NC0062383_Regional Office Historical File Pre 2018

NPDk-PERM�-TNO.: NC4062383
FACILITY NAME. Queens flamor WW'rP
OWNER NAME: Carolina Water Service Inc of North
Carolina
GRADE- WW-2
eDMR PERIOD: 08-2019 (August 2019)
COMPLIANCE STATUS- Non-Conmliant
0; 1
PERMIT VERSION. So PERMLL STATUS: Active
CLASS, WW-2 COUNTY: Mecklenburg
ORC- 1—a—Blclgh R IVEORC CERT NUMBER: 100TWEIV5)INCDERIC,J DWR
ORC HAS CHANGED: No, P 2 6 2019
VEISTATUS: processed WQROS
RSON: lo CENTRAL RLES, - MOORESVILLE REGIONAL OFFICE
COr4ACT PTIONE to 70451AWECTION SUBMISSION DATE- 09/09/2019
G
09/06/2019
ORC/Cerrifier Signature: Lila R Bleigh E-6a)l-lilac.bleigboqcarolinawaterservicene.com Phone 4:7045257990 Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The perm 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 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 corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDE S permit, �s tl�
09/09/2019
P�r;iete' oAe dS�ubmitIer 8ar0**
Ton y K 07n ""
E-MxaiI:tjkonsu1quiwa2ter.com Phone :[phone] Dte
Pe ittds_ 13818Harbor Rd CherjoIto NC"828Permit Epiration Date: 06/30/200
certify;
0 law, that tisdocument d all atachoren swere prepared under my direction or supervision in accordance with a systern 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, nue,
accurate, and complete, ( am aware that there are significant penalties for submitting false inflammation, including the possibility of totes and imprisonment for
knowing violations,
CEWFIFIED LABORATORIES
LAB NAME. K&W Laboratories, Carolina Water Services of NC Charlotte Re ion, Prism Laboratories
CERTIFIED LAICn 558,5228,401
PERSON(s) COLLECTING SAMPLES: Lila
L!!iI3lei h
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting htip://portal,nedenr.org/%,eb/wq/s)vp/pqtipdes/forrns,
FOOTNOIES
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 IMli
for entire monitoring period.
ORC on Site/. ORC must visit facility and document visitation of facility as required per 15A NCAC &G .0204.
*** Signature of Penniuce: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
,0506(b)(2)(D).

PNPDES PERMIT NO.: NCO062383 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Queens Harbor 4 WTP CLASS: W W-2 � � CIitP�i : Mecklenburg
OWNER NAME- Carolina Water Service Inc ofNorth IRC: Lila R Bleith 1,91
CIRC CERT NUMBER: 1004309
ft
Carolina
GRADE: _2 ORCM HAS CHANGED:l N ; IXAL FILE
WR SECTION
DMR PERIOD: f)'7-2019 (.fully 019) VERSION: L0STATUS: Processed
COMPLIANCE STATUS. pliant CONTACT 1PHkC?N14h 7045 799d SUBMISSION DATE 1 912019
OFFFICE
08/08/2019
RC /C/erti ier Signature: Lila R 131e1E E-Mai .l'a c. ieigh@,carolinawat rsery ce . t Phone :7045 9{} Date (S
By this signature, l certify that this report is accurate and complete to the hest ofmy knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
yv information shall be provided orally within 24 hours from the time the permittee became aware of the circuinstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circurnstances.
If the facility is noncompliant, please attach a list ofcorrective actions being taken and a tune -table for improvements to be made as required by part II.E.6 o
the NPDES permit.
08/09/ 019
Permittee/Su matter Signatur : ** '1 ny .I IConsul C-iAil:[e-mail] Phone :[phone] Bate
Pennittee Address 13818 ens liar Rd Charlotte NC 28278 Permit Expiration gate: 06/30/2020
.mq.w.w
certify, der penalty o aw, fh t 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: K&W Laboratories, Carolina Water Services csfl*IC C. arlcatce e isan, sac E.ahcrrataries
CERTIFIED LAB#: 558, 522tt, 40l
PERSON(s) COLLECTING SAMPLES. Lila l)lei h, C",lilzrlert Woi d
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NP 1ES chit [phone] or by visiting http://po .Lncd r.org/web/wq/ /pslnpdes/fo s.
F007NOTES
Use only units ofmeasurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Cheek this boat 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.
* CIRC on Sitet:OR` miffs€ visit facility and document visitation of facility as required per 15A NC:AC SG M04.
** Signature of Pe i : If signed by other than the permittec, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
0506(b)(2)(D).

P rp
NPDCS P'ft RMrf NO.: NC:O0623 3 PERMVf VERSION: Nc 5.0 PERMIT STATUS: Active
FACILITY NAME: Queens Harbor WWTP
CLASS- WW-2
COUNTY: MMemcklenhur ;
OWNER NAME: Carolina Water Service Inc of north OR'siLiiaRBieigh
ORCCERT NUMBER: 100430
Carolina
GRADE: -2
ORC HAN CHANGED; No
eDMR PERIOD: OD: 0P7-2019 (July 2019)
VERSION: L0
STATUS- Processed
SAMPLING LOCATION: FE
ISC GE .: 001 NO DISCHARGF*: NO
:. io 0014
Mae
^
C0314 C0610 Coo
$1416
C060
:
(Onkinwus 6v t
c kl
2 &
eckl iYeek e kl
a kk
a ears
ffiRecorder
Ono
Ckk
GrAb
he Ci n s ie t o site
C n aria
4
`
x"-r,+- TM-C
rcacraxa
rtriarx-
LLow rr -c
sH
uua
u.ce
840 k ft. 240# dk Hta
'Vimd
d e
su
u !
rt t m 1 ". ett tl
i7f10ftm1
m:
i 1'0 2,5
Y
2.02
24
2 9145 Q.S...:
'Y
4.017.: 17.9
4.8
22
< 2 0.1 :. 3.1
28
94t# 0,'7
Y
it,Okb
z 14.1 i1.25
9
0,023 .
F040 C12
Y
Qait.:..
`r Sfi35 €k.2.
Y
OQ11
1330 0.5
Y
0,022
50
900 0.5
:. y
U.Ot.3...
-16 9210 ii^5 _.
I
202:, 27.4
:.ki7
4'7
2A �0.1 H
27:
tt il[5 2.2 :.
Y'
il.OtG
az t400 O2
Y
2,02
s3 C300 2.2
E4
O.U16
E4 1030 01
a
0016 -
Fg 1235 2.5
Y
L019:.:..
32
Sid t235 2.5 -
Y
2019.. 28.4
G8
34
2 ..;:0A '.: 2.9
4
2k
I 12#1 tD S
k017
l6 !31 0,5
d
0.018 :.
av toa5 2,5
a1.o15
zo 820 tk.s
Pt
ants 6
1 t220 tk.5
rr
t1,031
:tZ t245 ik.2
OO1S
t340 4:2
Y
OUl7
i4 245 t,o
tkoks
Sri
:CBS 1615 t3.5
3
0.019 x73
±.8
:4
<2: �O l 41
I
"26 855 : 231t .
li
Oot
x szs u.s
rk
a.ols
a8 430 0, 5
F#
O.014
:. 350 0.20 ..
8
0,024 .. .
30 : 1310
0,014
L0J±Lj
4016
17.
M :. I,wU014,
: . 8.58
30 34
260
mmoba Av K OOi7774 27,75
2444
Ob.. 0 : 4.65
9,023333
21
x - 0. 31 . 28A
: 6.8
50 .
2.4 : 0 8
37
21 .
H y minimum 0,01
**** No Reporfing R cars, FNFRUSF = No
Flow-Reuae/Recycle;
ENV W n iR =Ades Visitation -- Adverse Wea ; NOFLOW = No Flow, HOLIDAY No Visitation -- Holiday

PrDCS,Fp,ERM1T NO: N O062383 PERMIT VERSION: 5,O PERMIT STATUS: Active
FACILITY NAME— Queens Harbor WWTP
CLASS: -2
COUNTY: McSck]enhur
OWNER NAMET Carolina Water Service Inc of North CDRC`.a Lila iT Bleigh
ORC: C E RT NUMBER: 100,4309
Carolina
GRADE:` -2
C)RC HAS CHANGED: No
eI) TR PERIOD: 07-2019 (July 2019)
VERSION- 1,0STATUS:
Processed
SAN11PLING LOCATION: LL ISC C 1
NO DISCHARGE*: (Continue)
cow
U
C'o slip
g
ti
: ` TOTAL P-C
duc& Hra 2W duck tam
IWN
ft-Is 5
Y
5 +3AD U 7
°f
1040
7 035 0.2
Y
1330 0.6
Y
to 121ti a.5�
v
ills n2
1'
Yz 1 02 _A___
ax I30t} 0.2
I%
#5 l235 2
Y
a5 1235 td 5
Y
3
1i20 25
Y
ss 1310 0.5
Y
1035 As :
y
ao 80 0.5
Td
�# 1220 4 S
N
1340 2-2—
v
24 3S0 0.2d}
R
:31 1240 0.7 -.
y
aaty t� LIL
�twax 3
es lr x m 3
x a
x*� No Reporting Relasom FNFRUSE == No
Flow -Re ecycle; ENVWTHR = No Visitation - Adverse Weather; NOFLOW = No Flow, HOLIDAY No Visitation -- Holiday

NPDES PERMIT NO., NCO062383 PERMIT NTRSION. 5.0 PERMIT STATUS: Active
F'ACiLITV NAME. Queens Harbor WWTP CLASS: -2 COUNTY. Mecklen ur
� �ll�i37
OWNER NAME:- Carolina Water service Inc of North CRCs Lila -RBleigh RECRVER CFRT NLIM ERz 100430�C/Ct5Nii/Df,'
Carolina
JUL 3 1 2019
GRADE. W-2 ORC" HAS CHANGED: No
el)MR PERIOI)c 06-2019 (June 2019) 'VERSION. LO FILES'TATUS S ll WOROS
t.r REGIONALt f #C,%
DWR i�� iO
COMPLIANCE S°TATLIS. C'rsnpliant COWACT PHONE `. 7045257990 SIJBMISSION DXFE: 0 7/08/2019
07/02/2019
ORCw/Certifier Signature: Lila It Flea h E-Ma :li .blei (q)carol n t rsery c e.cor Phone :704525' 99{) Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge:.
'Me permittee shall report to the Director or the appropriate Regional Office y noncompliance that potentially threatens public health or the environment.
y information shall be provided orally within 24 hours from the time the peratittee became aware of the circumstances. A written submission shall al.o be
provided within 5 days of the time the permince becomes aware e circumstances.
If the facility is noncompliant, pI attach h a list of corrective s being taken d a tarns- l for improvements to be made as required b p II.E.Ca o
the permit.
07/08/2019
rtnittee/Submitter Sign lure.* * Tony J 1C.ons l E-Mailetjk insul(cituiwater.corn Phone :7C143190523 bate
trainee Address: s; 13518 Queen,, arbor Rd Charlotte NC 28275 Permit Expiration Date; 06/30/2020
I cc aw, that this clot ent d all attachments were prepared under rtay 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 info - ation, including the possibility of lines and imprisonment for
knowing violations.
CE n]ZIED LABORATORIES
L=AB NAME: K&W Laboratories, Carolina Water Services of'NCw C" arlotte lCa o „ Prism L csrre
CERTIFIED LAB & 55 , 5228, 40
PERSON(s) COLLECTING SAMPLES: Lila. TSl h
PARAMFTER CODES
parameter Code assistance may be obtained inert y calling the NPDES Unit (91 ) 807-6300 or by visiting http-.//portal.nrdenr.org/web/Wq/svvp/p-,/npde,%/fonns.
17007NOTES
Use only units of*measurement designated in the reporting facility's NPDES permit for reporting data
No Flow/Discharge From Site: Check k this box if no discharge ~curs and, as result, there are no data to be entered for all of the parameters on the D
for entire monitoring period,
C RC on Site?: CRC must visit facility and document visitation of facility as required per 15A NCAC 86 .C1204.
*** Signature ofPe ittee. If signed by other than the pennittee, then delegation of the signatory authority must be on file with the state per'15A NCAC 2B
C}C}Ci(b)(2)(I3)•

NP0ES PERMIT NO.: NC 0062383
PERMIT" VERSION: 5..0
PERMITSTATUS: Active
F'AC ILTT NAME: Queens Harbor WWrP
CLASS: -2
COUNTY. ecklenbur
OWNER NAME- Carolina Water Service Inc ofNorth ORC : Lila R Blei h
ORC C:ERT NUMBER: 1004309
Carolina
GRADE: 2
ORC1HAS CHANGED: No
eDMRPERIOD: 6-201 (June 2019)
3RSiON: i. l
STATUS: Processed
SAMPLING LOCATION: EFFLUENT
DISCHARGE NO.:
001 NO DISCHARGE*:
N
" 0010
M314 C0616 Imsm
31616
C:w
12
ct nnnuous kl
WMkI
2 k
W ti 1 W-Wv
Wyk
erI
Srt
rder b
Crib
C`om ue Cort ste e to
t�ir%b
Com site
TSS-CW
VVOLIOra
TMAIrr_
now rFe-c
PH
crrcOrtrrrE
am .r� "-c«,t
:slack R. 2400,4.k f.
VIDI C
m d d c
su
m ni Ed-
#(IOt?ml
nz
t 12C ( z
N
0.911
x i32Q 1.2
0.013
"3 1215 15
Y
£1.6r3
30
t23.3.. (t.5
Y
t1,013 25
±__7
34
36 0,18 : 4.2
72
t410 0::1.
Y
0,014....
:6 1135. 02
Y
0,011
7 132Q 10 :
"S�
0,014
a 100 t 25
S
O.o I Il
4 O20 2.2
r3
O.017
t0 L045 i} 75
Y
o 017
21
12111 1.4
U.01 2±6
: 6.7
15
4:9 O,:11 2.9
25
to 950 o's
Y
0,011
:.t3 1005 05 ":
Y
0,017
':. 4 1i0 2.5
Y
0.017 ..
t6 1115 0.2:
Y
0,015
t7 : 1000 0.5
Y
0013
r0
' as 1200 0.5
y
0.015 : 26.8
6.7
25,
5's 0.16 5.5
.22.:
ra 930 0.5
Y
0,011
zt 95ir t,t
Y
11.n13
2t 1255 2,5 :..
Y
0,015
a2 940 0,3
la
0.004
24 : i420 0.7.
Y
O.0.19
10
ti 1400 £17
Y.
0.015, 27:3
6,8
29
(t.1 5
1
26 1310 i A
Y
U.014: .
[t7]5 02
Y'
0011
28 11200 2,2
'Y
,026
'2* 1200 !2 :.)
ft.t 16
30 1— U 2
N
dr 024
eitir3 A.tar*gr LiraN: 4.1s
....
30 30
20o
0,0145 25,925
19.25
4925 0,1375 115
30.iM31
ObM 273
6,8
34
5.8.... OAR 53
72
MAY m OM9 12466i
****No Reporting Rosen: ENFRISE = No'r1ow-Reuse/Recycle; ENi it - Na Visitation - Advese Weather; NOFLOW = No Flow; HOLIDAY = No Visitation --Holiday

NPOES PERMIT NO-- NCO062383 PERMIT VERSION: 5,0 PERMITSTATUS: Active
FACILIT Y NAME- 2!aeens Harbor WWTP CLASS. Wild-2 COUNTY: �Mjecklenburg
OWNER NAMF� Carolina Water Service Inc of North ORC- Lila R Bic Lgh OR C CERT NUMBER: 1004309
Carolina
GRADE: WW-2 ORC HAS CHANGED: No
el)MR PERIOD: 06-2019 (June 2019) VERSION- 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
cow
TOTALP-Cw
L4" ±,k
face
S. 1"
H.
YON
m
1200
0,2
N
---12E5
4
1235
O's
y
L!410
35_b2
020
to
y
8
1000
0.25
H
---1020
0.2
j___
LO
_1045
0.73
X.
to
1210
1.0
Y
fa
950
0,5
y
to
10_05—
0.5
X--
L4_
1100
0,5
y
111—
01
y
L000
2
930
O's
y
14
___230
24
_.L400
2 7 _
j__
j3 10
1 —0—.Y--
21
100
0.2
y
f 200
—
01
—
y
,
—
1200
01
y I—
30
1330
0,2
N
W.tho, AwW TAk:
—U;011 —Z.
No Reporting Pemon-. ENFRUSE = No Flow-Rcuse,/Recycle, ENVW'rHR - No Viiatation — Adverse Weather; NO LOW n No Flow; HOLIDAY = No Visitation — Holiday

r
NPDES PFRtV;IT NO.: NC."O062383 PERMIT VERSION. 5.0 PERMIT STATUS: Active
PA.C6'lY NAME: Q eem Harbor WWTP CLASS: WW-2 COUNTY. Mecklenburg
OWNER NAME: Carolina Water Service Inc of North ORC-, i,, la It Blei h ORC. C ERI` NUMBER: 1004309
Carolina 9 E E N E R/ to
GRAOEa -2 ORC HAS CRANGED: Yes . E C w..... ..,.., ..«..
e,DMR PERIOD: 05-2019 (May 2019) YE:RSICIN: 1,0 JULSTATUS: Processed �$<
COMPLIANCE STATUS: Loan liant CONTACT PHONE #: [phone] SUBMISSION DATE: 06/0 /2019
06/04/2019
ORC',/Certifier Signature, Lila R Bleigh il:lilac.bleigh(ii,)carolinawaterservicenc.com Phone 4,7045257990 Date
By this signature, I certify that this report is accurate and complete to the bast of my knowledge.
The pert ittec shalt report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permitpermince 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.
f the Facility is nonuompli t, please at an a list of correct bons teeing taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDFS permit,
06/05/2019
ermittee/Submitter Sign are:* * Tony T Konsul E-Mail.tjk'onsulnq uiwat r.com Phone #:[phone] Date
nittee Address: 13818 Queen arbor Rd Charlotte NC 28278 Permit Expiration mate. 06/30/2020
1 Ce under rt,n , that this document and all attachments were prepared cinder my direction or supervision in accordance with ai system designed
to assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the perm 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. t 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: K&W Laboratories, Carolina Water Services of C Charlotte ire ion, Prison Laboratories
CERTIFIED LAB#. 558, 5228, 401
PERSON(s) COLLECTING SAMPLES: Lila Bleigh, Charles Wood, Daniel Wtrn e
PARAMETER CODES
Parturreter Code assistance may be obtained by calling the NPDES unit [phone] or by visiting http://portal.nedejir.org/iAcb/wq/swp/ps/npdes/fonns,
FOOTNOTES
Use only units of measurement ment designated in the reporting facility's NPDES permit for reporting data;
No Flow/Discharge From Site. Check this box if no discharge occurs and, as a result, there are. no data to be entered for all of the parameters on the D R
for entire monitoring period.
** ORC on Site? ORC taut visit facility and document visitation of facility as required. per 15A NCAC 8G.0204.
*** S ignature of ittee: If signed by other than the perm ittee, then delegation of the signatory authority must be on file with the state per;15A NCAC 213
0506(b)(2)( )

f MIT NO.: NCO062383
N1'OES PERMIT
l ERMI1` V ION: 5,0
PERMIT 7'r TUS: Active
FAC161TY NAMF. Queens Harbor WWTP
CLASS: WW-2
COUNTY- jeeklenburS
OWNER NAME. Carolina Water Service the of North CRCs Lila R Bleigh
CIRC CERT NUMBER: 1004309
Carolina
GRADE- WW-2
ORC DAN CHANGED:
Ye
e MR PERIOM 05-2019 (May 2019)
VERSION: I.t}
STATUS. Processed
SAMPLING LOCATION: EFFLUENT
DISCHARGE NO.:
001 NO DISCHARGE*:
NO
.. 591150... twl#
06m
mw
C0310 C0610 C053e
3 616 C06"
Eonfinwoq We
Weekt
2 X k
Weck1 Wee&I W xk
enk6 I
, .
cOs
..
'. Recorder C-t,
iiteb
b -..
Cana: site Ca site Cum aacitc
-
Gtab Com 'ite
6 Cis
9
now a rmp-c
Pit
C"'LilRm
ROD _ Gene Nff." - C 11,46- `
VC0111 HR TOTAL N -
24" d.,k R. 240 d ttt nn
V/NN
m d d x c
su
u
me--- iT bta.
ft'-L)cua1 m>
0t 0 1.2
Y
0,007
x L,50 10
10 1 8 2225
Cib
13
5.1. 6.3 35
3 00: Ci.7
Y
te.0l t
a. 940 ti.5
i3
11,013
5 930 03
It
0,013
: 4 iQStt I.25
Y
O.Q15
7 1250 0.5
a
0.015
1240 (1.5
t3
O.)12 22'4
6:6
8.
3.1 ;:01. 7
�=:1
' s 1310 10
Y
E7,t714
0
14 1405 ` ll.5
Y
0017
tt 9{F5 A,2
Y
(r01
12 1000 0:2
Y
0,019
t3. 1300 0.71
ii
201
t5 1150 it.50
ki.
0018
34
id 200 0.5+I
t3
0.014 21.9
: 6.7
22
4k i} 11: - 18.
If
i7 L200 #),50
Fs.
Q.O16
18 ol-1 2.2
N
OQi4:
1015 ... 2.2
6
-16
0.o
34 d230 .; . 1.0
Y
0,01
35
xt 12.11) C;5
Y
O.014 - 24.9
6.7
6
2..7 0.1 3 1
128
xz 13SU 1T:7
Y
2015
a3 t05C) O;2
Y .
O;pt3
4 14111 10
Y
(t.016
25 1640 02
Y.
0017
' as 13111 O.
II
0.013
F7 k0l U,2
tJ.01.1
46
28 Moo 0.5
Y
0,015 26,9
6.7
8
53 <01 <23
115
xv 1100.::. 4:5
5"
ti.012.
-: -10... 0.2
N
0,01.1
3i 050 107..:.
Y
0,016
...
RmAlay AVLbuW Cis
34..
34
no
taiaraa�lg Aee e01441.9 23,92 ...
V 333333
4.1.2 L292 938
11,011945
v Mxz .. 6 t12 26,9
6,7
��17
6.3 35
128
v i an; t?.Ot)7 21;I1
6.6
0 0
0
°* ° No Reporting Reasow ENFRUSE = No
Flaw-Reuse/Recycle;
ENV WTHP = No "Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY '= o Visitation -
Holiday

PERMIT S"I KrUS: Active
FACILITY NAME: Queens Harbor WWTP CLASS: WW-2 COUNTY. Mecklenburg
OWNER NAME: Carolina Water Service Inc of North ORC- i.ila R Bleigh ORC CERT NUMBER. 1004309
Carolina
GRADE: WW-2 ORC HAS CHANGED: Yes
DMR PERIOD: t 5-2C119 (May 0 V E SIGN: I .II STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: GF*: NO (Continue)
I # 50
tt.46
i#
86
t2g4
050.:...
i3
t?
S200
0.'10
H
Lot -1
19
I6#5"
02
I!
5200
i0
Y
23
(35Ck.
0.1/
Y
xs
VO50
0.2
)
24
l4111
l.11
S
t54G-..
t1<2
Y
24
L31
#S,2
t&..
24
#it75 .:.
tl,2
Y
2s
#2C6U
0:5
Y
29
t10i3
tk:5
Y".
at
i4S0
1.7
Y
y
xxxx No Reporting Rmsow ENF USE No Flow-Reuse/Recycle; ENVWTI-IR = No V`,

jow
RECEIVEDINCDENRIDY�
&"MCarolina Water Service
mm of North Carolina" oOs
MOORESVUE REGIONAL OFFICE
`"E $ D
MAY2 8 2019
Central File
Division of Water Quality
ty
1617 Mail Service Center
Raleigh, NC 27699
Fief: Queens Harbor WWTP
NPDES Hermit '- NC 062383
April- exceedance of Daily Feel Colifor
To whom it may concern,
The fecal coliform sample collected on April 251t' with a result of >600 cfu ml exceeded the daily
permit limit of 400 cfu ml. After evaluation of the W TP it was determined that the decant
pipe was stopped up and the wall mount brackets had come lose from the wall which allowed
solids to go back into aeration. Our contractor was immediately to make the necessary repairs.
We also hauled two loads out of the digestor to make sure the pipe was unstopped. All other
daily and monthly samples collected comply with the NPDES permit.
If you have any questions or if I can provide any additional information, please do not hesitate
to contact me at 7041-- . - 204.
Sincerely;
Charles F. Wood Jr.
• 4944 Parkway Plaza Blvd. Ste 375: Charlotte, North Carolina 2 217 800-525-7990

f Tony Konsul

NPDES PERMIT NO.: NC 062383 PERMIT VERSION: Su PERMIT STATUS: Active
FACILITY NAME: Queens Harbor WWTP CLASS. WW-2 COUNTY: Mecklenburg
OWNER NAME: Carolina muter service Inc of North ORC. Daniel G Winal ORC CERT NUMBER- 1005901 ,
Carolina'
GRADE: W -2; ORC HAS CHANGED: No
eDMR PERIOD:0412ti19 (April 2019) VERSION: I STATUS: Processed
COMPLIANCE STATUS: Non- Compliant CONTACTPHONE #: 7045257990 SUBMISSION DATE: 05/15/2019
05/ 10/2019
ORC/Certifier Signature: E-Mail: Phone fi:7045257990 Date
a
f
By this signature, I certify that this report is accurate and Complete; to the hest of my knowledge. lie
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 Hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 clays of the tinge the pennittee becomes aware of the circumstances.
If the facility is troncompliant, please attach a list of corrective actions being taken and a tune -table for improvements to be .rude as rewired by part II.E.6 of
the NPDES perrait,
05/15/2019
PL,­
u inSigna ure.. ** Tony J onsul U- ail:tjkonsul it?uivvater.com Phone #i:7tf 319t)5 3 i)ktt
PQueensHarbor Rd Charlotte NC 28278 Permit Expiration Date: 06/ 0/202Q
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designer)
to assure that qualified personnel properly gather and evaluate the information submitted. Based can my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the: information, the information submitted is, to the best of'my knowledge and belief, true,
accurate, and complete. I am aware that them are significant penalties for submitting false infonttation, including the possibility of lines and imprisonment for
knowing violations,
CUItI`1FIED LABORATORIES
AR NAME: K& W Laboratories, Carolina Water Service, Inc of North Carolina Chrarlotte ttegion
CERTIFIED LAD #: 558, 522
PERSON(s) COLLECTING SAMPLES: Daniel Wrmpey,Charles Woods Jr.
PA MU E'R CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] 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 l It R
for entire monitoring period,
* ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 86 .t 0 4,
** Signature ofP ittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2l3
.0506(b)(2)(D)"

NPDES PERMIT NO.: NCO062383
FACILITY NAME: Queens Harbor WWTP
OWNER NAME: Carolina Water Service Inc of North
Carolina
GRADE: WW-2
eDMR PERIOD: 04-2019 (April 2019)
PFRNIFF VERSION. 5,0
CLASS: WW-2
ORC: Daniel G Wunpy
ORC HAS CHANGED: No
VERSION. 1 0
PERMIT STATUS. Active
COUNTA: Mecklenburg
ORC CURT NUMBER- 1005901
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
;st"o
C0310
C10614
CO&3U
31616
C000
me
e
Continuous
Weekly
IE!X_
I X week
Weekly
K_
Weekly
y�.
E!�:�
anerly
9L_
�E
f
Li
Ix —,der
jjab
ffab
L_
kab
�_
mw
f2T2_
,om mot
fp _
Dime
f2MMs
Ra It
�-o- —fte
L_j_
FLOW
TEMP-C
PH
CHLORINE
Boo - C_
Jsw-N - C_
TISS - C_
FCOLI UR
70TALN-
1400 dk
11"
-1401, —01-k
U.
y/wN me_
tit 1 _00ml
±Tjl_
1_1300
35
I.0
Y
0,012
2
1300
.14
3115
1,1
Y
0.011
t5.1
ci.8
13
1
16
20
24
920
n6
y
_0.ot
4
1015
01
y
0011
12
$
1045
.1-71
y
0.012
6
915
0.25
B
oAl
7
1300
935
0.71
012
j_L00
14
__
LLI
1
�o15
_ L_
4
8
15
5A
0.16
5.3
10
—
—
24-0--
�Lo_
YL_
. L10 _09
11
--1030
25
.2
1008
11
12
--1241)
f 71
±1011
_L350
0.25
B
O.017
14
--124-5
is
1200
0.8
y
ool I
< 10
_8300
12210
0.25
)01
17
1300
24
1150
l.2
Y
0.009
193
&7
14
7
014
10
t
tN
1311
E6
)L_
2.009
815
025
B
0,006
1210
I'll
1
0,013
_T_
-2-5—
i
2-0 —1
22
1510
0,75
s
0,009
—.2-0-07
004
24
25
1330
24
1241
1.0
B
0,004
213
66
29
9.6
0.18
23
> 600
26
945
1.0
B
0 OG4
1340
0,2
B
0,016
Z8
1120
0,2
i
0.013
24
1255
4�O
0o17
34
4.5
Y
coos
19
mmtha' A—ge Umh-
3#
30
0,0105
19,775
15,222222
63
OA2
10225
10,466351
24
May Wo.Um 0017
21-3
U
29
9.6
Elo
018
23
600
24
Daily Wbm- 0,0(4
15A
66
Q
3,5
2,6
0
124
No Reporting Reason: ENFRUSE
-No Flow-Reuse/Recycle;
ENVWTHR = No Visitation
- Adverse Weather; NOFLOW = No Flow-,
HOLIDAY No Visitation -
Holiky

NPDES PERMIT NO.. NCO062383 PERMIT "VERSION: 5,0 PERMIT STATUS: Active
i+ACILITVNAME: Queens flarborWWfP CLASS: WW-2 COLJNTY. i!c nbur
OWNER NAME: Carolina Water Service Inc of North ORCa C RC CERT NUMBETT. 1005901
Carolina
GRADE- WW-2 O C HAS C N ED: No
eDMR PERIOD: 04-2019 ( pril 019)9) "VERSION: f .C} STATUS: Processed
Report Comments:
fr_u cperatcar fa(fcd fecal-ctafifor orr #125119 >6t3Cf

FIECEIVEDINCDENRIDWR
&""Carolina Water Service
14M of North Cris"
WQRO
MOOFIFESVNlE REGIONAL OFFICE
April 8, 219
REC EIVED
Central Files APR 3 0 Z019
Division f Water Quality
1617 ail Service Center (EA, t:�ILES
Raleigh, NC 27699 1-Mli SECTION
Ref: Queens Harbor WWTP
NPDES Permit - NCO062383
March — Flow Reading
To whom it may concern,
On March 22th we had the flow chart and flaw meter worked on. After evaluation of the flow
read from : 23 1 -2 /19 it was determined that the calibration was off. Our electrical
contractor was immediately called. We had the meter recalibrated on the 251h d all other
daily and monthly flow reds comply with the NPDES permit.
If you have any questions or if 'I can provide any additional information, please do not hesitate
to contact me at 7 1 m92 4
Sincerely,
l� w..wKK �Mm
Charles E. Wood Jr.
Cc; Tony Kons [
944 Parkway Plaza Blvd. Ste 375 Charlotte, North Carolina 28217 00-525-7 9

a,
NPDES PERNMIT NO.— NC'O062383 PERMIT VERSION. 5,0 PERNIFF °I"ATUS: Active
FACILITY TY NAME: Queens Harbor W WI`P CIA W W-2 COUNTY: Mecklenburg
OWNER NAME: Carolina Water Service Inc of North ORC: Daniel G Wimpey ORC C=RT itiUMBER: 1005901
Carolina
GRADE: WW-2 ORC HAS CHANGED- No
e MR PERIOD: 3-2019 ([March 20 9) VERSION- 1,0 STATUS: [-recessed
COMPLIANCE STATUSc:C:omplain CONTACT PHONE t#.7045257990 St1t3MISSION BATE: 04/08/2019
O CICertifie;r Signature. DWimpey E/-Mail:danicI.toimpey ((i)caro I inaw aters rvicear .coot Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of nay knowledge.
The permittce 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 tune the permittee became aware of the circumstances, to written submission shall also be
provided within 5 days of the time, the pera ittee becomes aware of the circumstances.
If the facility is noncom fian#, please attach a list of corrective actions being taken and a tinge -table for improvements to be made as required by part IE.E:.G of
me NPDES permit,
04/08/2019
Pirmittee/Sc banitte Sign tearer*** Tony .i Kons it E-A ail:tjkonsul( uiwater.com Phone #:7043E9()523 Date;
E' °°. tithe Address 138 Cueeus ;Harbor 12d Charlotte ISC 28278 E'crrn:t Expiration E7atc; OCa 3, 2h2
I certify, under penalty of law, that this document and all attachments were prepared under any 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 nemagei the
system, or those persons directly responsible ftar gathering the information, the information submitted is, to the best of my knowledge and belief, true.
accurate;, and complete. I aan aware that there are significant penalties for submitting false information, including the possibility of tines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME. KAW Laboratories, Carolina Water Service, Inc of North Carolina Charlotte Region
C"ERTTFIE D LAB #s 558, 5221l
PERSON(s) COLLF:C'TING S.A14iT*LES: Daniel Wimpey,Charles Woods Jr
PARAME,rLR CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting littp://po w t.nedenr,orglwcbl vq/swTa/psfnpdr s/fo s.
I°C)o7 fN, ,o,rE S
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 15 A NC",AC 8G .0204,
*** Signature of P€ r ittee: If signed by other than the permittee, then delegation of the: signatory authority must be on rite with the state per I5A NCAC 2B
.0506(b)(2){D}.

NPDES PERMIT NO.. NCO002383. PER J I' VERSION:5.0 PERMIT STATUS: Active
FACILITY NAME: Qmens harbor WWTP CLASS WW-2 COUNTY- Meckdenbctrg
OWNER NAME: Carolina Water Service Inc of North ORC : Daniel Ca WimpeY ORC C"ERT NUMBER: 1005901
Carolina
GRADE. 2 ORC I ASS C'llANGED- N
eDMR PERIOD: 03-2019 (March 2019) VERSCCIN. 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.:001 NO DISCHARGE*: : N
10 50.800 0 C0310 C0614 i70534 3161E t'
SS caatmuouw WeeUv Weekly 2 X wock weekly Weeklc= _ Weekly � Weekly Quarutiv
y u c iiecnri}er Cireh m "^ . Ctah ate axtxmg1- raf
"on 'a isCNC"€xm site
Flow '174MPAI, PH CHLORINE, ROD -C­ N113-N-Crr T"S.C`aac peolrau TOTALN-
24"dwk 11s 24014-k Hra WaN yry, �`...—._..v....ii4' C � sU U{;:i F A4— ......,..µ GY! � ttf ?i � r�i/l00M.{
1 1210:.. 075 Y OM4
� 82(3 t2t 5' flU17:
13'n 730 1J.2 Y a.613
4 1,430 24 1225 L2 Y 002214.9 (19 24 59 #.12 64 l
F010 025 Y U.Otk
0 9ti5 0,7 Y d1f}3
a 940 075 Y
° 1005 0,25 8 0015:'
#f 3 €.300 � 1145 075 Y 0016
12 L4011 24 { 155 1 1 Y 4 013 : 141 : 6,e 35 _ S ? c €1 t a 3 ?
13 1030 075 Y 00{{..
14 1070 lb Y 0012 16
15
k1`9S 075 Y 0iJ12..:
15 840 03 f3 0014
1 F +i00 U 3 0023
1fi 11 955 07 Y 0 (+d
19 1300 24 1150 r i 2 Y C1014� 14.2 :: 69 27 7.l <0.1 26 t
xo 930 0.6 Y (rol µ
_.„ .....
23 9Q5 0s Y 0,063
26 1300 24. 1150 1 2 k' i1021 10.7 6:9 < 10 5.5 ; 0.21 ti 6 w: 2
27 t025 05 Y Ott1
2a 1245 225. Y 0A14
29 1220 R s Y 001 9
Ji1 kris' 025 x +S,as
.tt k055 02 N fi,NI.'
@2o0#�iv Ae°err0c l' 6.15 30 30
htaxssly AxeraOc:
0,{Jl E3^1ti3 15,125 to S75 4425 00825 4s15 1189207
riu1lg ma__ 0,08 t 6,9 35 5,9 0,21 66 2
Deity Mtnironm: 10009 14'2 & xD 0 131 0 . 6 0
*** No Reporting Reason. EN RUSE , No flow-Reuse.ltccy°cle, ENV THt2 No Visitatior, -r Averse Weather; NOFLOW 'No ftssr, HOLIDAY No Visitation - flobday

NIADES P RM[ f" !e O.,- NC0062383
PERMIT VERSION: 5.0
PERMIT STATUS. ?fictive
FAG'ILEFi NAME. Queens Ifarbor V WTP (`LASS: WW-2,
OirENTV. Mecklenburg
OWNER NAME- Carolina Water Service Inc of Nortb C}RC- Pant l Cx Wimpeyr
ORC C ERT IYt'MBER. 1005901
Carolina
GRADE: -2
ORC HAS CHANGED. D. No
eDIN R PERIOD 03-2019 (Match 2019)
VERSION. 1,0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO Conti
COW
m �
� �' �bMj1A5$64Y:
�2tlGillflt�t
._.,.,._ ...._..�........ .....
240 skunk It. 2400 dl , k Hsu
Y pp
_...,..,.ten.......
itt I
1 i2lU Q 15
h"
s 20 ) .#
Y"
� Es3o 73u Ir.z
v
I330 )a i225 I2
lO10 025
Y
905 07 :.
Y
fr 1 40 t3.75 ":
Y
� kiiti5 025 :
a
to !02 )25
R
t1 L011 i245 7-1
Y
d2 1300 24 IIS� I
Y
7A
13 1030 075
S"
14 tfl36 1.9
Y
IfJ35 U.75
Y
to 940 01 :
R
Ifl k3lt{) 453 27
k"
14 22 2} II4ti 1.2
)
7I
zrt tl3G Ob
Y
zi 1330 () 25
Y
22 940 075
1'
zs 9U5 ct.�
Y
24 l306 1USU i.6
Y
Fb I312t) 24: ! CSt) E 2
Y ..... .._._........_..,.,.. ......__...W... .__.„..___w_.___._.
tz S ..WV.._........____..__._
e' Ea,IS.... U25
Y
29 1221)d7 ...
Yy
3U i4)SS t125
N _..,.......®...._._....�......_.�_.W
....®....u».__.._
51 FUSS UZ
,
�.....
MuaNxt4 Ascrake tiimit:
MssatkhArerx�ero :
6.$.t,5
Wily &U.1 trem;
I
er 5
#•s# No 11oporting Re ison: 1~?lFRU E " No Flow-Eter szlRecy cle: i',:1Vtr57THIZ "` No Visitation -Adverse Weather; NOFLOW
'" No FltY9Y": }`lOt.:lDAY No Visi-ation Holiday

NPLIES PERMIT NO.. NCCaJ ?3i13 PERMIT 1 CRNI N�. 5 O PT.RMI T STATUS, Active
FACH ITY NAME: Queens Harbor W TP C"IASS- WW-2 COUNTY: Y: MMeeklenbur
C)`44'NER NAME: Carolina Water Service Inc of North ORC. Daniel G Wanpey ORC CE RT NUNIRER- 1005901
Carolina
GRADE: N-2 ORC HAS CHANGED- No
eDMR PERIOD: 03-2€ 19 (March 2019) VERSION. ).il STATUS. Proccssed
Outfall 001 - Effluent Comments,
Repaired flow meter on 3f22/19 this change the calibrations unkno rnI ly Fltaww axactea was recalihrateal on 3125/ 19

NPTDES PERMIT NO.: NCO062383 PERMIT VERSION: 5.O PERMIT STATES: Active
FACILITY NAME. 2ueens Harbor WWTP CLASS. W -2 OUNTY: APtecklenbur
OWNER NAME: Carolina Water Service Inc of North ORC. M C, Wimpey "s, ORC CENT NUMBER 1005901
IVED
Carolina
GRADE. WW-2 ORC HAS CHANGED- No MAR 2 8 2019
TDNIR PERIOD: 021-2019 (February 2019) VERSION- 1.0 B8,
ow, STATUS: 1*rocessed
COMPLIANCE STATUS: Corrmph t CONTACT T PHONES #: 7045x�� R SEC;ION SUBMISSIONPAT
�t 0/15t2t?l
03/07/2019
ORC/Certifier Signature- a `el Wimpy E-Mail:dariel.wimp y(gDcar€alinaa aterservicene corn Phone #:[phone] Date
By this signature, I certifythat this report is accurate,andcomplete 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,
ent.
Any information shall be provided orally within 24 hours from the time: the pertzmittee 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,
f the facility is noncompliant, pleaw attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II. .6 of`
the NPDES perrrnit.
03/15/2019
ermittee Submitter Signature: To y J 'Konsul E-Mail:tjktrnsul(ri)uiwrater.cont Phone' #f:70 3190523 Date
Perrmittec A dre %: 138111 Queens liar Charlotte NC 8278 Permit
Expiration CDate. 06130/2020
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
systern, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, trued
accurate, and complete. 1 aim aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED 1,ABORATORIES
EAR NAME. K W I aborat ries, Carolina Water Service, Inc of North Carolina Charlotte Region
CERTIFIED LAB : 558, 5228
PERSON(s) COLE:CTINC SAMPLES: Dani l Wr e ;Chad s Woods3r.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the INPDES Unit [phone] or by visiting http://portal.nedenr,org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for at l of the parameters on the DMR
for entire monitoring period.
ORC on Site?: iORC must visit facility and document visitation of facility as required per 15A NCAC ` 86.0204,
** Signature of Pe lttee if signed by other than the permittice, then delegation of the signatory authority must be on file with the state per 1 A INCAC 213
-0506(b)(2)(D).

1 4*
10-1
NOES PERMIT NO.: NC O062383
PFRr*IIT VERSION: 5,0
PERMIT STATUS. Active
FACILITY NAME: Queens Harbor WWTP
CIASS: WW-2
COUNTY: !jecklenburg
OWNER NAME: Carolina Water Service Inn ofNorth ORC:
ORC CERT NUMBER. 1005901
Carolina
GRADE: WW-2.
ORC HAS CRANGED. No
eDNIR PERIOD: 02-2019 (February 2019)
VERSION: 1,0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.:
001 NO DISCHARGE": NO
%w'" "014 0""
"m
C0310 C0614 closm
uQ6
cow
Svntom- L Lwkly
X —k
-,kSv -klv Weekly
Wdy
dh nedy
L kab
_
om ile o
1__M_ f2" site f2S* siwgab_
S:R4te
1"Low TEMP-C
c'"LOR"M
800 C.- XMIN c_ T" c+rac
VC0111 fia
TOTALX-
PH
- - -
24"dk H. 14".Ik ffie
y1wN
m —AS _c_ Sa
m00
mL_ m—g—A mp—,
±_100m1.TxA__
_L015 75
i
00011
925
0,01
i-10— 21-2
Y
4 1300 11,10 071
017
_L100 4 110 12
X
0,013 I4.5 69
2 11 < IS
I
1000 25
Y
0011
9 1050 0,2
N
0013
L' 1100 240 EJ.71
Oil
A— LI—O IL—
L_
�OO 1-14 —1 62_
L_
< _2a,_2
12-10 j _0
—Y
OM
L331_ �71
0 012
26 L100 L5__
j!--
L)0_09
1045 21
Yk 13M 125 0 75"1,013
0 _5300 21 215 5
Y
0012 13,2 6,4
is
IS 0.1 2,7
4
21
!
— �2_01
jj_ JISO E75_
X_
0,022
23 855 0.25
Y
(013
14— Lys
0018
jf_ 1300 01 t17.4
Y
0 02
16 L3LW_LI_1I10 1,2
0,01 13,5 6.9 _317
513 �0.1 <2.5
�2
27 1140 J9
Y
L.0 I
725 1.25
Y
OAXX
<10
MMMY A-MV LZ7 010
30 34
1"
Wothkv Ao.,• O.012146 119
9.625
2,025 0,0575 0,675
2. 1 W743
0,022 14-S 6.9
37
53 012 2,7
5
04Ymiataftear ."flal, 14
ms No Reporting Rmson: FNFR USE = No Flow-Reuse/Recycle; ENVWTHR = No Visitafion Adverse Weather; NOFLOW - No flow: 14OLIDAY No Visitation -
holiday

,O�. .+t
NPDES PER- EU NO-- NCO0 2383
PFRMITVERSION: 5.0
PERMIT STATU& active
FAACI ' NAM ens Harbor WWTP CLASS: -2
COUNTY- Mecklsnbur
OWNER NAME. Carolina Water service Inc of North 0RC: niel tr Wiinipey
ORC CERT NUMBER: 1005901
Carolina
GRADE. WW-2
CJRC HAS CHANGED. E IT, No
eTTi4 R PERIOD: 02-2019 (February 2019) VERSION: 1.0
STATt7S: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
c s
J.
8
stcrry
u 3`
Com site
v w
Calculated.
q :.z TMAL P•Caac
00
2409 dwk He".e 2440 d-k nra
Y!a!N
1 IU2S 71
Y
.�.. �.
2 925 0 2
'Y"
13Ut7 L, -,—io0.75 '.:
Y
1300 24 : 1150 12
.' Y
7,3
a W55 0,75
Y
9 810 075
Y
L 1O50 d72
': N
__..._.,.
is tOiw {}2
24
:it 120 1240 o75
Y
...
t2 1300 24 tt50 i.2
i"
67
is 1031 1 0
Y
... ., �. ....
't6 � 1335 #i 33
"Y
=17 L145 0,2
is 1300:: 225 tt.75
Y"
is 110024 1211 Q 75
Y
7.9
[155 0.6
Y
2c E005 ii.5
Y
_.,..
2= 1250 075
Y
23 W 0.25
v
;25 1300 1405 0,75
Y
2G t300 24 : 1150 1.2
X
74
725 11,25
jY
M-thly Aw Li x:
Mmt* Avrtragex
7.9
belly ft9ininxa;
61
** No Reporting Reason: : ENFRU SF = hiex:Flow-Reitse/Recyclei N4° W'FHR "lea Visitation - Adverse Weather, NOFLOW = No Flaw, HOLIDAY w No Visitation - Holiday'

.01
NPD ES PERMIT NO.. NCO062383 PERMIT VF RSION: 5-0 PERMIT STATUS: Active
FACILITY NAME: Queens Harbor W rP CLASS: W-2 COUNTY: � ec:klenburg
+tI%V NFR NAME: Carolina Water Service Inc of North ORC: Darriel G Wi pej ORC CERT NUMBER. 1005901
Carolina
GRADE- WW-2 ORC HAS CHANGED: No
tONIR PERIOD:01-2n19 (January 2019) VERSION: f.tl STATUS: Processed
(..'ONIPLIANCE S" ATLdS: Cw'o pliant CCINI`AC:I` JPI3C)NIE . 7045257990 SUBMISSION DATE: C) /1412019
02/05/2019
ORC/Certifier Si n e: Daniel C Wimpey E-Mail: aniet.wi pey i,!,earolin titers rvic ne.com Phone #:[phone] 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 ce than 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 writtensubmission shall also he '
provided, within 3 days of the time the pernainee becomes aware of the circumstances.
If"the facility is noncompliant, please attach a list o dive actions being en and time table for improvements to be matte as required y p fI,E.6 of
the NPI7ES permit, 4`
0 / 4/2019
Permitt eiSubmitter Signal e. ** Tony J Eonsul E-Mail:tjkonsul(rzuiwater.corn Phone #,7 43190 23 Date
Permiftee A ess. 13818 cats Harbor Rd Charlotte itte NC" 8 78 Permit Expiration Date: C?b130/20 U
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
o 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, trite,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of' fines d imprisonment for
knowing violations, RECEIVED
FEB 2 8 Miq
CERTIFIED LABORATORIES
CAB NAME: K&W Laboratories, Carolina Water Service; Inc of North Carolina Charlotte Region CEN11s Pti ii r l it ,„
CERTIFIED LAR #: 558, 5225
PERSON(s) COLLECTING SAMPLES: Daniel W nnpe ,Cwharles Woods Jr:
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting htt ://portal.nedenr,org/web/wq/s Ips/npdeslforms.
FOOTNOTES
Ilse only units of measurement designated in the reporting facility's NPIIES permit for reporting.. data.
No Fl wlDischarge 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 Mite?: ORC mist visit facility and document visitation of facility as required per 15A NC:.AC 86.0204.
** Signature of'Pertmttee: If signed by other than the permittee, there delegation of the signatory authority must be on file with the state per 15A NC;AC 213
0506(b)(2)(I)).

