NCG590004_Regional Office Historical File Pre 2018 (4)

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NXXE: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 09-2019 (September 2019)
PERMIT VERSION: 2.0 Rft�_ i
CLASS: PC-1 a �/
ORC: Rondall A Roper O C i 08 2019
ORC HAS CHANGED: CENTRAL FILES
VERSION: 1.0 DWR SECTION
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
d
F
a
o
a
v°
F
a
G
O
o
S
w
g
N
O`
a
O
m
ii
a`
!
50050
00400
50060
C0610
C0530
C0600
C0665
01105
01042
Continuous
Monthly
2Xmonth
Quarterly
2Xmonth
Quarterly
Quarterly
Quarterly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
PLOW
PH
CHLORINE
NH3-N-Cone
TSS-Core
TOTAL N-
TOTALP-Cone
ALUMINUM
COPPER
2400 clock
H.
2400 clack
H.
Y/B/N
mgd
so
ug/1
mg/l
mg1l
mg/I
mg/l
ug/1
ug/1
1
0.085
2
0.085
3
6:50
8
y
0.085
7.15
10
<2.5
4
6:45
8
y
0.085
5
6:50
8
y
0.085
6
t
6:50
8
y
0.085
7
0.085
8
0.085
9
6:50
8
y
0.085
10
6:55
8
y
0.085
11
6:50
8
y
0.085
12
5:50
12
y
0.085
13
6:55
8
y
0.085
14
0.085
15
0.085
16
6:50
18
y
1
0.085
17
6:50
8
0.085
11
<2.5
18
6:50
8
y
0.085
19
6:45
8
y
0.085
20
6:50
8
y
0.085
21
1
10.085
22
0.085
23
6:50
8
y
0.085
24
6:45
8
y
0.085
25
0.085
26
6:45
8
y
0.085
27
1
16:55
8
1 y
1
0.085
2s
0.085
29
0.085
30
6:50
8
y
0.085
Monthly Average Limit:
30
Monthly Averagr.
0.085
10.5
0
Doily M.Anmro:
0.085
7.15
11
0
Daily Minimum:
0.085
17.15
10
0
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation- Holiday

NPDES PERMIT NO.: NCG590004 PERMIT VERSION: 2.0 PERMIT STATUS: Active
FACILITY NAME: Cleveland County WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAVE: Cleveland County Water ORC: Rondall A Roper ORC CERT NUMBER: 998089
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 09-2019 (September 2019) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
q
9
.a
U
F
a
U
F'
E
F
O
7
O
O
o
O
i
A
c
>
00951
00900
01055
TGE6C
00070
01092
Quarterly
Quarterly
Quarterly
Annually
Monthly
Quarterly
Grab
Grab
Grab
Grab
Grab
Grab
F-TOTAL
TOT HARD
MANGNESE
FTHD24PF
TURn1DTY
ZINC
2400 clock
111.
2400 clock
H.
YBIN
ug/I
mg/1
ug/1
pass/fail
ntu
ug/l
1
2
3
6:50
8
y
0.75
4
6:45
8
y
5
6:50
8
y
6
6:50
8
y
7
8
9
6:50
8
y
10
6:55
8
y
11
6:50
8
y
12
1
5:50
12
ly
13
6:55
8
y
14
15
16
6:50
8
17
6:50
8
y
10
1s
6:50
8
19
6:45
8
y
20
6:50
8
y
21
22
23
6:50
8
y
24
6:45
8
y
25
26
6:45
8
27
6:55
8
ly
28
29
1-
6.50
8
y
Monthly Avcmgc Limit:
Monthly Avcrage:
10
0.75
Doily M-1mum:
10
1
10.75
Daily Minimum:
10
1
1
0.75
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTI-IR=No Visitation— Adverse Weather, NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 09-2019 (September 2019)
PERMIT VERSION: 2.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Rondall A Roper ORC CERT NUMBER: 998089
ORC HAS CIIANGED: No
VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 002
y
c
•§
F
5
$c
5
a
C
z
00900
Quarterly
Grab
7'oT HARD
2400 clock
m9/1
I
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
7:27
14
18
19
20
21
22
23
24
25
26
27
28
29
30
Monthly Average Limit:
Monthly Average:
14
DAY Maximum:
14
Daily Mint mum:
14
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAAIE: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 09-2019 (September 2019)
COMPLIANCE STATUS: Compliant
ORC/Certifier Signature
PERMIT VERSION: 2.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 10/01/2019
10/01/2019
ondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances..
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
&AoN �4 ,6 4 . 10/01/2019
Permittee/Submitter Signature:*** Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
Perinittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2024
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 managed 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.
LAB NAME: Water Tech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDF PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 08-2019 (August 2019)
PERMIT VERSION: 1_0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1_0
�=~ "P RMIT STATUS; Inactive
S E, p 0 2 019 COUNTY: Cleveland
C i ! i (rj,L i L 0RC CERT NUMBE : 998089
E- z' D/NCDENRIDWR
DWR SECTION
STATUS: Processed i {�
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002
— r,vrupumngKeason:nNI'XUSE=No Flow-Reuse/Recycle; ENVWTT-IR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday
1VQROS
NO DISC CIi4F�'�ENQNAL OFFICE
C0600
C0665
01105
01041
Quarterly
Quarterly
Quarterly
Quarterly
Grab
Grab
Grab
Grab
TOTAL N-
TOTALP-Coat
ALMUNU\I
COPPER
ram
m}Ji
uefl
u9/I

NPDEj PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1 '
eDMR PERIOD: 08-2019 (August 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Inactive
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 09/05/2019
09/05/2019
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone]
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Date
The pennittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
09/05/2019
Perm ittee/Submitter Signature:*** Rondall A Roper Jr E-Mail:rroper@cleve] andcountywater.com Phone #:704-5;R_9n,1a
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
Date
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 managed 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.
LAB NAME: WaterTech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the penmittee, then delegation of the signatory authority must be on file with the state per I SA NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRAE: PC-1
eDMR PERIOD: 07-2019 (July 2019)
PERMIT VERSION: 1.0 PERMIT STATUS: Expired
CLASS: PC-1 y j 1- 1: DCOUNTY: Cleveland
ORC: Rondall A Roper
AUG 13 ��1J
ORC HAS CHANGED: No
VERSION: 1.0 0EX 7 FAL RLES
OWR SECTIQI�i
ORC CERT NUMBER: 998089
HECEIVED/NCDERIR/DW
STATUS: Processed A U G 1
IOS
NQR
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARCIM:11 WQOIONAL oFFf
d
C
F
u
N
5
e
V
F
6
o
u
a
E
O
y
C
@
O
y
o`
u
O
a
a
a`
Z
50050
00400
50060
C0610
C0530
C0600
C0665
01105
01042
Continuous
Monthly
2 X month
Quarterly
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
NH3-N-Cone
TSS-Cone
TOTAL N-
TOTAL P-Cone
ALUMINUM
COPPER
2400 clock
Hm
2400 clock
H.
Y/DIN
mgd
so
ug/l
mg/l
mg/1
mgA
mg/l
ug/l
ug/l
1
6:50
8
y
0.085
2
6:45
8
y
0.085
7.31
9
<2.5
1.96
0.4
332
<5
3
6:50
8
y
0.085
4
0.085
5
6:50
8
y
0.085
6
0.085
7
0.085
8
6:45
8
y
0.085
9
6:50
8
y
0.085
10
6:50
8
1 y
0.085
11
6:52
5.5
y
0.085
12
6:50
8
y
0.085
13
0.085
14
0.085
15
6:50
11
1 y
0.085
16
5:45
12
y
0.085
111
<2.5
17
6:45
8
y
0.085
18
6:50
8
y
0.085
19
6:45
8
y
0.085
20
0.085
21 1
10.085
22
0.085
23
0.085
24
0.085
25
10:30
4.5
y
0.085
26
6:50
8
y
0.085
27
0.085
28
0.085
29
1
1
16:50
17.5
1 y
1
0.085
30
6:50
8
y
0.085
31
6:45
8
1 y
0.085
Monthly Average Limit:
30
Monthly Average:
0.085
10
0
1.96
0.4
332
0
Daily Maximum:
0.085
7.31
11
0
1.96
0.4
332
0
Daily Minimum:
0.085
17.31
19
10
11.96
10.4
332
0
****No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation- Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation-Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
>t
GRADE: PC-1
eDMR PERIOD: 07-2019 (July 2019)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Expired
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
O
O
17
00951
01045
01055
TGE6C
00070
01092
Quarterly
Quarterly
Quarterly
Annually
Monthly
Quarterly
Grab
Grab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
MANGNESE
FTH324PF
TURBIDTY
ZINC
2400 clock
Hrs
2400 clock
H.
Y/B/N
Ug/l
ug/1
us/]
ass/fail
ntu
❑9/1
1
6:50
8
y
2
6:45
8
y
102
54
36
0.9
3
6:50
8
y
4
5
6:50
8
ly
6
7
a
6:45
8
9
6:50
8
y
10
6:50
8
y
11
6:52
5.5
y
12
6:50
8
y
13
14
15
6:50
11
y
16
5:45
12
y
17
6:45
8
y
18
6:50
18
y
19
6:45
8
y
20
21
22
23
24
25
10:30
4.5
y
26
6:50
8
y
27
28
29
6:50
7.5
y
30
6:50
8
y
31
6:45
8
y
Monthly Avenge LkWt•
Monthly Avenge:
102
54
36
0.9
Daily Maslmum:
102
54
36
0.9
Daily Minimum:
102
154
136
10.9
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCG590004
a
FACILITY NAME: Cleveland County WTP
OWI\f,R NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 07-2019 (July 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Expired
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 08/07/2019
Q, A &a, I ►, 08/07/2019
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
08/07/2019
Permittee/Submitter Signature:*** Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 managed 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.
LAB NAME: Watertech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: RonnieRoper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES 'PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNERtNAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 06-2019 (June 2019)
PERMIT VERSION: 1.0 PERMIT STATUS: Active
CLASS: PC-1 R C F1' COUNTY: Cleveland
ORC: Rondall A Roper J U I` 19
2019
0,9 ORC CERT NUMBER: 998089
ORC HAS CHANGED: No ¢i RECEIVED/NCDENR/DWR
VERSION: 1.0 CIN I RAL FILES STATUS: Processed
DWR SECTION Jill 9. 9 min
L
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*- 3TQS
MOORESVILLE RFrzInnlAl nr
m
0
9
h
o
U
t
o
E
o
F
_
<
O
"e
F
a
O
d
ui
C
O
m
n
:Gm
50050
00400
50060
C0610
C0530
C060D
C0665
01042
Continuous
Monthly
2 X month
Quarterly
2 X month
Quarterly
Quarterly
EC�b
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
NH3-N-Cone
TSS-Cone
TOTAL N-
TOTAL P-Cone
ALUMINUM
COPPER
2400 clock
Hn
2400 clock
Hot
Y/a/N
mgd
su
ag/l
mgfl
mg/I
rng1l
MWI
u9tl
UgA
1
0.086
2
17:45
12
y
0.086
3
0.086
4
6:45
2
y
0.086
7.23
9
4.7
5
17:40
12
y
0.086
6
17:45
12
y
0.086
71
10.086
8
5:40
12
y
0.086
9
0.086
10
0.086
11
6:50
8
y
0.086
12
6:45
8
y
0.086
13
6:45
8
y
0.086
14
6:50
8
y
0.086
15
0.086
16
0.086
17
6:50
8
y
0.086
18
6:55
8
y
0.086
17
<2.5
19
6:50
8
y
0.086
20
6:55
8
y
0.086
21
6:55
8
y
0.086
22
0.086
23
0.086
24
0.086
25
0.086
26
0.086
27
0
2s
0.086
29
0.086
30
0.086
Monthly Average Limit:
30
Monthly Average:
0.083133
8
235
Daily Maximum:
0.086
7.23
9
4.7
Daily Minimum:
0
17.23.
17
1
0
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— AdverseWeatber, NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES TERMIT NO.: NCG590004 PERMIT VERSION: 1.0 PERMIT STATUS: Active
FACILITY NAME: Cleveland County WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: Cleveland County Water ORC: Rondall A Roper ORC CERT NUMBER: 998089
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 06-2019 (June 2019) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
O
a
U
F
m
F
4
a
O
C
H
a
O
ti
-
a
O
q
4
R
�
Z
00951
01045
01055
TGE6C
00070
01092
Quarterly
Quarterly
Quarterly
Annually
Monthly
Quarterly
Grab
Grab
Grab
Grab
Grab
Grab
G-TOTAL
IRON
MANCNESE
FTHD24PF
TURBn)TY
ZINC
2400 clock
H.
2400 clock
Hrs
YB/N
ug/1
ug/1
ug/1
pass/fail
nru
ug/1
I
2
17:45
12
y
3
4
6:45
2
y
0.65
5
17:40
12
y
6
17:45
12
y
7
8
5:40
12
y
9
10
11
6:50
8
y
12
6:45
8
y
13
6:45
8
y
14
6:50
8
y
15
16
17
6:50
8
y
18
6:55
8
y
19
6:50
8
y
20
6:55
8
y
21
6:55
8
y
22
23
24
25
26
27
28
29
30
Monthly Average Limit:
Monthly Average:
0.65
Daily Maximum:
0.65
Daily Minimum:
0.65
*•'NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weatber; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 06-2019 (June 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 07/11/2019
A 6?,q5 , � 07/11/2019
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:[e-mail] -Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
07/11/2019
Permittee/Submitter Signature:*" Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 managed 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.
LAB NAME: Watertech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: RonnieRoper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004
FACILITIY NAME: Cleveland County WTP
OWNER Nc AME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 05-2019 (May 2019)
PERMIT VERSION: 1.0
CLASS: PC-1 E4� D
ORC: Rondall A Roper I I ^^II 4 �"
ORC HAS CHANGED] 4db" 2 ® 2 019
VERSION: 1.0 r CEN'7RAL RLCy
DWR SECTION
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT ER: 998089
li"essed
,`' MEWED/NCDENROWR
STATUS: Pro. J U L. - , 1 2019
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DIS, . ,[��',�i�
�����/fL1E•51NAr nCrne•
rrnrr�
�
.:—LnM 1Nov)suauon—naverseWeather, NOFLOW=No Flow; HOLIDAY=NoVisitation —Holiday
0

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
PERMIT VERSION: 1_0
CLASS: PC -I
ORC: Rondall A Roper
IF
� E � E � i EpiTIT STATUS: Active 3
�ia COUNTY: Cleveland
MAY 2 4 201%RC CERT NUMBERRKr8gjIEOINCOENRfDWR
GRADE: PC-1 ORC HAS CHANGED: No CENTRP L FILES JUN ` 01
eDMR PERIOD: 04-2019 (April2019) VERSION: 1.0 DVJR ` ECTIONTATUS: Processed
WQROS
MOORESVILLE REGIONAL OFFICE
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
o
O
E
a
d
a
9
n
50050
00400
50060
C0610
C0530
C0600
C0665
01105
01042
Continuous
Monthly
2 X month
Quarterly
2 X month
Quarterly
Quarterly
Qua terly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
NH3-N-Cone
TSS-Cone
TOTAL N-
TOTAL P-Cone
ALUMINUM
COPPER
2400 clock
On
2400 clock
ties
yfm
m d
so
U94
mg/l
mgA
mg/1
mg/l
ug1l
ugll
1
8
0.085
2
8
0.085
3
r6:50
8
y
0.085
4
8
y
0
5
6:50
6 1
y
0.085
6
0.085
7
0.085
8
6:55
8
y
0.085
9
5:55
8
y
0.085
6.99
18
< 2.5
11.09
< 0.16
220
< 5
10
5:55
8
y
0.043
11
6:55
8
y
0.085
12
5:45
1
y
0.085
13
0.085
14
5:40
6
0.085
15
6:55
B
y
0.085
16
6:50
8
y
0.085
17
6:55
8
0.085
18
0.085
19
14:30
3.5
y
0.085
20
0.085
21
0.085
22
0.085
23
6:50
it
y
0.085
15
<2.5
24
6:45
8
y
0.095
25
6:50
8
y
0.085
"
26
6:55
8
y
0.085
27
5:40
12
y
0.085
2s
0.085
29
1
0.085
38
6:45
8
1 y
1
0.085
Monthly Average Limit:
30
Monthly Average:
0.080767
6.5
0
1.09
0
220
0
Dally Maalmom:
0085
6.99
8
0
1.09
0
220
0
Daily Mlaimom:
0
16.99
15
1
0
1.09
10
1220
10
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY= No Visitation— Holiday

NPDES PERMIT NO.: NCG590004
FACILI""% NAME- Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 03-2019 (March 2019)
PERMIT VERSION: 1.0
r,.
CLASS: PC-1 SEC
ORC: Rondall A Roper r1 Olg
APR �.
ORC HAS CHANGED: No
Pik
VERSION: 1.0 iL•i-� ti Y�ih
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBEA&MIDINCIDENRIDWIR
STATUS: Processed APR 2 3 2019
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DIS 010. WNAL OFFICE
q
F
h
o
U
u'
2
F
f
0
O
m
E
a
O
o
C
O
=
z
50050
00400
50060
C0610
C0530
C0600
C0665
01105
01042
Continuous
Monthly
2 X month
Quarterly
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pR
CHLORINE
Ng3-N-Cone
TSS-Cone
TOTAL N-
TOTAL P-Cone
ALUMINUM
COPPER
2400 clock
H.
2400 clock
H.
YBM
mgd
Su
119/1
mg/l
mgA
mg/l
mg/l
ug/I
❑g/l
1
6:50
8
y
0.085
2
0.085
3
0.085
4
6:55
8
y
0.085
5
6:50
8
y
0.085
6
10.085
7
0.085
8
6:55
8
0.085
9
5:50
12
y
0.085
10
5:45
12
y
0.085
11
6:58
8
y
0.085
12
6:55
8
y
0.085
7.53
19
14.7
13
6:50
8
y
0.085
14
6:55
8
y
0.085
15
0.085
16
0.085
17
0.085
Is
6:50
8
y
0.085
19
6:55
8
y
0
20
6:50
8
y
0.085
21
6:55
11
1 y
0.085
22
1
16:45
8
y
0.085
23
0.085
24
0.085
25
6:45
8
y
0.085
26
6:50
8
y
0.085
4
<2.5
-
27
6:55
8
y
0.085
28
1
6:50
8
1 y
0.085
29
6:55
8
0.085
30
L
0.085
31
0.085
Monthly Average Limit:
30
Monthly Average:
0.082258
6.5
2.35
Daily Maximum:
0.085
7.53
9
4.7
Daily Minimum:
0
7.53
4
0
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation -Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation-Holiday

