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' '° �. '+.�, �'-�s-'tip. 3 `a ! ,�' y'�»^
�+ i-r-Y }"` l•' '/ ft' t(l� `'tf w.i \ f ) `�'. '4 5
�"-*. � . O /.��r`, x i• m i �f f; t° r ...rt f t r ,,� i . r `4S � L.,.,1 ,"�
tlf_ ,' rf .' fr lkttiP
U/J f
} ,.f �:✓ r='"`�. ! ��.;..; .r'"_" � "� -',rr� f"`�"`w.'w:+�...w. ^' w.., ,�{;'l ,r �✓ ��i
S (
.,�'b
�.. ) J } i'"'""? ;'p`;`--,,. g .4 J ( t .'=r`, •� " '^ fir~`..`;.- ~ 'f
C w
,
WAIT
r* «'�."� [r �-r`�' -t, 1 � w r`r t s ' ""`� " � �`,. � 1.-✓--"��.
.. C r.y.. rr`'
- i:: 11 �,r---'` :, r" `. -';tom .�`', i ,Ft:
' y �... .. Si \ . { f U4 L.
�•..:,rf<
'r,.,.- _.�` ".�,rt'Iwo.
40
r\
i}t` ryl �t ./
\\ r
;!-' t ..,:, � •. fr � ,„� ) _ ' �t,�. It ✓ir 7 � ^c �t + \f, tr �'�.•* � M,d ti
tt.t
1
ry
� � ., � �� :.. t�"'s'f=•mow., f� ;. r ;. .,µ',".if G`,� ., "y -�"� t €" I � r� � t: � '�, \ t .^A'{�^ +: � ��
F
„
., , f
li,-Yr t, Jry `r��'. i\1 r iw..�,4{ `` tklf, rr '*r rly„ t``*, t ,'1�., ,t
/' _ kl"
G}�, '` "='�.,,,.r ."r , r :�..; r J ...''• k)+ .:„, .. .,. „ ..'.- �„ r fr ,i{ F;� ,� f ,`�f f t I,r,„, •. � ��
r�r`1 ,, r,-.,,...., 1�, `.{,,r, ,f•, ,� f� ...,.....a.+"''i � y�^dr,'� JiMym.,,t'_ '4.,- w.d� �`� rr"• r 4�. `...,.d`,.`. 'wv+ j � \w...
w
r"
`i �,."*`... : } ,•- `" a �~� t r k i.4.
w
. � 1 r € � why c� . * `�(,f �r � tw 1 ✓ � t} �j l ""� �, .'� �.'^ * }� ,.,,,, , "t ` J. ..
_�, '} '�°' � ;� �, � ; t � !"'�,� � � Y � � fr 'lr� j` r �'�`�.t� �•; ^mil � \`,.. � `` \�" 'rr-"' ^i
f 4 l.: _.c.... �' W C7� �, +^ , f,. .Tr �.r" 1 ,✓" `a'h ,- '4 f ' - I r}1� /`� ',� �`} `�S,y ! �v"�:
I f ti J1
t�
}}
W f ..
1
r1 1 A
I � ,/'� rvy
\}1t`��
�u�\}
>l „w �4•� ,m,•:+� �'rf 5(j/` fr` II i"`,:, r r '. r"`l' . r ) #, i �,'� tint t ` }\, 3�,
oll
j� '` ,f 1 , "'fie-.,�: *► � � . � ` � r"i ..::. ^�` t a1 % � r I �,r`.;;:�"�` `, } 1 ,, .* ,r.4,,,`�.1 `� >� t I t`J �,`:
.,
U'4 '""\ ":" �•r .' .,+,t}},(,�,� «:. 1. '•,
"�''`^^ ° "."'r {'..cx 7 Ci;y r ,,,„.., „ } E tl (? ',y,, i .,sit
`., , f f r , * "
«
{ t
` ia°'"... .,'n'.u-'^. r +IF^••'`?xe.. �. . • . .. , , .._,✓ `,�'^-x.:.,.. , rl . « .r..-:....::`'arr..-^" A« l �,: 1.;« - m,:
EFFLUENT
NPDES PERMIT NO.' 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):