NPDFS PE MIT NO.. NCO062383
PERMIT VERSION. 3.0
PERMIT STATUS: Active:'
FACILITY NAME-
Queens Harbor WWTP
CIAS& W W-2
COUNTY: ]Mecklenburg
C?"411'NER NAME. Cambria Water service Inc of North ORC: Ramid G, Wirnpey
ORC CFRT NUMRER; 1005901
Carolina
GRADE: WW-2
ORC HAS C." I GED- No
eDMR PERIOD: 01-2019 (Jana 2019)
VERSION. 1.ti
STATUS, Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE
NO.:
001 NO DISCHARGE*: NO
" "tie
a
C040 C0614 C
31416
cow
"
C'tretfirirwu; Weakly
Weeiciv
2XwevA
Weekly Weekly Meekly
Waekiv
CDu-erly
,,
U
Q
IY,CCUTC1eC CiS'81?
rAI#
W QFY Ye Lour 3Ce CswsnpctRiYc
G:.
142 posite
FLOW TEMP-C
PH
<14LORINE
MaTO)-t'w.uc N.C- Ts,4•c-
FY:OU air
TMALN-
24Htl c#nck td
2 tla,�I4 }(T;p Y'
❑i�.4'1 4iQ x C
5G
ii .�
lSi x fC! 1
Ctt1f 1YkfiTY}t
FtY
3 1300 24:;.
1154 125 Y
o028 17.t
7
17
2 0,.1 <25
1110 - a.5 -: Y
0.024
6
1140 0.25 v
o 02#
7 13i10
1411 t}.75 Y
0027
1;00 :4
1150 L25 Y
G1119 16.3
7.1
35
2.1 0AI : <2.5
2
s
7a0 20 : V
0ol9
1# :
3330 21 : Y
2233 :.:
It
1350 Lo Y
0,017
' 12
855 0.20 to
0.01
I3
Ylts 0,25 -: N
Ob2.3
,. t+i %300
1120
15 1301: 24
lltki ?t! Y
0.6€? t3.2
b.R
22
.: 2. 0.:12:25
^wl
�.»...._...
I7
1455 0,5 k"
0.018:
17
IB
735 1,0 y
0,01
Yv
112a t# 25 : I3
0 025
,:2dY
$45 0.25 B
i7 017 '
it
1215 275 t1
O017
z2
d010 n5a V
o.al
3a
E2 1200
1151 2.75": Y
a.tb1A
14 1200 34.:
I100 la Y
I3 01E - i341.
7
ft
i-2 0.18 <25
9
25
1030 10 Y
24
1025 03 13
O.tl16
;.:x7
935 0.3 a
0.005
2# 1300:
#(130 I.O:. i'
a.b1b
#0 1itM7: 34
1I50 125 y
0012 - 146
69
4.
2.. <.01 w,2.5
s
3o
205 l.tt Y
0.4p13
Jt
9'25 LI ti'
t3.011 1
4
147oaMiy AtiveaAc LEmla #As
30 30
290
M..O*A-, z 0,018516 15.01
17
aS2 0>102 a
270192
is:
04Y Maakc>#- 0.033 171
71
35
2.1 OAS 0
9
is
CWttg%tiafni M 0.003 1.3.2
68
4
0 0 0
0
19
** No Reporting Reasm l• NFRUSE - No Flow-Raetse.3Recgcle; ENV THR - No Visitation
Adverge Weather, NOFLOW .. No Flow; :3CUt, DAY LL No Visitation - Holiday

NI'IIES PERMIT NCI.. NC 062383
PERMIT VERSION:: 5.0
PERMIT 1,YVATUS. Active
FACILITY NAME: Queen's IIa r ?
CLASS: Wes`-2
COUNTY: Cj ckle bur}
OWNER NAME. Carolina Water Service Inc of North
ORC. tel Ci Wl pc
ORC CER'T NUMBER: 1005901
Carolina
GRADE: W -2
CRC° HAS C DANCED: No
DMR PERIODz 01- 01' (Jana 2019)
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
COW
r,
�;� �
QUilkii3rl}
e+n xlre
CwWated
.,....
24YW dock Hrx 2 aTaxok &T
i'
re!
4t811
i 1304) R15 0.25
fi
t 1100 24 R 151) 1.25 ;.:.
Y
2 2
61
T240 tt.+7 ".
Y
# 1iTf1 OS
y
930 0,12
N
7 1300 i455 0 75
Y`
'k 1100. 24 t 1-10 i.25
133{1
:Tt 135Q t 0
Y
to 1115 p,as
€
~--�.-•.».
14 13dNF:: 112i1 t.0
i"
:95 300- 24 2101) 2.0
':
7.7
-16 i345 1.75
"... Y,..
11
#s : 1120 0.25
'7s 145 0.29
TS
aDau ns
x
"^ t20tt. 1155 f175
Y
S2t>0 ZA.:.. 11Q0 i.0
1'
66
zs 1030 1.o
Y
1025 03
i3
'2s 1100 1211 1.0
". Y
10 13,00: 24 : 1150 1.2,
Y
0.
3t
No Repel
t.0 Y
t.5 I y
Mapakty Avpraga Limes.
Maraekh A—.ov 2,2 6,58
Daily Aiaxtps: 3.2 7,7
Daily Ibu f..m: 2.2 . .........,._...._. 5A
RUSE No Flow-Reuse/Recycle; ENVWT14R No Visitation -AdverseWeather; NOFLeJ4ET...?io Flmv, HOLIDAY No VisitTtion -- Holiday

r<
NPDES PERMIT O.: NCO062383 PERMIT VERSION: 5.0 PVRMIT STATUS: Active
ACIILI1'4r NAME: Queens Harbor WWTP CLASS: WW-2 COUNTY: Mecklenburg
OWNER NAME. Carolina Water Service Inc of North t7RC. Daniel G WinM y r " T NIJtViIIER�'
Carolina
FEB 2 8 2019.
GRADE- WW-2 ORC HAS CHANGED: No
eDMR PERIOD: I2-2018 (December 2018) VPRSJONr 2.0 C EN I L F us: processed
DWR COMPLIANCE STATUS. Compliant CONTACT PHONE #: [phone] LY ISSICIN DATE: 0-2/26120l
02/21/2019
C)lit IC" rfifae a re: Daniel( irrs k;-iv[ aai;clast r 1. it pe ii ttrtati a aC rau vicerac.catn I' c7a 70 52r i t1 *date
' V m, rm ., �. �
y this signature, I certify that this report is accurate and complete to the best of my knowledge:
The perm ittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens1 �001h Ith,crr fh i6li�i� ree ii" iC E
Any information shall be provided orally within 24 hours from the time the pe ; ittee became mare of the circumstances. A written submission shall also be
provided within clays oft e tune the permittee becomes await of circumstances,the +
If the facility is noncompliant, please attach a list o `aorre live actions being taken and a tune -table for improvements to be made as required by part II.I K.6 of
the NPDES permit
02/26/2019
PermiC--ss:
ubinitter Signs ore.*** Tony J :Konsul R-Mail:tjkonsul(>uiwater.com phone #:7f143190523 hate
Pe itt13 ueens Harbor 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 try 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.
axnFIED LABORATORIES
I.3AB NAME: K&W Laboratories, Carolina Water Service, Inc of North Carolina Charlc+tte Region
CERTIFIED LAB : 558,5228
PERSON(s) COLLECTING SAMPLES: aamel Wimpey,Charles Woods Jr,
PARAMETER COD tS
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/Wq/-,wp/p,-,/npdes/fonns,
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
o 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 most visit facility and document visitation of facility as required per 15A NC"AC; 8G .0204,
** Signature of Pe itte : If signed by other than the permittee„ then delegation of the signatory authority must be on file with the Mate per I sA NCAC 2B
0506(b)(2)(D)•

NPDES PERMIT NO.: NC 062383
P RMI'I VERSION: 5.0
PERMIT STATUS: ACtiye
r ACIL&V NAME: Queens Harbor WW TP
CLASS; WW-2
COUNTY: . ccklenbur8,
OWNER NAME. Carolina Water Service Inc ofNorth ORG': Para ,el Cs"t itri
ORC" C. RT UMBER: 1005901
Carolina
GRADE: WW-2
C)RC HAS CHANGED: No
DMR PERIOD: 12-2018 (December 2018)
VERSION: 2.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DI CH +GE*s
N
;ia #Mno 0900.:..
C0310 Ci fO Cos,"
316" Clow.....
Coahn-us Lkty w eekiv
2Xweek
Weekly kI 3yeekh,
e4t uarterly
�, ;3 o
Recnrxiea fs"rab sah
aab
Cun Ste C,`.on . ite : Emma
Grab Cp. , e
Cb
A now umn-t' W
CFk7.CiRINE
-0
000-: m NHIPV•c_
"URR 'TClTALN-
24" k f. 2400 ai k H. Yt
m d d :u sa
ugtl
nz mAA
1011 a! nt&4
I 1025 0 "' C1
0 007..
3 —00 t —0 i.{s..... X
i7.o12'
4 ti00 24- 1150 : 1,2 :.: Y
0,01 15,9 69
16
<"a.... K:O 1 :: *9
8
s 1430 0,75 V
0.008
20
& 940 t7 5 y .
0,006
;'.. 1005 0,75 y
0008
a 925 i.25 - is
R RR7
�
o.1r19
to }52tb It 25 Y
it 074
Ia d12U I 0 Y
O.ti13 :.
24
:. 12 1304: 940 0,75 :.. Y
0,013
13 1230r 24' 2125 I,0
Y1I1.. 42.7
10
2', 0.1 - 2.5
I .._.,,..
: Fttt.25 Y
R.flR9..
96 850 0,25 Y
0013
i"P 1300 I21-0 R.aS : `l
R.013
.
"t» L0 24 1150 1.2 l'
ORiI a.31 7
it
42:.: <0A <25
1
�
20 1310 f.2 `. Y
tl.Rt
16
26 i 840 075 'a'
0019
as 755 R,25 n
rrol3
75s R25 N
R.RRS"
z4 931! R.25 t3
1OJJ4 �.�.
�..
25 1300755 0.25 ii
O.t23
2b 13111: 14 - 1230 10 E;
0011 13.7 6.4
<10
23 k'0.! 3.1
21
3t 84€1R.75 H
0
.In
t25.", 0 : 5 1
R 012
1255 0,25 8
0,017
920 Lo Y
0,016
-ttwlg Ar uwt td.t5
3#t 30
Mca t6igA< ' 0011939 13,9 _ �.._
w 1075
0,575. 0 2
3,600206
ua0,i 0.02t 159 7
24
2.3 : 0. 49
21
ITatiy iPit.taurtue 0,005 12:7 6.9
R
0 Q 0
0
**re No Reporting Reis= F°NFRUSE No Flow-lteuselRz1-cle„ ENV IIiR No Visitation -- Adverse Weather, NOd"LOW " No Flow; HOLIDAY - No Visitation - Holiday

NPDES PERMIT NO.: Nt ) 2a83
PF°1R14H't VERSION- 5 0
PERMIT STATUS: Active
+AC:T1,TiE`V NAME- Queens Harbor WW rP CLASS: W W-2
COUNTY- Mecklenburg
OWNER NAME: Carolina Water Service Inc of North " ORC: Daniel G A!m—pc y
ORC: CERT NUMBER: 1005901
Carolina
GRADE: WW-2
ORC HAS CHANGED. No
DMR PERIOD: 12-2018 (C3eeember 2018) VER,SJONP 2.0
STATUS: Processed
SA PLINt OCATION: EFFLUENT DISCHARGE NO.. 001
NO DISCHARGE*. NO (Continue)
1
S
TOTAL P-c
1w
s41! at ! « atm
1 ao25
t r t sta 22
' 13
—l(* IO20 LO _
v
-4 1300 24:. 1150 1.2
Y
62
1430 275
)
� tbaa a s
X
005, t7 7S
Y
t4 152t! tt 25
Y
' 4 I210: 24 1125 10
X
: 7.6
a4 5 U 9521,
X
as i.25
1x
37 a3a0'. l220 b.75
X
a l300 24 ". 1150 t 2
Y'
: 7.4
19
as x40 a) 74
v
aa 7ss tars
tt
755 0.25
N
24 230 {t.25
a3
k300 755 0,25
S
' 1310: 24 Mo 10
H
7.7
za 63€1 t).50
t3
an 1255 0,25
H
a4 920 1.b
X
M..M$ Ax Y;i3e W
fi4c�aWlc ei�c �•�.
_
7,225
Uaikw Maxiwum:
7?
11 I'd I NO
** No Reporting; Re as= ENFRUSE No Flow-Reuse/Recycle; ENV W TI3R No i' oration _. v dvemw Weather; NOFI.OW — No Flow; HOLIDAY- No Visitation 11olidaay

NPDES PERMIT NO.: NC€ 0 2383 PERMIT VFRSION. 5,0 PERMIT STATUS. Active
FACLLKY NAME; Queens Harbor WW'CP CLASS: W-2 OUNTtr: cckle-nburg
OWNER NAME: Carolina Water (Service Inc of North ORC: t)aniel Ci Wimpey )RC CERT NUMBER. 1005901
Carolina
GRADE- WW-2 C)RC HAS CHANGED: No
el)MR P :RIOD.- 12-2018 (December 018) VERSION: 2.0 ,S`17r1TUS.- Processed
Report Comments
DeLernbet 9,2018 no visitation due to bad weather( snowed �

NPOES PERMIT NO_ NC O062 83 PERMIT VERSION, 5.0 PERMIT 9FATUS: Active
FACILITY DAME: Queens Harbor WWTP CLASS- -2 COUNTY: MS cklcnburg
OWNER NAME. Carolina Water Service Inc of'North ORCy. i3 iel Cs Wimpe RECEIVED CE"RT NUMBER- 1005901
Carolina
GRADE: WW-2 CIRC" IIAS CHANGED: No JAN 3 0 2019
eDMR PERIOD: I2-2018 (December 2018)VERSION: l.il CENT rtAA. FILMATES: Processed
COMPLIANCE NCE STe
TCiant +CONTACT PIIONE #:10452579 TIIMISSION IIATE: 01/10/2019
e am
LU
k.! :N A . c/( ,sC
01fh812019
C)ItC/Certifler Dani, ampy I-MaiI.daniel.orimpyCg?carolinawaterseruicene.com Phone #I:70452 7990 Date
By this signature, I certify that this report is accurate and complete to the best of any 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 pe ; ittee became aware of the circumstances. A written submission shall also be
provided within 5;days ofthe 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 NPDE S pc it.
01/1Il/2019
Perini ee/Su bitter Si natur * 'rony J IConsul F-lviail:tjkonsul uiwater.co m Phone ##:704319ft523 Date
Pe itte Address: 13818 Q ns harbor Rd Charlotte NC" `?8278 Permit Expiration bate: QCal tl1 ti (i'
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: K&W Laboratories, Carolina Water Service Inc of North C:arohna Charlotte Region
CERTIFIED LAB #: 558, 5228
PERSON(s) COLLECTING SAMPLES: Daniel Wim ,C"harles Woods Jr.
PARAmE,rER COD S
Parameter Code assistancemay be obtained by calling the NPDES Unit [phone] or by visiting http://portal,nedenr,org/web/wq/swp/ps/npdos/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 x no data to be entered for all of the pararneters on the DMR
for entire monitoring period.
ORC can Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC SCr .0204:
** Signature of Perrmttee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2
0506(b)(2)(D).

NPI)CS PERMIT NOiNC,006.1383
PERMIT VERSION: 5.0
PERMIT STATUS: Active
FACILITY NAME: Queens Harbor WW`rp
CLASS: WW-2
COUNTY: Mecklenburg
OWNER NAME: Carolina Water Service Inc of North ORCr !�taviet G Wimpey
ORC CERT NUMBER: IW5901
Carolina
GRADE: WW-2
<ORC° RAS CHANGF t No
eDMIT PERIOD: 1 -2018 (December 2018)
V FRSION- L i
STATUS. Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: N
u 14
,. 00
'"m
C0310 C0610 cot,30
31616
co
a
�
Co"anuous LVtAjv
W y
3X v-k
LV k(y eekly w-My�
1b lv
orbs
V ,
ICt�artler
Grab
C,rah
d on osoo Cram site C.o sslte
Citab
i-omposite
€5 U
FLOW TFAP-C".
PH
CHLOWNE
ROD cx N93-N_C`— TISS - C~
PY".ULX:OR
TMA K-
2lll dwk ilex: d-k Firs
: Y183N
tnyxd d d o
tiu
to i
rYlgii
Wm1
r1Co 01
:.. 13
0016
3 1300 1020, 1,0
Y
0012
3 1300 2d.. 1150 1 2
Y'
0.01 i 54
5 9
16
2 � O d 4,9
9
5 1430 071
: Y
6.009
20
940 i1,5
S`
O.0116
7 I(X)5 075
Y
0.009
:a 92S U.25
B
(d.di0?
n
ENV'W fHR.:
ru Ev20 125
Y
Og19
It l 120 1.0
Y
O D
24
,12 t300 940 0 75
Y
0.013
13 1230 24 1125 Lo
: Y
0,011 12,7
7
10
<2 : <.:0,1 : <2.5
1
.�._.....
'. rs 94S 0.25
Y
2.013
...
,.m,..
a6 fi50 €425
Y
0,013
17 7:3tri"1: - IZ20 t1,i5
Y
0013
11 t 300: 24 - r 150 1.2
Y
0,011 13 3:
7
11
< 2 1 �. 25
1
:rrs k2ts 1,5
Y
da.(ii..
: xu 1910 I Z
Y
fi t71
IS
xr 141) «7s
v
11.218.
''22 ;755 U.25
':. B
lb.t113
* 755 0 25
OW
a5
24 q3Q 021" '.
a
0.014
.....
=s 13011 ;. 155 C;.2-1
13
t1.009
26 1310: 24 :: 1230 1.0
`. B
0,011, " 7
&9
10
23 < 01 3.1
21
zy 1255 U5
::. B
0,021
1255 025
S
0 017
—
31 : 920 1.0
Y
0,W6
7+777
ai y Averega Ll d t I r6
34 30
3dli
0,011759 139
M75
0 575 0 2
3.600206
Day aLsAt w 0021 t5.9:
7
24
23 0:: 4.9
21
0n91,v mlaiemas 0 00" 127.
6 9
t1
{k {l D
tl
a* a No Reporting Reason: FN°FRUSE -- No Fiowv-Rr usz ecycte„ 1!*ti't%T14R No Visitation
- Adt^eme Wcatlwr, NC)FLONY No Flown; HOLIDAY Nlo Visitation- Holiday

NPOES PERMIT NO.: NC O062383
PERMIT VERSION- 5.0
PERMIT STATUS: Active
FACILITY NAME: Queens Harbor WWTP CLASS: WW-2
COUNTY: tj-klcrsbur
OWNER NAME: Carolina Water Service Inc of North CIRC": 9reel G Wimpey
ORC CERT NUMBER: 1005901
Carolina
GRADE- WW-2
ORC HAS CHANAEI : No
eD?,*IR PERIOD: 12- 018 (,December 201 ) VERSION: 1.11
STATUS: Processed
SAMPLING LOCATION: FFLU T DISCHARGE .. 001
NO DISCHARGE*-. NO (Continue)
COW
MWY
(IuartwrL}'
A
ti +
£alaulated
TMA.r,W-C—
ll!lkwk H" 2 111,k ltrn
YfRSfN n1,rl
m tl
1 11125 fi.:2.
1#
fllti 0.2
H
L020 - 1.o
S'
a 1300 -4 t150 1.2
1`
1�.2
6 �311 0.5
Y"
7 11.101 17.71
Y'
a +325 2.21
S
ENVWTHR
as 11211 0-25
Y
tz i 2tt 3:CI
ti'
12 1100 114(i
P1 1?.3Ct 24 1125 1.0
Y'
7.ti
14 SI55 t).25
Y
1t 045 ti.25
Y
16 RSO t?.2:5
Y
k7 1:900 I220 p.75
Y
tit 1.at 0 24 i 150 2 1
Y
7.4
a 1215 }..5
1'
20 1310 1.2
Y
ra H4U 0,75
Y
.
as 755 Q.25
P2.
24
L'00 75ti t}:25
Ii
26 1310 2y. C2:10 Ali
11
7.T
27 ..' 140 (}.71
S
3N -111 #7.25
Fi
31. r)2t! l o
Y
7.225 .....,.,
Daily Maztrtc -
7.7 .�
D.w
6<
'�### No Reporting Rewca1r. E o1i'RUSE "' No I la%,-Reuss/Recycle:. ENVW'I'HR' No Visitation .Adverse Weatbe9, NOt LOW, '"- No I`1mvt II 1..11).AY No Visitation - tit'llidiay

NPDES PERMff NO.: NCO062383 PERMITVERSION: 5.0 PERMIT STATUS: fictive
FACILITY NAME: Queens Harbor WWTP CLASS: WW-2 COUNTY. Mecklenburg
OWNERNAME: Carolina Water Service Inc of Noah CDRC: Daniel Ci Win mey �� A$. it99#C CFRT NUMBER: 1
� ap
Carolina ,
4 zo
GRADE: 4W-2 C)RC" IIA CHANGED: No <.. .;,.
rBMRPERIOD- 1.1-2018(November 2018)VERSION: 1.€i / lmii4 i l�a`el_. a ar r ".STATUS: Processed
`r w
COMPLIANCE STATUS: pliant CONTACT PHONE #s 704525" 946 SUBMISSION DAT )MM iL 1,% P E GR,-)N L "F C„„
V, lee 12/07/2018
RC"/Certifier' igna rt ] 6 i y U-Mail:danlel, irralaY(rr_,)carolinawaterservic nc.com Phone #: Q45257 9 Bate
By this signature, i certify that this report is accurate kind complete to the best of my knowledge.
The permitter 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 correctiv ac ' ns burg taken and a time -table for improvements to be made as required by past 1I.E.6 of
the NPDES permit.
12/ 3 /2 018
Per ittee/Submitter Sig ature:,** Tony I Konsul p-Mai t:tjkonsul(q1uiwater.com Phone #:70 3I90 23 Bate
Porto c Address: 13818 Queen arbor Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2020
certify., on er p sv, 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.
CEIC1 FIEaD LABORATORIES
LAB NA14^IEe K&W Laboratories Carolina Water Service, Inc of North Carol u a Charlotte Region
CERTIFIED LAB #. 558, 5228
PERSON(s) COLLECTING AVILCS: Daniel iel Win ey,C?harles Woods Jr.
PARAETFR CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (919) 07-6300'or by visiting http://Pottal.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 boss 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?: CDRC most visit facility and document visitation of facility as required per 15A; NCACC 8G .0204.
*** Signature of ermitte . If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 211
.0506(b)(2)(D)•

"FAm
ca"Wolit Time
a
8
6�
0,.WAaA ri.
rr,
6'
1.
S A
0
t
5 6'
t�
0888t,-c'
z
r)
z
Iz
op—wr1Gb"
CS
a
Z�4
W
W
0
t"
0
n
00
W
0
z
i
ORC OR'Mmi—
tQ
No Reporting Ra.a.
z
0
—
—
— —
— —
--
— — —
iu
7—
7--
— —
—
— — —
—
—
—
—
—
— —
—
—
— —
— —
—
— — —
—
--
—
7
7-
0
---------------------------------------
-i—I

,r*" a
FACILITYNAME: Queens Harbor WWTP `IA&S: WW-2
C°Cl'CJ14TY: Me�klenb r
OWNER NAME. Carolina Water Service Inc of'North ORC. %?arttcl Cs Wrap
ORC C E T NUMBER: 1005901
Carolina
GRADE: WW-2
ORC HAS CHANGED, D, No .
eDNI,R PERIOD: l l-2f118 (Ntavetnber 2018) VERSION: L0STATES:
Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO CAE": N (Continue)
COW
"300
f-+ 1
c
#
� (7utu7trlp
" ~
`, Caaat Ctatte
Cakulaced
c�
2=40tll clerk Hasa' 2 rya: t[ra
I"Y
12 ; 435 E
s 250 G 2
ri
4 to2o 02
1245 675
:
b 13(m: 2.r It 50 i42
: Y
: 64
a iloo 0.5
Y
!Ito I o
y
t0
a t !20 4 2
a
%2 I3(R}: 1120 03
: Y
i3 t300: 24 tt95 l.G
: )
: b.3
i3
is t2t0 0 S
Y
t6 t35t7 4t?
Y
'zz eY1.5 025
Y
is : ?30 025
: Y
lh 73110 1025 t o
: "Y
2a L-400 24 I210 t.
Y
7 5
Ll
aX 420 2.25
: )
flk75 025
y
24 1025 0,25
25 12 o.2
N
26 7340: 6250 U 75
rt
' 7 I1112 24 : i"23tt it.75
;=� tti}IS tt "XS
y
�.
73€lo t7,7S
y
A-rW 711 t
7 _...... .,.._.
DAY ktao :
78
F Nlateeresa: It
t}.3
*a4 No Reporting Reason: ENFRUSE - No flow-Reuse/Recycle, ENUWT'1118 - No trisitatom Adverse Weather, NtJi"'LOW '= No Flaw, HOLIDAY No Visitation -- Holiday

NPIDES PERMIT NO.: NCO062383 PERMIT VERSION. 5.0 PFRMIT;STATUS. Active
FACILITY NAME., Queens harbor WWTP CLASS: WWt 2 OUN`I°"Y. Mecklenburg
OWNER NAME: Carolina Water Service Inc of North ORC: Daniel Cl Wimpey ORC CERT NUMBER. 1005901
Carolina I W`. t
GRADE: -2 ORC HAS CHANGED: No o- 03 2018
RECF1 ED1NC N l}
DMR PFRIO D: 10-2018 (October 2018) VERSION: 1,0STATUS- processed
COMPLIANCE STAT TSa Cone Ii t CONTACT PHONE #. 704 1 FILES SUBMISSION DATE: 11/1212018 "
SECTION
ROS
MOORESVILLE REGIONAL OFFICE
11 /06/201
OkC/C"ertifier Signature: ft' et Wimpy I -Mail:darn el.wimpy(i".carolinaea terservicene. om Phone t#:' 045257990 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 per ittee became aware of the circumstances. A written submission shall also be
provided; within 5 days of the time the permittee becores aware of the circumstances.
f 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 NPDSpe it.
1 1 / 12/2018
er itte Sub fitter Sign ore:** Tony I Konsul E-Mail:[e-mail] Phone #:[phone] Date
Pe itteu Addres`. ,, 4arbor d Charlotte NC 8 78 Pc it Expiration Date: 0 130/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with asystem designed
to assure that qualifled 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 infrinnation, including the possibility of fines and imprisonment for
knowing; violations.
CERTIFIED LABORATORIES
LAB NAME: K&W Laboratories, Carolina Water Service, Inc of North Carolina Charlotte Region
CERTIFIED LAB-#: 558, 5228
PERSON(s) COLLECTING SAMPLES Daniel Wimpey,Lharles Woods Jr.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NP DES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/Swp/ps/npdes/f`offns.
FOOTNOTES
Use only units of"measurement designated in the reporting facility's NPI)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 entire monitoring period.
* ORC can Site?: ORC must visit facility and d document visitation of facility as required per 15A NCAC 86.0204.
** Signature ofPermittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
0506(b)(2)(D),

rPtDIE5 PERMIT NO.. NCwO0623 3
PERMIT VERSION: 3.0
PERMIT STATUS- Active,
FACILITY ITY NAME: Omens Harbor WWTP
CLASS- W-2
C:CiUNV a Mecici nk�rarg
OWNER NAME. Carolina Water Service Inc. of North ' ORC;: Daniel CswimpeyORC"
C,IERT UMBER: 1005901
Carolina
GRADE: t%'_2
ORC° HAS CHANGED: No
eD R PERIOD. 10-2018 (October 2018)
VERSION: L0
STATUS. Irrclemed
SAMPLING' LOCATION: EFFLUENT DISCHARGE NO.: OUP NO DISCHARGE*: N
s i4mm onto
SiSdid
00316 C10610 005"
X1616
co
"
Caeetrnuuus 13ca4.#Y
erkfv
2 +v-k
W"-kly W-k1y Li" ty
ie;kl
dedy
jwo �
$'.isY toe (`iii[d 4e : f'tt Sde
CaTa#b
(,"o sle
FLOW' TEMP-C'
pH
C'111,010K
•C.tt 1Ytfl5-N-C.- 'L'SS_C-
FCbL#%3k
Af,N
24" : k Hrs 21U0 91-P : fdrs
YlOfN
n d , C
�u
a <t
rr [
�11 1
E
d 1300. IOtS F.tI
:. X
0,011
-2 t30f1:.12(35 i.Q
;. 4'
O.Ot2 24A.
7.#
4
^'..:.. O.15»2S
i
29
3 1450 0.75
Y
0,013
`3 950 2.5
0.00'3
6 33Q5 0,25
B
0.009
''� 12I0 025
H
O.tFtl.
k03t# I0
Y
0,0 11
1 S,10q 835 U S
Y
Q 61
1n 1300 2d ; 1200 125
Y
Otkt2- 251
69
0
< 2 016 25
5
i1 {011 k.0
Y`
0015 ;.
31
"f3 14145 1,25
Y
0018
'.13 : 955 0.3
a
O.00
14 1435 03
R
001
0 13Cii}' EiiS 10
Y
C}UI+1
;. 24
I6 114Ct:.: i150 225
'y"
RO]# 22.5:
C49
` 24
"e2 *';#k.3
.17 5000 !.0
Y
0.009
18 [310 63
O013
f9 EVIL- 0.75
t3
1[!5 025
- 11
0,
'31 d050 121
t3
101
32 t3C1Q t32t7 1.t7
Y
2-I5
W
I(V 24 f150 l.25
Y
Ot519 :: 186:
09
12..: OA2 '2.5
1
t4 1400 0.75
O.Oi
F i 2U 2 ti
Y
Uooll
0:.
'36 # i 0
Y
0.01
36
:27 850 f1.25
Y
0 )15
'.29 LW i 130 0 71
:. Y
o01:i' ..
1300 24 - 1145 1,25 '.:
L
Y
0012 17,6
6.9
<2 0:12 <IS
i
31 1310 025
a
0.0t :
: 0
+m+tiig AueraBe Liut9r. 9,i5
38 3a#
.
:td- Ae , . 0,0#0935 71,
13 $88889
00._...n, 0.11 0
2.'72407
29
A.Vo, INaxho.", 0,016
36
0 0i 16 0
#S
9
Nay F16s1mum¢ 0 007
0
U tl. 0
0
2??
* * No RVoning Rc, n. ENFl USE - No Flo -Reuse, ecycle, l h7VWTIIR - No1r"a itstion - r%&,,ersc Weather, NOFLOW "- No Flow; HOLIDAY - No Visivatton -Holiday,

!+PDFS PERA41T NO.: NCO062383
PERMIT VERSION: 5,0
PERMIT STNTUS. active
kAClMTV iV MF� Queens Harbor WWTP
C SS; dW-2
COUNTY- eckienburg
OWNER NAME- Carolina Water Service Inc of ordi ORC. nael C1 Wimpey
ORE CERT NUMBER: 1005901
Carolina
GRADE: WW-2
ORCRAS CHANGED: No
eDMR PERIOD: 10-2018 (October 2018)
VERSION: : L0
STATIJS. Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
QmkatladV ....m..»...„.._,....�
_
c° C I
v
Com airs
Calculated
iJ Ew +
b
T 1"01`A6. P • Ccmc
k}b
$4Q9t k nra aduek Errx
Y
naglf
:. an3tf9 _
1 130k3' iil15 1 ti
�'
1300 24 1205 l.1)
1410 2111
'.. Y
4 1105 Lo
Y
.5 950 .5
Y
6 1305 E25
IZ10 uz5
s
;ma iltltl" 24 12W 1?5
mm 2155 1.0
14 1035 03
B
�i3 43ii0 �. t 115 1_t7
- Y
:E+r 1:#00 i "?4 1110 1.29
Y
6,8
'la 171f7 € l
Y
: t5 l-30 0.75
A
1115
YI IiiStk sY.25
iS
k3tki t321t k.f1
Y
13- 34 : 1150 m 25
Y
8 I
2a :. 1 175
'Y
zs fi45 0 25
y
`=� 1300 1130 0.75
Y
30 1,4 01: 24 1145 1,25
Y
61
32 1310 0.25
In
d%iM, Ave
M-tYly Ax ' 4
6.26
Day Maxxlae - 4
81
sa-& m 4
5
o$*a No Reportakg Reasomr. F I1'RUSE No Flow-Reus ?TtecyFcle; E NVWT III No Visitation -- Adverse Weather; NOt"LOW - No Flow; HOLIDAY NoVisitation - Holiday

r
NPDES PERMIT NO.: NCO062383 PERMIT VERSIONS 5.0 PERMIT STATUS- Active
FACILITY NAMF+ Queens [father WWTP CLASS: WW-2 1%4, Til: Mecklenburg
t k_.
OWNER NAME: Carolina Water Service Inc of North ORC. lyardel G Wiiapt) ORC CERT NUMBER- 1005901
GRADE: -2 ORC HAS CRANGED. No Ct. ... r"° .. E
C► iR ERTC)Ft. 09- QlS (September 2t 18 VERSION: t.t} � R "E( l ATLIS: Processed
COMPLIANCE STATUS: Co bant CONTACT PHONE #z 7045257990 SURMISSION.
�F, 1,3 10 NAL 0 F F I C
10/02/201 S
ORC/Certifier Sigzaatur 3a 1e1'µ Wimpy lviuil:dan el. i y@
,caro linawaterserviectic.resat Phane #:7045257990 Date
By this signature,; I certify that this report is accurate: and complete to the best of my knowledge.
The permidee shalt report to the Director or the appropriate Regional Office any noncompliance that potentially tens public health or the environment.
Any information shalt 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 pernuttee Ix -comes aware of the circumstances,
If the facility is ui ncornplzint, plea, torch n list of°corrective actions being taken d a time tattle for improvements to i made as required by part II. .fi of
the NPDES pe it.
10/17/2018
Permitte /Submitter Szgnatu e: ** any ,I Konsu E-Mail:Ok insul rt iwate r.coin Phone #:[phone] Date
Pe ittee Ad ss: 181 Queens fl r Rd Charlotte NC; 28278 Permit Expiration hate: 06/30/2020
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 properly gather and evaluate the information submitted. Based can my inquiry of the person or persons who managed the
sys
tem, 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 a' aware that there are significant penalties for submitting false inronnation, including the passibility of fines and imprisonment ent for
knowing violations.
CERTIFIED LABORATORIES
CAR NAME, K&W laboratories, Carolina Water Service, Inc of North Carolina Charlotte Region
CERTIFIER I.AR In 555, 5228
PERSON(s) COLLECTING SAMPLES. l?° iel W izn Charles Woods Jr,
PARAl'vfF;TFR CODES
Parameter Code assistance may be obtained by calling the NPDFS Chia (14) 807-630 or by visiting http://portal.nedenr.o g/wreb/Wvq/s t>/ps/rtpdesife is.
FC)C3"1"Nt3TF
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 ate no data to be entered for all of the parameters on the DIO
for entire monitoring period.
ORC on Sites?: ORC must visit facility and document visitation of facility as required per 15A NCAC. 8G3 0204.
v** Signature of Permitice: If signed by rather than the pennittee, then delegation of the signatory authority must be on tale with the state per 15.A NCAC 2i3
.0506(b)(2)(1)).

r
-t
NUDES PERMIT NO.. NCO062383
PERMIT VERSION5,0
1PFRrMff STATUS- Active
FACILITY NAME: Queens Harbor WWTP
+C IASS: WW-2
COUNTY: ceckler burg
OWNER NAME: CarolinaWater Service Inc of North RC : Daniel G s' npey
AD C C 1 ECT N1L114If3Li3: hill 9Ul
Carolina
GRADE- _
ORC" HAS CHANGED: ED: u
tOMR PERIOD: fig-2018 { e tember 2Ci18}
VERSION: 1.0
STATUS: fteesse d
SAMPLING LOCATION: EFFLUENT ISCCAL NO.:
001 NOIS+ CAL : NO
g 10
C0310 C0619 Came
31616 Low
4"vantlnuous iYeekly
'tK"cokry
2X—k'
Weekly Weekly Weekly
Weekly rterry
!e-orde,
(ab
("]lit}
C.'.oM me 1'.om ile Site
('wab Y~t% 941e
240 skIlk rzrs k llcx
; Y
=d d o
5sd
u
m n!
#N11Mkm1
r045 0.3
I3
##tk23
� 950 b 3
- IS
0,02
200.
i23Cr 24 2124 r0
Y
G.U2"1 2Yx2:
7
7
+'2 Ck.7.9 2S
cl
5 t605 C,k.7.1
Y
-023
25S 1 ik
- y
0oJ4
001
co S3(1d5' Ir€5 rz5
v
oc!1
is r100 24 :. r20-1 2-0
Y'
O.QI1 262:
.8
c tti
x,-2 <0.1 2's
<2
12 t430 r 0
4"
Y1011 '..
..
:ls 050 i 1)
'V
O.ql
34
14 810 to
Y
0.011
'.:#5 tltkk .25
ht
it.OtT
E6
ENVWTHR
17 13CMr : 920 1 o
y
o.a2r
H r315 24 1200 rS
: 6i
O.ir11 25.(i:
7.
29
<2 016 c25
<1
zn 1-15 0.7-1
is
o oil
zs €33t O25
fS
Lot
32 # Q.2{t
ii
tl
245 YI.20
51
Yk012
4 13CN} " r22Yk r.0
y0
014
r 300 24 1150 €,25
y
0.011 24.s.
�
6's
24
4�. a Yd.l1 �= 2.5
� 1
a45 €.o
y
� c0a
e
� 1340 9.3
.._.
.......
»..
1140 O.l
:: y
4,Ct!
:T� IY14p 025
ni
, 140 1021
N
0012
by Ld 4.35
3G .r4
0,01431 25 7.
1t+
tk O 095 0,625
1
Day mbdmw O.i t 7 24 R'
ir:8
9 0 0
p
**° No Reporting Reason: ENFRUSE No flow-Reuse/Recycle, ENVWfHRl No Visitation
Adverse Weather; Nt7FLOW = No How, HOLIDAY No Visitafiol - Ilolkday

NPD PF:F MYF NO.. NCO062383
PERMIT VERSION. 5,0
PERMIT STA.TI & Active
FAC L117TY NAME: Queens harbor WWFP CLASS: WW-2
COUNTY: klenbur
CIWNI! R NAME. Carolina Water Service Inc of NctM ORC. RPei Ci W impey
OR CEWr NIJMRE.II: 1005901
Carolina
GRADE- _2
ORC HAS CHANGED: No
tOMR PF RIOD. 09-2018 (September 2018} VERSION: 1.0
STATUS Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: N(Continue)
)
t 5
w
�i
v � °
� i"um site
Calcaslkaed
TOTAL P-6"
ctawk ffr ] stack.: tin
y1wN1
�
$ l O4S 0 3
� 05fl 0 3
k3
1300.. 1035 0.3
a
:4 1230 24 1170 1,0
y
7
d 955 to
y
1005 t.0
y'
335 b.2S
Y
ea 00' I!5 t 25
r y
it 1300. 24 1205 to
y
S.S
;t2 1430 t,0
Y
13 tOSO 10
4'
ss itoo 25
N
17 i300. : 20 L,t7
`I
;t 1315. 24 i200 i.5
@
5.9
ao 93i} t1,2s
t3
ao +ass o.75
> g
Pt ss36 O.zS
t#
;8# lift S5 26
ti
23 ttjK 020
8
t300: 1220 P.0
,. a'
1300 24 t t_i0 ➢..»5
y
S 7
145
37 t340 : 0.3
Y
1040 025
:.: N
1t*) 0,25
N
t6tr Ave a:
Ar
...........
7,025
..w._...._
OWN M,axi.Aw
�.w.,..
&5
v teem;
5,7
" No Reporting Rea sow IwNrRUSE = No Flow-Retrse/Recycle, ENVWTHR= No Visitation - Adverse Weedier; NOFLt7W
No glow, HOLIDAY =TKO Visitation — HolidAy ;

11 4**
NPOES PERNFFF NO.: NC0062383 PERMIT VERSION. 5,0 PERMIT STATUS: Active
FACILITY NAME- Queens Harbor WWrP SS: WW-2 COUNTY- Mecklenburg
OWNER TAME: Carolina Water Service Inc ofNorth ORC: R niel Ci Whit y ORC CERT NUMBER. 1005901
Carolina
GRADE: WW-2 ORC HAS CIIAN ED- No
OMR PERIOD: 9-2018 (September 018) VERSION: 1.{i STATUS: Processed
tlutf ll 001 . Effluent Comments:
No check on 9/16118 due to hurricane Florence weather

POETS PERMIT NO.. NC,0062383 PERMIT VVRSI N: 5,0 PERMIT STATUS: Active
FACILITY NAME- Queens Harbor WWTP "LASS: WW-2 COUNTY. Meckletrbur
OWNER NAME: Carolina Water Service Incof North ORC:. Daniel Cr Wsa pey D C CEaEtT NIJM 5 l
�.o.'.irth
Carolina . aa..
D EEP E'FEtIOD: 08-2018 (Au at C31i31 VERSION:10 STATUS: Processed
COMPLIANCE 9VA"TUS:Compliant CONTACT PHONE . SUI1MIS T ATf
10/15/2018
RC/C.'ertifier Signal re nail impy E-Mail.daniel.s impy(t caroling terser icene.c om Phone #:[phone] late'
3y this signature, l 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 infortnation shall be provided orally within 24 hours from the time the perraidee became aware of the circumstances. ces. written submission shall also be
provided within 5 days of the tines; the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach list of co s.tiv miss being taken d a time -table for improvements to be wade as required try part I .E.6 of
the NPDES permit.
10/17/2018
P rmitteefSu muter Sag dture.* Tony J Konsul-Mail.tjk nsul(o ui at r.com Phone #:[phone] Date
Pe itte Address: 13818 Once Harbor Rd Charlotte NC 28278 Permit Expiration irate. 06/30/2020
certify, an is
pe as t of law, that this document and all attachments ents were prepared under my direction or supervision in accordance with a system designed
o 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 !rest of nay knowledge and belief, true,
accurate, and complete. 1 am avvarc that there are significant penalties for submitting false information, including the possibility of linesand imprisonment for
knowing violations.
s.
CERTIFIED LABORATORIES
T3 NAME: K&W lAboratories, Carolina Water Service, Inc of North Carolita Charlotte lregicn and prism
CERTIFIED D LAB In 558, 5228,402
PERSON(s) COLLECTING SAMPLES: Daniel Wirnpe',C'h rlcs ds Ec.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (19) 807-6300 or by visiting http://portal,no(icnr.org/web/wq/swp/ps/npdcs/forms.
FOOTNOTES
Use only units of"nwasurement 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 entiremonitoring period.
ORC" on Site`7. ORC" must visit facility and document visitation of facility as required per 15A NCAC 86.0204.
* Signature of Permittee: if signed by other than the permittee, then delegation of the signatory authority must be on Ale with the state per 15A NCAC 2B
�0506(b)( )(D).

NPDES PERMIT NO.: NC,0062383
PERMIT VERSION: 5.0
PERMIT STATUS- Active
FACILITY NAME: Queens Harbor WW`rP
'LASS: VW-2
CCiUNT'Y,Mecicle taur
OWNER .NAME: Carolina Water Serviee Inc of North ORC: Panict G W lmpey
ORC CERT NUMBER: 100 901
Carolina
GRADE. W W-2
ORC" HAS CHANGED: No
DMR, PERIOD: Q -2018 (�zc ust 201)
VERSION: 2.0STATUS:
Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.:
001 NO DISCHARGE*: NO
S@0010 01400
SNo
coo coi to cos,coso
11416 cow
Conunweus Weakly eukly
2X nk
w & y weekly w My
-kfy ch­curiv
5 g
11,wYrtlp[ (H' 811
Ec! RSIta �. bCn 5kC�"
9Pik : Si{LM1
x Mow3'i 93)
84
H8-t;nsc W_{° -C
P TitTlaLPd-
24,*,4,, k H3rn : 34tl9 draek : It"
ymm
u
u fl
rei 71t 1
f€#1WTI
1 13ss 1.3
�
OOat
'2 940 0.5
Y
o014 :.
27
3 1105 1.1)
t1017
$ 1—we 0.3
s 1015) 0.3
H
OOi1
6.014
:7 IOt 2.30 i).i
9 Y
f7.112
s8 3011 � 1120 S.0
Y
t7,CM ". 2't. & 11
21
1,1 �" 11 1 ' 2.7
� 2
:4 IM 275
Y
t7.0[
�10 1415 a.il
- Y
21)14 �:
�: 42
Ht 910 03
Y
0007
i2 4a5 G3
Y'
0t71:3
13 130t)'; 7i5 1.0
Y
Utl13
14 i100'. 24 1155 5.25
: Y
0,02 26,7 Cw 8
14
2,2 <0,1 c IS
c 1
as 111#i 1. J
O,G14
H7 U40 1.5
Y
0.012
t8 910 0,4
: F#
0.012
t!t S1Ust1 ,25
�
SSOPG
1005 1,5
Y
0.017
x1 1420 2.5
Y
t1017
27
'2s 1000 2d ; 44S U
Y
tb.62 251: 7
1
LZ '01 <23
<2
24 1145 1.0
Y
0.02
S S00 13
Ci
0.T8
;.24 855 Q5
1a
fs019
87 1300 1050 1125
Y
0,022
28 1300 24 1155 1.25
Y
0,02 �^,5.$ 5.4
43
=:2 0,11 ,:2,5
�; t
30 855 S.d)
Y
0017
27
31 $50 0,75
Y
0,010
as t 6.55
.34 :30
20
aathHy Aa 0,014903 26A2,5
�
25A 11111
_
055 0,0275 0,671
_1
Dally fiNas a; OA22 277' 7
43
22 0,11 ..2,7
0�
.3 ;MY i.- 6,pOT 24,5" 6,8
f
0 ii". 0
0
a°* No Reporting I2 ' H re: ENIFRUSE °- No Flow-ReHaseltte: ele, FhEVW HR .- No Visitation ­4dverac Weather; NOF OW = No Flaw; HOLIDAY — No Visitation - Holiday

-%
F PDF a I'I:12MI T NO.- NCO062383
PERMIT VERSION: 5,(1
PEltibUT STATUS: Active
AC IL P AME: !queens harbor WWfP s: WW-2:
COUNTY: Mtxklenburg
OWNER NAMEt Carolina Water Service Inc of North ORC - Bianiel G Wimpey
ORC, CwE Fit' NUMBER: 1005901
Carolina
GRADE- W W-2
O RC HAS CHANGED: GED: No
DMR PERIOD: 8-21018 (Aug-, 2018) VFRSION. 2.0
STATUS, Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*:(Continue)
c
ftmo
�
..®
«" Caaartraty
x
Cllln site
Calcalawd
TOTAL P- C
.110 d-k Hn . k: tIn
: Yt In
m r3
1355 t.a
v
= Ho —.
Y
4 1020 03
8
1410 tD 3
6
:a 1300 24 1220 t.dt
s 1050 75
Y
:'.sx t435 l.0
Y
Ir 910 0.3
Y
" e.a 11IM1 7:i5 l 0
:. Y
14 1300: 24 1155 125
It
7,1
15 1110
d6 l015 1 ct
Y
17 +7dt} I.5
k"
't4 9ltl f1.4
:: ffi
xo 1005 I'S
Y
31 l421} 25
Y
Ik100 24 N45 l.5
:la 8141 t.0
i5 -.Liao- i? 3
'. £i
1300 : 1050 1,25
Y
1300: 24 1155 t.21
:: Y
7 R
3t : $50 0,75
;.. Y
x4itrn Aa'm
tA(ya
7,3
ifiily i ' �
$.2
aDa&Fymim 'm:
6.1
«** No Repoiling Rmom ENFRU E '` No Flow-Rause/Rocycle. FNVAITHRNo Visitation - Advem Wember; NCiFLO
- No Flow; HOLIDAY No Visitation Holiday

Al
NPDES PER rr NO.. NCO062383 'ERMII' DER aION. 5.0 PERMIT STATUS- Active
FACILITY NAME- Queens Harbor WWTP :LASS; WW-2 COUNTY: Y: i ecklenbur8
OWNER NAME: Carolina Water Service Inc of Forth ORC- 2aniel G Wimpey ORC CERT NUMBER: 1005901
Carolina
GRADE: --2 ORC HAS CHANGED: No
tDMR PERIOD: 08-2018 (August 2018) VERSION: 2,0 STATUS: Processed
Outtntt 001 « Effluent Comments:
Estimated flow for 8I6,8P7,8i2 t and 8t22 due to power loss to -flow meter.

