NC0063797_Regional Office Historical File Pre 2018 (3)

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F, Easley, Governor William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
Ramesh Gihwala
Higalaw Enterprises LW
123 W Marion St
Shelby, NC
Dear Permittee:
28150
November 21, 2007
Subject: Renewal Notice
NPDES Permit NC0063797
Whispering Pines Rest Home
Cleveland County
Your NPDES permit expires on August 31, 2008. Federal (40 CFR 122.41) and North Carolina (15A
NCAC 2H.0105(e)) regulations require that permit renewal applications must be filed at least 180 days prior
to expiration of the current permit. If you have already mailed your renewal application, you may
disregard this notice.
To satisfy this requirement, your renewal package must be sent to the Division postmarked no later
than March 4, 2008. Failure to request renewal by this date may result in a civil assessment of at least
.8500.00. Larger penalties may be assessed depending upon the delinquency of the request.
Ifany wastewater discharge will occur after August 31, 2008,.the current permit must be renewed.
Discharge of wastewater without a valid permit would violate North Carolina General Statute 143-215J;
unpermitted discharges of wastewater may be assessed civil penalties of up to $25,000 per day.
If all wastewater discharge has ceased at your facility and you wish to rescind this permit, contact
'me at the telephone number or address listed below,
Use the enclosed checklist to complete your renewal package. The checklist identifies the items you
must submit with the permit renewal application. If you have any questions, please contact me at the
telephone number or e-mail address listed below,
cc: Central Files
Mooresville Regional Office, Surface Water Protection
NPDES File
Sincerely,
WC
Charles H. Weaver, Jr.
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone], extension 511 / FAX [phone] / charies,weaver@ncmail,net
One
NorthCarolina
aturally
An Equal Opportunity/Affinmative Action Employer - 50% Recycled/10% Post Consumer Paper

NPDES PERMIT NC0063797
WHISPERING PINES REST HOME
CLEVELAND COUNTY
The folk)wing items are REQUIRED for all renewal packages:
O A cover letter requesting renewal of the permit and documenting any changes at the facility since
issuance of the last permit. Submit one signed original and two copies.
O 'The completed application form (copy attached), signed by the permittee or an Authorized
Representative. Submit one signed original and two copies.
O If an Authorized Representative (such as a consulting engineer or environmental consultant) prepares
the renewal package, written documentation must be provided showing the authority delegated to any
such Authorized Representative (see Part 11.13.11.b of the existing NPDES permit).
o A narrative description of the sludge management plan for the facility. Describe how sludge (or other
solids) generated during wastewater treatment are handled and disposed. If your facility has no such
plan (or the permitted facility does not generate any solids), explain this in writing. Submit one signed
original and nvo copies.
The following items must be submitted by any Municipal or Industrial facilities dischargin
process wastewater:
Industrial facilities classified as Primary Industries,(see Appendices A-D to Title 40 of the Code of Federal
Regulations, Part 122) and ALL Municipal facilities with a permitted flow ?. 1.0 MGD must submit a
Priority Pollutant Analysis (PPA) in accordance with 40 CFR Part 122.21.
The above requirement does NOT apply to privately owned facilities treating 100%
domestic wastewater, or facilities which discharge non -process wastewater (cooling
water, filter backwash, etc.)
PLEASE NOTE:
Due to a change in fees effective january 1., 1999, there is no renewal fee required with your
application package.
Send the completed renewal package to:
Mrs. Dina Sprinkle
NC DENR / DWQ / Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617

NPI.)IS Permit
Facility Name
Operator in Responsible C
Certified. Laboratories (1)
CHECK BOX IF ORC HAS CHANCED El Person
Mail ORIGINAL and ONE COPY tow
ATTN: CEN'FRaL FILES
Ihv, OF WATER QUALITY
DENR
1617 MAIL SERVICE CENTER
NC 27699-1617
EFF ENT
Discharge No. Month
.A°F'[?RE OF OF'1 l .rLS°t R FN RE DONS
S SIGNATURE, I C'ERTW\ THAT THIS REPORT iS C'TLE' AM) COMPLETE TO
3T OF MY I(NOWLEDGE.
E) [)A°tE

Facility Status - please check one of the following:
All momtoring data and sampling frequenciesneet perequirements
Monitoring data andlor sampling .frequencies do NOT meet permit requirements
Cornplian
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc,
roviding a time table for completion of improvements,
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 inquire of
the person or personswho manage the system, or those persons directly responsible for gathering the infomiation, the information
submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for
subrnitting false information, including the possibility of tines and imprisonment for knowing violations,"
ir2
-top; (4-
e Address
Cca
a.se print
Signature of Perm.
Phone Number
Date
ZUD
Permit Expiration Date
00010 Temperature
00300 Dissolved Oxygen
00545 Settleable Matter
00630 Nitrates/Nitrites
00929 Total Sodium
01032 Hexavalent Chromium
01051 Lead
01 147 Selenium
38200 MBAS
71900 Mercury
00076 Turbidity
00310 BOD5
00556 Oil & Grease
00065 Total Phosphorus
00940 Total Chloride
01034 Chromium
01067 Nickel
31616 Fecal Colifornt
39516 PCBs
81551 Xylene
PARAMETER CODES
00080 Color (TWO)
00340 COD
00000 Total Nitrogen
00720 Cyanide
00951 Total Fluoride
01037 Total Cobalt
01077 Silver
32730 Total Phenolics
5005U Flow
00082 Color (ADM]) 00095 Conductivity
00400 pH 00530 TSS
00610 Ammonia Nitrogen 00625 Kjeldhal Nitrogen
00745 Total Sulfide 00927 Total Magriesium
01002 Total Arsenic 01027 Cadmium
01042 Coppff 01045 Iron
(11092 Zinc 01 i05 Alurninum
34225 Benzene 34481 Toluene
50060 Residual Chlorine 7I M Formaldehyde
Parameter Code assistance may be obtained by calling the Division's Point. Source Compliance/Enforcement Unit at (9
by visiting the NPDES web site atlittp://h2o.enr.state.ne.us/NP.DES andvisiting the "Documents" section,
The monthly average .for fecal coliform is to reported as a GEOMETRIC mean. Use only units designated in the reporting facility's
permit for reporting data,
9) 733-50
Or
• 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 permittec, delegation of signatory. authority must be on file with the state per I5A NCAC 2B ,0506 (b) (2)
(D),
DWQ Form MR-1.
Revised 7/2000)
LO

