NC0063355_Regional Office Historical File Pre 2018 (4)

N PD ES PERMIT NO.: NC0063355
FACILITY NAME: Killian Crossroad V.
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDNIR PERIOD: 08-2019 (A ugusq '2019)
9
12
13
14
19
1.9
LT^
PERMIT VERSION: 5 t) PERMIT STATES; Active
CLASS: WW-2 COUNIV: Catawba
ORC: John Allen Martin ORC CERT NUMBER: 996986.
ORC RAS CDANGED: No
VERSION: 1.0 dAL STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO,: OM NO DISCHARq.
mooREsviLLE
2 It 13
1210
21 100
Pt 0
.000222000
der
51441V
42212
(L03.5
0 022
1221
0 01,1
0.0t
0 0'3
1599111 99499
X Ai*
iitab CoRib
r5,491,4;)11)
0.019 28
0 021 . 29
.0012 29
0 0,22 '29
.0.019 29
1124
0.029
0 0M
345 0 0 t4
1,135 017
1120 5111$
/4tt3
44 ,
L.
549941944 5‘4,4444
Dwity 144444t9.494
May 54114.4.54441
26
0 01929 27 '72727?
0013
7 Z
2 X week
:trab
C13319 00419 170539
Weekly
.stto 14.1.014110
15410 .17400
1'115.449 C994
- I
0 2
?
tX1.1110
Cartvate
't3tX.
z 225
41(249 CtiN14111
' 55414
5.1t11
11444. C,
42,91
7 2
•"** No Rcportiog Kmsorr ENFRIL,SE No flow- R14119.1,,KettyC9: liNNINVIHR Visimtion Ad yam.: WQatiwt; NOFLOW '9* Mow: HOLIDAY No Viwation Holiday

\PDES PERMIT NO.: NC` 9kma
1'',ACILITI' NAME: Killian Crossroads WV TP
OWNER NAME: Aqua North Carolina Ins.
eDNIR PERIOD: 08w2OI Aug:Lsr 20191
PERMIT >` RSI©N_ S c;
(,LASS: WW-2
ORC: .in
OR(" GLANCED: No
VERSION: ! M.
PERMIT STATUS: Acdmwe
COUNTY: Catawba
OR(' CEK I` NUMBER: 996986
STATUS: Processed
o NC I °CATION: EFT ENT DISCHARGENO.: 001 NO I?ISCIIARGE*: NO CCont n e)
*.** No FteFn rI mg Reason' I;\`F WSW o Floti.°'sVtetvw Rec cle: ENVIArMR No VOs)ratrIon adverse Weather, A )I'I f)
- No How: 110LWAY No't=o5mrarian - Plirdudn)'

NPDPOIS PE.RMIT NO.: NC0063355 PERMIT' VERSION: 531
FACILITY NAME: Killian. Crossroads WWIP CLASS: WW-2
OWNER NAME: Aqua North Carolina ine ORC: John Allen Marton
GRADE: WW-3 ORC OAS CHANGED: No
eDMR PERIOD: 08-2019 (A aeust 201.9) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 9969gb
STATUS: Prixessed
SAMPLING LOCATION: 'UPSTREAM DISCHARGE NO,: 001
**** No 'Reporting Reason NFRIrSE - No Flow-RetisefRevryck% CNVWTHR No Vriitation - Adverse Weather NOFI,OW r, No Flow HOLIDAY No Visitation - Hohday

NPDES PERMIT NO.: NC0063355
FACILITY' NAME: Killion Crossroads WW-IP
OWNER NAME: ua North Carolina Inc
GRADE: VW-3
elLTAIR PERIOD: 08-2019 (August 2019)
PE RMrr vERsION: 5.0
CLASS: WW-2
ORC: John Allen Martin
ORC !LAS CHANGED: No
VERSION; 1.0
PERMIT S'IATUS: Acte
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 991
Grab
""No Reponing .Reason: .ENFRUSL ,-, No Now-Reuse/Recycle; ENVWTHIR No Visitation — Adverse Weather; NOFLOVV No Flow, HIAIDAY No Visitation — Holiday

NPDES FERMI'!" NO: NC0063355
FACILITY NAAIE: Killian Crossroads WWTP
OWNER NAME: Aquu North Carolina Inc
GRADE: WW-3
eDM PERIOD; 08-2019 (August 20191
COMPLIANCE, STA`F US: Comp' iunt
ORC/Certifier Sgnai
PERMIT 'VERSION: 5
CLASS: WW-.2
ORC: John •llcn N.Lrtin
tms CHANGED: No
VERSION. 1.0
CONTACT PHONE th 7044899404
PERT1 SIXFUS: Active
COUNTY: Catawba
ORC CERT NUAIBER: .996986
STA-FES: Processed
SUBMISSION DiVIFE: 09/25/2019
09/19/2019
ohm Allen Martin E-MailrfAMartin*aquaamerica,com Phone 4:704-489-9404 Date
By this signature,' certify that this report is accurate and complete to the 'best °fitly '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 he provided orally within 24 hours from the time the permittee became aware oldie circumstances, A written submission shall also he
provided within 5 days ofthe 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 11.13.6 of
the NPDES pen,nit.
09/25/2019
ermtteeISubmitter Signature:*** Duane ,Rimmer -MaiI:ddrirnmer caquaanerica.corn Phone ti:704-489-9404 Date
Permittee Address: NCSR 1849 Sherrills lord NC 28673 Permit Expiration Date: 03/31/2020
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 iny 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 hest of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false Intl:inflation, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME: Water Tech Inc, Aqua North Carolina
CERTIFIED .LAB#50„ #50.35
PERSON(s) COLLECTING SAMPLES:, John Mar
CERTIFIEDILABORNFORIES
PARAMETER CODES
Parameter Code assistance may he obtained by calling the NPDES Unit. [phone] or by visiting. littp:portal.nedenrang/weblwq/swpipshipdes/forms,
1:00-.1NO'IrES
Use only units of measurement designated in the reporting facility's NI'DES permit for reporting data.
* No Flow/Diseharge .From. Site: Check this box if no discharge occurs and, as a resul, there are no data to be entered for ail of the parameters on the DMR
for entire monitoring period.
ORC on Site?: ORC must visit facility and document N,Tsitation of facility as required per I5A N(AC 8G .0204,
*** Signature of Perm ittee: If signed by other than the permit:tee, then delegation of the signatory authority must be on file o ltb "he state 'CAC 21)
„0506(b)(2)(D)„

Effluent
NPDES PERMIT NO. NC0063355 Discharge No.: 001 Month: AUqi44 Year a01 y
Facility Name: Killians Crossroads WWTP Class: II County: Catawba
Operator in Responsible Charge (ORC): John Martin Grade: III Phone: [phone]
Certified Laboratory (1): Water Tech Labs Inc (2)
CHECK BOX IF ORC HAS CHANGED
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
0
X
PERSON(S) COLLECTING SAMPLES Operators
iiJ .31 i�1'+
(SIG RE OF OPERATOR 1N RESPONSIBLE CHARGE) DATE
BY THIF/SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
la
a
Operator Arrival lime
2400 Clock
Operator Time
On Site
ORC On Site?'
50050
00010
00400
50060
00310
00610
00530
31616
00300
00600
00665
00556 1 38260
FLOW
TEMPERATURE
CELSIUS
a.
RESIDUAL
CHLORINE
,,, U
O
m N
AMMONIA
NITROGEN
TOTAL SUSPENDED
RESIDUE
FECAL COLIFORM
(Geometric Mean)
DISSOLVED
OXYGEN
TOTAL NITROGEN
TOTAL
PHOSPOROUS
ENTER PARAMETER CODE ABOVE
NAME AND UNITS BELOW
EFF I,
INF ID
OIL$
GREASE
MBAS
0
HRS
HRS
YIBIN
MGD
0C
UNITS
UGIL
MGIL
MG/L
MGIL
#I100ML
MG/L
MG/L
MG/L
MGIL
MGIL
1
!Vac
2SO
Y
.-9, ,
<v.
/j;k2
Q.<
1
4..1
2
))2g
.v
¥
.F22.28
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a??
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7
J�1-7
7.0
.177e
-2-7
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'7.7
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8
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9
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102
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19
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"2
31
.1,�.-��2
AVERAGE
#D1VI0!
#DIV/01
-
#DIV/0!
#DIV/01
#DIV/01
#131VI01
#DIV/01
#DIV/0!
#DIVI01
#DIV/0!
#DJV/01
#DIV/01
MAXIMUM
0.000
0
0.00
0
0.0
0.00
0.0
0
0.0
0.00
0.00
0.0
0.00
MINIMUM
0.000
0
0.00
0
0.0
0.00
0.0
0
0.0
0.00
0.00
0.0
0.00
Camp. (C)lGrab (G)
G
G
G
C
C
C
G
G
C
C
G
C
Monthly limit
0.050
NL
619
NL
15.0
4.0
30.0
200
NL
NL
30.0
Daily Maximum
28
22.5
20.0
45.0
400
>6.0
60.0

Upstream
NPDES Permit No: NC0063355 Discharge No.: 001 Month Wr Year: 9 40, el
Facility Name: Kiltians Crossroads WWTP County: Catawba
Stream: Lake Norman (Reed Creek) Stream: Lake Norman (Reed Creek)
Location: NCSR 1849 Location: +/- 4000 fit. downstream
o
HRS C
" ' k; '=2.3
3
5
5
14
16
17
18
19
20
23
24
25
26' y,
27
29
IV/©1
0 130
MINIMUM
00420 31510 20095
S_U I120ML uMhos
Print Stream Sheet: Yes
Downstream

NRTER4TECH LRB5.Inc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Killians
PERMIT #: NC0063355
ADDRESS: Aqua North Carolina
P.O. Box 859
Denver, NC 28037
COLLECTION DATE: 8/1/2019
COLLECTION TIME: 10:45
RECEIVED DATE: 8/1/2019
RECEIVED TIME: 14:50
REPORTED: 8/15/2019
I
1
1
ANALYSIS
.EFFLUENT
ANALYSIS
UNITS
DATE
ANALYST
BOD
TSS
NH3
Fecal Coliform
MBAS
<2.0
<2.5
<0.2
<1
<0.1
mg/L
mg/L
mg/L
/100mL
mg/L
8/2/19
8/5/19
812/19
811/19
8/2/19
jdg
jrg
jrg
jrg
J
LOG ID: 1908-014
REPORTED BY: NC CERTIFIED LAB # 50
fiedthin
Tony Gragg, Lab Supervisor

LAboRAoRDks, 11NC.
For: Water Tech Labs, Inc.
P.O. Box 1 056
Granite Falls, NC 28630
Attn: Joe Gragg
Report of Analysis
8/8/2019
isiso
4-
lop .
▪ to NC 1134 z;
• = NC#377.01 i4,7
'�i*i1Fi�R ,�~ r
l411 iiIfh1l1
Client Sample ID: Killians
Site: Water Tech Labs
Lab Sample JD: 70170-01
Collection Date: 8/1/2019 10:45
Parameter Method Result Units Rep Limit Analyst Analysis Datefrime
MBAS
SM 5540 C-2000
<0.1
mg/L
0.1
AW'
8/2/2019 1430
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Ter; 336-996-2841 Fax: [phone]
ral Col baSir Ill
www.randalabs.corn Page 1

Wi"sf £go69RO
,
f
•
1.
5 Pinewood Plaza Drive • P.O. I,ox 1056
Granite Falls, NC 28630
Phone [phone] • Fax [phone]
CLIENT: Aqua North Carolina
P.O. Box 859
Denver, NC 28037
PHONE:
TYPE SAMPLE:
No. LOCATIONS:
SAMPLER NAME:
[phone]
Wastewater
1
�O h v,th,)
SAMPLE LOCATION
FACILITY NAME
SAMPLE COLLECTION
SAMPLE TYPE
CONTAINERS
ANALYSIS REQUIRED
DATE
TIME
TEMP °C
GRAB!
COMPOSITE
NO.
PLASTIC!
GLASS
Killians NC0063355
Effluent
d i ` ) 1 y 9
`o�,/
[ J
f
l
COMPOSITE
2
PLASTIC
BOD, TSS, NH3
Killians NC0063355
Effluent
g / j I )1
( (
/�
GRAB
PLASTIC
FECAL
Killians NC0063355
Effluent
GRAB
1
GLASS
Oil & Grease
Killians - NC0063355
Effluent
COMPOSITE
1
PLASTIC
MBAS
Killians NC0063355
Effluent
COMPOSITE
1
PLASTIC
T.N. & T. PO4
RELINQUISHED BY:
DATE:
�l f)13
TIME:
/1-�a
R CEI ED BY:
��II-Q.
DA :
; 1 1
II; Q
NQ SHEDS/�L(v' "l
0/i//9
"':
ECr�
_
D
TI E:
�,x--
7
RESERVATION• / /
i/f Cool 4°C -9i-x' MBAS
I4 Cool 4°C - pH<2 w/ H2SO4-0
[v]'Cool 4°C - Na2S203 Cofiform B<
Sample Temperature,
1 - Chlorine Residual
2 - Chlorine Residual Y mgll
3 - Chlorine Residual mgll
T.N. & T. PO4, Oil & Grease
3
T.N. & T. PO4
NC CERTIFIED LAB # 50

IdaTRR4TECH 6LRB5.fnc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Killians
PERMIT #: NC0063355
ADDRESS: Aqua North Carolina
P.O. Box 859
Denver, NC 28037
COLLECTION DATE:
COLLECTION TIME:
RECEIVED DATE:
RECEIVED TIME:
REPORTED:
8/7/2019
10:45
8/7/2019
14:45
8/15/2019
ANALYSIS
EFFLUENT
ANALYSIS
UNITS
.'DATE
ANALYST
BOD
TSS
NH3
Fecal Coliform
Oil & Grease
<2.0
<2.5
<0.2
<1
<5.6
mg!L
mg/L
mgfL
/100mL
mg/L
8/8/19
8/9/19
8/9/19
8/7/19
8/9/19
jdg
jrg
jrg
jrg
jdg
r
's
LOG ID: 1908-104
REPORTED BY: NC CERTIFIED LAB # 50
Tony Gragg, Lab Supervisor

tom-1-- 64 a.1
PM / - . 5g18123
5 Pinewood Plaza Drive • P.O. Box 1056
Granite Falls, NC 28630
Phone [phone] • Fax [phone]
CLIENT: Aqua North Carolina
P.O. Box 859
Denver, NC 28037
PHONE:
TYPE SAMPLE:
No. LOCATIONS:
SAMPLER NAME:
[phone]
Wastewater
1
SAMPLE LOCATION
FACILITY NAME
SAMPLE COLLECTION
SAMPLE TYPE
CONTAINERS
ANALYSIS REQUIRED
DATE
TIME
TEMP °C
GRAB !
COMPOSITE
NO.
PLASTIC 1
GLASS
Killians NC0063355
Effluent
g km
m
! 1
l�Y
r y
COMPOSITE
2
PLASTIC
BOD, TSS, NH3
Killians NC0063355
Effluent �
7)711 a)
lOt/ �
GRAB
1
PLASTIC
FECAL
Killians NC0063355
Effluent
�` �!`
IC) 4/1
GRAB
1
GLASS
Oil & Grease
'plans • NC
1
71-
,-----MBA-8-------__
COMPOSITE
PLASTIC
Eff
Killians NC0063355
Effluent
COMPOSITE
1
PLASTIC
T.N. & T. PO4
RELIN UISHED BY:
DATE:
TIME:
RECEIVED BY:
DATE:
TIME:
R , DISHED
DATE:
TIME:
r C
V
DAT1 E:
ERVAT10N•
Coo! 4°C - B TSS. MB
[ Cool 4°C - pH<2 wf H2SO4-CD
T.N. & T. PO4, _ Gre e
9 2 3
[Cool 4°C - Na2S203 - oliform Bacteria, NIA T.N. & T. PO4
Sample Temperatureab (°C)
-
1 - Chlorine Residual mg/1
2 - Chlorine Residual �11
3 - Chlorine Residual mg/1
NC CERTIFIED LAB # 50

%1RTER TECH LfS5,Inc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS. NORTH CAROLINA 28630
[phone]
SAMPLE: Killians
PERMIT#: NC0063355
ADDRESS: Aqua North Carolina
P.O. Box 859
Denver, NC 28037
COLLECTION DATE:
COLLECTION TIME:
RECEIVED DATE:
RECEIVED TIME:
REPORTED:
8/15/2019
10:45
8/15/2019
14:35
8/22/2019
i
•
ANALYSIS
EFFLUENT
ANAL YSI S
UNITS
DATE
ANALYST
BOD
TSS
NH3
Fecal Colifarm
3.4
<2.5
<0.2
<1
mg/L
mg/L
mg/L
1100mL
8/16/19
8/19/19
8/16/19
8/15/19
jdg
jrg
jrg
jrg
i
LOG ID: 1908-230
REPORTED BY: NC CERTIFIED LAB # 50
Tony Gragg, Lab Supervisor

Gder - 5-6Y-zvg2
rysia
5 Pinewood Plaza Drive • P.O.
Granite Falls, NC 28630
Phone [phone] • Fax [phone]
CLIENT: Aqua North Carolina
P.O. Box 859
Denver, NC 28037
PHONE:
TYPE SAMPLE:
No. LOCATIONS:
SAMPLER NAME:
[phone]
Wastewater
1
c-OkuJ Y'1.gr1
SAMPLE LOCATION
FACILITY NAME
SAMPLE COLLECTION
SAMPLE TYPE
CONTAINERS
ANALYSIS REQUIRED
DATE
TIME
TEMP °C
GRAB l
COMPOSITE
NO.
PLASTIC /
GLASS
Killians NC0063355
Effluent
3), J 11 :
1•
. togs-- g�
1
COMPOSITE
2
PLASTIC
BOD, TSS, NH3
Killians NC0063355
Effluent
3)1,011
/0%,�
GRAB
1
PLASTIC
FECAL
Killians NC0063355
Effluent
GRAB
1
GLASS
Oii & Grease
Killians NC0063355
Effluent -
COMPOSITE
1
PLASTIC
MBAS
Killians NC0063355
Effluent
COMPOSITE
1
PLASTIC
T.N. & T. PO4
•
REL QUISHED BY:
,/
;yra
DATE:
�1,�►�
TIME:
1 ���
R CEI ED BY:
�li�l
DA E:
�' rs�
TIME:
r �: f s
; INQ ISHED BY'D
�/uP/►�
TE:
r5�i
TIME:
14- 3S
BY:
DATE.
TIME:
AY-r—
PRESERVATION
_ ~�
[✓f Cool 4°C - MBAS -
[ 6rCool 4°C - pH'2 wl H2SO4-0, T.N. & T. PO4, Oil & Grease
2 3
[Cool 4°C - Na2S203 Coliform Bacteria, N T.N. & T. PO4
Sample Temperature 412? (°C)
1 - Chlorine Residual .. mgI[
2 - Chlorine Residual
3 - Chlorine Residual mg/I
NC CERTIFIED LAB # 50

