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HomeMy WebLinkAboutNCG020049_Regional Office Historical File Pre 2018 (3)N\N A Michael R Easley, Governor Q 0 William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality February 7, 2005 D Gray Kimel Vulcan Construction Materials LP PO Box 4239 Winston Salem, NC 27115 Subject: NPDES Stormwater Permit Coverage Renewal Vulcan Construction Materials -Pineville COC Number NCG020049 Mecklenburg County Dear Permiftee: In response to your renewal application for continued coverage under general permit NCGO20000 the Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. Please review the new permit to familiarize yourself with the changes in the reissued permit. The general permit authorizes discharges of stormwater and some types of wastewater. You must meet the provisions of the permit for the types of discharges present at your facility. This permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North Carolina and the 11.S. Environmental Protection Agency, dated December 6, 1981 The following information is included with your permit package: • A new Certificate of Coverage • A copy of General Stormwater Permit NCG020000 A copy of a Technical Bulletin for the general permit Five copies of Discharge Monitoring Report (DMR) Forms - wastewater and stormwater Five copies of Qualitative Monitoring Report Form Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require modification federal, state, or local law, rule, s I tandard, ordinance, order, judgment, or decree. If you have any questions regarding this permit package please contact Aisha Lau of the Central Office Stormwater Permitting Unit at (919) 733-5083, ext.578. Sincerely, dn ,Ibr Alan W, Klimek, P.E. "ACE cc: Central Files Stormwater & General Permits Unit Files Mooresville Regional Office oyolit!_ I IrJ oi 411 ir a at U. r North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Service Intemet h2o,enr,state.nc.us/sulstormwater,htmI 512 N. Salisbury St. Raleigh, NC 27604 FAX (919) 733-9612 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer- 50% Recycled/1 0% Post Consumer Paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG020000 CERTIFICATE OF COVERAGE No. NCG020049 STORMWATER AND PROCESS WASTEWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM Ince with the provision of North Carolina General Statute 143-215.1, other lawful stand Trials LP ( located at lie Catawba River Basin in accordance ns set forth in Parts 1, 11, 111, IV, V, oil General Permit. Signed this day February 7, 2005 for Alan W. Klimek, P.E., Director Division of Water Quality By Authority of the Environmental Man; a�UuIcan Materials Company September 15, 199 Mr. Dike barker Division of "tester Qualdy, 919 North Main Street Mooresville, NCB 2811 RE. NCG020049 Pineville Quarry Dear Mr. Parker: Since we talked several weeks ago, we have successfully completedthe denatering of the flooded pit at the Pineville % I would like to now summary those activities for you, On July 23, 1997, Pineville Quarry and the surrounding area experienced a severe rainfall, reportedly as much as 10 to 12 inches. That afternoon, the adjacent Sugar Creek overflowed its banks and flooded our quarry pit. The water was approximately 0 feet deep with an estimated volume 200MG This catastrophic event had a major impact upon our operations. heft with a limited working face from which to extract rock, we had only about a thirty day supply of materials. After discussing the situation with you, we rented two pumps with a combined capacity of 6,600 gpm to supplement the 1,400 gpm pump used to routinely dewater the pit. The pumps were started on July 30 d had sufficiently dewatered the pit to the point the temporary pumps were removed from service o September 1, 1997. The flood also created another problem - the pit floor was covered by a one to two foot thick layer of mud. With the pit now dewa erect and drier weather conditions prevailing, we will be removing the mud from the pit rising a front-end loader and truck and hauling it to an overburden area. In doing so we are significantly mducing or preventing these sediments from reentering the creek from whence they came. While we have much better control over the situation now, using out settling sump and standard denatenng procedures, I suspect we may have an exceedence of some permit limits. If such occurs, it will be unavoidable just as the flood event was, e wanted you to be aware of the above and to know that we are taking every reasonable measure t control and reduce the potential of sedimentation to Sugar Creek. If you have questions or need further information in the above matters, please contact me or Craig Brinkley, Superintendent at 704-52 -967S. Thank you very much for your `cooperation during this difficult event. Sincerely, like Poplin Environmental engineer c- Craig Brinkley MIDE AST DIVISION 1 P,O -BOX 4239 # WIN TON-SALEM, NORTH CAROLINA 271 15.423* TELEPHONE 910 767-40 3 State of North Carolina Department of Environment, Health and Natural resources Division of Environmental Management 512 North Salisbury Street . Raleigh, North Carolina 27611 .lames G. Martin, Govemor A. Preston Howard, Jr., P. E William W. Cobey, Jr., Secretary Actina Director December 4, 199214'.rrT: tar imkc EroUrCrs . ra Mike Poplin .. 