657-1810 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge, The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permitice becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. COMMENTS. I A0 02/24/2016 Perm ittee/Submitter Signature:*** j—(achael G #am/e E-Mail:rachaeloakaceinc.com Phone #:828-657-1810 Date Permittee Address: 16104 York Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2020 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 LAD NAME: Water Tech Labs CERTIFIED CAR #. 50 PERSON(s) COLLECTING SAMPLES: Ken Deaver PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/fortns. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B 0506(b)(2)(D). t R R e, I I, t 4 I I 4I It 4 e M R a A • e a i m ummcmml IBM rm » 4 m d II 4 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 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. *J certity, under penalty of law, that this document and al I attactunents were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the inforniation 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." The Hideaways WWTP Permittee (Please print or type) W Sijnafore Yf-Permittee*** Date GoGo Properties, LLC (Required unless submitted electronically) PO Box 240772 Charlotte, NC 28226 Petnuffee Address Pbone Number e-mail address Permit Expiration Date 6/30/2020 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) KACE Environmental, Inc Certification No. 5424 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) 733-5083 or by visiting the Surface Water Protection Section's web site at h2o.enr.state.ncus/wqs and linking to the unit's information pages. 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 15A NCAC 2B .0506(b)(2)(D). Page 2 tt t e ■ . �, b :- . • .. . , • ,, w M • M... r! y �a� � .vda �. �. �. � i 1 yry �m: :��� A 4 a xyy # 1 I. � � Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) IF] Compliant All monitoring data and sampling frequencies do NOT meet permit requirements F-1 Noncornpliant The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. - I certity, 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," The Hideaways WWTP Pennittee (Please print or type) §f1inaftiWo FP—eromlee Date GoGo Properties, LLC (Required unless submitted electronically) PO Box 240772 Charlotte, NC 28226 Pennince Adilre-ss Phone Number e-mail address Permit Expiration Date 6/30/2020 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) KACE Environmental, Inc Certification No. 5424 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) 733-5083 or by visiting the Surface Water Protection Section's web site at h29.enr.state.nc.us/wqs and linking to the unit's information pages. Use only units of measurement designated InTe- —reportingTa"cili—ty's NPDES permit for reporting dam No Flow/DischargeFrout 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 15A NCAC 2B .0506(b)(2)(D). Page 2 d. e ' • . ,� �-� •. «:s �°° ��x a N i a 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 El 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 pennittee became aware of the circurnstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. .1 certity, 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." The Hideaways WWTP_ Permittee (Please print or type) Siina—ture of Permittee*** Date GoGo Properties, LLC (Required unless submitted electronically) PO Box 240772 Charlotte, NC 28226 Permittee Address Phone Number e-mail address Permit Expiration Date 6/30/2020 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) KACE Environmental, Inc Certification No. 5424 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) 733-5083 or by visiting the Surface Water Protection Section's web site at h2oenr.state.ncus/--- and linking to the unit's information pages. Use only units of measurement designated in the reporting facility's NPDFS 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. ORCOnSite?: ORC must visit facility and document visitation of facility as required per 15ANCAC 8G.0204, Signature of Permittee: If signed by other than the pennittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 ELC eP 2 9 2015 EFFLUENT NPDES PERMIT" NC). NCO057401 DISCHARGE NO. 001 MONTH August YEAR. 2015 FACILITY NAME The Hideaways WWTP CLASS 1 COUNTY Mecklenburg CERTIFIED LABORATORY (1) Water Tech LabsOA CERTIFlCATICIN NO. 50 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Ken y GRADE 11 CERTIFICATION TIFICATION NO. 27295 PERSON(S) COLLECTING SAMPLES Ken Deaver ORC PHONE (28) 657-1 10 CHECK BOX IF ORC HAS CHANGED � NO FLOW # DISCHARGE FROM SITE Mail ORIGINAL and ONE COPY to: I , ATTN: CENTRAL FILFS 5tf! U 1 m Im Im t k 3 Weekly ekly h Monthly 2/Month 2/Month T13 .°� Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements TN E permittee becomes aware of the circumstances, possibility of fines and imprisonment for knowing violations." The Hideaways WWTP Pennittee (Please prini or -type) S/gristare -of Pennittee*-- Da GoGo Properties, LLC (Required unless submitted electronics PO Box 240772 Charlotte, NC 28226 Permittee Address Phone Number e-mail address Pen ADDITIONAL CERTIFIED LABORATORIES it Expiration Date 6/30/2020 Certified Laboratory (2) KACE Environmental, Inc Certification No. 5424 Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No, Certified Laboratory (5) Certification N. PARAMETER CODES Parameter Code assistance may be obtained by calling the XPDES Unit at (919) 733-5083 or by visiting the Sur Water Prntention Qpetinn's, wt-h -,it&, at h1n i-,nr qtnte nr. nq/wnq anti lint-ina in the irnit'q infhrmnfinn nncrt-o, 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 M04. Signature of Permilittee: If signed by other than the pennittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 ■ s s , r asmom `cs I i c Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) IF] 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 ftont 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. -of Permitt PARAMETER CODES nt or type) iitted electronically) .SS Permit Expiration Date gL/wqs and linking to the unit's information pages. cility's NPDES permit for reporting data. scharge occurs and, as a result, there are no data to be )r the entire monitoring period. ORCOnSite?-. 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 perinittee, then the delegation of the signatory authority must be on Page 2 EFFLUENT ELC NPDES PERMIT NO, NCO057401 DISCHARGE NO, 001 MONTH July YEAR 2015 FACILITY NAME The Hideaways WWTP CLASS I COLINTY Mecklenburg CERTIFIED LABORATORY (1) "Water Tech Labs CERTIFICATION NO. 50 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Ken Deaver GRADE 11 CERTIFICATION NO. 27295 PERSON(S) COLLECTING SAMPLES Ken Deaver QA RC PHONE (828) 657-1810 CHECK BOX IF-ORC HAS CHANGED LLJ NO FLOW I DISCHARGE FROM SITE Mail ORIGINAL and ONE COPY to: � 1 '. 0 15, A TTN: CENTRAL FILES x 8.21.15 DIVISION OF WATER QUALITY i 1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS we r d 1 1 341 <10 1 <0.2 1 4. 51 < I 1 1 IN 4mm I $ � I i q8 { #e r 4 � Q Fonn MR -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) 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 permittee became aware of the circunistances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances, "1 certzty, 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." The Hideawa s WWTP Perittee (Please print or type) 144/ SIgnature of PPe ittee*** bate GoGo Properties, LLC (Required unless submitted electronically) PO Box 24077 Charlotte, NC28226 Permittee Address Phone Number e-mail address Permit Expiration Date 0/30/2015 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) KACE Environmental, Inc Certification N. 5424 Certified Laboratory (3) Certification N. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Chit at (91 ) 733-5083 or by visiting the Surface Water Protection Section's web site at h2o.enr state.nc.usfwgs and linking to the it's information pages.: 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 DM€R 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 erittee: 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 s » 2417,51 311 1 1 1 1; 1 1 391 1 1 1 1 1 OWN= smm a Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) H] Compliant All monitoring data and sampling frequencies do NOT meet permit requirements El Noncompliant 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 he 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. 161th"satututwun N The HideMa s W L Pertnittee (Please ., �,( C�W4 §71jumm of Perini GoGo Properties, LLC (Required unless si PO Box 240772 Charlotte, NC 28226 Perruittee Address Phone Number e-mail E Certified Laboratory (2) KACE Environmental. Inc Certif Certified Laboratory (5) _ —Certification No. PARAMETER CODES Use only units of measurement des 7gn7te'd i; 7he 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� Q. ­+... M0­++­ ff., A h�, .0— th— fl— ­ff­ fb— ih� AM im of the -1 a—, auth i must I— on 51, V, 1 �5­ ell, V file with the state per 15A NCAC 2B .0506(b)(2)(D). %ge 2 Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements r ------- I (including weekly averages, if applicable) Lnj Compliant r----1 All monitoring data and sampling frequencies do NOT meet permit requirements L-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 from the time the permittee became aware of the circumstances, A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances, -I certity, under penalty ot law, that this document and all atractiments 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." The Hideaw�Ls WWTP Permittee (Please print or type) xI Aj 40f4,- Stg—nature of Pennittee*** —5a—te GoGo Properties, LLC (Required unless submitted electronically) PO Box 240772 Charlotte, NC 28226 Permittee Address Phone Number e-mail address Permit Expiration Date 6/30/2015 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) KACE Envirom-nental, Inc Certification No. 5424 Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained t Water Protection Section's web site at h2o.er Use only units of measurement designated in the i No Flow/Discharge From Site: Check this t entered for all of the parameters on I ORC On Site?: ORC must visit facility and Signature of Permittee: If signed by other it file with the state per 15A NCA( Page 2 Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) H] Compliant