NC0089664_Regional Office Historical File Pre 2018

p" PNp11DFpSI'ptRMIT NO.- NCO089664, PERMIT VERSJ4
FACILITY NAME: Park,,Aood Station CLASS. PC-1
OWNER NAME. Parkwood Residences LLC ORCt LJosepli Pair;
GRADE: PC-1 ORC HAS CHAr�
eDMR PERIOD: 01-2018 (January 2018) VERSION: L0
SAMPLING LOCATION: EFFLUENT
1,0 PER MITSTATUS: Active
COUNTY: MMecklenburgq
Nest "'o ,_ I F g
ORCCEWFNIJMBFR:98863,
�D- No MAR 19 2018 AECF-11
STATUS- Processed
41
DISCHARGE NO.: 001 NO DISCHARGE
MOORES'V
�CDENRJ[,)WR
S
TEGIONAL OFFICE
r
5050
00400
Monthly
omoz
Llonthly
01007
Aorahly
76028
Quarterly
0 1 0,u
orohtv
0042
0 ith IV
0040
TAOC
uArlorly
Recorder
Grab
Grab
Grob
Gns)
Grab
Grqb
Grab
Grab
LOW
p I
A$-('afAt,,
HARIUM
SENIUN01,
CI -TOTAL
COPPER
TOT HARD
t rUD48AC
11400 crock
H.
2400 clack
Uri
y(RIN,
2�Ld
_.asli
Mg/_
0oll
isoR
ug11
mgq
4
7
8
tz
ss
14
ts
16
17
18
20
21
24
27
19
0,402
150
200
24
217
M..thly Mmge:
DAY MA�dmm�
DAY Nfi.fin.-
**** No Reporting Reason: ENFRUSE - No Flow-Reuse/Recycle; ENVWTHP, = No Visitation —Adverse. Weather; NOFLOW -` No Flow; HOLIDAY = No Visitation — Holiday

PPFF'
NPI)ES PER NC).: NC0489664 PERMIT VERSION: 1.0 PERMITSTATUS. Active
FACILITY NAME: Parkwood Station CLASS: PC -I COUNTY- Mecklenburg
OWNER NAME. Parkwood Residences LLC ORC. Joseph Patrick Nestor ORC C,`ER'T NUMBER. 988633
GRADE- PC -I ORC HAS C:IIANGEU: No
et)MR PERIOD- 21-2018 (January 2018) VERSION. 1.0 STATUS-, Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: YES (Continue)
01051 'Comm 76024 34475 04092
Quarterl Quarterly Monthly Monthly
Grab: Grab Cie»b t_iri:b Cienl}
z LKAD MERC[RV-C ,c Vo1A76LE IETC€ETY ZINC
2400 clack H. 2400 d.d, R" V/U^' v�fl u A u�,Fl u�ii m /4
rt
x
3
4
5
a
1a
t1
12
14
16
+17_+
20
21
2.
23
25
26
27
29
,30
31
Ma.ddy,k—ge U.1t: U,FS q.012 3-1 36
Monthly .Averh4}so:
I)niiy Nfird—hv: :
*** No Reporting Reason: RNFRUSE No Flow-Reuse/Recycle; ENV "I'IIR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY — No Visitation — Holiday

PNIDES PERMIT NO.: NC O089664
FACILITY NAME: Packwood Station
OWNER NAME: Parkwood Residences LI..0
GRADE: PC- I
cDMR PERIOD- 01-2118 (January 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: I.o
PERMIT STATUS: Active
CLASS: PC -I
COUNTY: Mecklenburg
ORC. Loseph Patrick Nester
ORC CERT NUMBER. 988633
ORC HAS CHANGED: No
VERSION: 1.0
STATUS: Processed
CONTACT PHONE t#: 2165840992
SUBMISSION DATE- 03/12/2018
03/12t2018
t � F qt {'� ? t , k 3 ,E-Mail:[e-mail] Phone #F:216-584-0992 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 per -in
03/12/018
`` a d E-Mail:cholzapfel@nr gro .cram Phone ##:[phone] Date
Permittee ddress: 1700 N Brevard St Charlotte NC 28206 permit :Expiration Date: C 6/30/2022
1 certify, tinder penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel 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 nay knowledge and belief, true;
accurate, and complete. I am aware that there are significant penalties tier submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:
CERTIFIED LAB 4:
PERSON(s) COLLECTING SAMPLES.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting, http://portal nedenr,of g/web/wglswp/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 trust visit facility and document visitation of facility as required per 15A NCAC 8G .0204,
*** Signature ofPermittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NC,AC 2B
.0506(1))(2)(D).