EFLNT MAY 3 u Ludi
NPDES Permit N 0 AC: CC 7 7 Discharge No, c 0 i Year
' 1' „
Facility Name 1,V_ i , 63. 5, g tr'"'S'7 ‘00A. er Class Conn , _ `- "04:
Operator in Responsible Charge (ORC) y r e_t -7-(wade 17j Pito
Certified Laboratories (1) _ 4c ; (2)
CHECK BOX IF ORC HAS CHANGED 0 Person(s) Collecting Samples F:?ri 1 0 (J A ,rc:
Mail ORIGINAL and ONE COPY to:
Arn': CENTRAL FILES
DIV. OF WATER QUALITY
DENR
1617 MAIL SERVICE CEN'FER
RAI 'it, NC 27699-.1617
AVERAGE
AX MUM
Comp(c) / Grab
, -
MonthIy
WQ Frrin MR-1
(Resised 7/?Do)
50050
EFT
IN F
C 5
00010
00400
NITS
t_r
50060
NAT t OF OERATOR 1 DQiBLE C EyDATE
By THIS SIGNATURE, 1 CERT! Y THAT THIS REPORT IS ACCURATE AND COMPLETE TO
'El IE LIFST OF MY KNOWLEDGE.
0031(
610
E 0
00530 3 6 6 00300 00600 00665
-3
z
H
Code above, mune
and on:its below

Facility Status - please check one of the following
All monitoring data and sampling frequencies meet permit requirements
Monitoring data and/or sampling frequencies do NOT meet permit requirements
Compliant
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
iroviding a time table for completion of improvements.
"1 certify, under penalty of tatty, that this document and an 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 inquire 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 infomiation, including the possibility of fines and imprisonment for knowing violations."
, "Pt
To")
Address
,"
ire of Perm Date
00010
00300
00545
00630
00929
01032
01051
01147
38260
Temperature
Dissolved Oxygen
Settleable Matter
Nitrates/Nitrites
Total Sodium
Hexavalent Cbrorniui
Lead
Selenium
MBAS
71920 !Amory
00076 Turbidity
00310 BO%
00556 Oil & Grease
00665 Total Phosphorus
00940 Total Chloride
01034 Chromium
01067 Nickel
3 6!6 Fecal Coll ronn
39516 PCBs
8 I 551 Xylehe
PARAMETER CODES
00080 Color (Pt -Co)
00340 CO[)
00600 Total Nitrogen
00720 Cyanide
00951 Total Fluoride
01037 Total Cobalt
0107'7 Silver
32730 Total Phenolics
50050 Flow
00082
00400
00610
00745
01002
01042
01092
34225
50060
Color (ADM])
pH
Ammonia Nitrogen
Total Sulfide
Total Arsenic
Copper
Zinc
Benzene
Residual Chlorine
00095 Conductiviry
00530 TSS
00625 1.:,.'jeldhal Nitrogen
00927 Total Magnesium
01027 Cadmium
0 1 045 Iron
01105 Aluminium
34481 Toluene
71 880 Formaldehyde
Parameter Code assista.nee may be obtained by calling the Division's Point Source Compliance/Enforcement Unit at [phone] or
by visiting the NPDES web ste atjp://h2o,enr.,state.nc.us/NPDES and visitingthe "Documents" section.
The, monthly average for fecal coliform is to reported as a GEOMETRIC mean,
permit for reporting data,.
Use only units designated in the reporting facility's
ORC must visit facility and document visitation of facility as required per 15A NCAC SA .0202 (b) (5) (13).
If signed by other than the permittee, delegation or signatory authority must be on 'file ith the state per 15A NCAC 2B ,0506
(D).
DWC,1 Form MR-1.I (Revised 7/2000)
40.

NPD£SPer it No,
Facility met \(
Operator 6Responsible Charge 7RC
Certified Laboratoriesb\ / \./
CHECK aOXIFORC HAS CHANGED E1
Mail ORIGINAL and ONE COPY to:
A : CENTRAL FILES
Div OF WATER QUAKY
DENR
1617MmiSERVICE CENTER
NC 27699d 6!7
IYA1Q Form MR11
R a q
k
N T
aA± ,}
i County
Grade
)Co cting Samp e
aN 'LIRE OF R q R SPONS
BY THIS "IGNATURE,l7RT FY THAT TIES REPORT IS
THE HEST OI MY KNOWLEDGE.
A
DA :
TFAND COMPLETE TO

Facility3 Status - please check one of the following:
onitoring data and sampling fr-equeneies'meet permit requirements Compliant`
Monitoring data and/or sampling frequencies do NOT meet permit requirements
Noncon'tp➢iant
If the facility is noncompliant, please ccrrtnrterst tart corrective actions being taken in respect to equipment, operation, maintenance, etc.,
g a tinge table for completion of improvements.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
e ritl't a system designed to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquire 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, 1 am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
Phone Number
0007
00:t00 taissralved Oxygen 00310
Matter 00556
30 Nitrates/Nitrites 00665
!3929 Total Sodium 00940
01032 }lexavalentChrurnium 01034
01051 Lead 1067
01147 Selenium im ,v. 3ltil6
38260MRAS 39516
71900 Mercury 81551
Y
BOD3
C)i1 Rz Grease
Total Phosphorus
Total Chloride
Chromium
Nickel
Fecal C©liform
PCBs
Xylem.
PARAMETER +t
0 Color (Pt -Co)
40 COD
Total Nitrogen
00720 Cyanide
00951 Total Fluoride
01037 Total Cobalt
01077 Silver
32730 Total Phenolics
50050 1 1 tiv..
ODES
00082 Color (ADMI)
00400 p>j
00610 Anvmonia Nitrogen
00745 Total Sulfide
01002 Total Arsenic
01042 Copper
01092 Zinc
34225 Benzene
500 Residual Chlorin
00t795 Conductivity^
00530 TSS
005 Kjeldhal Nitrogen.......
00927 Total Magnesium
Q'1027 Cadmium
01045 Iron
Ci1 l05 Aluminum
34481 Toluene
7I88C Formaldchyd
Parameter Cade assistance may be obtained by calling the Division Point Source Comp! i tcet Enforcement Unit at (919) 73
by visitingthe NPDES web site at h . ://h2o c,nc,us/NPDES and visiting the "'Documents" section.
ttp 12o.enr.stat_
The monthly average for fecal conform is to reported as a GEOMETRIC mean. Use only units dcsigt
permit for reporting data.
OR.0 nwst vis
led by other th
(D),
DWQ Fomi MR-
nd documer
th
pernuttee, delegati
Revised 7/2000)
0
ed it
equired per 15 A NCAC SA .0202 (b) (5) (f3)-
5083 or
he reporting facility's
ority must be on file with the state per 15A NCAC 2B .0506 (b) (2)

