NCG020121_DMR WW_20210216

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 0 Oaf
'Report ALL WASTEWATER monitoring data on this form (include %o FloW /'No Discharge' and Limit violations) from
the previous calendar year to the DEQ by MARCH 1 o/each year.
Certificate of Coverage No. NCG02 QQj ®Q
Facility Name: Han5ocepr,}P<- cl— NA �J-'77
County: _ Ed4Qe--bp -�
Phone Number. r q 19 13 $c - A j y fa Total no, of outfalls monitored
certified Laboratory TaCA Anq,141; cal 4* r v; ces lab # _fi3 3,Sd e n
Ir -
Wastewater (WW) Discharge Outfall No. ©- 0 1
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No]$
Does this outfall discharge WW to SA waters?
Does this outfall discharge WW to SB or PNA
Yes ❑
No
waters?
Does this outfall discharge W W to HQW
Yes ❑
No
or ORW waters?
ifso, what is the 7010 now rate?
Yes ❑
No
or Tidally Influenced waters, 7010 not available ❑
Does this outfall discharge W W to Trout designated
(Tr) waters?
Were there any limit violations in the calendar
Yes ❑
No
year?
Yes ❑
No
Daily Flow
outfall No. pH,
Rate, cfs SU
TSS, SS, Discharge
Upstream
Downstream
Fecal
Coliform,
001
mgn Turbidity,
(U) Turbidity,
(D) Turbidity,
coU100 ml
n�mill
NTU
NTU
NTU
SA
xDW wORW heaM,vxe
Effluent 60%of 6.0-9.0 26/45 xow,oaw,
Limitations sa se, nay No Limit
"2
NIA
N/A
7Q10 ^amw r Dtrclawad
20/30
/30
6.8-8.6 xcwwoxw 0.1/0.2 Qiaapp1.
waraouup
"'n°in°
w, 22:;wp
EYMan1•pp9aa
NIA
Ma Ave/Daly /iax. Neappfta LI4A14PIN tlYt•6/1
�nree 60/2W70
Collected,
Permit Date 10/1/2015 - 9/30
Last Revised 10-2-2015

Certificate of Coverage No. N0002 001 ®Q
Additional Outfall Attachment (make copies as needed for additional outfalis)
Wastewater (WW) Discharge Outfall No. �03
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
Noz
Does this outfall discharge WW to SA waters?
Yes ❑
No 0
Does this outfaii discharge WW to SB or PNA waters?
Yes ❑
Nop
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7010 not availaj
Does this outfail discharge WW to Trout (Tr) designated waters? Yes ❑
No
Were there any limit violations In the calendar
year reported?
Yes ❑
No
Dail Flow
Outfali No. y pH, Tss, SS, Discharge
Rate, cis SU
Upstream
Downstream
Fecal
Colliorm,
r� mg/I n�m Turbidity,
(U) Turbidity,
(D) Turbidity,
cOU100 ml
NTU
NTU
NTU
SA
t'cff/uerft xoworosw haMrater 25/45
Limitations 60 � of 6.0-9.0 XQw, OM
xowworav sn.savx�. NO Limit
N/A
NIA
:.xwater
7Q70 20/30 aranyTrad Wkdavlaeaa
o
6 xowwosw 0.1/0.2 m.e 8bm
"
san"s"ava° ppor
sum. a.ppw
N/A
ao.A..rDdtrM , �gTrurPHA
10H5 60/26J10
Date Sample
Collected,
MOM r
1 Cpn tra oS
U4�!
o �<-
� ^
0 0 o.aa 6.�0 7.o NIA- 39. o 1a5.
1
5.4
N/A
0 1a t4 p t5l= AR- S
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0000
CERTIFICATION
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 § 122.221
Sign:
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
Last Revised 10.2-2015