PNPPDt FS PERMIT NO.: NCO089664
FACILITY NAME:. Parkwood Stati,
OWNER NAME. Parkwood Residei
GRADE: PC-1
eDMR PERIOD: 01 201 A (January
activity by the ORC, and no water has b
PERMITVERSION. t.(
CLASS- PC-1
s LLC ORC. Joseph Patrick Nestor
ORC HAS CHANGED: No
8) VERSION.1.0
g construction; therefore site dewattering was not oeccssary, As such; a treatni
een discharged to tLL laer:nitted outfall.
PERMIT STATUS: Active'
COUNTY: Mecklenburg
ORC CERT NUMBER. 988633
STATUS. Processed
ent system has not yet been installed, there has been no

Prr'M'
VPDES PFR,I7 NO.: NC{084661
FACILITY NAME: Park vood Station
OWNER NAME: Parkwood Residences L C
GRADE. PC-1 "
eDMR PERIOD: 01-2018 (January 2018)
Outfall 001- Effluent Comments:
e ORC, and no water has been
PERMIT VERSION. I.O
CLASS: PC-
ORC. Joseph Patrick Nestor
ORC HAS CHANGED: No
87ERSIONs L0
•efore, site dewaterina was not necessary. As such, a treati
to the nerrnitted outfall.
PERMIT STATUS: Active
C0UNTY: Mecklenburg
ORC CERT NUMBER- 988633
STATUS: Processed
t system has not yet been installed: there has been no

VNPJIESMa NO.. NCO089664 PERMIT VERSION. 1,0 PERMIT STATUS: Active 3
FACILITY NAME: Parkwood Station CLASS. PC,-i COUNTY. Mecklenburg
OWNER NAME: Parkwood Residences LLC ORC. Not Reps cd ORC CERT NUMBER. 995491
R-ADEi PCNC ORC ETAS CRANCEM NYArx
eDMR PERIOD: 12-2017 (December2017) VERSION- 1:4 � a , �• c i r lg s b�, 5TA'iUS. Processed
O ?Ct
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DI ( K X'X L ri
mod
«: 30056 094W 010,32 01007 7602$ 01034 01042 00900
C)axe^a ;r h4onthly fi4sttaitCy MK>uaEtly . Quae&eniv 110unt6F9 hiusakEt#y ASunthly Quan rly
C
rr o. Recorder C plb Craft Graft GtxiG : Graft Grab Grab
� W �
O t0j a. Bitlil' pkl A*TOTAL BARIUM SEAR-VOL .Car -TOTAL i"i7t'PER "fM HARD kI Cttt3NAC
2440 Cluck It. 2400 cinelt H. YfRfti mtot su iigll m /l tsvtsll a/i n t# sign percent
k
2
3
4
5
d
7
9
'tl
i2
r3
a4
is
k0
ka
20
21
s2
23
24
xs
26
x7
28
29
atr
i 3C
Mnnthir Averagaldrivt: OA02 ISO 2U0 24 17
Monday A—Int
Wily Msxinrunr.
DAY ;wkkniniunu
# * No Reporting Reason: ENF RUSE -- No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; tdtit"1.OW . No Flew; HOLIDAY - No Visitation Hotiday