92 P0Box 423q Winston-Salem, NC 27115 810191Har WiOCAGNENT Subject: General gpqLAo. klo Vulcan Materials - Pineville Quarry OC NCO020049 Mecklenburg County Dear rt. Poplin: In accordance with your application for discharge pertnit received on December r 31, 1991, we are forwarding herewitlt the subject certificate of coverage to discharge under the subject state; M'DES general permit. Issuance of this certificate of coverage supercedes the ind.ividual'NPDES permit No. NCO041 87 , This permit is issued pursuant to the requirements of North Carolina General oral Statute 1,43-21 . l and the Memorandum of agreement between :North Carolina and the 'US Environmental Protection agency dated December 6, 1981 If Amy parts, measurement frequencies or sampling; requirements contained its this permit are unacceptable; to you, you have the right to request an individual permit by submitting an individual perruit application. Unless such demand is tirade, this certificate of coverage shall be final and binding. Please tale notice that this certificate of coverage is not transferable excopt after notice to the Division of Environmental Management, The Divsion of Environmental Management may require modification or revocation and reissuance of the certificate of coverage, 'phis permit does not affect the legal requirements to obtain other permits which "meth' be required by the Division of Environmental Management or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental pernait that may be required. Pollution Prevention Pays P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-70.15 An Equal Opportunity AffiraWive Action EnWloyer If you have any questions concerning this permit, please contact Mr, Charles Alvarez at telephone number 19n 33-5083. Sincerely, Ori lr'al Signed B o! H Sul ' T Freston toward, Jr. cc: Ivlr. Jim Patrick, EPA STAJTa OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, BEALTH, AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL NACRE N'T GENERAL PER-N41 STORMWA IER, MINE DEWATERING,AND/OR OVERFLOW FROM PROCESS OVA wR RECYCLE SYSTEMS DISCHARGES NATIONAL P LI TA T DI `I1A'R E ELIII�II ATI TE1VI In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and � regulations promulgated and adopted by the North Carolina Environmental Manageme' nt Commission, and the Federal Water Pollution Control Act, as amended, Vulcan Materials Company is hereby authorized to continue oNration of a treatment system for mine clewatering anti discharge storinwater from a facility located at Vulcan Materials Company Pineville Quarry Mecklenburg County to receiving waters designated as Sugar Creek in the Catawba River Basin in accordance with the effluent firnirations, monitoring requirements, and ether conditions set forth in Parts 1, 11,,111, and IV of General Permit No: NCG020000 as attached. This certificate of coverage shall become effective December 4, 1992 This Certificate of Coverage shall remain in effect for the duration of the General Pen -nit, Signed this day December 4, 1992 rtned BY ; tllt oir A. Freston Howard, Jr,, P.E., Acting Director Division of Environmental Management By authority of the Environmental Management Commission fit?, C:7 Q Q t / _." _ _ _ n Cif `lw a .. ,,. ,- o _. ,.-.."`'•� r Gl t f'T�„,✓""...,-»; ...._..`"'_'.�.'C I if,_,.. ,,..,_... .." - ,�,„„ ``.i ty�� \ � � �•r � �`,,, .wk� / ,._ $ _.,-Y• ��_"-t. r,�" S '.�,t.,-��:�SStJ' S� � S; � tw }tot, r,-, l p'_"� "`' C4 'F- . " -..: ,�- �..:. },� *t ti. . "` ."`"_�y'p#/f ✓' 'r. ra }+ i . « ; ." , J _'� „ w: \ ,,,,... / `�,.1 J t "„ j t i` J ^ •-' (i ... ,._ \'� ; > .«..": 4`l: • ',:* „f,. E, .t. e. .r.;� ,, r�� } Y , 1 l 't t '}`at�..,r'r , '"" pu" �`• �', ,..-- �c'."�"* '; .r ti` ', :t i I i11r f/�",,.. ,," 1t \ *.!;. .� :? ,t _J ,� �. ( iv rf, f li,.��.`, \�L` , � } i .•'' � )L' '° �. 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NCC 020049 DISC HARGENO 001 MONTH YEAR I FACILITY NAME �rAv�Mecklinburg --Kulcan-Materialsl-Pa-n-e-vi-11-e—Qu-ar—r-Y- CLASS--!- C Y OPERATOR IN RESPONSIBLE CHARGE (ORC) Craiq Brinkley GRADE 910/996-2841 CERTIFIED LABORATORIES (1) R & A —N/APHONE Laboratories, Inc. (2) CHECK BOX IF ORC HAS CHANGED E] PERSON(S) COLLECTING SAMPLES -------- Plant Personnel Mail ORIGINAL and ONE COPY to: ATTN: C04UAL FILES x DIV. OF i&*ONMENTAL MANAGEMENT (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE WHNR BY THIS SIGNATURE; I CERTIFY THAT THIS REPORT IS a mil, Boxes,' ACCURATE AND COMPLETE TO THE BEST` OF MY KNOWLEDGE. 27626-0535 2 50050 00010 00400 WO 06310 00610 00530 31616 00300 00600 00665 )Utz? i;150541 FILOW ENTER PARAMETER CODE z z z z ABOVE NAME AND UNITS BELOW I u 006 m" g g >1 z 0 :3 V 4J -P —1)--T-;c— -UN—rrs E-� tZ 0) IIRS HRS i71—N M- G- Hem - MG II. " mm W100ML G/L MG/L NTT m1/1 7 7, -7- 7, 2 =7� 7777 4 ELL Em m 22a 2ELE 6 12 7, 777 9 10 =7777 12 13 -M 14 16 777 nos"'-' 20 ,11 22-- 23 24 16 27 28 L),r5 ------ 77=777 -77777-7 30 -77777: Ep 31 77 7777777= ... = "AVERAGE 777= 777- I MINIMUM -R ELL E=7W 777 -!�-v —J =T77 Monthly Luna 50 0.1 OEM Form MR- I (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data mid sampling frequencies do NOT meet permit requirements Noncompliant If the facility is noncompliant, Please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. F-1-u— vi zwuunutiaug rase mrormatmil, including the, possibihty of tines and imprisonr James M. Che.9hiLe(A Petee (Please print or type, I 411 "fez—, $�nature of Penniittee** 10331 old Nations Ford Rd, Charlotte, NC 28273 704/525- rt .9 • • 19 4 lity and document V,isitatio,nl facility as required per 15A NCAC try zed Acx r,t- >714 )41111 Date 9678 Permit Exp. Date )67 Nickel 50060 Total )77 Silver Residual - ... ­ � v11 111'� WILIL UJU Z�Wtr, PCL I-)t-- INt—Alk, 415 VIVD (2) (D) ,� � « «, • « � � « « " • �` � • • , .. .i ti t tt ! t<gt t tl t ti t tt t � "'r" t 0t t tt #. • «tA t. �� �� � ��� �"! k �� �gWiq �. i �� �� ' "" a!r .: s w *: ,. e« ,w �. «r • ♦ _ ,� r • w tt o ♦ , 10! /� �q « P u e f # � c « «. Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. Date Permit Exp. Date • loom ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B). If sign6,d'by "other 'ih'an the pernrittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D) PERMITEFFLUENT 001 NO.' DISCHARGE NO. MONTH '' 15 OTT T'T'V XTA XAI' —,I I "1 ? n-re t—. Iv1.ia v1 it hii rrr ■ mm Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements E121 Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the systen't, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permittee (Please print or type) V 1AJ ' d4 gnature of Permittee* Date 10331 Old Nations Ford Rd, Charlotte, NC 28273 704/525-9678 Petee, Address, Phone Number Permit Exp, Date PARAMETER CODES 00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde 00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Colifonn 71900 Mercury 00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 PH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ta ORC must visit facility and document'vi�itafion of facilityrarequired per 15A NCAC 8A .0202 (b) (5) (B). If signed by other than the permit ,, delegationbf signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D). ME mrmplw� Immom ow � Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements El Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc and a time table for improvements to be made. "I certify, under penalty of law, that this, with a system designed to assure that qw inquiry of the person or persons who mat information submitted is, "to the best of m penalties for submitting false informatior 10331 old Nations Ford Rd, Pe it Address' including the possibility of fines and imprisonment for knowing violations." Permit tee (Please print or type) teek:r "I , - - nature of IpL 26� Date 'harlotte, NC 28273 704/525-9678 Phone Number Permit Exp. Date PAMETERCODES irrease 00951 Total Fluoride 01067 Nickel 50060 Total itrogen, 01002 Total Arsenic 01077 Silver Residual iia Nitrogen 01092 Zinc ChInrinn us 01037 Total Cobalt 0104 Copper 01045 Iron 01051 Lead az,bINUMIQC unty outaineu Dy cruting the water Quality Compliance Group The monthly average for fecal coliforto is to be reported as a GEOMETRIC mean. Use o facility's permit for reporting data. ORC must visit facility and document visitation of facif4y as required per 15A NCAC 8 If signed by other than the raritted, delegation of signatory authority must be on file, Pe (2) (D). Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet pen -nit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc,, and a time table for improvements to be made. information submitted is, to the best of my ki penalties for submitting false information, ini 10331 Old Nations Ford Rd, Cha Permittee Address * Jdme,�,Chesbire ( AutbQri zed Agent)- Pernrittee (Please print or type) ature of Pern-tittee Date .otte, NC 28273 704/525-9678 Phone Number Permit Exp. Date PARAMETER CODES 00951 Total Fluoride 01067 Nickel 50060 Total n 01002 Total Arsenic 01077 Silver Residual rogen 01092 Zinc Chlorine 1 01027 Cadmium 01105 Aluminum UUJIU BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 0104 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 0 1051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting datf., U ORC must visit facility and document visitatiprt of ficility as required per 15A NCAC 8A.0202 (b) (5) (B). If signed by other than the'pennittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D)- Facility Status: (Please check one of the following) r------ Y All monitoring data and sampling frequencies meet permit requirements Lo Compliant All monitoring data and sampling frequencies do NOT meet permit requirements ED Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. penames tor suDnutting, false information, including the possibility of fines and imprisonment for - -- -- , - - --- -- -f... --, knowing violations." Permittee (Please print or type) U.Al- Qnature of Permittee* Date 10331 Old Nations Ford Rd, Charlotte, NC 28273 704/525-9678 Permittee Address Phone Number Permit Exp, Date PARAMETER CODES 00010 Temperature 00556 Oil& Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01097 7.in(- rhl-4-- (2) (D). e mrttqede-le—ga—ti-on—o7-signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) a. i yp i � y g+ y{ R # y 4 i Y ! s • �. 8 �. ♦ # Y i �y y s f f ! s p� g®® ®®® b pp 88 ! Y 9 y 9 g 4 g f W 9 S '@ i 6 P� t! 9 P f 8!} F �# I !� 9 8 9& i B � Y! B. F i e 5 �! s � �d ;.: a x w� r � Y � w. + w e � M .. � � YY +e a w • ° o 0 � e + � w e.. � ... � t � {} *� � ����� a a t I �� �+! 1� .