NC00621383 PERP
)ucens Harbor WWTP CLAI
rolina Water Service Inc of North ORC
ORC
eDMR PERIOD: a3-201 8 (August 2ii1 8) VER!
COMPLIANCE STAT . Compliant CON'
ORC/Certifier Si:
By this signature, I c
The permittee shall r
Any information sha
provided within 5 da
k I
IIT VERSION: 5.0 PERMIT STATUS. Active,
8: ww-4 UNTV: ijecklenburg
Ilaniel G IAimpp�y �i RECEIVE�,CWU CENUMBER-
SEP 26 2018 iTwUlE V E DINC D E N R/DWf,,,-,
RAS CHANGEM No CENI hAL FILES
!ION. 1.0 DWR SECTIWTATUS. Processed W Q R, os
rACT P110NE #: 7045257990 SUBMISSION DATEA60hWILLE REGIONA
09/07/2018
let G Wimpy E-Mail: danic 1. wimpy @) care I inarvatersery icene.com Phone #.[phone] Date
ort is accurate and complete to the best of my knowledge.
for or the appropriate Regional Office any noncomid iance that potentially threatens public health or the environment.
fly within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
permittee becomes aware of the circumstances.
e attach'a list of corrective i s being taken and a time -table for improvements to be made as required by part ILE.6 of
1, 09/12/2018
re:* * Tony J Konsul E-Mai1:tjkonsuI(q,)uiwater.corn Phone #:[phone] Date
or Rd Charlotte NC 28278 Permit Expiration Date: 0630/2020
document and all attachments were prepared under my direction or supervision in accordance with asystem designed
-ly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
sible for gathering the information, the info rmanon 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.
CER11FIED LABORATORIES
LAB NAMF: K&W Laboratories, Carolina Water Sew -vice, Inc of North Carolina Charlotte Region and Prism
CERTIMI&D LAB#: 558,5228,402
PERSON(s) COLLECTING SAMPLES: Daniel Winmey,Charles Woods fr.
PARAMUER CODES
Parameter Code assistance may be obtained by calling the Iv PDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npde,-Jforms.
F007NOTES
Use only units of measurement designated in the reporting facility's NPDLS permit for reporting data.
No Flow/Disebarge From Site: Check this box if no discharge occurs and, as to 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 Pertnittee: If signed by other than the pertrottee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

r 10 ,,
N,PDFS P9RMVr NO.. N (ifi62383
PERMITVERSION- 5,0
PERMITSTATUS, ,fictive
FACILITYNAME. Queens Harbor WWTP
CLASS. WW-2
COUNTY: Mecklenburg
OWNERNAME: Carolina Wager service Inc of North O RC: Rainel G WimpeX
ORC CERT NUMBER: 1005901
Carolina
GRADE: WW-2
(7€RC HA a i HA ('XD: No
liMRPERIOD: it -2018 (August 2018)
VERSION: I.OSTATUS:
f1rucessed
SAMPLING LOCATION: EFFLUENT IS A NO.:
001 NO DISCHARGE*: NO
9NNOR# am
_ "
C0314 C0610 C0.134
301%,
Ciki
»,.gym..
.......
L-tin-- yeekfy Vi C"'ItIV
}'c
iN-kly S CCWy pia' Iv
IV
'i'JY
U p
g
p
C
ti.'Ad`o do b (A18ia
� b
��t)tLtI4Q5dSG ��t2i iiC �QriT i e
�i
�'ilkCijtlim
€
FLAN" TEMP-C 141
01LORINE
sop-C Mt3-N-C". -c-k
RC`ou R
7Y3'1:"g1.A3-
2404 Owk U. x td ff"
+ Y011
ntq c su ��
ltJi
mail mf4
#ktf
mW1
1355 1.3
: Y
0,011
-.__w...�.—w—"--_
�.�
.............
t 940 0.5
Y
Ot714
a 1305 l.o
Y
i=017
3 I020 0.3
- E3
2-00
$ lt?It} 0.3
:. a
0,011
855 ! 1
:. Y
0,014
,7 1300 1230 0.5
t i
0,02
:S #300 24 I220 I.O
-Y
t}.Olt 7: &.8
: 21
42 <u1 'Z.7
lO-50 0.73
- Y
0,01
16 1445 to
Y
0014
47
It t 0.3
Y
20 7
li 9I5 t#.;§
Y
2.013
13 L 0 735 t tt
Y
tk 013
4 1300. 24 1155 125
y
0,02 26.7 68
14
22 <0-1 -e2.5
1
#3 111€:} It}
Y
tins
'ts LOU' 1.0
Y
OM2 :
24
'a7 941a 1„5
s Y
O0
,t 910 0.4
2kO0.25
.` S
O.016 ;
xa 1005 1.3
Y
0.017
xt 1420 2.5
' V
O.t_
27
xa 1000 855 1 S
13
t}Ot,t
z3 1 14 :: -45 13
Y
0.02 : 255- 7.
1
^'2 -01 125
-'2
24 114_1 10
:'. Y
0.02
2't L100 U.3
B
0 018
2b A55 (}.Z5
i3
0.4i19
a7 1300 Witt L25
Y
O 2'
"x4 1300 : 24 1 B$ ! 25
'Y
O02 . 25.8. 6.9
43
.; 2 U 1.1 : < 15
-= 1
is-5I.0
Y
0.017
'27
3t 950 035
Y
1}0t9
Snore tv Aa Lia4h o.t5
30 30
2"
tr. i#lyAv ', 0,014903 26,425
24,875
055 0,02175 : 0.675
1
Mgt 0.022 27.7y 7:
43
22 0,11 -. 2,7
0
R+S#aiaaos 0.007 2.5.5 0:$
1
0 0 " 0
f3
*** No Reporting Reason; ENFRUSE - No Flo w -Reur e/Recyute, ;ENV W'nlR No Visitation - At vem Weather; N}FLOWS No Flow; HOLIDAY =? o Visitati on Halida

NPD&S PERMIT NO.: NCO062383
PERMIT VERSION. 5,0
PERMIT STATUS: at tive
FACILITY NAME- Queens Harbor WWTP CLASS- -2
C OX NTY: M!!Skl nbiarg
OWNER NAME: {Carolina Water Service Inc: of North CIRC: !A iel Cs Wimpey
CIRC. C"ER"T NUMBER. 1005901
Carolina
GRADE: WW-2
CIRC" HAS CHANGED: No
eDMRPERIOD: 0 -201 (, a st 2i)18) VERSION: LO
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: Continue
+ co"15
�u r1Y
t.'o voosite
Calculated:
rax°,aLP-Ca
00
2 k U. 14011.k Ne^u
Yt
`i i3s5 i.3
Y
3 - 1301 1 0
i010 02
i#
� 855 i.i
Y
7 l2l)0': i230 U 5
$ 1100 24 1220 10
Y
Cr.l
$ iOSU 0.75
: Y
ipM : 1411 t 17
ss 9it7 di3
i'
is 915 ti.3
Y
13 1:300 735 ! o
'Y
14 t.WO 24 i155 12-1
Y
7.1
t5 i110 i.6
: Y
t7 : 940 1 5
Y
t" 910 0.4
FS
26 it705 l.3
Y
ti t42U
as 155 I S
13
l 24 94i t,5
'. i
24
25 �. iliHi Q_3
i3
$55 2.25
}3
27 LIT_ 1050 1,25
X
3v S l0
Y
3i $SO tl.75
y
il3ar *# A,.mp Livait
Nisa»tlahq Aen
73
R
DAY &i&aiaam-
6,1
#** No Reporting Reasom.. ENFRUSE:-. No tlmv-Reusefltecy^cle; ENV niR - No Visitation Adverse Weather; N?FLONAl
No Flown F:C}tu9DAY No Visitation - HololMr'

#r 1, - I *
NPI)ES PERMIT NO.: NC O062383
PERMIT VERSION: 5-0
PERMIT STATUS: Active
FACILITY NAME: Queens Harbor WWTP
CLASS: WW-2
COUNFY: Mecklen
OWNER NAME: Carolina Water Service Inc of North
0RC- Raniel G Wimpey
ORC CER`f NUMBER: 1005901
Carolina
GRADE: WW-2
ORC HAS CHANGED: Na
tDMR PERIOD: 8-201 8 (August 2018)
VERSION: 1,0
STATUS- Processed
outtan 001 - Effluent Comments:
Estimatedflagfar 816,8/7,8/21 and 8/22 due to power loss to flow meter.

PERMIT NO.. NCO 2 83 PERMIT VERSION- 5,0 PERMIT IT STATUS: Active
EEPPPPPP_
71rACII.IT'L" NAME: Queens Harbor WW` 11 CLASS: WW-2 C.'C3LIN"I"Y: lyiecklenburg
OWNER NAME, Carolina Water Service Inc: of North ORC. Daniel G Wunpey CIRC CIE tT NUMBER: 1005901
Carolina 01EDiN 3 S f3/
GRADE:WW-2 ORC HAS CHANGED: No
OXIOit PERIOD: 07-2018 (July 2018) VERSION: 1.0 'ATIJS pre esscd
r ° ` t MISSION DA J;G#2
OS
COMPLIANCE STATUS: C"orrtpEi° t CONTACT LIL�Nf✓ . 7045279 � � �� .,.,�, ...E lEG[1. OFFICE
m#
WI
08/07/2018
7RC" `ertifier Sigu ieI Wimpy - asil:clsan el„avirn ,c carcaEir.ae terser =ic rx cs a Ph s If: t14 7990 Cate
By this signature, l terrify 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 heath 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 perraidee becomes aware of the Circumstances.
If LAddress:
ccarnpliant„ please attach list rafca ctiv carts being taken cl a'tirne-table tsar improvements to lac znacle a required by part iI.F .Ci of
th.
08/10/2018
ernitter Signa arc: * "fccay J 1Conul l -1 all:ticrsseal cr i�vatdr.ccarrs l'hs>rt : i(}19t1'21 }?ate
Perini: 13818 ens arbor Rd Charlotte N 2 278 Permit Expiration fate: 0 /30,12020
cw, that this document and all attachments were prepared under my direction or supervision in accordance e with a system designed
to assure that modified personnel property gather and evaluate the: information submitted Based on my inquiry of the person or persons who managed the
system, or those persona directly responsible for gathering the information, the inforniation submitted is, to the best of my knowledge and belief, true,
accurate, 'and complete. I aloe aware that there are significant penalties for submitting false information, including the possibility of fi ies and imprisonment for
knowing violations,
CERTIFIED LABORATORIES
,AB NA [R. K WS± Laboratories, Carolina Water Service, Inc of North Caarotin a C'h«arlotte Region
CERTIFIED I AB #. 558, 228
PERSON(s) COL L ECTIC+G SAMPLES: : Daniel iWinmeyPARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES unit [phone] or by visiting htt ://portaal nedenr,org/vveb/ gls /ps/npdes/lcorms.
FOOTNOTES
UsL only units ofmeasurement designated in the reporting facility's NPDES pertnit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the Parameters on the D R
for entire monitoring period.
* CRC can Site?:ORC must visit facility and document visitation of facility . required per 15A NC/tC 8G .t12C14.
** Signature ofPennittee: It signed by other than the permittee, then delegation of the signatory authority must be on file with the Mate per 15A NCAC 2B
0506(b)(2)f ).

pp p-
P, S PRE R I MR I PTN 0.., �N� CC(0")0 6 2
383
PERMTf VERSION. 5,0
PERMIT STATUS. Active
FACILITY NAME- Queens Harbor ww,rp
CIASS: WW-2
COUNTY: Mecklenburg
OWNER NAME- Carolina Water Service Inc of Nordi ORC:Llamel(bWXmpey
ORC CEWIr NUMBER. 1005901
Carolina
GRADE. WW-2
ORC HAS CHANGED: No
eDMR PERIOD: 07-2018 (July 2018)
VERSION- 1,0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
"M
MUM
90"
C.0314 ('0610 cc "�
1106
cow
P
L onfirwom-,_ eMy
Weekly
X—A
yo,;_M_v WcAdy ekly
dy.
L.__ly
Recorder effab
Qlk
C"b
cr
FLOW TYMPC
PH
—'sio—m-ke
CHLORINP
- � L- fo--pusde
son - C— NH$,N C— T" - (o—
�b
F(-VLT Sk
Ca site
TOTAL K -
240 Ak R. 2400Ak
YOUN
1220 _212
2M�— Li—
L301) 24 a155_ 10
Y
OnI6 274
71
42
3,6 0,34 2,5
it
4 2,0
1400 Ll
j
2 01-
12120
1015
2_9
$35 01
8
1030 o2
a
024 ±,014
L3200— L, 20 Ll—
i—
LO_Illlll2,4 01 L
_._ _L0
Y
�_
_
24
11 25
< I
1315 2,0
y
0,013
12
2—T-3-
13 82S 25
0.0a2
14 41 0 25
13
0.013
L3011 1010 10_
Y
0,017
17
— L300 14 211 1.0
Y
U,(111 69
8
2 CIL I
920 03
y
22 5145 025
YL_
L0 1,1
W.
L3 d 100 a 140 2 0
2
L4 !300_ 24 1155 I0
Y
0013 2i.3
f.8
11
12 1
< 2
26 950 Lo
Y
O'014
23
27
28 705 03
B
0,012
20 920 3
a ,0'5
30 1300 L140*
31 1300 24 :
0.012 26,ti .
&9
21 <ok 3.4
M.ww A.rw Uwe Us
hf-thly A,--W-' O.014774 2664
21333333
136 0.128 228
1,615394
16
0.1k
0,024 27A
7A
42
3,6 034 55
11
16
0.1(y Mki--
No Reproting Rcasow ENFRUSE - No FIGur-ReusefRecycle, ENIVWTHR No Visitation -
Adverse Weather; NOFLOW - No FlowHOLIDAY = No Visitation Holiday

S Pppppw-
PE R M IffT I N 0C - N C I(XI 6 2-1
83
PERMIT VFRSION- 5-0
PERMIT 1,STATUS- Active
FACIUTY NAME: Queens Harbor WWTI1
CIASS: WW-2
COUNTV- Mecklenburg
OWNER NAME: Carolina Water Service Inc of North ORC: !7artiel 6 Wit pey
ORC CERT NUMBER. 1005901
Carolina
GRADE: WW-2
ORC HAS CHANGED: No
eDMR PERIOD: 07-22018 Qub201 8)
VERSION: 1.0
STATUS- Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
Wculawd
a
O
C7
X TOTALP-C—
yf"
L1-00— — i050 1.5-x
-100 _ 14 I 1S1 t.6
L-
Y
1A
6
210 _22
N
---.1400 13
y
6
---1220 25
±Ll30 6.2
93-00— —IL2(}— Ll--
X--
tta
11011 24_ 120', I0
It
X--.-
is
850 025
B
U-02— — 10-10-2.o—i-
100 14 i21S i.€a
i055
1130
III L25
j__
L
L4_1300
1140 2.0
L4 _
lJ00 24 6155 C 9
Y
73
is
1035 I'S
y
L6—
— -- 9s-0-
1050
ze
E20 t13
Ban 1140 110
y
31
1300 24 1200 Lo
y
7,6
sr try c aata:
t5 Ave 3.1
6.9
3A
76
No Reporting Reason: ENFRUSE No Flow-Peuse/Rcoy'de; ENVW11IR:=No Visitation -Adverse Weather, NOFLOW No Flow; 1101,1PAY NaVintation - Holiday

Attn
Davis
WOROS
MOORESVILLE REGIONAL OFFICE
nCarolina Water Service
A1qV*w9 of North Carolina T
RECEIVE'
July 1, 28
L2
I Files CEN'FfIAL FIIES
eater Quality D R Sty a rj
?rvice Center
27699
ns Harbor/ WWTP
it NCO062383
and Missed sample June 28
HEYLOffix4m
my question or if I can provide any additional information, phase do not hesitate to contact
9- 36.
sr your attention,
er
c: Tony Konsul
c. Adam James
s 4944 Parkway Plaza Blvd. Suite 375 Charlotte, North Carolina 28217 80-525-7990

PPF r'
S $PERMIT NO.: NCO062383 PERMIT VERSION: 5,0 PERMIT STATUS. Active
PERMIT P PFACHATY NAME: Queens Harbor WWTP CLASS: WW-2, COUNTY: MLc COn- ED,'N(-,,DENR/DWfR
OWNER NAME: Carolina Water Service Inc of North ORC: 2niC_IG MLIaea_ ORC CERT NUMBER: 1005901
Carolina
GRADE: WW-2 ORC RAS CHANGEM No WOROS
eDMR PERIOD: 06-2019 (June 2018) VERSION: IO STATIJS:!M9"f,SVILLP, REGIONAL OFFICE
COMPLIANCE STATES- Non C caaxapliant CONTACT PHONE In 7045257990 SUBMISSION DATE: 07116/2018
07/10/2018
ORC/Certifier
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The peroniftee 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 eircurnstances. A written submission shall also be
provided within 5 days of the time the perm ittee 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 JLE.6 of
the NPDES permit.
07/16/2018
Petmittee/Subinitter Signs ore:*** Tony J Konsul E -Mail: tjkonsul(du i water, cour Phone #:[phone] Date
'j,,en�sHarlauRd Charlotte NC 28278 PcrmitExpirafionDate-.06/30/-l020
Permittee Address: 1381
1 certify, trader 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 orersons who managed the
sysuon, or those persons directly responsible for gathering the ingratiation, 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
kncoving violations.
CERTIFIED LABORATORIES
LAB NAME: K&W Laboratories, Carolina Water Service, Inc of North Carolina Charlotte Region and Prism
CERTIFIED EAU #: 558, 5228,40.1
PERSON(s) COLLECTING SAMPLES: RDaniel Wimpey
PARAmb,'rER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (91 o) 807-6300 or by visiting littp-//portaLncdenrorg/wcb/Nvq/swp/ps/npdes/forms,
FOOTNOTFS
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?: OR C must visit facility and document visitation of facility as required per 15A NCAC: 86.0204.
*** Signature of Pertnittee: If signed by other than the perruittee, then delegation of the signatory authority must be on rile with the state per 15A NCAC 213
.0506(b)(2)(D)•

PFACrILTINAIME: t7t
ERM'r
19C00623R3
PERMIT` VC++RSION: 5.0
PERMO' T TUS- Active
teens Harbor WWI?
CLASS, 2
COUNTY: Me- eElcnbCENEDACDENRIDWR
OWNER NAME: Carolina Water Service Inc of North CiIiC: iD Fri Ca W ltmpey
ORC° C:E RT NUMBER: ER: 1005901
Carolina
GRADE: WW-2
ORC: HAS CHANGED. No
WOR08
eiDMR PERIOD.- 6-201 (June 2018)
VERSION: 1.0
STATUS- Proc,,4,90RESVILLE
REGIONAL OFFICE
SAMPLING LOCATION: `FLU NT DISCHARGE NO.: 001 NO DISCHARGE*: NO
x0010
040a
("Osl5. C0610 cow
31616
C" 6
.-
•CF
Contkttm- Eeekly
t' eckly
Z X
kIv eeWy LVeckl
V8"-kFy
C kedx
%" 6
�t
�
�
•,
ktc�c.order ra%:
Ciratt
Grate :
C°site Com site : t"ompasite
Clrils
Cn si#e
2 FLOW "r6.2VpX
oil �
C"HLORINC'
ROD—c— NH344-Q— Tsg-t: c :
MILY HR
TOTAL
xd90 cMuR 61rn.
2 .N,xk: x ..
5'fWN
t#tgd detyc
su
uIll
cntxlY
efeutt#FOmI
tnBPt
1
1200 to :
y
0,017
:2
Ft7iXd 0.3
ik
Cl.Okh
1015 03
B
0013
.�.,.
4
10E3U I.S
Y
O.t7t3 25.8:
7 k
k3�
7
I 130: :
P41S i 1)
oil
2
F125�. 24'
70 0.75
Y
0.l3k2 ::
1(t
S.8".`. 0ik 21
Y40 03
T"
i±01
LO
ixo rr 3
1
Wort
ti
kJ00
1230 F.d1 :
Y'
F2
1245 24
k1-05 F.5 :
Y
0€f 234
»..
2.1
,.�........,W.......�,--.,
i5
2 : '.3,2
_____�..._...w____
22
..�.
Is
ikto k.0 -
Y
t3tkF7
14
16
Bd804 6.2
17
, 5 0,2 :B
t1.012
=
1300
1005 L5
Y
a015
i9
1301) 24
1200 I3
Y
0013 28.9
7
37
2.d 0.23 <25
760
zu
F60 l,5
Y
OOk7
�...�,
.._.
_
_ _......
.m,....
23
01 S 1 0
Y'
@ 01
1i 3666..
:24
'
k 13,) Q.2
N
O.M
O014
a
12 0k
Y
2014 27.1
6,9
2
74
27
i ik?
i 110 k,C;
Y
t3.U2
_....
.��..,
Ss
k2011 24
I120 40
4"
#1.Ok7
<2: 4.16 7.1
30
1335 2 5
y
0,017
� s
an
12m 0 3
Y
F
Vt4u NaCvA LflaS¢: #As
4
�#fialg
30 30
Avern�+e: 0,0132 26 8
�i7e31g
12,625 .._
t.475 w to 166667 2,575
46-93404
hlxzBtnaics: O(t2.w... 28,s"
7.1
37
Ski 02.3 71
7Ctq
!St'iaei iau 0A103 25.4.
same No Reporting Reasow ENFRUSE No Flow-Reuse/Recycle; ENVWTHR -` No Visitation -
Adaessc Weather„ NOFLOW . No Ftowv HOLIDAY =: No Visitation -- Holiday

mpppppr,
S PERMIT" I O.- NCO062383 PERMIT VERSION: 5.0 P RMff STATUS: Active
1 " Ili"1 V LAME- Queens Harbor WWHI CIA,": WW-2 COtTNTV- Mecklenburg
kE0EtOWNERNAME-CarolinaL Water Service Inc of North, iRC-.! iel WLlmiey ORC:CERTI�iLCMBER:100 S ECJ(�1 �l�Ct(I%+�
Carolina
GRADE: WW-2 ORC HAS CHANGED: No
eC1MR PERIOD: 06-2018 (June, 2018) VERS1ONt 1,0 STATUS: US: Yrtrccsse , . � WORO� ,
00 E ' I(.CE REGit NAL OFFICE
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: N (Continue)
t cows "30
P
t?tsaetzriy
Grab .�,.....
L40Okktors: 2400 kck U. V
"t 1200 d.0 y
L1)a12.3 n
4 1030 15 Y 4,9
1123: 24 7Ut7 075 - Y
940 f1,3
It
;:k2 i245: 24 I205 i 5 t" 94
is ktl0 10 Y
t4 1621 03 Y
z7 9ss t1.2 tt
"lk 7300 : 1005 i.S - Y _ ...,. „__. ..._.�. .._. ..._,
9 1300 24 1200 1.3 Y 7.8
it 1600 1.5 Y
2S 1123
as l050 0.2 v
24 1130
�...-„--w .,,.. ,.....
to 1210 t.0 : Y 6.8
27 1200 1110 i.0 Y
is 1240 14 i MO 4.0 y
as 1313 is Y
120Q 0.3 Y
sty Awe L t:
ti trQkr nv
7.225
aaalr rlm
?.4
Dah, MOM-
No�
44
* * keponingReasow FNFRU F w. No Flow-lteusevRecycle; ENVWTHR No Visitation -_ Adverw Weather: NtJF LOW = No Flaw: HOLIDAY No Visitation- Holiday

EPPPPFr
ES PERMIT NO.: NC,00 23113 PERMIT VERSION. 5,0 PERMIT STATUS: Fictive
FA It II V NAME: fl-- s Harbor WWTP CLASS- S- W W-2 COUNT ': Meckie brar
OWNER NAME: Carolina rater Service Inc of North ORC: I3 iei CLWinIpg ORC CERT NUMBER. 1005901
Carolina
GRADE: -2 ORC HA S CHANGED- No
vDMR PFRIOD. 06-2019 (June 201) VERSION. 1,0 STATUS. Processed
port rsar€aenls: FCEIVE IN � bii IDW
2rc chmc 6 franc Lila B eigb to Daniel Wimpey
QR S

Epppp"
S PERMIT NO.: NCO062383 Pt2Mt"i'' VERSION: 5_0 PERM "C STATUS: Active'
CACTI l NAME: (lueens Harbor WWTP CLASS: -2 COUNTY: Mecklenburg
OWNER NAME: Carolina Water Service Inc of North ORC: Daniel G impey ORC CE `F NUMBER: 100 901
Carolina
GRADE- -2 ORC HAS CHANGED: No
eDMR PFPJO13: 6-201 S (June 2018) "VERSION: I.tlSTATUS- Processed
Outlall 001- Effluent Comments:
Flow meter malfwLtion due to flow chart fault.{6t711 ,Caldi:2(1I11iJW) Fstanaied flaw for these bays. Decal out ofcompliances 6/19f201 1} J. Et d not pull Rttl3-N clue is not
!!eL,jg a e of sarnp le frequency on 6112/2O 1811W .
E 1 E /NCD1 t11"ta`DWr4
WQROS

' MIT Nth.: NT OOO73fs3
lh.
s Carolina Water Service Inc of North
FERMI'VERSION: 5.0 EIMtMIT STATUS. Active
CLASS: WW-2 COUNTY: Mecklenburg
ORC: Lila R Blcieh RECEIVED ORC CERT NUMBER- 1004309 �y
Carolina
GRADE. -? ORC HAS CHANGED: No RECEI INCDEN
eliMTt PERIOD: 0-(}18 (May2018) ERSEC)iVf 1.0 -N i KAL RL.ES STA"TEJS. Processed
DWR SECTION
SAMPLING LOCATION: EFFLUENT
DISCHARGE NO.: 001 NO DISC."HAR *.
...
00014
049P
50W
t10310
'C)Mo
C0530
31416
C
9
a
w
^qa
y
aua Continuous
Weeki
2 iWeC
ti`t
Wekly
(y
eerly
.
EGrab
w
p
YC1T
'ah1CCCrt£r
I (ktiktitiSite
Cp SttC
4"tilY3 ftS/tC
C."rnals
fo-ftwsite
`OTA2,1t_
FLOW
TEMP.0
PH
CHLORINE
800-Cinte
N*13-N-Cane
ISS-Cone
FCOLI BR
UN Black
Itrs
S400 dmk
Hra
Y.BtN
rfi •d
deg c
so
ug(I
m `l
m 1l
1
Wroonn
m 1
s3iln
24
"1235
6.5
Y
fi.ClI7
:°.0.5
?,€Nd
8
ii :
Q,t�!...
5.8
36
2
1020
0,7
Y
0,017
28
:3
134.5 :
Lo
N
0.021
4
850
0.5
N
0,017.
5
10,110
0.25
N
0.028
6
920
0.25
N
0.027
2
1300
1120
LO
IY
1 0.04
22.6
&96
0
8
1330
24
1315
0.5
Y"
0.03
30
5.2
0.23
5
9
1010
0.25
N
PAN
to :
925
0,50
N
0.029
11
tt
935
0.25
N
0,021
12
1240
0125
IN
0.022
13 ;.
1225
0,25
Y
0.029
14.:
1301)
1225
1.0
i
0,023
15
1315
3000.5Y0,02
25A
7
33
:3.9
OJ 1
9.9
40016
414
10
0,7
"Y
0.019
320
O.4
Y
0.021
4
98
1230 ':
Lo
Y
obf
Iv
t020
0.3
0.(o
ae
925
0.3
y
0,015
21
1155
11+45
0.5
Y
0,02
22
1230
24
1220
In
4"
0,019
251
7.12
19
5:8
0.23
6
67
1255
2.7
X
f).01 k
24
1
1020
0.3
Y
0,011 .
2s :
;1Jy5 ':
1.0
Y
0,011 .
30
27
1010
0.3
IB
1 O.OIg.
28
1110
-IOW- -
0.3
Y
0,017...
29..
1220
241220
1,0
Y
0,021
25,5
7,05
0
330.22.
5.4
57 '.
3e:
1410
1.0
Y`:
OHM31
930
1.0
Y
0.014
6
Monthly A-ge U.W {1.15
kF
30
200 :.
Moonily Avmgv 0,020323
2184
15,8
6.84
:.0,192
16.42
57.0£r1209
O»;ty Maom"m: 0,04
25.5
7.12
33
16
0.23
9.4
400
Irma, lntu o- 0,01
20,5
1696
10
3:3
1 0.11
5
111
**** No Reporting Reason: ENFR€JSF. = No Flow-Reuse/Recycle; EN V WTHR = No Visitation - Adverse Weather; Nt3FLOW = No Flow; HOLIDAY -= No Visitation - Holiday

NPDES PERMrt NQ.. NCO062383 PERMIT VERSION: 5,0 PERMIT STATICS: Active
FACILITY NA'%E: ttteens Harbor WW1"P CLASS: -3 COUNTY: Mecklenburg
OWNER NAME: Carolina Water Service Inc of Nortb ORC: Lila R Bleigh ORC C'FRT NUMBER: 1004309
Carolina
GRADE.'Wlir'-2 ORC HAS CHANGED: No
eDMIR PERIOD: 05-20I8 (May 2018) VERSION- 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.:001 NO DISC IIARGE*: NO (Continue)
ccx�s
i.
t*
'E
240 C€O&
Hrs
2400 di k
It.
11AVN
m fi
t
1300
24
:1235
1.5
Y"
2
1020
0.7
-Y
3
1345
: 1.0
N
4
Rio
0.5
N
s
1050
0.25
rs
920
0.25
N
7
1300 :.
t120
1.0
Y
a
1330
124
11315
0,5
y
1tit0
0.25
#++
925
0.50
N
st
235
0.25
N
t2
1240
025
N
1225
e.25
Y
14-
1300
:1225 ;
1.0
Y
is
1315
24
1
1300
0.5
y
16
1
1410
0.7
I Y
is ;
1230 '
1.0
Y
tt
1020
24 ".
925
;.: 0.3
y
21
1155
t145
:. 0.5
Y
22
1230
24
'P':20
1.0
Y
2+ :
1255
07
5'.
2$ ;
923
1.0
Y
xk
24it
Ow3
fl
27
1010
0,3
R
11t0
1000
0.3
:Y
20
1220
24
t220
1.1)
Y,
3€
1
1932"".LLO
Y
Munth#y Average L .*e
MoWhCy Aweragc:
Dally Maxim" —
WIN mi"Imau
**** No Reporting Reason: ENFRUSF __ No flaw-ReuselRecyc:le, ENV WT14R = No Visitation— Adverse Weather; NOFL,OW =No Flow; €#CtUDAY = No Visitation — holiday

NPDES I " Ylt1°I ;NQ4_ NCO062383 PERMIT VERSION. 5„0 PERMIT STATUS: ,Rear"ye
FACILITY NAZI: Queem Harbor WWTP ; CLASS: WW-2 COUNTY: Mecklenburg
OWNER NAME: Carolina Water Service Inc of NorthORC- Lila R Blei a ORC EWI' NUMBE12: 400430
Carolina
GRADE: _2 CRC: HAS CHANGED: No
eDNIR PERIOD: 05 2018 tMay 2018f VERSION: L0 STATUS- Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE In 7045257990 SUBMISSION DATE: (!fill 1l2t1l8
r
k/"t
06/07/2018
ORC/Certifier Signature: Lila R Ell eig E-!via' :li c.bleig ci care linawaterscrvi eiie.com Phone #:7045S7990 bate
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 or the environment,
Any information shall be provided orally within 24 hours from the tune 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, •ase attach a list ofcorre It `actions being taken and a time; -table for improvements to be made as required by part II. .fi of
the NPDES permit.
06/11/2018
P rta ittee/Sub itter Sig ature. * Tony J Konsul E-M il:tjk tnsul@uiw tar.com Phone :7 43190 irate
Permitte ddress: 13818 ns Harbor Rd Charlotte: NC 28278 Permit Expiration Date. 06/30l2020
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 nay 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 far submitting false infonaaation, including the passibility of fines and imprisonment for
knowing violations:
CERTIFIED LABORATORIES'
LAB NAME; K&W Laboratories, Carolina Water Service of NC;, tnc, Charlotte Region, Prism Laboratories
CEWFt1' IED LAB #. 558, 5228, 401
PERSON(s) COLLECTING ING SAMPLES: Lila Ineigh
PARAMETER, CODE
Parameter (:lode assistance may be obtained by calling the NPDES Unit (919) 8 7-6300 or by visiting http://pottal.nedent.org/web.iwq/w,,wp/Ps/npdes/"forms.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge Froan Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR.
for entire monitoring period.
*'ORC on Site?: ORC must visit facility and document visitation of facility as required per 1 A NCAC 8G .0204.
*** Signature of P rmittee: If sit es by other than the pc itt :e, then delegation of the signatory authority must be on file with the state per 15A NC AC 213
.050c4)(2)lj).

:` P ES PERMIT NO.-NC0062383
PERMIT VERSION: 5.0
P dNII , "i'.4"d U S; Active
Ee3 IL.i"fY N" E: fu ns hlarbor WWTP
CLASS- SS- WW-2
C"OUNTV, Mecklenburg
OWNER NAME: Carolina Water Service Inc of North ORC : Lila R Bleigh
"'� �, .. - . i
";� C'TRT NUMBER: 1004309
Carolina
MAC, 3
N18
GRADE: WW-2
ORCHAS CHANGED: NGED: No
RE IVEDIN RAD WR
eDMR PERIOD: 04-2C)I11(A ril 2018)
VERSION: Lam{}
t
ATIJS: Processed
L'i rr 4 a 9 - 1
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.:
001 NO DISC� AL O s
WIN) Woo
Molt"
S %A)
C0410 C0610 t`iA33A" 31616 :... C," },
a
1 +}t uuun YV xkiL
V-kly
2Awcwk w.
W'ekl W kl YN-;d i kI •µrv.
U
Rcl9frdet S>r81}
1rab
i.°ersl}
`i?li'k�KTSit4` :uCQRtpOSItM "ottll?[bSiiC Ereatr (;oCi1(7o4diC
1s71ow T -Alp-C"
b+14
0111ORME
BOO • C`cro WK3-IV - Cctuc. T:fiS - Cr}ac Kau set TOTAL N-
2}q} ciatik
6Tra aua} cWrk
IErs
Y
mtld ;. de c
s~u
a =ft
myrJT mq/1 m #11 t -94
T..
11t0
Q:3
Y
0t}i9
110 ..ir1S
0s
0025
"
3 1145
24 0950."
20 ...Y
U.(st8: 1:7:9
'7.:t
0
56.: 0.11 ""::5. ¢ I. "''
4::
1140
Lo
0027
0
6
tt915
03
YYY.
0022
6
13:;0
05
Y
0.03
0
'7
"1010
02 ,.33
0021.
x
0940
02
B
0,027
A t225
l"Zo
1.5
�'
0 t1;A.
10 1.11 t1
Z4 ': 25+:
05
y
0,031.... 17,3
"715
1
13 0.96 3t} I0
Tt:"
_t400 <
1.0
Y'
0,029
22-10 :
0.3
Y"
0.027..
9.
13'
6300
1.1
Y
0043
14.::
::0 715
0.3
N
0,026 .. .
tw::
0055 -
0.3
d
01s99
16 "
;1120
to '
Y
0.o6:S:
1155
" 0.3
'Y
0,049. :
1245
:110t?
0 7
Y"
t1012
19 . 1245
24 -1225
0,5
Y"
0,057 20,1
7.28
0
3A 0,22 23 60 ..
2A:
1241)
1.0
Y
0.057
o
21-
040
0.: '.13
0.05t
i6
-Ei
d}USS
23'
I t35
20
: Y"
t7 t128
24.
1200
: 03
Y'
2.021:
25 1230
1210
i 0
Y.
0 t122 20:2
7,04
0
26" 1235
24 1200
Lo
Y
0,016 20.3
7:23
0
3A 01.9 45 . " 5
27
t11
1.5
Y.
4013
2N
11910
03
N
LIM1200
1.0
Y
0,0212
M0.4i iy Awnge Limits tris
30 30 IN
mimfliy Avemwg 003322 19.16
L1111}1
635 :0.37 16625 7400828 22
WHY A14a'rffiaw 0.063 203
7,28
9
13 0.96 39 60 : 22
Davy ARinimoun 0,011 1173
17,04
10
13A lom 0 0 22
°*#* No Reporting Reason: E:NFIWSF, . No Flow-Reuse/Recycle, .NV W1 RR s No Visitation ._-. Adverse
Weather; NOFL O = No Flow, HOLIDAY == No Vi%itatlon - holiday

NPDES PERMIT NC NCO062383 PERMIT VERSION: 5.0
FACILITY NOME. Queens harbor WV1WTP CLASS: W-2
OWNER NAME: Carolina Water Service Inc of North ORC. Lila R Blei b
Carolina
GRADE: WW-2 JRC HAS CHANGED- No
cDMR PERIOD:04-2018 (April 2018) VERSION. L0
SAMPLING LOCATION. EFFLUENT DISCHARGE NO.: 001
x COW
6 m ""
H e � e
i:Cim SitC
k" W.
PERMIT STATUS. Active
COUNTY. Mecklenburg;
CIRC C~FRT NUMBER. 100430.E
STATUS: Processed
NO DISCHARGE*. NO
(Continue)
2400 dock
It. 2400ciak
nrs
`owN
mill
1
1110
03
Y
1115.
lit
0.5.
Y
3...
t141
24 0910
2 0
Y
3a
a
1140
1.0
Y
4 ..
U915
03
Y
4
:1330....
05
Y
7
:."late
0.2
B
0940
O.E.
8
9:fIZ
1220
1.5
:Y
ial
C31{}.:
2q '.1255
015
:Y
1r
1400
to
Y
12
2920
0.3
is
13
11300
1:3.
Y
14
0715
ie
1120
Lo
Y
17
1155
0.3
Y
18
t245
11100
07
Y.
19
1245
24 1225
0.5
Y
20
1240
10
Y
2t
'.1040
03
:n
22..
t 120
1.0
B
23
1135
20
1
r25
1330 :
,1210
1.0
Y
2t>>...:
1235
24 1200
Lo
Y
2';
1115
29'.
,.: 0915
03..
N
30
11230
1200
Lo
Y
nst�niaty avcrs�e i.a�i1:
..Mast&ty Avern�e: 3:8
Way Nfiftimm,
**** No Reporting Reason: ENFRUSE = No
Flo
-ReusetRwycle; ENV T14R No Visitation — Adverse Weather„ NQFiWOW
No Flow; HOLIDAY - No Visitation -Holiday

NPDES PERMIT N NC0062383
OWNER NAME: Carolina Water Service Inc of North
Carolina
GRADE: W-2
eDMRPERIOD- 04-2018 (April 2018)
COMPLIANCE STATUS: Compliant
i
PERMIT VERSION:.5.t1
CLASS: -
ORC: Lila R Bleigh
PERMIT S"I'ATL S: Active
COUNTY: Mecklenburg
ORC C RT NUMBER: 1004309
STATUS: Processed
SUBMISSION DATE: 0511 I1201
VW OSJ07120I8
ORC/Certifier Suture: Lila C Bf 4 h Z:-Mai[:Iilac.hl i %a a7carolinawatersery cenc.corn Phone #:[phone]'90 Date
By this signature, I certify that this report is accurate and complete to the hest of my knowledge.
The peon 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 per ittee became wvare 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 ' taken and a time -table for improvements to be made as required by part ILE.0 of
the NPDES permit:
05/11/2018
Permittee/Submitte Signature:*** Tony J konsul E- Mai l:t_jkonsul uiwater. com Phone #:[phone] late
Permittee Address:'13818 -ens harbor 'hurlotte NC 2 278 Permit Expiration Late: O I30t20 f1
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 an aware that there are significant penalties for submitting false information, including the possibility of lines and imprisonment for
knowing; violations.
CERTIFIED LABORATORIES
LAB NAME: K&W Laboratories, Carolina Water Service Inc Charlotte Region, Prism Laboratories
CERTIFIED LAB #: 558, 5228, 40I
PERSON(s) COLLECTING SAMPLES: Lila Hlei h
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/,s-wp/Ps/npdes/forrns.
FOOTNOTE
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No FtowlDischarge From Site: Check this box i f no discharge occurs and, as a result, there are no data to be entered For all of the parameters on the DR
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 1 A NCAC 2B
.0506(b)(2)(D):
ORC: HAS CHANGED: No
VERSION- I
CONTACT PHONE #: [phone]

NPPIES PERMIT N`16.: NC(XI62-483
PERMIT VERSION: 5,0
PERMIT STATUS: Active
FACILITY lvXME: Queens Harbor WWTP
CLASS: WW-2
COUNTY:
Mecklenburg
OWNER NAME. Carolina Water Service Inc
of North ORC: Lila R Bleigh
ORC CERT NUMBER: 100430q
RECEIVED
Carolina
RIECEIVED/NMENROWR
GKADE: WW-2
ORC` HAS CHANGED: No MAY 0 3 2018
eDMR PERIOD: 03-2018 (March 2018)
VERSION: 1,0
STATUS: Processed
CENTRAL FILES
DWR SECTION
WQF4,()S
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
;'.JONAOFF
NO DISC, &4��f&L ICE
50,50 0010
41G4 * 510*0 C01310
ccwllo Cos."
31616 C06M
Cordowous Wvkly
:Yreky 2 X week wCeMly
-kly .kly
Wceh�ly kwy.
Q
t
&
Recorder Gmb
Grab crab Cjmnpm u
C,a povte Cumposhe
imab Composite
FLOW TEMP-C
PH MORTNE 0013- Cow
N113-N cmc M-Coo
Fcot.1 RR TUFALN-
2400 deck
Hm 2400
tin
YlWN
su ufA 4
g/l gn
#1100ml mg/l
00chk
()
)007
2
425
),0 9
3
1905
03
B
O el
4
1300
1300
to
I Y
0,013
6 _1310
_24 L -_O
�l
0-1
y
ly
0011 1+8
6.64 47 < 2
< 0, 1 3,2
1
1315
0011
---1(141
_2
01
Ct
9
1245
15
y
0,01
_.!045__.2
3_
1220
03
N
0012..
1225
2 —1,
2il —S
13 1335
�'t'43230
1.0
y
0,013 135
7,27 4 7,3
OA7 79
159
14
— --
-I420
0
—1—
011
1220
1,5
_2�011 163
1,23 49
1315
0,25
N
0.012
is
— —
—L210
_L-"
QorS
19 .L3-0(—)
20 1300
24 7225
6
11
0.015 17,5
731 <10 2.2
<0,1 7,5
15
21
0925
I'S
a
001
22
1 0950
0 3
1 B
OW2
1325
03
iB
0,012
24
—
i-ILI-5(>
—1—N.2-009
1201)
0.2
N
o012
1'0
Sr
0,016
Ll LO
Q,S.
YL
1004
28
—
-L, 1-6
2a
y
0015
29
— _L200
92
6.71 r 2
0.1. 1
-2-00—
Sri 2 000
-L5—
YL—
13
1350
03
y
OM2
mouthlyx,eragp lsu.-
200
Mouthl) Avemgc:
0.012032 1093333
12,625 2,925
0,0675 5,9
k98830()
madmum:
0022 19,2
7,31 49 7,5
0.17 79
159
Dais, Nuuhnw
O,004 13,5
664 0 0
0 31
0
No Reporting Reason: ENFRUSE No Flow-Reusellteeycle
PNVWT14R = No Visitation
Adverse Weather N(FLOW z- No 1low HOLIDAY = No Visitation
flolidav

NPDF,S PERMIFUNO.- NC0062383
PERMIT VERSION: 5.O
PER NIFF,"'ATUS: Active
FACI1,ffV?*18ME: Queens Harbor WWT11 CLASS: WW-2
COUNFV: Mecklenburg
OWNER NAME: Carolina Water Service Inc of North ORC,: Lila R Bleigh
ORC CEWUNUMBER: 1004309
Carolina
GRADE: WW-2
ORC HAS CDANGED: No.
eDMR PERIOD- 03-2018 (March 2018)
VERSION: 1,0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
U
ly
TOTAL P (''mc
If) dwK tin 2400 dock
On
VIRIN
-loo-0
2 1425
')05
0.3
B
i-
_L310 24 250
5
1315
Lo
y
J04-
9 1243
1.5
y
11
- -L,---10--
Ll—
2L-
13 'Ll -1 14 <i230
-0
14
---14210
is L400
)3
16 L220
17
-----1315
18
19
- i100 L255
i5-
it)
-I3U2_24 12Z5
k
23
-L--
22-
-0---
24
- L14,5
0.3
2$ 1200
01
N
26
— L2L'
t.0
2*7 1310
0, 5
29
-1200 1100 _11
Y
31111200, 124 1000
Ls
y
50
03
i -
Monthly Mvgc Limit:
Momt,ty Mcnge:
f1mily
Daily mmimmu:
No Rep icing Reason: ENFRUSE= No Flow-Reuse/Rocycle; ENVWRTR No Visitation - Adverse Weather, NOFLOW No Flow; HOLIDAY No Visitation - Holiday

NPDES PERMIT N49.: NC0062383 PERMI'I'VERSION. 10 PERMUSTATUS: Active
FACILITY N. Queens Harbor WWTP CLASS: WW-2 COUNTY: Mecklenburg
OWNER NAME: Carolina Water Service Inc of North ORC: I Aa R Bleigh ORC CEWF NUMBER: 1004309
Carolina
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD- 03-2018 (March 2018) VERSION: L0 STAJITS� Processed
COMPLIANCE STATUS: Compliant CONTACTPHONF #: 7045257990 SUBMISSION DATE- 04/09/2018
IV4 q t 04/06/2018
ORC/Certifier Signature: Lila C Bleigh E-M t 1), ae.bleigh(tz)carolinawaterservicenc.com Phone #.[phone] Date
fly this signature, I certify that this report is accurate mid 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 noncornpliam, please at It 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.
facility
1' 0 t S 0
S pe Ile mpl" lease
at 11 -1 list
04/09/2018
11�0
Permitt Le/Submitter Signature: �ony J Konsul E-MaiI:tjkonsuICqjuiwatcr.corn Phone #:[phone] Date
11 'r In Pen-nittee ddress: 13818 Queens Harbc d Charlotte NC 28278 Permit Expiration Date: 06/30/2020 s ocum t
I certify, under s 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 infortnation submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORKI'ORIES
LAB NAME: K&W Laboratories, Carolina Water Service of NC Inc. Charlotte Region, Prism Laboratories
CERTIFIED LAB #- 558, 52128,402)
PERSON(s) COLLECFING SAMPLES. Lila Bleigh
I"ARANIEfER, CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal,ncdenr.org/web/wq/,,,,wp/`P,,i/npdeVfonns.
FOOINOTES
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 Pcrmittec: 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).

ppppp-
S PERMIT NO.: NC00627383
PERMIT VERSION:
5.0
PERMIT STATUS: Active j
I ACILITV NAME: Queens Harbor WWTP
CLASS: W-2
COUNT : Mecklenburg
OWNER NAME: Carotins Water Service Inc of North
ORC: Lilo R 1ci h
a ro
ORC CERT N1CMBER: 1004309
Carolina
APR 0 2 2018EC
E VE INf,"OE N R I D W R
GRADE: -2
ORC HAS CHANGED: No
L f-,,. e Ys £
eDMR PERIOD: 02-2018 (Februaryt 2018)
VERSION: 1.0
r ''` 1. ,�n;* m
STATUS; Processed
WQ�ios
SAMPLING LOCATION: EFFLUENT
DISCHARGE NO.:
1 NQ DISC I l iU �1�i:<}c£�1 �. �sl
sllosdi
eta
0w00
slnu«o - cttsttr
coclrr
caa3u 3161
"e
H
,cm
C"uuiiuuuus
Recorder
FLOW
Weekly
eeirly
2 X wuek
Vwc¢.kly
Etekly
Vwcekiy:;
e
Weekiy
ctsstwr
:uasketly
Groh Grub
Grab f2TR2,%qe
Com cte
Composite Grab
Com s/te .:
TEMP-c fan
CHLORINE Boo -Cone
NR3-N-CoOc:
Tss-cow FCOLt OR
TOTAL N- .
2400 chile
on
2400dock
nra
Y1WN
mgtl.
dege
so
2,gl
UgA
mgtl
#IIoornl
:mg11
1135
£ 5
-Y
0,01:.
-MA
2
1030
1.0
Y
0.011
117
675
17:
3
1210
0A
:N
0,012
d
i310 ':
O.I
N
(1008
5
1130
0 4
IY
0,023.
133
fi 53
0
I135
1
920
.. 3.0
:Y
0,008
128
16,52
28
"£
1235
24
1150
In
Y
0.011
144
6.49
0
<2.
0,12
31
14
330
.. 3 5
YY
0.01
:12:5
6.56
0 .:..
14)
'
= 0100
0 1
Y
0.004
it ::
12
1135
'1130
:1130
03
20
': Y
1 Y
0 014
0013.:..
17
:6.65
18
13
1210
24
1205
0.7
Y
0009
£S.3
1i.6
3
26:
<0.1
4A
<I:.
14:
1320
07
Y
oolI
1215
2.0
Y
0.009
16
1233
2.0
Y
0,009
17 :
845
1,2
13
0.005
SS..
1000
2.7,
$
0.014
19
11210
'1140
0.7
Y
0.012
16.6
6,64
0
20::
1225
24
<1145 :.
20 :
Y
0.013 :.
18,4
6.69
6
<2
<0.1
2 k ':
1230
1.0
Y
0,011.
22
1730
t 03
:Y
0008:
23:
1345
. 15
Y
0,013
24
0820
0 3
N
.
0.007
25
0730
0,3
N"
0,011
26
1235
1235
£.$
Y
0:015
21
1235
24
IiSS
k 5
X
4
().013.
17.1
fi.fi8
it
<Z
�0.#
4.8
<1
28
1200
0.7
Y
0,01
Monthly Averaw Lima: o.1S
48
30
30
2UQ
Monthly Average: 0.010893
I S. t I
I I.454545
0.65
0.03
4.8
3153153
]Daily Maanava : 0.023
18A
6.75
48
2 6
0,12
7.2
14
Daily whimam: 10004
12.5
6,49 10
10..
0
3 1
0
**** No Reporting Reason: ENF"RUSE = No Flow-Reuse/Recycle; ENVWT14R = No Visitation - Adverse Weather; NOFLOW O = No Flow; 1 OLIDAY - No Visitation - Holiday

P0 'pp-
w,S PERMIT NO.: NCO062383 PERMIT VERSION: 5,0 PERMIT" STATUS: Active
FACILT1`Y NAME: Queens Harbor W TP GLASS: WW-2 COUNTY: Mecklenburg
OWNER NAME: Carolina Wafer Service Inc of North ORG; Lila R Bleigh ORG C E T NUMBER: 1004309
Carolina
GRADE: WW-2 C?RC H. S CHANGED: Ni
eDMR PERIOD: 02.2018 (February 2018).VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: N: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE* NO (Continue)
c
v
a
ya
b
TOTAL, P-Coac
2400 dK1,
11m
2400 dock
on
yf"
melt
1
1135 ".
1.5
Y
:.
4
:1310
0A
-1130
0A
Y
1135
:420
3.0
Y
7
123S
24
1150
10
Y
1100
: 1.5 '.Y
9 '
1330
35
Y
10
0100
":: 0A
y
u.
1130
: 0.3
Y'
12
1135.
1130
2.0
5"
13.
1210
1.4
1205
: 0.7
.Y
14:..
1320
, 09
',Y
t3,
:I31-1
20
:,.
17
$45
i 2
B
1
:l000
03
S
14
L10
1140
0.7
-Y
2iM
1225
24
::1145
21..
1230
: 10
1 Y
730
03
Y
23
1345
1S
Y
24
0520
0.3
N
2.5
0730
- 0.3
N
26
1235
'1235
1.5
Y
27
1235 :.
"14
:1155
IS
"
Mnattidr Average Limits
mo.tkly Average;
DAY maxim.w
Daily N1laimam.
**** No Reporting Reason: ENFRUSE — No flow-Reuseflteeycle; EN V WTHR - No Visitation .. adverse Weather, NOFLOW -- No Flow; HOLIDAY No Visitation -- Holiday

ow-
tk�S P7RIMVIFff NO.. NC:O062383 PERMIT VERSION. 5.0 PERMITSTATUS: Active
FACILITY NAME: Queens Harbor WWTP CLASS: WW-2 COUNTY: Mecklenburg,
OWNER NAME: Carolina Water Service Inc of North ORC: that It Blei h ORC CERI" NUMt BER, 1004309
Carolina
GRADE: W-2 ORC HAS CHANGED: No
eOMR PERIOD: 02.2018 (February 2018) VERSION: 1,0 STATUS: Pre�cecsed
COMPLIANCE STATES: Compliant CONTACTPHONE #: 7045257990SUBMISSION DATE: 03/09/2018
c,fiaz 6at;ov�- 03/06/2018
ORC/Certifier Signature: Lila C" Sleigh F Mail: lilac. blei h(ii?caro inaw terservicenc. om Phone :[phone] Hale
By this signature, l certify that this report is accurate and complete to the best: of my knowledge.
The pertnittee shall report to the Director or the appropriate Regional Office any noncompliance that Potentially threatens; public health or the environment.
Any information shall be provided virally within 24 hours from the time the permittee became invare of the circumstances. written submission shall also be
provided within 5 days of the; time the perm tice becomes aware of the circumstances.
If the facility is noncotaapliant, please attach a list of correcti e ac ' s being taken and a time -table for improvements to be, made as required by pact II.E.6 of
the, NPDES permit,
03/09/201
Permitte /Submitter Sig aturu: * Tony J onsul ]E-Mail:tjkonsul(� uivvater.cot Phone #:[phone]' late
Permittee dress. 13818 Cueen: Iarbor Rd Charlotte NC} 2278 Permit Expiration Date: (it/30f2020
l certify, under at this document and all attachments were prepared under my direction or supervision in accordance with to system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on nay inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, trite,
accurate, and complete. t 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: K&W Laboratories, Carolina Water Service. of North Carolina Charlotte Region, Prism Laboratories
CEWFIFIE D LAB #c 558, 5228, 402
PERSON(s) COLL1E(7TING SAMPLES: Lila C leigh
PARAMI.' E,R CODES
Parameter rode assistance may be obtained by calling the NPf3FS unit (919) 07-3300 or by visiting http://portal.ne(icnr.org/web/wq/swp/Ps/npdes/foms,
FO0T"N0`FES
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 and, as a result, there are no data to be entered for all of the parameters on the 17M1
for entire monitoring period..
* ORC on Site?: ORC must visit facility and document visitation of f`aacility as required per 15A N AC" 8G .0204,
* ** Signature of Pe ittee: If signed by other: than the pennittee, then delegation of the signatory authority must be on file with the state per 15A NC"AC; 2[
.0506(b)(2)(f2).