NPDES Permit 'o
Facility Name
Operator in Responsmb1e Charge ORC)
Certified Laboratories (I) ` �-
7
Discharge No,
CHECK BOX IF ORC HAS CHANGED El
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIV. OF WATER QUALM'
DENR.
1617 MST SERVICE CENTER
NC 27699-1617
500 0 00010 0 0
FLOW
A1d ILAdds
MAXWM
rifdhIMuM
'aanp_ (c.) ((ntb
(G)
N'innth) i unit
)WNForm i4R-I
i:Reviserd 7 2000)
x
(SlGNA URE OF OPERA t R IN RESP
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT." IS-ACU..RATE AND COMPLETE TO
'OW BST' O1 4'r KNOWLEDGE.
5
DATE

ty Status - please check. one of the f'o
All monitoring data and .sampling frequencies meet permit. requirements
Monitoring data and/or sampling frequencies do NOT meet permit requirements
Compliant
Noncompliant
ity is noncompliant, please comment on corrective actions being taken in respect to equipment, operation,, ntaintenance,
ble for cone lotion of improvements,
"1 errtify, =rider penalty of la`,,, that this do umN.: "t and all attachment_, Were prepared under racy direction. or supervision in accordance
v°itlr a system. designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquire 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."
Permit Expiration Date
010 Tempt as
300 Dissolved
151 Lead
147 Selenium
f ik h4BAS
7
1076 Turbidity
00310 BOD,
00556 Oil & Crease
00665 Total Phosphorus
009110 Total Chloride
01034 Chromium
01067 Nickel
ecal Colifonn
39516 PC'i3s
81551 Xylem
PARAMETER CODES
00080 Color (Pt -Co)
0©340 COD
00600 Total Nitrogen
00720 Cyanide
00951 Total Fluoride
01037 Total Cobalt
01077 Silver
32730 Total Phenolics
50050 Flow
00082 Color (ADM
00400 p1i
r._
00610 Ammonia Nitrogen
00745 Total Sulfide
01002 Total Arsenic
01042 Copper
1092 Zinc
4225 Benzene
5006,0 Residual Chlorine
00095 Coma
00530 TSS
00625 Isjeld
00927 Total
01027 Cadmium
010451ron
➢ 105 Aluminum
34481 Toluene
71880 Foniiaidehyde
Parameter Code assistance may be obtained by calli
by visiting the NPDES web site at http;.//h2o.errr,sta
The rnonthly average for fecal.
permit for reporting data,
oli form is
the Division's Point Source Compliance/Enforcenien
nc.us/NPPES and visiting the "Documents" section.
Unit at (919) 733- 08
to reported as a GEOMETRIC mean. Use only units designated in the reporting facility's
▪ ORC must visit fat iliry and document v'istt .tiorr of
• If signed by other
(D).
the pennittee,
WQ Form MR-1,1 (Revised 7/2000)
required per 1 SA NCAC SA .0202 (h) t5) (B),
r authority must he on file with the state per 15.A. NCAC 2B A/506 (b) (2)

NPDES Permit No,
Facility Narne
Operator in Responsible Charge (ORC)
Certified Laboratories (1) 17-',9
CHECK BOX IF ORC HAS CHANGED El
Mail ORIGINAL and ONE COPY to:
ATT : CENTRAL FILES
DIV. OF WATER QUALIFY
DEN R
1617 MAIL SERVICE: CENTER
RALE" , NC 27699-1617
EFFt
Discharge No.
r ' 6"S I _tom
FEB
Count'
(2)
Person(s) Collecting Samples
x
(SEGNA7ORL OF DI'Ia.R R I I I : °, L )_.. DATE
BY THIS SIGNATURE, I CERTIFY THAT TIPS REPORT IS ACCURATE AND COMPLETE TO
THE HEST OF MY KNOWLEDGE.
7 `f/ °L_

Facility Status - please check one of the following:
AU monitoring data and sampling frequencies meet permit requirements Compliant
Monitormg data and/or 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,
ovtduig a time table for completion of improvements,
"I certify, under penalty of law, that this document and all attachments were rt."-Tartid tinder my 'direction 07 S2Ci7ViSk,i; accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquire 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.,"
112 T
Pennittee Address
Pernuttee (P15ase pri
5- 3
Phone NunheiNether
Permit Expiration Date
00010 Temperature 00076
00300 Dissolved pxygen 00310
00545 Settleable Matter 0, 0 556
00630 'NitratesINitrites 00665
00929 Total Sodium , 00940
01032 Hexavalen t Chromium 01034
01051 Lead 01067
01147 Selenium 31616
38260 MBAS 39516
7 19(..i0 Mercury ! 81551.
Turbidity
BOD5
Oil St, Grease
Total Phosphorus
Total Chloride
Chromium
Nickel
Fecal Coliform.
PCBs
Xylene
PARAMETER CODES
00080 Color (Pt -Co)
00340 COI)
00600 Total Nitrogen
00720 Cyanide
00951 Total Fluoride
01037 Total Cobalt
01077 Silver
32730 Total Phenolics
50050 How
Parameter Code assistance may he obtained by calling the Division's
by visiting the NPDES web site at http://h2o,erir,state,nc.usNPDES a
0(082 Color (ADM() 00095 Conductivity
00400 pH 00530 TSS
00610 Ammonia Nitrogen , 00625 Kjeldhal Nitrogen
00745 Total Sulfide 00927 Total Magnesium
01002 Total Arsenic 01027 Cadmium
01042 C:opper 01045 two
01092 Zinc 01105 Aluminum
34225 Benzene 34481 Toluene
50060 Residual Chlorine 71880 Formaldehyde -
it Source `o pl ice/Enforcemen
d visiting the "Documents" section.
Unitas919) 733-5083 or
The monthly average for fecal coliform is to repotted 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),
It signed by other than the permittee, delegation of signatory authority must be On file with the state per I 5A,
(D).
DWQ Form MR -I, I (Revised 7/2000)
2B „0506 (b) (2)

NPDES Permit No. /2 - ) 6, 3 7(. 7
Dischary Nc.) Month
Facility Name (0.
Operator in Responsible Char e RC
Certified Laboratories (1)
CHECK BOX IF ORC IlAS CHANGED Li
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIV, OF WATER QUALITY
DENR
1.617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
50050
FLOW
IIRS FIRS Yi M(H)
AVERAGE'
MAXIMUM
MINIMUM
Comp, (,;)/CiTab
(a)
Monthly Limit
DWQ Forlia1R-1
(I:evied 7;2000)
00010
EFENT
Co
Grade Phone —
Person(s) Collecting Sarnples-_...._
x
(SIGNATURE ( 'ERA OR IN ES 'ONSIBL rtilARGE)
BY THIS SiGNATt *Et I CERTIFY THAT THIS REPORT IS ACCURATE A NI
THE BEST OF MY ICNOWLEIIGE.
0 400 50060 j 00
I" "S.
u
005 0 31616 00300 00600 00665
'100 m
TO
"Code abovo, name
and units boiow