► {N , , .' � � iF; a � „ Y„ k4 M Facility Status: (Please check one of the following) -Z All monitoring data and sampling frequencies meet permit requirements LIZ Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant If the facility is noncompliant, please comment on coffective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. "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 manage the system, or those persons directly responsible for gathering the information, the information subraitted is, to the best of my knowledgeand 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." Perrmitee-(Pl�ease print or typc)���� Soature of Pe' rnuttee*-�Dateq� 10331 old Nations Ford Rd, Charlotte, NC 28273 704/525-9678 Petee Address' Phone Number Permit Exp, Date PARAMETER CODES 00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde 00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Col form 71900 Mercury 00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 bead' 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. 'ne monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's pen -nit for reporting data. "N If signed by other than the permit tee,, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements I--] Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. V--- — --­"s —w LLALVL1114ULM, ixjL;iuujng me possminty or lines an, Permittee (Please p t Sature of Perm tt 10331 Old Nations Ford Rd, Charlotte, NC 28273 Permittee Address, Phone Ni PARAMETER CODE 00010 Temperature 00556 tail & Grease 00951 Total Fluoride 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 00080 Color (Pt -Co) 00610 Ammonia Nitrogen Date 9678 Permit Exp. Date )67 Nickel 50060 Total 177 Silver Residual 192 Zinc Chlorine 05 Aluminum 00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium = 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designatej in the reporting facility's permit for reporting data. ORC must visit facility and docurnent�Ti its lion %'fiacility as required per 15A NCAC 8A.0202 (b) (5) (B). If signed by other than the permittee, delegatiorf, cif signatory1, q, �authority must be on file with the state per 15A NCAC 216 .0506 (b) (2) (D); Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements EZ Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. 141 1 A A AZA . I Y "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 manage 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." Jamez—Z---CheahiLp.(6ii.th,Qrized Permittee (Please print or type-) Si4Aature of Permittee** Date 10331 old Nations Ford Rd, Charlotte, NC 28273 704/525-9678 Permittee Address' Phone Number Permit Exp. Date PARAMETER CODES 00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum, Nitrogen 11, 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium' 71880 Formaldehyde 00300 Dissolved Oxygen, 01034 Chromium 31616 Fecal Coliforrn 71900 Mercury 00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083,'extension 581 or 534. The monthly average for fecal coliform, is to be reported as a GEOMETRIC mean, Use only units designated in the reporting facility's permit for reportt datari - ORC must visit facilityand document visitation of facility as required per 15A NCAC 8AA202 (b) (5) (B). If signed by other than lh'pemi I ittiee, delegation, of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D). � A � � .. M ! � ® ! B � # 1 • t � • tM t t''t t tE t t « t# tt« t It t « « i tt i ttre !! •!! �'' � �w44, ,. ,.. "® • w • � s •� • � "" d. « "�' d, "« t • A .. � ` � " � * � « 6 • lu 4 11111C tar liant Noncompliant noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, et for improvements to be made. -I certify, under penalty of law, that this t with a system designed to assure that qua inquiry of the person or persons who man information subtaitted is, to the best of or penalties for submitting false information 10331 Gild Nations Ford Rd, Permittee Address, Residue 00545 Settleable Matter t Parameter Code assistance Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements E Con All monit i tlling the Water (duality Compliance Group at (919) 733-50 3, extension 581 or 53 e monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's perrItit for reporting data. ORC must visit facility and u t nt vtsitation of facility as required per 15A %CAC 8A .0202 (b) (5) (13). **If signed ned b other than the, 4 g littee; deieatiori of signatory authority must be on file with the state per 15A CAC 2B ,(15(lb (b) (2) (D)_ Al DI' DE PA RA 5 �wwvwnw� • �ii' t ti i ti tt t "eM {t t t1c { it 1, e e li ti tlsli tte ii •�r � • • at C _ Forst MR -I (I2/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Ej Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for; improvements to be made. "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 m inquiry of the person or persons who manage 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 passibility of fines and imprisonment for knowing violations." s7ac1leahj. 1:0t Author i Z,.ed Agent) Permittee (Please print or type) nature of Permittee** Uate 10331 old Nations Ford Rd, Charlotte, NC 28273 704/525-9678 Permittee Address' Phone Number Permit Exp. Date PARAMETER CODES 00010 Temperature 00556 (ail & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (AUMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde 00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Coliform 71900 Mercury 00310 BODs 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 0104.5 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visi ttciT)PiQ&cument visitation of facility as required per 15A NCAC 8A .0202 ;(b) (5) (B). ** If signed by other than the pq ' "Ste, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D). s � « « .s r • �mom i a ,t a. Wit ax. 4d as s :f « "A Fours MR -I (1 3) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc and a time table for improvements to be made. 9 an rotal Phenolics 81551 Xylene 3enzene roluene ABAS "CBS 'low 9) 733-5083, extension 581 or 534. 