VNPDES PURIMIT NO.- NCO089664 PERMIT VERSION. 1,0 PERMITSTATUS: Active
FACILITY
OWNER
GRADE:
eDMR
NANIE-
NAME,
PCNC
PERIOD:
SAMPLING
4
Parkwood
12-2017
Parkworld Station
Residences
(December 2017)
LOCATION:
CLASS- PC- I COUNTY: Mecklenburg
LLC ORC. Not 1teqwrcd ORC CERT NUMBER. 995491
ORC HAS CHANGER: No
VERSION. 1,0 STATUS: Processed
EFFLUENT DISCHARGE NO.: 001, NO DISCHARGE*: YES (Continue)
01011 COMER 76029 14475 002
im �tcdy Quarterly Monthly
E
5
s g
Grab Grab Grab 6rab Grab
Z
Q
4
0 t 0
Z, LE-W MERCURY. Co. VOLATH E rcanxxv zlNC
2400 clock
We
2400 muck It.
y/111"N' Ug/l ug/1 .191t
2
4
7
10
it
is
13
14
17
18
19
20
2k
21
24
zs
26
L7za
29
31
Monthly AvemgcLhnit' 0.54 0.011 33 36
Nf-thly Av—g,:
Wily Maovauva
War "flohn.­
No
Reporting
Reason:
ENFRLISE No Flow-Rcuse/Recycle
ENVWI'IIR No Visitation - Adveme Weather; NOFLOW r No Flow; HOLIDAY No Visitation- Holiday

VNPDESMIT NO.: NC,0089664 PERMIT VERSION: 1.0 PERMIT STATUS. Active
FACILITY NAME. Parkwood, Station CLASS: €'C-1 COUNTY. Mecklenburg
OWNER NAME: Parkwood Residences LLC ORC: Not Reeluirecl ORC CERT NUMIIER: 995491
GRNDE: PCNC: ORC HAS CHANGEDNo
eIDMR PERIOD. 12-2017 (December 2017) VERSION: l.o STATUS: Processed
COMPLIANCE S' "ATUS« Cornpliar t CONTACT PHONE # . [phone] SUBMISSION DATE: 03109/2018
03109/2018
Mail: cholaapfcl(cr),nrpgroup.com Phone :[phone] Date
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 office any noncompliance that potentially threatens public health or the environment..
Any intonation 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.
Ifthe 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 prat.
03I0912 0 18
Pt�AiI iriICof rittti1 J (d �r Fv-Mail:chotza,pfeltartrproul>.com Phone ##:2ICii_584-0992 Date
z ...., ., ...s
Permittt e Address: 1700 N Brevard St Charlotte NC 28206 Permit Expiration Date: 06/30/202
I certify, under penalty of law, that this document and all attachments were prepared under nay direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering this information, the information submitted is, to the best ofmy knowledge and belief, true,
accurate; and complete:. I am aware that there are significant penalties for submitting false information, including the possibility of lines and imprisonment for
knowing violations.
CER`r[FIED LABORATORIES
LAB NAME:
CERTIFIED LAB 4:
PERSON(s) COLLECTING SAMPLES:
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (9I9) 807-6300 or by visiting littp://portal;ncdenr.orgfcvebl glswp/p,�fnpdes/fortns,
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDFS permit fcrr 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 Nt".AC 80 .0204.
** Signature o f 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).

VTllPDE,SMIT ENO,. NCO089664 PERMIT VERSION. 1.0 PER IT STATUS. Active
FACILITY NAME: Parkwood Station CLASS. PC-1 COUNTY: Mecklenburg
OWNER NAME. Parkwood Residences LLC ORC. Nut Required ORC CERT NUMBER: 995491
GRADE. PCNC ORC HAS CHANGER: No
eDMR PERIOD: 12-2017 (December 2017) VERSION: 1.0 STATUS: Processed
Report Comments:
Groundwater was not encountered during construction; therefore, site dewatering was not necessary. As such; a treatment system has not yet been installed, there has been no
activity by the ORC, and no water has been discharged to the permitted outfall.