PERMITNO.: NCO062383
VFACtL1T
PERMIT VERSI N: 5.0
PERMIT STATUS: Active
Y NAME: Queens Harbor WW1`P
CLASS- WW-2)
COUNTY. Mecklenburg,
OWNER NAME: Carolina Water Service Inc of North ORC's Lila R fBlei h
ORC: CC:ERT NUMBER; 1004309
Carolina
RECEIVED
GRADE; WW-2
OR{; HA CHANGED: No
J,,","N(-D . "W"IDW3
eDMR PERIOD: 12-2017 (December
017)VERSION:
1.0
"TATUS Processed
E fit
DW w( "
SAMPLING LOCATION: EFFLUENT DISCHAR NO IS , E �
d a1 za Z$tiLL S, F"5AGe0'
'" M 00914
liri o 59060 C'0310 C0610 C0539 $1616 CO00
Conkara�xius 1!-kly
i41 k1v 2 X -ek: Weekly LVeekiv GT+-kiy W kiv ptlartedv
Z
H..
II
I.
R.ecr+rdc�z
Cxr»tr CFe Compwite Cumiaosite t`om le b Eompo"i
IL
2
now TEMP-C
pH CHLORINE BooNM.N_C-. :: TS.r_C. FC0111 w TOTALN.
Zd99 shrrx
R" 2499C1k
H.
NIMN
%d degc
tiu u&A milt.". m�A : m8I #fiOOW all
#I.Y.al2
2
I045
0,3
N
Oct 2 .....
3
1120
0.3
ra
is
4 1135
tik:#s..
0.5.
Y.
t7 017
5 1110
-4.:.: i 120
0.5
X
0.012 : i7
tr.45 1'7 .;, 2 10-1 4 10
' :6
1045 ..
le
y
0,014..
� 0
7
1300
03
'i
Ob14 :..
ii
1120"
0.5.
Y'
Q009
ss5
fJ.l
N
{1.012
10
Y 150
0 1
PI
O CiI?:
ti I11
1100
i.0
Y
0.013
s2 1111
24 945
i.5
Y
0011 12,3
t5.97 <0 }0 G+.28 25 <; 1
H3
S3i1
C).75
k"
0013.
14
I051!
1,1 :
V'
O,:
a5
t:
1120
05
y
e012"
t6
d50
O.d
Y
2008:..
17
ats
0.3
Y
0,016..:
1a
Ei3S
0.5
k"
2.k17 a4.7
56 -II
,20 IIdS.
: I100
U.S.
Y
0.013:
l 1115:.
Z4.. 1110
0.3
Y'
0.019:
10:. 0�12 : 20 36
ax
1310
0.3
Y
OOiS
a3
i25
0.25
19
Q.000
25
: 74€1
0.25
001.5
to016
7 1210.
t(15 ..
15
Y
0.024
29 1220.:
4 t.211
1
Y
t101.1 11.3
fi.:19 ' 29 12 p: 30 I50
29
- 1245
0.5
i'
0.01 :
25
30
950
0:3
Pi
209
31
955
05...
N
0.011
nek6y Amre i,NuiPs 9.85
30 30 200
Ckty Aveea 0,013397 13,825
10,75 8 0,15 21 15,243992
ii iiv Mnxanree�: 0,024 17
636 29 12. 0.28 30 ISO
iixih hS2uiasCC .0008 11,3
G 39 0 4 0 +d d7
No Reporting Reason: FNFRL}8F
= No Ffow-Reused vcycle; l liVWTHR =" No Visitation -Adverse Weather; NOFLOW = No Figrc', Ht LID Y "= No Visitation Holi4,

PIES PERMIT NO.. NCO062383 PERMIT VERSION- 5.0 PERMIT STATUS: Active
EACILITV NAME: tlueens 13arbor WWTP CLASS: WW-2 COUNT : Mecklento
(OWNER NAME: Carolina Water Service Inc of North ORC- Lila It I3lei #SRC CE.RT NUMCBER, 1004309
Carolina
GRNDEz WW-2 t)RC HAS CHANGED: N
eOMR PERIOD: 12-2017 (December 2017) VERSION: 1:0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: Cif NO DISCHARGE*: N (Continue)
a
COW
a
Qua Yerty
u`
�
�
�
�.
Ccttx[ptyrtte
a
ToanY,a_t a-
2400 dwk
FYrii
2400 clock
Hrc
'YrEIN
mg/I
3
1120
0.3
N
4
1135
1035
0,5
Y
1 140
24 :
Y Y 20
0 S
Y
6
1045
10
Y
7
1300
103
Y
Y1
1110
1100
1.0
': Y
az
1110
24
445
1 5
Y
13
830
0.75
Y
Y4
1050
1 f
.:. Y
15
1
1120
0.5
Y
16
C50
03
Y
17
915
0.3
Y
t8
935
0.5
Y
11t5
I00
-21
1115:
24
1110
03 ".
Y
22
-
1314
0,3
- Y
:23
725
0.25
N
34
740
0.25 "
: N
1?3
s4a
.3 ..
Y .
26
950..
1.0'
Y
'.. 29
1210
I17
L5..
Y
28
1220"
24
1215
a:S
Y
3v
1245:
0:3
Y
st
955
a.s::
hI
Mouthty A.' mV t;Mmit
mteYy nay r
baYYv Yttiseme
UaY1y AYiasriaem:
* No Reporting Reason: EN'FRL SE = No Flow-Reuse/Recycle; ENV A, -MR = No visitation - Advease Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday

VPDtSRMITNO.: NCO062383 PERMIT VERSION: 5.0 PERMIT I TUS: Active
FACILITY NAME: Queens Harbor WWTP CLASS. --2 COUNTY: Mecklenburg
OWNER NAME: Carolina Water Service Inc of North ORC: Lila R Bleigh ORC CERT NUMBER: 1004309
Carolina
GRADE. WW-2 ORC HAS CHANGED: No
eDMR PERIOD: I -2017 (December 2017) VERSION: I:O STATUS: Processed
COMPLIANCE STATUS: Consplia t CONTACT PHONE #: [phone] SUBMISSION DATE: 01/05/2018
f
01/05/2018
ORC/Certifier Signature: il: Phone # [phone] Date
1to,
y 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 per ittee 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 Ich st of corrective actions being d a time -table for improvements. to be made as required by part II.E.6 of
the NPD S permit.
111-�—V/M—
Qo,,— —t 01 /05/2018
Permitte /Submitter SignatTo y I Konsul E-Mail:tj snsul uiwater.corr Phone #:[phone] Date
ermittee Ad 13818 Q ueens Harharlotte NC" 28278 Permit Expiration Date: 06/30/2020
1 c;ertify, 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: K W Laboratories, Carolina Water Service, Inc of North Carolina Chartotte Re ion
CERTIFIED LAB #: 558, 5228
PERSON(s) COLLECTING SAMPLES: I,ila Bleigh
PARAMETERCODES
Parameter Code assistance may be obtained by calling the NPDF.S Unit (919) 807-6 00 or by visiting http://portal,ncdenr.org/web/wq/swp/ps/npdcs/forrns.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period,
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8Ci .0204„
* * * Signature of Permittee: If signed by dither than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 211
.0506(b)(2)(D):

PERMU'VERSION: 5,0 PERNIFFSTATUS: Active
CT ASS: WW-2 COUNTY: Mecklenburg
ORC. Lila R Bleigh REC,,FlVEQicCER'f NUMBER: 1004309
MAR 0 1 Z018
ORC HAS CHANGED: N�Lo CEN i m(AL FILES
VFRSION- 1,0 OWPi SECTION STATtS.- Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO

NPDES PERMIT NO.. NC 0623 3
PFRMI I" VERSION- 5,0
PERMIT S°I AT11S: Active
I+ACILP1rY NAME: Queens ns Harbor WWTP
CLASS: W W-2
COUNTY: Mecklenburg ;
OWNER NAME: Carolina Water Service Inc of North ORC: Lila R Bleigla
ORC C'k RT NUMBER: 1004309
Carolina
G ' DE: WW-2
ORC HAS CHANGED: No
eDMR PERIOD. 01- tit8 (January 0 )
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
C06
Ca' U F» p .'
^��+
TOTAL, P-Ow
i$fMleMck vkrci+ firs:.Y}tYx
�y43tt1030
7tZ40l
5o 0.2
y
4 Shia 24 1040 03
."Y
1410 0 5
'Y
E31'L4_L10-1
0.5
Y
3,A
1@ 1515 0.5.
Y
12 t155. 2.0
:'4"
0920 0.2
i3
14
t*' 1045_. 017
Y
the I1S0 07
,..Y
17
FNV WTHR: .
19 1235 1 5
Y
2t) :1040 03
N
zr i020 0.3
N
23 1155
E3. 1155 t 24 1235 11,0
Y
25 - B50 1.0
: i'"
,
920 3.0
y
zt L,m 01
105a 01
'N
a" 1200 1100 2.0
Y
3Yd= £zoo �a 3120 3.a
31 `: 1215 1 0.7
y
monthly Arew ge umit.
Moothlt Avenge: 1.4
_.. .._....._.__ .
rt�ily hi8ti4Ynnm: 3.4
Daily A3inimnm: 3.4.
**# No Reporting Reason: FNFRUSE = No Flow-ReusePRec_ycle; FNVW rFlR = No Visitation - :Adverse Weather; NOFLOW
== No Flow; HOLIDAY = No Visitation - Holiday

NPDES PERMIT NO.. NCO06 383 PERMIT VERSION: 5.0 PERMIT S'I xATUS: Active
FACILITY NAME: Queens Harbor WWTP CLASS: WW-2 COUNTY: Mecklenburg
OWNER NAME: Carolina Water Service Inc of North ORC: Lita R Bleigh ORC C<E:RT NUMBER: 1004309
Carolina
GRADE- -2 ORC: HAS CHANGED: No
eDMR PERIOD:01-201 (January 2018) VERSION: I S`CVFUS. Processed
COMPLIANCE STATUS: Nan -Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 02/13/2018
f 1
jj(- 02/07#2018
ORC/Certifier Signature: Lila C" Weigh (!Mjal1;lilac.blei h(cr;carolinawaterservice c;.cairn Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge
The permittee shrill report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the envircarment.
Any information shall be provided Orally within 24 hours from the time the permittee because aware of the circumstances. A written submission shall also be
provided within 5 days of the time the licarnittee becomes aware of the circumstances.
If'the facility is noncompliant, please attach a list of corrective actions bein taken and a timetable for improvements to be, made as required by part. H.E .6 of
the NPDES permit,
02/13/2018
PermitteelSubrityttcr Signature:*** 'ony J Kons l EJ-Mail.tjkonsul(auiwat r.cons Phone f#.70431905 3 gate
Pe nittee Address. 138 Queens t labor Rd C •lotte NC 28278 Permit Expiration Date: 06/30/20-1
1 certify, under penalty of law, that t is ocurnent and all attachments were prepared under my direction or supervision in accordance with a systern 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 IED L O 'f"C RI1
LAB NAME. K W Laboratories, Carolina Water Service Inc of TIC, Charlotte Regi€rn
CERTIFIED LAR : 558, 5228
PERSON(s) COLLEC"1'IN+G SAMPLES: Lila Weigh
PARAMETER, CODES
Parameter Code assistance may be obtained by calling the NPLIES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/,Swp/ps/npdes/fornis,
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data,.
* No Flow/Discharge From Site: Check this boy; if no discharge occurs and, as a result, there are no data: to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on rite?. ORC must visit facility and document visitation of facility as required per 153A NCAC, 8Ci .0204:
* *'* Signature of Pe ittec: If signed by other than the permittee, then delegation of the signatory authority must be on fife with the state per l 5A NCAC: 21
.0506(b)(2)(D).

NPOES PERMIT NO.. Tutu0002393
NAME: Carolina Water Service Inc of Not
W -2
PERMI'VVERSION: 5.0 PERMIT STATUS: Active
LASS: W-2 COUNFV: Mecklenburg
1 ORC: I Aa R Bleigh. ORC: C ERT N€1M13ER: 1004309
ORC" tiAS CHANGED: No
TUDQ C?N: 1:it STAi'LI :Processed
Report Comments.
The TSS was above the permit range. The fecal was also above the permit range,

Carolina
K141714w6w of North Caro
January 26, 20
7
c
e
p
if ut^ti kawga nntt mi tactir
me at 704-319-0536. Thank you for your attention,
VaterService
na TM
------------
Sincerely,
X, 7
W104
,eAa c k J o 4s/
Area Manager
Cc: Tony Konsul
Cc: Adam James
4944 Parkway Plaza Blvd, Suite 375 Charlotte, North Carolina 28217 800-525-7990

NPDEI
#MIT
NO.:
NCO062383
PERMIT VERSION: 5,0
PERMIT STATUS. Active
?A
ILITY NAME:
Queens Rarbor
G TX'fP
GLASS. W-2
Rpr;COUNTY:
Mecklenburg
OWNER
Carolina
NAME:
`
Carolina
Water
Service
Inc
of North ORC: C,ila R 1lieigh
J 5 '701
ORC C:E1RT NUMBER. 1 309
� ,.- � .ofilil �l t NRID WR
GRADE:
WW-2
ORC RA GIIANGEM
No
eDMR
PERIOD:
11.2017
(November
VERSION: 1.0
{ , STATUS: Processed
WQROS
la Si i€ i w fi tt!ONIIA OFFICE
SAMPLING
LOCATION: EFFLUENT
DISCHARGE O.: 001 NO DISCHARGE*: NO
:4aU5iF tliWlt4w""
Sow
G`1J3Y4 C(*14 C"C :: 31616
3
Continuous Weekly Weekly 2X week:
YYwldy Weekly : W-kly Weekly Qtuidedy
.:
cj.
�
8
t�
�,. 1`�eactcder Cxta1+
I# Crab
C.tkritxtscYe C`0#nposele d;apvas#te Ctipgsstre
q
F#,iPtV i'P,A4P-C pH G4i[,fiRkNE
-. Case PC143-N-Coac TSS-Cwwc rCCaLL Bat. TOTAL N-
24"d.,k
ff.
2400 d k
H.
Yf-Yt
mgd deg e
su up)l
RS,t*,o, itS 1 : BYS #f1mad Yk#�i1
#
3240
1230
07
IY
0,011
a
240
14
1220
05
k°
0.013 93
€4
34 �0.1 <25 210
3
11211
I.1)
Y
0.0.112 .
t)t415
03
Y
001.:
5
08015
of
Y"
0015
6
I221)
.125
B
0.022 ..
7
0935
0.25
:: B
n016
. s
1135
1130
050
B
0.02 .
1105.
24:
1030 :
0 50
Y
0,016 1ti:5
6,52
<o 1 3 1 23
14
1400
40
Y
0014
<Iq
11
102.5
0.75
': B
0 016
12
1125
1.2
:.. B
0,017
0
1300
1.0
Y
1 0,022
14
12-35
0,75
: Y
0022
15
1235
1220
1 5
Y
002 " ..
: 16
1245
24
1225
to
: Y
0022 : 16.5
ball 41
<2.: 0,11 4.6 45
t7
1135
10
: Y
0009:
<10
is
855
0 S
N
0,008
#2
St5
.2
1V
2016
20
1200
1
1150
I.0
: Y
0,02:
: <0
'2#
1250:
24:
1235
Cl5
Y
0,012 :.
68 ^'0.1 14 32
22
1205
1 0
Y
0 012 165
6.47 < 0
23
720
07
2
0 00ffi
24
750
0.2
:. 11
0,015
25
1055 :
1.0
B
0,019
26
$25
04
0011 ...
27
:
1305
1.0
"Y
0022
28
1005
0,5
Y
0.013
29
1230.
1130
O 5.:.
Y
0.015
".
au
1240
24
1235
05
Y
0,013 15.5
6.48 1
<2 <U1 <2.5 <I
oai4 v Avrra4r L;i r cis
-(rinetleh
34 30
Auc. - 0.015533 78676875
2.14 0,022 434 23,359413Nfly
sawm. 0,022
d8 O.il 14 210DAY
PA —0.
ti 0 0 0
8 s o Reporting Reason: ENFRUSF
=
No Flow-Reuse/Recycle-,
ENVWTHR No Visitation - Adverse Weather. NOFLOW u No Flow; HOLIDAY — No Visitation— Holiday

y
NI'DES RMIT O..- NCO062383
PERMIT VERSION. 5.t1
�
I'ER1I IT STATUS: Active
I"ACIIA " NAME— Qumns harbor W'FP CLASS. -2
COUNTY: Ntecklenburg
OWNER NAME- Carolina Water Service Inc. of North ORC: Lila F Iliei h
ORC C RT NUMBER: 1 309
Carolina
GRADE: WW-2
ORC HAS CHANGED: No
eDMR PERIOD. 11-2017 (November 2017) VERSION: 1.11
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*; NO (Continue)
y. cow"
8 w w
a
% � QYIaC1Cr%'
E
^
U 6G
p. z TOTAL p-C.-
:1 1240 2-10 0,
Y
124(1 24 I22Q 0.51120
T
t.0.
5 0805 02
Y
:.6 1220 0,25
B
7 Oi35 0,25
: B
8 1135 1130 0,50
B
9 1104. 24 10M 0 %
Y
" 11 1025 0.75
:: B
r2 1125 1 2
:. B
13 1300 10
Y
14 1235 075 :
Y
is 1235 1220 15
Y
16 1245 24 - 1225
17 1135 l.0
Y
14
19 915 .1
N
20 1200 1150 le
Y
31 1250 24. 1235 0,5
y
7?0 0 7
B
24 750 01
B
29 1055 - 1.0
B.
2t. 825. 0.4
B
-.. 27 1305.. 1 {} -
Y
28 1-10 67.5
Y
29 1230 1130 05
5"
30 1240 24: 1235 0.5
: Y
M-tkly ewe UWV
.:MmOkly Averrkn: ..
: .
DAY mwi--
*** No Reporting Reason ENFRUSE -= No Flown-RewseMocycle,ENV WTHR = No Visitation _ Adveme Weather, NOFLOW = No Flow; HOLIDAY = o Visitation - Holiday

i
NPDES IT NO.. NCO062383 PERMITVERSIC)N. 5.0 PERMIT STATUS: Active
lti CILITY NAME- Queens Harbor WWTP CLASS: '-2 COUNTY: Mecklenburg
OWNER NAME, Carolina Water Service Inc of North ORC - Gila R Weigh ORC CERT NUMBER: 1004309
Carolina
GRADE: _2 +SRC HAS C14ANGED: No
eDMR PERIOD. 11-2017 (November 2017) VIERSION. I.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #. [phone] SUBMISSION DATE: 12/12/2017
ORC/C'"ertifier Signature. E-Meal. Ph sue Date
-351-13,11
By this signature, l certify that this report is accurate and complete to the best of my knowledge,
The permittee shalt report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the perinittee became aware of the circumstances. A written submission shall also be
provided within 5 days of time the permittee becomes aware of"the circumstances.
If the facility is noncompliant please cli a list of corrective actions ing taken and a timetable for improvements to be suede as required by p II.E.b of
the Ni'CDES Permit.
12/12/2017
Permittee/S mitter Signature:* Tian J sKonsul E-Mail: tjkonsulnquiwater.com Phone ##.[phone] Date
Perm ince Address: Queens Flu
R' C:harlotte NC 28278 Permit Expiration Late: 06130/2020
I certify, under penalty of law, that this doctunent 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. K&W "boratories, Carolina Water Service, Inc of North Carolina C harlcstte Re ion
CERTIFIED LAB#. 558, 5228
PERSON(s) COLLEC, TING SAMPLES: Lila ffleigh
PARAMETER CODES
Parameter Code assistance e may be obtained by calling the NPDES Imit [phone] or by visiting http://portal.ncdenr.org/web/wq/swplps/npdes/forms,
FOOINOTES
Use only units ofmeasurement designated in the reporting facility's NPE)ES perm it 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 must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of errnittee: If signed by other than the permittec, then delegation of the signatory authority must be on file with the state per 15A NCAC 211
.O Q6(b)(2)(D).

FNIITNO.. NCO062383 PERMIT" VERSSION- 5.0 PERMIT TA'T US. Active
. Queens Harbor W 'T"P CLASS. W W-2 COUNTY: tvTecklenbw
ER NAME.. Carolina Water Service Inc of North ORC- Lilo. R T31eigh ORC CZ. Ri NUMBER 1004309
�x
arolin
GRADE: W W-2 ORC HAS CHANGED. No ( 7
eD R PERIOD: 10-2017 (October 2017) VERSION: 1,0 STATUS- Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE". NO
r24
�,0
0a O u v c. t + 5 <1.2 a Qi?
21 1130 1110. it 5.... Y 0,012 30
1110. 24: 1020 1.10 4 013 i69 636 5 .Q.I. 3.1 97
x7 1400 0 $ Y . 0.016
28 1015.. 0.2 13 001
30 1045 In Y 0.017 42
31 1220 0,5 Y 0.016 42
3Monikh A4C bisdk U.15 36 30
Nbmthly n..6 0,015226 217 24 4 4.55 0 0,775 63.077282 31
Noy NU d 0,034 28.4 679 :. 49 5.7 ... 0 3.1 30D 31
DAty miah W. 0
*** No Reporting Rersom FNFRTISE = No Mow-ReuscfRevycl LNVArTHR = No Visitation -. Adverse Weather; NOFLONY No F'imv; HOLMAY — No Visitation Holiday

RMIT NO - NC'O062383
PERMIT V ERSICIN. 5.0
PERMIT STATUS: Active
I Y NAME: Queens Harbor TP
CRASS: -2
COUNTY: Meekt nbur
Faral
ER NAME: Carolina Water Service Inc of North ORC'; Lila R Bleigh
ORC CERT NUMBER: 1004309
ino
iEs lrv-2
ORC HAS CHANGED: No
DMRI'ERIOD:lit-2€it7(October 2017)
VERSION:1,0
STATUS: rocessed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
c+a66s
TOTALr-c
140 Lek Ftr x Mrk 6trs a N
220
a
1140 ?.St? 1S
�
135(i a a n
4
1135 L35. 2.2 ki
e
1145 24 '- 1145 .. ) a B
5.3
1705 as Is
'7
t 140 ti I id
Ii
1225 1210 : OS Y"
Ix
1225 24 1200 " 0 75 Y
14
17
1230 0.2 y
In
124. 124(1 t1.3 8
14
131.5 24 1245 0,3 8
€lt0 1,0 Y
25
1130 1110 01 1". .
_.
16
I11Q 24" 1020.'. 1.10- Y
27
140 1 Y
xa
IONS 02 H
1100
'.:31
1220 .. 0,5
5 Y
3tc6thly A—W ts€ k,,
xr$ly tv Ss
.
NOY %€mums 53
13�IIr sY#cclniu 5.3
**#
T No Reporting; Reason: LNFRUSE No Ftow-Reuselltecy^cle; ENTVWTiIR No Visitation - A€ vcrse Weather; NOFLO firm No Flow, HOLIDAY '"= No Visitation Holiday

F
NO.: NCO0623 3 PERMIT VERSION: 5.0 PERMIT TATUS: Active
E. Queens Uarbor t'P S: W - COUNTY- -klenbur
NER NAME. Carolina Water Service Inc of North ORC: Lila R Weigh ORC CEKf NUMBER: 1004309
arolina
C RAiIaEi;WW_7 CJRC' HAS CHANGEM No
eIDMR PERIOD- 10-2017 (October 2017) VERSION. l.C} STATUS: Processed
COMPLIANCE STATUS: C?osnpliaru CONTACT PHONE #s 7045257990 SUBMISSION DATE: 11/0 /2017
oe� 11/ 11/2017
ORC/C"ertifier Signature: v 515 n, i1a "-M il: _ er, Phone #:7Ci4-506M4072 bate
_, tit`
,By this signature, C certify that this report is,accurat and complete to the hest of my knowledge.;
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment:'
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances,
If the Facility is noncompliant, please attach a list of corrective ' "s being taken and ae time -tattle for improvements to be made as required by p ILE.6 of
the NPLDES p it.
1 l /09/2017
Permittee/S binitter Signatu ** o y ,l 'Konsul E-Mail:tyjkinsul'r ui sattr,cca Phone .it14 19(t 23 Date
Permitter Address: 13818 Queens Harbor Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2024
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a systems designed '
to assure that qualified personnel properly gather and evaluate the information submitted, Eased on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete, I am aware that there are significant penalties for submitting false information, including the possibility of tines and imprisonment tsar
knowing violations:
CERTIFIED LABORATORILS
LAB NAME: K&W Laboratories, Carolina Water Services„ Inc, of North Carolina Charlotte Renton
CERTIFIED LAB : 558,5228
PERSON(s) COLLECTING SA MIPLES: Lila Heigh
PARAMETER r CODE
Parameter Code assistance may be obtained by calling the I PiDES Unit (919) 807-6 00 or by visiting h :i/po l.ncdenr.r rg/weblwg/s /psinpdes/fo s.
ff')O 1 NOTEs
Use only units of measurement designated in the reporting facility's NiDES 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 i3MR
for entire monitoring period.
£7RC on Site?: ORC" must visit facility and document visitation of facility as required per 15A NC°ACC 86.0204.
*** Signature of e ittee: lfsigned by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2E
4506(b)(2)(D).

VIIEIRNIFULNO.,�,��NAA _11 `1'4'NApiijQue
C 0002383_
PERAll�'��LRSl N: i.0
I'1t:1tRt1"t"ti°1't1`I't S: fictive�ns
Harbor WW1 P
C 1 ASS: WW-?
� ' )UNT t lerck1enburC)"4�4Ai4lh:
� aC{kti4a '��'ai..er Ser4`FCG Inc of North � }�� . 1. 11it �. 131e1P1i
'�` 1C CE1iT NUMtlFCl.: 10043(}C)
Carolina
NOV 0 1 C 61-/
GRADE1 W W-2
OR HAS C°l1ANGED: No
s a'k C s a Q
... y , �
" aw..,� 5
�.g
14�.
w
eDMR PERIOD. 09-2017 (Scptember
2017)
VERSION: 10
DWR E'ZC IUN S ATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE
NO.: 001
NO DISCHA-G,
ggg
MOM 00(}iU
tN 00 M060 CV7310
C'OMO {0SJ16
31616 C(Koo
cmtlnuous kleekly
ti eekly 2 k week Weekly
li'eekly 3k'eekly-
Weaklj d ueoerly
c.
t
!Lander irab
'. iimb Grab, Ltmu ttsic
C`(rlrt xrrstfe i,"(,mL-sits
Grab C"eairx xeslte
C
Cd
F«
t4F
C?
T FLOW TEk PIP
1,14 CHLORINE not) ""-Co."
N113.N-0— 1`88-C.-
F(101.1 DR Tor Al N-
tgi100-1.
Hrs 11N1 c1,,k
lira
5'At1N
In*c1 dtti,e
5u ugr7 tt1+1
311*11 tttk)li
#11 YXttnF nt 6d
1
151
tk 5
Y
U 02
2
1110
Q.1
N
O O011
3
I Chit)
tk..S
N:
€i t)15
a
Q10
01
N
0016
s
1135..
O017..
b
1f71t1
1t105 �.
i)5:.
i'
C)Ol i:,
7
11110
24 t)O4.1
Q:7
S"
tb 0t11�'. ?2.8 �
h 2 2ai t q
� 11 1 r 2 5
I(16
It115
05
t'
0014
8
°
u2S
025
ut
A2t).
U;.S
N
0{ICx&:
it
I21tk
10
Y
t)U2
t2
1375
10 .
Y
it ON1::
is
Ittz3
1t`�
1)
��
Qi1N4.`
c2
14
U05
34 10 0 .
0 73
N
o021 :-
28 53
.: Or <� 25
82
is
17011.:
02,5
3'
0,04 248
K 10
to
1135"
tk,2.5
N
OtkkB.
1a
I,t2i1
2Q
N
tl Cl.it.
t9
1530 .
075
N
0029
ita
11:10
15 t 5...
075
N
t7 03
21
1130
24 1210
ti.5
Y
O02s 147
62 ..2
=".01
3a,
1320
1 t5:
Y
0013Y
aw 10
24
12Cl0
{1.25
N
Otk13..
15
1310
i7..25
5'
0017..
27
1224
UN
015
Y
it 013
' 10
29
12,3?
2�i: 1220
1 U
1`
O OFd 2.7.;5
'.b l "' 10 3'}
0..14 ., 2 5
220
sa
li15
3a
ltlfi5
t)25
R
0014..
lVinii W Aye pe lA.1 : 0.itt
31)
'411
200
Nlowh1?A,—gr 0018633 2,1.2
025 165
- O,035 0
37196525
_
tlxltyhiaxtmaro" 0043 24:9
62 78 5.4
O.14 0
220
Dail+ Dglnirltum; t)€1#)17 22:8..
G 1 00
0 0
3
**** No Reporting Reasotr EN%ttt1SE
No
Flow -Reuse Recycle; Et°V,°THR No Visitation -Adverse
Wemtirel, i ()FU)W - No Fluiw; HOLIDAY < No Visitation
Holiday

VE—
(�Ij�P,,A"I'Y NA 4Ti;a tiiee
C0062383� PE:RNIII' VERSION: 5,0
P Rl4 IT 4`IA I`US' Active
nsIlarbor WWT13- CLASS. WW-
COUNTY- Mecklenburg
WNER NAME- (riiirl4na Water Service Ine ofNorth ORC; Ula R Blei li
� ORC CRR`I' NUMBER: 1004309
Carolina
GRADEi W -2 ORC IIAS t IIANC ED: No
eI)MR PERIOD. 09-2017 (4eptctnb r 2tl i 7) VERSION: 10.
STATUS: rocessed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO Continue
gp� ,y
� (fNrfi$
at#JtNi
"J1
Ouartefly
j
p
C° m mite
Calculated
I MAI,P 0 nr
rift
3Aa#r4octe Nra xioaaMeir. iirw.
l(i31N
flrKS
mvll
i
15Io U 5.
a
ttilil it0l ti5
'4'
7
t110 24 {a7.45 €t 7
1'
(, 1
s
itit5. 05"
Y`
c
925 025
N
to
$2C9
it
2215 - 4."i
5'
is
Mo 1100 .. 1.0
Y
..
to
12£t5 24 IOsU'. 075 -
N
..
iR.
1700 "' 025 -
h
ie
1t34 Xk2r,.
N
t7
)40 !r 2t)
N
iv
1530 175
N
sit
it3Ct 3145 171
N
xi
1 4dtd 24 I L 2 5..
ti t
22
1:a2L 115
23
tt+3fti (725
E+
1200... ti,25
N
Is
1410
26
27
1224
IN
12 5 24 12211 i.f!
5'
5 7
sit
1005 0 25
B
6 ..ffite 8-0, l.tmit:
Af.whir .Ai: —Ora
t+
Nit" 6le 1--
G2
Witr A1inimum:
57
***"
NaRepoiting l(iasow ENFRUSE - No Flow-Reuse/Rccycle, ENVWTl1R = No Visitation-- Adveise Weathec N(>FTt W -- No glow. HOLIDAY No Visitation Holiday

Mirr,
k R t1I 1' NC),: NCo062383 1'CsRhlrl' 1"F;Ct l i : 5,0 1'%s i 1iIT s"i' "Tl tit Active
(76ATY NAME. Queens Harbor WWTP CLASS: : WW-2 CMINTY: Mecklenburg
C7t6°N Ei NA 44)C,a C`urcrlrna Water ervicc ine crt"Norifi ClftC: l,iia it k31eig l C>ItC" C"i?;F2'1" NCI 1 3F rt: tf } 3C}r7
Carolina
GRADE: WW-2 , ORC HAS C11ANC ED. No
eD 1R PERIOD: 09-` 017(Se teanbei 20171 VERSION. 1,0 STATUS- processed
COMPLIANCE STATUS- Compliant CONTAC,F PIIONF #t 7045257990 . SUBMISSION DATE: 1 /12/2017
1 01 t IJ 201 f
ORC/Certi ier Signature: Phone :[phone] Date
13
By this signature, 1 certify that this report is accurate and complete to the best of any° knowledge,
'fie pernouce shalt report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment,
Any information shall tic provided orally within 24 hours from the time the permitteea became aware; of the circumstances, A written submission shall also be
provided within 5 days of the time the pernottee becomes aware of the eiremostaances.
1f the lstcility is ttonc oauphaut.la, attach a fist of ccrrreetiye ac 'o€ t taken aucl time -table f"car improvements to be made as required by hart EI.Ew.6 01'
the NPDFS permit.
10/12/2017
Perataitt ctS rEtrttitt r Signat re ** 1`ctrty ,1 erns ii F:-Pd ail:t_jks>rtsuf(ir,?nieeat r.ccarsl Pfrcant :7t}431e1t} 2 Date
Permittee A re<ss: 1381 Queens I la bear Rd Charlotte NC" 8278 'Permit 1?xpirationDate: 06/30/2020
1 certify; under Ire this docurttcatt and all attacltrttettts were preparxd under tray direction or supervision in accordance with a system designed
to assure that qualified personnel properly gatherand evaluate the information submitted, Based oil 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. t aana aware that there are significant penalties for submitting f dse information, including the possibility of Ines and imprisonment for
knowing violations.
CERTIFI13ET LABORATORIES
LAD NAME; k W Laboratories, Carolina Water Service, Inc ol'N orth Carolina Charlotte Rcgron
CURTIFIED LAB #: 559,'5228
PERSON(s) COLLECTING SAMPLES, LilaBlctgh
PARAMETER CODES
Parameter Code assistance may be obtained by calling tire. NPD S Unit [phone] or by visiting lit(p://portal.iie(letir.org/-,vctl/xvq/swp/ps/tipdes/foriiis,
Use only units ofineasurcment, designated in the reporting facility's NPDES permit for reporting data.
* No flow/Discharge Front 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 bite?: ORC" must visit'lhcility and document visitation of facility as required per 15A NC AC 86.0204.
*** Signature of Permitter:ll`signed by other than the permittee, then delegation of the signatory authority must be on file aaith the state. per 15,E NCAC 2B
,0506(b)(2)(D).

iV ff O.- NCO062383
PERMIT VERSION: 5.f#
PERMITSTATUS. Active
AMF: Queens Harbor WWPP
LASS- -2
COUNTY:
MmklenbHrg
OWNER SAME- Carolina Water Service Inc of North ORC» ..
n DRC °ERT` NUMBER- d I6
t
� �
Carolina
�a
ao �.1�aia
GRADE- W-2
ORC HAS CHANGED. Yes 0 Ur 0 3 Z I.i 171
DMR PERIOD: 08 2017 (Attgtast 2{lt7)
YERS101N:2.0
TA'TlTSt Processed
DWR SECTION
x{
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DIS66a (}
n :..10
co319
CN14 C 31615 .: C"
qq
S-
«'
Connnosw Weekly
iVee.6tiy 2 X week Weekly
4Y eek1 Weekly: riv
u°
C
8
€ Recorder Grab
Cr nb Grali Co site
co to Co to Grab : t'o sale
R.Ow TEMP-c
pH Son: C-
M43.N-Coat rig FCOLY Al,'TiYI',LV
:
CHLt1MNE,
-i`-
240.1.k
H. 2404.kk
Hrs
1(twN
mgd dcg c
so v81 tt g l
rig t to to #itrooml n
1
1145
0.25
8
0,015
: < 10
2
tM5:
Cif#20
t).50
ii
a.012
:3
1045::
24': 1040
Lo
Y
0.014 : 25.9
65 <5 <2
<Ot <25 62
4
1250
1.0
Y
0.01"
:5
: Ofi30
fl2
Y
OOil::
,n
08?Q
O.F
Y
0.012..:
7
1115
1.0
- Y
OM7
'3
1030
02
Y
0.015:
:c
0935:
Ov30
05
': Y
0,012
0
14
0030.
24: lom
t5
Y
001 2*5.
6 <10 <2:
<:01 <75 ¢#
11
1220
1.0
Y
0,074:...
rtz
: 0910
02
N
0009.:.
t3
: 1410
0.2
N
0019
'14
7030
In
Y
0.013...
Is
I zsa
a.2
v
aalb
1135.
1130
a.0
: Y
O,n13
4
19
1145
24' 1130
0.5
Y
0,012 267
64 12 <2::
<01 <15 <I
' 1s
- 1345
1.0
Y
0.01.2
' 19
0850
0.3
N
0,008;
2Y#
: 90S
02
N
0016
xc
1120
075
Y
OOi,
22
: 1135
0,3
- Y
0,013.::.
23
1140:
1135
10
- Y
0.016
3
34
1140
24 SI25
1.0
Y
act 26's
63 3.2
01 <2.5 63
1145
1.0
'. Y
0013
< to
: 6
1005
0 S
N
0 013
x7
1030
23
N
O.O19 '
1135
10
Y
OotB1405
0.7
Y
C7014;.
LO4
1040
0.6
Y
0.011
i3
24 : 1035
O.s,
Y
0,014 : 24:6
64 <10 2.2 :
<<0,1 <2.5 49
M.Athlp AvcraEa LCm96: a1rc
38
30
'NI-thigAce ' 0,013494 25.
3.2 1,08 ....
0 : 0 11,39638
Da#9v Maxi 0 019 26.9
6.5 13 13,2
0 0 63
" DnIty NPlaln 0.008 2*6
:b 0 fl
0 C) 0
No Reporting Reason: F.NFRUSEi, - No Flow-Reuse#Recycle, ENVW'THR No Visivi#;on
AdverseWeather; NOF OMI = No Flow„
HOLIDAY - No Visitation Holiday

MIT NO.-hiCO062383
PERMIT VERSION: 5.0
PERMIT STATUS: Active ,
AMID. Queens Harbor WWTP
CLASS: WW-2
COUNTY: I eciclenburg
OWNER NAME- Carolina rater Service Inc ofNorth iRC:
ORC". CERI` NIiMRER:- &*— "
Carolina
GRADE. -2
ORC HAS CHANGED: Yes
IIMR PERIOD: t) -2Cii? { :rrgust 2017)
VERSION: 2.0
STATUS- Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
COWS
ca �
ci
« Ctx sits
Cailcslt�ilri
TOTALIP-Coot•
00
2 k H" 2400.1wk N
YMN
1 1145 025
8
0920 0 50
8
40945
24 1040 10
Y
5 9
1250 to
Y
0850 01
Y
'9 1115 1.0
-- Y
103o 22
v
9 0935 1 0930 S
Y
ra #b99t1 24 i 000Y12
402
0910
N
t3 1410 0.2
N
`14 1030 1.0
Y
1250 0.2
Y
1+5 t135 1130 10
Y
ra 1145 24 1130 0 5
Y
5.5
1s 1345 to
Y
"tD 0850 0.3
N
zt 1120 0.95
Y
ax 1135 0.3
Y
:25 1140 t 135 1.0
Y
' 14 1140 24 l r:?5 1.0
:' Y
6
2a 1145 1.0
Y'
Yb 1005 0.3
: N
1135 10
". X
3u 1045: 1040 0.6
Y
31 10d5:. 24. 1035 O.b
Y
61
A,vo 4er
6,34
wr,*xi
A2
oak
9.5
**** No Rcp stung Reason: ENFRu1SE -
No flow-Rcuse?RLcycle„ IvA3i{t1i r R =' No Visitation - 4alveme Weather, NOEL O -- No Flue.@; 1101,1DAY = No Visitation Holiday"

V
MTFNO.. NCO062383 PERMITVERSION. 5.O PERMIT TATES. AetivcNANIFQueens Harbor WWTP CLASS. -2 COUNTY: Mecklenburg
OWNER NAME: Carolina Water Service hic of North CTI2 son ORC C:ERT NUMBER.
Carolina
GRADE: W W-2 CIRC HAS CHANGED: Yes
IIMR PERIOD- 08-2017 (Augmt 2017) VERSION:10 STATUS: Processed
COMPLIANCE SPATES: Core 'ant CONTACT T PHONE #. [phone] SUBMISSION DATE: 09l2012017
09/26/2017
ORCICertifier Signature: so E-Mail:krobin so (� uiwater.ov Phone #:[phone] Cate
By this signature, I certify that this report is accurate and complete to the best of my knowledge. ,
The permitter 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 noncompl` t, please attach ch a list ofco ice a ° ions being taken and a time -table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
09/26/201
Perini teelSubmitter ign; ore:*** Tony I 'Itonsul E-Mail:tjkstnsulcr7triwatcr.com: Phone :[phone] Mato
Pe itte' Address: 13818 Q ens Harbor Rd Charlotte NC 28278 Permit t apiration Elate: 06/ 0/2020
I certify,;onder aw, 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.
CERTT:FIED LABORATORIES
I.AR NAME. IC&W laboratories, Carolina Water Service,Inc of NC Charlotte Region
CERTI MED LAB #. 559, 5228
PERSON(s) COLLECTING SAMPLES: Lila t)leigh
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/fortns.
FOOTNOTFS
Use only units of measurement designated in the reporting facility's NPDES Penn it 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 k1MR
for entire monitoring period,
* ORC"'on Site?: ORC must visit facility and document visitation of facility as required per 15A NC:AC 96.0204.
* Signature of Pe itt : 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).