Facility Status - please check one of the following:
All monitoring data and sampling frequencies meet permit requirements
Monitoring data and/or sampling frequencies do NOT meet permit requirements
Compliant
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect, to equipment, operation, 'maintenance., etc,
viclint a time table for completion of improvements.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supenision in accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquire of
the person or persons who manage the system., or those persons directly responsible for gathering the information, the infomiation
submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for
submitting false information, including the possibility of tines and imprisontnent .for knowing violations,"
/0
<-7
Peniiittee Address
ittee (Plwe prin
/-
rt s" / 7 Er 77
C t t 7 3
Phone Number
Date
-
Permit Expiration Date
00010 Temperature
00300 Dissolved Oxygen
00545 Settleable Matter
00630 Nitrates/Nitrites
00929 Total Sodium
01032 Hexavalent Chromium
01051 Lead
01147 Selenium
38260 MBAS
71900 MeTcury
00076 Turbidity
00310 BOD
00556 Oil & Grease
00665 Total Phosphorus
00940 Total Chloride
; 01034 Chromium
01067 Nickel
31 616 Fecal Coliform
39516 PCBs
81551 Xylene
PARAMETER CODES
00080
00340
00600
00720
00951
01037
01077
32730
Color (Pt -Co)
COD
Total Nitrogen
Cyanide
Total Fluoride
Total Cobalt
Silver
Total Phenolics
00082 Color (ADM!) . 00095
00400 pH 00530
00610 Ammonia Nitrogen :
; 00625
00745 "total Sulfide 00927
01002 Total Arsenic : 01027
0 1042 Copper ; 01045
01092 Zinc ; 01105
34225 Benzene 1 34481
; 50050 Flow ; 50060 Residual Chlorine ; 71880
Conductivity
°TS'S
Kjeldhal Nitrogen
Total Magnesium
Cadmium
iron
Aluminurn
Toluene
Formaldehyde
Parameter Code assistance may be obtained by calling the Division's Point Source p lance orcernent Unit at [phone] or
by visiting the NPDES web site at http:Th2o.enr.state.nc.us/NPDES and visiting the "Documents" section.
The monthly average for fecal colifonri is. to reported as a GEOMETRIC mean. Use only units designated in the re
permit for reporting, data.
0
• ORC: rust visit facility and document visitation of facility its required per 15A NCAC SA .0202 (h) (5) ([).
• If signed by other than the permittee, delegation of signinory authority must be on file with the state per I5A NCAC 2.B .0506 (b) (2)
(D).
DWQ Form MR -I. (Revised 7/206))

EFFJVNT
NPDES Permit No.,/ i.C' 7 Discharge No. C .) e Month
Facility Name if/ , ' ' .•; 5 /2 E- „,S 1,,koplass
Operator in Responsible Charge (ORC)_ I) „
Certified Laboratories (1) _
CHECK BOX IF ORC HAS CHANGED 0 Person(s) Collecting Sample
Mail ORIGINAL and ONE COPY to:
ATFN: CENTRAL FILES
DIV, OF WATER QtJALITY
DENR
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
50050
FLOW
>. j
H
MG{
,
-
31
AVERACTE
MA x
MINIML
Comp...Cep Gra
(9)
Monti-4 Lim
IWO Form -
(Revised 712000)
00010 00400
C
/ )
, _1_-..: c
(SIGNATURE( OPERATO ONSI LE CHARGE) DATE
BY THIS SIGNA'cURE, i CERTIFY TIIAT THIS REPORT IS ACCURATE AND COMPLETE TO
THE BEST OF MY KNOWLEDGE.
0060 00310 00610 00530 3 616
° TS grt,
1„ 0
%, 0
00
00600 00665
— .
z
o
Z. °z
z
.?e
i—•
Code abovc, name
ad wilts below

Facility Status - please check one of the following:
All monitoring data and sampling frequencies meet permit requirements
Monitoring data and/or sarnp]ing trequencies do NOT meet permit requirements
Compliant
'Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
rovidin.g a timetable for completion of improvements.
"I certify., under penalty of law, that this dixtunent and all attachments were prepared tinder my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquire 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."
• 4 -
0 5
), A 5 iciv r
Pen 'ttee Address
(5 el )2 7 $,"
5
Pemiittee (Please print
f Permitte
-
hone Number Perrot Expira
00010 Tempera tu : 00076
00300 Dissolver.] Oxygen 00310
00545 Settleable Matter. 00556
00630 Nitrates/Nitrites 011665
0092C 9 Total Sodium 00940
01032 Hexavalent Chromium 01034
01051 Lead 01067
01147 Seleniurp 31616
38260 MBAS 39516
7l900Mercur 81.551
Turbidity
BOO)
Oil & Grease
Total Phosphorus
Total Chloride
Chromium
Nickel
Fecal Coliform
PCBs
Xylenc
PARAMETER CODES
00080 Color (Pt -Co)
00340 COD
00600 "rotaNitrogen
00720 Cyanide
00951 Total Fluoride
01037 Total Cobalt
01077 Silver
32730 Tota1 Phenolics
50050 Flow •
00082
00400
•• 00610 Ammonia Nitrogen
00745 Total Sulfide
010)2 Total Arsenic
i• 01042 Copper
01092 Zinc
34225 Benzene
50060 Residual Chlorine
Color (ADM1)
PH
00095 Conductivity
00530 TSS
• 00625 Kjeldhal Nitrogen
00927 Total Magnesium •
01027 Cadmium
• 01045 Iron
01105 Aluminum
34481 Toluene
71880 Formaldehyde
Parameter Code assistance may be obtained by calling the Division's Point Source Compliance/Enforcement Unit at [phone] or
by visiting the NPDES web site at http//h2o air state nc us(NPDES and visiting the "Documents" section
The monthly average for fecal colifbrm is to reported as a GEOMETRIC mean, Use only units designated in the reporting facility's
permit for reporting data,
• ORC must visit facility and document visitai:ion ot facility as required per I5A NCAC SA .0202 (h) (5) (13),
• If signed by other than the 'permittee, delegation of signatory authority must be on file with the state per 15A. NC'AC 23 .0506 (b) (2)
(D).
c '; •
•„„,,
DWQ Form MR -I. I (Revised 7/2000)

EF
NPDES Permit No. 'Y C r ' Discharge No.
Facility Name/4 ! ,(1 (A i ; f iv g- i' _ "2 '(_::: ,s-r I -A-,,,, e—C s
Operator in Responsible Charge (ORC) Certified Laboratories (1) Pp, C
CHECK BOX 1F ORC HAS CHANGED Li Person(s) Collecting Samples POI L 0 ,_.77-4- .77---'
Mail ORIQINAL and ONE COPY to:
ATTN: CENTRAL FILES
Div. OF WATER QuATITY
DENR
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1.617
AVERAGE
MANIMOM
IMIJM
Comp (c)/ Grab
Monthly Limit
Form MKT—
(ReN1,5ed 712000)
A
month (3 -f Year CI
County'
Grade 77 Phone 7 o -- / 0
(SIGNATURE OF OPE TOR IN RESPONSIBL IARGE) DATE
.BY 'THIS SIGNATURE, I CERTIFY THAT THIS REP'ORT IS ACCLIFIVIE AND COMPLETE TO
THE BEST OF MY KNOWLEDGE.
60 00310 00610 00530 616
'nde above, niunn
and units below