NPDES PERMIT NO.: NCG590004
PERMIT VERSION: 1.0
PERMIT STATUS: Active
FACILIT y NAME: Cleveland County WTP
CLASS: PC-1
COUNTY: Cleveland
it,
OWNER NAME: Cleveland County Water
ORC: Rondall A Roper
ORC CERT NUMBER: 998089
GRADE: PC -I
ORC HAS CHANGED: No
eDMR PERIOD: 03-2019 (March 2019)
VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
E
6
E
a
a
O
E
r
O
`
a
O
'
m
C
7
00951
01045
01055
TGE6C
00070
01092
Quarterly
Quarterly
Quarterly
Annually
Monthly
Quarterly
Grab
Grab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
MANCNESE
NTHD24PF
TURBIDTY
ZINC
2400 clock
H.
2400 clock
M.
Y/B/N
u /l
ug/1
ug/1
pass/fail
ntu
ug/1
1
6:50
8
2
3
4
6:55
8
y
5
1
16:50
18
y
6
7
8
6:55
8
y
9
5:50
12
y
10
5:45
12
11
6:58 18
y
12
6:55
8
y
1.3
13
6:50
8
14
6:55
8
y
15
16
17
18
6:50
8
y
19
6:55
8
y
20
6:50
8
y
21
6:55
It
ly
22
6:45
8
y
23
24
25
6:45
8
y
26
6:50
18
27
6:55
8
y
28
6:50
8
y
29
6:55
8
y
30
31
Monday Average Limit:
Monthly Average:
1.3
Bally Maximum:
1.3
Daily Minimum:
1.3
****No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 03-2019 (March 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 04/11/2019
Qg!4_4&j , -4 04/11/2019
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] - Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
a.X.-t.G�,.,, 1, 04/11/2019
Permittee/Submitter Signature:*** Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 managed 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.
LAB NAME: WaterTech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004
FACUATY NAME: Cleveland County WTP
4
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 02-2019 (February 2019)
PERMIT VERSION: LO
CLASS: PC-1
ORC: Rondall A RoperIZC
ORC HAS CHANGED: No MAR 2
VERSION:1.0 1 ZQ�9
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
6tRRAL FILES
SAMPLING LOCATION: EFFLUENT DISCHA�1�.: 002
RECEIVEDINCDENRIDWR
MAR 2 5 2.019
NO DISCHARGElf1)N0
fv1CORi SVILLE REGIONAL OFFICE
F
m
e
U
[r
o
F°+
E
I^
F
a0
O
H
O
E
g
d
°
O
e
g
K'
50050
00400
50060
C0610
C0530
C0609
C0665
01105
01042
Continuous
Monthly
2 X month
Quarterly
2 X month
Quarterly
Quarterly
Quarteriy
Quarterly
Recorder
Grab
Grab
Grub
Grab
Grab
Grab
Grab
Grub
FLOW
pH
CHLORINE
PI}13-N-Coot
TSS-Cone
TOTAL N-
TOTAL P-Cone
ALUhHNUM
COPPER
2400 clock
HN
2400 clock IHn
Y/BIN
m d
so
ug/1
mg/1
mg/1
m9/1
mg/1
u9/1
ug/1
1
9:30
8.5 ly
1
0.085
2
0
3
0.085
4
6:55
8
y
0.085
5
6:55
8
y
0
6
6:50
8
y
0.085
7
5:50
12
y
0.085
8
6:50
8
y
0.085
9
0.085
10
0.085
11
6:50
8
y
0.085
12
6:55
8
y
0
7.45
2
<2.5
13
6:50
8
y
0.085
la
6:55
8
y
0.085
15
6:55
8
y
0
16
5:45
12
y
0.085
17
0.085
18
6:55
8
y
0.085
19
6:58
8
y
0.085
20
6:55
8
y
10.085
21
6:58
8y
0.085
22
6:50
8
y
0.085
23
0.085
24
0.085
25
1
16:50
8
y
0.085
26
6:50
8
y
0.085
5
4
27
1
6:55
8
y
0.085
28
6:50
8
y
0.085
Monthly A—gc Idmit:
30
Moothly A-roge:
0.072857
3.5
2
Doily Maximum:
0.085
7.45
15
4
Daily Minimum:
0
17.45
2
0
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 01-2019 (January 2019)
PERMIT VERSION: 1.0 RECE$ V PERMIT STATUS: Active
CLASS: PC-1 FEB 18 2019 COUNTY: Cleveland
ORC: Rondall A Roper ORC CERT NUMBER: 998089
CCNTRAkL FILES REcr=IVEcr/310Sn1R/DWR
ORC HAS CHANGED: No MAIR SECTION
VERSION: 1.0 STATUS: Processed FEB 2 5 2 a l
t r�
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISC r r CgV, ' Rclo niaL oFFlc
d
e
[V
u
E
y
e
E
F
e
6
u'
a
F
<
y
O
E
F
O
y
o
O
m
o.
a`
7
50050
00400
50060
C0610
C0530
C0600
C0665
01105
01042
Continuous
Monthly
2 X month
Quarterly
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
PLOW
pH
CHLORINE
NH3-N-Cone
TSS-Cone
TOTAL N-
'TOTAL P-Co..
ALUMINUM
COPPER
2400 clock
Hrt
2400 clock
Hrs
WRIN
mgd
Su
119/1
mg/l
mgtl
1119/1
mg/I
ug/l
ug/l
1
0.085
2
6:50
8
y
0.085
3
7:00
8
y
0.085
4
6:55
8
y
0.085
5
0.085
6
1
1
1
1
0.085
7
6:55
8
y
0.085
8
6:50
8
y
0.085
9
6:50
8
y
0
10
5:45
12
y
0.085
11
6:55
8
y
0
12 1
0
13
0
14
6:50
8
y
0
15
6:45
8
y
0.085
724
4
<2.5
0.82
0.22
408
<5
16
17:45
12
y
0.085
17
17:40
12
y
0
18
0.085
19
0.085
20
0
21
0.085
22
6:55
8
y
0.085
23
6:51
8
y
0.085
24
6:50
8
y
0
25
6:55
5
y
0.085
26
0.085
27
0.085
28
6:55
8
y
0.085
29
6:55
8
y
0.085
2
<2.5
30
6:55
8
y
0
31
6:58
8
y
0
Monthly Average Limit:
30
Monthly Average:
0.057581
3
0
0.82
0.22
408
0
Daily Maxi mom:
0.085
7.24
4
0
0.82
0.22
408
0
Daily Miaimum:
0
17.24
12
1
10
10.82
10.22
1408
10
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRAPE: PC-1'y
eDMR PERIOD: 01-2019 (January 2019)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
[hers) 01 3LMlZ111u I_D-�I I�T1I:i]
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
q
E
fi
.Q
a
V
-
e
12
F'
E
�
a
O
E
f
i
O
y
0V
O
c
r4
:Y
1 2
00951
01045
01055
TGE6C
00070
01092
Quarterly
Quarterly
Quarterly
Annually
Monthly
Quarterly
Grab
Grab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
MANCNESE
F-I'fiD24PF
TURBIDTY
ZINC
2400 clock
H.
2400 clock
H.
YIa/N
ug/l
ug/l
ug/1
pass/fail
ntu
u
1
2
6:50
8
y
3
7:00
8
y
4
6:55
8
y
5
6
7
6:55
8
y
8
6:50
8
9
6:50
8
y
10
5:45
12
y
tl
6:55
8
y
12
13
14
6:50
8
15
6:45
8
100
70
26
1.4
16
17:45
12
y
17
17:40
12
y
18
19
20
21
22
6:55
8
y
23
6:51
8
y
24
6:50
8
y
25
6:55
5
y
26
27
28
6:55
8
y
29
6:55
8
y
30
6:55
8
y
31
6:58
8
y
Monthly Average Limit:
Monthly Average:
100
70
26
1.4
DallyMaximum:
100
70
26
1.4
Daily Minimum:
100
70
26
1 1.4
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
i I I `ti
eDMR PERIOD: 01-2019 (January 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 02/12/2019
02/12/2019
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone]
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Date
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
Permittee/Submitter Signature:***
02/12/2019
Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my lmowledge 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.
CERTIFIED LABORATORIES
LAB NAME: Waterteeli Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: RonnieRoper
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004 PERMIT VERSION:1.0 PERMIT STATUS: Active
FACILITY NAME: Cleveland County WTP CLASS: PC-1 VE LINTY: Cleveland
OWNERRIAME: Cleveland County Water ORC: Rondall A Roper J�iN 2019 ORC CERT NUMBER: 998089
GRADE: PC-1 ORC HAS CHANGED: No
eDMPERIOD: 12-2018 (December VERSION: 1.0 CEN (kAL FILESSTATUS: Processed ECEIVEDINCDENR/bW
R
DWR SECTION
.JAN 14 2019
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
WQROS
" RN (lrlot-or n
O
F
Ea
U
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F
F=
=
F
<
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O
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1 O
v
C
50050
00400
50060
C0610
C0530
C0600
C0665
01105
01042 v
Continuous
Monthly
2 X month
Quarterly
2 x month
Quarterly
Quarterly
Quarterly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
NH3-N-Cone
TSS - Corr
TOTAL N-
TOTALP-Cane
ALUMINUM
COPPER
2400 clerk
Hrs
2400 clock
H.
Y/B/N
mgd
Su
Og/l
mg/l
mg/I
mg/1
MYA
ug/I
ug/I
t
0
2
0.085
3
6:55
8
y
0.085
4
7:00
8
y
0.085
6.99
6
<2.5
5
6:55
8
y
0.085
6
6:53
8
y
0.085
7
6:50
8
y
0.085
8
0.085
9
0.085
l0
0.085
11
7:55
7
y
0.085
12
1
6:55
8
y
0.085
13
6:58
is
y
0.085
14
6:58
8
y
0
15
0.085
16
0.085
17
1
7:00
8
y
10.085
18
7:00
8
y
0.085
7
<2.5
19
6:55
8
y
0.085
20
0.085
21
0.06
22
0.085
23
0.085
24
0.085
25
0
26
0.085
27
6:52 18
y
0.085
28
6:50
8
y
0.085
29
1
0.085
30
0.085
31
6:50
5
y
0.085
Monthly Average Limit:
30
Montifly Average:
0.075968
6.5
0
DailyMazimum:
0.085
6.99
7
10
Dafly Minimum:
0
6.99
6
1
10
****No Reporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather, NOFLOW=No Flow; HOLIDAY=NoVisitation—Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNEn NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 12-2018 (December 2018)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
a
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01092
Quarterly
Quarterly
Quarterly
Annually
Monthly
Quarterly
Grab
Gab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
51ANGYESE
FFHD24PF
TURDIDIT
ZINC
2400 clock
Hrs
24U0 elaek
Ha
YB/N
119/1
ug/I
ug/1
ass/fail
ntu
ug/I
t
2
3
6:55
8
y
a
7:00
8
y
0.75
6:55
8
y
6
6:53
8
ly
7
1
6:50
8
a
9
10
11
7:55
7
y
12
6:55
8
y
13
6:58
8
y
14
6:58
8
y
15
16
17
7:00
8
y
1s
7:00
8
y
19
16:55
8
y
20
21
22
23
24
25
26
27
6:52
8
ly
28
6:50
8
y
29
30
31
6:50
5
y
Jloathly Average Limit:
Monthly Average:
0.75
Daily AI-ira. :
0.75
' DoOy 3Rnimnm:
0.75
""" No Reporting Reason: ENFRUSE=NoFloty-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=NOFIO\v; HOLIDAY=NoVisitation—Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNEk NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 12-2018 (December 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 01/03/2019
� 01/03/2019
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
01/03/2019
Perinittee/Submitter Signature:*** Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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.
LAB NAME: Water Tech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES P1E1.iMIT NO.: NCG590004
PERMIT VERSION: 1.0
FACILITAAME: Cleveland County WTP
_
PERMIT S
STATUS: Active
'
v
CLASS: PC-1
`'' ••_
L7 ='.-m ��OUNTY: Cleveland
OWNER NAME: Cleveland County Water
ORC: Rondall A Roper
DEC 13 2018 ORC CERT NUMBER: 998089
GRADE: PC-1
ORC HAS CHANGED: No
_ffMEIVED/NCDENR/DWC
eDMRPERIOD: 11-2018 (November 2018)
VERSION: 1.0
—
CEN I i(AL, FILE
[)WR SECTION STATUS: Processed
DF C 2 7 21118
SAMPLING LOCATION:
EFFLUENT DISCHARGE NO.: 002 NO DISCH'A1
WQROS
�+y
, NQo OVAL OFFIC
E u
_
50050 00409
50060 C0610 C0530 C0665
01105 01042
� See
t= =
e
Continuoux Monthly
2 X month Quarterly 2 X month ;QuanerlyQuarterly
Quarterly Quarterly
O F
Recorder Grab
Grab Grab GrabGrab
Grab Grab
U O O O
7A00 N�k H. 2400 clock Hre WRIN
FLOW PH
LY
CHLORE NH3-N-Couc TSS-Cant TOTAL N- TOTALP-Cone
LY
ALUarll31 COPPER
1
6:55 8
mgd 9°
ug/l mg/I mg/1 m mg/l
noug/I
y
0.085
2 6:58 8 Y
0.085
3
0.085
4
0.085
5 6:57 8 Y
0.043
6 6:50 8 Y
0.085 7.3
11 <2.5
7 6:55 8 Y
0.085
x 6:50 8 Y
0.085
9 6:55 8
0.085
10
0.095
11
0.077
12
0
13 6:50 g Y
0.085
14 6:55 g Y
0
15 7:02 8 Y
0.085
16 6:55 8 Y
0.085
17
0.085
lx
U85
19 6:55 8 Y
0.085
20 6:54 g Y
0.085 2
<2.5
21 7:00 8 Y
0.085
22
0.085
23
0.085
24
0.085
25
0
26 6:58 S
0.051
27 7:00 8 Y
0.085
28 7:00 8 y
0
29 6:59 8 y
0.085
30 6:58 4.5 Y
0.085
Monthly Average Limit:
130
310atbly Average:
0.070867 6.5 0
Dully 11ia:imum:
0.085 7.3 1 I
Daily Minimum:
0 7.3 2
0
0
****No Reporting Reason: ENFRUSE --No Flow-Reuse/Recycle; ENV WTHR = No Visitation —Adverse Weather; NOFLOW
= No Flow; HOLIDAY = No Visitation —Holiday

NPDES PERMIT NO.: NCG590004 PERMIT VERSION: 1.0
_ PERMIT STATUS: Active
FACILIT� NAME: Cleveland County WTP CLASS: PC-1
—. COUNTY: Cleveland
OWNER NAME: Cleveland County Water ORC: Rondall A Roper ORC CERT NUMBER: 998089
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 11-2018 (November 2018) VERSION: 1.0
— STATUS: Processed
c
SAMPLING
LOCATION:
EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
00951 01045 01055 TGE6C 00070
E
u`
9
_
F'
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u
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01092
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Quarterl Y
Grab
Quarterly
Grab
QuarterlyQ
Gmb
Annually
Grab
Monthly
Gmb
uarterl y
Gmb
y'
F-TOTAL
IRON
01ANGNESE
ug/1
1•THD24PF
ass/fail
TUIiDmTY
utu
0.7
'LING
3400 clock
Hrs
2490 clockffHaYID/Nue�uF/1
ug/16:55
26:58
4
5
6:57
8
y
6
6H:50
8
Y
2
6:55
g
y
8
6:50
8
Y
9
6:55
8
Y
10
11
12
13
6:50
8
y
14
6:55
g
Y
is
7:02
8
16
6:55
8
17
18
19
6:55
8
y
20
6:54
8
Y
21
7:00 8
Y
22
23
24
25
26
6:58 8
y
27
7:00 8
y
28
7:OD g
y
29
6:59 8
y
30
6:56 4.5
y
Monthly Average Limft:
Jlomhly A—ge:
Doilyblutmum•
0.7
Deity \Ilnlmum:
0.7
0.7
°' No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No
Visitation — Holiday