!NER
IT iJ.c ICI) ift 35J
i'E iE I' VERSION:.11 PERMIT STATUS- Active
T N Queens 113rbLtr W W"I '
CLASS: IW-
'OU
Y icckletlburR
l AME: Carolina Water Service Inc ofNort O C;.Kyle Matthew Robinson RCC:E
T J� UMBER. 1003 16
I1s
GRADE: WW-2
CJ C HAS CHANGED:
No CENTRAL FILES
eDMR PERIOD: 07-2017 (July 2017)VERSION:
L0
()WR SECTION STATUS:
Processed
SAMPLING
IEFFLUENT
ISM .: 001
NO DISCHARGE*: NO
004114
C0314
C0610 dOSM 31616
COW
a
_Weald
i°.akGtinut� s •
W 1 ? x week W+a kt
W. P = tk+ tv iy�
tjt sty
Recorder Grath
GrA6 f°a . is
i'dm osite Cam te b
Cca site
U
FLOW 4F -c
PH CHLORINE 0-C.uac
N*13-N-c T04.0 FQ.`OU MR
TOTALN-
x4i91tckceL, 61es. 2 drrk":
H.
Y
tst d d C
augtgi kn¢:;11
m R1llfFttttl
t
tus+a
a.2
v
a.aaas
2
1015
0.2
Y
0,014.:
3
1420
{13 -
Y
2tdt5.
4
11835
a.3
°l
t9.6t
:.a
I315. 1314
to :.
Y
019
5250 .?$ 1t50
15
YL___'t,009
8.I
fi.66 V=10 49
.:34 5 *. 1
2Et:.
.� ..........v............ ........„.
x
as1�
a.5
a.at
4
1100
t.0 :
Y
U.017
6.52 25
t A
143i
a 25
N
a.Q 11 27.2
to
7135: it45
{ 5
N
a011
13
1145.' 24 :. 1400
€3 25
N
0,01
^: Ptt •......
0,12 < 2.5 1
is
: 1330
0.5
N
0,012
16
aloes
o5'
N
Darr
al
1442
i 9
Y
a,a16
1�
1430
a.s
10
1200 #t853
10 ..
Y
a.00
Fi42 16
100 4 1110
1.SD ;
'Y
2.012 '' 27,9
23
2.5 ' l
xc
1115
o s
v
1}.03
xx
tsa
eas
N
C a12 ;
23
1115
0.3 :.
N
a.b i 3
xa
tsaa
a;
�
gars
xs
173a
a 3
x6
a2oo tr4s
1.3
5
6.a11
to
x5
1155. 24 2R25
a 3
N
a.at t
�4 ,, 2:.
: ti. t 2.3 . I
Zit
14210
1.0
Y
tJ.014 28.1
fi,i2
xF
late
03
tl
o,a13
30
1035
0.3
B
0017 .,_
3A
S 120
Lo
y
0.01
ratouttts•n a €. c cis
to
ht NPby Aro• 0.012323 27,825
�m. 15 L2
0,065 125 1
26
t13 �A "" a a19 2s.1
6 �2 x6 4.s
u;la s a
26 _...._.
ioxtta N9cmi a� 0 aa7 27.2
ti.43 G# {k.
U 0 Ct
26 ::.
av No Reporting Reason: ENFR
USE ti No flora -Rouse ceyde; ENVWTHR - No Visitation- Adverse Weather; NOF OW No flow
FIC}LIDA"4 No Visvlatt"on ElotidR,u e
a t Nf` R-)
tip i'44.. 'u;"
S

PERMIT VERSION: 5b PERMITSTATUS: Active
ORC": Kyle Matthew Robinson ORC C ERT° NTi1T#TTER: 1003616
GRADE- WW-2 ORC HAS CHANGED: No
e DMR PERIOD: 07-2017 (July 2017) VERSION: 1 LO STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001, NO DISCHARGE*: NO (Continue)
Cows fiam
T
s
'
o
a
IVTAt r-C.
2404.t.k
Hm
2400 k
fin
v1WN Yn
1
rca
0.2
Y
3
:
i420
0,3
l'
5
131-1
i310
i 0
S'
.,....
L
t 250:
24
1 150
t§
X S A
62
SIF
1 t00
1 t?
Y ..
t1
LCi
tt.25
5I.
79
tx
It35
C141
0:3
is
I145:
24
1400
0.25 ,..
N
is
O'345
0.2
N
16
is
i430
iv
1200
CA.15
t.0
1 "2011
24 ::
1110
1 Q
._.... ..... ._.. .»......
zz
15 t
0.29
N
zs
i115
Os
24
I53t
..
.2
1730
03
N ..._. _.
M......�
ib
1201
I145
I1.
Y
27
L 155
24
t1825
0.3
of
i42tP
z
107Q
d;.3
E3
::344
1035
G3
kt
NYaitq Askci " eu: 54
7,9
Unity MW :.- 54
5.0
+"*NNo
Repotting
Reason: FIVFROSE
No Flow-1deugetRecycic ENVWTFIR=NoVisitatton- Advese "eather; PFO LO No low; HOLIDAY-- No Visitation-Holi

MIT NOC : NCO06 383 PERMIT` VERSION. 5.0 P`�:T2MIT' STATUS: Active
ITY NAME- i�umns Harbor WW'FP CI„. S.S: _2 COUNTY: Mecklenburg
PY Tt NAME: Carolina Water Service Inc of North ORC : Kyle Matthew Robinson CIRC: C ERT NIliOIRFR: 1003616
Carolina
GRADE- W -2 ORC" HAS CHANGED- No
el)NIR PERT D.- 07-201 "7 (Jah 017) VERSION: L0 STATUS. Processed
COMPLIANCE ANCSTATUS- Compliant CONTAC T PHONE #: [phone] SUBMISSION DATE: 0811412017
44
08/07/2017
O C/Certifier Signature: Kl'"- Robinson E-Mail.krobinson uiwater.com Shone #:704-506-40 2 Date
By this signature I certil'y'thaat this report is accurate and complete to the best ofmy knowledge.
;The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any infoonation shalt be provided orally within 24 hours from the time the permittee became aware of the irc as y ces. A written submission shall also be
provided 5;daays of the, time the; permittee becomes aware of the circumstances,
If the facility is noncompliant, please attach a lis o - tiv�e actions being en and a time -table for improvements to f made as required by part lt. .6 of
the NPD S permit,
08/14/2017'
Perini ee/Submitte Signs ure:*** "Tony Konsul E-Mail;tjkonsul@i uiwater.com Phone ##:°70431e70523 Date
Pe ittee dress: 1381 ` mcens harbor Rd Charlotte NC; 28278 Permit Expiration Date. 06/30/2020
I certify, under penalty of taw, that this document and all attachments were prepared trader my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather ad evaluate the information submitted, Based on stay inquiry of the person or persons who man, ;.aged 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 aatn aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAD NAME: IC&W Laboratories, Prism laboratories, Carolinas Water Service, Inc. Charlotte Re ion
CERTIFIED LAD #: 559,5228,1402
PERSON(s) COLLECTING G SAMPLES: Kyle Robinson
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://po l.nedenr.org/web/wgfswptp Jnpdes/f s.
FCaC)"Chic TFS
Use only units of measurement designated in the reporting facility's N T.FES 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 ng period.
ORC: on site?:. ORC must visit facility and document visitation of facility as required per 15A NC°AC 8G VO4.
*** Signature of Pe ittee. If signed by other than the per ittee, then delegation of the signatory'authority must be on file with the state per 15A NC".AC 2H
0506( )(2)(D),

NCO062383
E RMI'I' VERSION: 5.0 PERMIT S"I aATUS: Active
Queens Harbor WWTI,
CLASS. WW-2
COUNTY-
ORCEIVEDWNER NAME - Carolina Water Service Inc of North ORC . Kyle Matthew Robinson � itRC
CE:RT NUMBER: 1003616
E 1 5NRiDWR
C
Carolina �JUL
.
GRADE: WW-2
ORC HAS CHANGED-
Ncr E L FILES
d)MR PE=RIOD:06-27017 (.June 2017)
VERSION. l:il
DWRSECTION STA'I`I1
- P ocessed
,
WQROS
SAMPLING LOCATION: EFFLUENT
I C ARGUE NO.: 001
NOI C E#: N
W1,14... if
00400 '"me COMO,
Costs Caiw 316U; co
E35
C nttnuerua We6ki
eekl 2 X weck. Weekl
eekl lve5kl � c�ekly
:.
U �
�
n
C
a
{tt'l'.UCLI�r FifeF15
tif11: GCttlY �`OrtkpCY51t�
0'
t�9#k?(.Mitil&C CQttt#lC55Yti' t�xt3t1 ±.tt tstie
4
r 9
FLOW TE.MP•C:
pit 011,01 BUQ..Canr
N83-N_C— Tss-c nc t`COLIER TOTAL N-
:4SPtck.k
f. 24000-k
On
F'r#I+N
m0,d dec
_. su my*'I.:
rn�,^^"i an}�*9
t
1210
2�#... 1i35
08
`f
t1 O22 24A
682 19 #
1535
its
Y
tP (IET..
a
083ti
tt 25
N
0 OCI'I
4
4}840
9L2S
N
11,018..:
O035
a
t5U4
05
Y
0.02
iESg
Ct5
Y'
t#017...
28
' R
32Ck0
2,4: n&to
1 4
Y'
9.Ci l 238
598 10 •,:
0:71 36 !
n
15iti
07
Y
0tit
.: Itt
1t)15
03 -
24
t1 t412.
IF
925
13
N
{ 017'
." 32
1305
t3
083t1
08
Y
0012
t4
C200
0830
�
15
1200
24- 1155
10
Y
?i.Ofti'� 2ti.9
684 14 79
<0A 33 .c}
16
1#)t#4
3 t}
Y
O(tl9
kT
09ti0
0.25
6
Oit13
t8
1025
0 3
C#
ii Lt22
14
1015
04
B
6G2
14
0815
10 :
Y
0.013
29
12t11b
#150
t#.?
Y
0,019 25.9
675 21
3a
I200
24' 115€7:
0 5
t9
0.015 �: _
7 3
:ii i 16 !
23
IIS6
i_i
X
Q. 16
27
24
1010
tt5
H
____.�.w tt 015.
as
t 15tt
0 3
6
26
310
2
v
—
u
.... ...�....,,...«...... ... _,...,....»...,......
.v.._.._... .......
.... .....
d7
t°.30
3.4
Y
Ot715
2A
t205
7200
E 0Y'
G.tkt
26
T9
t2 5
24 1130
I o
Y
0011 25.7
6.93 12 6.7
<0A 17
._..,....__.
Slnndtrty A.np Meatr. OAS
34
,itµ 20
1W.W tv .ise gc 0.016833 25,14
16 333333 52
2 i7t#S6 64.»2 .1OI6.32
._W.....
0035 269
699 28 7.9
0.17 17 41
tt�tt,� Mmtmma�: tt tf07 23:8
E+ 75 (I Q
9 2 6 tt�
a #
No Reporting Reason ENFRLISE?
- No Flow-Reuse/Recycle;
I:NV Wi'HR - No Visitation, Advenw Wettlwr; NOFl OW - No Flow; HOLIDAY -- No Visitation - holiday
'v! PFRMIT cl
I ACII.ITY NAME:

.: NC'00623 3
PERMIT ERSION:5.i
PERMIT STATUS: Active
Queens Harbor WWT'P
CLASS. W W-2
COUNTY: Mecklenburg
OWNER NAME: Carolina Water Service Inc of'North ORC: Kyle Matthew Robinson
CIRC CERT NUMBER. 1003616
Carulin l
GRADE. WW-2
ORC HAS CHANGED. No
tO R PERIOD:06-2017 (June 2017)
VERSION: 1,0
STATUS- Processed
SAMPLING LOCATION:
EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: N (Continue)
m ccwc�;
u�rau
y
urrett+:
C`sraia
TOTAL 3`-0—
Do
246tY-dmt, *11 2401ta+ck Eft3
Y70Pzv
k12�fj
1
1210 24 1113 0.8
Y
_
6t
(5)? 05
y
4
0840 025 -
N
.� „
$
t200 24 f. t;Ri0 i 4 %.
Y
y2
.. is
1015 : 03
;V
t t
0923 0,3
t2
B05 1 5
y
t3
Ut336 Q.8
5`
to
2t1ti tastit to
tv
202 24. ti55 #0
Y
59 _
I7
fl9i3d1 I} 25
n
ttl
1025 03--
..,,.,..._.w.._.....,.. ........._.... ,_..,
__
tv
}i;35 Q4
i3
xar
r28i5 t.0
Y
. 22
12Gt}i 21) t 1 SO : t) 5
N
23
l 110 lit -...
Y
2
1U10 i7s
tt
26
13I6 E 2
Y
27
1230 1,7
Y
ax
S26S I2Ut7 1 0 �
Y
24
1205 L3, i 110 1 115,7
_..
._ ..... ._.., .._,_,,._ _..._....____w_.
hhatAtr Avr L#wmlr.
176
.. I}ai�p�. w3rrwm:
._
tieia}' a4"i1R1YH6ttt:
5u
*asw
No Reporting, Reasc : E; I'RUSE... No
Flow-Meuse,"Recycle;
ENVW"1F112 - No Visitation Adverse Weathet: tvt)£I.OW
No Flcnv; HOLIDAY " No Visitation Holtclav
I*EiViii "xiA
I"ACII I"TV NAND:

t I"t""4CA.. NC'{li7f>:it#3 �[8�C1 4'tsSVn .{} t';itw9t"I 't:�11":A4ta c
_ _
I+ �C°I€.l"I'Y IME. Queens Harbor WI? CLASS. -2 COUNTY: Mecklenburg
t)A INER NA E: Carolina Water Service Inc of North ORC;`. Kyle Matthew Robinson ORC C ERT NUMBER. 1003616
Carolina '
GRADE W W-2 ORC: IIAS CHANGED, No
eIiMR PERIOD: 06-2017 (June. 2017) VERSION: Lo STATUS. Processed
C",CAPLI,,ANCI STATUS- Compliant pliant CONTACT PHONE . [phone] SIIBMIS ION DATE-. 07/19,1 017
,.
076 7r 2017
ORC/Certifier Signature: Kyle Robinson 1"-Mai1.krobin son ii u iwater, earn Phone #:[phone] Date
By this signature; I certify that this report is accurate and complete to the best of my knowledge,
The pernaittee; shall report, to the; Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment,
,Any information shall be providedorallywithin 24 hours from the time the pertniftee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time "the lscrauttee becomes aware of"the circumstances.
If the facility is noncom l antra please attach a list of corrective ae ' s being takers and a time -table. for improvements to be made; a required by p ILE. of
the NIPDES g rn it„
07119/2017
PermitteefS 'Iamitter Signal e:*** Tony J Konsul E-Mail:tjkonsul;aitaiwater,com Phoney ##.7043190523 Date
Perm ittee Addres. • 13818 Queen- or Rd Charlotte NC; 2g27g Permit Expiration Date. 0613E /2020
1 certify, tinder penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the infinmation 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. ( am aware that there are significant penalties for submitting fare information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: K&W Laboratories, Carolinas Water Service, Inc. CharIottc I epton
CERTIFIED LAB #: 559,5228-1402
PERSON(s) COLLECTING SAMPLES: Kyle Robinson
PARR ETER CODES
Par<uncter Code assistance may be obtained by calling tine N PDES Unit [phone] or by visiting litt(a:ffportaLtiedenr.org/Aveb/`wgfswpipstnpdesltorms.
FOOTNOTE
Use only units of measurement designated in the; reporting facility's NPI)F.S permit for reporting data.
* No Flow/Discharge from Site: Check this box if no discharge occurs and., a: a result, there are no data to be entered for all of the parameters can the DMR
for entire monitoring prod.
** ORC can Site?: ORC must visit facility and document visitation of facility- as required per 15A NC"SAC: 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, ixiCtAC: 2I3
.0506(b)(2)(D)•

T NO.: NCO062383
PERMff VERSION: 5.0 PERMff STATI}S: Active
ME: Queens Barber
TP
CI ASS: -2
COUNTY- Mecklenburg
PWrNERNAMU:arolina
IE F
Carolina Water
Service
Inc
ut'Ntlrtl3 OR(,,:: Kyle Matthew
Rabin.n,
n s L�ERT NUMBER: i
(?12C"
"JU Z
GRADE:
WW-2
ORC HAS CHANGED: No l N
� CENTRALDWR I "
eD MR PERIOD. 05-2017 {May 2017)
VERSION: L0
STATUS: Processed C w E
TRAL FILES
DER SECTION
SAMPLING LOCATION: EFFLUENT
DISCHARGE NO.. 001 NO DISCHARGE*: NO
t.. ili 0*1.4
4N"
Ct3314 Covio C 0 " 31616 co:
s
,.:
t'flPiliYtUQiL+ Week1}
Weekly 2 X week:
Waekiy Meekly Weekly Wi�ekly eti
Retorder Caab
Grab Grob :
comlwsite composite componte Grub Composite
k
t3.crev Tsvir-c
pig ctriscsairae
Into -c­ NIB.x-c-. rsc.c ro4.1 RK TOTAL N-
24"0eck
H. 1404.1.0
Be,
Y/WN m d eg.0
su ugA
mgA me MgA 0110mal 109/1
1
0+730
1A
Y
0,017.
2
0835
4.0
Y
0015
I200"
1055
0.5
Y"
I'll
24
t 22a
24 fi 12S
t 0
Y
0.01 # 223
6.46 21
3.:5 <,;. 0.1 :. 4 r 1
I5k1)
2.3
Y
a.018.:..
6
1210
0.2
is
OAl2
'7
1145
0.3
S
a.002
1.0
Y
0,017
..2iist
0.5
Y
0.015
M1635
#
01t
3
_1310
)1111 232
97 3
2 16 33 1
1z
ab
Y
0,014
13
- O741)
a.2
Y
a.01
".14
0820
a.a
Y
t1.017
:1
1225
10
Y
0.017
46
13sa
a.b
Y
a.als
17
1200
1020
0 5
Y
0,013 ..:.
< 10
: t8
1245:
24 1111
I O
Y
0,016 29.3
684 <10
<2 <0.1 2.5 4
mo
t.0
Y
0014
20
1105
0A
N
0.011
:21
0930
0I
N
061.
11
1430
0.1
Y
0.024 ..
.
84
1205:
l050
0.s
R
0017
< la
25
1200
24 �' 1130
In
Y
0023 22.3
6.8
12
26
1220
24 .. I2Q5
0.5
Y
0 019
2.9 0,15 <2.5
27
: 1411
13
B
0.02
28
110-
0.3
S1
0.02.
_...
:.29
1355
0,4 .
ii
0026
so
1025
0.2
Y
0,017
31
i2a0::
1100
t.o
Y
OOtb
1.S
Mootblg Aver g. Unit, #As
3#} 3p
mookly, Ave :
0.015348 23.025
14
1:6 0.0775 2.45 2.632148
treiiv Maxiamuc 0,026 24.3
..
6,97 43.
3 0,16 # 12
BAY Minimum: 0001 22.3
6.8 0
0 0 0 0
***
No Reporting Reason: ENFRUSE
-= No Flaw-Reuse/Recycle;
EN VWTHR = No Visitation ., Adverse Weather, NOFLOW -' No Flaw: 1 OLI AY�-p- i Tgo Visitation -gHoliday
1
..
WQRDWR
OORES ILL RFG!0,NAL OFFICE

I'1' C).: NCt?0623II3
F
PERMIT VERSION: 5.0
PERMIT STATUS: Active
AMIE: 2ueens Harbor 'ft'
CLASS:
COUNTY: Mecklenburg
ME; Carolina Water Service Inc of North ORC. Kyle Matthew Robinson
ORC; CERT NUMBER: 1003616
Carolina
GRADE: -2
ORC HAS CHANGED: No
eDNIR PERIOD:05-201'7 (May 2017)
VERSION: I.(?
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.. 001
NO DISCHARGE*: NO (Continue)
x
C RWON
g
u
u°
Composite
Ckkab
TOTAL P-V—
00
24".J.'k H. 3400 chick In.
YMN
in
i
1130 I t
Y
" 3
1.200 1055 0.5
Y
4
1220 24= 1125 1.0
Y
58
110 0.3
S
1635 : 03
Y
iu
134.5 1.240 0 A
Y
ii
135i 24: 1050 10
Y
6A
13
O740
is
#225 10 :
Y
1S
135t1 0.6
Y
1't
1200 1020 0,5
Y
18
1205 24 1135 i.0:
Y
6
is
ti10 1.0...
Y
21
0930 :. O.l
N
22
1430: o.1
Y
24
t205 1050 tt.S
25
1200 24 1130 :l.tS
X
5.3
26
12-0 24 _ i 205 0,5 :...
Y
27
1415. 6.3
B..
,28
1105 03"
B
29
1355 -_ 14
8
3tt
1025 t1:2
Y
1200 1100 1.0
Y
M"thly Memp UnAt
14-tAiy
5.8
Deity dl4axiiwu
6.k
I?wily Nttnimam:
S.3
*°* *
No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR - No Visitation -- Adverse Weather, NOFLOW No Flaw, 14OLIDAY No Visitation - Holiday

Pr
IT NO.: NCO062383 PERMIT VERSION: 5,0
ME: Oueens Harbor WWTP CIASS» WW-2
POWNF R NAME-. Carolina Water Service Inn at North ORC; Kyle Matthew Robinson
:Carolina
GRADE: W -2 ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Mecklcrburg
ORC CERT NUMBER- 1003616
e0MR PERIOD: 05-2017 (May 2017) VERSION: L0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 06/20/2017
06/1/2017
ORC/Certifier Signature: Kyle Rob neon Ei-M'ail.krobinson(uuiwatcr.com Phone #`704-506-4072 gate
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.
ifthe facility is not compliant, p e attach a list ofcorrectiv actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
11
06/20/2017
Permitte Submitter Signat rc:*** Tony J Konsul E-Mail:tjkonsul ,)uiwater.com Phone 4:70431 0523 Date
Pe ittee Addre, i 13818- ue, arbor lid Charlotte NC 28278 Permit Expiration Date: 00/30/2020
1 certify, under penalty of law, that: this docurnent and all attachment:- 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 infrarnation 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 lines and imprisonment for
knowing violations,
CEWrIFIED LABORATORIES
LAB NAME: K&W Laboratories, Carolinas Water Service, Inc. C"harlotte Region
CERTIFIED B #a 559,5225; 402
PERSON(s) COLLFEC11NG SAMPLES: Kyle Robinson
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES 11nit (919) 807-6 00 or by visiting http://porta .n derv, rg/web/wq/s p/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 Who discharge occurs and, as a result, there are no data to be entered for all of the parameters oil the DMI2
for entire monitoring period.
* ORC on Site?: ORC roust visit facility and document visitation of facility as required per 15A PNCAC8Ci .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 t5A NCAC 2B
.050((b)(2)CD):

IFRMI'r NO.
Mir
P
H"ITA NAMII : (iuNER NAMCE: Care
tYIC t7(1623 3
PERMIT V'EIRSION: A,U
PERMIT 9 ATUS. Active
c.erts Harbor WWTP
CLASS: _2
COUNTY: Mecklenburg
lira Water Service Inc of North Ci IRC: Kyle Matthew Robinson
1R . CERT NUMBER. 1003616
E C
Carolina
s
� ��
� A)"
GRA DF: W W-2
ORC> HAS CHANGED: No
eDMR PERIOD: 7 (April-1017)
VERSION: N: I:O
CENTRAL C , . ATUS: Processed
DWG SECTION
r
Mi;"rtald'"�..
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC RGE . I' Ii
ra�
E� �m
C"nntin-- Weekly kly iNw,,k. '4ifeekly Wcc#:l Weekly
W-Idy:
tkrarted
r
E£Y9:neder Grab L'kaG
fxralt C)ri#nEsosata Crsnkposile sate
Cirnb
CcsrnPncrie
O
o FLOW TEMP-C pH
CHLORINE SOt7 -C- N143.14. Gone TSS. Came
6rOU sk
TOTAL N -
2400 d k
0 2400 a
FBw.a
YAMS11aA'd
dee; G SU
a'a m8t'.i... fig1 mggil
HI100tn1
ns
1
: 1too
0.3
N
0016
:2
1120
0.3
N
O.pI.5
I90.
0.4 ..
Y
0017
a
125
Lo
Y
0,015
' n
i 200
1120
0.5
y
0.011 ..
27
6
1200
24 " i 130 :.
s7 7..
5'.
0.021 117 6.86
< 10 <: 2. 0,14 4.7
14
29
2
1610...:
1.0
X
0 017 ...:
:s
1230
0:2
B
1135
0:3
11
6.07Ci
0.017.
1440
03
Y
0015
12
1'1110
900
i 0 -
Y
2.1709
i205:
14 - 1141)
10
Y
0.008.. 19.9 673
: 23 e:2 OJI 4
_.1
14
0915
05
Y
0011
10 "
is
1330
0.5
U
0018
16
13I0
04
B
6016
17
1420
02
)'
0.01?
1455
0.5
Y
0.015
:19
13E5
1305
(#.5
Y
f)£112
2t1
1400
}05tt :
0.8
Y
t1.0i3 :
< 10
2
21
1410
24 1405..
1.0
Y
O.O i i .. 22.. 6 9
7 .. w: tit 3.7
,, 23
: 09:35
0:01
N
0008.
23
1125
0.01
N
0a15
' 24
i t}2t)
E o
Y
0 021
25
1555
C1.5 ...
Y:
0 tD21
26
1200
1130
0A
Y
O.Cn f
< 10
:.27
I210
24... 1145.
0.5
Y
f)016 10.7 fiA
0) 2 O1 Z.5
32
2a
2b0 -
O.t
N
001
29
0915
0.25
a
0,01
30
1030
0.25
B
0.015::
thty A-V LI de Ik15
30 36
ondety Awem: 00147 20.325
625 1 7S 0:0625 3.725
d.28139
29
owty Maxi . - 0,023 22 6.9
27 7 0.14 4.7
t4
29
0.14 Minhw- 0.008 18:7 6.73
0 0. 0 2,5
0
29
*°
o Reporting, Reason: ENFRUSE -- No 7 hwty-Reusief
ecycle; ENV THR " No Visitation - Adverse Weather NCiEr LO - No Flow, HOLIDAY No Visitation
holiday

MIT NO** �N�0062311
PERMIT VERSION: 5,0
PERMIT STATUS: Active
F_ _1_
CIUITY NAM Bens Harbor WWFP
'. 2._'rrs Harbor WW P
V
- -2
CLASS: WW
COUNTY: Mecklenburg
AMF� , fina Water Service Inc orNorth atthew Robinson
OWNFR NR rN,, ORC: Kyle M,
'. ��ojiria Witte, S""'c' I.,
ORC CERT NUMBER. 1003616
Carolina
GRADE: WW-2
ORC HAS CHANGED: No
eDMR PERIOD: 04-2017 (April 2017)
VERSION. 1.0
STATUS- Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
C0601
"M
'E
Quatterry
Grab
J
TOTALP�C—
DO
100 0:3--
�i--
3 1505 0.3
y
4 1325 to
y
1200 1120 0.5
y
6 M) 24 1130 0.7
y
6-1
62
8 j23 _2.2
�L-
11 1440 03
y
1;1.211 0800 Lo
y
13 _L01 4 40 I U
y
59
14
is 1330 05
2L
B
16 1 11310 o'
B
17 1420 02
18 1455 03
y
19 1,115 _1305 o5
y
il0-0 —1050 O's
21 1,121) &4 405 t-0
Y.
6A
L 29-3-1 0.01
NL—
H 1125 0,01
N
24 101-0 to
y
11555 05
y
26 1201 _1131) 4
17
—1210 24 tld5. U_5
y
6A
30 1030 10,25
1 B
M-tkty A-rw Lhwk
M-thly A—gc 6. 1
6AM
2-1
I—
"1y MW--
I
RMIT NO.-
'ILITY NAME: Q
OWNFR NAME: Cato
**** No Reporting Reasom ENFRUSE - No Flow-Reuse/Rocycle, ENVWTHR - No Visitation Adverse Weather; NOFLONo Flow; HOLIDAY No Visitation - 14ofidin,

r
, N O062383 PERMIT VERSION. 5.0 P 12m l 9rATUS: Active
P
ITV NAME: C)ueeis llartxir WWTP ,"LASS: WW-2 C OUNTY: Mecklenburg
R'NAME: Carolina Water Service Inc of North ORC. Kyle Matthew Robinson ORC CART NUMBER: 1003616
Carolina
GRADE- WW-2 ' ORC HAS CHANGED: No
eDMR PERIOD: 04- 017 (April 017) VERSION: 1.0 STATIT . Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 05I11/2017
. °'r, `° ..� 05t 101201 '7
ORC/Certifier Signature: Kyle Robinson E-Mail.krobinson(ii?uiwtater.coin Phone #:[phone] Date
By this signature, l certify that this report is accurate and complete to the best of my knowledge:"
The pernaittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of'the time the perr ittee becomes aware of the circumstances.
If the facili6dri
noncompliant,ach a list m corrective actin.... being taken and atime-table for improvements to be trade as required by part t1.E.6 of ,
the NPDESPermit.
05111101
Permittcre: ** Tony .l 1Cons l E-Mail.tjkonsulii uiwater.co Phone ;70 3190523 Date
Permitter Aor d Charlotte N 28278 nit Expiration Date: 06/30/2020
t certify; under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel 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. tarn aware that there are significant penalties for submitting false information, including the possibility of fines :and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME; K W Laboratories, Carolinas Water Service, lie. Charlotte Region
CERTIFIEI) LAR #; 559,5228; 402
PERSON(s) COLLECTING SAMPLES: Kyle Robinson
PARAME I`ER CODES
Parameter Code assistance may be obtained by calling the NI'DES Unit (919) 807-6 00 or by visiting bttp-,//portal.nedenr.org/web/wq/swp/ps/tipdes/fornis.
FOOTNOTES
Use only units o measure e t 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 onSite?: ORCtrust visit facility and document visitation of facility as required per 15A NCAC 86.0204.
*** Signature of Pe ittee, if signed by other than the pennittee, then delegation of the signatory authority must be on file with the state per 15A NC,AC 213
,0506(b)(2)(D).

VER141IT O.: NCyO062383 PERMIT VERSION- 5.0 PERMIT' STATUS: Active
OWNUIM
Y NAM_: Queens harbor TP C°I ASSt W-2 f II T e kt -ten
NAME- C"aralints Water Service Inc cat North ORC: Kyle Matthew Robinson ORC DER"I` NCJMiiI.Rt 1C1U361E
Carolina:
eDMR PERIOD: t 4-2017 (April 2017) VERSION: I.O STATUS: Processcd
Report Comments:
C ornpcas to sampler ma6function can 41191211 t 7. mptssite s�cnpier never pulled samples: 4etup sainpEcr main can 4120/2017 and prided samples €rn 4121l2017.

PERMIT
STATUS. Active
NO.. NCO062383
PERMIT VERSION:
5.0
FACILITY NAME. Queens harbor WWTP
IASS: WW-2
RECEIVECTItiNTY:
Mecklenburg
OWNER NAME. Carolina Water Services Inc
of North ORC. Kyle Manhew Robinson ORC CERC NUMBER. 1003616
R 1
Carolina
`3
GRADE. WW-2
ORC HAS CITAN GEM
No CENTRALFILES
eIl1MR PERIOD- 03-2017 (March 2017)
VERSION- 1,0
DWR SECTION STATUS: Processed
FLING LOCATION EFFLUENT
DISCHARGE NO.. 001
NO DIS
a .; SO Note
90406 C0310
C:0614 a tas.36 :. 31614 coroo
H
ai
{'ontinuous Weelad
Wcckly 2X week:. Weckl
Weekly wCCI[f W-,kl*i Qua tel
sa
Recorder brat,
:Crrala C3rab Composite
C`ompusite t- pos;te rab C;rinposite
CN1RlRM ROD -C.—
N113-N. Cane T"s-Cll— rC47Usk TYR'At,N-
2400 dM k
H.
2109 eh k
)am:
vra1N
rzz d de8c
su tsgtl rn8f#:..
t;7y+t ttlltlomf rs1gJ1
1
1200
1130
IV
Y
0,015
19
2
-100
24
Q910 :.
0.5
Y`....
401 17,1
702 15 16 -
029 to 10
3
1300
1.0
'. Y
001.4
4
1025.
03
6
0.008
3
1045
03
13
O.014
:6
1200
1,:o
Y
0015
9
1l35
473.
Y
01)}4:.
8
1200
1130
Q,1 :
Y
RI,018
^:10
1200
124.'
1130.
0.8
tl,Ql3 . 6,13
705 <,10 7.3
0:27 6,9 . < t :
19
t345
Lo
Y
0,01.1
it
1220
01
E
tk.Ql2
12
ENVWTHR
13
-
1325
0.3
Y
0.014,
14
1520
2.0
Y
tl016
. 15
1215:
12t1t7
t.5
Y
.S1tXi
12
ys
1?15
f24 -.
1130
11.0
N
0014 1Ls
6,97 < 10 '6,4
1: 7 < 1
1^1
141fi
03
Y
0013
:Es
1126
17,3
Y
0009
16
1120
22
t°
4.t112
Eo
1125
1.0
y
0013
tf
1605
tl.3
Y
0.011
22
12tlCt
1140
t}3
- Y
209
14
:23
1205:
24
1145
n 4
Y
p.01: 0.7
6,96 e' 10 44
0:17 5.5 < 1
24
1549
1 tl
Y
2,01.
2i
1250
0 5
B
Q 011
26
1390
u.i
27
1340
1.Q:
Y
-016
. 2Ct
1355
t13
Y
0.013
29
1200
.
H 10
03 '.
Y
0,012
�..30
1200
24"
1105
lA
Y
t1.Q13 19.5
6,91 13 4.8
Q,17 63 <1
11
0900
1.0
Y
0,011
< 10
w-AdyAw"e1AWh
Us
34
6tand�i5 . 0,0124 16,08
T3 7.96
0,39 7.14 1.594993 .�.
0.0y aairaurrr: CP.OIB 19.5
-
705 19 I(i
'1 to IQ
"Jy Mist-- 0 It's
6.61 0 4 8
017 5.5 t1
**
No Reporting Reason: ENFRUSE - No
Flaw-Peuse/Recyele; ENV WTIIR = No Visitation - Adverse Weather; NOFLOW = No Flow;
1101,IDAY - No Visitation - Holiday
1)ES PERMIT

PU S rVRMIT
NO.: NC0062383
PERMIT VERSION: 5.0
PERMIT STATUS- Active
FACILITY NAME: (queens Harbor W WTP CLASS: W W-2
COUNTY: Mecklenburg
OWNER NAME: Carolina Water Services Inc of North ORC: Kyle Matthew Robinson
ORC CERT NUMBER: 1003616
Carolina
GRADE WW-2
ORC HAS CHANGED: No
eDMR PERIOD: 03-2017 (March 2017) VERSION: 1,0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO Continue
030
4.1
TOTALP-Coo
00
2906 ekk Hra: 24i cMek 11ra
Y1Bidz 1
1 1"0 11:i0 1.0
Y
3 1200 I.O .
Y
4 1025 0.3..
B
1045 0.3
H
1200 1 o
: Y
7 I35:,.. 0.3
Y
4 1200 1130 Ci.S
Y
1200 24:.: 1t20 O.E:.....
Y
6.t
iu 1345 1.7
Y
xS 1235 S200 1.5
Y
16 t2C5. 24 : 1130 1.0
N
7
2a 1125... 10.
Y
at 1b05 .: 0.3...
Y
- 2t 12(10 1140 Cd.3 -
Y
x3 1205 24-. 1145: i14
Y
61
24 1540 1 0
Y
a i33o as
s
''. 27 140 - 1.t7..
y'
29 3200 1i10 ": 0.:3
Y .
3u 1200 24 1105 10
Y
5.4
M-thly Av i-a1YM1:
m-thn Ate "
6.2.
Delir 1631Y1triweu:
54
**° No Reporting Reason-, LNFRi3SE = No Flow-Reus ecycle; ENVWT%IR = No Visitation - Adverse Wesather, NOFLOW - No Flow; HOLIDAY = No Visitation - holiday

■
FFIIPDES PERMIT NO_ NCO062383 PERMIT VERSION: 5.0 PERMIT STATUS. Active
FACILITY NAME. Queens Harbor ww,rp CLASS. -2 COUNTY: Mecklenburg
OWNER NAME. Carolina Water Services Inc of North ORC. Kyle Matthew Robinson ORC CERT NUMBER. 1003616
Carolina
GRADE. -2 ORC HAS CHANGED: No
eDMR PERIOD: 03-2017 (March 2017) VERSION. 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 04/17/2017
04/14/2017
ORC/Certifier Signature: Kyle Robinson-Mail:kr # nson(&uiwater.com Phone #`704-506-4072 Date
By this signature, i certily 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 peratittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the peremttee becomes aware of the circumstances.
If the facility is noncompliant* please attach a list of co actions being taken and a tune -table for improvements to be made as required by part ILE.6 of
the NPDES permit.
04/17/2017
Permittee/Submit er Sig ature:*** Tony I Konsul E-Mail:tjkonsui uiwater.corn Phone #:[phone] Date
ermittee Address: 18-Queens harbor 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 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
.AB NAME. K&W Laboratories, Carolinas Water Service, Inc. Charlotte Region
CERTIFIED LAB . 559,5228
PERSON(s) COLLECTING SAMPLES: Kyle Robinson
PARAMETER COOLIES
Parameter Code assistance may be obtained by calling the NPDES Unit (919) 07-6300 or by visiting hftp://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 NC"AC": 8G.0204,
** Signature ofPermittee: If signed by other than the pennittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
:0506(b)(2)(D)x

IT NO.: N 006238
PERMIT° VERSI }N. 5.11
PERMIT STATUS. Active
ME: Queens Flarbor "IT
CLASS. WW-2
COUNTY: Mecklenburg
RECEIVZ"
OWNER NAME: Carolina water Service Inc of North ORC. Kyle Matthew Robinson
T NUMBER. 1003616
I�,�a�.t�, � 11��r.�lti N"Ir1)�d`rE°?
GRADE-2
CIRC I�AS CHANGED. Nt#,
CENT
eDMR PERIOD: 02-2017 (February 2017)VERSION:
I.O
DWR SECRI&S' Processed
SAMPLING LOCATION:
EFFLUENT DISCHAR{ L NU.: 001 NO DIS �'�� �4 ► ICE
�
'� 4
x 0010
C030, : C0614 Cm# 31616 cow
a
a
m
P
Q
m
:. c:cxrnrtuous Waekl Wckty
2 X week Weekly Weekly Wecki Weekly r1y
C}
lieCUiTldt Gran Grab
Grab Ci3RC13U5t1C C`Ain srte CbPriIM}SttG (-b C4rnp9Srte
CHLORINE am -Core 1110-N-clo TSS-Colic K:VU OR '"YrIM.N-
2400,4ock
H. 24"clock
Hrs
Wass
ngd dege Suu
mg/1 mgA -9/1 imlooml m9A
1
1030
1015
10
:. N
0,012:..
'.2
10.10
24 10955
1 L5
N
0,01t.. 14.6 67
t0.,:. 18 0." : 20 3
3
5
0.5
N
0.01
"4
0
#.141
tt3
t#
OOI
s
0.3
B
0.011
6
1110
to
Y
0019
. 2
1235
l 0
0.015
:8
1200
1145
l o
Y
0,018
24
1200
24 i 130
1 0
: Y
0,012 15,.7 6,99
< 10 1.5 097 l0 1
tat
1220
1.0
Y
0014.
:11
- It 30
03
- B
0,014:.
12
1400
0.3
i3
0017.
13
1040
l 0
Y
0013.
14
: t610
to
Y
0.014... .
"'16
1230:
1225
l.0
Y
0.W9
10
.16
1230
24 : 1145
Lo
Y
0,012 .. 14A 7,04
< 10 16 0.31 61 t
17
1050
05
-. Y
0.009
is
1835
03
N
UAIt:.
.... ... _ _.,«.e........_..... ....,...
:1v
1025
03
y
0oog
2n
t225
O.i
Y
2.012
21
1315
10
Y
0013.
12
1200"
' 1015
1.0
Y
0.009
13
23
1200
24 : 1125
1 0
: Y
0,015 17.2 -6 it
11 13 0.23 51 < 1
24
1435 _10
'Y
0 019
...,
'.3s
i02S
Q.3
N
Gt,t112
26
1030
03
N
0016
27
0940
0.9
y
0,018..
28
till
0.5
: Y
0015
Ago thtr Average U a, StiS
30 30 2y6
:m"tho, A- ` 0013321 15A
6857143 15.5 0.6+ 10475 1316074
_.
I"- a019 17.2..:.. 7.04
24 ss 0." 20 .4
Uaalymiairm: 0.008 14,1. 67
0 13 023 5.7 0
**»
Net Reporting Reason: ENFRUSE=
No Flow-Reese(Recycle; ENV "fHR = No Visitation -- Adverse Weather; NOF OW - No Flown; HOLIDAY No Visitation - Holiday

ERM
PI!'ACY NA
IT NO.. NCO062383
PERMIT VERSION: S.0
PERMIT'STATUS: Active
M1Ea Queens Harbor WW'IP CLASS: .2
COUNTY: Me€kl nburi
NAME: Carolina Water Service Inc of Nortb ORt : Kyle Matthew Robinson
ORC CERT NUMBER: 1003616
Carolina
GRADE: _2
ORCHAS CIIANGED- No
eDMR PERIOD- 02-2017 (February 2017) VERSION: 1,C1
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
x c
ct °
composite
Grata
C
V
E•=. Cx
O 2 TOTAL Cx
Ut)
UNc.&
firm 12400dwk: fYrn
YliltN moil
n
Y
1030
1015 1.0
N
1030
2d 9955 1.5
: N
5.2.:
5
0945 0.1
S:.
1110 Lo
Y
1235 In =
y
&
120t)
11$45 - to
Y
941200
24. 1130: to
6.1.
i20 4 t4
Y
Y2
1400 03
13
,14
t610 1.0
;. Y
is
1230
1225 1 0
": Y
16
f 1230
124.E 1145 to
Y
63
Y8
1835 0.3
AS
1225 0.5
: Y
21
: 1:315 9.0
22
1200.
1015 0
- Y
23
1?()a
24 ": 1125 1.0
Y
6.2
24
1439
25
1025 0 3
N
:26
: 1030 0.3
N
as
L1400 8
Y
28
Mmttrrifp Avexatr:
62
DWK MUM n
11.3
Uufh Aiinitumuc
61
*** No Retaining Reason. ENFRUSE = No Flow-Reuse/Recycle ENV WTHR -- Net Visitation __ Acherse Weather; NOFLOW
No Flow-, HOLIDAY :: o Visitation — Holiday

ES
PFACILITY
SPERMIT NO.. NCO062: 83 PIF FiMLI"VE SION: 5.0 I ERMIT`STATUS: Active
NAME. Queens Harbor WWTP CLASS. WW-2 COUNTY: Mecklenburg
OWNER NAME. Carolina Water Service Inc of North ORC. Kyle Matthew Robinson ORC CERT NUMBER. 1003616
Carolina
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD. 02-2017 (February 2017) VERSION. 1.0 S'CATUS. Processed
COMPLIANCE STATUS: Compliant CONTACT PHO E #. 7045 57990 SUBMISSION DATE: 03/18/2017
03/14/2017
ORC/Certifier Signature. yle Robinson E-Mail:kro in son(Ir,uiwnter.com Phone #,704-506-4072 Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The per ittee shalt report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any imonnation 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 time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list ofcorrective actions be* taken and alias -table for improvements to be made as required by part lf.l.6 of
the NPDES permit„
03/1812017
Permittee/ tbmitter Sign ore:* * Tony J IConsul E-Mail:tjkonsul()uiwater.com Phone #:[phone] Date
Permitte .Address: sans 14arher Rd Charlotte NC; 82?8 Permit Expiration Rate: 06/30/2020
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 on my inquiry of person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
C.ER"rIFIED LABORATORIES
aAB NAME: K W Laboratories, Carolinas Water Service, Inc. Charlotte Region
CERTIFIED LAB#: 559,5228
PERSON(s) COLLECTING SAMPLES: ES: Kyle Robinson
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/Wq/swp/Ps/npdes/fornis.
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 pararneters on the DMR
for entire monitoring period.
ORC on Site?: ORC must visit facility and document visitation of facility as required per 15F1 NCAC` 86 .0204:
** Signature ofPermitte: If signed by other than the permittee, them delegation of the signatory authority must be on file with the state per 1A NCAC" 213
;0506(6)(2)(D).

C).: NC'000238-3
PERNIFU VERSION: 5.0
PERMIT STATUS: Fictive
m_
C)Uk;ells I-i�Ri`I)C3T �'�W
:." C..E.ASN.W-.0
,. ,., .,��, . ,
,.. ,a , m �.: �'. 1�£'C`3{i,ll�likt"�.
)�i N } NAME ..0 �t3roltna Water Service Inc o North ORC: I�.yle �i111 t1t#:t�` [$Ot7197St1]t
_ II. __ _
MPa�
���!;RY�� N�,.;t�i:�i�: �{)�?i(ilfs
� +
GRADE:
WW-2
ORC" (AS CHANGED,
Nis
_..�
WR SECTION
eDMiRPE:RIOD. )1-2017(JHEsttry2017)
VERSION. I
STATUS- Processed
SAMPLING LOCATION:
EFFLUENT DI CLIARGYE NO.:001 NO [)
1 ,GK)N
L OFFICE
$f 050 NOW
00404
RM60
w.
00,110 C0610 CoAm 316E6
Como
�
m
8
=
;
�
N
W
2
y
i. UtSlllttfl%Uti i�iL`C141'
t1'cvt,l
7i{week
W�CCIi:I} F��CC1:}V ri CCF:I ��e41. t:
£,�li:{Pil'T14
�" "✓
�
1+
�. {�4c'Otbt�1 �)C[it .�.....
(i[�it?
£.%Efih
i~I}P1k Yt1�i14" i.:{{fil YSSCtIC £. Git1 tSitC £}THtS �N
(�lltit}5{tCtiC
"Io8v irAMC
plt
CHIt3RME,
11M),Co., h7t.4 V.C.- ` 1SS-C— Ff-C}uPIA
i'tlVALN-
24U#1Wk H.
2401Wk
itYt
Stt37V
t17*t1 : rC��t' _�.....
�t1
tlS't
negi#.. Srfa �t rktt!.i �'i tfUfst)
Pit T#it
.A.m„
w..v. �....._ _
2
!400
tit
3
oo21.`
1730
05
B
002i.
4
1In
t125
tt.S
N
Oo3
..
� .�
3
1145 24�
1 t43
I.1
it
o.C71 t S3,'3
:�7.1
_ to
4,fi 20 - 5A �" t
_. _.
24 ..._....
6
1130
1,0
N
0013...
2C)
ro
FNVWtUR
1.N� ��rttrt
"}
09 fit
t.t!
t3
0.016
to
1320
I o
N
0,017
11
itttS
1040
1.5
N
0.01t
. t2
I1111 24
)
1
Qtli
1
_.....
a#
_.C" 0:33 64(Tt
,__._.__ .,_
..r._,........._......_..,
:13
14t111
t1.5
N
it.H14.:.
t
-: I4
t225 ,
i1.3
F)
0.011
tg
lH40
0,3
H
tl.tlo"3
��
.....__..__....---,_.._.
:: tk
1540
0.5
N
€1.016..
17
1250
1.5 ..
N
0,011 ..
6
' 14
1135 24:
1110
1_C1
f3
Pk,()1 i 1tti.1
` 6.R
)i.7 ` tt:IR 1R ti 1
2a
515
u
N
( —0'
at
t1145
0
)-11119
�
.._ ..�....
22
1C)4i
t1.3
N
_ tJ H16.,
23
71 i.4
0
N
O t£)R
2 .
24
1°fJ5
o.
N
Rl.f lSw
. 25
I12C1
-Lit—),)
L{1
N
f1.f41 f�
'.26
1120 24
1(20
,YS
N
t1.014 S6:1
h11
24
i2 3A r6 1
_
ak
t33o
113
ti
¢1.HI2
24
ivrs
03
x
o.i11.#.
30
1055 "..
Lit..,
N
o.00fs..
13
3t
t315
!.o
N
0009...
-.10
�...�.....
.:,.
0lantbly htcyal;e! trait: 015
:i4 Ji3 2t111
o.{ot�i. t+tt l4.75
58 .........
_.�,.,.__
to.7'
_..,w
8 1 B 9.47}; HAS
.. ... _�......,._....,_"___
.�....�..
WHY :11u:textm: 0.0-18 16.1
7
24
12 �tl 18 #
24
nar1Y,nttnirn m, O06 13
S.
*4 No Reporting Reason: ENF'RUSi, No
Flow-Reusc'Rccycle,
FNVWTHR — No Visitation
Adverse Weather; NOF OW = No Flow; i3t`)F:.tDAY - No Visitation floliday'
S FRNlIT N
i+AC"11,IT% NAM

0.. NC",0062393s
PERMI'I' 41UICSIONt 5.C1 -:
PI�,I(NIVI'STA'I'US: Active,
Queens Harbor WTI'
CLASS: W W-2 ":
COUNTY: Y: Mecklenburg
C144'NUR NA 4i1.: Carolina Water Service Inc of North
ORC : kyle Matthew Itllhitlson
ORC" (` RT NC€MI ER. 1003616
Carolina
GRADE: WW-2
ORC IIAS (MAl°eC ED: No,
eDNIR PERIOD: 01-2017 (January 2017)
VERSION: Lti
STATUS: Processed,
SAMPLING LOCATION: EFFLUENT
DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
CM65
Ot+Yti(k
4s iJ:: ". w` C
`r*
MUM :f _1 une
8N1
24iM d ck if. 240cMc`k FFra VMA
III A
ingfl ".
1 1I10 81.4
2 i4i1Cf " U.C.,. u
_... _....�........_._._.. ...n.
S 1145 24.. # 1�15
ao
1320
1.n,.
N
is
4040
q.?
16
1540
05 ::
N
F7
1250
t 5
N
."
I135
iCJ9
0L5
N
tq
1135
24 1110
1A)
� tS
6.2
' 2Ft
15Ii
t.tl
N
2t
1145 .".
tY5
N,
21
1115
l n
N
"
as
1?31S
tk.5
N
1115
1.0
N
2h
B")
t1.3 :
B
29
1915
n:3
B
105S
H)
N
1t15:,
to
N
Monthly A—ags b:hniv
.. ..,.._w�_._..,...
._..._.
NI-11,I7 34, mga . 1,5 _....._.,..,,._..._.
# tI1S
,._.w..� .. .5
D.14 A3xCVnt w 3.ft
11
DAY R#4ntnxam: 1.11
fi I
**** No Reporting teasan. FI4F'ItC1SE = No Flow-tdcu.ciltccycle; l,NVW"i'II1i - No Visitation - Adverse Weathm NOFL OW - No Flow; HOLIDAY = No
kilation - Holiday

'IS I°ERMIT:NO.: NCO062381 PERMIT V1+`RSION: 5.0 PERMIT STATUS: tctive
FACILITY NAME: Queens Harbor WWTP CLASS- WW-2 C"f)t?NTY- Mecklenburg
OWNER NAME: Carolina Water Service lire of Noah ORC: t yle Mu Lt iic^ , Rotiuson ORC CERT NUiL BER: 1003616
Carolina, `
GRADE: W-2 ORL', HAS CHANGED; No
esDMR PERIOD:01-2017 (iauar<ary 2(117} 1'ERattiNt 1.ti STATU'Ss Processed
COMPLIANCE STATUS- f`cuoapiizaiit CONTACT PHONE #: [phone] SUBMISSION DATE: 02/1 3/2017
02/10/2017
C)RC/C rtifier Si nature: a Robinson E-Mail:krc>!-ritrsvtr(ii�uiwater.coiii Phone #.704-506-�I072 Date
By this signature, l certify that this report is accurate. and complete to the best of my knowledge,
Tire 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 frorn the, tiiare the permittee became aware of the circumstances, A written submission shall also be
provided within 5 clays of the trtaae the pent ittee becomes aware of the circumsto-ances.
Ifthe facility is aiotacortaphnnt, please attach a list ofccarrective ° c ioais being traken nndit time -table for improvements to be made astegtriredby pail,ILF;.Co of".
the NPIE*S permit.
02/13/2017
Permit ee/Submitter igt atur ** Tony ,1 Konsul E-Mtail:t,jkaonsul(r�;taiw�,it r.cou phone #:[phone] Date
Pertnittee Address: ueens Elad)or Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2020
1 certify, under penalty of lave, that this document and all attachments were prepared under away direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the: information submitted, Based on toy inquiry of the person or persons who managed the
system„ for 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 subnritling false information, including the possibility of lures and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: k& W L=abcoralories,Car olina Water Service fire, Charlotte Region
CERTIFIED LAB #: 559,5228
PERSON(s) COLLECTING SAMPLES: j yle lt(binsaon
PARAMETER CODES
Parameter Code assistance may be obtained by calking the NPDES tlrtit [phone] or by visiting http:Hpotlral;ncdenr,ot-g/web/wq/svvp/ps/npdes/tlonaos.
FOOTNOTES
Use only emits of measurement designated in the reporting tacihty"s NPDES permit for reporting data,
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as to result, there are no data to be entered fibr all of the Parameters can the E.)MR
for entire monitoring period.
** ORC? on 40: ORC must visit facility and document visitation of facility as required per l 5A NC AC, 8C1.02t14.
*** Signature ol'Permittee: lf'signed by other than the pertnittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2T3
,0506(b)(2)(I)).