Facility Status - please cheek one of the following:
Ali monitoring data and sampling frequencies meet perrnit requirements. Compliant
Monitoring data andlor 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,„
viding a tirne table for completion of improvements.
"I cetify., under penalty of law, thzt this doeumara and ••1:!, attaclonents wore -propared niulcriiiy ietio r supervision in accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquire 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, 1 .a.m aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
44/0 C(7,44
tee Address
,
1/3efinittee J4ease print or
Phone Number
4: -Z.) 6
Date
0001 0 'Temperature • 00076 Turbidity
00300 Dissolved Oxygen 00310 BOD5
• 00545 Settleable Matter 00556 Oil & Grease
00630 Nitrates/Nitrites , 00665 Total Phosphorus
00929 Total Sodium i 00940 Total Chloride
01032 Flexavalent Chromium 01034 Chrornium
01051 Lead 01067 Nickel
01147 Selenium 31616 Fecal Coliform
38260 MBAS 39516 PCI3s
71900 Mercury 81551 Xylene
PARAMETER CODES
00080 Color (Pt -CO
00340 COD
00600 Total Nitrnen
00720 Cyanide
00951 Total Fluoride
01037 Total Cobalt
01077 Silver
32730 Total Phenolics
50050 Flow •
00082 Color (A DiMl) 00095 Conductivny
00400pfi '00530 TSS
00610 Ammonia Nitrogen 00625 19eldlial Nitrogen
00745 Total Sulfide 00927 Total Magnesium
01002 Total Arsenic 01027 Cadmium
0.1042 Copper 01045 Iron
01692 Zinc • 011.05 Aluminum
34225 Benzene 34481 Toluene
50060 Residual Chlorine 71880 Forrrraldehyde
Parameter Code assistance may be obtained by calhng the Division's Point Source Compliance/. orcemen 9) 733-5083 or
by visiting the NPDES web site a•t 1 J/h2o.enr.st te.n.c.tis/NPDES and visiting the "Documents" section.
The monthly average for fecal colifonn is to reported as a GEOMETRIC mean. Use nlv units designated in the reporting facility's
permit for reporting data,
ORC must visit facility and documcnt visira6on of facility as required per 15A NCAC SA .02.02 (b) (5) (B).
If signed by other than the permittee, delegation of signatory authority must be on file with the state per ISA NCAC 2B .0506 (b) (2)
(D).
DWQ
RL
Revised 7/2000)
",„

NFDES Permit No.
Facility Natnel4
Operator in Responsible Chang (ORC,
Certified Laboratories (I)
CHECK BOX IF ORC :HAS CHANGED El
Mail ORIGINAL and ONE COPY t©;
Arm: CEN1°1TRAL FILES
Drv, OF WATER TCIALrFY
DENR
1617 MAIL SERVICE CENTER
RALEIGli, NC 27699-1617
Discharge No,
NT
(2)
ing Samples
OR • RESPONS1;:: CHAR
'ATTIRE, 1 CERTIFY THAT Tins REPT I CCURAT
TIIE LWST OF MY KNOWLEDGE.
NATURE 0
50050 00010 00400 50060 00510 0 610 00550 21t1i 00300 00600
FLOW
®Y/ MG
lRAGE
xEM
0 rrt stt''L m,
Year
00665
DWQ Farm MR-J
(Revascd ?//2000)

Facility Status - please check one of the following:
All monitoring data and sampling frequencies meet permit requirements Compliant
Monitoring data andlor sampling frequencies do NOT meet permit requirements
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc,
ovidIiriapTletab1efor completion of improvements,
"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 inquire 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.,"
cci
5 in /4 -SE-5 e eott 1-4
,2 5-0_5 cl
Permittee Address
3i,Atoit)
Pemut Expiration Date
00010
00300
00545
00630
00929
01032
01051
01 147
38260
71900
Tempertitunt
Dissolved Oxygen
Settleable Matter
Nitrates/Nitrites
Total Sodium
Flexavalent Chromium
Lead
Selenium
MBAS
Mercury
00076
00310
00556
00665
00940
01034
01(k57
31616
39516
81551
Turbidity
BOD5
0i1 & Grease
Total Phosphorus
Total Chloride
Chromium
Nickel
Fecal Coliform
PCBs
Xylene
PARAMETER CODES
00080 Color (Pt -Co)
00340 COD
00600 Total Nitrosim
00720 Cyanide
00951 Total Fluoride
01037 Total Cobalt
01077 Silver
32730 Total Phenolics,
50050 Flow
00082 Color (A DM I)
; 00400 pH
i 0061 0 Ammonia Nitrogen
00745 Total Sulfide
01002 Total Arsenic
01042
01092 Zinc
34225 Benzene
50060 Residual Chlorine
Copper
00095 Conductivity
00530 TSS
00625 Kjeldbal Nitrogen
00927 Total Magnesium
01027 Cadmium
01045 Iron
01105 Aluminum
34481 Toluene
71880 Formaldehyde
Parameter Code. assistance may be obtained by calling the Division's Point Source Compliance/Enforcement U [phone] or
by visiting the NPDES web site at http://h2o.enrstatenc.us/NPDES and visitin the "Documents" section..
. .4.01•••••=1
The monthly average for .fecal colifo.mi is to 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 fa ility as required per 5A 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 1.,5A NCAC 213 .0506 (b) (2)
(D).
7.1
DWQ- Form MR -I A (Revised 7/2.000)

EFF VENT
NPDI S Permit No, iyiseltar;e No. tr Month
Facility Name )4:' I �".
Operator in Responsible Charg
Certified Laboratories (1)
CHECK BOX IF ORC HAS CHANGED
Mail ORIGINAL and ONE COPY to:
ATTN CENTRAL FILES
DIV. OF WATER QUALITY
I)ENR
1617 MAIL SERVICE CENTER
NC '27699-1617
2 2006
PLR+ATOR IN RESPO 1BL HAR("QE) )ATL
'NATURE, 1. CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO
THE BEST OF MY KNOWLEDGE.