VNPDESMI`C NO.. NC O089664 PERMIT VERSION: I.O PERMITSTATUS. US. Active
FACILITY NAME: Park -wood Station CLASS. PC -I COUNTY. Meeklenbu
OWNER NAME. Parkwood Residences LLC ORC. Not Required ORC CERT NIJMRER. 995491
GRADE- PCNC ORC HAS CHANGED. No
eDMR PERIOD. 12-2017 (December 2017) VERSION. 1,0 STATES. Processed
Outfall 001 - Effluent Comments:
Groundwater was not encountered during construction, therefore, site dewater tlgg was not necessary. As such; a treatment system has not ,yet been installed, there has been no
activity by the 2RC, and no water has been discharged to the permitted outfall:

PD E PS E NCI.«
isE('0089664 PERNITT'
VERSION.1,0
PER ITSTATUS.
Active
FACILITY NAME: Parkwood Station CLASS«
us fr»
'PC"-1
s v
> gOUNTY. Meckienburgl
e
OWNER NAME: Parkwood Residences LIX ORC«
Nut Required
ORC CERT NUMTIERJ4
0VEMCDE
ROW
GRADE. PCN;C ORC"
HAS CHANGED. No
eDNIR PERIOD: 11-2017 (November 2017) VERSION.
1.0 "'EA t
—,FN STATUS: Processed
n..
)
SAMPLING LOCATION: EFFLUENT
4
DISCHARGE
"1
NO.: 001 NO DI
� ya` j' ,§IONA
l
� MCE
t
50056 00404) 01002
01007 7028 01034
01042 0090
T,AA '..
a
C>n!,e. per Rtoni� hfnntisSv
M0a1h3y Qtear[ert long ly
Londdy Monthly
2-neefy
"* to a
Recorder ('trap Gmb
Grab Grab Grab r
Goal Grab
Grab
F°t°ilkv p1i ts-7 (7"ra1,
S:ii€irrit. Srml-vol, Ca'-"i t3T.At.
Ct'rPFFit Tt}'t"}iARD
FTPID48AC
2000 luck On 2400 elueik. ltrs Y(liRd
tnl;ei IS11 iiaJi
tttpfl I nt7l n+,7
ugll m, 1
petren[
2
0
7
13
'.: ld
lg
16
17
t0
#0
21
x3
#a
is
26
27
#8
#2
M.athly Average Lhut:
0A02:.. 180
20 24
2,7
N1.0hiy;l.l—ge:
Um�1y '44euc+aurn:
:
i10ia4 M1Si3Y(p1RlYl:
** No Reporting Reason: ENFRUSE = No Flow-Recusc[Reeyele; f3NVi'+fTHR
a No Visitation - Adverse Weather,
NC)FLOW - No Flow; HOLIDAY - No
Visitation - Holiday

PPDFVSPERMP_ P1TFN0".
: 1stCO089664
PERMIT VERSION. I .O
PERMIT STATUS: Active
FACILITY NAME: Parkwood Station
CLASS: PC- I
COIJN'rYr Mecklenburg
OWNER NAME: Parkwood Residences LLC
ORC: h[ot Required
ORC CERT NUMBER: 995491
GRADE: PCN(.,
ORCHAS CHANGED: No
eDMR PERIOD: 11-2017(November 2017)
VERSION: L0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: YES
(Continue)
41051 CONT131
76029
34475
01092
mo111111Y Quarterly
Quarterly
Monthly
Mmithly
d
Grab Grab
Grab
Grab
Grab
8
LEAD W RCURY C­
VOLATILE
TrICLEFY
ZINC
12404 d.& H. 2400 d.k H. YJWN
a t7 It =fI
119"1
4
7
lG
ll
Et
14
is
16
17
2__
20
21
22
25
26
xa
29
30
M.Whiy Average, JAWW 0,012 13 36
M-flay Average:
D.1ky M.M.-
Wily Mfoi.­
No Reporting Reason: ENFRUSE No Flew-Reuse/Recycle; FNVWTHR No Visitation --Adverse Wcather; NOFLOW = No Flow, 1101ADAY = No Visitation-, Holiday

