NCG020274_DMR_Wastewater_20210125

�.:47 " §s M,e"
SUBMIT TO CENTRAL OFFICEII
General Permit No. 00
CalendarYear QoacO
*Report ALL WASTEWATER monitoring data on this form (include "No Flow'T'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG020274
Facility Name: —rGt ,p Q�i e � `�-t, ®ram , k7'- Nn e. ,,44&-
County: _ 1�,• c,�l�
Phone Number: '33iS (o Total no. of outfalls monitored
Certified Laboratory t= T Lab # (0 00
Wastewater (WW) Discharge Outfall No. PA4— 1)
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes No ❑
Does this outfall discharge WW to SA waters? Yes [[]O ` No ❑
Does this outfall discharge WW to S13 or PNA waters? Yes ❑ No
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No El�
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout jr) designated waters? Yes Rt' No ❑
Were there any limit violations in the calendar year? Yes ❑ No
Outfall No.
M e
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
ml/I
'fappl`°able
Discharge
Turbidity,
(BTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
(SA)
Effluent
Limitations
Mo. Ave I Daily Max.
Date Sample00,
Collected
mo/dd/yr
HQW or ORW
50% of
7Q10
Indicate NO FLOW
if applicable
"-vim � �
freshwater
6.0-9.0
saltwater
6.8-8.5
r' -E ✓�
(OA
Industri
HOWo 5w
20/30
HQW or ORW
and Tr or PNA
10/15
��
ez' '..a`�:-Y_�'f�
SA, SBOPNA,
or any Trout
0.1 /0.2
��
Y,,+a-..°"�.,r',,, -
No Limit
Circle Water
Quality Standard
that appli
50/2 0
w
e' -�. �"Zas f"'.n
N/A
Water Quality
Standard applies
�. �"�" ..`""�^r'G
N/A
Water Quality
Standard applies
T' _, <<-,xri's
0q
N/A
o=z" "�.ri �..eL,?y
f 1210
00 r4 "i
7
CS-' to
.0
, %
r7.2
Permit Date 10/1/2015 — 9/30/2020
Revised 11-16-2015 for Additional Monitoring Specific to this COC

Certificate of Coverage No. NCG020274
NO. i
Total Al,
Total Cu,
Total
Pb,Outfall
v s
continued
Effluent��®
Sample
Collected,Date
Mptiddlyr
Permit Date 10/1/2015 — 9/30/2020
Revised 11-16-2015 for Additional Monitoring Specific to this COC

Certificate of Coverage No. NCG020274
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No. PA ..- oa
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes
No ❑
Does this outfall discharge WW to SA waters?
Yes [
No ❑
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No
If so, what is the 7010 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes
No ❑
Were there any limit violations in the calendar year reported?
Yes ❑
No
Outfall No.
Daily Flow
pH,
TSS,
SS,
Discharge
Upstream
Downstream
Colform,
Rate, cfs
SU
mg%1
ml/I
Turbidity,
(U) Turbidity,
(D) Turbidity,
col/100 ml.
'fapplicable
NTU
NTU
NTU
SA
Effluent
HQWoor ORW
freshwater
Industri d
2� �5
Limitations
50 /o of
6.0-9.0
HOW 0TdFtW
HOW, ORW,
SA, Sa, PNA,
No Limit
N/A
N/A
7Q10
saltwater
6.8-8.5
20/30
or any Trout
0.1 /0,2
Circle Water
Quality Standard
Q
Water Quality
Standard applies
Water Quality
Standard applies
N/A
Mo. Ave I Daily Max.
Indicate NO FLOW
ifapplicable
HQW or ORW
and Tr or PNA
that appl'
50/25 0
10/15
Date Sample
Collected,
4
Permit Date 10/112015 — 9/30/2020
Revised 11-16-2015 for Additional Monitoring Specific to this COC

Certificate of Coverage No. NCG020274
Outfall No
Total Al,
Total Cu,
Total Pb,
Total Ni,
Total Zn,
'Total
Total
Total
mg/I
mg%1
mgll
mg"/l
mg/l
Chloride,
Fluoride,
Hardness,
con fertaaed
mg/1
mg/1
mg/t
; .
Effluent
Limitations
N/A
N/A
N/A
N/A
N/A
N/A
N/A
NIA
Collected,
mo/dd/vr
Permit Date 1Oil /2015 — 9/30/2020
Revised 11-16-2015 for Additional Monitoring Specific to this COC

Certificate of Coverage No. NCG020274
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No. PM - 3
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes
No ❑
Does this outfall discharge WW to SA waters?
Yes
No ❑
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No ❑'
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No E�'
If so, what is the 7Q10 flow rate? _,,42 1 i+ or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes 2--'
No ❑
Were there any limit violations in the calendar year reported?
Yes ❑
No 2
Outfall No.
AM o
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/l
SS,
ml/I
ifappraable
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU.
Fecal
Coliform,
col/100 ml
SA
Effluent
Limitations
Mo. Ave I Daily Max.
HOW or ORW
o
50/0 of
7Q10
Indicate NO FLOW
if applicable
freshwater
6.0-9.0
saltwater
6•$'$•5
Industrial Sand
25/45
HOW or ORW
20/30
HOW or ORW
and Tr or PNA
10/15
HOW, ORW,
SA, SB,PNA,
oranyTrout
0.1 /0.2
No Limit
Circle Water
Quality Standard
that applies:
50/25/10
NIA
Water Quality
Standard applies
N/A
Water Quality
Standard applies
N/A
Date Sample
Collected,
mo/d /yr
v=
o
e
1,
-711.2 l O
<
0 S O
1
t
c
[,
Permit Date 10/1/2015 — 9/30/2020
Revised 11-16-2015 for Additional Monitoring Specific to this COC

Certificate of Coverage No. N00020274
•'Total
Al,
Total Cu,
Total Pb,
Total Ni,
Total Zn,
Total
Total
Total
r
iontinu6d
.
LimitationsEffluent
®®®®
. -
Collected,
mg/ddlyr
Permit Date 10/1/2015 — 9/30/2020
Revised 11-16-2015 for Additional Monitoring Specific to this COC

Certificate of Coverage No. N00020274
"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."
[Required by 40 CFR §122.22]
Signature
Date / )
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Revised 11-16-2015 for Additional Monitoring Specific to this COC