NPDES PERStIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 11-2018 (November 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 12/05/2018
Gov,, J, Ozgp , , IL 12/05/2018
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
Q,me a �, , 12/05/2018
Permittee/Submitter Signature:*** Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 managed 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.
LAB NAME: Water Tech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004
FACILITY'NANIE: Cleveland County WTP
ONVNER NANIE: Cleveland County Water
GRADE: PC -I
eDNIR PERIOD: 10-2018 (October2018)
PERMIT VERSION: 1_0
CLASS: PC -I
ORC: Rondall A Ruj)cr
ORC HAS CHANGED: No
VERSION: 1_0
®� ERMIT STATUS: Active -3
CI OUNTY: Cleveland
NOV 14 Z018 ORC CERT NUMBER: 998089
CEN-1-RAL FILES
DWR SECTIONSTATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
-'
-
=
_
c
c
=
E
JIIIINII
IIIIJIIII
jI111L11
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Quarterly
2 X month
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Quarterly
Quancrly
Quarterly
R-011ilr
Gelb
Grab
Grab
Grab
Grab
Grab
Grab
Glob
FLOM
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ALIINIINUNI
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2411116.11,
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-
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L_
l
0
�4
0.06
0
0.0-7a
0,0S5
8:45
8
y
0.0S5
7.:2
7
5.7
2.5
- 0.16
133
5
lU
":50
8
y
11
II
6:50
8
e
U
12
6:55
\
y
0.085
0.0s5
0.085
1>
6:5S
6:57
8
x
v
0.085
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7:0o
S
0.068
1—
Ix
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8
y
0
I'7
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20
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21
6:50
8
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0.085
\ifl\I
6:55
8
y
0.051
-
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6:50
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0.051
2.5
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zJ
17:00
12
1 y
0.085
1 %t�SR!
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-
17:40
12
v
0.085
26
0
27
5:38
12
y
0.077
,x
0.04',
'-')
0.085
?II
6:50
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y
0,085
31
6;55
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Nlnnlhl) A\erase Limit:'
?II
NI-ffil) A,eraec:
I Ilnih.NI-innl 1,:
,
Ll1
7.32
0
2.5
0
233
0
"'"' No Lporling Reason: ENFRUSE = No Floc-Reuse/Reevele: ENVW'I-HR= No Visitation-- Adverse Weathc : NOFLOW = No Flow: HOLIDAY = No Visitation— Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-]
eDINIR PERIOD: 10-2018 (October 2018)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: LO
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
C
-
u
F
F
p
=
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C
-
00951
o11145
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01 I192
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Quarterly
Quarterh
Annually
Monthly
Quarterly
Grab
Giah
Grah
Grah
Grah
Grah
1-TOTAL
IRON
MANGNESE
P"1'HD24PP
'IURBIDTl
'ZINC
241111 clod:
IIn
2400 cluck
Hrc
)'/B/N
ue/1
uL/I
pa's/tail
ntu
ue/I
I
i
6
7
X
6:50
8
y
6:45
X
y
100
29
24
PASS
0.35
0
6:50
X
y
11
6:50
S
)'
6:55
X
y
li
14
15
6:58
X
).
16
1, 57
S
y
17
7:00
S
v
is
6:55
x
y
19
20
21
6:50
8
y
_-
6:55
S
y
23
6:50
X
y
24
17:00
12
y
25
7:40
12
y
26
27
5:3S
12
y
28
29
31)
6S0
X
y
,I
6:55
18
1 y
\lunikl) A, eraµ Limit:
M'u I l) A... m":
0
29
24
0.35
Dail) alacimn m:
U
2924
0.35
Daily Mini. —nu
u
29
'4
0.35
*'" No Repolling Reason: GNFRUSE = No Floly-Reuse/Recycle: EN V WTHR = No V'isitatioH — Ad\erse \kleather: NOFLO W = No Flow: HOLIDAY = No Visitation —Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
O'NER V1NAME: Cleveland County Water
GRADE: PC -I
eDNIR PERIOD: 10-2018 (October 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC- I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 1 1/05/2018
G"'ti"'a,` ,4• �,, g 1 1/05/2018
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:rroper ruclevelandcountywater.com Phone 4:704-538-9033 Date
By this signature, i certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
11/05/2018
Permittee/Submitter Signature:*** Rondall A Roper Jr E-Mail:rroperCdtclevelandcountywater.com Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 managed 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.
LAB NAME: Water Tech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/nodes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC Must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
Signature of Permittee: 11'signed by other than the permittee, then delegation of the signatoryauthority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: C'levcland County Watcr
GRADE: PC-]
eDMR PERIOD: 09-2018 (September 2018)
PERMITVERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active 3
RECFQ�fi`� COUNTY: Cleveland
ORC CERT NUMBER: 998089
OCT 2.2 20$ RECEIVED/NCDENR/DWR
CENTR/-ir_ t-ILES STATUS: Processed QWR SECTION OCT 2 9 2018
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGEIVRRU
MOORESVILLE REGIONAL OFFICE
0
—
u
_
t2
-
0
_
O
o
u
0
=
501150
0(401)
5011611
C0610
C05311
(06011
C0665
(11105
01(W.
Continuous
110ntilly
2 X munch
Quarterly
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Recorder
Grub
Gmb
Grab
Grab
Grab
Grab
Grub
Grab
I'LON'
1,H
CHLORINE
NHJ-N - Cone
TSS - Cone
•1'OTAL N-
'1'0'I AL P-Cone
ALUMINUM
COPPER
140110-1,
HIS
24011 clock
Hr.
1'MIN
mL'd
a.t
uLil
Inall
IIIE/I
Ing!I
Illy/I
IIL'/I
LIL',I
0.(1S5
0.05
0.05
a
6:55
8
y
0.085
7.32
9
4.3
17:45
12
y
0.085
0.085
7
0.085
x
0.085
0.085
1u
G:5(1
S
y
IL085
11
6:55
8
y
0.085
12
6:50
8
y
0.(1S5
11
6:55
8
14
6:32
8
y
0.085
15
U.085
16
0.085
17
7:01)
V
LIM5
In
6:55
8
y
0.085
7
5.2
19
(i.5(1
S
y
0.085
211
6:55
S
v
0.017
21
0:50
8
y
U
--
U
2j
U
24
6:50
S
y
I)
25
6.51
8
y
0
'-
'-I'
6:55
S
y
0
27
U.US5
28
U
20
U,U-12
30
UM5
y 11111f111\' AIl•1'agl•:
U.06I 467
S
4.75
Uuil) \I:uiuwlno
0.085
7.37
Q
5.2
Ouity ? Iinioulm:
Il
7.32
7
4.3
"41 No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visiul(ion - Adverse Weather; NOFLOW = No Flow: HOLIDAY = No Visitation- Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NANO Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDtNIR PERIOD: 09-2018 (September 2018)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: LO
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
00951
(111145
1114.15
1'C K6C
001170
111119E
Quarterly
Quarterly
Annually
monthly
Quarterly
Grlb
Grab
Grab
Grah
Grab
Grah
F-I Or:1L
IRON
\1:\NG.NLSE
r'I'H D24IT
"1"LIRDIDTY
ZINC
24110 clock
I1.,
24111)H-1,
IIr.
IDIN
❑!,ll
11_I
nttl
ug/l
I
l
c-..
a
6:55
8
y
0.4
7:45
I
y
6
7
H
9
III
6:50
8
y
11
6:55
8
y
12
6:50
8
1'
IJ
6'55
8
y
1+
6:52
8
y
I5
16
17
7:00
8
v
la
6:55
8
y
19
6:50
N
y
-'a
6:55
S
y
21
6:SU
8
y,
22
23
24
6:50
8
y
25
6'S1
8
v
26
6'55 IS
y
27
2s
29
311
?mm6ly :\.:•rn��• Lin:u:
11mm�1> au•ragr:
0.4
Wily nla,il ni
0.4
DAy.\unm�::
' im
0.4
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather: NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-]
eDINIR PERIOD: 09-2018 (September 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: LO
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 10/15/2018
10/15/2018
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:rroper(coclevelandcountywater.com Phone #:[phone] Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
CI' .'y A 10/15/2018
Permittee/Submitter Signature:'''*" Rondall A Roper Jr E-Mait: rrol:)eru;cleve] andcounlywater.com Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 managed 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.
LAB NAME: Water Tech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting litti):Hportal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DM
for entire monitoring period.
* ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* SiGnature of Permittee: i1'signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I SA NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004
FACIIJTY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 08-2018 (August 2018)
PERNIIT VERSION: 1.0 e ,
CLASS: PC -I 1� &.�
ORC: Rondal I A Roper SE
P 2 A St 2018
ORC HAS CHANGED: No
VERSION: 1.0 CENTRAL FILES
DWR SECTION
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089 RECEIVED/NCDENROWR
STATUS: Processed OCT 1 2018
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARI#EY'REN rl LE REGIONAL OFF
-
-
zo
_
511,1511
IIIIJIIII
501160
C06111
C05311
C0600
C0665
(111,15
1111142
C0111iuLluaS
Mlallbl)"
2 X 111u11tb
Quamt-1v
2 X Illul116
Quarterly
Quarterly
Quarterly
Quarterly
R—rder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pll
CHLORINE
NHt-N - Cone
TSS-Cane
T(]Tn1, N-
TOTAL P-Cone
ALUNIINUNT
COPPER
--'JIIII clack
HIS
1 241111 clack
I lira
17RIN
tiled
SLI
uC(I
Ills/i
111g/I
IP_il
111 1
I uF/I
ae%I
6:55
S
y
0.085
6:58
S
0.035
j
7:00
II
v
0.085
a
(1.085
i
0.0S5
6
6:511
8y
0.085
7
6:45
s
V
0.085
6.84
11
; 2.5
8
6:55
8
V
0.085
q
6:58
S
y
0.085
IU
6;4i
,l'
V
0.0S5
-
12
0.(185
1:1
6:5S
8
y
(1.1)85
14
0.085
15
6:58
8
V
0.085
16
655
8
V
(1.(18i
17
6:30
S
t'
0.085
18
0.085
P]
0.085
20
6:55
8
y
0.085
"
21
6:58
8
y
0.081
8
4.1
22
6:55
8
v
0.085
-'N
6 50
R
0.085
24
6:5 i
8
0.085
25
0.085
t6
0.U85
27
6:.58
8
v
0.085
—_
28
7:00
S
0.085
2n
1
6:55
sy
0.085
31
6:58
s
V
0.0S5
31
6:55
S
V
0.o85
,\In ahIr Agra;;, Limit:
111
\Inn16h \'cra;;r:
0.1185
9.5
2.115
0ui13 Nlatirl .:
0.(185
6,84
II
4.1
1]a1h"Nlluinunn:
n.Hss
6.X4
s
H
**** No Reporting Reason: ENFRUSE = No Flow-Reusc/Recyele; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flom: HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 08-2018 (August 2018)
PERMIT VERSION: IA
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
-
-
-
u'
H
-
=
E
-
_
Z'
011951
111W
01055
TGE6C
0110711
011192
Qlall'te lv
Quallerly
Quarto&
Annual) y
Wnl61 y
Quanarly
Grab
(irate
Grab
Grab
Grab
Grab
F-TnT,\I:
IRON
6IANGNESE
FTun2.IPr•
TURRIOT\'
ZINC'
2406,&
16re
24000,,ck
HA
1 \'/RN
u�/l
llg/l
UL/1
pass fall
Illll
ug/l
655
:
y
6:58
8
\
7
7:00
II
y
4
5
6
6:50
8
v
7
6:45
R
y
0.8
8
6:5i
8
\•
9
6t58
8
y
t9
6:45
8
y
II
12
13
6:58
R
IA
15
6:iR
8
v
16
6:i5
8
v
17
6:iO
8
v
Ia
19
211
6:55
8
v
21
6:5k
8
v
22
C,:55
R
v
'-a
6:50
R
v
24
6:.i7
8
y
25
26
271
6:58
8
a
2.4
7:00
S
v
29
6.55
8
y
311
658
8
v
-
31
65i
R I
v
Mon161�,\�-na;;c Limit:
\Ion1612 \�rra4e:
(1.8
naik .\Ia.inunn:
(6R
flails Minimum:
0.8
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle: ENVWTHR = No Visilation - Adi erse Weather; NOFLOW = No Flow: HOLIDAY = No Visitation - Holidav

%NPDES PF,RMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
el)MR PERIOD: 07-2018 (.Iu1y 2018)
PERMIT VERSION:FRE
C
CLASS: PC -I [�,
ORC: Rondall A Roper AUG 24 2018
ORC HAS CHANGED:aL-J',f it« L FILES
VERSION: 1.0 DWR SECTION
ION
PERM11' STATUS: Active 3
COUNTY: Cleveland
ORC CERT NUMBER: 998089
HE EIVED/NCDENR/DWR
STATUS: Processed SEP - 4 2lJl(1
ROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISC �QEGI
31%tL `fiEGIONAL OFFICE
p
u
F
-
_
_
-
500511
0114(111
5111161)
C06111
C0S38
(06111)
C0665
01105
11111.12
(•UIIt111U1111,
%ima lly
2 X 11u,wh
Qllallld
2 h IUonfl,
Quarterly
QUnm,ly
QLIUrwrl,
QUnrll'1'1l-
Reemder
Gr:10
Graf)
C-1,
Grab
6ft6
Grab
G.11
Grab
FLOW
1,11
('HLORINF
NII3-N-Cone
T88-Coot
roTAI. N-
TOTAL P - Cone
ALUNT1NUNT
COPPER
24110 d-1,
Hn
241111 duck
iln
YIBIN
II1^d
Nll
ug/1
I11_/1
It1C/l
itt e/l
mJ1
ug/1
lli./1
1
j;SU
I'_
�'
0.078
'
0.078
s
0.078
+
1-,:45
12
0.078
.
c
17:40
11
v
0.078
6
0.078
7
0.078
0.078
't
6:iS
8
v
0.078
To
6:50l
8
y
0.078
7.2;
8
i8
9i0
:160
254
-5
II
5;45
12
v
0.078
12
i:50
1'
v
0.078
13
6:ii
II
V
0.078
IJ
(1.078
15
-
1'
y
0.078
16
0.M'
17
0.078
.
IN
17-411
12
t
0.078
I'1
17:>o
17
0.(178
,p
0.078
21
0.078
--
0.078
23
658
9
r
0,078
'J
0.078
9
4J
25
0.078
26
0.078
27
iAi
12
v
0.078
'-N
6:00
1?
0.078
'-')
0.078
zN
6:55
8
().078
31
6;55
S
1
0.078
NI hl� Arcra;;e Li.dl:
311
--
\lanlhl. \.e ag':
(I.U78
8.i
3.25
950
11
254
Il
Dailc ?I:nilnll ur.
1).078
7.2i
9
4.7
950
0
254
--
Daily 311nlnmme
f1.078
7.25
8
78
950
0
254
it
"'"" No Reporting Reason: ENFRUSE = No Flow-ReusclRecycle: ENVWTHR = No Visitation -- AdN ersc Weather: NOFLOW =No Flow: HOLIDAY = No Visitation - Holiday

4
NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eD;MIZ PERIOD: 07-2018 (.luly 2018)
COMPLIANCE STATUS: Compliant
PERM1'1' VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION': 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 08/21/2018
08/21/2018
ORC' Certifier Sii;�naturce c: Rondall A Roper Jr E- Mail:rroper(ai cicvelandcountywater.com Phone #:[phone] Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the em ironment.
Any information shall be provided orally within 24 hours fl-om the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
Ifthe facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.h of
the NPDES permit.
03/21/2018
Permittee/Submilter Signature:'" ` Rondall A Roper .It- E-Mail:rroper(iclevel andcountywater.com Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Pzrmit Expiration Date: 0731/2019
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or super ision in accordance with a system desitnnt•d
to assure that qualified personnel properly gather and evaluate the infornrrtion submitted. Based on my inquiry of the person or persons who managed 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 tines and imprisonment For
knowing violations.
LAB NAME: Watertech Labs
CERTIFIED LAB#:50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper,Chris Elliuu
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling [lie NPDES Unit [phone] or by visiting littp://portaLncdenr.orM,webhvq/swp/ps/npdes/fxm;.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
`* ORC on Site'?: ORC nu.tst visit facility and Cocument visitation of facility as require(] per 15A NC'AC SG .0204.
SiMnature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NC AC :13
.0506(b)(2)(D).

0
NPDI� .PERMIT NO,: NCG590004 PERIMIT VERSION: 1.0 PERMIT STATUS: Active 3
FACILITY NAME: Cleveland County WTP CLASS: PC -II I FT?bNTY: Cleveland
V L::
OWNER NAME: Cleveland County Water ORC: Rondall A Roper ORC CERT NUMBER: 998089
GRADE: PC -I ORC HAS CHANGED: No JUL 18 Z018 RECEIVED/NCDENR/DWR
eDMR PERIOD:06-20t8 (• ine2018) VERSION: I.0 �TUS- ProcessedC if 'iLL SAjL 2 3 2018
DVJR CT10N
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DIS oORRs�i LE RWEOGIONI♦LOFFICE
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NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
PERMIT VERSION: 1.0 PERIJN,IIT STATUS: Active
CLASS: PC' -I COUNTY: Cleveland
ORC: Rondall A Roper
ORC HAS CHANGED: No
ORC CERT NUMBER: 998089
eDMR PERIOD: 06-2018 (.lone 2018) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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t
IF
NPDES PERMIT NO.: NCG590004
FACILITY NA\1E: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 00-2018 (.tune 2018)
COMPLIANCE STATUS: Compliant
PERi\IIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 999089
STATUS: Processed
SUBMISSION DATE: 07/12/2018
07/12/2018
ORC%Certifier Signature: Rondall A Roper Jr E-Mail:rroper(c_lclevelandcountywater.coni Phone 4:704-538-9033 Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Anv information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
07/12/2018
Permittee/Submitter Signature.*"* Rondall .A Roper .ir E-Mail:rroper(ocIeve Iandcountywater.corn Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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
knowima violations.
LAB NAME: WaterTech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
*x ORC on Site'?: ORC must visit facility and document visitation offacility as required per 15A NCAC 8G .0204.
*a Signature of Permittee: If signed by other than the ppennnittec, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(D).

E "
NPDES PERMIT NO.: NCG590004
FACILITY NA11E: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 05-2018 (May 2018)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1_0
W
PERMIT STATUS: Active
V MINTY: Cleveland
ORC CERT NUMBER: 998089
JUN 2 0 2018 RE EIVEDINCDENRIDWR
CENTRAL FILESTATUS: Processed JUN 2 5 2018
DWR SECTION
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCIVWy&WLAEGIONALOFFICE
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S.
NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water.
GRADE: PC -I
eDMR PERIOD: 05-2018 (May 2018)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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l
NPDES PERiNUT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 05-2018 (May 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 06/13/2018
^CY,etSC(� 't. �tsvE ) %- 06/1 3/201 8
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:rroper@,clevelandcountywater. cons Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
I\-P=1W4 1 %, 06/13/2018
Permittee/Submitter Signature:*** Rondall A Roper Jr E-Mail:rropet-(�Iclevelandcountywater.com Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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.
LAB NAME: Watertech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ticdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no diSChar$e occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on rile with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG90004
FACILITY NANIE: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-[
PERMII' VERSION: [.0
CLASS: PC -I
ORC: Randall A Roper
ORC HAS CHANGED: No
PERMIT STATUS: Active
EV COUNTY: Cleveland �j��+
ORC CERT NUNIBEft:''�J'tlR,4ED/NCDENR/DWR
MAY 2 4 2018 Itf) ; 7r
eDp1R PERIOD: 04-2018 (April 2018) VERSION: IA (-� _r.. STATUS: Processed
-4 i-. I V I. I l t)
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NPDES PERiN'IIT NO.: NCG590004 PERMITVERSION: 1.0 PERMIT STATUS: Active
FACILITY NAME: Cleveland County WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: Cleveland County Water ORC: Rondall A Ropei ORC CERT NUMBER: 998089
GRADE: PC -I ORC HAS CHANGED: No
eDNIR PERIOD: 04-2018 (April 2018) VERSION: LO STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 04-2018 (April 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 99S089
STATUS: Processed
SUBMISSION DATE: 05/21/2018
V4),-�Wc13t I .L" , � e 05/21 /201 8
ORC/Certifier Signature: Rondall A Roper Jr E- Mail: rroper(vclevelandcountywater. corn Phone #:[phone] Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
05/21/2018
Permittee/Submitter Signature:"' Rondall A Roper Jr E-Mail:rroper(ir;clevelandcountywater.cona Phone #:[phone] ' Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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.
LAB NAME: Watertech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.tacdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
" No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
"* ORC on Site?: ORC must visit facility and document visitation of facility as required per I5A NCAC SG .0204.
Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
C� OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 03-2018 (March 2018)
PERMIT VERSION: 1.0 PERMIT STATUS: Active
CLASS: PC-1 G IVED COUNTY: Cleveland
ORC: Rondall A Roller APR ? Q Z018 ORC CERT NUMBER: 99 . 9
t-r cD EIVEDIfVCdENR/DVIIR -
ORC HAS CHANGED: No
I�iE7!�,j I t—AL- RLES �
VERSION: I.0 Ci`,7'jR SE�CTIO7 ,! STATUS: Processed �Q� LIJ+�
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCW0iib0fLLQE3-IONAL OFFICE
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NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAMF: Cleveland Comity Water
GRADE: PC-1
eDMR PERIOD: 03-2018 (March 2018)
PERMIT VERSION:.1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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** No Reporting Rcuson: L-NFRUSE = No Flow-Reuse/Recycle: ENWAITHR = No Visitation — Ad\ erse Weather: NOFLOW = No Flow: HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCG590004 PERMIT VERSION: 1.0 PERMIT STATUS: Active
FACILITY NANIE: Cleveland County WTP CLASS: PC -I COUNTY: Cleveland.
OWNER NAME: Cleveland County Water ORC: Rondall A Roper ORC CERT NUMBER: 998089
GRADE: PC-] ORC HAS CHANGED: No
eDiVIR PERIOD: 03-2018 (March 2018) VERSION: 1.0 STATUS: Processed
COMPLiANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 04/23/2018
Q"-(` A .a 11 0 04/23/2018
ORC/Certifier Signature: Rondall A Roper Jr E-N9ail:rroperr�clevelandcountywater.coni Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
04/23/2018
r
Permittee/Submitter Signature:*** Rondtill A Roper Jr E-Maif: rroperL;cIeve] andcountywater.com Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 managed 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.
LAB NAME: Watertech labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting littp://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the repotting facility's NPDES permit for reporting data.
* No Flow/Dischar-e From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
** Signature of Permittee: if signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(D).