4CAC 8A.0202 (b) (5) (B). Facility Status: (Please check one of the following) q f Al monitoring data and sampling frequencies meet permit requirements Compliant FEB -2 00 All monitoring data and sampling frequencies do NOT meet permit requirements E--] Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc,, and a time table for improvements to be made. "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 manage 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." Jamz-..M. Chpahi Permittee (Please print or type) 4inat-uare of Pe rmittee* Date P.O. Bpx 188, Gold Hill, NC 28071 704/279-5566 Permittee Address, Phone Number Pemiit Exp. Date PARAMETER CODES 00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum Nitrogen C� 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde 00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Coliform 71900 Mercury 00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D). Effluent Compliant juirernents Noncompliant YP #I,- r-A.... and a time table -­- j­­ 11Y W1 141, "lat WIN out; with a system designed to assure that qualifi, inquiry of the person or persons who managi information submitted is, to the best of my k penalties for submitting false information, in • The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use of facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8, ** If signed by other than the pertnittee, delegation of signatory authority must be on file (2) (D)a The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use of facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8, ** If signed by other than the pertnittee, delegation of signatory authority must be on file (2) (D)a Facility Status: ('lease check one of the following) AM' t6fing'data and sampling frequencies meet permit requirements E�l Compliant r-----i All monitoring data and sampling frequencies do NOT meet permit requirements L--j Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to cquipment, operation, maintenance, etc and a time table for improvements to be made. The monthly average for fecal coliform, is to be reported as a GEOMETRIC mean. Use only Units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility, as required per 15A NCAC 8A .0202 (b) (5) (B), ** If signed by other than the perittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D)- t 51t 1 II1 t tt It 1 1 tt t tl t tt a c tl tt Il.tt tee Itt#! tyM !�e" All monitor If the facility is noncomp and a time table for impr( "I certify, under penalty of law, that fl with a system designed to assure that inquiry of the person or persons who i information submitted is, to the best penalties for submitting false informa P.O. Bpi 188, Gold Hi Permittee Address' Facility Status: (Please check one of the following) rig data and sampling frequencies meet permit requirements [Zf Compliant to and sampling frequencies do NOT meet permit requirements Noncompliant rw-nf n" rreC YC actions being taken in respect to equipment, operatic Phone Numbei PARAMETER CODES 00951 Total Fluoride en 01002 Total Arsenic itrogen 1--A—.— ;ion in accordance ased on my ration, the are significant 50060 Total r Residual 00310 BOD5 00665 Total Phosphorous ✓auav VIZA-41 %.-Ulflullil tiyuv iviercury 32730 Total Phenolics 81551 Xglene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 0104 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534, The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visit, facility, and document visitation of facility as required per ISA NCAC 8A .0202 (b) (5) (B). * If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D), WIN low, Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements 00 Compliant All monitoring data and sampling frequencies do NOT meet permit requirements EJ Noncompliant If the facility is noncompliant, Please comment on corrective actions being taken in respect to equipment, operation, maintenance, es and a time table for improvements to be made. Pen -nit Exp. Date kel 50060 Total ,er Residual Chlorine 00310 BOD5 00665 Total Phosphorous ..... . --v LiLWll It IL,'VV IVIK-at-uty 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 PH 00745 Total Sulfide 0104 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B), If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D)- pacility Status: (Please check one of the following) All mong data ata and sampling frequencies meet permit requirements EZr Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. "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 manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge e and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permittee (Please print or type) —711 nature of Permittee** Date P.O. Bpx 188, Gold Hill, NC 28071 704/279-5566 Permittee Address Phone Number Permit Exp. Date PARAMETER CODES 00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde 00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Coliform 71900 Mercury 00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 100929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534, The monthly average for fecal coliform is to be reported as a GEOMETRIC mean, Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B). If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D). FacilityStAt s: (Please check one of the following) 11 monitoring d 1 �V ta 1�@, sampling frequencies meet permit requirements — Compliant All monitoring data and sampling frequencies do NOT meet permit requirements El Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. "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 manage the system, or those persons directly responsible for gathering the information, the information subritittedis, to the best of my knowledgeand 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." ....Jam Permittee (Please print or type) ized Ageptj_ 44 4 !