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
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a s4 No RepouinF Reason: ENFRUSft No Flow-Rcuse,Reeycle:
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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
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�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
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*** 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
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— 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
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****"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
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SAMPLING LOCATION: EFFLUENT DISCHARGE
W IS
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:11L OFFICE
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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
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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
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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
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E tm
li'cckty k eekI}
x month 2 X week
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Grab Unub
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34
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30
30
200
Ai«tathlp Mlraae.
El £; i23 +23
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9.5 24
0.7 0
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**
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
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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
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NOFLOW....
6
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iz
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17
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N<iROW
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NOFLOW
2B
23
24
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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
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9.3 t;m4 43
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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
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4Af}if C?�CCk Firs $3lii# CAxCR. ff. 4f61N Y4ittfi i1C ".ri I
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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
�
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2 X week
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2 X month
2 X month
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0001
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77
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7 5
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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
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lnstantao-m, Grab
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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
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it
_.
is 1130
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NOFLOW
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2u 1300
#,0,"NOFLOIV
22 :: 020
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a 1020
.33 Y
26
82 20
367 47 77
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CF 001
31
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...
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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
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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
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ell
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Its-& flre 2400Omk. Un Y1RJ.V
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7
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.0
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3
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0,001
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17 0912 0,25 Y"
27 8.2 <'sp 3(re3 19 I
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20
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e 2ti
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a�
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0,001 28 :. 8
26 15.7 4.45 ' 7.3 < I
loonday:Araragal.iml#e
0102
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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
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12
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NOYLOW
13"
14
1 0930 ;.0.25 Y
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16
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0922 0,25 Y
23
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24
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:::;U 1i1
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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
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:
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Week1
00400
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Calculated Grab
Grab
Grab Grab
Grab Grab Grab
FLOW TEMP-C
PH
CHLORINE $00-Cone
NH3-N-Cone TSS-Cent FCCCOLI:
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Hrs
2400 Hrs VIR/N
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2
3
4
12:15 02: Y
0;001 11
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28
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24
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28
29
30
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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).
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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
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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
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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
■
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,
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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
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d
1 1 341 <10 1 <0.2 1 4. 51 < I 1 1
IN
4mm
I
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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
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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
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:001
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101
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0.001
7 ` 7.0
28
6.4
785
4.t <1
It 7:G
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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
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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
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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