a
NPDES PERNIIT NO.: NCG590004
FACILITY NANIE: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDN'IR PERIOD: 10-2017 (October 2017)
PERMIT VERSION: 14 I4S ED
CLASS: PC -I y
ORC: Rondall A Roper APR 10 2018
ORC HAS CHANGED: No,
v i-�L FILES
VERSION: — �WWR SECTION
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
M
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
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*"** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=NoVisiiation—AdycrscWeather: NOFLOW = No Flow; HOLIDAY =No Visitation — llolidav
ICE

NPDES PERMIT NO.: NCG590004 PERMIT VERSION: 1.0 PERMIT STATUS: Active
FACILITY NAI IE: Cleveland County WTP CLASS: PC -I COUNTY: Cleveland
OWNER NAME: Cleveland County Water ORC: Rondall A Roper ORC CERT NUMBER: 998089
GRADE: PC -I ORC HAS CHANGED: No
eDNIR PERIOD: 10-2017 (October 2017) VERSION: 2.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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**** No Reporting Reason: ENFRUSE =No FlomRcuse/Recycle: ENVWTHR = No Visitation — Ad%erse Weather: NOFLOW = No Flow: HOLIDAY = No Visitation — Holiday

NPDES PERN,IIT NO.: NCG590004
FACILITY NAtN'IE: Cleveland Cotmty WTP
OWNER NAME: Cleveland County Water
GRADE: PC' -I
el)1-II2 PERIOD: 10-2017 (Oclober 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 2.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 999089
STATUS: Processed
SUBMISSION DATE: 04/04/2018
04/04/2 01 8
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:rroper(iuclevelandcountywater.cont Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the. Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
if the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
04/04/201 8
Permitlee/Submitler Signature:" Rondall A Roper Jr E-Mail:rroper vclevelandcountywater.com Phone #:[phone] Date
Permittee Acidness: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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.
LAB NAME: Walertech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Ruper, Tim Burydn
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nccieni-.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site'?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature ofPermittee: if signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

October 2017 e®MR
REVISION
This is a resubmission for the oct 2017 eDMR , the Effluent Aquatic Toxicity was left off this report by
mistake. If you have any further questions feel free to contact me.
Thank you,
Rondall Roper, JR

NPDES PERMIT NO.: NCG590004 PERMIT VERSION: LO PERMITSTATUS: Active
FACILITY NAME: Cleveland County WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: Cleveland County Water ORC: Rondall A Roper r�p EDECEIVED/NCDENR/DWRRT NUMBER: 999089
A cp
GRADE: PC' -I ORC HAS CHANGED: No s�
eDNIR PERIOD: 02-2018 (February 2018) VERSION: 1.0 IWAnn 41 6 2WrUS: Processed AJDR ,� 2 ?1) 18
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] CCNW 1 ,AL Fit UBMISSION DATE: 03/21/2018
dWR SECTION MOORESVILLE REGIONAL OFFI
a-cku�-03/21/2018
ORCiCertifier Signature: Rondall A Roper Jr E-Mail:rroperti�clevelandcountywater.cons Phone #:[phone] Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circuolst_,nces. A written subrilission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
if the facility is noncompliant, please attach a list of corrective actions being taken and it time -table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
03/21/2018
Permittee/Submitter Signature:`** Rondall A Roper Jr E-Mail:rroper(r;clevelandcountywater.com Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 ptlier and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: watertech labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper
PARAMETER CODES
Parameter Code assistance may be obtained by calling [lie NPDES Unit [phone] or by visiting littp://portal.iiedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site'?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
:12" Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004
GACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDNIR PERIOD: 02-2018 (February 2018)
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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NPDES PERMrr NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 02-2018 (February 2018)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
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7:00
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0.041
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l lonlhl)'.\r'erul;e Lind(:
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\ _
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.()65
7'4
II 4
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7.74
11
— No Repollin Reason: ENFRUSE = No Fluw-Reuse/Recycle: ENV W I HK = INu vlSHtallRl - HUNC— 1-0L.11:. 11— • • ...•... ..----- --

A, I _ 3
��:PDES PF.RNII9' NO.: NCG59(l0(l=! PERMIT VF.R510\': I.(l PERMIT STATUS: Active
t FACILITY NAVE: Cleveland County W'TP CLASS: PC -I RECEIVED COUNTY: Cleveland
4 _
` OWNER NAME: Cleveland County Water ORC: Rondall A Roper FEB`j ry 2018 ORC CERT NUMBER. 29y.082
1— D D ( (. r—WED/NCDENR/DWG
GRADE: PC-1 ORC HAS CHANGED: No MAR
eD1�112 PERIOD: QI-2(118 (.lanuary2018) VERSION: I.0 DWR SECTIONCENTRAL FILES STATUS: Processed MARi (W
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISQIJA-,RGX-L�'NLOlOKIALOFF►CE
F
'u
_
=
-
_
-
j
5111151)
IIIIJI111
501161)
C(1611)
C053ll
C061111
C0665
1111115
1111142
Cuulinu(,u>
%1"Illhl,
2 X nu,n,Ih
Quwlerly
2 X Inunlh
Quarterly
Quanerly
Qu;merly
Quamdy
R--1,1
Grab
(irate
Grab
Grab
Grab
Grab
(irah
Grab
�I.l)\1"
I,II
CHLORINE
Nllt-N'-Cunt
TSS-Gmt
TOTAL
'RIT.\I.P-Cone
.\I.011N1:\I
e(11•rr:It
24110''Illtk
III'.,
,JIIII dock
Ilr,
1'IWN
mp'l
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nt^_/l
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6:45
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003n
4
6:50
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0.038
6:40
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7
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6:45
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--
6:50
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0.0319
6 5
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an3e
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6:55
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-
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5:45
12
1
0.042
'I
6:45
S
V
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i\tool hl,,\mr:lpc Limit:
,lll
\Inmhh \, rra;;r:
n,lNf17'3
2.5
n
236
n
455
S
Ilaily \lu,imum:
(I,n57
7.1
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_ !,
fl
455
R
n,a, .nl,hol"II`
n.nn94
7.1
1
a
`.'6
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4j5
R
**** No Reporting Reason: ENFRUSL• =No Floe-RcuselRccycle: ENVWTHR =No Visitation - Adversc Wcallier: NOFLOW =No Flow: HOLIDAY =No Visitation — Fluliday

NPDES PERMIT NO.: NCG590004
C FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDIMR PERIOD: 01-2018 (January 2018)
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
u
❑
_
C
=
=
z
Illm�l
1111145
"11155
'I GE6C
111111711
I111P1±
Qu;ulcrlp
Quarterly
Qu:ulcrly
Annually
MunOily
Qt,a,w ly
GIZ,b
Grab
Grab -
Grab
Grob
Gmb
f'1'f 1T.\I.
IRM,
61\NGNESF.
FTIID±JPF
TURRIIIT\'
ZINC
'-lull clack
H.,
241111 d,.,k
Hn
V/IVN
n•'/I
lIL'll
pass/rail
"M
UC/I
I
-
6:40
8
h:Ji
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J
6:5(1
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R
n
7
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6:as
R
V
6 50
12
y
100
59
16
0.7
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6:40
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h:50
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12
13
14
15
h: i
I"
6:io
R
\•
17
IN
1'I
hall
R
y
±n
21
(,:55
R
23
6:i0
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6:45
R
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25
6:50
x
v
Z6
6 55
27
28
2-1
6:5i
R
p)
5:45
12
y.
11 1
1
16:45
R
1 v
d lonl hly :bcr:,�e Limit
\lunlhly \. rrx�c:
100
59
16
0,7
Daay ?1a.ianlln:
I00
iq
Ih
0,7
nuib }linanum:
'
1110
59
16
10.7
"°"sNoReportin_Reoson:ENFR1;SE=No Flow-Reusc,Recycle: ENV\ TFIR=No Visitation — Adverse%ewher: NOFLOW=ND Flow: HOLIDAY=NoVisitation — Holiday

NPDES PERMIT NO.: NC0590004
FACILITY NAM E: Cleveland County WTP
• OWNER NAME: Cleveland County Water
GRADE: PC -I
eDNIR PERIOD: 01-2018 (January 2018)
CONIPLLANCE STATUS: Compliant
PERMIT VERSION: LO
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 02/20/2018
Q,&0,A • 02/20/2018
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:rroper((eclevelandcountywater.coni Phone 9:704-538-9033 Date
By this signature. 1 certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
02/20/2018
Permittee/Submitter Signature:'`** Rondall A Roper Jr E-Mail:rroperu;clevelandcountywater.com Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 managed 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
knowima violations.
LAB NAME: Walertech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling- the NPDES Unit [phone] or by visiting http:Hportal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Dischar-e From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC oil Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*' Signature of Permittee: If signed by other than the permittec, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

f
NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 12-2017 (December 2017)
PERMIT VERSION: 1_0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1_0
�"II`fQ"L1�5h�ITSTr�TUS:Active
hI ry� f �CgOgUUNNITY: Cleveland
JA ° L 5 21 c CERT NUMBER: 998089
CENTRAL FILE; RECEIVEMCDENR WR
DWR SECTIG*TUS: Processed
rkfJ' � LOi�
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*:
1' OORPRVIr : car r .,..
_
—
u
F3
-
=
C
5011.10
1111400
5111160
C0610
C0530
C0600
C0665
111105
1111142
Continuous
Nlontbly
2 X Inunth
Quarterly
2 X ulumh
Quarterly
Quarterly
Q-11CIN
Qua—ly
R<cordcr
Grab
Grab
GRIb
Grab
Grab
Gab
Grab
Cimb
FLOW
1111
CIII.(IRINE
NH3-N-Cnnc
TSN -Cnnc
TOTAL N-
TOTAL P -C'nnc
ALUNIINI:NI
COPPER
2400 clack
Ih,
2400 A,A
Hr.
I \'/R:N
111gd
SU
nt/1
111 g/1
n,g/1
IIlly_/1
IIIg./I
aL/I
-/1
1
0.047
-
o.047
13
0.04
a
6:55
s
V
0.049
5
6:40
S
V
0.044
7.IS
5
5.4
6
1 6:55
S
I V
0.055
7
6:40
S
y
0.066
8
6:55
S
V
0.046
0.016
10
0.043
11
6:,0
S
v
0.043
12
6:52
S
y
0.046
13
6:55
S
V
0.036
111
6:40
\
V
0.04
15
1 6: i0
s
1 y
0.038
16
0.047
17
o.05I
1.4
0.042
19
6:40
S
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0.049
6
- 2.5
20
17:45
12
V
0.05
21
1740
12
y
0.051
--
0.04
2,
0.043
74
0.047
-
HOLIDAY
26
HOLIDAY
27
HOLIDAY
2.
6:50
Cy
0.045
2'
6:45
SV
0.046
ill
0.04-1
31
0.04'_
61aa
ill
\lane hl�' \rcra�e:
(1.(14575
2.7
Darr Nlncinnun:
'
0.066
7. I S
(,
5,4
Uailc,\lininnnn:
(1.(136
7.I8
-
ll
**** No Reporting Reason: ENFRUSE = No Flo%v-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDINIR PERIOD: 12-2017 (December 2017)
PERINIIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
C
�5
'e
'_
_
-
=
j
1111951
111045
1111155
IGE6C
11111170
111092
Quarterly
Qwuurly
Quarterly
Annually
Monthly
Quarterly
Grab
Grab
Grab
Grab
Grab
Cirlb
F-TOT\i.
IRON
N1\NGNESE
FTHR241'F
TURRIDTI"
ZINC
'_lull clack
Rra
2406 clack
I Rr,
1'IRIN
UL'/I
II II
tl,�/I
bass/rail
IiIR
uC/1
i
4
6;55
3
6:40
s
0.4
6
6:5i
9
V
6:40
8
v
8
6 55
9
v
9
In
11
6:50
8
v
12
6:i2
8
13
6:55
8
y
Il
6:40
S
y
15
6:50
N
y
I6
17
IN
19
640
1
y
211
17:45
1_
y
21
1740
1'
v
22
21
21
HOLIDAY
26
HOLIDAY
27
HOLIDAY
'-N
6:i0
3
V1
6:4
S
v
?n
tl
N lanlllly ,\,'araFc Limil:
NIaaI612 \rcral;c:
0.3
Dail) \Iucimu m:
(1.3
Wild' \Iinimnm:
0.4
'*'""NoReporlingReasoii:ENFRUSE=NoFIom,-Reuse/Recycle: ENVWTIIR=NoVisitutioii—Adverse Weather: NOFLOW=No Flow: HOLIDAY=NoVisitatioD—Holiclav

NPDES PERiNIIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-]
cDMR PERIOD: 12-2017 (December 2017)
COMPLIANCE STATUS: Compliant
PERiY11T VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 01/22/2018
, V&PO, r 'A 1 01 /22/201 8
ORC''Ccrtifier Signature: Rondall A Roper Jr E-Mail:rroperwclevelandcountywater.coni Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission small also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
Ifthe facility is noncompliant, please attach a list ofcorrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
C/ I l Z.. ' . 01 /22/2018
Permittee/Submitter Rondall A Roper Jr E-Mail:rroperit;clevclandcotuitywater.com Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 managed 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.
CERTIFIED LABORATORIES
LAB NAME: Watertech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper, Tim Burgin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting littp://portaLncdenr.org/web/wq/swp/ps/npdes/forms.
1119Z9yr1. 93191
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site'?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
Signahtre of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
PERNIIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
PERMIT STATUS: Active
�� �1
�1(_` "" jOI ��jt I{�I``aC�COUNTY: Cleveland
ORC CERT NUMBER: 998089
DEC 2 1 2017 DEC'2 8 2017
eDNIR PERIOD: 1 1-2017 (November 2017) VERSION: 1.0 CEfTVF:11A STATUS: Processed
— � FILES L.a.. yES O
ffl SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
-
u
—
—
511050
110,161
5011611
C06111
C0510
C06110
C0665
111105
1111142
Continuous
Monthly
2 X month
Quarterly
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Rrcordyr
Grab
Grah
Grab
Grab
Grab
Grab
Dab
Grab
VI.(1\\'
ptf
C'HI.(1ftlNh:
Nil} -\-('one
Ttiti - Cone
T(IT,\I.N-
T(IT,\I.p-C'nne
.\I,L:\1INl:\7
COPPER
24I111 eImA
Ilia
2J1111 clock
Iira
1'IItIN
mgd
SU
ugll
n1g1l
moll
Ing/1
11,gI
utall
U',II
1
b:45
8
V
0.037
6:50
0.05
4
0.026
0.042
6
6:40
8
v
0.052
7
6:45
8
0.05
7
8
< 2.5
x
6:50
8
y
0.025
x
6:45
s
I y
10.043.
10
0.04
11
0.048
12
0.025
1.1
6:45
,l'
V
0.046
14
6:55
9
v
0.049
15
17:54
12
V
0.133
I6
17:40
I'_
v
0.017
17
0.061
Ix
(1058
19
0.05
21)
6:45
8
y
0.052
5:45
12
V
0.049
S
< 2.5
6:50
45
Y
0.048
-
=
0.054
3!
0.035
25
0.035
26
U34
27
6:45
8
V
0.0.36
28
6:50
8
V
0.049
2/
1740
12
V
0.042
30
17:45
12
V
0.033
Monthly A—agc Limit:
30
\1 nn I IIh .\rcragc:
0.114517
6.5
0
Uaih lla�imunl:
'
11,1?i
7
8
fl
0:a1> wni.......
0.017
7
5
0
****NoReporting Reason: ENFRUSE=NoFlo\v-Reuse/Recycle: ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow: HOLIDAY=NoVisitation— Holiday

i
NPDES PERMIT NO.: NCG590004 PERMIT VERSION: 1.0 PERMIT STATUS: Active
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDiNIR PERIOD: 1 1-2017 (November 2017)
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
C
_
-
F
=
u
F
-
=
EZi
s
o
Z
011951
111045
01055
rcu:c
01111711
01092
Qu:artcrty
Quarterly
Qu:ulcrly
Annually
Muuthly
QUalicrly
Grab
Grab
Grab
Grab
Grab
Grab
F=1'(IT.\l.
IItl1N
AI \NCNrtif
rrnn24rr
TURRIIIT\'
7.1\C
_` OU 0-k
Ilia
24011 clack
nrn
\'IRIN
(IL'/1
UL'11
UF•/1
P.SS/t:111
Mu
(aL/1
45
x
v
-
6:50
x
i
4
6
6:40
8
V
7
6:45
x
V
0.9
a
6:511
x
V
9
6:45
x
y
10
11
12
13
6:45
x
v
14
6•55
8
v'
15
17:54
1 12
y
16
17 40
12
v
17
IX
19
20
6:45
x
v
21
5:45
1'
V
22
C:50
4.5
23
24
25
26
27
6:45
x
2X
6:50
x
v
29
17:40
12
lU
17:45
1'
I v
\Innlhi2',\,Limit:
\Innthh :\\'erel;e:
0.8
o:m\ ]In.lmvnr
0.9
Dail) Minbmmr
O.x
**** No Reponing Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR= No Visitation — Adverse Weather: NOFLOW = No Flow; HOLIDAY = No Visitation— Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NA�IE: Cleveland County Water
GRADE: PC -I
eDNIR PERIOD: 1 1-2017 (November 2017)
C0i'%7PLLANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 993089
STATUS: Processed
SUBMISSION DATE: 12/11/2017
uio-h�! /i �,1,�►. 12/11/2017
ORC-Certifier Signature: Rondall A Roper Jr E-Mail:rroperc clevelandcountywater.com Phone #:[phone] Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDES permit.
l 2/ I 1 /2017
Pcrmittee/Submilter Signature:**"* Rondall A Roper Jr E-Mail:rropera'cIeve] andcounlywater.cona Phone 9:704-538-9033 Date
Pernaittee Acidness: 435 Casar-Lawndale Rd Lawndale NC 28090 Pennit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of nay 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.
CERTIFIED LABORATORIES
LAB NAME: Watertech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SANIPLES: Ronnie Roper, Tim Bwain
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://pol-tal.ncdonr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and. as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC nurst visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NI'DES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 10-2017 (October 2017)
SAMPLING LOCATION:
PERMIT VERSION: LO PERMIT STATUS: Active
CLASS: PC -I COUNTY: Cleveland
ORC: Rondall A Roper ORC CERT NUMBER: 99d)8g'DEIVED.fNCD�-:N:-;IC'`IiR
ORC HAS CHANGED: MCIV � 11 2017
VERSION: 1.0 CENTRAL FILES S
DWR SECTION
EFFLUENT DISCHARGE NO.: 002
DEC u4. 211P
TATUS: Processed
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""a No Reporting Reason: ENFRUSE = No Flo\%-Reusc/Recycle; ENV WTHR = No Visitation — Ad\'erse Weather, NOFLOW = No Flow: HOLIDAY = No Visitation — Holiday