IJRTER4TECH LfIR5.Inc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Killians
PERMIT #: NC0063355
ADDRESS: Aqua North Carolina
P.O. Box 859
Denver, NC 28037
COLLECTION DATE:
COLLECTION TIME:
RECEIVED DATE:
RECEIVED TIME:
REPORTED:
8/21/2019
10:40
8/21/2019
14:45
9/12/2019
ANALYSIS
EFFLUENT
ANALYSIS
UNITS
DATE
ANALYST
BOD
TSS
NH3
Fecal Coliform
Oil & Grease
<2.0
<2.5
<0.2
<1
<5.6
mg1L
mglL
mglL
/100mL
mg/L
8/22/19
8/23/19
8/22/19
8/21/19
9/5/19
jdg
jrg
jrg
jrg
jdg
L
i
LOG ID: 1908-319
REPORTED BY: NC CERTIFIED LAB # 50
fbk‘lift
Tony Gragg, Lab Supervisor

-�--9362s-
1
I _I' �a
5 Pinewood Plaza Drive • P.O. ox 1056
Granite Falls, NC 28630
Phone [phone] • Fax [phone]
CLIENT: Aqua North Carolina
P.O. Box 859
Denver, NC 28037
PHONE: [phone]
TYPE SAMPLE: Wastewater
No. LOCATIONS: 1 j r
SAMPLER NAME: 4.lG_S eatr, / L.
SAMPLE LOCATION
FACILITY NAME
SAMPLE COLLECTION
SAMPLE TYPE
CONTAINERS
ANALYSIS REQUIRED
DATE
TIME
TEMP °C
GRAB !
COMPOSITE
NO.
PLASTIC I
GLASS
Killians NC0063355
Effluent
f�` `VC
j OL{t
`� D(
COMPOSITE
2
PLASTIC
BOD, TSS, NH3
Killians NC0063355
Effluent
1i
i f A 1 K
1 0
GRAB
1
PLASTIC
FECAL
Killians NC0063355
Effluent
1 /2JJ
O"t71
GRAB
Oil & Grease
Killians NC0063355
Effluent
.
COMPOSITE
1
PLASTIC
MBAS
Killians NC0063355
Effluent
COMPOSITE
1
PLASTIC
T.N. & T. PO4
RELINQUISH Y:
D E:
ip,
TIME:
i23� '
R IVED BY:
DATE:
(->�r'1
TIME:
/ 3: f5
Y: /
r4TE: TIME:
53-),-1.91 �. ICco-i
R EIVED Y:
DATE'
t
IME:
r
[ . t
PRt=SERVATION:
[ Cool 4' - D , MBAS
Cool 4°C - pH<2 w/ H2SO4- NH3.
Cool 4°C - Na2Sz03
T.N. & T. P 4, Oil & Grease
I 2 3
T.N. & T. PO4
Sample Temperature at Lab fC)
1 - Chlorine Residual ,40- rt
2 - Chlorine Residual Ymg/I
3 - Chlorine Residual mg/I
NC CERTIFIED LAB # 50

4JFITER4TECH LABS.Inc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Killians
PERMIT #: NC0063355
ADDRESS: Aqua North Carolina
P.O. Box 859
Denver, NC 28037
COLLECTION DATE: 8/28/2019
COLLECTION TIME: 10:45
RECEIVED DATE: 8/28/2019
RECEIVED TIME 14:55
REPORTED: 9/5/2019
I
i
ANALYSIS
EFFLUENT
ANALYSIS
UNITS
DATE
ANALYST
BOD
TSS
NH3
Fecal Colifomi
<2.0
<2.5
<0.2
<1
mg/L
mg/L
mg/L
/100mL
8/29/19
8/29/19
8/30/19
8/28/19
jdg
jrg
jrg
jrg
1
LOG ID: 1908-427
REPORTED BY: NC CERTIFIED LAB # 50
fligoori
Tony Gragg, Lab Supervisor

Lest - sql 1 i.!?
h jte
5 Pinewood Plaza Drive • P.O. ox 1056
Granite Falls, NC 28630
Phone [phone] • Fax [phone]
CLIENT: Aqua North Carolina
P.O. Box 859
Denver, NC 28037
PHONE:
TYPE SAMPLE:
No. LOCATIONS:
SAMPLER NAME:
[phone]
Wastewater
1
SAMPLE LOCATION
FACILITY NAME
SAMPLE COLLECTION
SAMPLE TYPE
CONTAINERS
ANALYSIS REQUIRED
DATE
TIME
TEMP °C
GRAB 1
COMPOSITE
NO.
PLASTIC 1
GLASS
Killians NC0063355
Effluent
Sj-gI J9
( 7
1'D 4r��
)
'
COMPOSITE
x
PLASTIC
BOD, TSS, N1 —
Killians NC0063355
Effluent
g!- ! l l
` `
J o lts
GRAB
1
PLASTIC
FECAL
Killians NC0063355
Effluent
GRAB
1
GLASS
Oil & Grease
Killians • NC0063355
Effluent
COMPOSITE
1
PLASTIC
MBAS
Killians NC0063355
Effluent
COMPOSITE
1
PLASTIC
T.N. & T. PO4
RELINQUISHED BY:
MA
DATE:
)/z »q
TIME:
//33
RECFLVED BY:
/,,�,
DATE:
2g- cl
TIME:
13 2c)
R QUISHED BY:
DATE:
TIME:
CEl•DATE:
TIME:
PRESERVATION�•
[ f Cool 4°C - I •4. 1S- MBAS
[A -]—Cool 4°C - pH<2 wl H2SO4-
[ Cool 4°C - Na2S203 -
oilform Ba a
Sample Temperature Lap (°C)
1 - Chlorine Residual �mg/I
2 - Chlorine Residual mgll
3 - Chlorine Residual mg/I
T.N. & T. PO4,
1 2 3
T.N. & T. PO4
NC CERTIFIED LAB # 50

()Fs PERMIT NO.: NC0063355
FACIIIIN NAME: Killian Crossroads 'Mir FP
OS% OR NikME: Aqua North Carolina ine
GRADE: WW-3
eDMRP1 KIOD 07-2019 (July 2019)
PERMIT VERSION: 5.01
C LASS: ')VW-2
Ottlflt John Allen Martin
L S
ORC HAS CHANCED: No
VERSION: I 0
PERMIT STATUS: Active
COUNTY: Catawha
OR( CERT SUMER.: 99.6986
RIECEriVEDISiCnENRIDWR
STA:TUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAK *4„
Ipopo0kopp
129 0
22 P
958
958
AlgarliaN Namara LAWN,
54.40415- Average,
S X
MAYEVO GT3 b
„OW TEMP-0
rag 055
0 a
II
O 023
02.
q3014
0 022
(10IS
0018
55 016
0 MN
0 02
0023
0/1
0,037
o 037
0 03
OW 3
0 02
t 3
a 0 4
0 52
0,1515
' 02
4045
0 0113032 2 54305
Op7 30
Gr41b
rota.
IN trily
Cort-rpat.. 17,90/8.5.00e
Canto NAL),N
001
CNATAN4150
(Out,
4041,0941NE
a 47
7.0$
755
"." No Reporting Ruin ENFRI„lSE - No FlowlReuseiRecycle; ENVAVTillj No Visitation - Adverse Weather NOFLOW - No 1low, HOL Y No Visitation - Holiday
1145 OS
H t()
'Limtte
'TOTAL 0 -
Ate

NPDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 07-2019 (July 2019) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 496986
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
A
F
s
,I
s
U
a
F
R
e
U
I
7
C
D
O.0
o
b
1-
K
O
y
8Composite
it
O
F.
2
C0665
00536
30260
31616
Quarterly
2X month
Monthly
Grab
Composite
Grab
TOTAL P-Case
OI4GRSE
MBAS
FCOLI BR
2400 clock
Hrs
2709 dock
Hr.
MIN
m0/1
mg/
mgfl
#/100m1
1
1201
2.5
Y
2
1220
2.5
Y
3
1045
24
958
3.5
Y
4.5
<5.6
< 1
1
N
5
1125
4
Y
6
N
7
N
a
1159
3
Y
9
808
4
Y
10
1322
2.5
Y
II
1045
24
956
4
Y
<0.1
<1
12
1410
2
8
13
N
16
N
15
1138
3.5
Y
16
1008
2.5
Y
17
1057
3.5
Y
I9
1045
24
956
3
Y
< 5.6
<1
19
1300
3
Y
20
N
21
N
22
1107
3
Y
23
1051
3.5
Y
21
855
3.5
Y
23
1045
2A
954
3
Y
<-1
26
949
1
Y
27
N
20
N
29
1136
3
Y
3a
1055
3
Y
31
1058
125
Y
Men$1lArrr.Le Limb:
30
MmthlyArerager.
4.5
0
0
!
Dabs Maximum:
4.5
0
0
0
Daily Maim.
4.5
0
0
0
••••NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=NoVisitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY No Visitation — Holiday

NPDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 07-2019 (July 2019) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
3
a
o.
B
ig
z
00010
00300
Weekly
Weekly
Grab
Crab
TLMP.0
DO
2100 .1.1
deg c
mga
1
2
3
24
7.7
a
5
6
7
8
9
10
11
23
7.8
u
13
LI
13
10
17
19
24
7.5
19
20
21
22
23
24
13
22
7.6
26
21
2s
29
30
31
Mat* Av..ga Limit
Monthly A.e..g=
23.25
7.65
Day?amaimam:
24
7.8
nay Mar.=
22
7.5
00*sNoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycic; ENVWTHR—No Visitation -- Adverse Weather; NOFLOW No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NC0063355
FACILITY NAME: Killian Crossroads WWI'P
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 07-2019 (July 2019)
PERMIT VERSION: 5.0
CLASS: WW-2
ORC: John Allen Martin
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
x
G
i14. e
a
e
i
t
i.
z
00010
00300
Weekly
Weekly
Grab
Crab
TEMP-C
1m
2160. d,
deg a
mg/1
2
3
29
7.5
4
5
6
7
9
9
10
II
29
7.3
12
13
14
15
16
17
18
30
7.1
19
20
11
22
23
21
25
28
7.3
20
n
r
28
29
30
31
MwdhyAvenge Limit:
M66011r A.tr.
29
7.3
Daily Maximum.
30
7,5
Daiy Mioinma
28
7.1
No Reporting Reasoii ENERUSE=NoFlawRenseJRecycle; ENVWW'I71R=tdoVisitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY =NoVisitation— Holiday

NPDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin ORC CERT NUMBER: 996986
GRADE: WW-3 ORC HAS CHANGED: No
cDMR PERIOD: 07-2019 (July 2019) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 08262019
AA" 41‘it
08/19/20I9 •
ORC/Certifier Signatu : John Allen Martin E-Mail:[e-mail] Phone II:704-489-9404 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
et?' r 08/26/20I9
Permittee/Submitter gnature:*** Duane Rimmer E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: NCSR I849 Sherrills Ford NC 28673 Permit Expiration Date: 03/31/2020
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: Water Tech Inc, Aqua North Carolina
CERTIFIED LAB #: #50, #5035
PERSON(s) COLLECTING SAMPLES: John Martin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (9I9) 807-6300 or by visiting http:llportal.ncdenr.orglweb/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 8G .0204.
*** Signature of Permittee: If signed by other than the permitter, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDFSPER MT) ?:( :NC0063.)5* PERMIT VERSION : ,0
FACILITY ^1AMk : Killian Can,. null W"WrIP CLASS: WW-2
OWNER NAME.: Aqua North Carolina Inc ORC John Alle.
GRADE: WW-3
eDMR PJ RIOD:1 .019 (June'201'9)
ORC HAS CHAN( E:D: No
LEN ki\L FILES
MR. SECTION
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: : Catawba
()RC CI RT NUMBER: 996985
STATUS: Is:S: Proce~seti
SAMPLINGS LOCATION: EFFLUENT I ISCHARGE NO.: 001 NO DISCHARGE*: NO
•a„ No Reporting Reason: rNF RLIS!$ No Flow-Re*iseiRecycle F,NVW"I"NR — No Vixn
Adveate Weather; NOFLOW
,AY No Visitation ,.. Holiday

N PULS PE [MUT NO.; NC(X)63355
EACILITY NAME: Killian CFOSNroads
OWNER gA M E. Aqua North Carolina Inc
GRADE:
eDMR PERIOD: 06-2019 (June 20191
PERMIT VERSION: 5 (I
CLASS: WW-.2
OK( : John Allen Martin
OR( }IS(I IANCED: No
VERSION: 1 0
PERMTE STATUS: dive
COENT`ii: Cx,r,vha,
ORC CEO N EM HEW 996986
STATUS: ProcesNed
SAMPLING LOCAT. N: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Cm ue)
"'"' No Reporting Reili01)F R '0 No Flow-Rcu.,wiRocycle, ENVWTHR - .No .Advcrs,o Weather, NOELOw No Ho., HOLIEDAY No - H(Aday

NPIDES PERMT1 NO.: NCl/0(13)55
FACILITY NAME: kilitap Crossroads
-AVTP
OW N EllitAME: Aqua North Carolina le
GRADE: WW-3
efl%IR PERIOD: ( June 2019-
PERMIT VERSION: 3 0
CLAS%S: WW-2
ORC: John Allen r1arnn
OK( DAS CHANGED: No
VERSION: 1 0
pERmur sTATuS: Active
COUNTY: Catawba
OR( CERT NI1M 13ER: 996986
STA'EliS: Processed
SAMPLING 'LOCATION: UPSTREAM DISCHARGE NO.: 001
Net%
Weak'
2411* deck de g
19 2
ktratibto Limit
Mont* Avrtwke,
T9 75
Ustity, Wawa.,
Ritaismear
P.$
1_125
8.1
7
**** No Report* Reamm: INFRI SI No Flow-keasetRoqcle: ENVWEDR.,, No Visamion —Adverse Weather:, NOR„.OW Flow; HCH,IDAY -NoVisitation Holiday

\PDES 'PERMIT NO.: NC0063.355
FACILITY NAME: Killian Crossroads WWI i)
OWNER AANIE: Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 0t-2019 (June 2019)
PERMIT VERSION: 5.0
CLASS: WW.2
OR(: John Allen Martin
ORC RAS CHANGED: No
VERSION: -1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996985
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
- - -
Monthly ANITYW UM*:
/*Mid, A,vermgc
FUJIN MAxitaroor.
."'" No Reporting Reason: ENFRUSE No Flow-Reuse/Recycle; ENNWILIR - No Visitation Adverse \\leather; - No How; HOLIDAY -No Visitation -- Hohday

NPDES PERMIT' NO.: NC0063355 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NNAME: Aqua North Carolina Inc ORC: John Allen Martin ORC CERT NUMBER: 996986
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 06-2019 (June 2019)
COMPLIANCE STATUS: Compliant
VERSION: 1.0 STATUS: Processed
CONTACT PHONE #: [phone] SUBMISSION DATE: 07/23/2019
07/17/2019
ORC/Certifier SignatuiJohn Allen Martin E-Mai1:[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.
07/23/2019
Permittee/Submitter gnature:*** Duane Rimmer E-Mail:[e-mail] Phone 11:704-489-9404 Date
Permittee Address: NCSR 1849 Sherrills Ford NC 28673 Permit Expiration Date: 03/31/2020
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: Water Tech Inc, Aqua North Carolina
CERTIFIED LAB #: #50, #5035
PERSON(s) COLLECTING SAMPLES: John Martin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http:l/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).

OWNER NAME; A
GRADE: WW-3
NPDES f''ENIMIT NO: NC0063355
PERMIT VERSION: PERMIT STATUS Active
(A( ILE-IAME: Kahan Crossroad% WWIE CLASS: WVv 2 CO( Catawba
Ali6 3 nis
ORe: John Allcn Mahn ORC CERT NUMBER: 996986
biEECEVETVNCLTNi:inWt
OR( HAS CD ANCE0447:N RAL PILES
t3WR <ECTK)N
vvusioNi: 10
a Nor
eDMR PERIOD: 05-2019 (May 2019)
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCIk4,,
°••4 No Reporting Reason ENFRUSE - No Flow-Rouse/Recycle; FNVWTHR No Visiialioo Advask. WeathOFI„OW -No Flow; HOLiDAY No V Oitation - Holiday

NPDES PERMIT NO.: NC0063355
FACILIENISAME: Killian Crossroads WWTP
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDMIL PERIOD: 05-2019 (May 2019)
PERMIT 'VERSION: 50
CLASS: WW-.2
ORC: John Alien Martin
()RC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue
4366St
: Quanteriv
x 99391.6 :191.6attify
31.6 16
(2orn Compos9e 4.22.ah
Tf P OIL-CR-St NIRAN FVOIA
""*' 'No Reporting Reason: liNFRUSti.,No FlowsRerise/Recycle; EN V Wth No Visitation - Adverse 'Weather, NC/FLOW - No 1low 1101 IDAV No Visitation - Holiday

NPDES PERMIT NO,: NCOW;3355
FACITTIVISA,NIE: Kflhan t WWIP
OWNER NAME: Aqua North Caro)ina Inc
GRADE: WV-3
eDMR PERIOD: 05-2019 (May 2019)
PERM Ff VERSION; 5. C.)
(L VV2
John Alien Martin
ORC DAS CDANGED; No
VERSION: I _0
PERMTI SEATUS: Acove
COUNFY: Catawba
ORC 'ER I NI.;MDE R.; 996986
STATUS: Processed
SAMPLING CATION: UPSTREAM DISCHARGE NO.: 001
*•'. No Reporting Rrmsort ENFRUSF No Flow-RettseRoct,eig; ENVWFFIR ", No Visitation Ad verse Weather TOW No How: HomAY No ViNimiron - rioiiday

NPD.ES PERMIT NO.: NC0063155
FACILITYINAME: Killian Crossroads WWTP
OWNER NAME: Aqua North Carolina Inc
(;RADE: WW-3
eDMR.PERIOD: 05-2019 (May 2019)
PERMIT VERSION: SAII
CLASS: WW-2
ORC: John Allen Martin
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER.: 996986
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
Rtporting itva,on"A'
661110 MOO
Week D,
Grab
4fl'4
241111 dock
DO
deg c argil
.9
3
14
15
16
21
22
845
24
25
/7
9 7 -7
Limit
Maned/
21 4 7
Daffy Maximum
9.3
11616y 6116666.66,
7.7
**** No Reporting Reason: ENFRUSE - No FloNReusetRecyclo,. li::NVWTHR - No 'Vsitalion Ad vase 1)'eather; NOFLOW -No Flow; HOLl DA Y No Visitation - Holiday