T:NO.: N O062:383
PERMIT VERSION: S.CI
PERMIT STATUS. Active
ME: Queens Harbor ww,rp
CLASS- W` _?
COUNTY: Meek ie7}hurg
OWNER NAME, Carolina Water Service lire
of NorthORC: Kyle Matthew Robinstrn RECEIVEDcCERTNUMBER: 1003616
Carolina
H_
v E1 EJ i �y i$ W
GRADE-
WW-2
ORC HAS C"ANC:EI): No
eC} 4IR PERIOD, 12-Zttt6 {December
2016
VERSION. N. 1.0-
CATTJSt Processed
ffl
Sp
WRY s
SAMPLING LOCATION: ATION: EFFLUENT DISCHARGE NO.: 001
NO RISC, N C�i 0NAL OFFICE
w
m
g S0,40 0991& 00400
SMib11 CE);tiN
C 0010 GE1580 ;ttCx16 ". C"CTbOo
E
C +tEfittu v+ W r l • t;'ski
? Y ruCt tVe 4Iv
1 ekly We J ii 2c t sate t5
as
ftatdnlcr Ciruh tinetr
Grab <`erni"+ctir
Cetnr c.+itr £`tYtiT csitc' £iraks� t.`cr�ii e*cite
p
FLOW TH:h P4'
" PH
E Flt�(kRiNF: EiE)t3: E5rne
l�tli-tE- C'onr TAR C`~ fcol.I Rk TMALN
24#k dotk flirt 2440 dwk,
Jtrs
kfaf'V
itl t4 lied, i• au
A *i4 Yll
tie "z9 ing/t '{fNlrail fli *7k
t
[215 14 ft45
k.0
Y
t).trtfi 45.3 7.05
49 3.
t)ri;} 4.2 5
:.
d
k(145
(1.3
Y
ti.01,
l235
{i.5
Y
#4.01!
e
153u
t4.3
Y
utrk:s
7
1200 1440
1.0
t'
0,01
's
1205 24.f 1145
0,5 _
1`
0(NN) t(i :7.04
l.t 2..t:
tta2 a.6 �4
to
4145
2.3
n
(I(H4$.:
:. It
t 415
tl.:i -
t3
t (114 :
14
4435
..,�.
t3
2,)o
t,o
i'
0M2--�...,
' t4
t2(tF7 I010 :
(7.5
T"
Ot}tt:'.
;.
15
l21t3 24. t2(}C)
i.f!
l`
{}0
6• t
�. to
1455
1.11
'Y
t3(11+2. Ia:3 fr.94
47
4#
f)940
i),1
N
{ro,
"aa
29
11(X1'. 24 442t7
il S,
`r"
0.4141 t3.7 ti.i>i
.....____....„
2R < 2
.'t),I .. 4.4 c t
2[
1720
0.5
Y
0,011 .
1
' 22
0950
TO
Y
t) i}t)6
a3
1230
6.3
N
0,013
25
If1dH3
i7,3
N
4).01?7
�: se
09 15
26
420t4
2,3
L1
�. to
L4 0
21
13
L" 11
28
0900. 11120
0 7
11
2%R
(4ntN9' 24 `
2 15.£t '711
*211 d,.-1
<; trI 3,7 #&
31
1125
(I3
ttB
0027
hturtt)t!i t#xtrrage Lfinik: U.#;
_
Jfl
�.. 30 21M0
m-rbh Ar-p! 0.012387 15.14
43,888999 2.:51.
rv.
},{7:
246.4t122+}#3
EEEEEEEE94�123
?05
5 7µ0t31$1
28
44..61
NUM-me b} 4
:
****
No Reporting Reason: l3NFRU41' - No
Flow-Reuse/Recycle;. ENVW"TAR-- No Vi0anon Adverse
Weather; NOFLt3W -- No Flow;
140LIDAY .- No Visitation holiday

NO.: NC0002383
PERMIT VERSION: 5.0
PERMIT STATUS- Active
E: Queens Harbor W WTP GLASS: W_ a
COUNTY- klecklenl5urg
OWNER NAME: Carolina "Water Set`vice [tie of North � ORC: kyle Matthew Robinson
ORC C RT NUMBER: 1003616
Carolina"
GRADE: WW-2
ORC HAS CHANGED: No
eDMR PERIOD: 12-2016 H)eec.at ber 20ICr) VERSION: 1.0
5°TATUS. Processed
SAMPLING LOCATION: EFFLUENT DISC14ARGE NO.: 001
NO DISCHARGE*: NO (Continue)
WON
: Fk �
yp+
°J �. i t�itrjH>YttE
(i1'Ht�
10YAL P C'snr:
an
?l"11101 Rrg 24!11, 1,1.
ttrs
4 1045
03
1'
" 1295
LOO t140
k.@
j•
1205 2A } 1�45
O.i
Y
" ttt ❑ 15
0.3
8 ...
tt ltk5
tt3
ti
12
.�
tb 1200
kr0
Y
' 13 t2iriT It#,t#1
:.15 L 0 24 . t20k7
k.0
5'
.
16 1+455
1A) :
Y
6.6>
'.i7 tl5i}
tt.3
Y
tt 09a0
3
N
'.19 1200: ; k150
lJ1
stt t20fi 34 1121)
1.0 '.
Y _..w....
3t 1720
0.5
F
tz 0450
1.0
Y
a3 : 12311
0.3
pl
'as k(ti0
03
25 0935
13
- N
:28 29 0 I130
t},7
6
av O—t? 2a l01t1
O.A
Ii
6.7
1125
0.3 ",
13
�4CpntW4t AY�kYj;C t:dtGrtt:
�t{111ttit}'AVttFN�C:
6.7
Unit} Atta{krianr:
._._,
*" # NO Reporting Reason: ENFRi SF ti No
low -Reuse.! Recyele: F.NVINTi1R No Visitation Adverse Weather; ivC)I LOW
= No Flaw; 1,10 iF3AY - No Visitation _, Holiday

D
ES T<TtiiT7"PAC}.c CVC'tii7Cr23#tt' PERMIT VTrT2tiiJN: S.t1 PERMIT Active
I T " " NAMT : L;tacens ttarh<ar VJiV16' CLASS; WW-" C:C)C6N"T'1: Meckteaat crag
OWNER NAME: Carolina Water Service Inc of North ORC: Kyle Matthew Robinson OTit" CERT NUMBER. 1003616
Carolina .
GRADE: W" -' ORC HAS CHANGED: N
eDMR PERIOD- 12-2016 (December 2016) VERSION- l;t) STATUS: Processed
COMPLIANCE STATUS: "Compliant CONTACT PIR)1i E #. 7045257990 SUBMISSION LATE: 01/16/2017
01/12/2017
ORC/Certifier Signature: Kyle. Ro ,on f`- rail:krobitasoa (ilttitivater.c>m Phone f: 704-506-4072 Date
By this signature, t certify that this report is accurate and complete to the hest of my knowledge.
The pernuttee shall report to the Director or the appropriate Regional {office any noncompliance that potentially threatens public health or the environment,
Any information shall be provided orally within 24 hours from the time the pennittee became aware of the circumstances, A written submission shall also he
provided within 5 days of the time the pertnittee becomes aware of the circumstances.
If the facility is noncompliant„ please tack a list of corrective actions being taken and a time -table for improvements to be made as required b part II,E.,tr of
the NPDES peraatit.
O 1 f l to/2017
Perrnittee Suhmitter Sig atur :* zany Konsul E-Mtail:tjkonsul(4!uiwater.com Phone #:[phone] Date
I'crtaaitte A ress: 13#31 i'fuceras ]Iaarb Rd Charlotte NC 8278 Permit Expiration Date: tlfil3()I2Q2tl
I certify, under natty of law, , that s document and all attachments were prepared under nay direction c r supervision in accordance with a system designed
to assure that qur lifte so
properly garlic r and evaluate the information subaaaitted. Based on taay itttitaity caf"flee person or persons who managed the
system, or those persons directly responsible for gathering; the: information„ the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that theme are significant penalties for submitting false information, including the possibility of tines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME- K&W Laboratories, Carolinas Water service, ine, Charlotte Regiaarr
CERTIFIED LAD #z 559,5228
PERSON(s) COLLECTING SAMPLES: Kyle Robinson
PARAMETER CODES
parameter Code assistance may be obtained by calling the: NPDES unit [phone] or by visiting hitp:Hportal nedeaar.of-g/web/wq/swp/ps/npdes/foniis.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for repotting data.
* No Flow/Discharge Front Site: Check this; box if no discharge occursand, as ra 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" 8(1 M2041
*** Signature of Permittee: If signed by other than the pe.rmittec, that delegation of the signatory authority must be on file with the state per t 5A NCAC 2B
.0506(b)('2)(D).

VES PE E SP E
T NO.: NCO062383
PERMIT VERSION: 5.0
PERMIT STATUS: Active
FACILITY NAME:
Queens Harbor wwrp
CLASS: WW-2
COUNTY- Mie_cklenlurg
OWNER NAME: Carolina Water Service Inc of North ORC. Kyle Matthew Robinson
RECENEOrr NUMBER: 1003616
Carolina
DEC 2 9 tf
GRADE.
WW-2
ORC HAS CHANG ED: No
eDMR PERIOD: It
-2016 (November 2016)
VERSION: L0
CENTRAL FROWS: Processed
DWR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NODISCHARGE*:NO
SW54 "Ho ON"
sow C10,110 C0610
C0*W
f—on"nuous i)� Wmkjy
2 X week ±L--k)Y Weekly weekly
anerly
.Lordet Loa b �Grab
— _lVeekly
.2rab Grab
f2MMtt— EE22!� COM itc
fl-nummle
Z* FLOW TEMPC PH
CHLORINE 1801) - C_ NH3-N,C,­ IT1,414-c— FC011A BR
TOTAL N -
..�l
Z
'1.N
rngd deg c Ilu
20_ mgA ugA mg11 #1100ml
ag A l
1310
to
y
(y012
2
1200
1055
0-5
y
Wit
3
1200 4
1100
1.0
y
0-01 7.02
i5 212 <0_1 2.9 2
4
1000
1.0
y
0,01 21.8
23
1045
03
B
0,01
6
1021)
013
8
110l I
7
11210
0.5
y
0.013
1300
lo
y
0.01
9
120()
1050
L0
y
0.008
200 24
1125
1—
rrot 173 7,18
<10 2..f.0.1
1445
_10
1A
y
—
0,012
_171-72
12
0750
103
N
1 0,018
13
0835
0.3
N
0,012
4
14
1435
0.3
y
R018
is
1645
0.3
y
0,014
16
1320
1320
0.5
y
loot
17
1310 24
1220
to
y
0,011 t6
7.11
21 2.1 0,11 33
1655
03
y
0,01 1
32
1525
10,2
B
—Obil
0940
0.2
±_
2_1012
:21
1210
1200
0.5
y
0,027
17
L2221- 24
1205
LB
j
2,4 (117 4A < 1
23
t 140
10
y
_L)0l
0,012 14,7
7A
<10
14_
0950
0,5 r
a
(M)l I
j1945 _
L5
j
0,012
26
2450
25
8
ool I
1115
04
1
(rOB
1500
0,75
y
0.015
1350
1.0
y
22 11
1200
1145
1,0
Y,
0,009
27
Wathly Aaerage ClWm 0115
30 30
Mmthly Avmgy- 0012133 17,45
17333,333 2,125 0.07 335 1130M
Daily Nlasi..m 'OD27 121,8 I7.18
32 12.6 10A7 f 4.1 112
t
May mih.— 10.008 114,7 17.02
10 12A 10 12,7
No Reporting Reason: ENFRUSE = No Flow-Rease/Recycle; ENVWT[IR = No Visitation Adverse Weather; NOFLOW = No Flow; HOLIDAY No Vi,,itafion - Holiday

Fppr
S PE R7MIT
NCB.: NCO062383
PERMIT VERSION: 5,0
PERMIT STATUS: Active-
FACILITY NAME. Queens Harbor WW"CP CLASS: WW-2
COUNTY- Mcck enbur
OWNER NAME. Carolina Water Service Inc of North ORC: Kyle Matalew Robinson
CIRC CERT NUMBER: 1003616
Carolina
GRADE: W-2
ORC. IIAS CHANGED: No
DMR PERIOD- 11- 016 (November
2016) VERSION: I:t}
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
.
A rz
�. �.
� � Ccantl�a4tCa
tirah
a
24004-k
H. d.* to
94
11194
1310
2
12010
It}5.5 0.5
Y
1200
24 1100 I.tk
Y
1000 I.0
Y
6.3
1210 05
Y
20M}::. 1.0 ;
Y
1200
24 1125 In
Y
5.6
t2
0750 0.3
N .
t3
t4s35 €r_3
ra
.14
1435 0.3
Y
't
1645.... 03
Y
1320
1320 015
Y
17
t31{}
24 1220 1.0
Y
5.5
is
1655 0.3
Y
ISa
1525 0,2 :
i3
H21-12111
: 1200" 0.5
Y
ix
1225
24 1205 #).5
Y
24
t}950 '.: 0.5
tr
0945.. 0,5
R
3as
0950. Ci 5
6
14
�07.1
1350 1.0
Y
1200
1k45 La
Y
M�agtblB Avrske:
5.65
Wily M.,d— .
6,3
Nlmily M1'Eeninecrn:
5.3
*** Net Reporting Reau>n. ENMUSJ3 = No Flow-Rease/Recycle; ENVW rHR = No Visitation - Adverse Weather, NCiROW No Flowro HOLIDAY AY = No Visitation Holiday

FDE&-S!,PERMIT NO.. NC 062383 PERMIT VERSION: 5.0 PET STATUS: Active
FACILITY NAME: Queens Harbor WWTP CLASS: W W-2 COUNTY: Mecklenburg
OWNER NAME: Carolina Water Service Inc of North ORC: Kyle Matthew Robinson ORC C RT NUMBER: 1003616
Carolina
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD- 11-2016 (November 2016) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 12/20/2016
A54, 12T14I2016
ORC/Certifier Signature: Kyle Robinson E-Mali:[e-mail] Phone #t:704-506-4072 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, ple :loch a list of corrective tions bein t en and a time -table for improvements to be made as required by part II.E.fa of
the NPOES permit.
12/20/2016
Permitteel ubmitter Siguatu e:**" any I Konsul E-Mail:tjkonsul uiwater.coni Phone #:[phone] Date
ermittee Addre : 13818-Queens ar r Rd Charlotte NC 8278 Permit Expiration Date: 06/30/2020
I certify, under pena of law is 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: K&W Laboratories, Carolinas Water service, Inc. Charlotte Region
CERTWIED LAB #: 559,5228
PERSON(s) COLLECTING SAMPLES: ES: Kyle Robinson,
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (919)"807-6300 or by visiting http:ltportal.nedenr.org/we"b/wq/ wplps/npdeslforms,
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 at l of the parameters on the D R
for entire monitoring period.
** ORC on Site? ORC must visit facility and document visitation of facility as required per 1 A NCAC 813 .0204.
** Signature of Permittee: If siged by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
0506(b)(2)(D).

V
ER
RE
C1 E , :,
DC 0 1 Z016
CENTRAL FILES,
MIT NC).s NC:tH3C23113I'FRNIIT
VERSION: 5.0
PERMIT STATUS. Active
.Y.NA143E.Queens FlarborWWI'P
CLASS.WW-2
COUNTY.- Mecklenlur
OWNER NAME- Carolina Water Service Inc; of North CRCs X! Mattlacw �
ORC C ERT NCtMBER. 1003616
Carolina
GRADE: WW-2
ORC HAS CHANGED: Yes -
eDMR PFRIOD: 10-2016 (October 2016)
VERSION: 1.{1
STATUS: Proce,"e 1
5. �.
C.. a
e4 v>. .,,H
SAMPLING LOCATION: RFFLUEN r DISCHARGE NO.: 001 NO DISCHARGE*: No
n
50050 00010. 00400
:.50060
('0310 C0610 C0530 31616 00-140)
O
6R
c, .a, t«
�N
?Y:
*n C,'orrt'frrurrraa Week#�• Wcikt •
2 X meek
Week3 lt,'rek# !fi'eeASk' Wael:lt
Recorder Out, brat
[Grab
Corm osite E`anr`zo�a#e iicm }osi¢e Ui.;i :. Csrszh
€+'.
�
'0
€' L5
1! 0 G
A C; FLOW ITNII-C t1'
C11LORINE
B41I1-Cone NIIt•N-Cane I'RS-Coot FCOLIBR IO
1400clock
1lrs '2400dock tin
VIRIN
n<ei le c' atr"
m+3 n 3- 4z,P itltf(zrrxi at A
I '
1110 0 3
8
0.008
2 :
1110 0.3
B
0.014
3 :
1330 ". Lo
y
0,013
112.15
5 t225
1220 1.0
y
000+;
42
6 1223
24 ,1 t35 1,0
Y
0.1)09
: a 10
3A <C11; 5.1 1
7
1025 10
Y
0011 231 704
5,2
S
LN05 t}.3
ti'
ti.01 a
9 ;
U9S(} 0.3
Y
: d} 019
YO
)925 1.07
Y
0.012
II 1200
1145 1.0
A,
0012 ..
12 120
24 fl820 1.f
k'
1
< 10
5.5 0,17 53 73
13
1015 1 o
B
0.013
14
1140` 1.0
k
�: 0.014 22,8.: 697
-.21
56
1
1055 03
,N
0,009
tti
0955 0,3
N
' 0,003.
i7
1345 10
Y
:. f1,014
18
114- :0,3
Y
0,016
14 12%)
1155 1.0
2'
0,01
20 1200
24 <1100 :: 1.0
Y
obt 21_9
"16
2,8 <o'l c1
21
1250 1.5
Y
0,009 6,"
15
22
1130 0.3
B
0,009
23
1150 03
11
:.. 0011
24
1400 15
S'
0 0 t 2
25:
143o :15
dl£)1
26 12GN)
114-1 1•-1
5'
0006
13
27 120)
24 1045 : 1.o
5"
Pl. XY9 111.7 7,01
21
<2 tt 12 2.5 < 1 5.51
211
1545 015
Y
0.01
24
#3t15(? 03
N
0M6
30
�10H 0,3
N
0013
11:
'121t7 1 U
1'
t7.17Iti
Monthly Average l.imW 0.15
30 40 200
MonthiyAverngez 0,t111357 2L625
16
285 0.072.5 4.3 � 2,923013: 5.325I:
I3aity Rtaxialuf 0,019 23.1 : 17,04
42
5.5 0.17 5.7 73 5.6
Daityminhournt 0106 18.7 6,07
0
10. 0 15 0 5
* * No Reporting Reason: ENERUSE � No
Flow- Rcu%c7Recyrle.
E NVWTIIR - No Visitation- Adverse Weather;
N0Fl,0W w No Flow; 1101ADAY = No Visitation--1loiialay

R
hITT NO.: NC00623113
I'CRMI'T VERSION: 5.0
PERMIT STATUS: Active
FA ,tt ITS NAME. 2c eels H111bor w T11
CLASS: W W-2
COUN TV: Me£klGntatlr�
OWNER NAME. Carolina
Witter Service Inc of North ORC: )X1c Mt1It1E3v Itt>hlntittrl
ORC CE;RT NUMBERt 1003616
C 1rolina
GRADE. WW-2
ORC IIAS CHANGED. Yes
eDMR PERIOD. 10-2016 (()c ober 2016)
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION. EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
^..
Ci Yt40
LOW
w�.9 •
lw �
�
tG
-e! F-
z : t,ianririt •
Qvaneik .
m
0
e q Cunt sac#tu
e3
tbm a2citr
ot ^.
C
Q N
z„ x TOTAL :N-L'otac.
TOTAL 1°-'onc
240 cl rek 112100
cluck . 11rs
'k'fltfPi
at *Pt ..
m •il
1
11 H} t).3
t3
2:
I111} : tl 3
B
1330 I.0
Y
4"..
1 5 > 10
:Y
5:. 1225 i
',1220 to
;'. Y
6 1225 24
_1135 : 1.0
Y
24
4.1
005
0950 -:: 0.3
Y
tti
t)925 L0
Y
11 12m :
1145 :. 1.t}
:Y
12 1200 24
0820 10
.Y
2
1015 10
13
15
tik55 0 i
N
H,
t1955 :. 03
N
19
1145 03
Y
19 12M ;.
:1155 3S}
Y
Zit Uri) 24
: t 100 1.01
t'
21
11250 1.5
Y
22
� 11'10 '. 0.3
ti
115t} 0.,3
t3
24
1400 :: 1 5
!.
26 121Y,1
-1145 :: 15
Y
271200 24
:1045 '.. lit
Y
.9
0850 0,3
N
-+,
31.
IM ": k.0
Y
"Rlnnthh, .Average 1,imllt
610nt11t2' Avt"l e- 24 ...
4 k. ..
Daily 141uctmiam: 4
4.1
Daily 1A'tinimnm 24
II
-pt 'R Nt3RepAr sing Reason: iiNMUSE = No Flow-1
cusi/RecycleF:i` V W'1'11R ry No Vise itiXYn - Adverse eadim N%)t^1,OW No ( lows 1101.,1D AY W No Vi5hafi0it - Holiday
'DFIS PCK

F,RMIT NO_ NC'0002383
Y'NAMF: Queens harbor WWTt'
VAME: Carolina Water Service Inc of North
PERMIT INRSION:5,0 PERMITSTATUS: Active
CLASS: WW-2 C..OUNTk: Mecklentrccrg
ORC:: K Ie Matthew Pot ltrsc>n ORC CERT NUMBER: ER: 1003616
ORC HAS CHANGED: Yes
VERSION: 1.0 STATUS: Processed
COMPLIANCE: C'o Iliani C ONTACT PHONE . [phone] SUBMISSION I) 'tE: l lll5/201 a
11/11/2016
C)RC/C'esrtifier Signature Kyle Robinson E -Mail:krob'itrson uiwater.ccatir Phone #i 704-506-407 Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge,
The perraittee 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 nine the permittee became aware of the; circumstances, A written submission shall also be
provided within 5 days of the time the pertuittee becomes aware of the circurnstances,
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 hart IL13.6 of
the. NPD S permit
11/15/2016
PC ttrittee/Subnritte Signer tore:*** Tony 3 Konsul E-Mail:tjkonsul@t iwater.cocn 'hone #:704319052`3 Date
Pi mittee _ 18 Qrtecn4 llarl c.rr Rci Charlotte NC 2l(27£1 Permit Expiration Date: 06/30/2020
1 certify, under penalty of law, that this document and all attachments were prepared tinder my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those pet -sons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief„ true,
accurate, and complete. I salt aware that there are significant penalties for submitting falseinformation, including the possibility of fines and imprisonment for
knowing violations:
CERTIFIED LABORATORIES
LAB NAME: K W Laboratories, Carolinas Water service, Inc, C l ,02!te Rc�iciia
CERTIFIED LAB 559,5228
PERSON(s) COLLECTING SAM PLE;S: Kyie Iti biaascrn, lZcrhert Jstt e4
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDEES Emit [phone] or by visiting http://port:tl.nedenr.org/web/wy/swap/ps/Iilatles/fours.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDEES permit for reporting data,
o 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 car the DMR
for entire monitoring period:
** ORC on She?: CIRC" must visit facility and document visitation of facility as required per 15A NC'AC ltG .0204
*** Signature of Pe mittee: if signed by other than the permittee, then delegation of the, signatory authority must be on file with the state per 1 SA NCAC 2B
.0506(b)(2)(D).

Pr,,,FS.PERMIXN
O.: NC- 2383
P' RMIT "VERSION: 5.0
PF tT STATUS: Active
F: Qpeen5 Harbor WWTP
CLASS: -2
COUNTY. Mecklenbtir
OWNER NAME-. Carolina Water Service Inc
of North ORC. Jack David Janes
RECEIVEDORCCERT NUMBER: 998492
cartifilla
A � E f,,
AL
CFILESSTATUS:
eDMR PERIOD: 09-2016 (September 2016)
VERSION: I.O
cessedDWR SECT! _
SAMPLING LOCATION: EFTL TENT DISCHARGE NO.: 001 NO DISCHARGE
it9... 1ti
C0310 is 10 C#3530 3i6iu:00300
Fw
C'crtxtlnuraus GYtek3g,
Vdeekt 2Xweek . eekl 5'1ee1cB}° Weekly weeki
tj
Rw)rde€ Grata
Grab Grab Cile 22 C6m aa,$rte componte. Grab
Grub
�.
C
'i
z 4A FLOW FMp C
It CHLOR (dE ROD - C� ne N113.N - Coo 3'S.S • Cone FtL-01.1 OR
Do
'€A00 eltrcA.
Hr .: dock
Fire
Y
m tt deb c
sct u 0 m : nigJi m iolothul
m"
1
120()
24 1135
l.()
B
0.01 26.7
696 327 2l <0.1 5.6 < 1
5.5
2
: 1145
Lo -
- @
O.E
1010
0.3
A
0A 3
a
915
u
R
n.cxra
5
1650
0.3
S
0.015
6
1200
: 1135
1.0
: Y
0,011
<10
7
i20O-.
24 1140
1.0
y
0,01 25.3
:6,99 24 32 <0.1 3,2 17
6
1050
L.O
ly-f
0.
:9
13411
1.0
a
0.01
lU
14"20
45
B
0,01
11
' 1400
0.5
a
O,t11I
12
10D
0,5
= Y
0.01
13
l i to
03
y
0,012
14
1100
935
10
y
0.01
24
4
1100
24: 1015
i.b
Y
0.0t ::'24i
6,94 15 2A <<0,1 5.6 <1
5.2
L6
1025
In
y
0.01
17
Ii0l)
0.3
8
1 0.013
:is
1140
0.3
is
0,0
Z0
i020
1.0
":: Y
0. )DI,
21
1200
1140
1.0
Y
0.011
30
22
120()-
24 1145
1.0
13
0.(X)8 25.2
7A3 22 4.2 <0.1 4.9 66
5.3
23
905
1.()
Y
0,012
': IN*
0,25
1v
O.OiT..:.
r24
25
IWO
0.35
N
- 01011.
26
1230
1.0
: a
(1016
7
.
130
1.0
Y
Wax)
344
-28
l2€)5:
24 11,10
l.0
B
tk.tii4 25
?:(:14 25 - SA, <0.1 3 6 1
S.T.
29
)
L.5
Y
00p
30
1500
1.0
8
0,014
Monthly Average Limit: US
30 30 20
14o, hly Average. 0.017867 25:64
22.333333 3,54 0 : 4,58 4.073789
5.5
Daily Maximum: 0.13 267
7,0,t 34 5.8 0 5.6 66
...6.ii4
6
"any Minimum: 0.0fq# :. 25..
O 2.1 0 3.2 05.1
*
NO R lswing R : n: EAtFRUSE = No Flow-Reuse/Recycle; ENVWTTIR = o Visitation -
Adve€Sc Weather; NOFi.(W = No Flow; HOLIDAY No Visitation - Holiday

PFF-SPERMfr
NO.:
NC
3
PERMIT VERSION- 5.0
E I'T' STATUS: Active'
FACILITY
NA
Queens klarlx)r
WWTP
CLASS: WW-2
COUNTY: Mecklenburg
OWNER
NAME:
Carolina
Water
Service
Inc of
North
ORC: Jack David Tunes
ORC C RT NUMBER: 998492
Camlina
GRADE:
W-2
ORC HAS CHANGED. No
eDMR
PERIOD:
Il9-2i1I6
(September
` 016)
VERSION: 1,0
STATUS: Processed
SAMPLING LOCATION:
EFFLUENT DISCHARGE Na.: 001
NO DISCHARGE*: NO (Continue)
�..
C000
C 0465
*C
�
�
� �.
CNturrerl '
Qtexrteeip
Z
C
C
�
G} €»
P6
T#>TAL:N - t`,uua
TOTAL P • Corer
.2400 clock
Hrs
2400 dock
Tics
Y
ro D
c
7
iti)G
24
1135
1.0
ft
2
r
1145
Lo
/. B
...
1
tolo
0.3
B
915
0.3
B
5
:
1650
0.3
a
ti
11200
1135
1.0
t'
?
",i10.
24
11.40
1.0
y
L o
u)
y
4
1340
Lo
B
11k
1420
O's
It
11
1400
tl,s
S
il3
1110
015
Y
�14
11M
935
1A
Y
:t5
11t7iP'
24
1015
In
: Y
i0
1025
1.0
Y
17
ism
0.3
B
01
1140
0.3
: 13
-t3
1250
1.0
Y
20
1020
Lo
y
21
1200
1140
In
Y
22
1200
24
1145
1.0
j8
.3
90
1.0
Y
4
1m)
U25
' N
3L6
t230
1.D
ft
27
1200..
830
Lo
Y
No Visitation - Adverse rse Weather, t*iC3mow = No Flaw; HG)UDAY = No Visitation--14oliday

P
FES PERMIT NO.- N 235 PERMIT ION. 5.ii PE t STATUS:.Active
FACILITY NAME. Queens Harbor WWTP CLASS: -2 COUNTY: M nbur
OWNER NAME: Carolina Water Service Inc of North ORC5C. 4 ORC CERT NUMBER.-. 9�
Carolina
GRADFt _2 ORC HAS CHANGED- No
eDMR PERIOD: 09-2016 (September 2 16) VERSION: l .ti STATUS: Processed
COMPLIANCE: Ecompliant CONTACT PHONE #: [phone] SUBMISSION HATE: 10119t2016
10/17/2016
ORC/Certifie ignature: Robert A. James E-Mail:[e-mail] Phone #-704-361-0648 Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge,
e pernfittee 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 mare 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 list of corrective actions ' taken and a tune -table for improvements to be made as required by part II.E.6 of
the NPD> S permit.
10/ 19/201 t
1'ermitteet brrtitter Signatu e:* carry J Konstc l:-!Y[ail:tjkrnnsulCtuiatir,co Phone #1<7t}31°9t7 Date
Permits ` Ad 1381S Queens Har r Rd Charlotte NC 28278 Permit Expiration bate: 06/ 0/2020
I certify, under penalty o is document and all attachments were prepared under y 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 lot`
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: K W Laboratories„ Carolinas Water service, Inc. Charlotte Region
CERTIFIED FATS #. 559,52213
PERSON(s) C Li; E+T. TING SAMPLES: Kyle Robinson, Robert James
PARAMETER CODES
Parameter Code assistance may be obtained by calling the WOES Unit [phone] or by visiting http://pennal.ncdenr,org/web/ q(s /ps/npdes/forms.
FOOTNOTE
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site. Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period,
* ORC can Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC SCi .0204.
*** Signature of Pe i : If signed by other than the permittee, thendelegation of the signatory authority must be on file with the state per 15A NCAC" 213
:0506(b)(2)(D),

EFP,PV
ES PERMIT NO.: NCO062383 PERMIT ION: 5.0 PERMIT STATUS: Active
ACTLI I Y NA a Queens ariacar I P CI.AS�r: 2 CC?U , ETeckl nbu
OWNER NCarolina Water Service Inc of North ORC: Jack David Janes ORC CRT NUMBER: 998492
Carolina
GRADE: WW-2 ORCHAS CHANGED: Na
eDMR PERIOD: 09- 016 (September 1.016)VERSION: L0 STATUS: Processed
Report Comments:
** Please note that the ORC has not changed for September. Robert Adam James - Cert. #992897 still was ORC for September, An ORC designation farm was sent in
designating a new ORC for October and Robert's information was removed tael4ure completion of this report. It could not he added back for September ner Jenee Wi3lia Aston
eDMR Technical assistance.

NC'(,)()(,)2 ilia
PERMIT VERSION: 5.O
PERMIT STATUS: Active
t#ecns Harbor W WTP
CLASS: W -2
COUNTY: Meeklenbnr�
OWNER NAME- Carolina
Water Service Inc of North ORC: Robert Adam James
ORC C ERT NUMBER: 992897
Carolina
E @V",r NCCI ,EiNF DWR
GRADE: W -4.
ORC HAS CHANGED. Nt7
eDMR PERIOD: 08-201() (At# t}st 2(11 C>}
VERSION: 1.0
STATUS., Err€3cem ed
WiR10s
DISCHARGE
.... w A OFFICE
SAMPLING
LOCATION:
EFFLUENT
NO.:
001 NO DI ICifA: NCB
a
50050 ("10
00400
$(WO
C'0.310 G0610 C 051M 31616 (Wwt
VL`
P+
c""
# C'6tttitikltHkS W'eelil
tticekl
Lt' 46-k
4vrrkl' Nlrekl Weekly Wcek1.'
w Q
s�`pw
4 :
0
w m
G RP{f}FAlri %;i'x1}
i3ca1}
CYIAh
(„OI'!t EYF1I%" €�7I11 t}i`IiC �ttk1Y Uciit. iiC±?it iit;it}
,�qy�
'J : h• (.-+
0
0.:
FI,C)tiS' Tl NIP
>li
CHLORINE
llt}.ii . C"ncas N}MN - C'an '1";§S • C+aazc F'C'CiL1 DR 1}t.7
2400 clock Ilrs
2400 clock
firs
Y/B/N
Eli- cle'r
`siI
ri 11
to T{ ni 0 m 11 1#FtOElaw1 nr f}{
1
1245
€1.5
ll
0017
2
12CK)
i 140
LD
Y
0 tkl i s
21
3
12(H7 24-
1145
0.5 _
5'
0,014 " 27
6.76
13
.{.4 < 0 1 6r 2 1. 5,48
4 4
1#50 '
0S
}'
0,t712
`.
16110
10
lit
0,015
1015
U 25
N
0.0l I
7
13tri1 -
t1.21
N
{) (I17
0
1255
1.0 -
H
0.013..
9
114{)
1.0
li
0t112..
10
12?t
1 14f
0 5
5'
0 014 ":.
29
11
1241) 24-.
t1815
1.0
1
i7.1113 27.3
fi.76
22
4.i1 ,#t},1 7,kr N 5„5
".12
1410
1,0
B
0,015
13
1605
0,3
B
0.014
14
1555
U.3
IS
2.U12
1.+
114,55
1.0
Y
0.011
16
121111
0 5
Y
0.01 ..
.
17
1220
1215
Lo
1'
obi 1:
< 10
" IB
9210 24".
1155
1 11 _
n
0.t)11. 283
Ir.6,3
l4
2.5 ,; (7.1 7.1 19 515
19
09io
Lo
11
t).dN,79"
20
1145
6L3
B
0,011
21
0955
tD 3
H
0,01
22
13:15
I {7 �.
t°
0.014
23
1 110
1 0 -
11
05712
24
i200
1155
Lo
v
ti.009
19
25
t20 29
1145
1 M
y
0,01 266
7,03
15
C2 e UA 5,2 17 5,3
26
1010
Lo
B
0,011
27
1025
1O
B
0,011.
M
1725
0.3
11
0016
29
123C)
I .t)
Y
O.tH l
: 30
0950
Lo
Y
0009
28
..
fit
i275.
11SS
3'
0011
Monthly Average Limit: 0.15 ..
30 30 200
-01
Alnnlhlyfltc#'iake: Ck012tF97 273
....
IN
2.675 6.525 7034€08 5.32
Ilally6laxiniii#nt ikt717 245.:3
703
29
it 5"49
4.8 [0 h1=11
Dailyhlinhncint: ONiy..... 2L6
6t63
tF
1} G 515
**** No Reporling itcnson: ENFRUS1
= No
Flow-R uselReeycle, ENV WTI IR = No Visitation - Adverse Weather,
} - I
NOFLUW = No Flow: 11011 KIrt,5-00
SEP 2 7 2016
CENTRAL FILES
DWR SECTION"',
ES PERMIT NC).
FACILIT
Y NAME- C,�

PF111) PERMIT NO.: NC0062383 PERMIT VERSIONS 5,t) PERMIT STATUS: Active
FACILITY NAME. 2uecer4 Eiarbor WWTp CLASS. W _ 2 COUNTY: Mecklea}h
OWNER NAME --Carolina Water Service hic of North ORC: Robert Adaoan James ORC CERT NUMBER: sit 2897
Carolina
GRADE, WW-4, ORC HAS CILANGEM No
eDMR PERIOD: 08-2016 (August 2010) VERSION: l,() STATUS: Processed
COMPLIANCE. Cosrn olian CONTACT PHONE, #t 7045257990 SUBMISSION DATE: 09/14/2 16
09/13/2€?1 to
ORC/Certif' 'Signature: Robert A James E-Mail.rajames'C aiwater.com Phone #t704-361-0648 Late
By this signature. I certify that this report is accurate and complete to the hest of my knowledge.
The permittee shall report to the Director or the apprtopriate, 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 pernuttec became aware of the circumstances. A written submission shall also be
provided within 5 days of the tints: the permittee becomes aware of the circumstances.
If the facility is noncompliant, pl , . e attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E,6 of
the NPDES permit.
09/14/2016
Pernrittee ubmitter Sigt a ore:*** cony 7 Konsul E-Mail:tjkonsnlC or water.com Phony :7043190523 Date
Permittee Addres- 818 Queens rbor Rd Charlotte NC 28278 :Permit Expiration Bate: 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 infcormation 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, K&W Laboratories, Carolinas Water service, Inc, C"loarlone Region
CERTIFIED LAB ##: 559,5228
PERSON(s) COLLECTING SAMPLES: Kyle Robinson; Robert „lames
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (9I9) 807-6300 or by visiting http://portal,ncdenr.orgl/ Nfeb/wq/swptpi/np€ es/forrtts.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this boat 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 l A N AC 86 .0204,
** Signature of Permittee: If sighed 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)

N P 1) rF-S.- E FRrr8v
ITNO- NCO062383
PERMIT' VERSION- 5,0
PERMIT STATUS: Active
FACILITY NAME. Queen _Harbor WWTP
CLASS. W W-2
COUNTY. Mecklenbltr�
OWNER NAME: Camlina Water Service Inn of North ORC: Adam James
ORC CFRT NUMBER. 992897
Carolina
TffCPl ,1 CDFNR/ )WrZ
GRADE: WW-4.
ORC HAS CHANGED: No
S E } Y �5
w
eDMR PERIOD: 07-210116(July 21116)
VERSION: 1.0
STATUS- Processed
WQR w
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.:
001 O DISCHARGE*: NO
:yE
;,
50050 00010 00400
50060
COMO C:0610 Cosm.e.. 31616 00300
'
5
P
pfy
s r6Xtaftwou" E! WE l'
2,Xw'esk
si*`eekl Weekly E!e WfCIi1
4x
het"+.% 1e1 taK if i.hm
tar&la
iN%i H#cEte t,`t1J9i x#15lt6" C�OI41 l5lit2 £iXBtY tit!%1a
FLOWTE,M1'•C ti
CI11.11Ct1NR
SE.I11 • Canc N113"N • Cnnc TSS ».C°6ne F"C:0i,1 BR 00
2400 c#trrk
lrs 2400 elark
In
i7$1"i
tk atI v G
1
#222
1.0
Y
t1.£)15
2
1215
0 3
B
11.UI I
3
162£I
0.3
a
0,019
4
1245
),-1 .
13
t}.£1 i2
5
11110
L-1
Y
2018
6 12t t)
IUCH)
L!5
B
O. 14:
c 10
` 7 1200
24 11 0
110
Y
flI119 27,8 6.va
14
6.4 <C}1 4 12 4,88
A
1420
1 €
Y
4
1845
03
6
10
1240
03
B
(7ot
11
I320
1.fr
0
ti,ttla
12
141-5
1.1}
)3
its) 13.
� 1C
13 1200
I100
10
13
2 01
14 1200
24 1055
1.0
13
1,014 28.1 6.87
e 10
4.9 <0A 5.1 !() 53
16
1325
L0 ,
8
0.016
16
0525
t 1
A
0 007
:- 17
1700 .:
0.3
6
0.025
1R
13.15
10 ":
13
0014
'. i9
1300
11.5
Y
tt.91.
20 13 1
13{)$
1..§ :.
Y
£Y ()12
18
2l 1211)
24: 1100
1.5
Y
£li}12 281 666
12
:39 c0.1 7.3 8 5.41
: 22
1350 .
111
Y
Hilo
23
1400
2.5
tl
2.o1 r
24
1641
0.5
B
U115
25
1225
la
Y
O.t?I3
26
09m)
1.5
5' ..
0,011 ..
27 1200
1140
I.£7
Y
0 )18.:
15
r 28 1200
24, 1145
1J)
y
0,015 28.7 6,76
15
3.3 e0.1 4.8 12 5.3
30
1040
03
N
0011
31
1025
01
N
O.t31,3
...
Monthly Average Untie 11.15
1030 200
Monthly Average-, 0,11,4246 28..175
9125
4,625 0: 5.3 10,50481 5,2225
TallyMaslmonu 0,0215 28.7 698
...
18
64 0 73 13 5.41
D d! i!l11a1mumt O007 27:fi 6.66
* ** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle;
/Recsrle; ENV Va TFIR - No Visn ation - Adverse Weather: NOFLOW
= No FlowHOLIDAY - o Visitation -- Holiday
REEF
. i RAL FILES

rlPDF-S,rPERMM
Ilk` NCI.. NC'(X)62383
PERMIT' VERSION: 5.0
PERMIT'ST"AT US. Active
HAC.ILITNAME: Queens HalbotWWII' CLASS: WW-2
COUNTY: Merk tttt clr=
OWNER NAME. Carolina Water Service Inc of North ORC : Roben Adam Junes
CIRC", Cs RT" NUMBER: 992897
Carolina
GRADE: W -4.
ORC> HAS CHANGED: No
eDMR PERIOD, 07-2010
VERSION- (6
STATUS: Processed
SAMPLING LOCATION EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*; NO (Continue)
Cc 600
('0665
u ��, ax �
�
� '+" C�C)YYt {lhllC
Zr tbiYY 3PY,YiiC
C E�
0
0 TOTAL N - Cone
Tt?'f'Af, f" - f:oYnc
2400 clock ftts 2400 clock
firs
Y/Sthl IYY tl
rYY
1250
C it
Y
(. 4 1245
0.3
S
Cr i2itt) 12-X
1.5
S
7 ld110 24- 1!1 !
! (}
k' !4S
4,2
L845
0,3
H
l0 l2�3t)
tT,3
S
l3 ! 200 i 100
f4 !2t)tt 24 if755
l,tt
S
lS 1325
!.0
S
l7 1700
03
S
1R 7935
! tt
2
2t/ ! 101 ! 305
21 t250 24 !100
!.5
22 1350
0.5
X
23 14M
0.5
S
24 640
s
I}
1225
i.0
5'
z6 010)
1.5
t.
27 1200 1140
1.0
1'
S W 'j a 145
a cr
r
x r!3#1
! to
r
Monthly Average f.isaft.
Nlonthtr'+lvcrogea !g
4.2
Daily hfaniYYYYemt 18
Rally l�'fhYllPlYtYkt: 18
E-21
No repotting Reason: (",NFRti,Y'E
= No Flow-Rcusc/Rccycicf:NVWI('(.R =. No V'ishation - Adverse Wcalhcr: Ni)Ft..,O
.« No Flow; 110L[i)AY = No V1C UHion - f'lt)liday

NI'DFS rFRMI"T NO.: NCO002383 PERMIT" VERSION: 5.0 PERMIT STATUS. Active:
FACILITY NAME: 2,neei s Harbor WWII' CLASS: WW-2 COUNTY: cckl�
OWNER NAME: Carolina Water Service Inc of North ORC. Robert Adam Jatnes ORC" CFRT NUMBER. 992897
Carolina
GRADE: W W-4. ORC HAS CHANGED: No
eD) R PERIOD- 07-2016 tJta1 2CllEi} VERSION: H:i) STA`I'I'a. Processed
COMPLIANCE- C.trtn sliant CONTACT PHONE #:[phone] SUBMISSION DATE: 08/17/201 r
08/ l Ea/'2016
ORC/Certifier Sig ture: Robert A Sautes E-Mail rajamesta)uiwater.com phone :704-361-(1ta48 Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge,
The pertnittee shall report to the Director or the appropriate :Regional Office any noncompliance that potentially threatens public health or the environment,
Any information shall be provided orally within 24 hours front the time the permittee became aware of the circumstances. A written submission shall also be
provided within days of the time the pertnittec becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective a- `cans being taken and tithe -table for improvements to h made as rewired by part 1.E,6 of
the NPDE permit.
08/17/2016
Permi tee/S hotter Signat re:**" 'Tony �JKo�usul E-Mail:tjkonsttlC�uiwate.r.com phone #:[phone] Date
Permittee Address: 13818 QueensHarbor Rd Charlotte C `28278 Permit Expiration Date: 06/30/2020
1 certify, under penalty of law, that this document and all attachments were prepared udder my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry ofthe person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of toy knowledge and belief, true,
accurate, and complete. I'am aware that there are significant penalties for submitting false information, including the passibility of fines and imprisonment for
knowing; violations.
CERTIFIED LABORATORIES
LAB NAME. K W Laboratories, Carolina,,,,, Water service, Inc. C hztrkale Region
CERTIFIED LAB #: 559,5228
PERSON(s) COLLECTING CTING SAMPLES: Kyle Robinson, Robert tames
PARAMETF-R CODE
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting httlt:Hpottal.ticdet)r.org/web/wq/swp/ps/npdes/tortns,
FOOTNOTES
Use only tubas of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if to 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 A NC"AC lets .0204,
*** Signature of Per 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
() 06(b)(2)(D).

ppppp
",
, PP it.i4'ITT N
NC`?tlt)ts3383
P RMITVFRSION.5.0
P u ST TUS.Attic°c
At."E1MY NAM . Queens Harbor WWI?
TiPP
CLASS. W W-2
COUNTY: Mecklenburg
OWNERNAME: Carolina Water
Service lnc of North ' ORC" obei't Adam James
ORC C RT NU MBETC: 992897
Carolina
GRADE: W-J,
CJRC (S CHANGED: No
e iilV R PFRIO[): 06-2016 kJune 2016)
VFRSION: 1.0STATUS-
Fr wessed
SAMPLING LOCATION: EF; E NT DISCHARGE NO.:
DISCHARGE*: NO
.
w..
:a6iti.'W WWI() 4;C"00
,adR WO -
C031 4 N'061(1 t.`t A10
32616
lltl3{ltl
=.
_ » t trlutxtinrs iia�';a3:Ey 3G`cckly
2 X wuel
i%cc k I 3 cckic i3?ca.k6
V%'cr,K..Iy
„ 34
4#.ccmder mall �`oal,
(.lob
�'i}ttij9f1.4Iic k"F}Ialpasiiu" C'Catti€osm
1§i rt:
CYF3I?
`!
NIU
C01
^»
FLOW EINIP-C pit
CHLORINE
ROD - Cfatc N . t_om T.S S . $ one
["E:4." 1
tldi
?a 1111 ettuwk rs 24191 dock
Irs
11WN
naic4 ula r v
re dl
on01 tes +al sns++dl
7'IN'
uke,"
„'
k2111 23-: 111111
d 11 :.
111118 21,2 ; 7„2
p it}
i4 tD. B 5A
58
8.58
5
# 3PM)
(0 ''
13
ti € 23 r.
- d+
itli3
t.€i
Y
0A)19 ,
..:
.7
12111 §11211
kE3
Y
CM111a
M
r,
! 11
Y
{i.t11 e7 ...
*
11-1-1
Pt.i
>it
t320
03 `..
B
0111e1.:'.
5
421111 i15.'+,:.
ttl
"5'
93,t737.
%1t4
12i Ll:. l55
10
"5`
i)0t7.: 17.=4 -7,03
<1ti
4.8 <'tU1 €0
29
54
17
d?SM
1.0
'Y
0.013
fP4
t8
13111
i1,5' -
N
E-121 -
Sa#
i211
4J..1
A
€t.ttltl -
Sl
12m) 1130
I ti
5"
(1,013
22
32t40 28 1320
1J)
Y-
tti113:: 221.3 "i-t1�4
#f!
^� dl.l 5.f
li
5
23
09144}
1.tt
y
li.(N
15
24
8741,
1 fi
y
0.E712
211
L(,-5
Im
H
t1.dN13t..
JLJ]LL1
29
1?1Nt: }#CXdi
tS.5
Y
t#.tlt4,"
29
;§id
12{tS. 2N"- It12t3
ldi
n
tidll:f 2Ea5 7.ik1
,:lti
outhly Nva raage i.huht UA5
§Il . M
z0ft
iiunitttg rlvet'at et uE)#5 2:5.4>k3. _
-
38
€ 62 f4.1'35 6.7
d a 171831
4996
mi y mar amum.- 0 (123 7 y 7,32.
'1)
14 (MA M
58
5.a4
tJ i y Mi a#szaum 0 002 24.4 #'>.�t
t1
42 'U 5.1
U
416
""'No
1'`ct (forting Rr 2aCFF:. I:NSCtU
SE = No flow-Reuse/Recycle: FNVNVi'I%R.='ail Visitation Advesme Weather, tN`tiFLOW _. No )ii«iy
F17W{)lDAYciiV�i"ff'-
.
FSCEIED/���;��Y#DR
�#,gre 16
f"t i,i i a
CENTRAL ILLS
WQROS
DWRSECTION
MOORESVUE REGIONAL,
OFFICE

EIRPMI'TNtO.:N('itifii3383 PERMIT VERSION: 5.t1 PERMI "S ATUS. Active
`AC:II,ffY NAME: Queens tTarbor Wig TP CLASS WW-2 COUNTY. Mecklenburg
OWNER NAME: Carolina Water Seavice Incof North ORC- Robert .Adataa.James ORC" C'FRT NUMBER. cad 2897
Carolina
GRADE. WW-4, ORC I:4.:`S CHANGED. No
et)MR PERIOD: 00-3016 (June 2016) VERSION: l.(t STATUS: Processed
C'C)MP JANC"Ec C`carttfrtaant CONTACT PHONE th 7W257990 SUBMISSION DATEs 07/07/201 a
tIQ07/0713016
ORC/Certifier r S` ,nature: ICcrbeat :A ,hares E-Mail,raajarnes is uiwater.c~corn Plione 704-361-0648 Date
y this siy mature, I certify that this refoort is accurate and complete to the bast of my kitowlecTtMe.
The pertnittee shall re r*rt to the Director or the appropriate Regional Office any noncompliance that Potentially threatens public, health or the environment,
meat,
tlrry information shall be provided orally within 24 hours; from tire time the pennitree became aware of the circumstances, A written submission shall also be
provided within 5.days of the time the perntiltee becomes aware of the eircurrrsttarte es.
If the facility is ncinc or npliartt, pl .; alutch a list of € orrec tive act' being taken said a time -table for improvements to he made as required by part 111,6 of
the NUDES perraiia.
07/ 77/2016
Pertnit e SUtinlittea Sign, ture.,"`* Tony J Konsul E-Mail.t,ik [e-mail] Phone #:[phone] Date
sermittee Address; . ergs Harbor Rd Charlotte NC 28278 Permit Pxtrrratiot Date. 06/3(ir20"30
I certify, under penalty of law, that this doc ument imd atll attachments were prepared under ray direction or sufaervisicon in accordance with a system designed
ned
to assure that qualified personnel properly gather and: evaluate the infor•arratiort submitted. Based on nay inquiry cif lire person or persons who managed the
systent, 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 aitt aware that there we significant penalties for submitting false, information, including, the lxrssibility of fates said unprisortment, for
trowxing violatiruis.
CERTIFIED LABORATORIES
LAB NAME- K&W Laboratories, Carchaas Wat r service; Inc. Charlotte Region
cEirriviED LAB #t. 559.5338
PERSON(s) COLLECTING SAMPLES: Foyle; Robirrscair. Reber, la .. es
PARAMETER CODES
Parameter Code assistance tray be obtained by calling the NPDE S Unit [phone] or by visiting littp://fx)rt{al,iiede: ir.orti/weirs/" ql/,,wftfpst',t)p tesli omits,
f'CKJ"I"NO T ES
Use atady,units art' ntearsurement designated in the reporting facility's 1"aTI' E S fserind for refxxiing data.
No Flow/Discharge From *Site. Check this brox if no disc ha r e occurs avid, as a+ result, there itte no data to be entered for all of die parameters on the f311 R
for entire monitcorince period,
ORC on Sitc`>. ORC roust visit facility and document visitation of facility as required fwr 1 .'A NCAC SCS ,0204,
*** Signature of PermitteeIf signed by other than the permittee, then delegation of the signatory authority must re on file with (fie starts Per 15A NC AC 2B
,0506(hl(2)( ).