Facility Status - please check one of the following:
Ali monitoring data and sampling frequencies meet permit requirements Ca.
Monitoring data and/or sampling frequencies do NOT meet permit require -n s
Noncomphant
If the facility is noncompliant, please comment on correctve octions being taken in respect to equipment, operation, maintenance, etc.,
providing a time table for completion of improvements,
"I certify, under penalty of law, that this dactunent 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 inquire 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 bel.ief, true, accurate, and complete, 1 am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations,"
iT C 6 Ot
Permittee Addre,.;
7
- '7 3
Phone Number
ermit Expiration Date
00010 Temperature 00076
00300 Dissolved Oxygen 00310
00545Settleable Matter 00.556:
...„ ..„
00630 NiiratesiNitrites 00665
00929 Total Sodium 00940
01032 tleiovalent Chromium 01034
01051 Lead . 01067
01147 Selenium : 31616
38260 MBAS ; 39516
71;900 Macury, 81551 Xylene
Turbidity
BODs
Oil & Grease
Total Phosphorus
Total Chloride
Chromium
Nickel
Fecal Cotifomi
PCBs
PARAMETER CODES
00080 Color (Pt -Co)
00340 COD
00600 Total Nitrogen
00720 Cyanide
00951 Total Fluoride
01037 Total Cobalt
01077 Silver
32730 Total Phenolics
50050 Flow
! 00082 Color (ADM1) 00095
00400 pti '„ 00530
00610 Arninonia Nitrogen 00625
00745 total Sulfide 00927
01002 Total Arsenic 01027
01042 Copper 01045
01092 Zinc 01105
34225 Benzene 34481
50060 Residual Chlorine 71880
Conductivity
TSS
Kjeldhal titto8er
total Magnesium
Cadmium
iron
Aluminum
Toluene
Formaldehyde
Parameter Code assistance may be obtained by calling the Division's Point Source Compliance/Enforcement Unit at (919) 5083or
by visiting the NPD.ES web site at http://h2oenr..state,ncais/NPD.ES and visiting the "Documents" section..
The monthly average for fecal coliforrn is to 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 1.5A NCAC SA .0202 (b) (5) (B).
." if signed by other than the permiitee, delegation of signatory authority must he on file with the state per 15A..NCAC 213 .0506 (b) (2)
(D).
DWQ Form MR-1.1 (Revised 7/2000)

NPDES Permit No.
Facility Name
Operator in Responsible Charg
Certified Laboratories (1)
CHECK BOX IF ORC HAS CHANG
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIV. OF WATER QUALITY
DENR
1617 MAIL SERVICE CENTER
RAIIGH, NC 27699-1617
0 0 irl6R ]IN RESPONSIBL GE) DATE
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT 1S ACCURATE AND COMPLETE TO
OF MY KNOWLEDGE.

Facility Status - please check one of the following:
All monitoring data and sampling frequencies meet permit requirements
Monitoring data and/or sampling frequencies do NOT meet permit require.
Compliant
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken itt respect to equipment, operation, maintenance, etc.,
providing a time table for completion of improvements.
"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 inquire 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 arn aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
,y7iqj
0-1457pts/
Perrnittce Address
60010 Terripeiature
00300 Dissolved Oznen
00545 Settleable Matto-
00630 Nitrates/Nitrites
00929 Total Sodium
01032 llezavalent Chromium
01051 Lead
01147 Seleniunl_
3 8260 MBAS
71900 Meiruiy
00310 BODs
00556 Oil & Grease
00665 Total PhoThcrus
00940 Total Chloride
! 01034 Chromium
01067 Nickel
31616 !Leal Colifomi
39516 PCBs
4-
81551 }cyjene
0 AR S
Pe tee (Plyge print o
71
ST -1 e C 0 frt g Se,t 7Eff signature of Pe ee Date
0 41 7 3-61
Phone Number
PARAMETER CODES
00076 Turbidtty 1 00080 Color (Pt_ -Co)_
00340 COD
00_620 Total Nitro_ken____
00707C 1)axi 2+'iide
00951 Total Fluoride
01037 Total Ccibalt
32730 Total Pknobes
_
50050 How
•i 00610 Ammonia Nitrogen_
i 00745 Total Sulfide
01002 Total Arsenic
01012 CTker
„_01092 Zinc
34225 Benzene
50060 Residual Chlorine
-1 -C
4'46, 3 /.2tooS
Permit Expiration Date
00082 Cokx (AMI)00095 ConductiVtry
00400pH 0°530 TSS
Parameter Code assistance may be obtained by calling the Division's Point Source Compliance/Enforcement Unit at [phone] or
by visiting the NPDES web site at http://h2o.enr.state.nc.us/NPDES and visiting the "Documents" section.
The monthly average for fecal coliform is to 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 pennittee, delegation of signatory authority must be on file with the state per 15A NCAC 28 .0506 (b) (2)
(D).
DWQ Form MR-1.1 (Revised 7/2000)
i 00625 Kjeldhal Nitrogen —,
1 00927 Total Map is_11:_n_t______
0 1027 admium
01045 Iron
01105 Ahuninum
—4 „— —
4 71 0 FormakIt& ______

NPDES Pem it'No.
Facility Nam
Operator in Responsible Char (ORC
Certified Laboratories (1) /AP_ E
CHECK BOX IF ORC HAS CHANGED El Person(s) Coilectrta S
Mail ORIGINAL and ONE COPY to:
ArtN: CENTRAL FILES
DIV. OF WATER QUALITY
DENR
1617' MAIL SERVICE CENTER
'GU, NC 27699-1617
TrUE BEST OF MY KNOWLEDGE.
11111111111111111111111111111111111111
111111011111
NEMO
1101111111111
MUNI
GE) DA
TiT.ttS REPORT IS ACCURATE AND COMPLETE TO
(R.e+rased 712000)

Monitoring data and/or sampling frequencies do NOT meet permit requirements
Facility Status - please check one of the following:
All monitoring data and sampling frequencies meet permit requirements Compliant
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
«iding a time table for completion of ove
"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 inquire 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. 1 am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisomnent for knowing violations."
/yr'
Permittee Address
C
73 ,4111-
Phone Number
Permit xpiration Date
; 00010 Temperature ; 00076 Turbidi_ty
; 00300 Dissolved Oxygeri ; 00310 BODs
00545 Settleable Matter ! 00556 Oil & Grease
; 00630 Nitratcs/Nibites
1 ooas Total Pho_sphorus
i 00929 Total Sodium _ 11_00940 Total Chloride 00951 Total fluoride
1 01032 Hexavalent Chreinium i 01034 Chromium
.1 0105 ficad I 0 1067 Nickel
_
01 lifSZatium f 31616 Fecal Colifomi
.C-18260---MBAS — 4L30516 PCBs
I ..71?0.2,1YE„P:curr. „ _ ii. 8,1551 Nylene
PARAMETER CODES
jr_00080 Color cft-co)__ j 00082 Color_(_
00340 COD
00600 Total Nitro_gen_________H 00610-PArnmonli la Nilo:len
1-6-0745 Total SuIfide
01002 Total Arsenic
01037 Total Cobalt 01042 Copper__
01077 Sibw i 01092 Zinc
1-34225 Benzene
32730 tal henokc
ToP...,_s„........ „ ___
5005.0 Flow L _50060 Residual Chforine 1 71 KO Fomiakiehrfle;
1 i
00095 Conductivity_
00530 TSS
00625 Kjeldhal tbtro_geri
00927 Total Magnesium
01027 Cadmium
1 01105 Aluminum
34481 Toluene
01045 Iron
4•1.1.110
Parameter Code assistance may be obtained by calling the Division's Point Source Compliance/Enforcement Unit at [phone] or
by visitin NPDES web site at ://h2o.enr.state.ne.usiNPDES and visiting the 'Documents" seetion.
The monthly average for fecal coliform is to 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).
DWQ Form MR-1.1 (Revised 7/2000)