A
NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland COLII7tV WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDM12 PERIOD: 10-2017 (October 2017)
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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A
�1
NI'DES PERMIT NO.: NCG590004
FACILITY NAME: C'lcveland County wTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDNIR PERIOD: 10-2017 (October 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-[
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 11/14/2017
11/14/2017
ORC!Ccrtifier Signature: Rondall A Roper Jr E-ly4ail:groper(_ri;clevelandcountywater.com Phone #:[phone] Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information dull be provided uralfy within 24 hOLirs front rite time the permittee became aware of the Circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of -the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
11/14/2017
PeritlltlCC/Subntilter Signature: /** Rondall A Roper Jr E-Mail:rroper a?clevelandcounty\vater.cont Phone #:[phone] Date
Pennittec Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 managed 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.
CERTIFIED LABORATORIES
LAB NAME: watertech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronnie Roper, Tim Burgin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://porial.ncdonr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
Signature of PCI-IllitteC: if signed by other than the permittee, then delegation of the signatory authority ntt.rst be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

•
0
a
NPI)ES,TERMIT NO.: NCG590004
FACILITY NAME: Cleveland COantV WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDAIR PERIOD: 09-2017 (September 2017)
PERMIT VERSION: 1.0
CLASS: PC-1 RECEIVED
ORC: Rondall A Roper OCT 2 6 2017
ORC HAS CHANGED: No
VERSION: LO CENTRAL FILES
CWR SECTION
3
PERMITSTATUS: Activc
COUNTY: Cleveland t� h
ORC CERT NUgggR:(�) tl;�)(COE RrOWR
STATUS: Processed
NOV o 6 Z017
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NPDES PERDHT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
��. GRADE: PC-1
eDMR PERIOD: 09-2017 (September 2017)
•
PERIN'11T VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland Comity WTP
OWNER NAME: Cleveland County Water
CGRADE: PC-1
eDMR PERIOD: 09-2017 (September 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 10/19/2017
10/19/2017
ORC/Certifier Signature: Rondall A Roper Ir E-Mail:rroper((�,clevelandcountywater.coat Phone 4:704-538-9033 Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours front the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part I1.E.6 of
the NPDES permit.
10/ 19/2017
Permittee/Subnlitter Signatttt'e:*** Rondall A Roper Jr E-Mail:rropero,clevelandcountywater.cont Phone 9:704-538-9033 Date
Permittee Address: 435 Casar-Lawndale Rd Lawndalc NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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 ant aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME: Watertcch Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAiNIPLES: Ronnie Roper, Tim Buigin
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdcs/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
" No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
*' ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(D).

NI'DES PERMIT NO.: NCC,590004
FACILITYNANTE: ClevelandCounty\VTP
ONVNE'R NAME: Cleveland County Water
GRADE: PC-1
el):NTR PERIOD: OP-2017 (,L\LILlst 2017)
i,ERmiT NIFIRSION: 1.0
CLASS: P('- I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMITsTATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
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�7
SEP 2 0 2017

NPDES PERMIT NO.: NCG590004
FACILITY NAtNIE: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDijIR PERIOD: 08-2017 (August 2017)
COMPLIANCE STATUS: Compliant
PERtNIFF VERSION': 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMJT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 09/14/2017
Vt9r+e�Ct1JL/ jl ,V%yn I (h, 09/14/201 7
ORC/Certifier Siif
gnature: Rondall A Roper Jr E-Nlail:rroper(iu'cicvelandcountywater.cont Phone #:[phone] Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours fi-om the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.L-.6 of
the NPDES permit.
09/ 14/2017
Permittee/Submitter Signature:*** Rondall A Roper Jr E-Mail:rropCrCryclevelandcountywater.com Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 2S090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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.
LAB NAME: Watertech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAiMPLES: Ronnie Roper, Tim Burgin
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting littp://portal.nc(lenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box i f no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
For entire monitoring period.
` ORC on Site?: ORC Must visit facility and document visitation of facility as required Per 15A NCAC 8G .0204.
Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 08-2017 (August 2017)
PE110,11T VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 999089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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MPnts PEaMnT No.: Nca,e000a
PERMITvratsloN: I.o
® ''J : k ERMIT STATUS: Active
• `ib° E-
FACILITY NM IE: Cleveland County WTF
CLASS: PC -I
COUNTY: Cleveland
AUG 3 0 Z01f 7
AUG (�
OWNER NAME: Cleveland County Water
ORC: Rondall A Roper
ORC CERT NUMBER: 29 k
�CEIVED/NCDgNR/DWR
GRADE: PC -I
ORC HAS CHANGED: No
CEgi¢` R.A% Fi S
eDMnt PERIOD: 07-2017(.h11g2017)
VERSION: 1.0
DWR SECTION STATUS: Processed
SEP e 5-2017
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHNRffE8VK0REGIONALOFFICE
E.
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`'°"'* No Rcpor im Reason: r:NFRUSE = No I:lo\\-Reuse. Recycle: ENV A*TliR - No Visit:nion- .AdNeise Feather: NOFLOW = No Flom: HOLIDAY - No Visilalion- Hnlidov

1
L
NPDES PERMIT NO.: NCG590004
FACILITY NAME: Ck—eland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
cDtNIR PERIOD: 07-2017 (July 2017)
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Raper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
-
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I
NPDES PERMrr NO.: NCG590004
FACILITY NAVE: Cleveland County WTP
ONVNER NAME: Cleveland County Water
GRADE: PC-]
eDMR PERIOD: 07-2017 (.lily 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC: -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 08/23/2017
08/23/2017
ORC�Certifier Si_riature: Rondall A Roper Jr E-Mail:rroper(y)clevelancicountywater.cont Phone #:[phone] Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the perntiltee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part [LE.6 of
the NPDES permit.
08/23/2017
Pei -III itter/Subill itter Signature: #" Rondall A Roper .ir I-:-Mail:rroperL;clevelandcountywater.com Phone #:[phone] Date
Permitter Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed the
system, or those persons directly responsible I'or 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.
LAB NAME: Walertech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES:
CERTIFIED LABORATORIES
PARAMETFR CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portaI.ncclenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
x* ORC on Site?: ORC must visit facility and document visitation of lacility as required per I5A NCAC 8G .0204.
•`* Si -nature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(D).

_I
�NPDES PERMIT NO.: NCG590004
FACILITY NAME: C•Ic -eland County WTP
OWNER NAVE: Cleveland County Water
GRADE: PC-]
eDiNIR PERIOD: 06-2017 (.tune 2017)
PERMIT VERSION: 1.0 RECEIV EDIT STATUS: Active 3
CLASS: PC -I AUG 0 T 20F/ UNITY: Cleveland
ORC: Rondall A Roper CENTORC CERT NUMBC �DINCDENRIDWR
ORC HAS CHANGED: No RAL FILES
DVVR SECTION 7 ? 111
VERSION: IA STATUS: Processed
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DIS' r� VL,'R gbiaNAL oFFICE
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" No Reporting Reason: FNI FRUSE = No Floc-Reuse/Recycle: ENV WTHR = No Visitation — Adverse Weather: NOFLOW = No Flow: HOLIDAY = No Visitation — Holiday

NPDES PERT IT NO.: NCG590004 PERMMIT VERSION: 1.0 PERMIT STATUS: Active
FACILITY NAME: Cleveland County WTP - CLASS: PC -I COUNTY: Cleveland
OWNER NAME: Cleveland County Water ORC: Rondall A Roper ORC CERT NUMBER: 998089
GRADE: PC -I ORC HAS CHANGED: No
eD1NIR PERIOD: 06-2017 (.lone 2017) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
_
F
_
u
=
-
=
_
=
_
z
C
nn95I
111045
111055
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011070
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'Grab
Gmb
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f:-T(IT.\I.
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17:35
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** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle: ENVNITHR = No Visitation — Adverse Weather: NOFLOW = No Flow: HOLIDAY = No Visitation — Holidav

NPDES PER111'1- NO.:.CG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDiMR PERIOD: 06-2017 (.tune 2017)
COMPLIANCE STATUS: Compliant
PERiIN11T VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 07/25/2017
07/25/2017
ORC%Certifier Signature: Rondall A Roper Jr E-Mail:rroper(u;cIeve landcountywater.cout Phone #:[phone] Date
By this signature, t certify that this report is accurate and complete to the best ol'my knowledge.
The permittec shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Ally information shall be provided orally within 24 hours frOnl the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is notice. )pliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part U.E.6 of
the NPDES permit.
!t . �i✓ 07/25/2017
Permittee/Submitter Signature:`*" Rondall A Roper .It- E-Mail:[e-mail] Phone 4.:704-538-9033 Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 property gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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 an) aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME: Waterteeh Labs
CERTIFIED LAB #: 1,50
PERSON(s) COLLECTING SAINIPLES: Ronnie Roper.'I-im Burcin
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assist; nee may be obtained by calling the NPDES Unit [phone] or by visiting http://porta1.nc(lenr.orghveb/wq/swp/1)sMpdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
" Signature of Permittee: If signed by other than the permittec, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

0
NPDIiS PER\II'N' NO.: NCG590004 PN:RNIIT \'Ii12S10N: I. PERMIT STATUS: Active
r:\CIL ITY NAI\'IE: Cleveland Coinuy WTP CLASS: PC -I E d�,b;1) COUNTY: Cleveland
nr1 q
OWNER NAME.: Cleveland County Water ORC: Rondall A Roper ��� �J 6 2017 ORC CERT NUMBER: 998089
GRADE: PC -I ORC I4AS CHANGED: -CEI-4-1-RAL FILES
Y
eD.MR PERIOD: 05-2017 (May 2017) VERSION: 1.0 DWR SECTION STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
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RSCEIVEDINCDENRIDWR
JUL 3 2017
WOROS
MOORESVILLE REGIONAL OFFICE

NPUES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDi\IR PERIOD: 05-2017 (May 2017)
PERMIT VERSION: 1.0
CLASS: PC' -I
ORC: Randall A Roller
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION:. EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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*" No Reponi i, Reason: FNFRl1SE = No Flow-Rcusc/Recycle: EN\1WTHR = No Vieilation - Adverse Wea(her: NOFLOW = No Flow: HOLIDAY = No Visital ion — IIoliday

f
NPDES PERDIIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDNIR PERIOD: 05-2017 (May 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 06/21/2017
4�U -Af UW11 r , 06/21 /2017
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:rroperittc [eve Ian dcountywater.cont Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
06/21 /2017
Permittec/Submitter Signature:**Rondall A Roper .ir E-Mail:rropera'clevelandcountywater.com Phone #:[phone] Date
Permittec Address: 435 Casar-Lawndale Rci Lawndale NC 28090 Permit Expiration Date: 0713l/2019
I certify. under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with it system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Watertech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTiNG SANIPLES: Ronnie Roper, Tim Burgin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no dlSCharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
* ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
'* Signature of Permittec: If signed by other than the permittee, then delegation of the signatory authority must be oil file with the state per 15A NCAC 2B
.0506(b)(2)(D)•

3
VPDES PER111111NO.: NCG590004
L.,
FACILITY N.,%IVIE: C'Jelej,'Illd C01.111(y WTP
OWNER NAME: Cleveland COUIlty Water
GRADE: PC- I
eDNIR PERIOD: 04-2017 (April 2017)
j, r R ivi a VERSION: u
CLASS: Pc-1 A EZ, I
ORC: Romiall A Rope" MAY 3 1 2017
ORC HAS CHANGED: No
UEN'l-RAL FILES
VERSION: U) DWR SECTION
PERMIT S'r,,'[-US: Ac[ivc
COUNTY: Cleveland
ORC CERTNUMBF, R:,mqFZf-EfVED/NCDENR/Dl/VR
JUN, - 6,
STATUS: Processed
MOP WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NODISCHARE-'Y�L�E(gEC-"Jj,1t-Or--FICE
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)NPDES"PERMITNO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 04-2017 (April 2017)
PERMI'I' VERs10N: 1.0
CLASS: PC -I
ORC: Rondal! A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 999089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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NPDES PFRIMIT NO.: NCC,590004
y FACILITY NAME: Cleveland County \VTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eD:\IR PERIOD: 04-2017 (April 2017)
COMPLIANCE STATUS: Compliant
PER IIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBNIISSION DATE: 05/24/2017
S>,( A11, 05/23/2017
ORC�Ccrtifier Signature: Rondall A Roper Jr E-Mail:rroperCi�clevelancicountywater.com Phone #:[phone] Date
By this signature. I certify that this report is acctnrate and complete tothe best of my know Iedge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally wit!hut 24 hnurs from the tinhe the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the tinhe the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E•6 of
the NPDFS permit.
05/24/2017
Permittee/Subill itter Signature:'„U Rondall A Roper Jr E-Mail:rroper(a?clevclandcountywater.com Phone 9:704-538-9033 Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 C+aluatC the information submitted. Based on my inquiry of the person or persons who managed 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 arc significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowim_> violations.
LAB NAME: Watertech Labs
CERTIFIED LAB #: 050
PERSON(s) COLLECTING SAMPLES: Ronnie Roper, Tim Burcin
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDFS Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES pertnit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to he entered for all of the parameters on the DI\4R
for entire monitoring period.
T* ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 86 .0204.
Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

.NPDES niii,,11T NO.: NCG590004 PERMIT VERSION: 1.0 PERMIT STATUS: Active
IEACILITY NApiE: Cleveland County WTP CLASS: PC-1 RECEI®ED
OUNTY: Cleveland
OWNER NAME: Cleveland County Water ORC: Rondall A Roper ORC CERT NUMBER: 9ay49
GRADE: PC -I ORC HAS CHANGED: No APR 2 8 2017 ,!VED/NCDENR/I)WR//
eDi,N9R PERIOD: 03-2017 (March 2017) VERSION: 1.0 Cf~NTRAL FILES STATUS: Processed
_
DWR SECTION
WQROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCIt R-OYE !LN0.EG!ON;LOFFICE
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NPDES PERMIT NO.: NCG590004
rFACILITY NAME: Cleveland CotlntV WTP
OWNER NAME: Cleveland County Water
GRADE: PC-]
cDNIR PERIOD: 03-2017 (March 2017)
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: IA
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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-- No Reporting Rcason: ENFRUSE = No Flo\r-Rcusc,/Recycle: ENVWTHR = No Visitation — Advtrse Weather; NOFLO\u = No Flow: HOLIDAY = No Visitation — Holiday

;`JPD -S PERMIT NO.: NCC,590004
FACILITY NAME: Cleveland County \VTP
O\VNER NAME: Cleveland County water
GRADE: PC -I
cl)NIR PERIOD: 03-2017 (March 2017)
COMPLIANCE STATUS: Compliant
PERMIT' VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUB\MISSION DATE: 04/23/2017
04/23/2017
ORC/Certifier Signature: Rondall A Roper . r E-Mail:rroper(.6,clevelandcountywater.coni Phone 4:704-538-9033 Date
By this signature. I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours firor:; the time the Permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the pe.rmittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDES permit.
R.w l.,.6A i l -nn. A 04/23/2017
Permittee/Submitter Signature:*** Rondall .A Roper Jr E-Mail:rroperaeclevelandcountywater.com Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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.
LA13 NAME: Watertech Labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAIMPLES: Ronnie Roper, Tim Burgin
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting littp://I)ortal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
"* ^Signature of Permittee: if signed by other than the Permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004
i
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDNIR PERIOD: 02-2017 (February 2017)
PERMIT VERSION: I.0 PERMIT STATUS: Active 13
CLASS: PC- l I VE D COUNTY: Cleveland
ORC: Rondall A Roper MAR 2 7 2017 ORC CERT NUMBER: 998089
ORC HAS CHANGED: No RECEIVED/NCDENR/DWR
VERSION: 1.0—CENTR�IL FILES STATUS: Processed
DWR SECTION Art\ ' �017
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGLti*QNR
MOORESVILLE REGIONAL OFFICE
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**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 02-2017 (February 2017)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDN1R PERIOD: 02-2017 (February 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Randall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 03/20/2017
�-Y k.1L(/ d - , 2 03/20/2017
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
,Get,,'A, 03/20/2017
Permittee/Submitter Signature:"'** Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Watertech labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SANIPLES: Rondall roperJr
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (91.9) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
"** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NI'DES IIERMITNO.: iNCG590004
FACILITY NANIE: Cleveland COLI[Ity WIT
OWNER NAiNIL: Cleveland County !Water
GRADE: 11C-1
cl.)VIR PERIOD: 01-2017 (AMLItIry 2017)
PERMI'l VERSION: U)
CLASS: PC -I
ORC: Romkill A Koper
ORC HAS CHANGED: No
VERSION:
PERMIT SIA I'LIS: Active
COUNTY: Cltvoimid
ORC' CERTNUMBER: 998ON9
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE- NO.: 002 NO DISCHARGE": NO
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2 8 '2017
DVVR SECTION
PJFORMATION PROCESSING UNIT

NPDES PERMIT NO.: !NICCi59000-I
FACILITY NANIL: C1CVC1f11',d COLIIttV WTI)
OWNER INIAYIL: ( 1L'VCklltd County WUer
CR.-,,DE: PC -I
cDN'IR PERIOD: 01-2017 (Jnn:mry 2017)
PERMIT VLRSION: 1.0
CLASS: PC-1
ORC: Randall A Raper
ORC HAS CHANCED: No
VERSION: 1.0
PERMIT STA rus: Active
COUNTY: Cicvelatnd
ORC Cf7_RT NUMBER: 9980S9
STATUS: Processcd
SANI.PLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
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1
:''-" NI Ropo tin,; Reason: 1`N F RUSG -... Nn Flow- Rousc!R,•cyc1;: EN'WA'l 11R - No Visii,tiiun Al c'',\:eluvr: NIOFL(IW :^ll., Pbiu': 1101-IUAI' No Vir:itu!in 1