P
13 pp'1
I
NO.; NC007124.2
PER 41`I` VCR' IC N.5,0
PERMIT STATUS. ctive
13
FAC.I ,i"I!°"1 NAME: Rlverpcyint€. Wig'rP
CLASS. `W-2
COUNTY: Meeklca0mg
OWNER NAME: Carolina Water Sery ice laic Cat Moth ORC:; iCobul Adam James,
t.IRC C ERT N ThT1 ER: {)92897
Carolina
GRADE:
W 63'_4.
ORC: HAS CHANGED: No
t [iMR PERIOD. 06-2016 (June 2016)
VERSION: LO
STATUS.- Processed
SAMPLING LOCATION: EFFLUENT ISC A - G
.: 001 NO DISCHARGE*:
..
5 01RP 00010 t104M ;()(M()
C0310 ('0610 31616
(HUM)
f 01111t11101's bVed ky `Gc`.1`.iv 5 X *A'u`.^)e
iv>1iCj' 1110t1IiF
18Ci'aiY`tle9" 01,1 " GrA Gral,
he 1..:xi#CYt iLaS% C't}1kt)MT*➢&: 1JI il}R
(,�PaS1t
i
a
1"a"taee: TEMP-C I'D C1aLc1RIMI
BOD- ouc NH3—N-(,,,Iw TSS, ww VKC, as.a
IX)
24110:ekwk.
1tki: .;441H1e1-1 1IrS
LIt
I,gj vu,,'4 K[M i➢^i1
11Y f'I 1YiV*sa R1,f0 Mll—ml
€A'ul
1
k{1i31a:.
: 292i
2,11 :":..
B
()A49
22
WOO
24 -.. MO
10
l
Ob04 25, (,43
2.3 <R1 <2.5... 3"
:7
'3
Pt50
2p -
Y
OA1,15
�€
145
tt.5 1.
11
0027
12ttf1
0.5 r.
11
0,036;':
'?
t€Mm
08M
J 2,ta
Y
OJ63,
as
111tt1c
23 r5
! -1
1a
c1tt11 yv ` 41
1 < t.1 <2 3
6,9
zta
tar
s5
t1
c1012
'I3
i 1115
df S
Ti—
to 037: :
:12
` 111115
Ea.S r.
itt
i11112
..
L4
11111
211 -�
T'
i1111(..
....
uwm
0011
2R4
v
Qd}33
.tti
It1IS*
?4 : lilitil
2.#A
Y
t11a43 364 in.Y+
23....01 < 2.5 ;§
6,4
17
0114 Ct
1 5
x`
0A2 i
1:i
i.3SP8
)
2e'
t2 (&35'
9
l W1
t),I
1<t
ti tbit
ear
iY 1P
5
1s
:mot
I[}{1EY
#A05 :
2.i!
Y
{),n36..
4
#18011
21,
Y
ft
2:
1-11
f14
t1
f)NI
1
tS10
1.5
tt
R046
-,'19
1iHiC!
ti£StifE..
I.i
5" ::4-
34)
mm
24 (WIM
2J
1
2 �3 2,5 1Monthly
Averat e S imit:
ffl.'"
30 � 3i1 `� O
1 78 0 0 a,322699
_.
6Daily�D4u.dwune
23
0 0rDaily
taiiatisnum
Q)
No Reiviiing Reasorc F1VFRUSE No Clow -Rees ,/Reeyc is i^NrV)N1T1[R = No Visitation Adverse Weather, 14OTIOW = No Flow, 1I0I1€ A - Vi�ltaati€11 flolid ae
AUG 0 1 2016
n ,.
CEO,: FILES
WGRO
WR SECTION
MOORESVILLE REr,10NAL OFFICE

PPF1FSPrp' rN0.- Nt 007124
EACILL k NAN4F: R iverpaainte W
OWNER NAME: Carolina Water Spa
Carolina
PERMIT VERSION. 5,t)
F
CLASS: W-2
ice Inc of North ORC . Robert Adam Jame
ROE RMIT STATUS: Active
COUNTY- Mecklenburg
ORtC C RiT NUMBERta 4nc 2897
e
GRADE- E: Wig-4, ORtC HAS CHANGED: No
eDNIRt PFRtIOD.- 06-2016 tune 016) VERSION- t.t STATIiS- Processed
COMPLIANCE: G?caansfaliant' CONTACT PHONI i #t 7(4-5 25799t) SUBMISSION DATE: 07107/2,01
07107/2016
ORC;/Certifier S- ature: Robert A .lames E- lail:[e-mail] Phone #f:704- 61-(648 Date
By this signature; I certify that this report is accurate and. complete to the best of :ray" fanowle hie,
The permittee shall report to the Director or the appropriate Regional Office arr ay noncompaliance that potentially threatens public health or (lie environment,
Any information shall be provided orally within 24 hours from the tictac the pertnittee became aware of'the cireursistances. A written submission Shall also e,
provided within 5 clays of tire time the perniittc.e becomes aware of the c irc:uinstances.
If the facility is noncorriplianat, please attitch a list of corrective actions Baring taken and a time -table for improvements to be made as required by part ILF,6 of
the ,Uf'DE� permit.
07/07/20lCr
Perna ttee/Sutintitt • Signal ure:*'-`* "Pliny J Konsul a. -Mail: Phone :"i0431c}t523 Date
Petnanitte cfdae s: I , 0 Allow, I#n C.'hai°lcstte NC 2 t'27?3 pernnit Gsp>iraticrn Bate: E?f>f3t112€)'�()
I certify, under penalty oflaw, that this document and all attachments were prepared tinder nay direction or supervision in accordance e with at:system designed
to assure that qualified personnel property gather and evaluate the information submitted. Rased on niyr inquiry ofthe person or persons who m k4 d the
systenn, or those persons dimetty responsible for gathering the information, the information submitted is, to the best caf" ney knowledge and belief, trine,
accurate, and complete, I am aware that there are significant penalties for submittingsubmitfirig false information, including the possibility of fines and imprisonment for
knowing violations,
CERTIFIED LABORATORIES
LAB NANIF¢ K&W f.,.a oratories, Carolinas Water service, Inc, (111done Re . -ion
CERCFIFIED LAB #. 559,5228
PERSON(s) C4i .CEC."1ING SAMPLES. Kvle Robinson, Robert James
PARAMETER COD17S
Parameter Code assistance may be obtained by calling the; NPDES unlit (919) 807-63ilt? or by visiting htt :lr"taoilai.tied€ Ti r,org/we /wq/swpalps/tipde a/fo rnis.
FOOTNOTE
Use only units ofrmeasurement designated in the rep trtind facility's NPDES pertnit for elxaating d<ata.
No Flow/Discharge From Site: Check this box if Tit) discharge occurs and, as a result, there are no data to he entered for all of the parameters on the DIVI
for entire monitoring period.
ORC" on Site': ORC must visit facility and document visitation of facility .as required per 15 A NC AC llti ,0204.
"* Signature of Permittc is If sig ed by rather than the pennni tee, then delegation ofthe signatory authority must be on file with the state per I A NCAC 2B
fl506(b)(2)(D).

IT O.: NC " >2383
PERMIT VERSION: 5,0
PERMIT STATUS: Active
A ME— Queens, Hatbor WW'TP
CLASS: "174 W-2 �
CC7UN't'V: Mecklenburg
OIVN R NAME- Carolina Water Service Inc of Nlartla 6 C: Robert Adam .tztm s
ORC: is ERT NIJM FR- <.>9' 897
Carolina
Y #
,. L)OV,
GRADE: W W-4.
ORC" HAS C tIANG sib: No
eIb14ii PERIOD- 04-2016 (APail 201)
VFRSit?N. 1,0
STATUS. Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE }.:0QI
NO SIG °*N
j
50050 OWN tfu imi
3(H)6#1
("0310 t:d 610 COAX) 31616 Off m Ca
3i
.
+
,""�.
° t"c#t4#uat4€suiw W'r.<^i.ti" tkcAly
", c&rc"k
4t'cvk il' >.�eI N IsS"k@r 44-AS"LYI
6, � SSE%UTdk":P i'}d'Alr iil.3h
C.f7.kI1
C`tli2ktH'ts itf` i�.: e}YCY}%i!&ifi" C'C%Plt 1E14i[C 21113 <iY.!}'i
C
ac ll ON%l, TEMP-C EH
CSH.XiRME
900.0 mr N113-hS . C awe T qS . Coaac FECC Ol t DO
2d#{fai`#ixl±
ita's 2�ik)t�nivk
ftr=y �
YllilN
sn{;4 c%^},t �v
rr�lP
nagtT na�;ft � rsr{�di Pall£liPets( tn�d#
I €'Xl
23
€3
2,014
1141
p #p
1'
6`1-21
3
915
11}
1°
a1.k@I3,
6
€jilt
t4
d1.5
Y
dk.ir.'..�5
29
7
#45f7
24: 11135
I.a}
1"
8
1745
O'l :
1
0033,
+i
l511
f}g :
kt
fS dld4
.
I#)
: 1215
ilia `:
13
0022
12
11.15
1.11
R
fll t4al
t tit
33
120)..
I(Bo
Itf
R
#1 af19
4
12€111
24 1 B0
k 11
{1
EAJ121 17..tt ?.1'i
�: Eil
�: "_ w ae 3 ai 5
002;3.
"I6
: F2.19 '.
,1
E2
RAW
- i7
1140
tt.5
it
a€}27
2Y1
133t}1
P215
1A) ".
Y
a 016
1
2;0
24 1150
1A
Y
0,012" 20.5 6.93
<a#t
3 <0A 41 t 4,98
22
1050
13
'k"
(1014
e if)
'>43
y3C#
tl .i
N
tt.t)t 3
4
sX€1
it:;
(34i2t
L6
9ff7
Ill-
5'
#)E-21
#t!
27
i2CRi::
1140
10
5s
0,016
.
28
100
24 31 5
L9
S'
al#}a5 }rofi 7AW
C}ta
6,7 0,18 6,1 4 s2s
30
1050
03
N
0.012
4icrullar %es a i. nua: tla5
all 2#aat0,55
362
r6,7
i}# Y m aam ulm 0,033 2-16 t.i3
eta
Wily Mimimtieatz
*;p :*
N(N Ret,X§Y't'taty; la'ea.,# on7 1'NF'RUSE x Nt().('low-Reit.w,f
tec,vCIt ; E,N'w"WTif,R.^ No Visitaati(sii Ad\"erse Weathei,, N(il".1..(l = NCY.FlovL,; 1-t61T.,1DAY ^ No vi.S
N 0 9 2016
CENTRAL PILES
DWR SECTION
S PFR
�`ACII'll i A

S PIFIRMIT NO.: NC000`2383 ' PERMIT VFRS N. 5, PERMIT STATUS: Active
fACiI.T1Y NA . Queens liartar wlrP CLASS: jVVV-2 COUNTS: Mecklenburg
E
OWNER NAME: Carolina Water Service laic of North ORC- RotK rt rt€ Wat JalbeS ORC C ERT N ID fit. 91)2897
Carealitaci
GRADF—. WW-4, ORC HAS CHANGED: No
e1)MR ICERIOM (4-2016(April 2016) VERSION: I STATES: Processed
COMPLIANCE: C"'omplia t CONTACT PHONE #t; 7045257a()0 SUBMISSION DATE: 05116r-01
05/16/2016
ORC/Certifier Signature: Robert A James E-Miil:[e-mail] f*Ione ##-70-361-0648 Date
By this signature, i certify that this regxart is accurate and complete to the best of my knowledge.
The perinittee shalt report to the Director or the appropriate Regional Office, any noriconifiliance that potentially threatens public health or the eriviro-ratient.
Any information i hall be. provided orally within 24 hours from the time the perratattee became aware of the eircurnst<ances. A written submission. hall also be
provided within 5 days of the: these the pe.ra fittee becomes aware of the circuraistances.
Il' the facility is tionconiphant, please attach a list of corrective actions being tarkeu a nd a time -table for iniprovernerits to be tirade us required by part 11,13.E of
the NIPD17S persiit.
05/ I a/2016
Fermittee/Submitter Signature:** Tony 1 Konsut E-Maii:[e-mail] r,c o Phone. ##.[phone] a2 Hats
Perauitice Address: 13818 Queens Harbor Rai Charlotte NCB 28278 Perruit Expiration Hate. 00/3012020
1 certify, under penalty of law, that this document and all attachments were, prepared under my direction or supervision in accordance with ca systetar designed
^c
to assure that qualified personnel property gather and evaluate tire iufortsaation submitted. Based on my inquiry (if the person or pers rags who inan agCe d the
system, or these persons directly responsible for gathering the iaal`carrnati€an, the information submitted is, to the best of racy knowledge add belief, true,
accurate, and c o ple(e, I am await that there :are significant penalties for submitting false inforniaticu , ioeludingt the possibility of fines and imprisonment for
knowing 'violations,
CERTIFIED LABORATORIES
LAB NAl4 E- K&W Laboratories. Carolina water Service, hic, Charlotte Rogion
C;ERTI fED LAR 1h 5S9,522
PERSON(s) COLLECTING SA LESk K Is Robinson, ltialva James,
PARAMETER ER CODES
Parameter Code assistance may be obtained by calling; the tNPDES Unit (919) 807-63(l{) or by visiting http://poilatt.ticste= zrr /wue /wcl/swp/ps/]atl)d sti<arrras,
FOOTNOTES
Tlsr only units of measurement designated in the reporting facility's NPDES periuit for reporting data.
,` No Flow/Discharge From Site. Check k this lxax if no discharge occurs arid, as a result, there are no data to be entered for all of the parameters cin the ISM
for entire monitoring period,
ORC (.)it Site"?- ORC must visit facility tind document visitation of facility as required per 15A NCAC SCa .0204,
Signature. of Permittee. If signed by other than the pernti tee, then delegation of this signatory authority must be, on file: with the state.. per 15A NC AC 2B
0506(h)(2)(I)).

MIT NO.: NC`()()6'-) ISw)
PERMIT ERSH)N:5.t1
PFRMl'r STATUS. Active
NAME: Queens harbor WWTP
`LASS:. WW-2
COUNTY: Mecklenburg
OWNER NAMFs Carolina Water Se°).wace Inc of North
ORC"s Robert Ad anr.l;imes
ORC" C Wr NU BE Rz 992897
Carolina
GRADE- W W-4.
ORC HAS CHANGED* No
IDMR PFRIO D; 04-2016 (April "iiit)}
VERSION: 1.0
STATUS. Processed
SAMPLING LOCATION:
EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
«�
C"iMri)tl
ifldixa
4
,�.
"J�i �
l.'aY£t4J741ti34:".
c`tmE�s„trc
'
�"
C
aC
TOTAL N Casac
TOTAL P - Couc
24(H) dunk iir% 2401) diwk firs
Y/"
t£ I
teril[ .
s
t 411 tI 1 ::.
LI
R714g50
24 1035 L0
y
82
.2,7
a#
H50 04
P
I 1 r125 :.
Ft
!94
-1111 �4 Ir3C) 1)
i4
:f�c
)its I.f?
f3
�L6
123a t 5
B
L7
: I;at) C) S
H
CE>I13 d,
t3
20
1250 T12:1,5_:::: y t)
1'ey5d)
} d)
Y
:3
u3tt 03
N
24
2
ah
Lill kti �
5'
:17
1200 : t 140 t t)
y'
2
„........ 4[u�L tdat,
,Nhmthly Avmge,- h 2
i.Rt HY 'R'L£1KS1i12 m. tt 2
*** * aNr£ Relit)atik�,, Reascasa. I N I rSF - Nry l iow-Ret}cemecycle, ENAIl
27
7
2.7
I.R = No Vi. si i an Adverse Weathm isTOF OW = No Pitsu„ HOI,I%iAY =secs Visiwtion - lJohday

PFPIRNi1'1 C
3.-. NC"t)062 38 3
PERMIT VERSMON: 5,0
PERMIT STATUS: ctive
Queens Harbor WW fP
CLASS- WW-,2
COUNTY: Meckle hurg
OWNER NAME: Carolina
Water Service hic of Noith ORC: Robert Adam James
ORC C ER`1" NUMBER: cJ9289i
Carolina
GRADE: W- 1
ORC HAS C:11ANC:E De N
el)MR PERIOD. 05-2016 (May 2016)
VERSION: L0
STATUS: Pr(wessed
SAMPLING
LOCATION: EFFLUENT DISCHARGE NO.. 001 NO DISCRA :' N
IM150 (91010
00400
NNW
C0320 t`OMO C01-30 .41616
UttilN1
.»
s
is
:.
'r<
n.
t' srti»ttcxrra tV, Aty
SVckly
S?%u�cck.
`cvk y i11uiokly 'C. kty 1 i:ukty
.
Reconic, trials
i'.`rrab
(haEr
L"c>ertpsr,-iic L`itnt A'ssc C`e11111xnitea £ir<a1+
iarith
^t
SSCom 4FdCO3i
IX)
v ..
.w
a: FLOW
PH
0110KINE,
3OD-Cone N113-N-.ow,
4t)itd w-k firs >.�Itltl ilmk 12rs
1I
rri t9 i{t91
5!➢
t➢,tt
i iI 1'il 2 Cim0 itI(hh
211etal.!1
"2
1155
10 ..
Y
0-022,4
. .
3
S42:i
t1.5
i"
),IM >:
A
I2fH3.
HU)3
l.i
Y
I7 tBid
'25
�.
13E43: N
i1.3FD
S 11
1'
t1E1911 I132n
7,1 1
LC I
46 ... Li -I $ : 4.2 .. i
.
i
t2ss
{r.a
to
ii.tSi�
8
125f1
t13
i3
tB Qlt#1
a)
05
f0 ..
1"
tl €m 8€...
010
10 ::
Y
0.0E4
:II
12-44
1220
L0
Y
01tl3..
"I
22
IIik7= ?4
it4tt
i{I
11
tt[PtL "8
7,07
< M
4A VA2 4 .. 4:.
4m
i
ill
ft
5`
-fI1€a
352-5—E—
f Utis
03
L?
(i,M5
it6
hill)
d5
B
0097
17
1600
H)
5'
to illy
t
4.3it ". 2•[ '.
I t iit
I t1 �:
1'
Ci d)1 y8 21 6
fi.Vt
x, iii
e: ' I2-1£+ '8 82
6,1
iti5i}
i tl
i`
9)FR4.
c 10
1140
i14
13
{t O2.1
1
1-11
i),4 :
Ti
_tit)
x4
0935
20
Y
0,02
-4
t L)-5
212
131
5
). -2
)
15
i3i:4 2-Y ;..
2,1t1£7
Iki
'w'
i&tF 4 23 c...}.
694
<.: 10
52.. :a4., 12 li
4,96
26
-
H OO
20
Y
0,025
„17
t14i[I
tit
23
tt.rlf5..
Zx
lltC1
Y),t -
R
4),iP6i...
V
14.45
H13
i2
tT t)2;3
O
".
1)i50
tt.3
3
0.014
.4I
1445
l.tF
Y
RAW
Monthly Average Lstui#: (9,15
30 30 2M
hrt+rmthly.Vlat<e^ 0017419 22AS
y
5.475 1775 7A 1662842
4,95
hairy Alaminr,m.rr)3s 23A
73t
It)
S,i 0,43 s> 0
5A3
d,7�ailv Minimum, um, 0 (09 208
6,11W
sr
4 @ U 4 A
>p
Nc Reporting Reasom
FNY'Rt SE = No FNVWTHR = No VLF j atirro
Adversc;T cathcr: *;CJFI..OW = No Flow; 1101"CDAY - z { e
t
N 3 0 ?016
CENTRAL FILES

PS11JERNIFFNO.- NC"�. 23 y E'IEEtMI T VERSION: PERMIT STATUS: Active
FSEL F NAMtE: Queens Harbor WWTP CLASS: WW-2 COUNTY. Mecklenburg
aburgt
OWNER NAME: Carolina Water Service #etc of North ORC: Robert Adam James ORC} t"iC RT NUMBER: 992897
Car€alieaaa
GRADE»'WW-4, O RC HAS, CHANGED: D: N
eCiMR i'ERIOD:05-2016 tMay 2016) VERSION: [.tl STATUS: E'acrees-se l
COMPLIANCE: C"cssaapiiat tCONTACT EHONEt. t#: 7045257990 SEsEIMISSEC N DATE: : 0611512010
06/14/2016
ORC /C:ert'1'Ver Signature: Robert A James E- ail.rajantes( triwater.c°:)ttt Phone :704- trl-1 648 Data
By this sig. nature, f e rtify that this report is accurate and complete to the hest of €r[y k-no leetge,
The pernottee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the envir€arintettt:
Any information shall be provided orally within 24 hcattrs from the time the, permitte,e became aware ofthe cir+: untsttutce , :A written su ruission shall also be
provided within 4 days of the Wire the peraxittee beciiaate aware csf'tlte citcurzrtarac°es,
if tlac Fae ility is ncatactararplzasat, case attach a list of raatrectiu s being taken and a tithe -table for improvements tcro h trt<arle <t required Csr part FI.F .Ci cr°
the "v�l"OES permit,
06/ l 5/ 2016
Peruait€ee/S lsruitte: ," g;nature >` " Tony J Konsul [e-mail] Phone: tf:704319052 late
E'ct"trtitte' Addres': 13;t1fl €7ueens Fl for d C'harlotte. NC" 28278 Ferrrrzit ExpirationDate: t)Cit.3C1!?(i C}
certily.=under penalty ru' law, that this document and all atta Mere nts were. prepared under nay direction or supervision in accordance with a system designed
to assure that qualified persortnel properly gather and evaluate the: information submitted, leased on my inquiry ofthe person or persons who managed the
system, or those persons directly wspcsnsible for gathering the information, the information submitted is, to the heat of my knowledge and belief, true;
accurate, mid complete. l am aware that there are significant penalties for submitting false information, including the possibility of Elites and imprisonment for
knowing violations,
CERTIFIED LABORAT(YRIES
LAIC NA1 IE- K&W Laboratories, Carolinas Water service„ hic. Charlotte Region
CERTIFIED D LAB tt. 5595228
PERSON(s) COLLECTING SAIV PLFS: Is.yle Rrabu scsa, Rasta rt 3auaes
PARAMETER CODES
Parameter C ode assistanca may be obtained by calling the NPLDES Unit (919) 07-6.300 or by visiting; http-Hf)ortai.nedeaar:carp/web`/wcl/s >p/pstrtpdeslforetas.
t't)C)'TNt TES
Use only units of measurement designated in the wp rting facility's NPDES perruit for reporting data
", Net Flow/Dischatg e Front, Site. Check this bees: if no discharge occurs and, as a result, there. are no data to be entered for all of the parameters on the LD R
for entire mortitrori ng pe°rit d.
s)RC on Site`.'?: ORC" artist visit facility acid document visitation of facility as required per 15A NC AC 8G .i1 04)
*-'* Signature: of Peruaitte : If signed by €rther than the permittee, there delegation of the signatory authority must he (in file with file state per 1 A. NC'AC 2B
0506(b)(2)(D).

O.. NCO057401
PERMIT VERSION: 4.0
PERMITSTATUS- Active
The 1lid)eaways V
CLASS- ' -1
COUNTY: Mecklenburg
OWNER NAME. Go Go Properties 1. LC
ORC: Kenneth M Deaver
ORC CERT NLtl4^ BER: 27295
GRADE: W -2
ORC IIAS CHANGEII. Na
eDMR PERIOD: 05-2016 (May 2016)
VERSION. 1,0
STATi iS:: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE .,A
Sol-% 00010
00400 :
fi01f60
C,0610 COS 31616
�Coao
Weekly Weekly
2 X m..6
2 X: weak
2 X ih; Monthly IX am ul, X moulb
Innantaieous Csrab
Crab
Cam
: Gmb Crab Grab Gmb .
I FLOW : TCMP-C
1PH
CHLORINE
800- Coat I NH3-N _ Coat : MS - Coat FEC COLT
2400 edach His .. 2400 clack. Hrs '
VIWN
m,8d dctt c
su
- nagdl mgjl: u L 41100ful
I
2
1015 0.2
Y
(001 21
68
39
3
950 0.2 :
y
34
4
815 0.2
Y
1
<2 <02 56 <t
5
6
7
9
i010 0.2
Y
0.001 : 21
6,9
44
t0
950 0.2
Y
32
11
12
13
14
L3
16
1025 0.2
Y
0001 20
6.9
36
17
935 0.2
Y
29
t9
815 o2
Y
a2
2S
20
1
22
23
;. 1005 0.2 :
Y
OM)l 21
24
955 02
y"
33
as
26
27
29
30
33
92i 0,2
Y
0001 21
6,9
41
Monthly Average Limit- 0.00E
30 : 30
Monthly Averages 0,W, 20:.:8
36,333333
0 0 2.8 1
Daily Maximum. 0.001 21
7
44
0 10 5,6 0
Daily Minimum: Moot 120
tr.8
29
10 0 10 0
*'**m No Reporting Reason: ENFRUSE =" No Plow-Reuse+Recycle; ENVWTHR No Visitation - Adverse
Weather,
NOFLOW No Flow, HOLIDAY No Visitation — Holiday
RECEIVED
JUN 2" zuib
CENTRAL FILES
DWR SECTION;
S PFRMIT N
FACILITY NAME

PERMIT VERSION: 4.O PERMIT STATUS. Aco
CtASS: WW- I COUNTY: MecktcnbearS
ORC: Kenneth M Deaver ORC CFRT NUMBEW
ORC HAS CHANGED: No
VERSION-. 1.0 STATUS: Processed
1CONFACTPHONE #: 8286571810
Rachael 6 Kramer E-Mail -rachael(q),k�
is report is accurate and complete to the best of my knowletip
I Kramer E-Mail:rac
,rmit Expiration Date: 06/30
MEERIERIMM
at Phone #:828-6�
iigned
the
tent for
CERTIFIED LABORATORIFS
AD NAME: Water Tech Labs
ERTIFIED LAB#: 50
MSON(s) COL LFCtING SAMPLES- Ken Deaver
PARAMETER CODES
arameter Code assistance may be obtained by calling the NPDES Unit (919) $07-6300 or by visiting http-//portal.nedenr.org/web/wq/swp/ps/npde,,,/forms.
FOOINOTES
se only units of measurement designated in the reporting facility's NPIDES 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 pernuttee, then delegation of the signatory authority must be, on file with the state per 15A NCAC 2B
.0506(b)(2)(D)�

V1, PE RMIT NO.: NC0062383 PFRNIHI'VERSION: 5.0 PERMIT STATUS. Active
A (,I !S , _ M"' — — —
'll JV, 'ANI - -2 - Meeklenlyarg
C 'I N F: Queens flatbor WWTP CLASS. WW COUNTY.
OWNER NAME: Carolina Water Service Inc of North ORC-.RobertAdam hmes RCERT NUMBER: 992897
RF("P'F I V R EC E I
Carolina
GRADE: WNV-4RC 11,48 CHANGED. N
LI-11 MAY 2 2016
eDMR PERIOD: 0-1-20 t 6 (Matrh 2016) WRSION: 1,0 STATUS: Procowd
OV'R 3FE-C'FlON
lfjF0RtWATl0fq PROCESSING UN17' cmn Pi f"" I —,N A L -T F I C E
SAMPLING LOCATION: EFFLUENT DISC HARGE NO.: 001 N(
**** No Reporting Rerson: ENFRUSE = No Ffow-Reuse/Reqycle,; ENTIVWTHR = No VWtation - Advage Weather, NOR OW = No Flowt HOLIDAY = No Vishafion - flMidiy

.
F
M T NO.: VfO02383 P1,cRM1T VERSION:5.1 PERAIT STAT S: Active
IE,11T * NAME: Oucens Harbor W'rP CLASS- VVW-? d"+C)UNI' : Mecklenburg
OWNER NAME; Carolina Water Set -vice Itrc of North ORC : Robert Adam James ORC° C'E'RE" NUMBER: 992897
cmo inn
GRADE- WW-4, ORC HAS CHANGED. No
eEtMR PERIOD- 01-2016 (Mareb 2016) 'VFRSI N: In 'CT AT TS: Pr(wesstti
COMPLIANCE: C"E: "camplia nt CONTACT E'iIONE lt. 7045257940 SUSMISSION DATE. 04121/ 016
0412012016
(0RC /C'ertif''er Signature: Robert lA James E- tail:[e-mail] Phone .[phone] Bate.
By this signature, I certify that this report is ac.cur<ate and complete to the hoist of my knowle4w,
The perxrtittee shall report to the Director or the apprieforiate Regional Office any rt ouct» ttpliancc that potentially threatens public: health or the environment,
Any inforniation shall he provided orally within 24 hours front the time the per-mittee became aware of the circumstances, A written sulnuission shah also be
provided within 5 days of the tithe the pernzattee becvrrrtes aware of the circumstances,
If the facility is ncrnccurpli` t, please attach fist rof correct" c actions being~ taken and as tirnte-table. fear dirprovenrents to be made as required b p E1.E.Cr of
the P ES pernrtit.
04/21/2016
Per
rttittee= riaitte° 'igrtatture:"w� Tc>ny 1'<ansul i-IV:Fail:[e-mail] Phony #f:7043190523 Da
Perraince ?Address: 12I318 Queens Harbor Rd Charlotte NC:. ` 8278 Perrntit Expiration Date, 06/30/2020
1 certify, under penalty of law, that this document and all attachments were prepared under tordirection or supervision in accordance ordance with at system designed
d
to assurv: that quatlified pc rs¢onne.l properly gather and evaluate the information submitted, Based on my inquiry ofthe person or persons who managed the
syst tnt, or those pemons directly responsible for gathering the information, the iuforniation submitted is; to the heist of nay knowledge and Relief, true,
accurate, and complete. I am aware that there are significant t penalties for submitting false information, including; the possibility of fines and hi prisonment Ivor
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: Kci W Laboratories, Carolina Water Service, Inc. Charlotte Re aeon
CERTIFIED LAB to 559.52218
PERSON(s) COLLECTING SAMPLES: tCyls Roilanscorr. Robert latues
P AR A;tr1ETER CODES
parameter Code .;assistance may be: obtained by calling the ivPDES Unit [phone] or by visiting http://portal.nedenr°,tor /well/wglswp/ps/npdest' farms.
F(X)T NOTE
Use only units of ttreastueme t designated d fit the refn>rtinp facility's tiPDES foLn rit for repolling data.
* No FlowtDischarge From Site.: Check this box if no discharge co c airs and, as a result, there are no data to be entered for all of the parameters on the: iyMR
for entire, me ritcrinp fteric d°
ORC, on Site?: ORC" rniust visit facility and document visitation ciffacility as required per 15/A NCAC SC`t .ti204,
Signature of Permittee: If signed by other~ than the pernnitte , them delegation of the sipnaatory authority must he on file with the: state: par 15aA NC'aAC', 215
.0506(b)(2 )(D).

4AWA
�►' l,ws mum
IT1O.:Nd"C}f9t2383
P R IT VERSION:5D
PERMIT 'P"ATUN—Active
FACILITY NA
: Queens llancor WWI?
CLASS- W-2
COUNTY- Mecklenburg
OWNERNAME: Carolina Water Semicc Inc of North ORC- Adam James
ORC CER 11VLitVitiER: 992897
Carolina
GRADE: WW4,
ORC HAS CHANGED: N
, .
eDMRPERIOD: 02-2016(Fehruary2016C
VERSION: 1.0
STATUS:Proc,se
SAMPLING LOCATION: EU.N
C; G
.: 001 NOt p, v 3,G` i
R1t13t1 EIt)1110
11kWOO
St111mt}
M-110 Ct161#1 C"id:*,a1}" 31616
(WA0t}
"
lont114dmm, IVLa,1v
'a�'ccklS
2X week.
Vr C,.".A:YV 11eddy ccl By V<,,,ck,,
u
1L`L4:6}t`4ic.T t`"tCdiS
c13;"4tf
OCdt?
C`iklYl�3tiStliS` t,'t}ftijtt%�lG` r`UIFiUdkm tCC C}P wi}h
dif 3r
%
1it.RNip-
PH
CHLORINE
OD-Cmic [R2i3-NP Cam TSS-Com: FL('COL.1
DO,
F1-iA"4i .
i414±d-1,
111"S �41111eiiwk
u
11"11
ing/l PikRA lg"tl fFf ttXMil
A
1
it45 E11
I`
ti dk;S
t245 11
T
Rttips
3 i2€Jii
: Ifl;d) 6.t}
5'
dl.t)12
1?05
24 :. 1113 € 8
B
V 02 16.5
7
47
1 fr <8t 5 37 1
4t}ia
3
I f**<5 O's
B
{R 014
10
tr
I loo k1.1
s'. E§
F§ I4
7
k t4i#9 t1.1
ti
lY.db$;s
1#
L4191 111
'. Y
U 1117
idol f#§
5.'
i1013
to 112M S
1020 t a
R
tt.e[
;1
t INXI
24 1140 Lo
B
0012 9
7AS
41 "
6.4 <05 62. 2 .
5.01 .
14
0650 (U
t}
0,021
6>
{3:4tS tY..i
; 73
t}i#ttr:
16
&"I'll L0
S
Ei02
17 12011 ;
IM, 11
1t 12?1}
24 12tHI 1 (7
: 1`
ti t4[td 113
?.its
31'r
fk 4 <0,5 <6"', < €
5 >
14
##tact Ftk
t"
€atSPi_
-1H0 a 5
a
t €1?
21
"'s t1 4
�: N
Rot`?
�2
+a 2r:tt
x1 s
4141'"W�.
t1.028
O'S
< Y
0,022: 147
f1,88
Zit
59 � �; d 5 a' 1 < t
5,8
211 5 a#
26
tests t.n
Y°
0,01s
27
11-10 ti. k
23
1045 44 t
11
€l.tl 4
Nfofttld5'diramai rla'aarLtx 0.15
3i}... 50 200
Madld5 Aveeugg . d ,jj,ea €2ti7
9: w...
625 it... .S 125 t !t{il2fgi
S i:1?5
Da6it}'Nlaviaatau'it: UO2X 16,5
7.15
47
fia 0" 6
I,hsllt mitaiu%um. 0M 9
< No Reporting Reason: EXERT-JSF No
Flow -Real e/Rec:y:le'; F's4`l %,,T} R No Ve;ilalion
Adverse
W attaec: Nt1FL.f7lae`;= No Row„ HOLIDAY =lto Vishatican k#cskid y
RE C"NEIVED
APR
CENTRAL FILES
WR SECTION

`POES F'7PMIT NO.- NC0002383 PERMIT T' VERSION- 5.0 PE TCMIT STATUS- Active.
to ILffVNAME*: Queens flarbor WWTP CLASS- WW-2 COUNTY. Mecklenburg
OWNER NAME: Carolina Water Service" Inc of North ORC: Robert Adauil James ORC C."]F:RT NUMBER: 992897
('as that&
GRADE: WW-4, ORCHAS CHANGED: No
eE NIR PERIOD. 02_2016(FeEaeu;€q 2016) VERSION: 1.0 STA'TUS: E'iw sled
COMPLIANCE. IANC'E. Compliant CONTACT 111IONE #k: 705252f9%) SUBMISSION C1A"iF:03/1`71>tli€S"
1�12l (
CRC(er#ifir An#urncFcA tIaalaaxiwc<t#e #t Cl3 3y this signature, T certify that this report is accurate and complete to the; best ofiny knowledge,
e.
The pert& ittee shall report to die Director or the appropriate Regional Office any noncompliance that rKnentially threatens public, health or the. environment.
Any information shall be provided orally within`? hour-s front the time the permi#tee la ante aware of the circumstances. >A written submission shall also 6
provided 'within 5'days of the tithe the permilteeY becomes aware of the circumstances.
If the facility is n<nccanrplarrt#, fa use attach a list crf' corrective actions fs °inp tal4ert artcl at time -table liar irsapreavenrrats to be rnadc us required by part TT.l3.ti c>t
the 1vPl S perrtrit.
03/ 171201
'errtrittceee/, bmitter Sign re: t x Tony I Konsul F- Afatil.tjl€catasuEt ui tt#i r.c€srta f'lztsra"e ##: if)4 i l c) 5"?3 Date
Pe:rnottee Address: 1.3818 Queens Harbor Rd Charlotte NC''28278 Pernfit Expiration bate: 06/3012020
I certify, underpenalty oflaw, that this doc .arncent and all atta hnrents vvere prepared under tray direction or supervision in accordance with ai system designed
t€> assure that c}ualified personnel properly gather and evaluate the infornettion submitted. Based on my inquiry of the person or lx-rsiores who managed the
system, or those persons directly responsible for gathering the a ttfcrrsrtaatiore the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete, T aarn aware that there ;.are significant penalties for subrintfing, false infor{ruaticsn, including the possibility cif titre.; :and imprisonment for
knowing violations.
CERTIFIED
LAB NA LE. K&W Laboratories. Carolina Water Service, lac. Charlotte Region
CERTIFIED IFIED LAB It: 559,5228
PERSON(s) CO I.EC"TINE SAA PLFS: isyle Robinson, it€al:scrt.Easases
PARANIFTERCODES
Rtraarnecer Code assistance may be obtained by calling the is PDES Unit Ica 19) 807-6.3tRl or by visiting littp:Hportal,ti deeitr.oi-g/web/way/swplpss,lttpdes/,fortits.
r,(X) fNo,rFS
Use only units ofnieaasure rnent designated in the reporting facility's NPDE:S permit for refsating data,
No Flow/C3sschaarpe, From m Site: Check this box if no discharge occurs and, <ass a result., there are no data to be entered forall € f rite parameters on the DMR
for entire monit€>rittgg period,
>` ORC ort Site?: ORC must visit facility and document visitation o facility as required per 15A NCAC" SCI .t 204,
.` Signature of Pe tittee:: If signed by other than the pentriitee, their tit legation cif the signatory authority must he on file with the starts. per 15rA NC°AC 2B
,0506(b)(2)tD),

P RMIT NO.. NC(l 62383 PERMIT VERSION- 5,0 PERMIT "i",A I ES- Active
APFACIIiTYNMlE:Qu ens Harbor WWII' CLASS: W-2COUNTY:Mecklenburg
OWNER NAME: Carolina Water Service Inc, of North ORC: Rt bett Adam James ORC C RT NUMBER:
CarolinaGRAVE: W141-4, ORC HAS CHANGED. No
F
eI)MRPERIOD: 01-?tllta(Jantrrar•y'2016) VERSION: L0 STATES: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC14A:RGE*,*-N,',O,"
1 "$ VE
MAR 0 1 21
ca

`C PVC).: NC0062380
PERMIT VERSION- 5.0
Pl,, tMIT STATUS: Active,
Queens tiad Or Wiv CP
CLASS: Wes,_}
COUNTY: Mecklenburg
O'VVNEIY NAME. Carolina Water Semic e Inc of North
O RC: Robert Adam James,
ORC C:E RT NICTIiIBER: 99' 897
Carolina
GRADE WW 4.
ORC HAS CHANGED. No
el)M R PF,FIOD. 01-2016 for u q 2016)
ON: 1,0
'TA TUS: Process d
SAS : EFFLUENT DISCHARGENO.: 001
NO DISCHARGE*: Conti
fi C"iXtsYltl
('06 •5
O; G ?u
'Afm' f„`CtYitli{kFtf4
l'i)!Yt(It}41t�.`
C3: - C Z TOTALN - C£ w
TOTAL P • i"#rttc".
2
12111) 0.3. B
.#
2 245 (1:5 5'
-314.5 (1.5 ".. Y
12,0 24 1D5 S.tX
15
: R
14(tfl i tt Y
Ali
13311 ft.5.: B
7Xt
52514 l i F
. tl
132,5 LO Y
�2
I125 to
1.E . iis'
16
1.3 Y
O
z 3 i2a0 ()5 . Y
21
1215 24 1320 L0 1"
. 2.2
1525 03 Y`
I
k141l tl.l L
24
i:015 t}.:3 N
25
?6
X()t(l (1 S`
17
6?55 X230 1.(1 5"
213
€2±1 24 XX4i 0,
1010 10 Y
'J1!
X 1 #il t1:3 R
3X
QU) (R3." B
IWkacsxttzly Avecvgx� i:sn»t:
Mont1dy Average:
wX
£
a 5
[YeiXy maximum
MikVmillimillm
2X
25

1. ,S PERA41T O.: NCO062383 PI:Iit41I'r VERSION: 5.0. PERMIT STATUS: Active
AC 11,ITL' NAIVE: Caacenw Ilarbor VVWTP CLASS: A5.'WVV-2 COUNTY: 1ci is€tttt.zr
OWNER NANIF: Carolina Water Service Inc of North ORC: Robert Attain James ORC° C SE T NUMBER: 992897
Carolina
GRADE- WW-4. ORC HAS CHANGED: Na
eD VIR PERIOD: 0 1-2016 (ianuctry 2016) VERSION- 1.0 STATUS: Processed
COMPLIANCE- Compliant CONTACT PHONE #. [phone] SUBMISSION DATE: 02/ 6/2016
02/15/201 to
ORC"/C'ertifier Signature. Robert A .lames E-Malt-.rajattes@ttiw,,ite°r.cotat Phony #:704- 61-tl648 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 1u.cartte ausrare of the cireuinmances. A written submission shall also be
provided within 5 days of the time the per raittee becomes aware of the circumstances.
If the facility is noncompliant, please. attach a list of coff rytive actions being takenand a time -table for improvements to be made as required by part 'II.I .6 cal
the NPDES fxarrii.
COMMENTS:
02/ 1 to/"2016
Perreaitteelw'uftmitter Saga xature:'N""' Tony 1 Konsul E-Mail:tjk«nsult!)ttiwatcr•.ccarri Phone #.[phone] Date
Permittee Address: ens Harbor Rd Charlotte NC 28278 Permit Expiration Mate. 06130/2Ci20
I certify, cruder 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, Eased on nay inquiry of the person or persons who managed the
system, or those persons directly resf€c>nsibie for gathering the information, the information submitted is, to the hest of nay knowledge and belief, true,
accurate, and complete I am aware that there are significant penalties for submitting false inforntation, including the possibility of lane; and inaprisonrnent for
knowing violations:
C ERTIME'sE7 LARCARATORIE?
L.AIB NAME- K&Via Laboratories, Carolina Water Service, Inc. C,hatkaue Region
CERTIFIED LAB #: 559,5228
PERSON(s) COLLECTING SAMPL ES: Kyle Robinson, Robert Jame
PARAtv11~TERCODES
Parameter Code assistance may be obtained by calling the NPDEs`S Unit (919;) 807-6300 or by visiting htt ://pcsrtal.nodenr Carl /web/ glswpftaaCnpdes/forms.
FOOTNOTES
Use only units of measurement designated fit the reporting facility's NPDES parent for reporting data.
=` No Flow/Discharge From Site: Check this box if no discharge occurs and, as a r suh, there ve no data to be entered for all of the parameters on the E3MR
for entire monitoring period.
d.
CIRC on Site?: ORC" must visit facility and docun ent visitation of facility as required per 15.E NC AC 8G .t)'20 4.
ry . 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 2I3
t7506(b)(2)t 7.

11T NO.. NC'_t)062 383
rcun-YNANIE.Qucen�
PERMIT IT VERSION- 5.0
I'I ~MIFF STATUS' S' Active
Harbor WWI?
CLASS- !3±°W-?
klenburg
COUNTY: Mecklenburg
OWS 'it'i:"C�1"EE}T�k&�:ii�"i"I''#4'S'.IkC Lt`�`'+Ci?I'tlC:.i.?it't
1c`:ttin .E<PEiSc'§i..C°'.RT
%iES�i'.
C'<1f'Rs11tt 1
GRAPE: WW-=1.
RC'' HAS CILANGE D: No
r s 2 1,
cDMR
PERIOD: 12-2015 (Deconber 2015)
VERSION: 1.0
STATUS: Processed Q��1
SAMPLING LOCATION: EFFLUENT DISCHARGE
NO.: 001 NO DI f 7�' � '. N'0,( ,NA ,
..m,x.,,.
0 3 N .50
t}i RO 11d4AN
141060
tit%#!ti
... t'fi6it4 ! o5m 31616
fgt3€}€d
i; 15 """.
L!; ' I'd}@aitlidkT73b
xCt'h°li 11 2Ge1:}}
2,'1kfC1
1 CCi:.fb'
trJCl'k11 11'c'C`1."Ii' Eick•
r H N 1UnC".+.jdi1L`P
p� d
MxY .F CT,±
:. (iiC9}➢
rlTtil(kt tG'
( cSa48j1ihili4 i^4i%tiiittFifli° (§Cast
{iCdi#
z 1<d.tow
'I L.MP-C PH
C°111 ORINl=.
1? - C out
NW-N - Cow T`SS - C"elate 1r 1 c C `01.1
1,M3
141111 Ile 011 /WN C.
dcgc 111
'
Y
P(
: E"} /I E£eh11T
"9111
1
IhAO 05 :: 1° 0.28
g
2(N& i411h t.Rb i Tof2
;}
;d
12ttt} 24 I I M Lt1 ;. `t il024
a;e '7.(i7
.41
" � ..
:0 h r 2 3 . K !
`ills
>C
121£s Ob 3 0032
'Fs
Ei11, )I 5 R i,121
R
dZEidt ti5£3 d€1 ': 1° ii 021:
35
11
i2fY5 'A ti,ldd €t €# Y i)ti "
15.�1 7!$
#I
'?'#
<'. #1.5 a.5
487
£11,17.
;tit
0,011
qi2W
13
t}::.
5
ib
lihltfl b,l t3 {k tiE3:
1{x
!'Y311; C#14kD B.II "� Y tk.Ell "r.
17
t2£11t 2.1 kI145 11 5" ;t llii
ii7 '£.tit
4
?
<0.?. <"3.;x t�.0
S33. ..
11
1445 S Ii Y dEiiZ
25 03 ': H dl 009
.. .
M20 0) 5 '. Y" tt 014
40
tCD i0 Y ttfi,?}.:.
*224
"1iC, (1.8s
25
3
: � (0, <15 (
725i).t12301910
fD.3(WO
03 N tM_tktC.:.
ZC,
Sil!tt R3 N 211u1
7
il:l1 Gl,i iV t111€6
2ii
f2m t' dHl 1 5 5 0,028
4.5
wet
120's '4 6:— 1.11 Y
7.tk�i
ZI
5."7
.�, 1k^+7.t 23
4as0
INK) 10 6#
31
421'"�',
1325 hfi ii
"011.4
Rtoutttey ,`a v Cape 1.ea;tet"ar
Monthly Average,..
7.04
35.t
3 3+#
ti 142 2,15056
53 My,.
t 30Y k4iummum 0 "37:
193 7,19
48
5,7
0 .... 7.; 23
7,25:
Daily Minimum. th tM'.
15 4 &88
2I.
- 4 ...
0 0 Q
4.817
kXb"it1N(y Avg % 15'CRk4eof`eli (ie %l1
.
C v"
FEB2 2 016
ENTRa�,.j' FILE

PE.RMI'E NO.: NC006238 3 PFRf4 IT VEsRSEt : 5.0 PFRIr" IT STATUS- Active
kc, E [ Y NAME: Queens Il dio WW FP CLASS- W -2 i'i.DLill�"1 Y. Mecklenburg
C.3" NINE E' PtiAME - Clirolina Water Service Ine+ of North ORC-. Robert Adain Ja€ties ORC CP.RT NUMBER: 992897
Carolina
arEt24 R PFRIOD. 17-2015 tS)ccember 2015) VERSION3 ].t) STATUS: Proces,,e
COMPLIANCE, Compliant CONTACT ACT PHO Ei #.7045?571cati SUBMISSION E3A"I'E>. 01/1812016
01/1412016
C RC/Certifi. Signature- Robert AJarnes C-Mail:raj,,tnaes3� uiwatter.e:om Phone :704- fti-t}fa-113 Date
3y this signature, _ i certify that this report is accurate and complete to the best of ray knowledge,
The pertnittee shall rep mt to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the e nvirinuitent.
Any information shall be providedorallywithin 24 hours from the time the pernaittee became aware of the circumstances. A written subruission sliall also be
provided within 5' days of the tirac the perarrittee becomes aware of the circumstances.
f the facility is noncomp ant, please attach a list of corrective actions he in# taken and a time -table for improvements to be made as required by part 11, ,6 o
(lie~ ,NTIDES permit.
COMMENTS:
,__ __
01I18/`'01fi
Permittea/Submitter `lignatu e:"r..°'s anyr J' Konsul E-rlIail:tjkonsalt( uiwatcr,com Phone#:[phone]�'.3 Date
Permute'/,AAA . " 13835 Queens orRd C harlottr C 2827f3 pertnit Expiration Date: 06/30/2020
certify, under penalty of law, that this document wal all attachments were prepared a nder my direction or supervision in accordance with it system designed
to assure that qualified Ite:rsonnel property gather and evaluate the information submitted. Based on n y= inquiry of the person or persons who managed the
system, or those persotns directly responsible for gathering the information, the tatfomiia ion submitted is, to the best of my knowledge and belief, trite,
accurate, and complete, I am aware that there are significant penalties for submitting false iuforuiatioan„ including luding the possibility of Fates and inifiri:;m nrera for
knowing violations,
CERTIFIED LABORATORIES
LAB itiAMF-. Tali W Laboratories, Carolina Water Service, htar. Charlotte Region
C"Eid"t'ITIFI? LAR #r 559522
PERSON(s) COLLECTING S NTPL S- Kyle Robinson, iC+aW t Jarares
PARAME'TER CODES
Parameter Code assistance may he obtained by calling the. Npi. ES Unit (91 ) 807-6300 or by visiting; http:/lportal.riedenr,oirg/web/ gfsw3it tslnpdeslCcatnis,
1'00 TNfi'i ES
Ilse only units of measurement designated in the reporting facilityt'r N'DES perniat for reprtrfing d<aut,
'* No Flow/Discharge Front Site: Check this hoax if no discharge erecurs a.nd, as a rc sti , thereare r no data to he entered for all of the parrameters on the <D!4 R
for entire monitoring period,
r ORC" on site?: ORC must visit facility and document visitation of facility as required per 151 N(',, C 8G,0204,
si natuie of Permittee: If signed by other than the pt rniittee, then delegation of the signatory authority must be on file with tire. static per 15A NC AC 2B
,0506(b)(2)(D).