NPDES PERMIT NO.: NC0063.35:5
FACILEITINAME: Killian Crossroads WNVIT
OIWNER NAME: Aqua North Carolina Inc
GRADE: WW1
eDAIR. PERIOD: 05-2.019 (IvIlay 2019)
COMPLIANCE STATES: Compliant
PERMIT VERSION: 5.0
CLASS: WW-2
ORC: John Allen Martin
ORC HAS CHANGED: No
VERSION.: 1 0
CONTACT PHONE #: [phone],
PERM r STATUS: Act
COEN IV: Catawba
ORC CERT NUMBER: 9069N0
sTrATtiti:. Processed
STIIMISSION LEVIE: .612512019
6i2 412019
1)RC1('ertil Signature: John Allen Mr1n E-MaikjAMartimi:aquatimerica.com Phone 4:7 04,- 4 9-9 4 0 4 1)ate
By this signature, I certify that this reportreporl 0, accurate and complete to the be of my knowledge.
perm itlev 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 frorn the time the Nal:Elnee became aware of the circumstances, A written sillimission shall also be
provided ‘vithin 5 days of the time the perminee becomes toare of the circumstances,
1' the facility: is noncompliant, please attach a list of corrective actions beim?, taken iind a time -table for improvements to he made as required by part II.E.6 of
the NIPDF.S permit.
06/25/2019
PertnittectSubmitter e:*** Duane Rimmer E-Maikddrimmer(41aquaamcrica.com Phone 4:704-189-9404 Date
Perm Mee Address: NCSR 1 849 Sherrills Ford NC 28,673 Permit :Expiration Date: 0.3/3 112020
I certify, under penalty of law, that this document and all attachments were prepared under triy,, direction or supervision in accordance with a system designed
to assure that qualified personnel properly- gather and evaluate the, intbrmat ion submitted. Based on my inquiry or the person or persons Is managed the
system, or those persons directly responsible for gathering the information. the intirrmation submitted is, to the best of my knowledge and belief, true,
accurate, and complete, 1 tun aware that the•re are significant penalties for submitting :false infOrmation., including the possibility of lines and tin prisonmem lor
k.nowing violations,
LAD NAME: Water "Fedi Inc, Aqua North Carolina
CERTIFIED IAB Of: #50, #5035
PERSON(s) COLLECTING SAMPLES; John Ma in
CER-1111ED LA BOR.ATORI ES
PA RA MV-FER CODES
Parameter Code assistance may: he obtained by calling the NPDES Unit (9 19) 807-6300 or by visiting hup://porta
11.s/npdes/f.
FOOTNOTES
Use only units of measurement designated in the re•porting facility's 'NPDES permit for reporting data
* No Flow/Discharge From Site: Cheek this box if no discharge occurs and, as a result, there are no data to be entered for all of the partneter,:: on the EMIR
for .entire monitoring period.
** OR.1. on Site?: ORC must visit facility and document visitation of facility as required per I .5A •NCAC 8G ,020/1.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I 5A N( \C 2Ei
,0506( b)(2)(D).

NPDES PERMIT .NC006335
FACILITY N.,4.;VE: Kilhan Cmssroads WIT
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
e1INIR PERIOD: 04-2019(April 2019)
PERMIT 'VERSION: ,5. D.
CLASS: WW-2
ORC: John Me
ORC HAS FTUtNGED: No
KAAI.
VERSION; 1,0
\J''VR SEGTiON
PERMIT STATUS: Active
, COUNTY: CalaNvb3
11 Kt 4) nig
ORC CERT NUMBER: 996986
RE CE E DfN COF NRIDW R
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAINIV: NO
mo 0IRESVL I -REGIONAL 0 F
''-"• No Ktpiarting Rewou ENFRUSE No Floay,:lteusofftixyde, ENV \AiMR No Visitation - Adverse Wcattk.T, NOFTOW No How, HOLIDAY - No VisiEation Holiday

NPDES PERMIT NO.: NC0063355
FACILITY NA ME: Killian Crossroads WWTP
OWNER NAME; Aqua North Carolina Inc
GRA DE: WW-3
eRAIR PERIOD: 0.2019 (April 2019)
PERMIT E RSI ON: 5.0.
CLASS: WW-2
ORC: John Allen Martin
ORC HAS ClIANGED: 'No
VERSION: 1.0
FiRiTITsT ATUS: Actiye
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATIS: P ieessea
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
Quartetiv
mite
1OTLP
Ogl11ILintic
Mpaday icramin
Otab
LI BIZ
"*. No Reporting Reason: ENFRUSE No FlowiLeusarRecycle; ENVWTHR. No Visitation - Ad voae Weatlim NOFLOW No Flow. HOLIDA - No Visitation - Holiday

NPC)ES PERMIT NO,„ NC0 43
riE: Killian Crossroads
OWNER NAME: .Astua North. Carolina to
GRADE: WW-3
ei)h(RPERIOD: 04-2(,1t9gA rt Ji9
SAM
PERMIT VURSR
(LASS:WN2
ORC': John Allen Marten OR( CERT NUMBER: 99498E
ORC HAS CHANGED: No
VERSION: I,(i S1„ °I S: Processed
NG LOCATION: UPSTREAM DISCHARGE NO.: 001
PER:
COUNTY: Catawt
M
4V
(b
Weekly
fl
err, Averygtzna";
ilY
"""" No Reporting, Reap in'. EN RUSE = No F>w.Rcxise,Rec} cic, t NVW.ITIR = No
a a flow; HOLIDAY = No Vis
id°ay

NPDFS PERMIT NO.: NC0063355 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Killian Crossroads WWII' CLASS: WW-2 COUNTY: Catawba
OWNER NAME; Aqua North Carolina Inc ORC: John Allen Martin ORCCERT NUMBER: 996986
GRADE: WVV-3 ORC HAS CHANGED: No
eDMR PERIOD: 04-2019 (April 2019) VERSION: 1_0
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
14
11
12
13
14
12
16
17
616
26
21
22
24
6
27
266
•"' No Reporting .KVISUTE ENTRUSE No How-ReuseiRtxycle; ENVWTHR No Visitation - Adverse Weather; NOFLOW - No Flow; HOUDAY - No Visitation - FRAiday

NPDES PERMIT NO.: NC0003355 PEH SI1 I VERSION: 5.0
F .C1IdTY NAME: Crossroads WWTP CLASS: 'W' -2
O%%"ti,t:R NANO:: Aqua North Carol ana Inc ORC:John Allen Martin
GRADE: WW-3
eDMR PERIOD: 04-2019(April 2019)
COMPLIANCE STATUS: Compliant
OR(.; iIAS CHANGE No
VERSION: 40
CONTACT PHONE #: [phone]
PERMIT STATUS: Ac'tiw
COtiNTY: Catawba
ORC (I R I NUMBER 99698.6
SI A'11 S: Processed
'SiON DATE: 05(28/201 r9
5i2 2,°'20
19
(1RU/Certifier Signatur ,r'1ohn Allen Martin EE-Mail:JAMartin(h:aquaamerica.com Phone tt:704-489-9404 Date
is
certify that this
nrt is curate and complete to the best o.fmy 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 tinge 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 II.E.6 of
the NPDES permit,
05.`2812019
PermitteelSDuane Rimrn�er E-�tai�l:ddrimrnerrd aquaamnerica.corn Phone it:704-489-9404 Date
Pennittee Address: NCSR. 1849 Sherrills Ford NC 2867.3 Permit Expiration Date. 03/31/2020
1 certify, Cider penalty of Law, that this document and all attachments were prepared under my direction or supervision in accordance with a syste.rn designed
to assure that qualified personnel properly gather and evaluate the information submitted.l4ased on my inquiry (tithe person or persons who managed the
system, or those persons directly responsible for gathering the intinrmation, the information submitted is, to the best of my knowledge and belie, true,
accurate, and complete. 1' am aware that there are significant pcnnities for submitting false information, including the possibility of tines and impris&minent (br
knowing violations.
CERTIFIED I,ABORA"I"O.RJES
LAB NAME: Water Tech Inc, A ua North Carolina
CERTIFIED LAB #: #50, #5035
PERSON(s) COLLECTING SAMPLES: John Martin
PARAMETER CODES
Parameter Code assistance may be obtained b callrtng the NI Df tinit [phone] or by visiting http,//portal,nceicnr.orgy,='web/wq/stiwp/ps/npd:s/forms.
Use only units of
FOOTNOTES
ent designated in. the reporting trawl NPDES pemlit Tiar reporting data..
* No Flow/Discharge From Site: Check this box if no discharge o
for entire monitoring period.
OR(:.' on Site?: ORC must visit lacand docurncot visitatticnr
• and, as a result. there are no data to be entered For all of the parameters on the DMR
"facility as required per 15A NCAC 8G _0204.
"*"r Signature of Permitte+e: If signed by other than the permiltee. then delegation of the signatory authority must be on file with the state per 1.5A NCAC 2B
.0506(b)(2)(D).

N PD ES PERMIT NC0063355
EACHAITY 44E: Killian Crossroads WWI P
OVER NAME; Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 0 -2019( hrch 2019)
PERMIT VERSION:5 0
CLASS: WW-2
I \
PERMIT STATUS: Active D
- COUNTY: Catawba
,;\.- 0 2. a 1(1 OR( CERT NI.iMRER:
ORC: John AlIon Martin
OR( HAS CHANCED: No cENHLES
VERSION: I .0 MAift SECTION
STATUS; Processed
VED/INCDENRIDWR
jIjI\
0 7 FJ
WQHOS
MOORESVILLE RIGIONAI oFFwr
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
954
114)
r2
IgtotAtv ttottttvg. t
Ittelimidy Average,
70raineyb10
bbraartler
FLOW
d
017
0 0,20
0 021
0 021
02i
0 02
0 024
0 023
0 015
0,022
0 024
0 Old
0 02'4
0 02
0 022
0 021
0 02
0 02
0017
0 0t8
p 914
CIIS
0 03
0 025
0,024
0,020b45
0,03
X wok
• Grab
rattaktibit
ug.d
'74.1
Cam Yasite Composite
15
3.175
1.2 7
trtkabaC
004
Weal
CompaYite
Wed, lv
Grab
0440444
4til0Orral
**** 'No Reporting Reason: ENFRGSE ,No Flow-itcuse/Recycle, EN4,W11 No Visitation Arist7050 Weather; NOFLOW No Flow; flOLIDA No Visitation - Holiday
41/0/ 2 9 h319
C.1334. ly,„3% ya3 ad 0 ylai,1

NPDES PERMIT NO.: NC( )633
1^ACII!tIT I I ; Killian Crossroads WW I'P
OWNER NAME: Aqua Noarh Carolina IC3C
GRADE: WW-I
t/M'.R P'ERIOD'':03-201.91:3v reh 200I
PERMIT 1+E SIJI: S.0
CLASS: WW-2
ORC: John Allen M.
ORC" HAS ('DANCE& No
VERSION: 1.1Q
PI RMII STATUS: Active
COUNTY: Catawba
OR( CERT NI!A1I3ER: 996') 5
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHA'R.GE*: 'NO (Continue)
Na.VZeptx'r'iaig ItzmSun' No Flow-ktuse:Reeydr; ENV "W1`I-LR — R1a 1,'iafdaucrn - Adverse Weather, hd}fLOW h1Ciw; 1rO[ YU;1T"a`\uiisism=

NPDES PERMIT NO.: 'NC01163355
FACIMMTV N1ME: Killian Crowoads ww-rP
OWNER NAME: Aqua 'North '.ar lino Inc
GRADE; WW-3
eDAIR PERIOD:. 03-2019 (P8arch 2019)
Ple:RM[1` VERSION: 50
CLASS WW-2
ORC: John Allen Martin
MC. HAS (BANGED; No
VERSION: 1.0
PERMIT STATUS: Artre
COUNTY: CataN
ORC CTIIT N U VEBER: 996986
S'I'ATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
**** No Reporting Reason: ENFRUSE = No Fkint-ReuswEnnycle; ENVIVIIIE No Visitation - Ativerw Weatttm. NOFLOW -No How. HOLiDAY 1ng tiohdav

NPIWS PERMIT NO,: NCIS
VAC ROTY Killian Crossroads WWTP
OWNER NAME: Aqua North Carohna Inc
GRADE: WW-3
eDMR PERIOD: 03-2019 (March 2OJ9
PERMIT VERSION: Nivr
WW-2
ORC: John A len Martm
OK( HAS CHANGED; No
VERSION: 1,0
PERAITI STATUS: Active
COUNTY: Catawba
OR(' (ERE NU,M1,113E
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
"" No Reporting Reasoni ENERUSE oFlowiRouseiRergegr ENVWTHR - No Visitation- Adverse Weather; NOFLOW - No flow; HOLIDAY - No Visitation riAiday
‘.411,\Y 9 2,019

NIl)ES PERMIT NO.; NCOt
EAOI .ITY ME: ttiiliutr Coo,
OWNER NAME: Aqua. North C
GRADE: WW-3
eDNIR PERIOD: Ct3N2019 i C taerc
ds WWTP
COMPLIANCE STATUS: (
ORC 'Certifier
Io
ant
PERMIT VER;SIO'
CLASS: 'NW-2
ORC: John Men M
ORC DAS CLUNG E : No
VERSION: t.tt
CONTACT PHONE 0: 7044899404
ure: John Allen Mart
i1:JAMarti
PERMIT STA"I'I
COUNTY:
ORC CE RT NUMBER: 9969S6
SUBMISSION DATE: 04/2:3/20I9
antertca,eo...
hat this report is aea..urate and complete to the best (Amy knowledge.
The perrnittee shall report to the Dirccta r
Any infeorrataiion shall be provided orally
04/16/2019
Phone 4:704-489-9404 Date
he appropriate Regional Office any noncompliance that Ixo'tcntirtlly tlnrcatens public health or the environment.
in 24 hours from the time the pernrittee became aware of the circtun;;-tar
provided within 5 days of the time the perrnitfcc becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table fo
the NPI)l S permit..
titter 'Omission shall also he
made as required by part 11.E.6 of
04/23/2019
Subnnitte(. Z gnature:*°'* Duane Runner P-Mail:ddrimmer raquaaonerica
l'ernaittee Address: NCSR 1849 Sherrill' Ford NC'28(73 Permit 1 xpirattiern l):tte:03/3I/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or sr
to assure that qualified personnel properly gather and evaluate the information submitted, Basil on my inquiry
4' 704-489-9404 Dale
a system designed
on 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 passibility of fines and imprisonment
knowing violations.
CERTIFIED F..AIIORA"1`ORI1:S
LA.B N.A.."lF: Water Tech Inc,. Aqua North ('.noting
CERTIFIED LAB it: tf50, #5035
:PER-SON(s) COLLECTING S A_M1IPLES: John Martin
PARAMF./1 LR t�O1)I
Parameter Code assistance may trlstained by calling the'NPDLS Unit [phone] or by visiting hap://portal,roc:derv,orglweb'wq/swpcps/npdestfortus.
1' (H.)'1 'N O`1µI°:S
Use only units oofrneasurement designated in the repcirting, facility°`s NP1)F S permit foling data
* No Flow/Discharge From Site: Check this box ifn no discharge occurs. and, as a result, there are no data to be entered for all of the parameters on the DMR
for c tttire monitoring period,
** ORC on Site?: ORC must visit facility and document visitation of facility as required per I SA NCAC 86 ,0204.
*** Signature ofPermittce, lfsigned by other th=rn the perrnitts:^e, then delegation of the signatory authority roust he on file with the :state pa r l S, NC C 2l
05C)ta(b)(2)(D),

NPDES PERMIT NO.: NC0063355
FACIE ITV NAME: Killian Crossroads WWTP
OWNER NAME: Aqua North Carolina Inc
GRADE: WAV-3
eDMR PERIOD: 02-20 9 (February 2019)
PERMIT VERSION:
CLASS: WW-2
ORC: John Allen Martin
OR( HAS CHANGED: g:EN
775WIR SECTION
vERsioN: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
OR( CERT NumnEtt, 996984
STAVES: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAUGM,NO REcioNAL oFFR
• *** No Reporting RenNow ENFRUSE Flow-RctuserRecycle; ENV U- No Vosingion -- Adverse Weather: NOT -IOW NoFloic I i01.IDAY - !No Visitation - loliday

NPRES PERMIT NO.: N('IY[Y(s
FACILITY NAME: Ki
OWNER NAME: Aqua Nor
GRADE: WW-3
el/MR PERIOD; 02-2019 (Fehno
PERMIT VERSION: 5.0
CLASS. W W-2
ORC: John Allen Martin
OR(:` 1EAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Aedi
COUN I`Y: Catawba.
ORC cER"I' NUMBER: 9g6I
STATUS; Processed
SAMPLING LOCAT N: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
Y°'a• No ReporOng Reason. 1=NIaRI S x. N"itecv :10 FaN tt FIIR = No Visitation Adverse \ eat'tocr N('1Fl.CJW =

N1'0E:S. PERMIT 'NO.: NC006.3355
FACILITY NAME: Killian Crossroads WA 1 P
OWNER NAME: Aqua North Cur()Ima
GRADE: WW-3
eDMR PERIOD: 02-2019 (Febrttry 2019)
3
to
ZI
24
, Z7
1.4*1 clock
PERMFY VERSION: 5,0
CLASS: WW-2
ORC: Iotio Allen Martin
OR( UAS CII.A.NGED: No
VERSION: IS)
PERNtrr sTATus: Active
COUNTVs Catawba
ORC CERT NUMBER: 9698
S'TATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
1
nitoly hvtrwor 1,k.10;
Wit111 CliaLt1
'1,1/Wk I le' ViWekly
Grab , 01,6
TER41,4' 111,0
Niumniay .Aw"-ngt.r v
I Z
L'ImOy Maximum,.
NO! MIDOM.1411,
4
"'** NU Rettoriing RZ15041: ENFRIJSE - No Elow-Reuse/Recycle, ENVWFILli,- No Visitation - Advesse Weather NOFLOW - No How, HOLIDAY - No Visitation - Holiday

NPDES PERMIT NO.: NC001533;55
cuAry NAME: Kil ssrua& WWTP
OWNER NAME; Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 02-2019 (February 2019)
1r
lr
44
44
81«
44
IN
19
11
44
PERNITI VERSION: 5 0
CLASS:. -2
ORC: John Allen Martin
OR( HAS CHANGED; No
V FRS ION: 1 0
PERMIT STATUS: Active
COI INI Y: Catawba
OR( CERT NUMBER: 9969S6
STATUS: Processed.
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
DC!
10 6
44
8
/0 6
**** No Reporting Reawn: I NlF$( SI So Flow-ReueRecycld; ENVWTHR - No Visitation - Adverse Weather; NOFLOW No Flow: HOLIDAY -No Visitation - Holiday

•NPDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Killian Crossroads WWTP CLASS: WW 2 COUNTY: Catawba
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin ORC CERT NUMBER: 996986
GRADE: WW-3 ORC HAS CHANGED: No
cDMR PERIOD: 02-2019 (February 2019) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 03/25/2019
03/15/2019
ORC/Certifier Sig ture: John Allen Martin E-MaiI:[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.
03/25/2019
Permittee/Submitter Signature:*** Duane Rimmer E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: NCSR 1849 Sherrills Ford NC 28673 Permit Expiration Date: 03/31/2020
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: Water Tech Inc, Aqua North Carolina
CERTIFIED LAB #: 450, #5035
PERSON(s) COLLECTING SAMPLES: John Martin
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 1SA 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).

r NPDES PERMIT NO,: NO 63355
FACILITY NAME: Killian Crossroads WWI P
OWN Fit NA MEt Atitt North Carol Fla Inc
GRADE': WW-3
eDNI it PURIM: 01-21 19 Oanuaty 20
2400 c4.4,
PERMEI V'ERSION: 5,0
(1„,,A SS: WW-2
OR( : John ?Alen Maim
ORC IRS CHANGED; No
VERSION: 1,0
PkRkitri sTm: 1 Atli ve
COEN I Y: Catawba
A:PR 01 Z01(,k.) ORC (ART NUMBER: 9960Sn
ST kill S0 Procesect
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: l's10
UN clack
:777
't2:8
R2:12
710
Mogikb ,1/401004gr Liv010
M.ottty ,0,0004x2.
Dozy ddRdrecalo
May Mi00.0n0,
Corandoods
Recorder
'MOW
777*1
00it5
0 025
0,031
0 020
0 02
0 022
2025
UZ4
0 U21
,0020p0521t.
Ntf10,4
magi
Oddly
tildb
WOW KR
1100412,0
8 0.9CY.)09
:Redd 2 Week Wti.tkly
:Sodt2: ColcdcdrOd
pH 77 114.0407E 717717-77
mdd
17
2,222222
N0 Reporting Reati,m. ENFRU,SE: Nallow-RcaEse/R,...cycle ENVwTHR. Aderfie. Weather NOFLOW No How: ROL DAY 0 No VDsitatiop 2 Holiday
41,00ek
'7777

F:RMLI NO. NCl:xr.:i
FACILITY NAME: : Killian
OWNER NAME: Aqua Nor't
GRADE: W'VV-3
eDMR PERIOD: f)C=20I t.
PERMIT VERSION: 5.0
CLASS: WW-2
C3RC`: l &�n , lk Maim
OR(° HAS CHANGE No
VERSION: 1'2
PERMITS STATUS: S. Acne°
(Fswr M AUER: '49t?986
SAMPLING L. CATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Cont
34240
Compkvair
Mwetitti.wm t AMU,l
DAW Minimum 1234
**** No Row. arau Reason: i' "RI FJE F"0ow<-ReuseiRccycle: ENV 14=`P"hiR ivaa isitahon ,Ndte:r. , Weight

D
PERMIT VERSION: 5.0
FACILITY NAME: 1{tltsan Crttssr034s u"wlTP CLASS:. WV
OV NE.R NAME; Aqua North 014C: John A.tl ar s(aastrar
GRADE: W V -:3
d)MR PERIOD: 01-2019 ()an
,*,. r.Fb.1 cp
N(:006335y
SAMP.
ORC I1AS (.`I1AN(.I 1) N�a
VERSION: 1,0
PE:K lF1 STATUS: ActIve
COUNTY: : Catawba
ORC CE.R"1' NUMBER: 996986
C'E,1,'1'1 ti: Processed
'ATR(:)N: FC.7 TAM )))SCHARGE NO.: 001
IW,NI It( SE, 'How-Reuse/Recycle:, ENV vh`°IIIR No Visitation -

NPOES PERMIT NO,: N0)0633,55
FACILITY NAME: Killian Crossroads W'N'TI'
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-„1
el)M R PERIOD: 01-2019 (January 20191
7.04141444,
24
17
13
44
45
17
28
45
214
21
12
21
45
31
PERMIT VERSION: 5.
CLASS: WW-2
OK( : John Allen Marlin
OR( EIAS CITANG Dz. No
VERSION: 1.0
PERMIT STATUS: Acuve
COW.VEY: Catawba
OR( CERT NI181 HEW: 996986
STArl'US: Processed
SAMPLING LOCATION: DOWNSTREAMDISCHARGE NO.: 001
**** No:Repelling Reason. ENFRUSh No Flow-RealseiReeyele 1NV WTUR No Visital.tho Advorso Weather: NOFLOW , No Flow; VFOLIDAY = No Vithation - Holiday

:RM1`f NO: N(O063355
I'AC'11,ECti' NAME: Killian Crossroads WWII'
'
OWNER NAME: Aqua. North t°xa'tadotaa lra;
(:RARE: WW-3
ct)MR PERIOD: 01-2019(Jaeuttar {)l Jf
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 5.0
CLASS: WV-2
OR('.
O'RC OAS CRANGE,
VERSION: I.0
CON°1`Acr i OONE i?,: 704<Iti001 )4
4314,k-
PER:Miff S7"eiTE.?S: Active
t"O1=,ti El': Catawba
OR(:" C'ERT NUMBER: 9969
STA-TUS:
SUBMISSION DATE: 02/22/20I 9
Signature: John Allen Martin la.---Mail:JAMarti
u
uaantemea.conr Phone 4:704-489-9404
nd complete to the hest of my knowledge.
The pennit➢cx.shall report to the I)iret ar tar the apla �pailtta R
Any information shall be provided orally within 24 hour
proviciud, a `itlaira 5 days of the time the permute, becounes awa
It'thw facility is
the NPDES per.
compliant, please attach a list of"a.:orreetivve .tenons being
tancc s,
1:-Mail.ddrimm
l .rrnittee Address: NCSR 1849 `aherralls L°ordNC 28673 Per it 1 xpiraatiort Dote° t)3
1 eertlt under penalty of law > lttat this doctantettt and all a
t0 assure that qualified personmi properly gather tarsal cvaala
ay states, 0r Ihose persons directly responsible for gattreraaag
accurate... and complete. I 11111 aware that there are signilleant pena
kraovvina violations.
I Al3 NAME: Water "Icell Inc, Aqua North Carcrtina.
C'I.R'EIE°IL{.l)LAB it ,50,# 03.5
PERSON(s) (:°')I. ,E.C:`tINCI SAMPLES.: S; John h^tatter
L x: only teatits cif tneasuretnc,nt desif;taatte.d in the re
* No 1s'lowfDischaargc From
fear ctrtit travnitoring period.
** (:)RC onSite?: ORC must cams
,rnt tttee: 1
achinents were prepared
tc the information subtni
the Milaniattem st
subrnnting false irt,t
de
;PARAMETER. CODES
9lf
02' 19' 2
atenli,ally tlarcatctts public health or the envi
.arc of the i iretartastancc , A written suboaissictra sl
table for improvements 10 he naaule as re
4'04-489-9.404
0
ry direction or tiuPry
ed on arty inquiry of it lae rsora er persons who managed t.he
l rttitted is, to the hest ol'nay knowledge and belle( true,
arttaati<?tr, itteluding the tssibtlity of Imes and imprisonment for
Date
also he
1.)ate
: rdancc with .a system designed
poe : tr ims.
alrty>"s NPD1:S permit for reporting data,
fe creaser, and, as a result, there are no data to ix: entt rt,d for all of the parameters on the
he: on file avith the stale per 15,A NCAC. 2B

SPOES PERMIT NOt W000355
PE,RMET VERSION. 5 0 PERMIT STATUS: Active
E
J, „ ACILrTy NAME: Killian Crossroads WWTP CLASS: WW-2 - : ,i COUNTY: CaLiw.153
OWNER NAME: Aqua N Inc OR(: John Allen Martin k i 5 , 55 A 151 55 I Q ()RC CERT NUMBER: 996986
. ..
CR,ADE: WW-.3 OK( RAS CHANGED:, No
el)MR PERIOD: 12,2018 (December 2018)
VERSION; I 0 Si ATUS: Rrocosot
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
tonth15, Avervile
.4.14594115114 45.5154105
EX* M3111iltrn;
n
0,02-7.
0.025
0.023
02,4
0 024
0048
0 0.48
10
065
2.33,1334
Wex)kly
Ccenpokfte
(11143141
W
41.6$15
Grab
F4'041 14J7
451.0thal
""e No Reporting Reason; ENFRUSE No Flow-ReuseRmycle, 1 NVVVII-112 No Adver. WeArliex: NOFLOW No Flow. HOLIDAY Na Visitation -- Holiday
Weekly
&rah

NP.DES PERMIT NO,: NC0063355
FACILITY NAME: Killian Crossroads 'WWIP
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 12-2018 (December 2018)
PERMIT VERSION: 5..0
CLASS: WW-2
ORC: John Mien Martin.
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATI/S: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue
Compoitte gantp:
7400 l4
5 24
perator Tin. On Ske
. rr:
0
e105 ia"
2.5
29 . 3
. 05
3
53
11
1.103113
Con
TOTAL N - CORt
11
32
04
• 325 25
1435 2
13 ,13 24 914
14
15
131
17
111
31
27
84
24 855
040 2
715
216, 1935
715
24 715
15 13
53
27
z•3
31
13 5 2 Y
1300
1833'2.5
'N
53
„
Monthly
171137 Maximum
07 DiANI41.1,
**** No Reporting Reason: ENFRU-SE =No 'low-Reuse/Recycle; ENVW"II-IR No VisitaIlon Adverse Wexher, NOFLOW No Flow; HOLIDAY = No Visindion - Holiday

NIpb PERMIT NO.: �,� a
r(!! tNAME: Killian Crossroads WII'
OWNER NAME Aqua m6 Carolina Inc
CRADE:W l
eDMR PERIOD: , ma(fk m y1%
iR IT'FRSIO 9
CLASS: &W:
ORC: n«U ,
OR( HAS ,:EU: N
VERSION': G
PERMIT Ap » Active
t lcic E'T\ Catawba
ORC CERTNUMBER.:
Si y Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
®®W Reporting Reason: GE 3E=w mw m«Recm<

NPDES PERMIT NO.: NCtX)6.3355
FACILITYNAME: Killian Cro&sroads WAVTP
OWNER NAME: Aqua North Carolma Inc
GRADE: WW-3
eDMR PERIOD: 12-2018 (December 20 8)
PERMIT VERSION: 5.0
WW2
OR( : John Allen M.a.rtin
OR( HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: ActIve
COUNTY: Catawba
OR( CERT NCMBER: 996986
STATt TS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
**** No Reporting Reasorr ENFRUSE No r low-ReuseiRecycle: ENV WTHR NoVISi136011 - Ad verse Weal her; NOEL - No How, HOU DV Visiumion - Holiday

NPDES PERMIT NtE: NC0063355 PERMIT VERSION: 5,4) PERMIT STATtiSz Active
EACITSIN NAME: Killian CrossroadsWV,(FP CLASS: W\k 2 COUNTY: Catawba
OWNER NAME: Aqua North Carolina Inc ORE!: Jahn Allen Martin ORC CERT NUMBER: 996986
GRADE: WW-3 ORC IIAS CHANGED: No
cl)MR PERIOD: 12-2018 (December 2018) VERSION: 1,0 STATUS: Processed
COMPLIANCE STATUS: Co_ CONTACT PHONE 4: '7044899404 SUBMISSION DATE: 01/2312019
01/16/2019
ORC/Certifier Sna1uFe. John Allen Marlin E-Mail:JAMartin@aquaameriea,com Phone #:[phone] Date
By this signatu
ce
at this
.rt is accurate and complete to the 'hest ofiny knowledge.
Ihe permidee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the emironment,
Any intbrmation shall be provided orally within 24 hours from. the time the perm inee became aware of the circumstances, A written submission shall also he
provided within 5 days of the time the penninee becomes aware of the circumstances,
the 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,
01 /23/201 9
Permittec/Subrni .c ignattire:"* Duane Rimmer lMai1ddrirnnier aquaarnericacom Phone [phone] Date
Pertnittee Address: NCSR 1849 Shenills Ford NC 28673 Permit Expiration Date: 03131/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with as 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
SYSteln, or those persons directly responsible for gathering the intbrrnation, the information submitted is. to the best of:my knos Uge and belief, true,
accurate, and complete, 1 am aware that there arc significant penalties for submitting false information, including the possibility of fines and imprisonment tbr
knowing. violations.
LAB NAME: Water Tech Inc, Aqua North Carolina
C1ERTIEI ED LAB14; 450,45035
PERSON(s) COLLECTING SAMPLES: John
Parameter .Code
CER'1711:1E1)1 A110RATOREES
PA RAM1 FER CODES
s.staitee mas be ohtarned by calling the 'NPDES Unit [phone] or by visiting hitp:portaLnedearviritiweblwq/swp/ps/Mxiesiforms.
FOOTNOTES
Urse only units of ineasurement designated in the reporting facility's NPDES perrinl for reporting
lava
* 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 OMR
for entire monitoring 'period.,
ORC ,on Site?: ORC must visit 'facility and document visitation of facility as required per I 5A NCAC 8G ,0204,
*** Signature of Permittee lisigned by other than the pennittee, then delegation of the signatory authority must be on tile with the Mate per 15A NCA( 2B
_0506("b)(2)(D).

NPDES PERMIT NO.: NC(X)63355
FACILITY N Y1I: IjIIDrn Crossroads WWIT
OW NT.,R NAME: Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 1:L52018 (November 2r:'
PERMIT STATUS: Active
COINV: Catawba
OR( CERT NUMBER: 99086
JAN '2 ZU19
STATUS: Processed
I
SAMPLING LOCATION: EFFLUENT IHSCI-IARGE NO.: 001 NO DISC1T.
valor
10 ,
.2 25
2. 5
PERMII VERSION': 5,0
CLASS: WW-2
ORC: John Alle
OR( I IIAS CRA:NGED: No
VERSION: 1,0
thty tprapt Lao
colatmums
itetvidef
fl
ictw
0.024
1.1 0 3 R
111 0112
0 02S
0.028
ooz,6
0.022
OM 24
02n67
0.038
5 X wilt*We
emk ly
-
Compaqie
11,11111i,N i1.14me
3%16
Wink ly
r 01,1 RR
f1i 1 t/Otn1
2 X wwk
Oft&
CHLORINE
< 17
***1 No Reporting Reagon: ENFRAJSE No Flow.Reuxu'Rmycle: ENVWTHR. No Visitation - Advorse Weather 501LOW No Flow HOLIDAY No 'Visitation Holiday
Wixk
Gr1th

NPDES PERMIT NO: N0)063355
FACIISIN NAME; Killian Crossroads WWI?
OWNER NAMEt Aqua North Carolinalne
CRADE: WW-3
eDNITI PERIOD,: I I-2018 (Ntwentl r 201,,
PERMIT VERSION: ,5_0
CLASS: WW-2
ORC: John Allen Martin
OR( I1AS CHANCED: No
VERSION: I 0
PERMIT STATI1S: Active
COUNTY.: Catawba
oRc. cricr Nit M 13 ER,:..9Q69.86
STATIN: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: ON NO DISCHARGE*: NO (Continue')
Quarterly
CoutputUte
VITAL - Cam
**** No Reporting Reation: ENFRUSE No Flow-ReusetRo:yele 1 NNW 1H r, No Visitation Ad'verse Weather; NOFLOW No 1low, HOLIDAY No Visitation -1 loliday

NMI'S PERMIT NO:: NC006335,5 PERMIT VERSION: 5,0
FACILITY N.A.ME; Riliian (r)sroadsVV
OWNER NAME: A:qua North CITAit121:111C
GRA.DE; WW-.3
el/MR PERIOD: 1.1-2018 (Noveralw :20
is
:144.110 dock
21
El
13
12
CLASS: WW-2
OR(: John Allem klarton
ORC OAS CRANC ED: No.
VERSION: 1.0
PERMIT STATUS: Actve
COUNTY: Catoovh.a
ORC (ERUMBER: Y46986
STATUS: Pr ocessW
SAMPLINC LOCATION: UPSTREAM DISCHARGE NO.: 001
Pi
241
2E
2.)
its
34
27
**** No R.eporting Reawat ENFRYJST NO Fiow-ReasciRecycle; 1NV WTHR. No Visitation Adverse. Weather: NOFLOW - No Now; 1{01., I D.AY No Visitation - Holiday

NPDFS PERMIT NO.: ?ti[:00633:35
FACILITY NAME: k.ilViuro (gem srr I Ju`�
OWNER NAME Aiwa North ('irofon Jo:e
GRADE: VW-3
elAIR PERIOD: I I:2 I fi iNo
8
SY
13
14.
ew
IA
IT
rat
4
... P No Rem ri ( Rea
PER'w1I"I" VERSION: 5,0
CLANS: WW-2
n Allen
I1.AS CHANGED: No
VERSION: 3.9J
PERMIT STATUS: Active
COUNTY: Catasv
ORC ("FRT aN996986,
S"FAT1i5: Processed
SAMP N( E(➢ `A'TION; (OWNSTREAM nIS ;NARGE NO.: 001
-icdid�y