NPDLS PERMIT NO.: NC'G590004
FACILITY NAME: CkfvLdand County \V'rP
OWNER NAME: CNAnnd CamV warar
GRADE: PC -I
eD!MR PEMOD: ol-_'U17 (January 2019
COMPLIANCE STATUS: Cumplhull
PERMIT VERSION: 1.0
CLASS:
ORD Randal! A Raper
ORC HAS CHANGED: No
VERSION: L.0
C0INTACI' P1-IONE #: 704=3 110 3, 3
PERMIT STATUS: ACUVC
COUNTY: C W A=d
ORC CERT NUMBER: 99SU59
STATIC Pawmsml
SUBMISSION DATE: 0=21i2017
ORG:Certifier SQnature: Rots atl A Roper Jr E-1\Mailmroperglclivelandcounrym,Mer.conl Phone 4:704-538-903Date
By this signature-- I certify chat this repurt is accurate and complete to die best of my know ledge.
The perniAteo shall report to the. Director or the appropriate Regional Office any noncompliance that potentially threalcns public 11Caltll or (he ens irunment.
Any information Shull be provided orally Md-Lin 24 lours but to dmc rho: pennhwe bccamr: wire of tiro circumsuwces. A v,rittcrt submission >hall also b;
p rUVl W MOM 5 days of the time the pt:rtnhwu bacomes aware: oFthe CKUrnstaue•;; .
if the facility is noncompliant, please attach a list of corrective actions icing taken Lmd a tirrivuble For improvements to be made as required by part ILL.6 of
the NPDES permit.
(� �p 02/2I/2U17
Permittcc/SubmAmr Signature:*** Rondall A Roper Jr E-MAIvropeNgclevelandcounlywater.cum Phone 4:704-538-9033 Dale
Permittee Address: 43> Casar-Lawndale Rd Wmdale NC 2S09U Permit Expiration Date: 013I/2M 9
I Certify, under penalty of law, that this document and all allacNEents were prepared under my direction or supui-Vision in accordance with a system designed
to asmwe that qualified personnel properly gather and "Ana the informcuion submitted. Bawd on err inquiry of dte person or persons who ni nuged Q
system, or lose persons directly responsible for gtlthtiring the inf wrnmion, the infornmOn submitted is, to the best o1 my knowNdge and belief, true.
accurate, and complete. I curt aware Amt them are significant penalties for submitting false information, including the possibility of fines and impHwruncnt for
I WMng violations.
LAB (NAME: \Yatertech IaI s
CER1'1FlED LAB M 50
PERSON(s) COLLECTING SAMPLIsS: RundallruperJr
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by ceding do NPDLS Unit (919) R T6300 or by visiting htlp://pwwLned=LorgAwWwq/swp/ps/rtpdes•hkms.
FOOTNOTES
tlse only units oFmeasurement designated in the reporting facility's NPDLS permit For reporting data.
No Flow/Discharge From Site: Checl< this box if no discharge occurs und, as a result, there are no data 0 be entered for all of the pa turnw rs on the DMR
for entire monitoring period.
ORC on Site?: ORC must visit facility and document visitation of Facility as required per 15A NCAC BG .504.
Signature of Permittee: If signed by other them the permillee., then delegation of the sil,natury aMority nuts•t be on lilt with the stair; per 13A NC AC' 2t3
.n506(b)(2)( D).

NPDES PERMIT NO.: NCG590004
ivACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 01-2017 (.Ianuaiy 2017)
PERMIT VERSION: 1_0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1_0
INII'RMIT STATUS: Active
y� COUNTY: Cleveland 3
FEB 2 8 2017ORC CERT NUMBER: 998089
CENTW, L FILES
©WR SECTIONTATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
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111042
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Monthly
2 X month
Quarterly
2 X munch
Quarterly
Quarterly
Quorterly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grub
Grab
Grab
FLOW
pH
CHLORINE
N113-N-0ane
TNS - Cone
TOTAL N-
TOTAI. P-Cane
ALUMINUM
COPPER
24110 clack
HI'n
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Hrs'
NMIN
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0.072
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0.1156
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0.42
0.33
199
. 5
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600
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0.1119
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0.081
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700
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0.073
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17
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700
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v
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0.039
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700
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0.06
29
0.134
\n
700
x
y
0.04:
31
700
is ly
1
0.072
;\lonllllr ,\rcrn�e Limil:
70
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0.33
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10
** No Reporting Reason: FNFRUS6 = No Flow-Rcuse/Recycle: F.NV WTHR — No Visiui ion — Adverse Weather: NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
If
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDNIR PERIOD: 01-2017 (January 2017)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
- C
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29
39
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12
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700
8
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13
7110
8
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15
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17
700
8
v
18
700
8
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to
700
8
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20
700
8
21
22
23
700
8
v
24
700
8
v
25
700
8
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26
700
8
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27
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28
29
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s
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NI-thl. A'—I"L• U11111:
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29
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39
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DAY Nfh.h11111:
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29
39
2s
** No Reporting Reason: ENPRUSE = No Plow-Reuse/Recycle: ENVWTHR = No Visitation — Adverse Weather: NOPLOW = No 171ow: HOLIDAY = No Visitation— Holid; y

NPDES PERVHT NO.: NCG590004
NACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDNIR PERIOD: 0 1 -2017 (January 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-t
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 02/21/2017
02/21 /201 7
ORC/Certifier Signature: Rondall�A Roper Jr E-Mail:rropera)clevelandeountywater.com Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from, the time the permmittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of
the NPDES permit.
-, ► .� • 02/2 l /2017
Permittee/Submitter Signature:*** Rondall A Roper Jr E-Mail:rropei- clevelandcountywater.com Phone 9:704-538-9033 Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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.
LAB NAME: Watertech labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Rondallropedr
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DT\4R
for entire monitoring period.
ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

` NPDES PERNIIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 12-2016 (December 2016)
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
RECEIVED
JQNgg qq PERIIIIT STATUS: Active
d O f COUNTY: Cleveland
CENTRAL FILES ORC CERT NUMBER: 998089
DWR SECTION RECEIVED/NCDENR/DWR
STATUS: Processed J/-1IV I n N 2 3
7017
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCWRGE*: I os
ORESVILLE REGIONAL OFFICE
v
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6
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0
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11114101
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C0530
C061111
C0665
01105
111042
Continuous
Monthly
2 \month
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2 a lh
rumQuarerly
Quarterly
Quarterly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pR
CHLORINE
N113-N-Cnnc
Ill -Cone
10-1A I, N-
101,11, P -Cnnc
,11,1:111111:11
C0111R
2400 clock
Rrs
24011 clack
Ilre
I V/RN
nigd
Sit
ug/I
I Ing/l
Ing/I
Irllg/I
Ittg/I
119/1
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0700
8
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0.053
-
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8
v
0.044
3
0.123
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0.05
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0.049
6
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8
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0.057
7
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8
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0.129
8
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1 Y
0.085
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8
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0.06
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0.06
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0.037
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0.053
13
0700
8
v
0.112
6.97
II
2.5
14
0700
8
y
0.071
15
0700
8
y
0.039
16
0700
8
y
0.076
17
().()95
18
(L055
19
0700
8
v
0.122
20
0700
8
r
0.064
21
0700
8
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0.064
22
0.043
23
I IOLIDAY
-'a
0.051
25
0.058
26
HOLIDAY
'7
0700
8
y
0.022
9
c 2.5
28
0700
8
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0.033
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0700
8
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0.065
30
0700
8
v
0.11
31
0.091
i\loallu) ,\.crag, Limit:
3a
\Inmh15 .\rcra{;e:
1I.067971
III
0
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0.128
697
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0
naal amamaal:
'
0.022
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9
0
*"* No Reporting Reason: ENFRUSE = No Flow-Rcuse/Recyclo: ENVWTFIR = No Visitation — Adverse Weather: NOFLOW = No Flow: HOLIDAY = No Visitation— Holiday

1.
NPDES PERNIIT NO.: NCG59OOO4
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eD1jN'IR PERIOD: 12-2016 (December 2016)
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
C
E
U
U=
-
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=
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01092
Quarterly
Quarterly
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Quarterly
Grab
Gmb
Grab
Grab
Grab
Grab
E-TOTAL
IRON
N1ANGNESE
1-HID241'r
TUMMY
ZINC
2400 clock
I Hn
2400 clock
IT,
Y/RN
uc/I
u /I
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pass/fail
nru
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8
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8
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10
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12
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14
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8
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15
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s
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0700
8
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19
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8
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20
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8
v
1
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1 8
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22
23
HOLIDAY
24
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77
0700
8
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8
y
29
0700
8
v
30
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31
NlnnrlJy ,\vcra�c Limil:
\Inn Huy \cra�e:
1.2
DAi .N lacimum:
•
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DAY > mm—n:
I'
***" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather: NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 12-2016 (December2016)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 01/10/2017
01/10/2017
ORC/Certifier Signature: 10,ndall A Roper Jr E-Mail:rroperGclevelandcountywater.com Phone 4:704-538-9033 Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
r � 01/10/2017
Permittee/Submitter Signature:*** Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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.
LAB NAME: Watertech labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Rondallroper.Ir
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/foi-ms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of Facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: if signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004 PERMIT VERSION: 1.0 REG"' RMIT STATUS: Active
FACILITY NAME: Cleveland County WTP CLASS: PC -I OUNTY: Cleveland
OWNER NAME: Cleveland County Water ORC: Rondall A Roper DEC 2 9, Z016 ORC CERT NUMBCR:(1980,89�!1N1CCi<NR!DUIlR
GRADE: PC -I ORC HAS CHANGED: No CENTRAL FILES
eD',%1R PERIOD: 11-2016(November 2016)VERSION: 1_0 DWR SECTIONSTATUS: Processed_ _ JAN
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DiSCH`ARG:U*� rNQ,
v
c
�_
E
•u'
=
F
—'
IF
—
—
c
U
C
z'
511050
004110
.511060
C0610
C0530
C0600
C0665
01105
01042
Continuous
Monthly
2 X mouth
Quarterly
2 X month
Quarterly
y
Quarterly
Quarterly
Quarterly
Record.,
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
N113-N-Cone
TSS - Cone
TOTAL N-
TOTAL P - Cone
ALUMINUM
COPPER
24I10 clock
H,s
241111 .lock
Hrs
\'/R/N
mgd
Su
ug/1
mF./I
mG/I
mg/I
mg/1
ug/1
ug/I
1
0.055
0700
8
V
0.032
0700
8
y
0.07
4
1800
1_'
y
0.056
1800
6
y
0.065
6
2400
7
y
0.025
7
0700
8
v
0.066
8
0700
8
y
0.059
7
9
4.1
11
0700
8
y
0.063
in
0600
12
y
0.079
I 1
0.047
\
12
0.055
'
11
0.056
14
0600
12
y
0.03
15
07(I(I
8
y
0.047
16
0600
12
y
0.09
17
0700
2
y
0.146
1S
0530
9.5
y
0
14
0.139
'-a
0.133
21
07UO
8
y
0.057
22
0700
8
v
0.118
5
3.4
13
0700
5
v
10.024
24
0.047
25
0.151
26
0.094
27
0.048
28
0700
R
v
0.083
29
0700
8
y
0.101
30
U700
8
v
0.047
a lon161y .\,'crape Limit:
3U
3lnntl,ly .\per pc:
0.069433
7
3.75
Daily Am.Imam:
0.151
7
9
4.1
nna, 3nnlmmn:
0
7
5
3.4
'y"** No Reporting Reason: ENFRUSE — No Flow-Reuse/Recycle; ENVWTHR = No Visitation —Adverse Weather: NOFLOW = No Flow; HOLIDAY = No Visitation— Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 11-2016 (November2016)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Ronda]] A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
C
_
E
U
N
U
=
F
_
-
-C
E
U
c
L
00951
01045
01055
'1'GE6C
01111711
111092
Quarterly
Quarterly
Quarterly
Allllually
Monthly
/l
Quarterly
Grab
Graf)
Grab
Grab
(Ural)
Grab
F-THTAI,
IRON
MANGNESE
6THR24PF
TURHIOT\'
ZINC
24006,&
1 nr.
2400 cluck
tlrs
I WHIN
ug/I
ug/I
U-01
I pass/tail
ntu
UO
0700
8
v
3
0700
8
y
4
Wo
12
y
5
1800
6
y
6
2400
7
y
7
0700
x
y
8
0700
x
v
0.9
9
0700
8
y
10
0600
12
y
1
12
13
14
0600
12
y
15
070o
x
y
16
0600
12
v
17
0700
2
y
18
0530
9.5
y
19
20
21
0700
9
y
0700
8
v
3
0700
5
24
25
26
27
28
0700
R 1
y
29
0700
8
v
70
1
10700
8
y
Mnntlfly A—ag; Un111:
.Nlanikl, A-rnge:
0.8
OaI1v Nl-i— :
0.8
ma, Mi.h nns:
'
o.x
****NoReportingReason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWT14R=No Visitation— AdverseWaather• NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

1
NPDES PERMIT NO.: NCG590004
FACILITY NANIE: Cleveland County NVTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
eDMR PERIOD: 1 1-2016 (November 2016)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 12/19/2016
1i� 12/19/2016
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:rroper r@i clevelandcountywater.coni Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
12/19/2016
Permittee/Submitter Signature:*** Rondall A Roper Jr EIMail:rroperaclevelandcountywater.com Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndalc NC 28090 Permit Expiration Date: 07/31/2019
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 managed 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.
LAB NAME:
CERTIFIED LAB #: 50
PERSON(s) COLLECTiN'G SAMPLES: Rondallropedr
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting littp://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
-* ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: if signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

I
NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDNIR PERIOD: 10-2016 (October 2016)
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 2.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998( 3r9'-1VC-D/NCDEN1R/Gl
Nf�
STATUS: Processed
ii"u,F�CS
(F JidAL SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE' NO_. -
8
a
_
(f F-
Vi
-
-
c_
-
O
in
-_
F.
O
-'
;�
O
-
Z
5111150
0041111
50060
C0610
CO530
C0600
C0665
01105
01042
Continuous
Nlunthl y
)
2 X month
Quarterly
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
PH
CHLORINE
NII3-N'-Cone
TSS - Cone
TOTAL N-
TOTALP-
ALUMINUM
COPPER
2400 clock
llrs
)'/B/N
ntud
su
vill
ntg/I
mg/l
mg/l
ntg/I
ug/I
ug/I
1
0.073
2
r24,l,,kllrs
0.071
3
R
y
0.053
4
S
0.064
5
0700
S
y
0.061
6
I N0
6
y
0.065
7
2400
6
y
0.047
8
0.064
9
0.059
In
0700
S
y
0.056
II
0700
S
y
0.071
7.15
5
0.16
4.9
0.16
0.21
272
'5
12
0700
S
y
0.02S
13
0700
S
y
0.067
14
0700
S
y
0.0s
IS
0.07
16
0.061
17
0700
S
y
0.056
18
0700
S
y
0.047
19
0700
S
y
0.055
'_U
0700
8
v
0,106
21
0700
S
y
0.076
22
0.056
23
0,067
24
0700
S
Y
0.125
25
0700
S
y
0.034
R
6
26
0700
S
y
0.063
27
I800
12
y
0.053
'2S
0.065
29
0.035
30
0.061
31
0.082
iMonllth• Average Lintll:
30
Monthly Average:
0.063677
6.5
0.16
5.45
0.16
0.21
1 272
O
Daily 0la,irn.—
0.125
7.15
S
0.16
6
0.16
0.21
272
1 0
Daily Mini--
0.025
7.15 15
10.16
14.9
10.16
0.21
272
1 0
*"**NoReporting Reason: ENFRUSE=NoFIOW-Reuse/Recycle: ENVWTHR=No Visitation- Adverse Weather: NOFLOW=No Flow: HOLIDAY=NoVisitation- Holiday
RECEIVED
NOV 3 0 2016
CENTRAL FILES
DWR SECTION

1
NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDNIR PERIOD: 10-2016 (October 2016)
PERMIT VERSION: 1.0
CLASS: PC-1
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 2.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
c
rr',
= E
'
-
F
U
C
C
z Z
00951
01045
01055
TGE6C
00070
01092
Quarterly
Quarterly
Quarterly
Annually
Monthly
Quarterly
Grab
Grab
Grab
Grab
Grub
Grab
F-TOTAL
IRO\
NIANGNESE
FTlID24PF
TURDIDTY
ZINC
2400 clock
Hrs
2400 clock
Hrs
Y/D/N
uc/1
ug/I
ug/I
pass/fail
nm
ug/I
I
2
3
0700
8
y
4
0700
8
v
5
0700
8
v
6
I800
6
y
7
2400
6
y
8
9
10
0700
S
y
11
0700
8
y
< 100
205
50
P
1.4
12
0700
8
y
13
0700
8
y
14
0700
8
y
15
16
17
0700
8
y
18
0700
8
19
0700
8
y
20
0700
8 ly
21
10700
8
y
22
23
24
0700
8
25
0700
S
26
0700
8
y
27
1800
12
y
28
29
30
31
Monthly Average l.buil:
Alouthly Average:
0
205
so
0
1.4
Daily hlasimum:
0
205
50
1.4
Daily Alinimnm:
0
205
$0
1.4
****NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle. ENVWTHR=No Visitation- Adverse Weather: NOFLOW=No Flow; HOLIDAY=NoVisitation- Holiday

i
NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland Comity WTP
OWNER NAME: Cleveland Comity Water
GRADE: PC -I
eD\iR PERIOD: 10-2016 (October 2016)
COMPLIANCE: Compliant
PERbIIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 2.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 11/19/2016
�,, �� , 11/18/2016
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:rroperGclevelandcountywater.com Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours froth the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permitter becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of
the NPDES permit.
11/18/2016
Permittee/Submilter Signature:*** Rondall A Roper Jr E-Mail: rroper DtcIeveIandcoontywater.coin Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Watertech labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Rondallropei*
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
,E*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