Disc
NPDES Permit No. / . 00
Facility Namett)Hi' j1rJ
Operator in Responsible Charge ORC
Certified Laboratories (1) ( J1C"
CHECK BOX IF ORC HAS CHANGED Q
Mail ORIGINAL and ONE COPY to:
Arm: C' NTRAL FILES
DIV. OF WATER QUALITY
DENR
1617 MAIL SERVICE CENTER
RALEIGH; NC 27699-1617
EF; ENT
No. "° ( Month
IL 114 Class
Person(s) Co
A
BY THIS SIGNAT
DIE REST OF MY
f-r Grade
(2)
Coon
Phone
Year
ting Samples
T'
E CHARGE
RT IS ACCURATE A

Facility Status - please check one of the following:
All monitoring data and sampling frequencies meet permit requirements Compli
Monitoring data and/or 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.,
providing a time table for completion of improvements
"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 inquire 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."
_r
5 7k) erLi
Permittee Address
5-3 —
Phone Number
Permit Expiration Date
000'10 TFInkerature
1, 00,300 Dissolved 02tystrn
00545 Settleable Matter
C-i-otK3-0 NitratCs/Nitrites
1 00929 Total Sodium
0162 flexavalOM Chrorniiirlir
Lead01051
-01147 Selenium
1; 38260 lvq3AST.
—7 1 -,95:0714ercury
000176 Turbidity_
00310 HOD,
,` 00556 Oil & Grease
f 00665 Total illosphcrus
1, 00940 Total Chloride
01034 Chromium
01067 Nickel
31616 Fecal Coll form
39516 PCBs
; 81551 Nylene
PARAMETER CODES
00080 Color Tt-CoL
C0340 COD
00600 Total Nitroge_n_
[00720 Cyanide
00951 Total Fluccide
01037 Total Cobalt
01077 Silver
32730 Total Phenolic-5
50050 Flow
.1 00082 ColarSADM1E
111 00400 p H
t 00610 Ammonia NitrojEn
00745 Total Sulfide
01002 Total Arsenic
0104Z.Ci3Fsr
01092 Zinc
• 34225 Benzerie
50060 Residual Chlorine
t 00095 Conductivity
00625305 !(iTS.S
Q91(141 Nitrogen. ,
t 00927 Total htimnesium
1 01027 Cadrnitmt
01045 Iron
I 01105 Aluminum --i4,
34481 Toluene
71880 Fomialdeb
Parameter Code assistance may be obtained by calling the Division's Point Source CompIiancefEnforeemeit Unit at [phone] or
by visiting the NPDES web site at liv://h2o.enr.state.nc.usiNPDES and visiting the "Documents" section.
The monthly average for fecal coliforrn is to 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).
DWQ Form MR-1.1 (Revised 7/2000)

NPDES Permit No.
Facility Narnet ii
Operator in Responsible Char
Certified Laboratories (l)
EF
Discharge No.
CHECK BOX IF ORC HAS CHANGED © Person(s} Co
Mali ORIGINAL and ONE COPY to:
A rrN: CE .TrRAL FILES
DIV. OF WATER QUALFFY
DENR
1617 MAIL SERVICE CENTER
RA,LEIGH, NC 27699-1617
e
NT
2)
Year
L
ting Samples
NATURE OF 0 ~ RATOR IN R
BY THIS SIGNATURE, I CERTIFY THAT TFRS REPORT i A
THE BEST OF MY KNOWLEDGE.

Facility Status - please check one of the foliowing:
All monitoring data and sampling frequencies meet .permit requirements
Monitoring data and/or sampling frequencies do NOT meet permit requirements
Compliant
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, mainte
providing a time table for completion of improvements.
ce, etc.,
"I certify, under penalty of taw, 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 inquire 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."
00010 T_isn _ture
00300Dissolved Oxygen
00545 Settleable Matter
00630Nivates/Ntt14tes
00929 Total Sodium m._-__.
0I032 Hexavalent Chr mum
aiasi i�a
01147 Selenium
38260 MBAS�
6 Turbidity
0 BOD,
556 0i1 & Grease
00665 Total Phosphorus
00940 Total Chloride
01034 Chrotrnum
i O 1067 Nickel
31616 Fecal Caliform
39516 PCBs
1551 Xylem m
PARAMETER CODES
00080 Color (Pt�o),, 00082
00340 COD ^._ ,._-.
_ F004000
00600 Total Nitr gen _^ _ 00610 Amn►roma Ni s ezxa„ 410W i10626 I{peldhal Nitrogen
0072©Cyanide 00745 Total Sulfide 00 7_Total M esium
00951 Total Fluoride 01002 Total Arsenic l 01 Q27 C'um
01037 Total
1Cobalt
077 Silver .._.._ 0•_1041 Cow i 01045Imon
01092 Zinc
Phenolics 34225Be 3 34481 Aluminum
2730 Total P � Benzene Toluene
0060 Rossi lual Ch
Parameter Code assistance may be obtained by calling the Division's f`oitt
by visiting the NPDES web site at ;//h2o.enr.state .nc.tis/NPDES and visi
The monthly average for fecal coliform is to reported as a GEOMETRIC mean. Use only
permit for reporting data.
0 Foanaldehyde
orment Unit at [phone] or
wrti©n.
designated in the reporting facility's
* 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 rnust be on file with the state per 15A NCAC 2B .0506 (b) (2)
(D).
DWQ Form MR-1.1 (Revised 7/2000)

EF
NPDES Permit No./ „ (C` 3 7 7Dischar e No.
Facility Name y,lF1 /5 z, vpv ES
Operator in Responsible Charge (ORC)
Certified Laboratories (1) p c e:
CHECK BOX IF ORC HAS CHANGED EJ Person(s) Collecting Samples
Mail ORIGINAL and ONE COPY to:
ArrN: CENTRAL FILES
DIV. OF WATER QUALITY
DENR
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
441 44;t34
',4
111:,12E
't4;100
_ ak.14.141,Sika.'
taAidi„,..atto Cts
IV ,
Month
Grade
(2)
(SJGNJRrOPfLOR IN RES
BY THIS SIGNATURE, I CERTIFY THAT THIS
'THE BEST OF MY KNOWLEDGE.
4.
401040,044,:
4,4'414,‘,
C g 4
WIC
Nftv;77774'xo':
sy-F4ziT,".11
Code above, name
and unit below
f4E%,101
W..1",,Wes,f,KrX
1,1A,t;',VOt,
k.'