N PO ES PE.RMIIIE NO,: NC0063355
L Act tiTv NA.M E: Killian Cros.sroads WW1P
OWNER NAME: Aqua North Carolina Inc
GRADE: WW.3.
eDMR 'PERIOD: I 1-2018 (November 2018)
COM.PLIANCE STATUS: Comphant
PERMIT VERSION: 5,0
CLASS: WW-2
OR(: John Allen Martin
ORC HAS COANGED:No
VERSION: .0
CON'FAIT'l ['DONE #: 7044899404
PERMIT STATUS: Active
COUNTY: Catawba
OKC CI RT NCNB:Wit '.i/46986
SIATUS: Processed
SUBMISSION DATE: 1 2,11lP2018
I2 1
ORCICertifie/ e: John Allen Martin E-MaiEJA,Martinti'llaquaamerica.com Phone .g:7 04-4 8 9-94 04
Hy 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 tippropriate Regional Office any noncompliance that potentially threatens public health or the environment,
Any inhirmation shall be provided. orally within 24 hours from the time the permittee became aware of the circumstances_ A W-ritten submission shall also be
-provided within 5 days of the time the perm Mee becomes aware of the circumstimces,
lithe facility is noncompliant, please attach a list of corrective 'actions being taken and a time -table far improvements to be .made as required by part 11.1 6 at
the NPDES permit,
12/19/2018
Permitice/Submitter --gnature:*** Duane Rimmer E-Mail:ddrimmerAaquaamerica_com Phone '4:704-489-9404 Date
Permittee Address: -NCSR 1849 Sherrills lord NC 28673 Permit Expiration Date: 03/3 1/2020
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, Rased on troy inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering:the inibrmation„ the inform.ation 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 lines and imprisonment kir
'knowing violations_
LAU NAME: Water Tech Inc, Aqua North Carolina
CERTIFIED LAB #: #50, #503,5
PERSON(s) COLLECTING SAMPLES: John Martin
CERTIFIE .ES
PARAMETER
.Parameter Code assistance may he obtained by calling the NPDES Unit [phone] or by visiting http://portalaiedenr,orgiweb/wq/swp/ps/mxkis/forms.
.FOO'FNOIES
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 kir all of the parameters on the :FAIR
for entire. monitoring period.
OR.0 on Site: ORt must visit facility and document visitation of facility as required per 1 5A NCAC 8(i 0204,
*** Signature of Permit:tee: If signed by other than the permittee. then delegation of the signatory authority must be on tile with dre state per 1 5A NCAC 213
..0.506(b)(2)(D),

N PhES PERM• IT NO.: NC0063355
FACILITY NAME: Killian Crossroads
OWNER NANIE: Aqua North Cron4 rte.
CRAIW: WW-3
trIAIR PERIOD: ()9 2OL, (Se ember 20
PERMIT VERSION: 5 0 2
C LA SS: W W-2
PERMIT sTATus: Aclivc
COUNTY: Catawba
OR( : John Allen Martio f 1 okc cERT NUMBER: 996986
RECENE ?N,' CDE N RIDWR
ORC !IAN CHANGED; 1._11:3EALt L
E Rti ON: I SECTION STA'TIUS: Prosed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO A L t„, ncc
213
850
4
tr
44)
4
4
44
44
44
44
44
44
Woor0012 Wwwwo LOarrirr
Mood* Arnow
04434 MWWWWW,
„ .
May WWWWW,
3230 333 5'
423244444., Grab
ASV TEM4242
4444
fr, OZ4
(2 0 5
• 0,211W
4 44.44
0.027
0 3
44 4441
0023
102
14
),r'rt 4
r) 022
0 021
022
0 022
0 07
0 Or
0 012
0 025
0,02:3
0 322
0 022
O 02,
OZZ
o r,wrr
0,02
'25 322105
720
24
VOrrak1c
3,03
2 X 444444
thnh
CHLORM
rqpi
'2
444441'
.1:23313334
133 Cow,
44
44(444
4.40
tirr
---4
7 g,
7 7
**.. No Reporting Reason: ENFRUSE 0 NO Flow-Rt-urreliecycle.; ENV 44ATM •3 No 440sit1t100 Ariverwe 454l4(4114413 4( 44 OW 2 No NOW, HOL DA Y 2. No 44ir,•101.000 144414444

NP!)ES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 09-2018 (September 2018) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
A
F
E
"
1J
(=
o
9
d
A
2
F
'�
<
5
o
m
e
0
gy
F
o
— _
o
V
o
-
`s
t
5.
Z
C0665
00556
33260
31616
Quarterly
2X month
Monthly
Composite
Gmb
Composite
Grab
T(TrALP• Coat
0I4GRSE
MOAS
FOOL! BR
2100 dock
11.
2490 dock
Tin
VIal1Y
mete
mg/1
tnp,11
6/100m1
1
N
2
N
3
N
4
1310
3
B
5
250
1
B
6
935
24
725
2
B
<5.6
<0.1
<1
7
725
2
B
0
N
9
N
10
1620
1
B
i1
1420
2
B
12
935
24
735
2
3
<1
13
1430
2
B
11
1310
3
B
15
N
16
N
17
1335
3
B
10
1330
3
B
19
1530
1.5
a
20
935
24
1510
1
B
<5.6
<1
21
730
2
B
22
N
23
N
24
1415
2
B
25
935
24
730
2
B
<1
26
735
2
B
37
1223
2
Y
$
1303
3
Y
29
N
3a
N
MaailalyMtrap Unit:
30
MwmlyMarne:
0
0
1
Daily slasb0an.
0
0
0
Daily Minim=
0
0
0
""'NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=NoVisitation — Adverse Weather, NOFLOW=NoFlow; HOLIDAY- No Visitation — Holiday

NPOES PERMTF NO.: NC006.3355
FActuTY NAME: Killian Crossroads wwrP
OWNER NAME: Aqua North. Carolina I
CRADE: WW-3
eDMR PERIOD: 09-2018 (September 20[8)
PERMIT VERSION: 5.0
WW2.
OR( : John Allen. Martin
OR(' IIAS CHANCEM No
VERSION: 1,0
PERMIT Si &1 S Acte
COUNT: Catawba
OR( ("ERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
44" No Reporting Rmort liNFRUSE No Plow-Reoselk.ecycle; ENVWTHR - No Visiuttion - Adverse Weaihm; NOFLOW r No Flow HOLIDAY - No Visitation - Holiday

NPbES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 09-2018 (September 2018) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
F
.8
x
1
6
9
a
m
i
71
e
Z.
00010
00300
Weekly
Weekly
Crab
Grab
TEMP.0
DO
2400 deck.
deg c
tngfl
3
4
5
6
25
7.8
7
8
9
10
11
12
25
7.8
13
la
15
16
17
18
19
2a
26
7.8
21
21
23
24
25
26
7.7
26
27
28
29
30
Meethry Arrrage limit
MonthlyArerege
25.5
7.775
D•SlyMulmmm:
26
7.8
miyMialmom:
25
7.7
0'No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation —Adverse Weather, NOFLOW No Flow; HOLIDAY— No Visitation —Holiday

r .
NPDES PERMIT NO.: NC0063355
FACILITY NAME: Killian Crossroads WWTP
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 09-2018 (September 2018)
COMPLIANCE STATUS: Compliant
ORC/Certifier Signature
PERMIT VERSION: 5.0
CLASS: WW-2
ORC: John Allen Martin
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SUBMISSION DATE: 10/24/2018
10/19/2018
John Allen Martin E-Mail:[e-mail] aquaamerica.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.
10/24/2018
Permittee/Submitter Signature:*** Duane Rimmer E-Mail:[e-mail] Phone #:[phone] Date
Pennittee Address: NCSR 1849 Sherrills Ford NC 28673 Permit Expiration Date: 03/31/2020
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 Inc, Aqua North Carolina
CERTIFIED LAB #: #50, #5035
PERSON(s) COLLECTING SAMPLES: John Martin
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting httpf/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.: NC0063355
FACILITY NAME: Killian Crossroads WWTP
OWNER NAME: Aqua North Carolina IOC
GRADE: WW-:3
eDMR .PERIOD: 08-2018 (August 2018)
PERMIT VERSION: 3 0
CLASS: W
ORC: John AIten Martin
ORC HAS CHANCED: No
VERSION: 1.0
PERMIT STATUS: Active
RE C E VED COUNTY: Catawba
ORC CERT NUMBER: 996986
ENTI-(AL FILES STATUS: Processed
DWR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:
24440 Agit
30
! 720
935 73,5
tidy Averse
Mosatab A vrrette:
D*Hy!4.1arraum
C:oniiinvotis
nem-deli
rtiOw
md
003
0.023
0 021
0025
0018
0,022
11622
002
0 023
0023
0.0i8
035
(77
0,018
0,021
0,02
0,022
0(1'22452
26
26
26
25.025
2 X wirk
313301
N1415 row
rkt
3,- 0,2
, 02
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****No Reporting RCIISOIX ENERkISE iii No Etow-kciusielRiicynin-;, ENVVaHR.- No Visitation - Ailidirse Wrather, NOELOW No Flow; [RAMA Y." = No Visitation - Holiday
CiAllp(*ne
TOTM „

NPDES PERMIT NO: NC0063355 PERMIT VERSION: 5,0
FACILITY NAME: KilltanCrossroadsWWTP CLASS: WW-2
OWNER NAME: Aqua North Carolina Inc ORC John Allen Martin
GRADE: WW-3 ORC HAS ('HANGED; No
eDMR PERIOD: 0: -2018 (August 20 8, VERSION: 1.0
PERMFF STATUS; Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
"" No Reporting ReaSCV ENER USE — No Flow-RCUSettettyetet ,ENVWT1IR No Visitatioh - Advente Weather NOFLOW= No How, HOLMAN' No Vkilatioa Holiday

NPDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 08-2018 (August 2018) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER 996986
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
'
>;
F
1
i
C
8.
j
00010
00300
WeeHy
Weddy
Grab
Grub
TE11P.0
DO
2460 dock
deg c
mgll
l
2
25
7.8
3
4
5
6
7
5
9
25
7.8
10
11
12
13
14
15
16
25
7.9
17
18
19
20
21
22
23
25
7.9
24
u
26
27
23
29
30
25
7.9
31
Moofi17Awnce .lmii:
Monthly Average:
25
7.86
Daly e1..1m.11:
25
7.9
D.07511.12503=
25
7.8
""NoReporting Reason: ENFRUSEdNoFlow-Reuse/Recycle; ENVVTrHR No Visintion —Adverse Weather NOFLOW = No Flow; HOLIDAY =No Visitation — Holiday

NPDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 08-2018 (August 2018) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
:
a
e
P
§
.
1
9
A
I
d�
4
00010
00300
Weekly
Weekly
Grab
Grab
TE31P-C
T
DO
2400 dock
deg c
mg/1
t
2
25
7.8
3
4
5
6
7
s
9
27
7.7
Ito
11
12
13
14
15
16
28
75
17
18
19
20
21
22
23
27
7.9
24
25
26
27
28
I9
30
25
7.9
31
M0911113 Armee limit
Mwth1y Avenge
26.4
7.76
Daily Madan=
28
79
DlIy Wmb m
25
7.5
•9'9NoReporting Reason: ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation — Adverse Weather; NOFLOW No Flow HOLIDAY alloVisitation —Holiday

NPDES PERMIT NO.: NC9063355
FACILITY NAME: Killian. Crossroads WW1])
OWNER NAME: Aqua North Carolina In
GRADE: WW-3
eDMR PERIOD: 08-2018 (August 2018)
COMPLIANCE STATUS:. Comphant
PERMIT VERSION: 5.0 PERMIT STATUS: Active
CLASS: WW-2 COUNTY: Catawba
ORC: John Allen Martin. ORC CERT NUMBER: 99.6986
ORC HAS CHANGED: No
VERSION: 10 STATUS: Processed
CONTACT PHONE. #: [phone] SUBMISSION DATE: 09/24/2018
09/2 112 01S
ORC/Certifier Signature: hn Allen .Martin 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,
tithe 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 I1L6 of
the NPDES pemnt,
„,. 09/24,20 I 8
Permittee/Submitter Signature.*** Duane Rimrner [e-mail] Phone #:[phone] Date
Pecolittee Address: NCSR 1849 Sherrills Ford NC 2867.3 !emit Expiration Date: 03/3 / /2020
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 tines and imprisonment for
knowing violations.
LAB NAME: Water Tech Inc, Aqua North Carolina
CERTIFIED 1,AB #: #50, #5035
PERSON(s) COLLECTING SAMPLES: John Martin
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http.11portal.nedenr.orewebfwq/swpipstnpdes/fomis,
FOOTNOTES
Use only units of measurement designattx1 in the :reporting -facility's NPDES permit for reporting data..
* No Flow/Discharge From Site: (heck 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 documentvisitation of facility as required per ISA NCAC 8G .0204.
*4" Signature of Penintlee. If signed 'by other than the permittee, then delegation of the signatory authority must he on file with the state per [ 5.A NCAC 2B
.0506(b)(2)(D).

NPHES F`E MIT NO.: NC0063355 PERMIT VERSION: 5.0
FACILITY NAME: Killian Crossroads arG'"4V'TP CLASS: WW-2
OWNER NAME: Aqua North Carnlina Inc
GRADE: W W°-3
el)MR P:FRIOD: 072018 (July 2018)
ORC: John Allen M
ORC HAS CHAN(;F.D: No
VERSION: 1.0
PERMIT STATUS: Active.
COUNTY: Catawba
ORC CERT NUMBER: 996980
STATUS: Pr :;cssed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 091 NO DISCHA
*" No Reporting Reason I -RUSE Nit F"Icy v-RivaselReoycle; 1 N\ WTHR` No V'tsittnnn -,Adverse W°ealhcc; NOFLOW No Flow; HOLIDAY = No V iNitadon - Holiday

NPDES .PER.MIT NO.: NC0063355
FACILITY NAME: Killian Crossroads WWIT
OWNER NAME: Aoallom. .iarolista Inc
GRADE: 4W-3
eDM R .PERIOD: 07-2018 y 20181
P Rro r VERSION: 5.0
CLASS: WW-2
ORC: John Alien Martin
ORC HAS (RANGED: o
VERSION:1.0
PERMIT STATUS: Active
COUNTY: Cataba
ORC ('EFT NUMBER: 9969S6
S-FA TUS: Processed
SA PLINC LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
Z4 Sack
721
730
225
125 I
N14441sp 44444444
1444x hp..
C44miP4Prte
MAAS
pie
0,102
3t4t4
441414
It/190114
"*. No Reporting Reason: EN:TRU:SE — No 112low-Reuseliecycle; ENV WTI 5, No VisOlgion • Adversc We:atherz NOFLOW No Flow: HOLIDAY 5= No Visimion I foliday

NPDES PERMIT NO.: N00063355 PERMIT VERSION; 5.0
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2
OWNER: NAME: Aqua North Carolina Inc ORC: John Allen Martin
GRADE: WW-3 ORC HAS CHANGED: No
cDMR PERIOD: 07-2.018 (July 2018) I"ERStO : 1,0
PERMIT STATUS: A
COUNTY: Catawba
ORC C:ERT NUMBER: 996986
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
r: LN1 R . SF No F krw-Rc'aiseReeyelr, EN
an Visitation - Adverse Weather NOFLC

NPDES PERMIT NO.: NC0063,355 PFRMITVERSO:O mom STATUS: Active
FACILIIIY NAME: Killian Crossroads WWTP CLASS; WW-1 COUNTY: Catawba
OWNER NAME: AT/ North Carolina Inc ORC: John .Allen Martin ORC CERT NUMBER: 996986
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 07-.2098 (July 2098) VERSION:
STATUS: Processed
SAMPLINC, LOCATION: UPSTREAM DISCHARGE NO.: 001
""" No Reporting Reason: ENFRUSE No Plow-ReuseiReeycle: ENVWTHR No Visitation Adverse Weather; NDFLOW No Flow; HOLIDAY — N Visitation Holiday

NPDES. PERMIT NO.: NC0063355 PERMIT VERSION: 5,0 PERMIT STATUS: Active
FACILITY NAME: Killian Crossroads WWT.P CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Aqua North Carolina] ORC: John Allen Margin ORC CER'r NUMBER: 996986
GRADE: WW-3 ORC HAS CHANGED: No
eDM.R PERIOD: 07-2018 (;July 2018) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE:08/2.1/2018.
ORC/Cer
G t toe
08/2012018
ature: John Allen Martin E-Mail:JAMartin@aquaamerica,corn Phone #:[phone] Date
By this signature, 1 certify that this report is accurate and co
�p
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 fhEf.6 of
the NPDES permit.
08/21/2018
Per mittee/Su biEritter Signature:*** Duane Rimmer E-Mail:[e-mail] Phone #:[phone] Date
Pennittee Address: NCSR 1849 Sherrills Ford NC 28673 Permit Expiration Date: 03/31/2020
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 infom at'ion, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. 1am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations,
LAB NAME: Water Tech lnc, Aqua North Carolina
CERTIFIED LAB #: #50, #5035
PEI SON(s) COLLECTING SAMPLES: John Martin
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-630() or by visiting, hitp://portaLncdenr.org/web/wq/swp/psinpdes/fo
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 facilityred per 15A NCAC 8G .0204,
*** Signature of Perm'ittee- if signed by other than the permittee, then delegation ofthe signatory authority must be on tile with the state per 15A NCAC 21B
.0506(b)(2)(D).

t
NPDES PERMIT NO.: NC00b3355 PERMIT VERSION: 5.0 „ PERMIT STATES: Active
R --.7 n
, ,, ,..„,„"
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Aqua 'North, Carolina Inc ORC: John Allen Martin ' I' U 4 4... U tts ORC CERT NUMBER.: 99„tEivED,NcoENR,,,D,NR
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 06-'2018 (Jun e 2018)
--EN -L FILES
VERSION: 1.0 I)VVFR SECTION STATUS:. P. ssed
'0)0Ros
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCI 'F'1()NikL- OFFICE
A'
&
li
It
1
[!
i
,
1
((01":iii:rilLtyIilitiii us
M24 1°
MOO 50060
Wceltly 2 X week
tV3tg
C0100 (1)50.1 3 (0000
Weekly
Wel.'kly Wality Sily, q°1311u1Y,
rz ?
0
i Recorder
Grab Grab
Comixisiie Composite Corripositc 9 Cs/Input:PC
:si 21
2 FLOM
11.023
pH CHLORINE
ROD Co*-s N12.7--N - Cone 7 SS - emir ix) TOTNI N
2.402 dock
Ilig ingil
mi ,,,2
ingil
intii inpg 'i ingil
2,0 0 025
21
0.022
111:111111
511
405
0.019
24
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0.02
9, 0 B 0.024
24
9
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iii
N ' 0.019
4 5 11 0016
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25
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24
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24
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0.01.5
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9
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S
Monthly Iorritue Limn: 0,09
LS
.20 ,
Minutgly Amine; 02 107
24.42n57 I
S 025
Duily Mmitsous, 1)0)1
! ilP
7.5
0
0 (1 8,2
11.002 Minimum;
0,015
24
7,1
1) 7 9
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle: ENVWTHR = No Visitation-- Adverse Weather; NOFLOW NO Flow; VIOL Y No Visitation Holiday

NPUES PERMIT NO.: C0063355 PERMIT VERSION: 5.0
FACILITY NAME: Killian Crossroads \k WTP CLASS: WW-2
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 06-2018 (June 2018) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
NOW
IMMO
Weekly
Gre b
Grab
TEMP-e
240 tkark
deg' c
Meekly 4vexsisra 2325
7 615
Wily Maximum
24
Digy M tianruou 23
'_4
EN
Sl' — No How-Reuse/Recycle; I NVWTHR = No Visitation — .Adverse Weather; NOFLOW , No Flow HOLIDAY No Visitation — Iiciliday