* 1I NII T l'�f'
NCO062383
P RMI T V F SION— 5.0
' I2Mi,r s'TA'TLIS; Active
Queens Hatbor W TP
`LASS. WW-2
COUNTY- Mecklenburg
d NVNT R NAME: Carolina Water Scrvice Inc of Noillt
ORC¢ RobLrt Acl.em James
gift" L ER T NUMBER: 1 )1` 97q
Carolina
p �w p x
A lb' e., N rDEk R/DW t �
e,I)MR
PFRI iD- 10- 015(October20E)
VERSION- 1"0
STATUS. imessed
SAMPLING LOCATION: EFFLUENT DISCHARGE
NO.: 001 NO DISCHARGE*vvNQs
MOORESVILLE REGIONAL OFFICE
A 5; 6U .141
WHO t *X)
.aiBtM
C'ii31!}
C)0610 31646 WNW
.;
:"
`ak,Ly
dd rkly A ly Yukky,
Rccavrtla
v
G W, #Ira%
Gral,
Corn €rein
r`crnlp:r~rG° 4,a�nx tw:weta dir„14+ 241a :
J,
C.dc
z FLOW
"ShiiC°»C" 1'Et
K"YeL,EiitlNt?.
ROD :Owe
3Vi7;'4.9l-C4km i5S-#,€xza- 11'L"C'f;CSi..i. i76?. :
ri£ad1
In 244W Ura -'11UN n i6i
dq L �,a
nsvtt
awrl( tr1*,—,T,Ats1 21,
Lvl' R5 H 0014
236 6.85
24
75
d0.5 15 2 63
-1 ' Ci di 1-11
M61��6
€1.5 6 d1i1#.4tt5
y M019
0,5 5'" 0,0 P
)i
)2I5,.
24 IN3t! 111 Y C4.6ii2.:.
213 6.92
:.26
3#
<dii < I5. <1 M9
ld)
#t XI tk 1 : 5t OAH5:.
32
Et
i#r2e) l.3 _. N #1,1124
E2
6li€5 il.3 R tttlry+)
13
100 03 y nit"_t.,
14
I2ktt)
NO £1 5" 0tll8'
tS
12W
$4 1050 E2 t" 91.024-
20W# Tol
20
2.6
a. dk5 <15 e( 76
iCA
B55 03 Y 0.023 .
' 21%
7
121ft {l.t la 11113
8
8.133 dii 1t 002
€9
16W 0.i 5' 0,026
tNXI
24 &t2o US 1" M02E:.
i71 7,19
Zak
29
<.t75: c2.5.
Lei
fiS 30 tk.d 13t#.dt2
2,
045 23 ka
16
12tt5 t14 ..... i` iB t)k K:
27
141f1 t}.id.. 5" 0,O)l
U
d200
1130 its y i1021
�.^ M
29
t2W
24 lt£CS l0 : 5' 0t)2
tdS 7."s
2l
is
cti.:3 <2.5 <1 5.9
M
103£} € 5 a 0,022
31
t1_ai 03 - Y3 tfi kl#9
2€N3
l4 outhty A,,rogv. it F9 W.7
zit,"a4 ... 701
24.4
1,88
0 0,9 1,149698 7,4
mily'),laxi mums 0029
23,6 7,19
43....
7.5
:0 45 2 MA) �.
Dany mildaw"al. 01H
' P k 5:35
9
2,6
0 di dt 5?9
RSAxte#t€tg°.M1vR'YciiertttevYtt(t)3�.1:
RECEI
DE 1 0 1
CENTRAL FILES
SECTIONDWR

P
CET NO.. NC 238 3
:RNAME: Carolina WatcrSemiceJac
Carolina
GRADE- VVWA
COMPLIANCE- LIT tiplian'
PES IT' "ERSE N:5.tt
CLASS: VVW-
f North ORC. Robert Ad tin James ,
RCHAS CHANGED: No
VERSION: to
CONTACT PH(YN% #:'7045257990
PERMIT STATUS: Active
COUNTY: h3c.ckkellb-9
ORC" CE RT NUMBER: 992897
STATUS: processed
SUBMISSION DATE. 11{3t?Ci15
11/12/2 I1,5
()ICt'lt'er°til`ier Signature: Itcrbert A James E-Mail:rajames uiwater.e Phone :704-3'61-0t+ Kati.°
By this signature, I certify that this report is accurate avid complete to the best of ray k.rtcawledge:
The permittee shall reiitart to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or tie environment.
Any information shall be, provides orally within 24 hours front the titx e the peaaatattee became aware of the circumstances. A written submission sliali also be
provided within 5 days of the bole the fa€°aaminee becomes aware of the circumstances,
c es,
If the facility is mincontfaliant, please attach a list ofcorrectivfe aacti ans heing taken and a tune -table for improvements to be made as required by part II.E.6 of
the +"I'I?I S permit.
COMMENTS:
I
11/13/`201
'ermittee/S boritter Sign tore:" z Tony .I Konsul-isaail:tjki>[e-mail] phone If:70 31 0523 Date
I'errnitter Address: i3f3ic. raeensTinTacwRd C.hacrlt3tteNC °l� h.'errtaitlspiratic>nbate:tlfsl3tll'?(13f?
certify, under perialty of taw, that this dci urns nt arid all atta c°hnients were prepared sz idet° my direction or supervision in accordance with a system designed
to assure that qualified per orurel properly gather arst evaluate the information submitted. Based our my inafuit) of the person or persons who managed the
system, tit those persons directly rtafttvisible for gathering the information, the inftarmation submitted is, to the hest of ray knowledge and belief, true,
accurate, and complete, t aunt aware that there are significant penalties for submitting false infor itation, including the possibility (if lines and imprisonment for
knowing violations.
CERTIFIED [ABORATORIES
LAB NAME- K&W Laboratories, Carolinas Water service. Inc. Charlotte Region
C>E 7t"E"W IE D LAB Ift 5595228
PEECSON'(s) COLUCTINIG SAMPLES: S: !CNle Robinson ttobt a J agates
PAR,AMIETER CODES
Parameter Code assistance may be obtained by calling the I PDES Unit (919) 807-6 300 car by visiting http://portal.nedetir.org/web/wtl/,swp/ps/npdcs-/fortxis,
E'(X)'TN(,.)TE;
Use only units of measurement designated in the repa)rting facility's iv:PDES Ixonit for reporting data.
No E low/f ischa s e From Site.: Check this iaeav if Too discharge occurs and, as as result„ there are no data to be entered for sill of the parameters can the DMR
for entire.: nuanitoiring period,
ORC in Site`.?: ORC must visit facility and document visiiaition of facility as required per 1 A NCAC 86 .020 .
Signature of Pernintee: If signed by rather than the permittee, then delegation of the sigmatoly y authority, must be on tale with tltt state per 15ad NCAC 2I3
W0506(b)(2)( )-

0 PERMIT
)ES
""I'l F A CFtL IffT 7YN A FIN I I
NO.: NCO%2383
PERMIT VERSION- 5.0
PERMIT STATUS. Active
E. Queens Harbor WWTP
CLASS: WW-2
COUNTY: Me.eldetib
T, —KIlurg
OWNER NAME.
Carolina Water Sent ice I('e of North
(.)R(,. Richard W, Alexw1der
ORC CERT NUMBER: 9)7933
Carolina
C RADE: WW-4
)RC HAS CHANGED: No
el)MR PERIOD: 04-2015 (September 2015)
VF1610N. LO
STATUS.
SAMPLING LOCATION: EFFLUENT
DISCHARGE NO.: 001 NO DISCHARGE*: NO
A
50050
1)(KH0 (9)4(10
51)(160
C0110
C0610
C05.40 31616
t913410
jXwccl
_
kly
-,rkly
Wcclly Wockly
tocordor
OrIlb Grab
Cffab
4 FLOW
TEMP-C, PH
CHLORINE
800 - cafte
NH3-N - Cone
TSS - Cow FFIC C0111
DO
—
al_W
Ur,,,, 24(91
Hrs YfB/N 200—
1111, —C
—1-B
mr-0
ME— E-11"ll,
1110,
1
10925
10,5 B 0,013
120(l
1030
L0 B 0016
33
1
205
24 t W5
15 9
L4 �! (I
E5,
1
1040
1
0
t 3,10
0.5 a 0,012
6
1340
05 B R015
1
1111
14 1017
9
i�,,o,5
u-5 Y (mn
1-45—
2 —5— L— 2 —m —I
III
11111
�14 I'll
L_
11 1-1111,
L_ 2L_
21�2 A9
_ 1_
j7
11
(1,5
1
1700
03 y (Mol
12
UK45
0 4 y 0,019
14
11145
1 05 B 0,011
Is
1 Ion
las 2-1113
16
12(m
9
M.110
41�
0.5 13 0,015
17
1211
24 1150
IM B 10,015
18
—
". 1.
19
1520
03 Al
2—
12�111_
(13 N_ DAM
.11
14-10
111 2j) (111
2.4
12M
1150
R5 < R 0,014
a_
1205
24 IM
0-8, 8 0,014
255 7.0F,
S2
6,7
< 0's
2.9 i3
3,7
2-1
M5
I () B 0,014
26
1030
03 N 0A3H4
17
WlVi
03 x 0,015
115,
29
1255
ol, B
1215
1Wi
(),5 B ELUI
A^E(mtt Limit 0.15
30
30 2(Xl
Mnul'dy "*"9'- 0,014933
25325 1XV123
26,375
73M
0
135 U65169
6J
Davy maxialum. UAM
271 7 V9
43
11
02
69
215 698
12
51
0
2
171
Mimthly Avg ai r! 51
t7
R
RECEIVED/NCDENR/DWR
T 3 o 2 015
N 0 V 12
2 0115
CENTRAL FILES
WQROS
OWR SECTION
MOORESVILLE REGIONAL OFFICE

mp,pppp�
PERMIT NO.: NC0062383 PERMIT VERSION: 5,0
FAC:II,I I Y NAM : tw7 -ens Harbor 4V` rP C:I.ASS. ' >
OWNER DAME. Caaraalin a Vsater Service lac tit North ORC. Richard W. Alexander
G RA i s W -4 O RC° HAS CHANGED: GEID: No
SAMPLINGLOCATION: Lid I L AG : 001
I'I: MIT STATICS: fictive
COUNTY, Mecklenburg
ORCw C'EIIT NUMBER. 997933
STATUS: Processed

PES NO.- NC0062383 PFRMIT VERSION- 5,0
rt ffl, tV1IT I —
FACILTIV NA Queens, Rarbor WVVTP CLASS: WW-2
OWNER NAME: Carolina Water Seri, ice Inc of North ORC: Richard W. Alexander
Carolina
GRADF: WW-4 ORC HAS CHANGED: No
eDIVIR PERIOD: 09-2015 (September 2015) WRSION: 1.0
COMPLIANCE: Compliant CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNfY. Meckleatnag
ORC CERT NUMBER. 997933
STATUS: Processed
SUBMISSION DATF- 10/21/2015
10/21/2015
ORCfrtifier Sjgn,Kure: Robert A James E-Mail:rajames0auiwater.cora Phone #:[phone] Date
By this signature, I certify thatthis report is accurate and complete to the best of my knowledge,
The permittee shall report to the Direchir, 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 titue the pernfittec became aware of the circumstances. A written submission shall also be
provided within 5 days (if the time the permittee beconies aware of the circumstances.
If the facility is nonconiphant, please attach alist of corrective actions being taken and a finte-table for improvements to be made as required by part, II.F.6 of
the NPDr-S pearric
COMMENTS: ""Jack Jones was the ORC for September, somehow his r e was removed trorn the list and we cotild not get hint added back. We worked internally and with
DEQ. Richard was picked as, ORC just fur wrtiott conipletione"*
w"' pie Just
QL.'J 10/21/2015
11� * Ton
Perinittee mitten S" atr,-:`-* Tony I Konstil Phone #:[phone] Date
Perinittee Address: 13818 Queens Harbor Rd Charlotte NC 28278 Permit Expiration Date: 06/3(V2020
I certify, under penalty of law, that this document and all attachments were prepared Linder ray direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the inforination, the information submitted is, to the best of try 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 NVVIE: K&W Laboratories, Carolinas Water service, Inc.
CERTIFIED LAD #: 559,5228
PERSONts) COLLECTING SAMPLFS: Kyle Robinson, Jack Jones
PARAIMETER CODES
Parameter Code assistance tnay be obtained by calling the NPDES Unit [phone] or by visiting http://portal.iiedenr,oi�,olweb/wqlswplps/iipdes/fornis,
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPI)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 entire monitoring period.
ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NC.' ACC 8G.0204,
*** Signature of Permittee: If signed by other than the permittee, their delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D),

P PFF"-
UtNties Inc. -
September 22, 201
Attn: Central Files
Division of Water Quality
117 Mail Service Center
Raleigh, NC 2799
Re. Queens harbor WWTP
NCO062383
Flow Meter Repair
To whom it may concern,
The flow readings on /°1 15 thru R, 4 15 were estimated due to a lass of programming and calibration of the flow
meter. Conractor was immediately called to reprogram, and calibrated flow meter which was completed on 4 15.
The flow readings on ,/15 15 thru 7/15 were estimated again due to a loss of programming and calibration of
the flow meter, Contractor was immediately called to reprogram, and calibrated flow meter which was completed
on /17 15 We are unsure of what may have happened to cause the flow meter to los calibration and are still
investigating to ascertain a cause. in both events we immediately took necessary sups to return the flower meter to
proper working order.
If you have any questions or if l can provide any additional information please do not hesitate to contact me at
704-319-0500. Thank you for your attention
Sincerely,
RECEIVED
Adam Jamey SEP 2 9 2015
,Area Manager
Cc.nyo�wsul CENTRALFILES
DWR SECTION
Cc. Robert Loper
Cc: Martin Lashua
ha, beCarolina Water Service, Inc. of North Carolina
P.0, Box 2 Chadotta, NC 28224 o R, 0 - 5- F.704-525-8174
5701 Westpark Or., Si to 101 # Charlotte, NC 2821www.utwaterom

I't' N 07NO
'ITY NAM
ME.
C. li."I
P08WVXIF,R NAME. Carolina
2383
PFRMIT VERSION. 5D
PERMIT STATUS, Active
lbor WWTp
CLASS. WW-2
COUNTY- 14ecklealwg
Water Service Ine of North
ORC- Jack David Jones
ORC CERTNUMIRFR:
299&lVED/NCDENR/DWF?
Carolina
GRADE. WW-2
ORC HAS CHANGED. No
0 C T
eDNIR PERIOD. 08-2015 (August 2015)
VERSION: 2,0
STATUProcessed
wAf ROS
SAMPLING LOCATION:
EFFLUENT DISCE
HARG
NO.: 001 NO DISCHAS
jf
Vt L
GIONAL OFFICrz,
4 5,01150
00010 00M)
W)60
C0310 C0610 C0510
31616
WOW
an
Lmli ous
±IcL-kly 11c �lty
1_.L_
"k --ok
lock L� V kly
1��� j__ _ 1.�v
c,*�y
2_
_
Rcearder
Grab Grab
Onah
Lollllm—'Mlk,21-4121r�lh
4 Ll--("W
LIE—Illp-le L,
LULORM
D - Couc
L(L_ LID-N - Coac VSS-Coaw
FECC}ant
DO
24W
Hrs, 241M firs Yl" d
C
*A
g/I aqglI mgll
#1100ml
ttl ol
0,3, y —21-1111---
154.5 03 Y O.M.)
M0 03 y 0-M3
mo L�,!_ 1— lmLl -i
1
24— =-.L2—.L— L'2-2—
-'7--
7
lim o 5 Y funi
(11 N 0.016
10,30 03 IN I— ami
ILI
IM) 03 y 0.016
As Y 0,01.1
L2
2110
10.110 03 y 0.014
L.k _.L
EINIM
1_
24 1130 111 9 B,M4
011'1'-1
25.9 6.9
----
18
ib <05 < 2,5
—
7
5-6 -
14
M0 1.0 B 0,014
rl
0.5
16
1 2 8 dltJlva
17
it
28--
29 111 C1.1 2-- L, TO —I
20
12ffl
24 tIM1 0,5 B 0.017
i6_9 7,07
t9
38 < 0,5 < 2,5
18
5,8
21
1640 0.5 y 0.02
12
22
M5 0,5 N 0,013
23
1510 03 N 0,024
24
t2fx) 03 y
25
08U5 05 A 0.016
--,17
26
1145
1 Iff) L4— 2-- L'-1212
17-2,L-78
—5,5
27
H140
24 1C 15 LO B ROW
45
(Y5
28
1250 R7 a 0,016
29
MR) 03 fl 0.0l'i
.141
0,35 05 B
31
1220 L0 B 0A17
fordifily Average L tdt: 0.
AloatWy Averages
Dany Maximilan RMA
27.2 707
45
5,8 Q
6
many Nfillifflum ROW
25,9 678
H H
it 0 0
0
i.5
Monthly Avg % Removal (85%)�
RECEIVED
SEP 2 9 2015
C C- W'R, lk t . F i L
DVIVRSECTICA

ITNO-- iCC )02383 PERMIT VERSION:5oO FItMISTATUS:Aefiv=
3iCY t lk: Chtetlt at or i4WTP CLASS:-WW-`? C`t�i.iN,ry: leeklenbwg
POWNFR I� hit1: C at'a>lifva fatct 5 ;t °ire inc cif fV<>rttt C?etC`: i k t #c"ici €cxrac CPiil C fli"C [.tl4Ti3E I$; t} l8492
Carolina
ei1MR PERIOD. 08-2015 2V pm `21115} VERSION- 2.0 STATUS: Pr(yesget1
SAMPLING LOCATION: EFFIT TEDISCHARGE .: 001 NO DISCHARGE": (Continue)
0 Mraflf C066
� � 4 f� � t�uxta.rfl � t�ra,ar[ce4y
� 3: � � � C`cana �rwDtc C."�xir�gacrii�
0 c z TOTAL N , Cone TOTAL: P - i`om
LXI Hrs 241111 It, i`IWN ux,�Jt rae7)
.3 1410 0A A"
,.4 11 ! W 25 's
'.:i 1230 IS50 115 a
6 t211 ?4 :H 110 if1 I3 23.. r1
11 flaJ3i3 f).ui A7
:82 I2111) 11111 115 Y
Ll 12f11) 14 .210 3tt ill B
7ro aE3t1 f).5 F3
6 tf25 ti5 t3
17 !?d5 i l! B
:ilf t#tt3d➢ fk.5 TS
3ai 1?i1f) #ti4t3 t1,5 i
„ll 13011 24 Mx) 0.5 fl
�f lv4f) f1.3 Y
:ay 151t) 103 )4
1200
:::p M3 Y
*pis IN, # RX) 14 R
a7 t 141, 24 t i 15 1 tl :' ES
19 tltltt tl5 f:
i1# 1515 ta.5 n
31 f:221# 1 t) B
2dNu80dy AAurra&w unaft.
mily Maxialuan: 23 3. i
Llaffy iittioyauxnt 23 x, 7

MITNO.: N(10062383 PERMIT ITVERSION- 5,0 PERMITSTATUS- Active
Quess Harbor WWTP iLASWW-2 COUNTYLleck-lebur
Pwrr.iYrN,48neRNAME.
Carolina Water Service Inc of North ORC: Jack David Jones ORC C ERT N[i14BER: 98492
Carolina
illillC PERIOD: i) -2t115 (azf>€aa 2015) VE'RSIONa 2.ii STD"I"L?S. processed
COMPLIANCE: E: C:"<ampliwit CONTACT [" IONE . 7(U5257990 t.MMISSION iiATF: 091 31201
09/23/2015
ORC'/C'erti' is Signature: D Jones E Mailajd otiesCaiuiwaatcr.rcarn ph<rtac #:7tif- ?-7c)9T1 Irate
5y this signatuxe,?I certify that this report isaccurate and complete to the best of my knowledge,
The pernottee shaft report to the. Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environni art.
Arty information shall be Provided orally within 24 Hours front the time the pernrittee be~cauae aware of the circumstances. A written submission shall also be
provided within 5 days of the nine the pertnittee becontes aware, of the circumstances.
If tire facility is noncotntaliatnt, please attach a list of corrective actions being taken and a time -table for improvements vements to be uaade as required by part 11,E,6 of
the NPf)ES perraa t.
CC7al1�LM ',N'TS;
09/23/2 1
Pcror`ttee/Subraaittecr Signal rc.>"`'* Tonyf I Ron'
E-Pa aail.tjkonsza)@aiavwler.corn f'hotic #f:7043190523 Date
Pernaittee' kddress: l: Queens Harbor d Charlotte NC" '2S27t1 Penidt Expiration Date: 06/30/202
C certify, under penalty of law, that this document and all attachments were: prepared under racy direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather atnd evaluate the information subnaittect. Eased on my inquiry of the person or persons who mariaas),ed ttae
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of nay knowledge and belief, trite,
accurate, and complete. I afar aware that there are significant. penalties for submitting false information, including the possibility of fines attid impri;amment for
knowing violations,
CERTIFIED LABORATORIES
R NAME: K&W Laahs,C';arof naa water Services, Inc. C'laatiotte Region
PERSON() COLLECTING CTING SAMPLES- :S- Kyle Robirasom Jack .Taaises
Py E.NMETER CODES
Parameter Code assistance nasty be obtained by calling the NPDES Unit (919) 807- ,:3M or by visiting http://portal,nedenr.orh lweb/wq/swplps/npdes/fonits,
IjC y"TN(.')T W
Use only units of measurement designated in the ca Ixxting facility's N DES ptertnit fear refrorting dates.
~` No T ]c»ICI`aschatge Frctnr Site,: Check this liras if no disclrar e occurs and, as a result, there are no data to be entered for all of the parameters oat the DN4,R
for entire monitoring period.
GRC,' oil Site?/ ORC must visit facility and docarrient visitation of facility is required per 1:5A NaC AC.`. SCE .C)204.
^` Signature of Pe itteei If signed by other than the peninnese, theca delegation of'the sigrehoty atittaaar t} tastier be on file with the state per 15A NC AC"' I3
.0506(b)(2)(D).

PFV
AtII.T'I~Y NrV
T NO.: NC00623183
PERMIT VERSION: 5,0
PERMIT TATIttst Active
:Quem Harbor WW` P
CLASS- WW-2
COI7N"IY- Lledilenbwg
I)WNFR NAME.
Carolina Water Service [ne of North
'I3RC: Jack David Jones
ORC C ERT NUMBER. 6VED/N FvR W
Carolina
el)MRPERIOD: 07-2015 t 21y 2015)
VERSION- 1,0STATUS:
Privesscdl
WQR OS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DIS(AMAGEtkEN_ IONA OFFICE
sow
NOW IM1400
stott f)
e:03I0
('0610 C105m)
-41616 WNW
coluklY ou,
WitClsly d b'4`l."i'p'
.. well,
222, y
MCCDe{\ SS"C 1'
Cckly
y,
.+• [}.q:i'tSCtICP
Grab Grab
(af b
[curtpsr,,iu
i'd}Rij.,, il- i`i7dll1-witd"
1i&a s?.
i3OD-Cone
ll±- +t-01- i;S'*—Carte:
&H:t:"COLl CX)
2aii1 klr°s
II
ftrv' Y F3i -
a € u
u.)
eT13
i1Ct eeE n:rt¢;
1
11rh
dI15
L" 1" 0(118
<M
`.2
1110 N
1( M
t$.5 ` a 0,0M,
27,6 h93
<10
>t')
<tk5 <2.3
" f 58
3
N4
ffol94003
i1,5 ": N r1t124
:3
€ ,8 N 002)6
(15 B t1 t12)
`.?
i l(K)
0.5 Y
:M
1?Pitt
42..iQY
tT.S 'S` tt.1117
+t
➢"_IS 73
1145
I15 i' tl.tl :2
27 t.71
it
D A-..
<P75 <25
i4 58 ..
' 2t1
€2(11
U3 1' tl.tt#3.
12
LB
1)411
f)3 d) #k tt2)
'l�
1324
Yt7 � i` d).iY2S:
i4
EIA
15 Y" 016
::la
t'„s?5
#tlW
{i5 2` Y!t),-.
I5
` 6
12411 34
UM
tt 7 Sr 0,02.7 .
:. 28,11 7,03,
t 1
5 1
, 0.5 <. 2.5
22 6A
17
1300
li.i )' 1)t618 ...
..
l+T
1'2iS
tk;s A th.t4;;I.:..
20
II121t
{17 S' t1.1111
21
(?).;5
o-s y d).tEM
22
12'. i
t i T
1 5 S° 1 1118
:S20
3
1225 24
1150
LO :. 5` t ,M s
27.8 6,M
12
<> ".
< t} i <'2 4
:i7 S.5
14
Lilt➢
1I5 1" C11111
:?b
21131)
21 S'' € II'
37
34,11
{1.1 10
0
62i95
! 1111
1 S S' t➢.i1118
Si
U20 24
C210
0,5 S' ()A*7
127,3 7,16
o
11
2 7.2:-..
: 70 &9
hft+uthPy Areru8e 2 im& (i.t:S
X)
30
2491
Nfouti dy ai.weru8e. (1018012
2734 6 894
9,1
6,92
04 L44
26twt)E$41 6,02
wilyRCztxNlaun 0031:. " 28.2. 7,16 211 11
Way Minimum.' tD tNi3 '7 664 €i 4:
trttkhEy !le y4 @sc�nrwaul {h`h"t'c}: ..

T NO.- NC0062383
PERMIT VERSION: 5,0
PERMIT STATUS: Active
AM Queens Harbor WW'rP
CLASS. WW-2
COUNTY. Mecklenburg
OWNER NANO'-- Carolina Water Semice hic of North
ORC: Jack David Jones
ORC CERT NUMBER. 998492
Carolina
GRAIM WW-2)
ORC HAS CHAN( ED: No
el)MR PERIOD: 07-2015 (Ady 2015)
VFRSI(.)N: 1.0
STATUS: Pmeessed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
C0600
C'0665
TOTAL N - Coac
VYI'ALP-Caw
an-) it-rs- 24M) 31r, Y/WN mpA
-ftl,,l
IM 24 1100 US B
MAO 011 N
HM D's y
-S.L-
as V5 24 145 R5
L0-
.Ll L-
L-1- 125.5 2 --1 L--
.Ll�L-
�L4___.LW 11
L" 1225 MAI 0,5 y
16 L2±L 14 12M LO j_
17 RX, I I
iv 1211 2 -1- .2-
L11 _. IL1211 Ll 7_ j_
211- - - 21-11- 2-1- 4--
22 1225 - It Y) 1,5 y
Ll__ L2215 14 1511 11
[124�� MO 0,5 y
25 2-s3-11 2-1- i--
19
L430
M10 Ms y
M30 03 y
t 2115 1 �50 05 y
220 '24 �NO R5 y
MMonthly Average Limit
Moididyy Av;cwagpe,
Daily maximitim.
zany MlwMlm
Moaddy Avg % Rmoval M%).,

FS
t2Iv�IT O.: NU1,1062380 PERMIT VFRSICDht. 5.0 PERMIT STXrIJS; Active
OWNERYNAMF: Queens Harbor WWTP CLASS. WW-2 COUNTY. Meek-lenburg
NAME: Carolina Water Service Inca of North OR0 Jack Oavial Jones, ORC CEIIT NUMBER. 84(,)2
Carolina
GRADE- WW-2 ORC HAS CHANGED: No
aIDMR PERIOD: 07-2015 (July 2015) VERSION: i.ti STATUS: Processed
CC)Vtt'U ANCE: Compliant CONTACT EIICDNF #; 704,5257e)€ 0 SUBMISSION DATE- 0811 ?/2015
0/J4/2015
OR C/Ce rt if ie r,ignaturi : Ja TD Jones E-Mail:jdjon [e-mail] f'tton t704-52-"i990 Date
y this signature, I certify tat this report is accurate and complete to the hest of nay knowledge ,
Tire pc°rta'tittee shalt report to the Director ens. the appropriate Regional Office arty, seat cone i'umce that potentially threatens public health or tier environment,
Any arai'01111aliGn shall be provided orally within 24 hours front the time the, peratitteL became aware of the circurnstaances. A written submission shall also be
provided within 5 days of the time the perarrittee becomes aware of the circumstances.
If flee facility as noncompliant, please attach a list of on't five actions being taken andit brae -table for iralrrovetrt nts to he rn ade as required by pail. T,E",6 of
the NPDES peruart.
COMAUNTS. Flow react€ r ataal action on 7/29/201 . Flow car -ter has, been n - ` •ed and calibrated € n 7/30/2015.
08/18/2 )15
Pertoittec Submittcr Sigtt' tore.-* a Tiny J Konsut E-taiaail.tjkonsarlF tii atea=.cofft Phone :70431€90523 Date:
Pernaittei A re s Harbin Rd Charlotte NC 28278 Perraaft Expiration Rate: 06/30/2020
1 certify, under penalty of law, that this document and all attachments were prepared under taay direction or supervision it) accordance e with a s stern desn"ned
to assure that qualified personnel properly gather and evaluate (lie information submitted. Based can nay, inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the €rai"ctrtatation submitted is, to the best of itty= knowledge and belief", true,
accurate, and cc niplete, I ant aware, that there: are significant penalties for submitting false information, including the passibility of fines and imprison anent for
knowing violations.
('FRTIFIED LABORATORIES
LAB N ,; K&W 12ba,C"arolina Water Service, Inc. Charlotte Region
CERTIFIED LAD #. 559.5228
PERSON(s) CC)I*UC TING SAA^IIILFS. tC «1c l share,€rta 3aack Jcarxcw
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NP DES Unit (919) 8 -63C )ear by visiting http://rK)rt<ii ncdenr,org/web/wglswp/p< updesffrarcrat;,
Use only units of measurement designatedin the reporting facility's N DES penint for reporting data,
"" No Flow/Discharge From :site: Check this box if no discharge occurs :and, as a result, there tare no data to be entered for all of the parameters on the. DMR
for entire; Inionitorin pentad.
* * ORC on cite!: t RC crust visit facility and document visitation of facility as required per 15 A NCAC 8G .02041,
"'I'Sigmature of Permute e: If signed by either than the lzerattittee, their delegation of the sigmitory' authority] must be on file: with the state per f 5rA NCzAC 213
,0506(b)(2)(D),

--------- ------
L_
4
1—
1200
1200 24
— —
—to"910
t t510
1030
tO40
1120-
0955
2
Hrs
10'5
0.5
0,5
1.2
0.8
0�5
Y/R/N
Y
Y
1
Y
8
N
.1
—2-_012<i10
MOSO
Eqdn...,I
FLOW
UIS
0,014
0.012
0.012
0.01
0010 00400
Week1 Weekt�
.bGrab
TEMP-C PH
lu—
212 6,97
LX week
CHLORM
A—
12
WIN
Weekly
cone
me—
5.3
C0610
Week1
NH3.N - Cone
nd—
<0.5
C0530
eela
TSS.cone
mo—
< 2.5
31616
eekI,
FFC COLI
AI-00m1
19
0030
limb
DO
5
�OI'
131,
0.017
4100)"
#YYY
0.011 —
10
1200
00,
� 50
0.012
< 10
11
12100 24
1120
1.0_
10
13
13
16
12 1205 LO Y
0.013
13— 1010 2--5— N—
�@--011
14 0935 0,5 N
0935
O�015
15 V505 ��.5 Y
q '50
t1200
0,018
116 0945 LO Y
0,016
117 1200 0() 1.0 Y
0.027
it
.18 L201 14 _ 1141 10 ]L_
0.035_
214 113
13
3A
<03
<2,5
41
,19 2255 t.0 Y
0.039
20 2730 0.3 L_ _.O
017
21 2830 0.3 Y
0.016
22 Lt25 jjL
024
23 1145 20— YL—
0bI7
21-- L(-)0-0 0415 10— Y
0,016
Yi
a!-- M"— 24— 10-0-0 1-0— YL—
0.-01-9—
27-4 —±-84—,:
w
6.3
IT
U
26 1025 1.0 Y
--
0D17
< I
� I
27-7-771150
-,L--
218 1610 0,5 B
0,026
LLLILLL
29=1535 LO Y
0.019
30 0.-
)9,0
Monthly Average Limit-
—
0.15
30
30
200
NfomhlyAverage:
0,0176
25,375 6.9525
5A75
5,08
0
0,78
15-95
5'5
unity Mn " exYn: —1039
27A 7.13
L3 _ ��_
3 �0_
31
83
Daily Minimum:
0,01
23,2
6,84
0
3.4
0
0
5
Monthly Avg % Removal (85%).
-0

V P PERMIT NO.: NCO062383 PERMIT VERSION- 4.0 PERMIT STATUS: Inactive
T
A�MITY NAME: Queens, Harbor wwTp CLASS-. WW-2 COUNTY: Mecklenburg
A!:IT
OW P
OWNER. NAME: Carolina Water Service Inc of North ORC: Jack David Jones ORC CERT MBER:998492
Carolina
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 06-2015 (June 2015) VERSION: 1,0 STATUS., processed
COMPLIANSCE -.!Compliant CONTACT PHONE If: K&W LabsC SUBMISSION DATE: 07/15/2015
C/Cer `` ier Signature: Jack D Jones-Mail:jdjones;Cuiwater.com Phone #.[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permiltee 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 circa rnstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is raincompliant, 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,
COMMENNTS: On e tth K&W Laboratories held on to coal Coliform sample too long, Needed to resample on June 26th and sample testing was completed on time,
�--11 " Cutiterm sainp 07/15/2015
P m
erm* ttee/Submit er Sig ature:*** Tony J Konsul E-Mail:[e-mail] Phone #:[phone] Date
Permitice Address. 13818 Queens Harbor Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2015
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete.1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations,
CERTHIED IABORATORIES
LAB NAME. K&W Labs,Carolina Water Service, Inc. Charlotte !Legion
CERTIFIED LAB #: 559,5228
PERSON(s) COLLECTING SAMPLES: -Lyle Robinson, Jack Jones
PARAMETER CODES
Parameter Codes assistance may be obtained by calling the NPDES Unit In t9) 807-6300 or by visiting the Surface Water Protection Section's web site at
http://portal.nedenr.org/web/wq/,swp and linking to the unit's information pages.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No 14, ow/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 perniittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(fo

r
IS_p
WITYNAMF.
UILITY POFWNURR NA:MF7,
NO.-
NCO062183
PERMT VFRSION: 4,0
PERMIT STATUS. Active
qu"ns Hmbo, WWrP
CLASS. WW-2
COUNTY: Mecklelltaur
roll na Water Service Inc of North
ORC: Jack David Jones
ORC CEP-T NUM"p-AMEMCMENRIDWR
Carolina
JUL 6 2015
GRADE:
WW-2
ORC HAS CHANGED. No
eDMR PERIOD- 05-2015 (Ma j�1015)
VERSION: 1.0
STATUS: Processed WOROS
SAMPLING LOCATION: EFFLUENT DISCHARGE, NO.: 001 No 1DISQ"SG&UNa10NAL0r-F10E
NON
00010 00W
so"
C0310
C0610 COS" 31616 oum
nLa�� 2Le,�
I X w-k
W-
-b b
RE,
11L
-b
E2�� L_ R
FLOW
TEmp-c PH
CAMORINE
W.11) - Cone
NIMN - Cone WS - Cow FECCOU DO
Hrs VfWN i
de c W
HA_20
1,0 JY 1 0,014
0-5 0,013
3
W-0-1
0�5 0.013
1215
1,5 y 10019
A_
11920
1.5 Y +0,010114
1200
1.0 Y 0,016
<10
24
1.0 Y aW17
2E.d
10
4.1
0, c2.5 4 C 1
L420
1,0 y
L140
.LO
1150
0.1 N 0018
.11 _100_0
)L— 0,014
2—
1115
]L_ kl) I
13
13
LM
12W
10 )L_ 2.013
.L4_
1150
t200 24
t.0 y Q014
72 6,88
<10
219
_<0,5 <2.5 12 6-2
1
I125
t,t1 9 i1.017
16_
0520
al 2j. 011
17
_ 28.10
�0.3
is
1225
1,0 y 0A19
1
1610
0.5 Y Q.(116"
A_
1210
L21,1
_
1,0 Y U13
11
1150
1135 24
1,0 y 0333
24,2 7A7
<10
66
5.1 < 2,5 cl 5,1
A—
ii _10
23
1200
1545_
U19
25
L90-0
LO-22, —
—
26
L1,10
-14LO
210 y 01013
<10
124
27
1 130
1200 24
210 y (W17
Z11 6,97
to
43
<03 < 2's < 1 5A
0910
LO_ YL_ _.�017
I .
YL_ — ii-011
— —
0845
y 01011
0930
0,3 Y. ...... ... . Lm 14
M-*Iy 7Y77 Limit. 0.15
wmwmww"mw"wm
—
30
wommomms"Wou"
30 200
Monthly A "19
21825 7
1875
4,47
1,275 0 2,63 5.75
Dallymaximum, 0.133
24.2 7,17
13
6,6
511 0 12 6,2
wlyNaftimum. 04M
21.4 6m
0
24
0 0 0 11
Monthly Avg % Rernaval (85%),.
REC;4EIVED
JUN 2 9 2015
CENTRAL FILE' S
LW R SECTION

E ��T NO., NCO062383
T PER Mff VERSION: 4.0 'PERMIT STATUS* Active
CILCILRNCarolina
Y NAMF: Downs Harbor WWTP CLASS: WW-2 COUNTY- MM2Lk!e�nbu
M
OWNEAMWater Service Inc of North ORC: Jack David Jones ORC CERT NUMBER: 998492
Carolina
GRADE. WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 05-2015 (My 2015) VEPUSION: 1.0 STATUS: processed
COMPLIANCE: �Cosh abant CONTACT PHONE #: [phone] SUBMISSION DATE: 00/19/2015
06/12/2015
/Cc tifier g nature, Jack D Jones E-Mail:[e-mail] Phone #:[phone] 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 ILEA of
the NPDES permit.
COMMENTS:
06/18/2015
�ub --I��ttee�--:-t-t----S�AnaturA:*** Tony J Konsul E-Mail:[e-mail] Phone #:[phone] Date
Per mitttee
Permittee Address: 13818 Queens Harbor Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2015
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system, designed
to assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAD NAME: K&W LabsCarolina Water Service. Inc. lone Ite ion
CFRTIFIED LAB #: 554,5228
PERSON(s) COLLECTING SAMPLES: K.Robinson/j,times
PARAMETER CODES
Parameter Codes assistance may be obtained by calling the NPDES Unit [phone] or by visiting the Surface Water Protection Sections web site at
httly//portal.ncdenr,orgtweb/wq(swp and linking to the unit's information pages.
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
D506(b)(2)(1D).

UAW

PPFRMIT'N
AFL
CILF" N7AME
-2383 PFRMIT VERSMON:4b
PERMIT STATUS: Active
Queens Harbor WW17P CLASS: ww-2
COUNTV-!±ccklcnburg
OWNFR NAME: Carolina Water Service Inc of Nordi ORC: Jack David Jones
OR CERT NUMBER: 998492
Carolina
GRADE, WW-2 ORC HAS CHANGED: No
eDMP. PERIOW!214-2015 (April 2015) VERSION. 2.0
STATUS. Pfocessed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
NO DISCHARGE*: NO (Continue)
cow
co"s
%
TOTALN-Ceftc
TOTAL r - C"C
j
12100 14L130 0 L11
_._ �L_ _
43 —
_ 1320 �L(l_ Y
_.LJ4() J.0 Y _ -
—
1210 E3 _ IL_
i—tv-
132('
0930 i's y
1200 it t,5 L5 y
9
12M 24 1141) Lo y
10
14" O5 y
11
L031) --s N
14
-- t 35 0,5 y
.L4
12#0 055
16
1200 14 1155 0,7 Y
0950 1,0 Y
LS_
1530 0.3 Y
19
1225 0,3 Y
20
0915 10 y
21
120, 1.0 y
22
1200 1120 1.0 y
23
1200 24 11120 1,0 y
4
11-325 LO y
2�n_ 2-3 Nj_
26
0800 103 N
2T
E25 1,0 Y
28
1145 4S Y
AO
1200 24 1100 110 r y
M-tMy AvavV Llaft
Moulbly Av' • 1 i
43
Paw maximew.
43
Daw mw"w. tl
43
M-thly A*-,g % R-31 (85%):

eon
COM
�0(
BV 6
C0062383 PER
sts HArbDr WWTP C% " .> of
4ON: 4O
PERMIT STATUS: Active
COUNTY: MMeeckleabing
d Jo nm
ORC CERT NUMBEW 99M92
LNGED:No
STATUS: Promswd
ONE #: 7045257990
SUBMtSSION DATE. 0512&2015
05126/2015
r Si tar Jack D c: ck Jones E-Mai I:jdj ones@u i water. c om Phone #[phone] Da
te
certify that this report is accurate and complete to the best of tay knowledge.
ided orally within 24 hours from the time the pennittee became aware of the circumstances. A written subino
time the pennittec becomes aware of the circumstances.
please attach a list of corrective actions being taken and a time -table for improvements to be made as nximn:
8 Queens Harbor Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2015
flaw, that this document and all attachments were prepared under my direction or supervision in actor
,rsonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or
I am aware that there are significant penalties for submitting false infontriation, including the possibility of fines and imprisonment for
CERTIFIED LABORATORIES
3,Camlaia Water Service. Ine, IsaacP-SiOn
),5228
1NG SAMPLES, K,Robinson(J-Jones
PARAMETER CODES
ance truty be obtained by calling the NPDES Unit [phone] or by visiting the Surface Water Protection Section's web site at
/weblwqlswp and linking to the unirs information pages.
FOOTNOTES
uremeat designated in the reporting facility's NPDES permit for reporting data.
,roan 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
criod.
'must visit facility and document visitation of facility as required per 15A NCAC 86 .0204.
.ttee: If signed by other than the pentrittee, then delegation of the signatory authority must be on fly with the state per 15A NCAC2B

T T T
Daft
TTI — — — — Composite Sample
a -raud damp oalk -IIF" I',
tI>
Operator Arrival Time
- - - - - - - - - - - - - - - - - - - - - -
Operator Time On She-
7-7-
ORC 0.
WIN --------------------------------
FNo Flaw Res"
----
lie
- - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
FTJ
- - - - - - - - - - - -
z
— — — — — — - — — — — — — — — — — — -- — — — — — — — — — A
---- ---------
-
Z S! x
D
- - - - - - - - - - - - - - -

FrPERNO.: NC 23f11 PERMIT VFRSIC)N: 4.0 PERMIT STATUS: Active
. N : Q as Harbor WWTP CLASS: WW-2 C U Vt Iviecld nbur
OWNER NAME: Carolina Water Service Inc of North ORC: lack David Jones ORC: CERT NUMBER: 998492
Carolina
GRADE: _2 OR+C HAS CH GFO: No
eDMR PERIOD: 03-2015 (March 2015) VERSION: 1.0 STATUS: processed
rCOMPLIANCE: Cvrxopliant' eta. _' CONTACT PHONE : [phone] SUBMISSION DATE:04/1312t115
IL , Z,4L 04/10/2015
C> /Certifier Sieirature. Jack D Jones E-Mail:[e-mail] Phone Jl:704-525-7990 Date
y this signature, I certify that this report is accurate and complete to the best of my knowledge,
e 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.6of
the NPDS permit.
COMMENTS:
1�
(} /13/201
Per ittee/Submit r Sign, tore:**. 'Cony J Konsul E-Mail:tjkonsul uiwater.com: Phone #:[phone] Date
Permatee Address: 1:3818 Queens Harbor Ind Charlotte NC 28278 Permit Expiration Date: 06/30/2015
certify, under penalty of law, that this document and all attachments were prepares) 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 inkinnation, 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 fitter and imprisonment for
sowing violations.
CERTIFIED LABORATORIES
.AB NAME: K W Labs,Carolina Water Service, Inc. Charlotte Re ican
CER'I"WIED LAB f: 559,5228
PERSON(s) COLLECTING SAMPLES- A.Layth i Jones
PARAMETER CODES
Parameter Codes assistance may be obtained by calling the NPD s Unit [phone] or by visiting the Surface. Water protection Sections web site at
http-,//portal.nedenr.org/web/wq/swp and linking to the unit"s information pages.
FOOTNOTES
Use only iunits of measurement designated in the reporting facility's NPDES peratit 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.
r OR "can Site?: ORC. moist visit facility and document visitation of facility .as required per I A NCAC 8G .0-704,
** * Signature of Permitt : If signed by other than the pet inee, then delegation of the signatory authority must be on file with the state per,15A NCAC 213
0506(b)(2)( ).

to D. YIBIN an
de
4u
ug/l
mg/l
m9d an
#/Imml
$0 0,5 �B 3
L— ii— Y
— ----------
at
L— L 1 0.014
3{t La Y 10,008
27
t
129
6,93
16
71
0.5 4A
2
5 H) Y it Otis
03 N 0,007
0-3 N 001
1 5 Y 0,014
Bti I,o Y 0011
1,5 y W007
— -
46
is 2J) Y 0,009
iA
6,94
11
2.2
.0's 12-1
29
is 10 y 0,W2
Ls -I B 0.0107
n) 03 B
0 1,0— Y 0,01
W 0.5 B 0,014
LO Y 0,012
17
4, WH3
9,5
6,91
10
2A
1<2
LO— Y 0,004
L— Y
!L L) I --I Y
5 LO Y 10,009
0 1 () — i—
19
vo - Y ---
1
6,78
34
2,3
0.5 < 2-5
< 2
L11,11
W 0 1 r4 0,015
Monthly Averuge Urnit: (tis
30
30
IN
Nlouthkv Ave agc
11,125
6,89
21,25
2,25
1,72
23
Daily Maximum 0.019
13
6.44
46
2A
0
zli
Daily minnnum 0,005
9.1
6,78
Q
2A
0 0
0
ly Avg % Removal (85%p
RECEIVED
APR 0 1 2015
CENTRAL F11 ES
DVIJR SECT16N

NCO062383
PERMIT VERSION: 4,0
PERMIT STATUS- Active
.ens Harbor WWTP
CLASS. WW-2
COUNTY: Mecklenburg
ina Water Service Inc of North
ORC: Jack David Jones
ORC CERT NUMBER: 998492
ORC HAS CHANGED. No
5 February 2015)
VERSION: I b
STATUS: Processed
tent
CONTACT PHONE #: [phone]
SUBMISSION DATE. 03/17/2015
0
Signap0re: Jack D Jones E-Mail:[e-mail] Phone #:[phone]
rify that this report is accurate and complete to the best of my knowledge,
3rally within 24 hours from the time the pcnnittee became aware of the circumstances. A V
he permittee becomes aware of the circumstances,
ature:*** Tony J Konsul E-Mail:[e-mail] Phone #:704319
Harbor Rd Charlotte NC 28278 Permit Expiration Date: 06/30/2015
this document and all attachments were prepared under my direction or supervision in accordance with
roperly gather and evaluate the information submitted. Based on my inquiry of the person or persons wl
sponsible for gathering the information, the information submitted is, to the best of my knowledge and
CERTIFIED LABORATORIES
,abs,Carolina Water Service, Inc, Charlotte REg!2n
559,5228
"TING SAMPLES: A.Laytharn/J Jones
PARAMETER CODES
ustance may be obtained by calling the NPDES Unit [phone] or by visiting the Surface Water Protection Section's A
D,rg/Nveb/wqlswp and linking to the unit's information pages.
FOOTNOTES
nismearent designated in the reporting facility's NPDES permit for reporting data,
e 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
,y period.
RC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204,
-mittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15

S
z
b 0 4,:a' c `'
c �Tj.a Oft Stte
vc:
ORC On Site?**c
0
o: r o»
t*
6
�.
n x
c c a a
g g cc g� o
c g.
o a e'
ci s5 ga ca ca es
--—
�
�
v
iz
I
c
ca
ea
-
n
n
n
n
S
c2
C
a
a
n
w
C
""co
*
r
..
««
"!9

.: NCO062383 PE
hieens Harbor WWTP CLASS:
olina Water Service Inc of North ORC: Ja
ORC IL
,015 (January 2015) VERSK
'VERSION: 4.0 PER STATUS: Active
WW-2 COUNTY: Mecklen a
,k David Jones ORC CERT NUMBER: 998492
,S CHANGED: No
N: LO STATUS: Processed
Monody Avevagn. 40 41
Daily Maximum 40 41
DAY Minimum 40 -4.2
Ably Avg % Removal (85%):

T NO�- NCO062383 PFRMFF VERSION: 4.0 PERMff STATUS: Active
0R: Queens Harbor WWTP CLASS: WW-2 COUNTY: Meckl�rEaur
Carolina Water Service Inc of No ORC: Jack David Jones ORC CERT NUMBER: 998492
ORC HAS CHANGED: No
1: 01-2015 (Jariu2a,',)015) VERSION-. I ,O STATUS: Processed
�fiant CONTACT PHONE #: [phone] SUBMISSION DATE: 02116/2015
x2 Z- 02/09/20 IS
fier S�=�nature.:� Jack D Jones E-Mail:[e-mail] Phone #:[phone] Date
re, 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.
wiled' within 5 days of the time the permittee becomes aware of the circur
he facility is noncompliant, please attach "a list of corrective actions being
NPDES pernift.
ermittee became aware of the circumstances. A written submission sl
istances.
taken and a time -table for improvements to be made as required by p
I
rmittelm�-]t muter gnature-:*** Tony J Konsul E-Mi
vater.com Phone #-704
015
I also be
ILE,6 of
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 there persons climetly, responsible for gathering the inforination, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I arts aware that there are, significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME. If LabsCarolira Water Service. ire.
CERTIFIED LAS#: 559,5228
PERSON(s) COLLECrING SAMPLES- ALaytham/J Jones
PARAMETER CODES
Parameter Codes assistance may be obtained by calling the Ts PDES Unit [phone] or by visiting the Surface Water Protection Section's web site at
http://Portal.ncdenr.org/web/wq/swp and linking to the unit's inform ation pages,
FOOTNOrMS
Use only its 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 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
M06(b)(2)(Dl.