NCG020234 DMR WW 20210216

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - WASTEWATER
II SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year a O aO
`Report ALL WASTEWATER monitoring data on this form (include "No Flove/ No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 or each year.
Certificate of Coverage No. NCG02 [E nnn
Facility Name: Hgnton
rr,
County: _ W;ISon
Phone Number. c q 19 L3SC --,`i y G Total no. of outfalls monitored
Certified LaboratoryL6M ncly+;ca154c ;cam, lab# 633�der
11 a, Lab 1'oi.C'.iw
+l e
r (WW) Discharge Outfall No. oo l
���
ndustrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No ER
utfall discharge WW to SA waters?
Fthis
Yes ❑
NoN
FEB 2
utfall discharge WW to SB or PNA waters?
Yes ❑
No
utfall discharge WW to HQW or ORW waters?
Yes ❑
No
CENTRA
DWR SE,is
the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No to
Were there any limit violations In the calendar year?
Yes ❑
No�
Dail Flow
Outfail No. y pH, TSS, SS, Discharge
Upstream
Downstream
Fecal
Coliform,
�I— Rate, cis SU mg/I Turbidity,
(U) Turbidity,
(D) Turbidity,
col/100 ml
n�m NTU
NTU
NTU
SA
HOW or DRW hea�waW °a 19an0
Effluent 26/46 HOW,o",
50%of 6.0-9.0 XQWa.oR,se,PNA, No Limit W sn
Limitations
WA
NIA
7Q10 saft" r 20/30 .,&° Traat ck�Waar
6.8.8.6 HQW"0RW 0.1/0.2 —M; 0in°
Waler Qwft
3W kr°ap'•
Waa rpu Xy
Man=•P%
NIA
Mo AWIDalyMax, mmca�oftow =g7rarPXM1 50/a 16/ 0
10M6
Date Sample
Collected,
mold r
O +ract to <.A.5 NIA I
o a 0/ o -7. cr) 3.0 N /A, Q. a-1
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2016
IVED
2021
FILES

Certificate of Coverage No. NCG02 0O0©
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]
Signi
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015