1.
NPDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 06-2018 (June 2018) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
s
s
6
A'
T.
ci
A
.. _
:
2
ni ni
F
3
O
a°
❑
C
8
a
2
CO665
00556
33260
3E616
Quarterly
2 X month
Monthly
Composite
Grab
Composite
Grab
TOTAL P-Cone
011 GRSE
MBAR
FCOLI BR
2400 dock
11n
2450 clock
Hr.
WHIN
m0
MO
mpg
il/100m1
1
830
2.0
Y
2
N
3
N
4
1415.
3
B
5
1405
3
B
6
1430
3
B
7
735
24
730.
4
B
<5.6
<0.1
< 1
8
930
1
B
9
N
10
N
11
1415
1S
B
12
1504
1.0
B
13
935
24
730
3
B
<1
14
730
1
B
1s
735
3
13
16
N
17
N
18
730
3
B
19
730
3
B
20
935
24
715
3
B
<5.6
< 1
21
705
2S
11
22
1030
I
B
23
N
24
N
25
1330
3
B
26
1338
3
B
27
935
24
730
3
B
< 1
28
1430
2
B
29
730
3
1
B
30
N
Monthly Average Limit
30
Monthly Avngn
0
0
1
Daily AlssIm nw.
0
0
0
Daily Maim m:
0
0
0
" No Reporting Reason: ENFRUSE—NoFlow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather NOFLOW= No Flow; HOLIDAY =NoVisitation —Holiday

NPDES PERMIT NO.: NC00 3355 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin ORC CERT NUMBER:99b986
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 06-2018 (June 20I8) VERSION: 1.0
?d011 clock
a
7
10
n7
14
trt
to
i9
2l
22
29s
2e
27
28
39
#0
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
Monthly deers
Monthly Average., i
nailr 13ax.c
,0
Weal y
Grab
Ttstr.t.
y^h
21,9
2;
20
• * No Reporting Reason: ENF'RUSEi =No Fiuw-Reusc!Recycle; I NVwri R = No Visitation — Adverse
00100
Wxkly
Grab
bt7
010
8.9
8.3
B.I
8.9
8.1
'No'Visitation- Uoliday

NPDES PERMIT NO,; N(00 33'S5
FACll.I l \ .NAME: Killian C.`roasroaVWTP
OWNER NAME: Aqua North Carotin
GRADE,,: wW-3
eDMR PERIOD: 06-2018 (June 2018)
COMPLIANCE STATUS: Camphant
ORCICertifier S gnatu
By this si
PERMIT VERSION: 5.0
CLASS: W W-2
ORC: John Alien 8tartlrn
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #; 704489941)4
PERMEE STATUS: Active
COUNTY; Catawba
ORC CERT NUMBER: 996986
STATUS: Process l
SUBMISSION DATE: t177119f2018
7/17/21118
Alien Martin E-Mail:JAMartin( aquaarrterica.conr Phone ,'1d1 dSr-9404 Date
rtify that this report is accurate and complete to the best ot'nty knowledge,.
The perunittce 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 prrt'nittec became aware of the circumstances,. A written submission shall also be
provided within 5 days of the time the perrnitt:ee becomes aware of the circumstances.
If the fac°.il'aty is noncompliant, please attach a list of corrective actions being taken and a tin) ablc fsar improvcnaents to be made as required by part II..E,.6 of
the NPDES permit
Pe
07 (9,°'201 8
ature:*** Duane Rimmer F-Mail:ddrirnmer(it aquaamcriea.conr Phone #:[phone] Date
Permittee Address: NCSR 1849 Sherrills Ford NC 28673 Permit Expiration Date; 03/31/2020
J. cer0fy, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a systetn 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 hest 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 Inc, Aqua North Carolina
CERTIFIED LAB #: #50, #5035
PERSON(s) COLLECTING SAMPLES: John Ma
CERTIIIIED t.ARORATORI[ S
PARAM E`1 ER CODES
Parameter Code assistance may be obtained by railing the NPDES Unit (919) 807-t 300 or by visiting http:J,!portnl.nedennorg,Pwe wq/swplpslnpdesiforrns.
FOOTNOTES
Use only t¢ttits of rneasurenaent. d.esi,gnated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge 1-rona 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 visitattcrn of facility as required per 15A NCAC SCa .0204.
*** Signature of Permitter: if"signed by other than the per mttt+ee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2I3
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin
GRADE: •WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 05-20 (May 2018) VERSION: 1.0
PERMIT STATUS: Active
COU.NICY: Catawba
ORC CERT NUMBER:
ENTi-PUW,L Fli
of:A, rION mooRE,'
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARG
Compasat Sample 'rime
500,
40010
STATUS: Processed
,veDiNcr15NRovvP
7.
7'r"IIIONIAL OFFICE
270310 COMO
.511) 000481
41
ContintiouS 5 weo'I0
kozortier
' FLOW TEAIE-C
2 X vve6c
(704)
01I CHLORINE
'ealy
:UM .80C CO100)61
OD C060
Vo'ol)5 y
Con itt Grab (460)611404
ALLAN 0 TNS coo
TOTAL N )
2404) clock III
20104201001) 1fr WIEN
:47
1355 1.50 • Y
1
1111 01,00 C
8
0,02 19
1) )44
< 47_
17
1)1771
'1
117) raga
0,02 1
4
2
11.112 2
0.023
0,022
00
06
01716
9 2,0 '1
02 20
< 17
2_0
0,026 21
10
24
0
2.25
0.025 '21
t 7
4,4 101 2.5
67
17016
22
12
. 24
11
0,024
14
10
16
5
10
-02
4
23
23 < 17
0 03 24
.025 .' 23
L215
.024
0.0 t 9 2
< 17
00 2 '2' 2.5
26 76
0,028 25
17
17
7 7
.‹ 2 0.2 < 2.5
< 7
15
2 < 0 2
0,5 I
4.4 54
< 2_5
7,9
30
8. I
111)760 7.6 7„7
**** No Reporting Reason; ENFRUSE = NoFlow-Reuse/Recycle; ENVWTHR - No Visitation- Adverse Weather; NOFLOW - No How. HOLIDAY tr0 No Visitation -- Holiday

4.
NPDES PERMIT MI: NC006,3355
FACILITY NAMEKhanCrossroadsWWI?
OWNER NAME: Aqua North Carolina Inc
GRADE: WW
eDM R PERIOD: 05-2018 ( May 20 K)
.PERMIT VERSION: 5,0
CLASS: WW-2
ORC: John Allen Martin
ORC HAS CHANGED: No
VERSION: 1
PERMIT STATUS: AC:live
COUNTY': Catawba
ORC CERT NUMBER: 9'96986
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
**** .No Reporting Reason ENERUSE -= No riow-Re.oseiRecyclet ENVWTHR - No Visitation Advem Weather; NOFLOW t,,t No Mow; HOLLDAY tti No Visiiation - Holiday

NPDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 05-2018 (May 2018) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
q
8
7 •
yF!
-
n
cr
.11-,
g
o
B
"
E
F%
e
O
S
i
O
e
O
ORC On SW..
f
d
-
C0665
00556
38206
31616
Quarterly
2 X month
Monthly
Composite
Grab
Composite
Grab
TOTAL P-C6.0
OIL-C1SE
MBAS
FCOLI BR
2400drek
firs
2100 dock
Fos
Yl11/7
MBA
mg!'
mgfl
fl/100m1
I
1422
1.0
Y
2
1355
1.50
Y
3
1150
24
1110
3
Y
<5.6
<0.1
<1
1
1215
1.0
Y
5
N
6
N
7
1006
1.0
Y
8
819
2.0
Y
9
1350
2.0
Y
10
1050
24
1001
225
Y
< 1
11
818
3.5
Y
12
N
13
N
11
815
3.0
Y
15
818
3.0
Y
16
1213
3.0
Y
17
1105
24
950
2.0
Y
<5.6
< 1
18
1017
35
Y
19
N
20
N
21
942
2
Y
22
1318
25
Y
23
1357
25
Y
24
1050
24
955
2
Y
< 1
25
830
3.5
Y
26
N
27
N
28
N
r9
1050
24
858
3
Y
< 1
30
131S
2.75
Y
31
1130
3
Y
3tootteowenat Liam
30
6161031y Atcr.g
0
0
1
Day 5I.slmnm:
0
0
0
Dilly 5136301um:
0
0
0
••' No Reporting Reason: ENFRUSE No Flow-Reuse/Recycle; ENVWTHR=NoVisitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY =No Visitation — Holiday

NPDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 05-2018 (May 2018) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
cun
E
i.
D
02
S
i
00010
90350
Weekly_
Weekly
Grab
Grab
T¢SIP-C
DO
2100 dock
deg 0
mgli
t
2
3
18
9.8
1
5
6
7
8
9
10
16
7.9
11
12
13
11.
15
16
17
t8
8.2
18
19
10
21
22
23
24
20
7.4
25
16
27
18
29
18
9.6
30
31
MaaihlyArerage Uma;
Mouth], Averte¢e:
18
6.58
Div M.alaram:
20
9.8
Daily MWmem:
16
7.4
i"NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation— Adverse Weather, NOFLOW=No Flow, HOLIDAY= NoVisitation— Holiday

NPDES PERMEI NO.: NC006335.5
FACILITY NAME: Killian Crossroads WWII'
OWNER NAME: Aqua .North Canllnahk
GRADE: WW-3
eDMR PERIOD: 05-2018 (May 2018)
COMPLIANCE STATUS: Compliant
PERM rr VERSION: 5,0
CLASS: WW-2
ORC: John Alien Martin
ORC IRS CHANGED: Nu
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT sTATLIS: Active
COUNTY: Catawba
ORC iI7ERT NUMBER.: 996986
s rx-FUS: Processed
SUBMISSION DATE: (16120/2018
0i2 0 18
0 RC/Certifier Si4aturc: John Allen Martin E.Mail:JAM.artingiaquaamerica.corn Phone 1):704-489-9404 Date
By this signature, 1 certifyccrtity that this report is accurate and complete to the best of my knowledge.
The perrnittee shall repod to the Director or th.c appropriate Regional Office any -noncompliance that potentially threatens public health or the environ.ment„
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-tahle for improvements to be made as required by part 11.E6 of
the NPDES permit,
06/20/20 1 8
Permittee/Submitter e:*** Duane Rimmer [e-mail] Phone #:[phone] Date
Permittee .Address: NCSR 1.849 Sherrills, Ford NC 28673 Permit Expiration. Date: 031'31/2020
l 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. 13ased 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, am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations,
LAB NAME: Water:Fea Inc, Aqua Nort
CERTIFIED I.AB 41: #50, .#5035
PERSON(*) COLLECTING SAMPLES: John Martin
CERTIFIED LABDRAIOR1FS
PARAMETER CODES
'Parameter Code assistance may be obtained by calling thc NPDES Unit [phone] or by visiting http://portatnedetir.org/web/wq/s' -s/forins,
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.
OR( on Site?: ORC must, visit facility and document visitation of facility as required per 1.5A NCAC S( ,0204,
*** Signature of Permittee: If signed by other than the pemlittee, then delegation of the signatory authority must he on file with the state per 1 5A NCAC 2B
,.0506(b)(2)(D),

NPDES PERMIT NO.: NC0063355
FACILITY .NAME: [Earl Crossroads WWTP
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 04-2018 (April 2018)
PERMIT VERSION: 5:0
CLASS: WW-2
ORC: John AileiMartin.
ORC HAS CHANGED: No
VERSION: 1..0
F rSERMIT STATUS: Active
" -e OUNT Y: Catawba
ji.iN .2 1 2,018 ORC CERT NUMBER: 996986
R6E;t1vr.DINCDENFILDWR
CENit NP, L LE .S
DWR SE,C, T 0 r.,) STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: NI NO DIS4A1A-R4it; NOONA Qi-CK2E
140
55
8
1444 14C41 clet& 4k9 B:74
41)1) 3,5
25
24 747 2
' 1359 1,5
4
N
1346 5
23 45Y
IR 1040 24 019
2 620
3,5 I '4
1,5
41 65 2
14
16
to
17
49
554
44
27
919 2,5
931
24 1056
32s.0
810
1247
306 2
1,5
14 95
3-
1018 35
• 8 2
50
Mead* vet
4444044 A104,441.44:
Maly MAIIJUMITC.
4445444414,
Coraith.r.4114 '4X week Vwcekl
:Recorder 4si550Grats
ELOW
1_012
s1419
t 22
0.05
0 05
11.074
0.033
5(4
8
EMP0(7
deg 0',
4
114
.025367 1:5
005
7_9
0.017 2
- COMO
(706110 C444.111
2 X week. Wcekly : 186.6t40ly Wihsidy
Grab Composite • Compesiie ite 0-4ab
47141,0#4114E. • - 4 444 One '14S - Cam4451
a '1
555 141 ;
17 < 2
< 9.2 :2-5
17 ! 9.6
6,75
15
0
0.28 9.6
1 I 2
0 0 9 6
*"" Rem-ting RCEISOIV ENTRUST,' - No now-ReuseReeyelea ENVWTHR 004-No Visicarion ---.Advers'e Weather; NOFLOW 44 No flow; HOLIDAY ,0--0 No Visitation — Holiday
Ct14540
Qtainairty
Compoti 11
10

NPDES PERMIT NO.:. N(.0063355
FACILITY NAME: KA!lion. Crossroads WWTP
OWNER NAME; Aqua North Carolina hic
GRADE: WW-3
eDMR PERIOD: 04-2(118 (April 2018)
PERMIT VERSION: 5A)
CLASS: WW-2
ORC: John Alien Martin
ORC HAS CHANGED: No
VERSION': L0
PERMIT STATUS: A<Iive
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCUARGE NO.: 001 NO DISCHARGE*: NO (Continue)
4*** No Reporting Reason: ENFRUSE ,i, No Flow-Reuse/Recycle; ENVWTHR - No Visitation - Adverse Weather; NOFLOW Na Flow: HOLIDAY —No Visitation — floliday

NEWS PERMIT NO.: NC0063355 PERMIT VERSION: 5,0 PE.RMIT STATUS: Active
FACILITY NAME; Killian Crossroads WWTP CLASS: WW2 COUNTY; Catawba
OWNER NAME: .Aqua North Carolina Inc ORC: John Allen Martin ORC CERT NUMBER: 99 986
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 04-2018 (April 2018) VERSION: 1,0
STATUS: Processed
SA • P 1NG LOCATION: UPSTREAM DISCHARGE NO.: 001
"" No Reporting Reason: ENERUSE e= No Flow-ReuseiRt,cycle. :ENVWTHR -No Visitation — Adverse Weather; NOFLOW No Flow; HOLIDAY =No Visiration — Holiday

•
NPDES PERMIT NO.: NC0063355 PER LT VERSION: 5.0
FACILITY NAME: Killian Crossroads WWI? CLASS: WW-2
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 04-2018 (April 2018) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
d
1
1
Ca'
I
00010
0a308
Weekly
Weekly
Grab
Grsb
2400 clock
deg a
mgn
1
E
3
.1
18
10.5
3
6
7
8
9
10
11
16
10.7
12
13
14
15
16
17
18
19
19
9A
20
E1
12
L3
24
Is
26
19
9.8
ET
ES
29
30
Monthly Average L1121L
MaomlyA.eragc
18
10.1
Daily Maximum:
19
10.7
Duly Minimum:
16
9.4
No Reporting Reason: ENFRUSE No Flow-Reuse/Recycle; ENVWTFIR=NoVisitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT 'Na: NC006335.5 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2 COUNTY: Catawba
OWNER. NAME: Aqua North Carolina Inc ORC: John Allen Martin ORC CENT NUMBER: 996986
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD.: 04-201 8 (April 201.81 VERSK)Ni 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone],04 SUBMISSION DATE: 05/25/2018
rnAsi)
5/1 8/20 1. 8
ORC/Certifier Signature: jolt A. en. Martin .E-Mail:[e-mail] Phone it:704-489-9404 Date
By this signa•ture, 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 •noncornpliance that potentially threatens public health or the environment
Any in formatio•n shall be provided orally within 24 hours from the time the permittee became aware of the circurns•tances. 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,
0.5/25/20 8
Perm.ittee/Submutter Signature:*" Duane Rimmer E-Mail:ddrim.mergaquaainericiLcom Phone 4:704-48 9-9404 Date.
Permittce Address: NCSR 1849 Shcrrills Ford NC 28673 Permit Expiration Date: 03/3 U2020
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 Inc
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: John Martin
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the .NPDES Unit [phone] or by visiting http://porta n rglweb/wq/s• • • pslripdes/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.
fror entire monitoring period.
** ORC on Site?: ORC must visit. facility and docutnent visitation of facility as required per 1 5A NCAC 8G .0204.,
*** Signature of Perrnittee: If signed by other than the permittee, then delegationof the signatory authority must be on file with the state per (5.A NCAC 2B
..0506(b)(28 D),

NPDES PERMIT NO.: \C0063:55
FACWETS NAME: Killian Crosroads W W'TP
OWNER NAME: Aqua North Carolina ine
GIADE: YW-3
e.DM.R PERIOD: 03-201.8 (March
P'ER4111 VERSION; 5.0
CLASS: WW-2
ORC: John Allen in
ORC HAS CHANGED:
VERSION: 1.0
SAMPLING LOCATION: EFFLUENT DISJ
935
*+ri•'NoReporting Reason! ENFRUSF- No Flow-i0euae,
TFrt44P45
' 0,02
0.02V
0.022
1.D22
0,022>
0,026
0.028
0.031
t1,029
0,0211
0.0'26
00'2:'
03t26
0,020
t9
1 2 ' 12.04„+'45
ENNW1`HR No Vnoatran
PERMIT STATICS: Active
COUNTY: Catawba
ORC CERT NUMBER: 9
STATUS: I
CI` Et
01 NO E*
0.2
-:2,5
*" 0.'2
J461
Viexklti
'DAY No Visitation - Ho
Y
0.1.