All monitoring data and sampling frequencies do NOT meet permit requirements 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. -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," The Hideaways WWTP Permittee (Please print or type) Signature —of Date GoGo Properties, LLC (Required unless submitted electronically) PO Box 240772 Charlotte, NC 28226 Permittee Address Phone Number e-mail address Permit Expiration Date APIA/In 14; ADDITIONAL CERTIFIED LABORX-1 Certified Laboratory (2) KACE Environmental, Inc CI i No. 5424 M, HII FIT" DES permit for reporting data. Ye L t gul per AC� 2B - by visiting the Surface nntin" rknape Page 2 � ���� � �i �� �� � ■�i� �� %�_i_ �_ �� ��� 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 El Noncompliant permittee became aware of the circumstances. A written submission shall also be provided within 5 days of permittee becomes aware of the cic stands. - ",J .;4.�...:a ,:..t... yas..+... a.... —.x v -.— 1 cm—" arum.sazx-- F—t:.+wj ryczaemvm €um vvmsa to csma,, mmmmvm mmmcsta tm 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." The Hideaways WWT Pe `ittee (Please print or type) gnu of Pe ittee' * Date GoGo Properties, LLC (Required unless submitted electronically) PC) Box 240772 Charlotte, NC28226 Parameter G Water Prmet Use only unit No Flow/ * O CO * Si nature Phone Number story (2) KACE Environmental, Inc story (3) Iory (5) PARAMETER assistance may be obtained by calling the PDE i Section's web site at h2o.enr.state.nc.us/was an l� file with the state per l 5A NCAC 2 -snail address Pennit Expiration Date 6/3 /2015 LABORATORIES Certification No. 5424 Certification No. Certification No. Certification No. C ODES S Unit at (19) 73 -5t183 or by visiting the Surface d linking to the it's information pages. 3ES permit for reporting clan.. ,ears and, as a result, there are no data to be monitoring period.> `facility as required per 15A NCAC 8G.0204. the delegation of the signatory authority must be on Page 2 EFFLUENT w* o Am a '71 1 1; I '401 ! h44 30 AVERAGE 0.001 I .S 7.3 38.5 13.3 7.85 7.05 I :001 .14 + . 7 4:� 101 MtNIMUM 0.001 7 ` 7.0 28 6.4 785 4.t <1 It 7:G t3 t :G G G! G ht0snthly Limit 0.002 N/L >6-<9 30f45 tL 301 5 200140 Weekly Weekly 2iMonth 2/Week 2/Month Monthly 2/Month 2IMonth DWQ Fonn MR- (I1/04) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) 1�1 Compliant All monitoring data and sampling frequencies do NOT meet permit requirements El Noncompliant The pertnittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially F"u'", WX Ut" �-1tV1tVo11­­ tuly 1111-11-tivit sitars uc ptuviucu onuty wanin z4 nours rroin me time me permittee became aware of the circumstances. A written submission shall also be providedmithin 5 days of the time the permittee becomes aware of the circumstances. ­1 certity, under penalty or 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 fmes and imprisonment for knowing violations." The Hideaways WWTP Permittee (Please print or type) Sf6ahre of Permittee*"�Date GoGo Properties, LLC (Required unless submitted electronically) PO Box 240772 Charlotte, NC 28226 Perauttee Address Phone Number e-mail address Permit Expiration Date 6/30/2015 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) KACE Environmental, Ine Certification N. 5424 Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. 11­4r­A I felt PAMET Parameter Code assistance may be obtained by calling Water Protection Section's web site at jh2o.enr.state.nc Use only units of measurement designated in the reporting fa No Flow/Discharge From Site: Check this box if no di entered for all of the parameters on the DMR f ORC On Site?: ORC must visit facility and document, Signature of Permittee: If signed by other than the per file with the state per 15A NCAC 2B ,050 DES charge occurs and, as a result, there are no data to be r the entire monitoring period. Isitation of facility as required per 15A NCAC 8G .0204. tittee, then the delegation of the signatory authority must be on (b)(2)(D)a Page 2 e � .� � .� ��s►�aM �+�r��,s�,;.r w . z • t „ t �., k � �. :. ��,. 1 II , 5 n �' �iu � � IY". I i �t �, i.., a Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) 1�j Compliant All monitoring data and sampling frequencies do NOT meet permit requirements F-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 bows 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. "I certity, under penalty of law, that this document and at I 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." The Hid22wa ,Is WWTP Permittee (Please print or type) A�J �%Wa_t`ure of Pertnittee*** Date GoGo Properties, LLC (Required unless submitted electronically) PO Box 240172 Charlotte, NC 28226 Permittee Address Phone Number e-mail address Pennit Expiration Date 6/30/2015 ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) KACE Environmental, Inc Certification No. 5424 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) 733-5083 or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wgs, and linking to the unit's information pages. 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 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