EPPPPPP_
iiES PERMIT NO.: NCO089664 PERMIT VERSION: I:0 PERMIT STATUS; Active
FACILITY NAME: Packwood Station GLASS: PC': -I COUNTY: Mecklenburg
OWNER NAME: Parkwood. Residences LLC ORC: Not Required ORC PERT NUMBER: 995491
GRADE: PCNC ORC` HAS CHANGED: No
eDMR PERIOD: 11-2017 (Noveniber2017) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION BATE: 03/07/201 R
03/07/201
fi 1, tlf p �t attltrt tVtri I r<=Er° ail:[e-mail] Phone 4:216-584-0992 Dat,
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 bane the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the pertnittee becomes aware of the circumstances.
If the facility is ttoncompliant, 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 pen -nit.
�JL4�1171,1
03I07f20I;
' ffiki q y tit iR : f 1 tti l r E-Mail:[e-mail] Phone ##:216�-584-0992 Date
Permittee Address: 1700 N Brevard St Charlotte NC 28206 Permit Expiration Date: 06/30/2022
I certify, tinder penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true;
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.iicdenr,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 Frorn 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 DNM
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G M04.
*** Signature of Permmittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2E
.0506(b)(2)(D)

PP P-
?DES PERMIT NO.. NC O089664 P RMI"I' VERSION: 1.0 PERMIT STATUS: Active
FACILITY NAME,.. Parkwood Station CLASS: PC-1 COUNTY. Mecklenburg
OWNER NAME. Parkwood Residences LLC t1RC. Nut Required ORC C;ERT NUMBER. 995491
GRADE. P NC ORC: HAS CHANGED, No
eDMR PERIOD: '11-2017 (November 2017) VERSION. 1.0 STATUS- Processed
Report Cfomments:
Csroundw: ter Yeas not encountered during construction; therefore, site dewatering was trot necc slaty. As sttc h, a treatnrestt systeiii has not yt t bees. installed, there has been no
activity by the ORC, and no water has boen discharged to the permitted outfall.

pppp-
PPl ES PERMIT NO.. N('0089664
FACILITY NAME. Parkwoud Station
OWNER NAME. Park -wood Residences LL
GRADE: PCNC°
eDMR PERIOD. 11-2017 (November2017)
Outfalt 001 - Effluent Comments:
Groundwater was not encountered during const ctic
activity by the ORC", and no seater has been discharge
PE I"I" VERSION. 1.0 PERMIT STATUS. Active
CLASS: PC;-1 COUNTY: Mecklenburg
ORC. Kist Required ORC CERT NUMBER. 995491
ORC HAS CHANGED. No
VERSION: 1.0 STATUS- Processed
t reforc, site dcwatering was nut neeessztry. As sorb, a treau gent system has nrsi yr t been installed, there has been 110
the Permitted outf dl.

ppppppr-
EFFLUENT
I
130;'
AV
MINIMUM
L Mla�atl� Limit
f)V(R Form MR-1 (08/05)
cry ENTER PARAMETER CODE ABOVE
CG
NAME AND UNITS BELOW
0 -FT
0
FJ
YL
77

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) El
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements El
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the
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 CI:P.Ca of the NPDES permit.
-I certtty, under penalty of law, thatt 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."
J. David Heller, President
Parkwood Apartment Holdings 1 LLC,
operating member of Parkwood Residences LLC
Permitte (Please print or type)
f-W FA%off f
t ,, Tate
- ,
(R aired unless submitted electronically)
5309 Transportation Blvd,
Cleveland, OH 44125 216-584-0992 maelenkofske cr,n roar .corn June 30, 2022
Permittee Address Phone Number e-mail address Permit Expiration Date
Ai71)1MFTIONCH T1FIED l A6ORATORIES
Certified Laboratory () Certification No.
Certified Laboratory (3) Certification No.
Certified Laboratory (4) Certification N.
Certified Laboratory (5) Certification No.
PARAMETER CODES
parameter Mode assistance may be obtained by calling the NPDES Unit at (919) 07-6300 or by visiting
http://portal.nedenr.org/web/wq/swp/ps/tipdes/appfomis.
Use only units cat"measurement designated in the reporting facility's NP[)ES 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 NC.AC 86 .0204,
** Signature of Pernaitteec if signed by ether than the pennittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .050E(b)(2)(D).
Page 2