,t
NPDES PERMIT NO.: NCG590004
FACILITY NAME: Clcvcland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 09-2016 (September 2016)
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
3
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
RECEIVEDINCDENRIDWR
STATUS: Processed n C T 2 % ZO 16
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NOROS
MOORESVILLE REGIONAL OFFICE
G
_
U F
—
-
_
O
�
O
U
O
y
Z C
50050
00400
50060
C0610
C0530
C0600
C0665
01105
0104E
Continuous
Monthly
_2 X month
Quarterly
2 X month
Quarterly
Quarterly
Quarterly
Quarter) Y
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
pH
CHLORINE
NI13-N-Cone
TSS - Cone
TOTAL N-
TOTAL I'-
ALUMINUM
COPPER
24006.6
lHrs
2400 clock
I firs
Y/R/N
I
mgd
su
ug1l
'Ile
mg/I
mg/I
mg/I
ug/l
ug/1
1
700
8
y
0.047
2
70n
8
Y
0.099
3
700
12
y
0.076
4
0.066
5
0.052
6
700
8
y
0.095
7
700
8
y
0.054
CIFEWRAL
FILES
8
0.121
v
9
0.089
10
0.0411
11
10.119
12
700
8.5
y
0.107
13
700
8
y
0.089
725
II
5
14
700
8
y
0.182
15
700
8
y
0.016
16
0.094
17
0.099
18
0.07
19
0.072
20
0.06
21
0.067
22
0.116
23
0.076
24
0.059
25
0.056
26
700
8
y
0.137
27
700
8
y
0.062
9
3.6
28
700
8
y
1
0.055
29
700
8
y
0.062
30
700 1
8
y
0.098
Mmtthly Average Limil:
30
Monthly Average:
0.0807 1
10
4.3
Dail., Masinrum:
0.18E
725
11
5
Daily Minimum:
0.016
7.25
19
3.6
"""" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle: ENV WTHR = No Visitation — Adverse Weather: NOFLOW = No Flow: HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 09-2016 (September 2016)
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
_
=
-
F-
_
-
O
F
r.-
;n
O U
O
c
7 C
00ns1
01045
01085
TG E6C
00070
01092
Quarterly
Quarterly
Quarterly
Annually
Monthly
Quarterly
Grab
Grab
Grab
Grab
Grab
F-TOTAL
IRON
NIANGNESE
FTFID24PF
TURRIDTI'
Ell110E-
2400 c1nck
Ilrs
2400 clock
Hrs
V/13/N
ug/I
ug/I
ugll
pass/fail
ntu
ug/I
1
700
8
1 y
2
700
8
y
3
700
12
y
4
6
700
8
y
7
700
8
y
8
9
10
II
12
700
8.5
y
13
700
Is
v
1
0.7
14
700
s
15
700
8
y
16
17
18
19
20
21
22
23
24
75
26
700
8
y
27
700
8
y
28
700
R
29
700
8
y
30
700
R
1 y
Nloalhlc Average Limit:
Monthly Average
0.7
Daily Nlnsimum:
0.7
Daily Nnninmm:
0.7
-"No No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle: ENV WTHR = No Visitation — Adverse Weather: NOFLOW = No Flow: HOLIDAY —No Visitation — Holiday

" NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 09-2016 (September 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Ronda]] A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 10/14/2016
L.s­� A , 10/14/2016
ORC/Certifier Signature: Rondall A Roper Jr EiMa,il:[e-mail] Phone #:[phone] Date
By this signature, i certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
10/14/2016
Permittee/Submitter Signature:""* Ronda[] A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME:
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Ronda]lroper.lr
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://I)ortal.ncdenr.org/web/wq/swp/p,/iipdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
* ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004
z FACIRITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDD'IR PERIOD: 09-2016 (August 2016)
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Ronda]] A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMQEWWWEDI1NCCl(_NR/DWR
STATUS: Processed
OCT 11 201
WQROS
MOORESVILLE REGIONAL OFFICE
SAMPLING (LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
-
-
U F-
_
_
c
1-
_
-
_
=
O
E
F
O
L
V
O
9
-
7
50050
00400
50060
C0610
C0530
C0600
C0665
01105
01042
Continuous
Monthly
2 X month
Quarterly
2 X month .
Quancrly
Quarterly
Quarterly
Quarterly
Recorder
Grab
Grah
Grab
Grah
Grab
Grab
Grab
Grah
FLOW
ptl
CHLORINE
NH3-N-Cone
TSS - Cone
TOTAL N-
TOTAL P-
ALUMINUM
COPPER
2400 clock
I firs
2400 clock
Hrs
1`/B/N
med
su
ug/I
mg/I
mg/1
mg/I
mg/I
uc/I
ug/I
1
(1700
S
y
0.074
2
0700
S
y
0.077
_
3
0700
S
y
0.123
4
0700
R
y
0.07
5
0700
S
y
0.055
SE
6
0.043
7
0.079
D W R
. TMI
R
1
0700
S
y
0.104
7.92
9
< 2.5
9
0700
R
y
0.067
10
0700
R
y
0.037
+�
11
0700
S
y
0.087
12
0700
S
Y
0.051
SEP 3 0
ZU
1.1
1
0.058
_
14
0.095
�
1
1
15
0700
S
y
0.072
' -
16
0700
S
y
0.061 '
17
0700
S
y
0.069
IS
10700
R
y
0.086
19
0700
S
y
0.066
20
0.057
21
0.067
22
0700
S
y
0.051
23
0700
S
y
0.072
14
4
24
0700
S
y
0.06S
25
10700
R
y
0.067
26
0700
S
y
0.159
27
0.066
28
0.051
29
0700 IS
ly
1
0.092
30
1
10700
S
y
0.129
31
0700
R
y 1
11,(152
Mlonthiv Average Limit:
30
M4onlhly Average:
0.075419
11.5
2
Daily Maximum:
0.159
7.92
la
4
Daily Minimum:
0.037
7.9'
9
0
***NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle: ENV\UTHR=No Visitation- Adverse Weather: NOFLOW=No Flow: HOLIDAY=NoVisitation- Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAIVIE: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC-1
cDD,IR PERIOD: 08-2016 (August 2016)
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC 14AS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
c
O
00951
nlnJi
01055
TGEhC
0007n
01092
Quaticrly
Quarterly
Quarterly
Annually
Monthly
Quarterly
Grab
Grab
Gmh
Gmh
Grab
Grab
F-TOTAL
IRON
NIANGNESE
FTHD24PF
TURBIDTY
ZINC
2400 clod:
Ilrs
2400 clock
Hrs
WB/N
un/I
u!I
ug/I
pass/fail
mu
u¢/1
I
0700
8
y
2
0700
8
y
3
0700
8
y
a
0700
8
y
0700
8
y
6
7
8
0700
8
y
2.7
9
0700
Is
y
1n
0700
8
y
I 1
0700
8
Y
12
0700
8
y
13
14
IS
0700
8
y
16
0700
8
y
17
0700
8
y
18
0700
8
y
19
0700
S
y
20
21
22
0700
8
1 y
23
0700
S
3
24
0700
8
y
25
0700
8
y
26
0700
8
y
27
28
29
1 1
10700 1S
v
30
0700
X
y
31 07110 8 y
Nnnthly Average Unfll:
\i0nlhly Average:
2.7
Dail)' p9 mint (I'll:
2.7
Daily Minimum:
2.7
****NoRepnr ling Reason: ENFRUSE=NoFlow- Reuse/Recycle: ENV%VTHR=NoVisitaIion—AdvelseWeather: N0FLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NCG590004 PERMIT VERSION: 1.0
.PACI*dTY NAME: Cleveland County WTP CLASS: PC -I
OWNER NAME: Clcveland County Watcr ORC: Rondall A Roper
GRADE: PC -I ORC HAS CHANGED: No
eDMR PERIOD: 08-2016 (August 2016) VERSION: 1.0
COMPLIANCE: Compliant
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 09/26/2016
09/26/2016
ORC/Certifier Signature: Rondall A Roper Jr E-N4ait:[e-mail] Phone 4:704-538-9033 Date
By this signature, f certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate. Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shalt also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part tLE.6 of
the NPDES permit.
• . I . 09/26/2016
Permittee/Submitter Signature.:*** Rondall A Roper, Jr E-MaiLrroper@cleve] andcountywater.corn Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 managed 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.
LA13 NAME: \Vatcrtcch labs
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SANIPLES: RondallroperJr
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://pot-tal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(D).

h
NPDF.S PERMIT NO.: NCG590004
FACILITINAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 07-2016 (July 2016)
PERMIT VERSION: 1_0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
w
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
c
R
c
E
f,
U
F
_
F
—
@
_
c
O
[—
in
U
C
—
4-7 c c
m
50050
00400
50060
C0610
C0530
C0600
C0665
01105
01042
Continuous
Monthly
2 X month
Quarterly
2 X month
Quarterly
Quarterly
Quarterly
Quarterly
Recordar
Grab
Grab
Grab
Grab
Grate
Grab
Grab
b
G
FLOW
pH
CHLORINE
NH3-N-Cone
TSS - Cone
TOTAL N-
TOTALP-
ALUMINUM
COPPER
2400 clock
Hrs
2400 clock
Hrs
Y/B/N
med
su
ug/I
mg/I
mg/I
mg/I
mg/l
ug/I
u'dl
1
0700
8
v
0.058
2
0700
8
y
0.085
3
0700
8
Q.147
4
0700
8
y
0.06
$
0700
8
y
0.066
6
0700
8
y
0.066
7
(170(I
18
y
0.096
8
0700
8
y
0.06gmr--rinp
eENT'F�AL
FILES
9
0700
8
y
0.076
10
07011
8
y
0.086
11
1
0700
8
y
0.055
12
0700
8
y
0.054
7.39
7
0.33
<2.5
0.89
<0.16
452
5
13
0700
S
y
0.076
14
0700
8
y
0.11.3
15
0700
8
y
0.153
r.
16
0700
x
y
0.065
riECEIVI
--D/NCr)E-Ni
VDWR
17
0700
8
y
0.153
18
10700
x
y
0.065
v 6 C
l b
19
0700
8
y
0.058
20
0700
8
y
0.072
21
0700
8
y
0.152
22
0700
8
y
0.106
23
0700
8
y
0.092
24
0700
8
y
0.109
25 1
10700
8
y
i
0.107
26
0700
8
y
0.084
10
< 2.5
27
0700
x
y
0.087
28
0700
8
V
0.057
29
0700
8
y
0.054
30
0700
8
y
0.057
31 1
1
10700
Is
I
y 1
0.06
Monthly Average Limit:
30
Monthly Average:
0.084806
8.5
0.33
0
0.89
0
452
5
Daily Maximum:
0.153
7.38
16
0.33
0
0.89
()
452
-
Daily Minimum:
0.054
7.38
7
0.33
0
0.89
0
452
5
"*'* No Repotting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR= No Visitation —Adverse Weather; NOFLOW = No Flow: HOLIDAY = No Visitation— Holiday

NPDES PERMIT NO.: NCG590004
F'AC1L1T]1 NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 07-2016 (July 2016)
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
a
_
O F
p
c
U
12
_
O
O
O
U
C
O
5
x
c
00951
01045
01055
TCE6C
(10070
01092
Quarterly
Quarterly
Quarterly
Annually
Monthly
Quarterly
Grab
Grab
Grab
Grab
Grab
Crab
F-TOTAL
IRON
hIANGNESE
FTHD24PF
TURBIDTY
ZINC
2400 clock
Hrs
2400 clock
Hrs
Y/B/N
uu/1
ug/1
ug/1
Pass/Fail
ntu
uu/I
1
8
y
2
8
y
3
r0700
8
y
4
8
y
5
0700
8
y
6
10700
8
y
7
0700
8
ly
8
0700
8
y
9
0700
8
y
10
0700
8
y
Il
0700
8
y
12
0700
8
y
166
132
28
1.9
13
0700
8
y
14
0700
8
y
15
0700
8
y
16
0700
8
y
17
10700
8
1 y
18
0700
8
y
19
0700
8
y
20
0700
8
y
21
0700
8
y
22
10700
8
ly
23
0700
8
y
24
0700
8
y
25
0700
8
y
26
0700
8
y
27
0700
8
y
28
0700
3
y
29
1
1
10700
Is
I y
30
0700
1 8
I y
31
1
0700
8
y
Monthly Average Limit:
Monthy, Average:
166
132
28
19
Daily Maximum:
166
132
28
1.9
DaiI. Minimum:
166
132
28
1.9
"No Reporting Reason:ENFRIJSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

r
NPDES PERMIT NO.: NCG590004
FACILIT.S NAME: Cleveland County WTP
OWNER NAME: Cleveland County Water
GRADE: PC -I
eDMR PERIOD: 07-2016 (July 2016)
COMPLIANCE: Compliant
PERMIT VERSiON:1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 08/23/2016
V 08/23/2016
ORC/Certifier Signature: Rondall A Roper Jr E-1it:rroper rdclevelandcountywater.com Phone #:[phone] Date
By this signature, T certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
08/23/2016
Permittee/Submitter Signature:*** Rondall A Roper Jr E Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 managed 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. T am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: Watertech Labs
CERTIFIED LAB #: 950
PERSON(s) COLLECTING SAMPLES: RONDALL ROPER JR/TIM BURGIN/JEFF EARL/LANNY OLL1S
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting littp:Hportal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004
il-%t.CILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Watcr
GRADE: PC -I
eDMR PERIOD: 06-2016 (June 2016)
PERMIT VERSION: 1_0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: LO
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO
_
U i7
_
F
—
FC
-
[—
;1
c
O
O
J
U
1 O
C u
50050
00400
50060
C0610
C0530
C0600
C0665 -
01105
01042
Continuous
Mon(hl y
2 X month
uartcrly
Q _
2 X month
Quarterly
Quancrly
Quarterly
Quarterly
Recorder
Grah
Grab
Grab
Crab
Grab
Grab
Grab
Gruh
FLOW
pit
CHLORINE
N113-N-Cone
JTSS -C'one
TOTAL N-
TOT LP-
ALUMINUM
COPPER
2400 cluck
Hrs
2400 clock
firs
Y/B/N
med
su
ua9
mg/I
mg/I
mu/I
mg/I
uu/l
It'd
1
0':(111
8
Y
0.059
2
07:00
8
Y
0.069
(i7:60
Y
0.05
4
0.075
0.104
6
07:00
S
Y
0.059
7
07:00
8
Y
0.061
8
07:00
8
Y
0.067
9
07:00
8
Y
0.095
10
07:00
8
Y
0.064
11
0.077
12
0.076
13
07:00
8
Y
0.06
7.3
< 50
4.1
14
1 1
07:00
8
Y
0.06
15
07:00
8
Y
0.066
16
07:00
S
Y
0.068
17
07:00
8
Y
0.06
18
1
0.076
19
0.077
121)
07:00
8
1'
0.067
21
07:00
8
Y
0.076
12
07:00
S
Y
0.05S
23
07:00
8
\'
0.060
_a
07:00
8
Y
0.093
25 1
1
(1.)78
26
0.067
27
07:00
8
Y
0.073
28
07:00
8
Y
0.1 1 1
< 50
< 2.5
29
07:00
8
Y
0.037
311 1
1
107:00
18
1
Y
0.065
Monthly Average Limil:
311
Monthly Average:
0.070467
0
2.05
Daily Maximum:
0.111
7.3
0
4.1
Uaily Minimum:
0.037
7.3
0
(1
**** No Repot'tina Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse \Nleather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday
E C E JC->
pWR SEC- ION

NPDES PERMIT NO.: NCG590004
NkCILITY NAME: Cleveland County WTP
OWNER NAME: Cleveland County Watcr
GRADE: PC -I
eDNIR PERIOD: 06-2016 (June 2016)
PERMIT VERSION: 1.0 PERMIT STATUS: Active
CLASS: PC-1 COUNTY: Cleveland
ORC: Ronda]] A Roper ORC CERT NUMBER: 998089
ORC HAS CHANGED: No
VERSION: LO STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 002 NO DISCHARGE*: NO (Continue)
c
'^
f—
V
-
F.
—
a
O
O
C
-'• o
C
00951
01045
01055
rGE6C
00070
01092
Quarterly
Quarterly
Quarterly
Annually
Monthly
Quarterly
Gab
Grab
Grab
Grab
Grah
Crab
F-TOTAL
IRON
NIANGNESE
FTHD24PF
TURBIDTY
ZINC
2400 clock
Hrs
2400 clock
Hrs
WIRN
ue/I
ug/1
ug/1
Pass/Fail
ntu
ug/1
1
07:00
8
Y
2
07:00
8
Y
3
07:00
8
Y
4
6
07:00
8
Y
7
07:00
8
Y
8
07:00
8
Y
9
07:00
8
Y
10
1
07:00
3
1 Y
11
12
13
07:00
8
Y
LI
14
07:00
8
Y
15
07:00
8
Y
16
07:00
8
Y
17
07:00
8
Y
18
19
20
07:00
8
Y
21
07:00
8
Y
22
07:00
8
Y
23
07:00
8
Y
U7:00
x
v
25
26
27
07:00
8
Y
28
07:00
18 1
Y
29
07:00
8
Y
30
07:00
8
Y
iNlonthh• Average Limit:
Monthly Average:
I.I
Daily 'Maximum:
I.I
Daily Nlinimum:
Lf
"'" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle: ENVWTHR = No Visitation — Adverse Weather; NOFLOW — No Flow; 1-I0LIDAY = No Visitation— Holiday

NPDES PERMIT NO.: NCG590004 PERMIT VERSION: 1.0 PERMIT STATUS: Active
Fr,',.CILITY NAME: Cleveland County WTP CLASS: PC -I COUNTY: Cleveland
OWNER NAME: Cleveland County Water ORC: Rondall A Roper ORC CERT NUMBER: 998089
GRADE: PC-1 ORC HAS CHANGED: No
eDMR PERIOD: 06-2016 (June 2016) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 002
c
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2400 clock
Hrs
2400 clock
Hrs
V/B!N
1
2
3
4
G
7
8
9
10
11
12
13
14
15
16
17
is
19
20
21
22
23
24
2-
2f
27
28
29
3U
NInnthl.v Average Limit:
Monthly Average:
Daily Maximum:
Daily illinimnm:
""**'*NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR-No Visitation- Ad% erse Weather; NOFLOW=No Flow; h10LIDAY=NoVisitation -Holiday

NPDES PERMIT NO.: NCG590004
FACILITY NAME: Cleveland County WTP
OWNER NAME: Clcvcland County Watcr
GRADE: PC-]
eDMR PERIOD: 06-2016 (June 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 1.0
CLASS: PC -I
ORC: Rondall A Roper
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Cleveland
ORC CERT NUMBER: 998089
STATUS: Processed
SUBMISSION DATE: 07/25/2016
4,, 07/25/2016
ORC/Certifier Signature: Rondall A Roper Jr E-Mail:orc ructevelandcountywater.com Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the pennittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
07/25/2016
Permittee/Submitter Signature:*** Rondall A Roper Jr E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 435 Casar-Lawndale Rd Lawndale NC 28090 Permit Expiration Date: 07/31/2019
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 inquiry of the person or persons who managed 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.
CERTIFIED LABORATORIES
LAB NAME: Watcrtcch Labs
CERTIFIED LAB #: #50
PERSON(s) COLLECTING SAMPLES: RONDALL ROPER JR/TINI BURGIN/JEFF EARL/LANNY OLLIS
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result; there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
* Signature of Pennittee: If signed by other than the permittee. then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCG590004 PERMIT VERSION: 1.0 PERMIT STATUS: Active
F.1,CILITY NAME: Cleveland County WTP CLASS: PC-1 COUNTY: Cleveland
OWNER NAME: Cleveland County Water ORC: Rondall A Roper ORC CERT NUMBER: 998089
GRADE: PC -I ORC HAS CHANGED: No
eDMR PERIOD: 06-2016 (June 2016) VERSION: LO STATUS: Processed
SAMPLING LOCATION: INFLUENT DISCHARGE NO.: 002
C
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O
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0%
C
2400 clock
Hrs
2400 cluck
Hrs
YMN
1
2
3
4
5
6
7
S
9
10
H
12
13
14
IS
I6
17
18
19
20
21
22
23
24
29
26
27
28
29
30
Dinnthly Average Limit:
Monthly Average.
Daily Dlaximum:
WHY t\linimum:
**`Y* No Reporting Reason: F,NFRUSE = No Flow-Reuse/Recycle: ENV WTHR = No Visitation — Adverse Weather: NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