NP[lES PERMIT O.: NCOO63 55
PAMPA' Ewe' NAME: Kiilban Crossroads WWII'
OWNER NAME: Aqua Ntmtr,Ea C.arrrlixtaine
(BRA@Es WW-3
efa"4R PERIOD: 03-20,
PERMIT VERSION: S.(I
CLASS: WW-2
ORC: John Allen :Marlin
ORC RAS C.RANGLD .
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
()RC CER"1" NUMBER; 996986
STATUS. Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO MS .CHARGE*:.NO (Coe 1l [ue)
F'N'F°R(:SE—NoFlow-Reuse_Rucycle; KNVWTHR No VisitationAdverseWernher: NOFLOW No Flow, JIt3L.J'DAY =No Visaattion --Holiday

NPOE:S PERMIT NO.: NC0063355
FACILITY NAME: Killian Crossroads WWTP
OVVN ER NAME; Aqua North Carolina Stxt
GRADE; WW1-3
eDMR PERIOD: 03 01g (March4. )
PERMIT VERSION: 5,0
CLASS; WV-2
ORC; John Allen Mla
ORC: HAS CIHANCE,
VERSION: 1,0
PERMIT STATUS: Aet
COUNTY: Catawba
()RC CERT NUMBER:
STATUS: Proses -rat
SAMPLING LOCATIONS DI 'VNSTREA DISCIIARGE NO.: 001
"*" No Reportu z Re-dsurn ENFRt1SE = Nu V low--ReuseRecyclet LN\'WTI°1R = No VisitatiAdverse We:n:Eter: NOHOW= No Flow„ HOLIDAY = May Visitation — Holiday

NPDES PERMIT NO.: NCI
FACILITY NAME:: K1lliat
OWNER NAME; Aqua North Carolina Inc
GRADE: W -3
e NIR PERIOD. 03-20I S {March 2018)
PERMIT VERSION: 5.0
CLASS; W -2
ORC: John Allen Martin
ORC HAS CHANGED: No
Si R.SIO.N: 1.0
PERMIT STATUS: Ac1lc
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Pre: tossed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
8 R asoni. E I RASE ='f3o Flow-Reuselllecycic: LNVV4TIIR No V'esitatiIor a..adn=ease Wcatheu-: NOfl OW'^ No How 110LTDAY- \o VisitMion—tlol€cia

NPDES PERMIT NO.: NCO0633.S
EACIIsTTY?NAME: Killian Crossroads WWI?
OWNER NAME: Aqua North Carolina lac
(MADE: W W-3
e NIR PERIOD: 03-201 (lvlarch 201.8)
COMPLIANCE STATUS: Comptiant
PERMIT VERSION: 5.
CLASS: V W-2
ORC: Allen Martin
ORC IlAS CIi.+1:NCED: Nu
VERSION: l .d
CONTACT PHONE #: 7tt44t199404 SUBMISSION DATE: 04f26 201.8
PERMIT STATUS.: Active
COUNTY: Catawba
ORC CERT NUMBER: 9969S6
S7:a"TUS: Pre,cessed
ORC(Certifier Signature;;'";ohn Allen Martin E
Elv
04/24€'2018
(cijaquaamermca.cotn Phone #:[phone] Date
his report is accurate and complete to the best of my knowledge.
The perrnittee s it report to the Director or the appropriate Regional Office any noncompliance that potentially • .atetnc 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 tune -table for improvements. to be made as required by part It of
the NPDES permit.
04/26/20I 8
uhmitter igatarre;***' Duane Ri.mmer E-Mail:ddrimmergaquaamerica.cosn Phone #:[phone] Date
Permittee Address: NCSR 1849 Sherrills Ford NC 28673 Permit Expiration Date: 03/3 U2020
1 eertif ,tinder 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.
I.xAB NAME: Water Tech once
CERHTIED LAB #: 50
PERSONts) COLLECTING SAMPLES: Job
St
Use only unit of measurement d
a
CFRTi WD LABOR
PARAMETER CODES
ined by ea.11latg, the NPDES Unit [phone] or by visitittg ht• ://portal.ncdenr.orgtq/swp/ps npdes/forrms,.
FOO[N OTES
eporting fneility NPDES pet-mit 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 un Site.?: ORC must visit facility attd document visirequired per 15A WAG. 8G .0204,
*** Signature of Permitter: if signed. by other than the permit
.0506(b)(2)l1) .,
delegation of the signatory authority must he on file with the state per 15A NCAC 2B

NPDES PERM NO.: NC0063355
Kititan Ciossroaelti WWIP
OWNER. NAME: Aqua.North Caro a. Ne.
GRADE: WW-3
eDMR PERJOD: 02-2018 (February 20I1
22
14
1035
830
PERMIT VERSION: 5,0
CI SS WAV-2
ORC: John Allen Martin
ORC HAS CHANGED: No
VERSION: 1..0
PERMIT STATES: Active
ECEIVED,
Calaw.ha
Al:t!',t 9 018 ORC CERT NUMBER: 996986
CENTRAL FILESsz--itit p
DWR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO .DISCLAARG „
1.30
9 47
5445
'745
125
1545
222_,
2.25
2
151272,i
,t2e, Avg (..244t
Monttaty Atom
Dotty ttittxtote.
541414442c
1.17,1447091ug
Rogro.18,
FLOW
7754
04'58
0,028
0..03
9.02,7
0.016
0,025:
0.059
1.7117271
L7025
0.12F,
0,029
0,03
9.022
9.02
001
gm,
0,112507!
0 1132.
0.013
5 .X4,0WCIOII
that, Cir.4)
I4
u'!
< I 7
44775
5,9
21
771
0,2
0.195
0,78
(5.48187,71177
2 SS t Coat
2.5
**** Nu ReportirT Reallow ENII7RUST1,,, No Flow-ReuselRecycle.; FNV'WTHR = No Visitation Adverse Weather; NOULOW No 2Ioav: HOLIDAY No Visitation
tW4
Vict4; Watly
atab Grab
111171,1 ,Tho
2 10084 rr,
I 9 S
11.0
5237841 4 9255
1g 91
0 9

NPDES PEIt;IIT NO.: NC00633S5
FACILITY NAME: It iti eat Crc tea ds
OWNER NAME: Ayud North Caro�
GRADE: WW«:3
eDMR PERIOD:02 2018 (Feb ru iry 2011
PERMIT VERSION: 5,0
CLASS: WW-2
ORC; John Al le 1rl:artm
ORC HAS CHANGE I): No
VERSION: 1 1)
PI+.R:MIT STATUS: A
COUNTY: Ct+tay.b3
ORC CERT NUMBEI
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCI~ ARG NO.: 001 NO DISCHARGE*: NO (Continue)
...> No Rcporrla,
SFR1 SI . I y 1 low-Rcuit'Rci°ydc, P' VV1 4'NR - No Vsine
MAY *Tr Holic7aay-

NPDES PEHMI"INO.: INC' 633
FACILITY NAME: Killian (',:`re roads W V FP
OWNER NAME: A ua Notch (:;":trtt6�n=
GRADE:. WW-3
cDM.R PERIOD: 02-2018 (Fehnwiry 20IKI
.PERMIT VERSION: �.0
CLASS: WW-2
ORC: ltrhn r(t6tn Flyrtirt
ORC HAS CHANGE No
VERSION: TO
PERMIT STATUS:. 'tart
COUNTY: Catawba
ORC C'ERT NUMI1F:K: 996986
STATES: Prcecc t 1
SAMPLING ',MATH N: DOWNS' A.M DISCHARGE NO.: 001
Oftlik
4
.««e Ntn Reportinta RcaSOn. ENL RCISI Na II,)w-Rcttse "Recyc!'e, F NVVr'I HR -' Tait V1aNo Flow: HOLIDAY = No V4whaiion I-heiiday

NPDES PERMIT NO.: NC0063.355 PERMIT VERSION: 5. PERMIT STATUS: Active
FACILITYNAME: Killian Crossroads WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Aqua North Carokna Inc OR(': John A1kn M rtm OR( CERT NUMBER: 996986
GRADE: WW-3 ORC HAS CHANG.ED: No
eDMR PERIOD: 02-.20ary 20 VERSION: 1.0
STATUS: Pro'ed
SAMPLING LOCATION: t PSTREAM DISCHARGE NO.: 001
r--
dotk
I 4
Wk77.1dy
(nIth (kat.,
TEMP•-C,
149.
0
0111
14
21
77
12
27
211
.Sleatfity ,AstreEt
Stemalkt, vve6get.
IF)611)- .74110.646.,
thtilp 8116161...,
**** No Reporting Rcasmr ENFRUSE — No Flow-RcuseiRecycle ENV"WTHR = No sisitation, Advcrse. Weather NOFI OW— No Flow HOLIDAY No VisioOon - Holiday

NPDES PERMIT'NO,: NC0063355
FACILITY NAME: Killian Crossroads WWTP
OWNER NAME: Aqua North Carolina (Tie
GRADE: WW-3
cDNIR PERIOD: 02-2018 (February 2018)
COMPLIANCE STATUS: Compliant
kik
PERMIT VERSION: 5,0
CLASS. WW-2
ORC:h Allen Mntm.
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 9914:
ORC HAS CHANGED: No
VERSION: I.() STATUS: Processed
CONTACT PHONE #: 7044,899404 SUBMISSION DATE: 03/22/2018
ORC'Cr Tier Signature: John Allen Martin E-MailiJAMartin(4),aquaaincrica.com Phone tf:704-489-9404
13y this signature, I certify that this report is accurate and complete to the best of my knowledge.
03/21/20
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 permit:tee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the perminee become' aware of the circumstances,
if the facility is noncompliant, please attach a list of corrective actions being taken and a tin -table fot improvements to be made as required by part .1.111.6 of
the NPDES pemit.
03/21'2018
•ittee/Stihni'ctter Signature*** .Duane Rimmer E-Mail:ddrimmerigaquaainerica..corn Phone tt704-489-9404 Date
Permittec Addre,ss: NCSR 1849 Sherrills Ford NC 28673 Permit Expiration Date: 03/31/2020
I cent* under penalty of law, that this document and all attachments were prepared under my direction or suprstsun m acurdarn..c with a system designed
to assure that qualified personnel properly gathcr 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 Ulm), knowledge and belief, true,
accurate, and c.ompltte 1 am aware that there are significant penalties for submitting false information,, including the possibility of fines and imprisonment 'for
knowing violations,
I,AB NAME: Water Tech Inc
CERTIFIED LAB th 50
PERSON(s) COLLECTING SAMPLES: John Martin
CER'll 1ED LABOR.ATORI ES
PARAMETER CODES
Parameter Code assistance may h obtained by calling the NPDES Unit [phone] or by visiting Imp://portal.ncdennorg,'webtwq/swp/ps/ripdes/foms.
FOOTNOTES
Use only units of measurement designated in the reporting raCihty'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 entereid.for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility ,its required per 15A Ni AC 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)(14).

NPAES PERMIT Na: NC0063355
NAME "Glliaaa 1. rt sr
OWNER NAME: Aqua North Caro
(TRADE: W -:S
cDNIR PERIOD:01-20I1 #3a'tnnary 201 1)
SAMPLING.L©CA'l 11
PERMIT VERSION: 5.0
CLASS: W w'-2
ORC: John AILn M ))
ORC HAS CHANGED:. No
VERSION: 1,11
PERMIT STATUS: Active
RE+ E1V DOUNT1":C-ataw°ha
ORC CERI" NUMIIFR: 9e)69.40 Eix no:f
GEN 1 ftslAELCFTIONS STATUS: Procc scd
,ETNT DISCHARGE NO.: (iOl N() DISCH k
'••••No Rcparnar:g RellSOir ENMRUS do Flow-Reuser'R' yule; F V V."rHR No \"i Citation — Adverse Weal her: ,N"OFIOV No How: HOLIDAY . No V°iciwoo

NPDES PERMIT N<).: NCO( 355 PERMIT VERSION: 5.O PERMMI"I" Si".A"IUS: Act6ae
FACI.I.! FY NAME: Killian Crossroads WTP CLASS: WW-2 CO U NT Y: Catawba
OWNER NAME: Aqua Noah Carolina Inc ORC: Jaw Allen A) rrlln ORC CERT" NUMBER: .9969X6
(;RAGE: WW-3 PERIOD: UI -.OIS Omu
ORC HAS CHANGED: No
VERSION: 1,0 STATUS: Pr tcrs
SAMPLING LOCATION: DOWNSTREA.
LVAItik
T :MHP-e'
+.+* Na Repotting Reason: ENFRUSt: No Flow,ReuselRecycle; 1 Nk"SWTI
CHARGE NO.: 001
is - Adverse Weather: NOF1.OW = No Flow; 1101

NPDJ;S PERMIT NO.: NC:0)(3355
FACILITY NAME: Killian
OWNER NAME: Mitt Next Catoli
(.TRADE: WW-3
eDM K,PEREOD: 01-2
PERMIT VERSION: 5.0
CLASS: W W-;?
ORC`. Jahn Allen Martin
ORC HAS CHANCED: No
VERSION: I_D
PERMIT STATUS: Active
COUNTY` Catawba
ORC CERT NUM IWR: 996.986
STATES: Pr caa.c,a d
SAMPLING LOCATION: EFFLUENT DISC1iA.RGE NO.: 001 N() DISCI-IARGE*: NO (Continue)
sa•r No Repotting Reason: ENFR.LSPA" No Row -Reel
V:si
4`asRuhc Ni)Ia[ O % = No Plow: 1{OL II1A= No Visivation II"olidny

N.PDES PERM NO.: NC9063355
FACILITY NAME: Killian Crossroads WWLP
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
cOM.R PERIOD: 01-2918 (Jimmy 2(1
PERMIT VERSION: .5,0
CLASS: WW-2
()RC: John AlIen Martin
ORC HAS I:BANGED: .NO
VERSION: 1,0
PERMIT STATUS: Activo
COUNTY: Catawba
ORC CER'r NUMBER: 996986
S'IATIJS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
**** No Reponing Reason: ENERUSE= No Flow-Reu$eRecyclei ENVWITIR. NO ViS43190E1 A(.Iverse WczolleT NOFLOW Flow; HOLIDAY = No Viiiiiation Holiday

NPDES rvRmrr NO.: NC0063355
FACI LILA NAME: Killian CroissroadsYWTP
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 01-2018 (Januar) 2018)
COMPLIANCE STATUS: Compliant
ORC/Certifier
PERMIT VERSION: 5.0
CLASS: WV
PERMIT STA'FUS: Active
COUNTY; Catawba
OK( John Allen Martin ORC CERT NUMBER: 996986
OR( HAS CD A NG ED: No
VERSION: .0 ;STATUS: Processed
CONTACT PHONE #: [phone]
SUBMISSION DATE: 02/2 I /2018
02/14/20 I 8
ohn Allen Martin E-.Mail:.1AMarting aquaamerica,com Phone :0,704-489-9404 Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge,
'The pet -mince shaU report to the Directort)ircctor 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 permitter became aware of t„he circumstances. A whiten 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 collective actions being taken and a time -table for improvements to be made as 'required by part 11,E.,6 of
the NPDES permit.
02/21/2018
Permittee/Submi..er Signaturet*** Duane Rimmer E-Mail:[e-mail] Phone U:704-489-9404 Date
Permitted Address : NCSR 1 /',49 SherrillFord NC 28673 Permit Expiration Date: 0.3/3112020
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in iiecorda.nce with a system designed.
to assure that ((waffled personnel properlygather 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 intOrmation, the infonnation 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 inform,ation, including the possibility of fines and imprisonment for
knowing violations,
LAB NAME: Water Fedi Inc
CERTIFIED LAB #: 50
1 ILSON(s) COLLECTING SAMPLES: John Martin
CERTIFIED LABOIWORIES
PARAMETER. CODES
Parameter Code assistance may be ohtaincd by ea„ the NPDES Unit (9 (9) 807-6300 or by visiting http://portaInctlenr. orgiwtebtwq/swptpsinpdesiforins.
FOOTNOT.ES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data:
* No Flow/Discharge From Site: Cheek 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
hit entire monitoring period,
ORC on Site?: ORC must visit. facility and document visitation of facility as required per I 5A NCAC :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 I 5A NCAC 2.13
.0506(b)(2)(D).

NPDES PERMIT NO,: NC0()63355
F C(IATV NAME: K illian Cris
OWNER Net M E: A raa North Carolina l
GRADE: V4''W-3
T I'
PERMIT VERSION: 5,0
CLASS: W\
OR(:.: John Allen Martin
OR(: HAS CHANGED: N
el)MR PERIOD: 17—�(7I7 (Deoernb r 2011) VERSION: 1.0
PERMIT STATUS: Aelivt
COUNTY: Catawba
OR(.° CERT NUMBER: 9
STATUS: 1 rilie0'tr d
SAMPLING LOCATION: EFFLUENT DISCHARGE NO,:001 NO DISCHARG
" * Nn Reportimg Reasrrm: ENERUSiii= No Flow-ReatselRor;vetr FNVWTHR—'N?a Visitation - Ativr:
Cher: N(1"I,OW = No Flow; VIOLET'),
No

NPD.ES PE.KN1U NO ; NC0063355 PERMIT VERSION; 5.0
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2
OWNER. S MEr: Aqua North Carolina Inc ()RC: John Allen Martin
C;RA.DE; WW-3 ORC HAS CHANGED: No
eDM.R PERIOD: '12.2017 (December 2017) VERSION: l.()
PERMIT" STATUS: Active
COUNTY: (.'ulawha
ORC CER r NUMBER: 91698E
STATUS: Prod: sed
SAMPLING LOCATION: EFFLUENT DISCHAR E NO.: 001 NO DISCHARGE*: NO (Continue)
**" Reinort n7 Reason: £:NI'RUN
/Recycle. ENVWTIi'R='-NoVim
her; \f)I^L()\t \o How; 11

NPD�F S PERMIT NO.: NC006 3S5,
FACILITY NAME: Killian Crossroad
OWNER Nt.MF: Aqua North Carolina Inc
GRADE: WW-3
eDM R PERIOD: 12 -201 l'e�t' Z1717
*.*. No 1
13
PERMIT VERSION: 5_0
CLASS: W'W-2
C)RC: John Allen wtatrliat
()RC HAS CHANGED: No
VERSION: I -CN
PERMIT STATUS: Active
COUNTY: Catawba
(DRC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: IJPSTREAM DISCHARGE NO.: 001
'RUSE No Flow-Reuse/Recycle: 1''NV WTIIR.= No VisiAdverse Weather„ NCJFIOW =- No Flow: HOLIDAY — NO Visitapu

NPDES PERMIT NO.: NC00633.55
FACILITY NAME: Killian Crossroads 'WAVTP
OWNER ry.ME: Aqua North Carolina Inc
GRADE: WW-3
eDM R. PERIOD: 12-20 7 (December 207)
t5
PERMIT VERSION: 5.0
CLASS: W W-2
OR( John Allen Martin.
ORC HAS CHANGED: No
VERSION: 1,0
PERMIF STATUS: Active
COITNIY: Catawba
ORC CERT NUMBER: 99G98(,
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
Wixkly
Grab Gait,
2
17
7-1
Tal
7.
7,9
day Avaltge Lima,
!Monday 9,75
Maa
Mity Miagetaar,
9,175
"" No Reporting Reason: ENFRUSE = Na Flow-Reusecketyde;. ENVWTHR =, No Visaaaom AdV(17 WoAther; NM -TOW = No 1low: HOLIDAY — No Vi$itaaon Daleilay

