NCG020209_DMR WW_20210216

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
L SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000 U I-- !I
Calendar Year FEB 2,%
'Report ALL WASTEWATER monitoring data on this form (include "No FloW rNo Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year. kI`'' I / Fl r
Certificate of Coverage No. NCG02 nn F9
Facility Name:
County. _
Rc,l-e; a I) (DUq r
Phone Number. qi 19I_38Q -A') y re Total no. of outfalls monitored
�j I
Certified Laboratory iWC n -lyt;cnl S°cv;ct-5 tab# G33 Eden
�r ` Lab # 0, rCHurlmt{ t
Wastewater (WW) Discharge Outfall No. _b(�,
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No
Does this outfall discharge WW to SA waters?
Yes ❑
No 2
Does this oulfall discharge WW to SB or PNA waters?
Yes ❑
No CR
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
Now
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
MIS
Were there any limit vlolations In the calendar year?
Yes ❑
No M
Outfail No.
Daily Flow
pH,
TSS,
SS,
Discharge
Upstream
Downstream
Fecal
Coliform,
00I
Rate, cis
SU
mgn
mUl
Turbidity,
(U) Turbidity,
(D) Turbidity,
col/100 ml
"'A'" k
NTU
NTU
NTU
SA
Effluent
Limit adons
XQW or DRW
50%of
he°h.w
6.0-9.0
w sa
25l45
XQW°rORW
XQW.oRK
M,Se,PMA,
No Limit
N/A
N/A
7Q10
'°""°Xr
6.8-8.5
20/30
XaW.ORW
rayryTmt
0.1/0.2
b
sd '�'•
W.krmn ty
WA
Xa AnIDIHy MM
ewtl"WHOe ow
=Tr°rpm
10/15
m°t°rDar.
50/25l10
Date Sample
Collected,
mold r
er 5
r I¢
11e
i-
Ir
3 20
O,aa
-7 0
,r
t5,
15,1
n,lA
to/a3 20
m, 22
-7,50
35 S
NZi I
30,8
5, I
5,S
ntlJy
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 Q®g®
CERTIFICATION
I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.22]
Signature
Date bt /
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015