EFFLUENT
NPDES PERMIT NO. NCG590004 DISCHARGE NO. 001
FACILITY NAME Cleveland County WTP CLASS
CERTIFIED LABORATORY (1) WATER TECH LABS INC
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (OR RONDALL A ROPER JR
MONTH may YEAR 2016
1 COUNTY Cleveland
NC050
GRAD PC1 CERTIFICATION NO. 998089
PERSON(S) COLLECTING SAMPL GARY DOWNS/RONDALL ROPER JR/ TIM BURGIN ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES x �-,�^ � � RECEIJEDINCQJP8
DIVISION OF WATER RESOURCES (SIGNATURE OF OPERATOR IN ?ESPOIKSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS l IJ N . 81 2016
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
50050
C0530
00400
50060
00070
01105
01042
00951
' 01045
01055
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C0665
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HRS
HRS
MGD
mg/L
SU
ug/L
NTU
ug/L
ug/L
ug/L
ug/L
ug/L
mg/L
mg/L
P/F
1
0.021
21
700
8
Y
0.061
-
3
700
8
Y
0.076
4
700
8
Y
0.074
5
700
8
Y
0.064
6
7001
8
Y
0.044
7
1
1
0.105
8
1
1
0.083
9
7001
8
Y
0.054
10
700
8
Y
0.059
<2.5
7.05
7
1.4
It
700
8
Y
0.091
12
700
8
Y
0.069
13
700
8
Y
0.07
14
0.067
15
0.078
9
16
700
8
Y
0.063
17
700
8
Y
0.053
18
700
8
Y
1 0.061
19
700
8
Y
0.104
20
700
8
Y
0.094
211
0.03 7
1221
0.059
23
700
8
Y
0.112
3.6
7.07
7
24
700
8
Y
0.058
25
700
8
Y
0.075
26
700
8
Y
0.052
27
700
8
Y
0.081
28
0.082
29
0.064
30
700
8
Y
0.061
31
700
8
Y
0.061
AVERAGE
0.069
4.4
7.06
7
1.4
NI.AXIMUNI
0.112
4.8
7.07
7
1.4
MINIMUM
1 0.0211
4
7.05
7
1.4
Comp. (C) / Grab (G)
G
G
G
G
G
G
G
G
G
G
G
G
Nlontl�h• Limit
30
6-9
17
50
200
DWR Form MR-1 (08/05)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"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 managed 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."
01.0AQ II B'Rooer . dr.
Permittee (Please print or type)
Signature of Permittee**' / Date
(Required unless submitted electronically)
Permittee Address Phone Number a -mail address Permit Expiration Date
P.O BOX 788 LAWNDALE, NC 28090 704-538-9033 RONDALLROPERJROGMAILCOM JULY 3 1,20 19
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting
http://poi-tal.ncdenr.org/web/wq/swp/ps/npdes/appfori-ns.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
x No Flow/Discharge From Site: Check this boa if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
*x ORC On Site?: ORC must visit facility and document visitation of facility as required per I5A NCAC 8G .0204.
** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).
Page 2

0
EFFLUENT
NPDES PERMIT NO. NCG590004 DISCHARGE NO. 001 MONTH APR YEAR 2016
FACILITY NAME Cleveland County WTP CLASS 1 COUNTY Cleveland
CERTIFIED LABORATORY (])_WATER TECH LABS INC NC050
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (OF RONDALL A ROPER JR GRAD PC1 CERTIFICATION NO. 998089
PERSON(S) COLLECTING SAMPL GARY DOWNS/RONDALL ROPER JR/ TIM BURGIN ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED NO FLOW / DISCHARGE FROM SITE x
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES x
,,^- r t r RE( [, I1/j'.�;a-3./��
DIVISION OF WATER RESOURCES (SIGNATURE OF OPERATOR `CESSPOMS LE CHARGE) JATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS n r
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. J Ui V
50050
C0530
00400
50060
00070
011051
01042
00951
01045
01055
C0600
C0665
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FIRS
HRSl
I MGD
mg/L
SU
ug/L
NTU
ug/L
ug/L
ug/L
u /L
u /L
m /L
mg/L
P/F
1
700
8
Y
0.091
2
0.057
3
0.046
4
700
8
Y
0.044
5
700
8
Y
0
6
700
8
Y
0.047
1
CEWRAL
RI
7
700
8
Y
0.06
DVVR
SECTION
8
700
8
Y
0.042
9
0.044
10
0.09
11
700
8
Y
0.158
4.81
7.45
7
1.4
332
78
<100
78
30
0.41
<0.16
12
700
8
Y
0.191
13
700
8
Y
0.025
14
700
8
Y
0.039
151
700
8
Y
0.062
16
0.05
17
0.051
18
700
8
Y
0.04
"�•.
19
700
8
Y_
0.048
20
700
8
Y
0.062
Vf-u4u
21
700
8
Y
0.071
22
700
8
Y
0.067
23
0.076
24
0.075
25
700
8
Y
0.116
26
700
8
Y
0.102
4
15
27
700
8
Y
0.046
28
700
8
Y
0.033
29
700
8
Y
0.111
30
0.099
31
AVERAGE
0.068
4.4
7.45
11
1.4
332
78
<100
78
30
0.41
<0.16
MAXIMUM
0.191
4.8
7.45
15
1.4
332
78
<100
78
30
0.41
<0.16
MINIMUM
0
4
7.45
7
1.4
332
78
<100
78
30
0.41
<0.16
Comp. (C) / Grab (G)
G
G
G
G
G
G
G
G
G
G
G
G
Monthly Limit
30
6-9
17
50
200
uV V
=r-!CE
JUN -3 2016
DWR Form MR-1 (08/05)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) IET
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"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 managed 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."
�90J,Jofa I A.'iolper, jo.
Permittee (Please print or t pe)
Signature of Permittee*" Date
(Required unless submitted electronically)
Permittee Address Phone Number e-mail address Permit Expiration Date
P.O BOX 788 LAWNDALE, NC 28090 704-538-9033 RONDALLROPERJROGMAILCOM JULY 3 1,20 19
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting
http://portal.ncdenr.org/web/wq/swp/ps/npdes/appforins.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
x No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
xx ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
**x Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).
Page 2

RE. CEIVEDINCDEPlFi/DVV
EFFLUENT 33
MAY 10 2016
WQR")S
NPDES PERMIT NO. NCG590004 DISCHARGE NO. 001 MONTH k4A•RpLp�,,!ll_t.E1 -RD, 2016 cIC E
FACILITY NAME Cleveland County WTP CLASS 1 COUNTY Cleveland
CERTIFIED LABORATORY (1) WATER TECH LABS INC NC050
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (OR RONDALL A ROPER JR GRAD PC1 CERTIFICATION NO. 998089
PERSON(S) COLLECTING SVP�. GARY DOWNS/RONDALL ROPER JR/ TIM BURGIN ORC PHONE [phone]
CHECK BON IF ORC HAS CHAT I NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and Olgppg40101G
ATTN: CENTRAL FILES
DIVISION OF WATER RESOURCES
1617 NIAIL SERVICE CENTER
RALEIGH, NC 27699-1617
x
BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
ql.?6I14
50050
C0530
00400
50060
00070
01105
01042
00951
01045
01055
C0600
C0665
TGE3B
IE
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—
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EFF ❑
INF ❑
i- W
J F.
Liv
di❑sinfection
HRS
HRS
MGD
mg/L
SU
ug/L
NTU
ug/L
ug/L
ug/L
ug/L
ug/L
mg/L
mg/L
P/F
1
700
8
Y
0.057
2
700
8
Y
0.093
3
700
8
Y
0
4
•700
8
Y
0.06
5
0.092
61
0.031
7
700
8
Y
0.129
8
700
8
Y
0.018
0.8
9
700
8
Y
0
<2.5
4--
10
700
8
Y
0.053
11
700
8
Y
0.086
12
0.084
131
o
R SECTION
14
700
s
Y
0.03
11PORMAT
ON PRO'
ESSIN
' UNIT
15
700
8
Y
0.109
16
700
8
Y
0.048
17
700
8
Y
0.024
18
700
8
Y
0
191
1 0.064
20
1
0.029
21
700
8
Y
0.062
22
700
8
Y
0
7.29
5
23
700
8
Y
0.032
<2.5
24
700
8
Y
0.044
all
25
700
8
Y
0.09
1
1
1
'A
fll
A
26
0.042
"
27
0.024
28
700
8
Y
0.106
29
700
8
Y
0.025
30
700
8
Y
0.039
31
700
8
Y
0.065
AVERAGE
0.05
<2.5
7.29
4.5
0.8
MAXIMUM
0.129
<2.5
7.29
5
0.8
MINIMUM
0
<2.5
7.29
4
0.8
Comp. (C) / Grab (G)
G
G
G
IG
G
G
G
G
G
G
G
G
Monthly Limit
30
6-9
1 17
1 50
1
1 200
DWR Form MR -I (08/05)

r
Facility Status: (Please check one of the following) I
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"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 managed 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."
PION afa'_n , u r•
Permittee (Please print or type)
C Mw Cam,,!;. y�2�
Signature of Permittee****** Date
(Required unless submitted electronically)
Permittee Address Phone Number e-mail address Permit Expiration Dare
P.O BOX 788 LAWNDALE, NC 28090 704-538-9033 RONDALLROPERJR(aGMAILCOM JULY 3 1,20 19
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting
http://poi-tal.ncdenr.org/web/wq/swp/ps/npdes/appforms.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
xx ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).
Page 2

EFFLUENT
RECEIVED/NCDENR/DWR
NPDES PERMIT NO. NCG590004 DISCHARGE NO.
FACILITY NAME Cleveland County WTP
CERTIFIED LABORATORY (I) WATER TECH LABS INC
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (OF RONDALL A ROPER JR
APR 5 2016
001 MONTH wQfeb9 YEAR 2016
CLAS'CCRETVUj1,i'' "C11evelOd
NCO50
GRAD PC1 CERTIFICATION NO. 998089
PERSON(S) COLLECTING SAMPL GARY DOWNS/RONDALL ROPER JR/ TIM BURGIN ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED NO FLOW / DISCHARGE FRONT SITE
Mail ORIGINAL and ONE COPY to
ATTN: CENTRAL FILES
DIVISION OF WATER RESOURCES
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
50050
C0530
00400
50060
00070
01105
01042
00951
01045
01055
C0600
C0665
TGE3B
c
d
F
m u
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0
m
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m
m
F
rn
0
Z
Fa
s°
N
a
Fu
2
o
EFF ❑
INF ❑
> w
~
0
❑ Uv
disinfection
IIRS
HRS
MGD
mg/L
SLI
u;,/L
NTLI
ug/L
ug/L
ug/L
ugg/L
ug/L
mg/L
mg/L
P/F
1
700
8
Y
0.15
2
700
8
Y
0.093
3
700
8
Y
0
��?�
',e
C7
4
700
8
Y
0.146
5
700
8
Y
0.073
6
0.058
7
0.097
..,z
r-,M L I
t6
81
700
8
Y
0.09
9
700
8
Y
0.085
<2.5
7.36
12
1.8
10
700
8
Y
0.061
11
700
8
Y
0.044
12
700
Sly
0.063
13
0.077
14
0.184
f4AR
R
1
{
15
700
8
Y
0.1
+
v
16
700
8
Y
0.131
171
700
8
Y
0.118
18
700
Sly
0.025
19
700
8
Y
0.01
0
0.04 i
21
0.047
22
700
8
Y
0.083
23
700
8
Y
0.102
4
7
24
700
8
Y
0.018
251
700
8
Y
0.057
IVI
26
7001
8
Y
0.053
27
0.133
28
0.117
29
700
8
Y
0.042
30
31
AVERAGE
0.079
<2.5
7.36
9.5
1.8
MAXIMUM
0.1841
4
7.36
12
1.8
MINIMUiNI
0
<2.5
7.36
7
1.8
Comp. (C) / Grab (G)
G
G
G
G
G
G
G
G
G
G
G
G
iNionthly Limit
30
6-9
17
50
200
DWR Form MR-1 (08/05)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
if the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part ii.E.6 of the NPDES permit.
"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 managed 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."
�86,)C.g1l A. Doper
Permittee (Please print or type
Signature of Permittee*** Date
(Required unless submitted electronically)
Permittee Address Phone Number e-mail address Permit Expiration Date
P.O BOX 788 LAWNDALE, NC 28090 704-538-9033 RONDALLROPERJR(�GMAIL.COM JULY 31,2019
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting
http://portal.ncd eni-. org/web/wq/swp/ps/npdes/appforms.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
x* ORC On Site?: ORC must visit facility and document visitation of facility as required per i5A NCAC 8G .0204.
**x Signature of Permittee: if signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).
Page 2

PECENED/NlCn m NIR/DWS
`16
EFFLUENT MAR 1 2016
FEB I
WQROS
NPDES PERMIT NO. NCG590004 DISCHARGE NO. 001 MONTH ljan �FEv •. !LI_E YEAR ng2016.`�...
FACILITY NAME Cleveland County WTP CLASS 1 COUNTY Cleveland
CERTIFIED LABORATORY (1) WATER TECH LABS INC NCo50
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (OR RONDALL A ROPER JR GRAD PC1 CERTIFICATION NO. 998089
PERSON(S) COLLECTING SAMPL GARY DOWNS/RONDALL ROPER JR/ TIM BURGIN ORC PHONE 704-53 3
CHECK BOX IF ORC HAS CHANGED NO FLOW / DISCW&L FROM SITE x
Mail ORIGINAL and ONE COPY to: 2 � Z�16
AII'TN: CENTRAL FILES x 11e
DIVISION OF WATER RESOURCES (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) LipTE/
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
50050
C0530
00400
50060
00070
01105
01042
00951
01045
01055
C0600
C0665
TGE3B
G
`o v
m s+
CL
0
c
O
.X
c
O
V
L�
O
FLOW
N
-0
0
to to
F
=
CL
?ZF
❑oT
o
=
U
~
E
Q
0
F
a
V
f-
m
tL
0
o
o
p
m
ro
o
c
Cu
F
=
Z
cctL
o
~
_
a
0o
L
0
'X
Fo-
EFF ❑
INF
- F
disinfection
HRS
HRSI
MGD
m /L
SU
u /L
NTU
ug/L
ug/L
ug/L
ug/L
u /L
mgL
P/F
1
700
8
y
0.091
2
0.076
a3
0.043
1B-
LFL
IVY
4
700
8
Y
0.162
5
700
8
Y
0.109
6
700
8
Y
0.062
r_
r
7
700
8
Y
0.113
8
700
8
Y
0.044
y
9
0.078
10
0.131
11
700
8
Y
0.057
12
700
8
Y
0.095
<2.5
25
2.2
206
5
100
45
14
0.42
0.31
13
700
8
Y
0.063
14
700
8
Y
0.1
15
700
8
Y
0.084
16
0.083
17
0.118
18
700
8
Y
0.087
19
700
8
Y
0.095
20
700
8
Y
0.116
21
700
8
Y
0.162
7.44
22
700
8
Y
0.08
23
0.152
24
0.045
25
700
8
Y
0.108
26
7001
8
Y
0.096
<2.5
16
27
7001
8
Y
0.166
28
700
8
Y
0.162
29
700
8
Y
0.099
30
0.106
31
0.111
AVERAGE
0.1
<2.5
7.44
20.5
2.2
0.206
5
100
45
14
0.42
0.31
MAXIMUM
0.166
<2.5
7.44
25
2.2
0.206
5
100
45
14
0.42
0.31
MINIMUM
0.043
<2.5
7.44
16
2.2
0.206
5
100
45
14
0.42
0.31
Comp. (C) / Grab (G)
G
G
G
G
G
G
G
G
G
G
G
G
Monthly Limit
30
6-9
17
50
1
1
1 200
DWR Form MR-1 (08/05)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
R�r
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"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 managed 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."
Permittee (Please print or type)'
Signature of Permittee*** Date
(Required unless submitted electronically)
Permittee Address Phone Number e-mail address Permit Expiration Date
P.O BOX 788 LAWNDALE, NC 28090 704-538-9033 RONDALLROPERJR(CGMAILCOM JULY 31,2019
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting
littp:Hportal.ncdenr.org/web/wq/swp/ps/npdes/appfori-ns.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).
Page 2

PAT MCCRORY
J o Govemor
DONALD R. VAN DER VAART
Secretory
Water Resources
ENVIRONMENTAL QUALITY S. JAY ZIMMERMAN
RECEIVED/NC D E N R/DW n-1,cctor
January 21, 2016
FEB 12 2016
CERTIFIED MAIL 7013 2630 00018998 4254
RETURN RECEI9PT REQUESTED �1CDRE ,ft `oRos-
`EL OFFICE
Mr. Thomas C Hart, Jr, Town Manager
Town of Boiling Springs
PO Box 1014
Boiling Springs, North Carolina 28017
Subject: NOTICE OF VIOLATION
Late Discharge Monitoring Reports (DMRs)
Boiling Springs WWTP
NPDES Permit NCO071943
Cleveland County
NOV-2016-LR-0003
Dear Mr. Hart:
This is to inform you that the Division of Water Resources did not receive the monitoring report for
November 2015. This is in violation of Part II, condition D(2) of the NPDES permit, as well as 15A
NCAC 2B .506(a), which requires the submittal of Discharge Monitoring Reports no later than the last
calendar day following the reporting period. Failure to submit reports as required will subject the violator
to the assessment of a civil penalty of up to $25,000 per violation.
To prevent further action, please submit the reports within fifteen (15) days of receipt of this notice
If this facility is inactive or not constructed, you may submit a written request to suspend
monitoring. The request should include a begin date and an end date for the period of monitoring.
Additionally, this letter provides notice that this office will recommend the assessment of civil penalties if
future reports are not received within the required time frame during the next twelve (12)reporting
months. The Division must take these steps because timely submittal of discharge monitoring reports is
essential to the efficient operation of our water quality programs. We appreciate your assistance in this
matter. If you have any questions about this letter or discharge monitoring reports, please contact Derek
Denard at 919-807-6307 or via e-mail at derek.dena� ii denr.gov.
cc: NPDES File
Central Files�c, +MD1W1_11._WQit
Since el ,
S. Jay Zimmerman, Director
Division of Water Resources
1617 Mail Service Center, Raleigb, North Carolina 27699-1617
Phone: [phone] Untemet: www.ncwatergtiality.org
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