&1,044 SWazure of Permittee" /,/XX Date P.O. Bpx 188, Gold Hill, NC 28071 704/279-5566 Perritittee Address, Phone Number Permit Exp. Date PARAMETER CODES 00010 Temperature 00556 Oil& Grease 0095I Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kieldhal 01017 (-ndm;— Al InC 00340 COD -- 00720 -w—L—F1JvLvub Cyanide 01037 Total Cobalt 32/:3U 34235 Total Phenolics 81551 Xylene Benzene 00400 PH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 0104 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B). * If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D). Fae, I ty"s tatus: (Please check one of the following) All moniT doa sampling frequencies meet pernpermitrequire All monitorin data and ,nts E� Compliant F---1 n-F ng hequencies do NO I meet permit requirements L-----i Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenanc and a time table for improvements to be made. • 071 704/279-5 Phone Number Pe Nickel 500( Silver in accordance on my ion, the significant • oral 00310 BOD5 00665 Total Phosphorous jiuiu rmaik-oniorm iijuu mercury 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the, Water Quality Compliance Group at (919) 733-5083, e I xtension 581 or 534. The monthly average for fecal coliforni is to be reported as a GEOMETRIC mean. I Use only units designated in the remitim! lacility s permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A -0202 (b) (5) (B). ** If signed by other than the pertnittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D). #Ijty Status: (Please check one Of the following) All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements El Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. "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 manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledgeand 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 knowinj violations." Jdmell ,M- CheEih Ze(AutbQr ..ed Aunt) Permittee (Please print or type) 4�7 Soature of Permittee" �Date P.O. Bpx 188, Gold Hill, NC 28071 704/279-5566 Permittee Address' Phone Number Permit Exp. Date PARAMETER CODES 00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde 00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Coliforni 71900 Mercury 00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xglene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01,045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC SA .0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D). Facility Status: (Please check one of the following) 7, All monitoring data and sampling frequencies meet permit requirements EZ Compliant All monitoring data and sampling frequencies do NOT meet permit requirements El Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, et and a time table for improvements to be made. gathering the information, the am aware that there are significant knowing violations." )j I Lid-" Date Permit Exp. Date �kel 50060 Total Ver Residual is Chlorine 00340 COD —v 00720 Cyanide 01037 Total Cobalt 32730 Total Phenolics 81551 Xylene 00400 pH 00745 Total Sulfide 01042 Copper 34235 Benzene 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 WAS Residue 00929 Total Sodium 0 1045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. CS must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B), ** If signed by other than the perntittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D)� Facility Status: (Please check one of the following) AI monitoring data and sampling frequencies meet permit requirements E2T Compliant All monitoring data and sampling frequencies do NOT meet permit requirements El Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. "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. used on m inquiry of the person or persons who manage 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." aamea M. Chi hi r Au h „-,..af d Agpn Permittee (Please print or ) f nature of Permittee** IM5 Date P.O. Bpx 188, Gold Hill, NC 28071 704/279-5566 Permittee Address' Phone Number Permit Exp. Date PARAMETER CODES 00010 Temperature 00556 Coil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde 00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Coliform 71900 Mercury 00310 BOD5 00665 Total Phosphorous 3 730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean.Use only units designated in the reporting facility's permit for reporting data. ORC trust visit facility and document visitation of facility as require ** If signed by other than the permittee, delegation of signatory author (2) (D). I per 15A NCAC 8 .0202 (b) (5) (B). ty must be can file with the state per ISA NCAC 2B .0506 (b) Facility Status: (Please check one of the following) r All monitoring data and sampling frequencies meet permit requirements L-11j/ It-b Compliant All monitoring data and sampling frequencies do NOT meet permit requirements I--] Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc,, and a time table for improvements to be made. "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 manage 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." M- AUP.Iat) Perntittee (Please print or type) P" L4A-,-,2Y --1-1711A Si ature of Pennittee** 2Date P.O. Bpx 188, Gold Hill, NC 28071 704/279-5566 Permittee Address, Phone Number Permit Exp. Date PARAMETER CODES 00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde 00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Coliform 71900 Mercury 00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B), ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D). Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant CD If the facility, is Voticompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table ttor improvements to be made. "I certify, under penalty of law, that this do with a system designed to assure that quali3 inquiry of the person or persons who many information submitted is, to the best of my' penalties for submitting false information, i 14115 Albemarle Rd. Permittee Address 00010 Temperature 00556 Oil & Gr 00076 Turbidity 00600 TotA Nit James Permittee (1 nature of Charlotte. Nr Phone Number PARAMETER CODES 1'1.a J4+ilat. titan itr j Parameter Code assistance may obtained by calling the Water Quality Compliance Gros rernut t:xp. iiate ickel 50060 Total lver Residual ne Chlorine Benzene Toluene MBAS PCBs Flow vaaxp aaaxaw facility's permit for reporting data, a aa6aaaa",U it& un; 1upulung ORC must visit facility and document visitation of facility as required per,15A NCAC SA .0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D); Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements 12� Compliant C"D All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant LLJ If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D)• Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements 121 Cz.) Compliant C\j f cz-d All monitoring data and sampling frequencies do NOT meet permit requirements El L— Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. "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 manage 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 subrAitting false information, including the possibility of fines and imprisonment for knowing violations." James M. Cheshire (Authorized Agent Permittee (Please print or type) h 11 -1 1 Signature of Permittee" PYY Date 14115 Albemarle Rd. Charlottp- NC 28227 Permittee Address Phone Number Permit Exp. Date PARAMETER CODES 00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde 00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Colifortir 71900 Mercury 00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 PH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D). Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements IZI Compliant (ZO All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant LJ If the facility is noncompliant, please connnent on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. "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 manage 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 subrAitting false information, including the possibility of fines and imprisonment for knowing violations." James M. Cheshire (Authorized A not Permittee (Please print or type) el J- I L �ature ofPermittee** Date 14115 Albemarle Rd. Charlotte, NC 28227 Permittee Address Phone Number Permit Exp, Date PARAMETER CODES 00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde 00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Coliform 71900 Mercury 00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 PH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean, Use only units designated in the reporting facility's permit for reporting data, ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D)- Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (1,111) Compliant CNj L&j All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. "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 manage 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 subrAitting false information, including the possibility of fines and imprisonment for knowing violations," James M. Cheshire (Authorized Agent Permittee (Please print or type) Qnature of Permittee** Date 14115 Albemarle Rd. Charlotte, NC 28227 Petee Address Phone Number Permit Exp. Date PARAMETER CODES 00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde 00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Coliform 71900 Mercury 00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliforni is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D)• Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements IZI Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant If the facility it" oncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc,, and a time', tabfilor improvements to be made. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. (SRC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D)• • i +�� • .. � • • l • ,. t f t ° l t i ! e # i1 # i# +iMIM .. u� � i G iw� . � in it u v 1 ,�, ®. • ae • +^ "' e «. � w � � 4 .'J and a ti Facility Status. (Please check one of the following) ,ag data and sampling frequencies meet permit requirements Compliant eta and sampling frequencies do NOT meet permit requirements Noncompliant meat on corrective actions being taken in respect to equipment, operation, maintenance„ etc: ade. inquiry of the person or persons who manage the system, 'or those person; information submitted is, to the best of my knowledge and belief, true, ac penalties for subrilitting false information, including the passibility of fin James M. Permit (Ple nature of Pt 141 1 5 Al hPT7157- -,1 ,a Gird Pe i Address 00010 Temperature 00556 Oil & ( 00076 Turbidity 00600 Totally arlotte NC Z t' Pho )02 Total Arsenic )7 Cadmium 11 Parameter Corte assistance may obtained by calling the Water Quality The monthly average for fecal coliforrn is to be reported as a GUI facility's permit for reporting data. URC must visit facility and document visitation of facility as requiri ** If signed by other than the permittee, delegation of signatory autho (2) (U)• r Permit Exp. Date 01067 Nickel 50060 Total 01177 Silver Residual 01092 Zinc Ch!orinc 01105 Alximintfm 34235 Benzene 34481 Toluene 3260 MBAS 3516 PCBs 50050 Flow .b) (5) (B)• Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements 11Z Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. "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 manage 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 subrilitting false information, including the possibility of fines and imprisonment for knowing violations." James M. Cheshire (Auth2rj�ed_Aa�-,nt Permittee (Please print or type) +Sature of Permittee** Date 14115 Albemarle Rd. Charlotte NC 28227 Permit tee Address Phone Number Permit Exp. Date PARAMETER CODES 00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde 00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Coliform 71900 Mercury 00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D): Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements Compliant C\j P 0411"D, All monitoring data and sampling frequencies do NOT meet pertnit, requirements UQ Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc,, and a time table for improvements to be made. 1 A 1 1 rZ A I Permittee Address 00010 Temperature 00556 Oil& Phone Number PARAMETER CODES 00951 Total Fluoride 01 ,n 01002 Total Arsenic 01 trogen 01 it 01027 Cadmium 01 Nil W Agent I I Perm 50060 -Ep. —Date .--- —". —p'— le e 'AC 8A .0202 (b) (5) (13). • `•. w s • � - • • ' ... � a � r � t i � � M rt � � � � d, ;, ■ ,. . �; ,� �: „ ,' All C\1 All monitorin If the facility is noncompliant, please and a time table for improvements to b lata and sampling frequencies do NOT meet permit 01002 Total Arsenic %e,n 01027 Cadmium ,ments Compliant r------ I 4uirements Noncompliant 111,alllvC Inuit.: , c1c, L Y,Njvji m accoruance Based on my iformation, the sere are significant ions. t Permit Exp. Date (el 50060 Total Residual j/-/.)v lotairnenoucs zsiDDi Ayiene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 0 1042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A 0202 (b) (5) (B). ** If signed by other than the pernuttee, delegation of signatory authority must be on file with the state per 15A NCAC 2B k506 (b) (2) (D). ... . ..... I All monitoring data and sampling frequencies do NOT meet permit If the facility is noncompliant, please comment on corrective actions being taken in respect ti and a time table for improvements to be made. — -­ - o,y .—all Uc,zuglli;;u LU assurc Emit quaj inquiry of the person or persons who man information submitted is, to the best of m, penalties for subirlitting false information' 14115 Albemarle Rd. Permittee Address 00010 Temperature 00556 Oil& C 00076 Turbidity 00AM Tntnl XT j rements Ez Compliant Nuirements Noncompliant Ic" W 0 The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B). * If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D). The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B). * If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D). ran ZWKS: "MM Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements Compliant All monitoring data and sampling frequencies do NOT meet permit requirements El Noncompliant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and a time table for improvements to be made. "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 manage 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 subrilitting false information, including the possibility of fines and imprisonment for knowing violations." James M. Cheshire (Authorized Agent Permit tee (Please print or type) D S(ghature of Permittee** ate 14115 Albemarle Rd. Ch Permittee Address Phone Number Permit Exp. Date PARAMETER CODES 00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total 00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual 00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine 00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde 00300 Dissolved Oxygen 01034 Chromium 31616 Fecal Coliforin 71900 Mercury 00310 BOD5 00665 Total Phosphorous 32730 To Phenolics 81551 Xylene 00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene 00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene 00530 Total Suspended 00927 Total Magnesium 38260 MBAS Residue 00929 Total Sodium 01045 Iron 39516 PCBs 00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow Parameter Code assistance may obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMETRIC mean, Use only units designated in the reporting facility's permit for reporting data. ORC must visit facility and document visitation of facility as required per 15A NCAC 8A .0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2) (D):