Facility Status - please check one of the following:
All monitoring data and sampling frequencies meet permit requirements Compli
Monitoring data and/or 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.,
providing a time table for completion of improvements.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquire of
the person or persons who manage the system, or those persons directly 'responsible for gathering the infomiation, the information
submitted is, to the best of my knowledge and belief, true, accurate, and complete. I arn aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
111/1-3 EST/0 (Oa
os
Permittee Address
00010 Temperature
00300 Dissolved Oxygen
00545 Sett/eable Matter__
00630 Nitrat&Nitrites _
a lb5 1 Lead
/ 73 /-1/:(
Phone Number
7
3 200
Permit Expiration Date
PARAMETER CODES
00076 Turbidity
1 00080 Color Tt-Co)._
'.I. 00310 BOD5 00340 COD
00556 Oil tr. GIVELEC 00600 Total Nitroien:
00665 Total Phosphorus 00720 Cyanide
1 00682 Color (ADMD 00095 Conductivity
00530 'MS
00625 K e hal Nitrogen
°0409_1#1
00610 Ammuois ?Lupine_
00745 Total Sulfide
01032 Hexavalent Chromium ' 01034 Chromium
00929 Total Sodiurn 1, 00940 Total Chloride 00951 Total Fluoride ' 01CO2-fotal Arsenic
01037 Total Cobalt , . - -I
T 01027 Cadmium
_
, 01012Ccwer 01015 bon
I 01147 Selenium 31616 Fecal Coliform
,I 38260 MBAS
_",_ 3-951 6 PC , / 32730 Total Phenolics I' 34225 Benzene „, 34481 Toluene
50050—Flow ' I 50060 Residual Chlorine I 71 0 Formaldehrqe" ____,
! 71950 Mercury ' 81551 X 1 '1
_ _ I
4-
01067 Nickel 01077 Sliver
- t 0109-2 Zinc
Parameter Code assistance may be obtained by calling the Division's Point Source Co
by visiting the NPDES web site at http://h2o.enr.state.neus/NPDES and visiting the "Doc
I 00927 Total Magnesium
1
01105 Alurninurn
orcement Unit at [phone] or
tion.
The monthly average for fecal coliform is to 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 perrnittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2)
(D),
DWQ Form MR-1. (Revised 7/2000)

EF NT
NPDES Permit No. �(`,� �� 7 Discharge No.Month
Facility Name iA i a t r "S Cfit. "
Operator in Responsible Ch
Certified Laboratories (I)
CHECK BOX IF ORC HAS CHANG
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIV, OF WATER QUALITY
DENR
1617 MAIL SERVICE CENER
RALEIGH, NC 27699-1617
IL
MINIM
NEMO
WIN
MEI
i I orm MR-1
't„„crd 7/2000)
BY TIIIS SIGNATURE, CERTIFY THAT THIS REPORT IS ACCURATE
THE BEST' OF MY KNOWLEDGE.
DATE

Facility Status - please check one of the following:
All monitoring data and sampling frequencies meet permit requirements
Compliant
Monitoring data and/or sampling frequencies do NOT meet permit requirements Noncompliant
If the facility is noncompliant please comment on corrective actio
idin a #fie fable cr completion of imprtaverr nts
g taken in respect to equipment, operation, maintenance, etc.,
"I certify, under penalty of law, that this document and a l 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 inquire 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."
C Co �a
T'1 fC
Permittee Address
Taatlxidr6
oBob
5 Setllea ile A 1attcr 1556 Oil & Crease
630 Ni Total Phossh xus
00929-Ti3 31 Sodium 00940 Total Chloride
01032 Hex C:i&i,t Chromium ! 01034 Chromium
O]QS1 ixad
t 01067 Nickell
01147 Selenium 31616 Fecal Colif©rm
138260 MBAS 39516 PCBs
719U0 Mercury 81551 X,ylene
5-3- 6 /7 3 g
Phone Number
Permit Expiration Date
PARAMETER CODES
-�..
00340 cap
00fi00 Total Nitrogen rr. µ.. �� o �irimxi�anta Nitro
oon0
Cyanide j 0#1745 Total Sulfide
Cca%r {AD➢4tl�m
5 Cadaic4i�rily nv
8TSS
eldhal N troaer
00951 Total Fluoride i 0 002 Total Arsenic 01027 Cadmium0t 0Y37 Total Cobalt �0➢042 C
1077 Silver
0
00050 Flow ---- t 31225 Zinc a �. -- r 34481 Tcr1u to
u
32730 Total Phenolics y 34225
I.50060 Residual Chlorine 7188Q Fotmmld
Parameter Code assistance may be obtained by calling the Division's Point Source Cort..���,
by visiting the NPDES web site at http: / i2o.etir state n us/NPDES and visiting the "Documen
The monthly average for fecal colifo
permit for reporting data,
0
ment Unit at (919
n.
or
orted as a GEOMETRIC mean. Use only units designated in the reporting facility's
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 perrnittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b) (2)
(D).
DWQ Form MR-1.1 (Revised 7/2000)

NPDES Permit No
Facility Name
Operator in Responsible C
Certified Laboratories (1)
CHECK BOX 1F CRC I-L4,
Mail ORIGINAL and ONE COPY to:
Arm: CENTRAL FILES
DIV. OF WATER QUALITY
DENR
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
/vIontlJy Limit
I
FLOW '
GD CI
EFFLUENT
Discharge No. a © 1 onth / , V ,� Year d �e
yA"s
ix }.`a 3i»: Zib'k +#"`i C°� .'A.$0.4
31,
on(s) Collecting Samples (Z.
(SIGNATURE # ©PTOR IN RESPONSIBLE CI R+CE
-BY THIS SIGNATURE,1 CERTIFY THAT THIS REPORT IS AI 'CRAT
THE BEST OF MY KNOWLEDGE.
-,qd
DATE
MPLETE TO
Caw, mune
end unit, below
.'ray Mrs gar

Facility Status - please check one of the following:
All monitoring data and sampling frequencies meet permit requirement
Monitoring data and/or sampling frequencies do NOT meet permit requirements
"I certi
with as
the person or
submitted is, to
submitting false info
d
enruttee Ad
0 1 2 Berra
0104dd
0 1147 Selacuiu
ant, please comment on corrective actions being taken in re
ion of irtaorovearlen
of law, that this document
assure that qualified personnel
ho manage the systenn, or those
of my knowledge and belies true, accurate,
ion, including the possibility of fines and imprisonment for
may
b site
ibyc
o.enr
CODES
t1.Color
© COD
t1 r4xta1 Ni
e Di s"o Point
as PDnd
nthly average for fecal colifonts is to reported as a GEOMETRIC r
reporting data.
Pl
Compliant'
Noncompliant
direction or ,supervision in accordance
ion submitted. eased on my inquire°of
forgathering the • inforniationy :the- information
'aware that there • are 'Cant penaities'for
wing violations."
e L0s U L &IZ
ot174T
o1002i
o1n42
0 21
/
ttce (PIa print
m
f Pe=9 itee Date
20©T
Permit Expiration Date
5Ni
T.t"1M
Unit at (919) 3s508 or
Use only units designated in the reporting facility
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 t'Oltwith the state per 15A NCAC 2B .0506 (b) (2)
(D).
DW
Form MR-1.1 (Revised 7/2000)