NPDES PERMIT NO.;'1(( 6„3.355
PERMIT STATUS, Adr
FACILITY NAME: Killian ('rossrs sds' b`WTP CLASS: WW-2 COUNTY: Catawba
ORC: John Allen fviart i ORC C'ERT NUMBER; 9969$6
OWNER NIME: Aqua North Carolina.
GRADE: WW-3 PERIOD: 12-2(117
(OM.PLIANCE STATUS: C:ompliartt
0
ORC HAS CHANGED: No
2(8t7) VERSION: 1.0
CONTACT PHONE
ORCICertificr S gnatu ?` John Allen Martin E-Mail:3AMarli
this report is accurate and complete to the' best of my knowledge.
STATUS: Processed
SUBMISSION DATE: 01.122?2015
7E'2018
meriea:cony Phone 4:704-489-9404
The l errniitee shall _repair#. 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 ofthe circumstances. A written submission shall also he
provided within days of the time the pctratittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a fit -table for improvements to be made as required by part IL-E-6 of
the NPDES permit:.
'ffSubm3Cter Signature:**'s Duane Rimnaer E-Mail:ddrimmequaamerica co Phone
FeitR e Address: NCSR 1849 'Shcrrills Ford NC: 28673 Permit Expiration Date: 031331/2020
I certify, under penalty of law, that this document and all attachments were prepared under my direction r'tr
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inc
01)22/ 2018
704-489-9404 Date
upersistrtn in accordance with a ,system designed
ity of the person or persons who managed the
systm nr those persons directly responsible for gathering the information, the information submitted is, to the tress of my knowledge and belief, true,
accurate, and complete. 1 am aware that there are significant penalties for submitting false intonnation, includingo the possibility of fines and imprisonment for
knowing violations,
LAB NAME: Water Tech l to
CERTIFIED 50
PERSON(s) COILEC77NG SAMPLES: John Martin
CERTIFIED LAI3C)RATORIES
PARAMETER, CODES
Parameter Code assistance may be obtained by calling. the. NPDES [phone] or by visiting http://portaLncdenr,org/weblwq/swplpshapdcs/forms.
Use only tanits of measurement designated in the reporting faeil`a(y's NPDES permit for repcartang data.
* No flow/Discharge From Site: Cheek. this box if no
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 otthe signatory authority must be on it with th
.0506(b)(2)(D),
and, as a result:, there are no data to be entered for' all of stag Itaratttetets sae the DMR
ate
1.5A'NCAC 2B

NPDES PERMIT NO.: NC0063355
.FACILITY NAME: Killian CrossroadsWWTP
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 11.-2(117 (Noven-ber 20I7)
: 011,krek
PERMIT VERSION:
CLASS: WW-2
ORC: John Allen .Martin
ORC HAS CHANGED: No
VERSION: I 0
PERMIT STATUS.: Active
OU NT Y Catawba
ORC CERT NUMBER: 990.9fl6„
FFR 05 2013
STATUS: Processed
SViR S
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001. NO D1SCHAR6E NO
2404 atock
1090
591
1.25
EMIIIIIIMEMIll
MMIIIIIIIIIIIIMI
1
MII111 IIIIIIIIMIIIIIIMINIIIE
IMIIIIIMMIIIMIM
IIIMINEMMIIIMIIIEMIIII
1111111111121111111111111111111111111111111
MIIIIIIIIIIMIIIIMIIIIMI11111111•11111111111111111111
111111111111111100111111111111M111111111111111INIIIM
IIIIIIIIIIMIMMIMIIIIIIIIIIIIIIMINIM
•=10•1111 1=1111.11111.=.11
0 032
MIN111111111111111IIIMIIIIIIIIIIN1111111011111
21111111MIIIIIMEIMEMIIIIIMINIMMIIIIIIIIIIIIIIIINIIIIIIIIIIMI
1111=111111111111111111111111111111111•11MINIIIIIMIIIIIIIIIN
INEIMIEMEMIIMIII, , , 0 2 , 2 S Ei=
MIIIIIIIIIIIM 164 EMI
.1111111111111111111111111.1=11111 1/EMENIII MN.
MIIIM11.111.11.
NM
.50950 WOO
Continuous 5 X week. Weal
Recorder trrab Grab:
FLOW TI4I0-( 14
tirseer deg c art
0.022
0,024
0.016
0,024
(irab
C111,01RINE
C0310 4141)440
Cornpmite
000 • Gem
'CO530
Cerroptssrie Campsite
Nitasri - Crrac TSS COW
me 1
31616 • BON
Geab
1,011,1 0.1;
rel0Orni
Grab
4104
'f4144,1
99
0,021
0025
0026 „
MoMitly AVOVEIV UMW, 4,5
Daily Illnalmumn, 0.034
**** No Reporting Reason: ENFRUSE = No Flow-ReuselRecycle: ENVWTVIR i= No Visitation Adverse Weather; NOFLCYK = No Flow, 1-101,11DAY — No Visitation - Holiday

NPIDES PERMIT NO.: NC0063355
FACILITY NAME: Killian Crossroads WWTP
OWNER NAME: Aqua North Carolina Inc:
GRADE: WW-3
eDMR PERIOD: 1 17 {November 2.017)
PERMIT VERSION:5.0
CLASS: WW-2
ORC; John Allen Martin
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: DO NSTREAM DISCHARGE NO.: 001
"""" No Reporting Reason: ENFRUSI: No Flaw-Reuse/Recycle, ENV'WTHR No ti✓a Ain — Adverse Weather, NOFLOW - No Flow, F-IOL MAN' No Vis— Holiday

NL'L)FS faERh1IT NO.:'NCOO63w155
M:ACILatTY NAME: Killian Crossroads W WTP
OWNER NAME: Aqua North Carolina hie
GRADE:: WW-3
eOMR PERIOD 11- 1'1 st �eamaEn r f1171
PERMIT VFRSLON: 5.0
CLASS: WW-2
ORC": John Allen Marhn
ORC IIAS CHANGED: `3i
VERSION: l.(Y
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 9969,
STATUS: Processed
SAMPLING LOCATI+IIN: EFFLUENT HIS :.I-IARGE NO.: 001 NO DISCHARGE*: NO (Continue)
*wr+ No Report R.c' seni', 1 NFRIISIa — No Flow --Re
-. No Flow: 1101 IIJAY - Nn Vlsinaliii➢

'PDESPERMIT Na: NC#r Roc 35 PERMITVERSION: !u
FACILITY NAME'Ki ( «W m CE&m:WW2
OWNER NAME: Aqua m& Carolina ORC: John« Martin
GRAD W l ORC HAS CHANGED: Ni
eDMRPERIOD: R= P Nov - t317 VERSION G
-wRn
PERMIT STATUS Active
COUNTY: Catawba
ORC CERT NUMBER
STATUS:
SAPP£! G LOCATON:UPSTREAM DISCHARGE NO:UO!
mr r-1hRcu v:ate m#=yam _,. c n« - Flow; HOLIDAY Visitation -Rs � : � oy� w._,

NPDES PERMIT NO.: N '163355
FACILELY NAME: Killian; Crossroads VOIR
OWNER NAME: Aqua North ( aromIn.
GRADE: WW-3
el/MR PERIOD: 11-.2017 (November 2017)'
COMPLIANCE STATUS: Compliant
PERM IT VERSION:5,0 PERMIT STATUS: Active
CLASS: WW-2 COUNTY: Catawba
ORO John Alien ORC CERT NUMBER: )%9110
ORC HAS CHANGED: No
VERSION: 1,0 STATUS: Processed
CON'FACIF 7044899404 SUBMISSION DATE: 12/ 9/201 7
ORCiCertifier Signalc: John Allen M;irtui
1.2/18/2017
rtIn@ Phone #[phone] Date
By this signature, I certify that this report is accurate and complete to the best ofmy knowledgc„
'File prnutk1cshall 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 perminee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the perminee 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,
12/1912017
Permittee/Submitter Signature:*** Duane Rimmer E-Mail:[e-mail] Phone #[phone] Date
Perrnittee Address: NCSR 1849 Sherrills Ford NC 28673 Permit Expiration Date: 03131/2020
I certify, tinder 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 tbr submitting false information, including the possibility of tines and imprisonment for
knowing violations.
LAB NAME; Water Tech Inc
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPEES: John Martin
CERTI '
PARATVIETEI. C.ODES
Parameter Code assistaitee may he obtained by calling the NPDES Unit (9)9) 807-6300 or by visiting http://portalmedentorgiwc vq/s p/psinpdes/forms.
FOOTNOTES
Use only units ofmeasurement designated in the reporting facility's NPDES pennit for reporting data.
* No Now/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 DMR
for entire monitoring period.
** ORC on Site: ORC must visit facility and documentvisitation of facility as required per 15A. NC AC 86 .0204,
*** Signature of Permittee: if signed by other than the permittce, then delegation oldie signatory authority must be on file with the state per 15A NCAC 213
.0506(b)(2)(-Df

NPDES PERMIT NO.: NC
FACILITY NAME: Killian
OWNER ER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 10-2017 (October 2017)
PERMIT VERSION: 5. t
CLASS: WW-2
ORC: John Allen Martin
ORC HAS CHANGED: No
VERSION: 1.0
SAMPLING L©CATION: EFFLUENT
2400 dad lffi 1'/';VrI
25 1150 24 1102
27
21
30
31
134-6 1.75 V
1,25
15
Continuous
Recorder
0,026
0,022
0.1122
021
0,022
PERMIT STATUS: Active
COUNTY: Catawba
Fai... 'ERTNUMiftTh 6 ..
nLE:ScIATUS: Processed
DISCHARGE NO.: 001 NO MS
e1 c °,ekly
Orab
Mo lhl1 .M1wngc
'0.[I2322b I9,545455
Daily ai.:6mnn.,
0,012
ite
23
15
7,4
7.2
"4** No Reporting Re
ENFRUSE =NoFlow-Reuse/Recycle; EENWWTHR.==NoV'isitati
Crsh
CHLORINE
24
C mpasiie
4,4
Adverse Weather; NOl=LOW No Flow;
ly Weekly Weekly
t. (iA"f11S@4lle Composite
yH}y - Cone E'EY.l1-Crony
W ttekly
Grab
DP]
AY'= No Visitation -- Holiday
Qurinelly
Composite
0,12

NPDES PERMIT Na: NC0063355
I ACII.11V NAME: Killian Crossroads WWTP
OW 'ER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 10-2017 (October 201.7)
4
17
PERMIT VERSION: 5.0
CLASS: WW-2
ORC: John Alien Martin
ORC 1-IAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 9%9
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
:41n1 dock
1352
C'0333 46546
Quarterly 2 X month Monthly
Composite Grab Composite
[ TOTAL .1'- Coat. 01L-GILM: MOO
nnx
175 Y
1427 1.0
1310
1015 ! 24 957
1108
1407
1.417
1230
2.0
mat mgi'f
2.0 Y 6.46 it 5,6 it 0,1
1.5
1.25
1.25
1401
1318
18 1140 24 11211
19
21X
632
1343
1255
1423
1102
943
1346
1343
04'3
N
1.25 Y
1.75 Y
2.0
N
y
.75 ;5. <5.6
0,5© v
1.50
2.50
1.0
2.25
1.25
1.75
1.75
N
IN
Y
Monthly Average 11
31616
Grab
'FCOI,I ER
0/100m1
Moodily Average: 1646
11
Way Maximum,
t+.4tr
0 0
onay Minimum; 6 4fx
11
.•pe No Re zrkltlg Reason: ENFRUSE _= No Flow-RcusetReeycic; ENV WTHR.—'No Visitation— Adverse Weather; NOFLOW No Flow; HOLIDAY = No Visltation -- Holiday

NPDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0 PERMIT STATUS: Active.
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2 COUNTV; Catawba
OWNER NAME: Aqua North Caroline Inc ORC: John Allen Martin ORC CERT NUMBER: qq6
1
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 10-2017(October 2017) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: UPSTREAM SCHARGE NO.: 001.
90380
Id
G
4
k
8
'6
9
7
7
14
s 8ve6tgx: 16
14
'"• * No Reporting Reason: EN.FRUSE Na F lnw-ReusetRecycle; ENV WI = No Visitation ... Adverse Weather; ?*1()FLOW = No Flow; H()1,tt7A1` _ No V'i italic n ... Holiday

NPDIs'.'r PERMIT NO.: N0)063355
FACILITY NAME: Killian Crossroad, WW"I"P
OW,r4R NAME: Aqua North Carolina, Inc:
GRADE: WW33
eDMR PERIOD: 10-2017 ((k io r 2017)
..., No Re
Ming Rea
SAMP
N
PERMII° VERSION: 5.0
CLASS: WW-2
ORC: John Allen A Ian
ORC HAS CHANGED: No
PERMIT SiATUS:
COUN ry: C .taw
ORC: CN R"1" NEMBER: 996986
Si NILIS: Processed
OCATION: DOWNSTREAM DISCHARGE NO.: 001
VERSION: E0
EN'I RUSL= No F Noe= -Re uc,^Ttcc,ydle; ) NV "]'FIR = No Visitaoun Adverse Weather; „NOM)
HOL11)A Y =- No Visiratio n

NPDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Killian Crossroads WWFP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin ORC CERT NUMBER: 996986
GRADE: WW-3 ORC HAS CHA.NGED: No
eDMR PERIOD: 10-2017 (October 2017) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 1 1/21 /2017
11/20/201 7
ORC/Certifier Signature John Allen Martin E-Mail:jAMartingaquaarnerica.corn Phone #:[phone] Date
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge.
The perrnittee 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 perrnittee 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 rnJprovements to be made as required by part 11,E,6 of
the NP -S permiL
I 1/2E2017
Permittee/Su.bmitter Sign ture:*** Duane Rimmer E-Mail:ddrimmer@aquaamerica,com Phone #:[phone] Date
Permittee Address: NCSR 1 849 Sherri.11s Ford NC 28673 Permit Expiration Date: 03/31/2020
I certify, under penalty oflaw, that this document and all attachments wereprepared 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 infomiationsubmitted 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 Inc
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: John Martin
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting tortp://portalnedenr,org/web/wq/swpips/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 1 5A 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 1 5A NCAC 2B
,0506(b)(2)(D).

NPDES I"V!NIT NO.: NC0063355
FACILITY NAME: Killian Crossroads WW
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
el)NIR PERIOD: 09-2017 (September 20177)
PERM' I" VERSION: 5.0
CLASS: WW-2
ORC: John Allen Martin
ORC: RAS CHANGED. Na
VERSION: 1.0
PERMIT STATUS: Active:
COUNTY: Catawba
( "CERI NUMBER`
STA"1TUS. Prot d
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE
l B44
♦ " Repoitn2Q, Rea
4.024 H
(((126
41,022
4`424+4
May IW..,lwura:
ns18,r va&atlwwuuit aols
Reuse/Recycle; EN V V 1`FIY4 : No Visit at'on -- Adverse Weather;
o Visitatit4n
47061*

NPDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0 PERMIT STATUS: Active.
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Aqua North Carolina Inc ORC: John Allen. Martin ORC CERT NUMBER: 996986
.GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 09-2017 (September 2017) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
26
935 4 820 1.75 Y
1017 10.50 Y
C 0665 69556 3.8264.1 31616
Quarterly
2 X month
1 Monthly
CnnortosOic
TOTA/..
Ingt1
Oran
041.41tR8X
nt •
Compo5no
mans
Grob
KOLL BR
27
211
1328 , 1.0
1050 24 1004 1 2 5
29
1324 2.0
30
N
61611thly Aurrago
Monthly Aver6g.e.: 0
Pak N126664.6:
0
Daily 6.116166661
'0
No Reporting Reason: ENFRUSE No Flow-Reuse/Recycle, ENVWTI-IR No Visitation .Adverse Weaiher; NQFLOW No Row; HOLIDAY - No Visitation. - Holiday

'PDFS PERMIT NO.: NC :I a6335
FACILITY IT' NAME: Killian Crossroads. WV 1`h
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 01-2017 (September 2017)
PERMIT VERSION: 5,0
(:LASS: WW-2
ORC: John Allen Martin
ORC HAS CHANGED: No
VERSION: IC)
PERMIT STATUS: Active
COUNTY": C taw
ORC C ERT NUMBER: 996986
SK P
SAMPLING LOCATION. UPSTREAM DISCHARGE NO.: 001
"*.
No s;cpurung Rcru„wnv EN7�R'US1'isii:ttmsua... +1dversc Wrath NOFLOW HOLIDAY _ No Visitation - Holiday

N.PDES II;RMIT N10.: NC0063355
FACILITY NAME: Killian Crossroads WW1 P
•
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDMR .PERIOD: 09-20 7 (September 2017)
14
31
12
13
14
37
t6
17
333
19
24
PERMIT VERSION: 50
CLASS: WW-2
ORC: John Allen Martin
ORC HAS CHANGED: No
VERSION; 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
itcportin Its!atint.."
74911414Averag Limit
Maitibly Avtrage:
Day Mweituum
Oh Milaimmtr
0410 NOM
Wrteir Wockly
Grub Grab
TEMP( DO
deg e 33473
25 77
24 7,9
27 • 7..4
28 7
26 7,5
7.9
24 7
**** No Reporting Reason: :ENFRUSE —No Flow-ReusefRecycle: ENV WTH R — No Visitation — Adverse Weather; NOFLOW No How; HOLIDAY No Visitation — Holiday

NPDES PtSRM I NO.: NC0063355 PERMIT VERSION: 55_0 PERMIT STATUS: Active
FACILITY NAME: Killian Crossroads W W"TP CLASS: W W-2 COUNTY: Catawba
OWNER NAME: Aqua North Carolina. Inc ORC: John Allen Martin ORC CERT NUMBER: 996986
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 09-2017 (September 201.7) VERSION; 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE it: 7044it99404 SUBMISSION DATE: 10/25/2017
0RC/ Certifier
By this
The pe
a
urc: John Allen. Martin E-Mail:JAMa
10/23/2017
in@aquaamerica,com Phone 4:704-489-9404 Date
ure, I certify that this report is accurate and complete to the best of my knowledge.
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 il.f1.6 of
the NPDES permit.
10125/20/7
Permittee/Submitter Signature:*** Duane Rimmer E-Mail:ddrimmer/ aquaamerica.com Phone 4:704-489-9404 Date
Permittee Address: NCSR 1.849 Sherrills Ford NC 28673 Permit Expiration Date: 03/31 /2020
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
knowing violations.
LAB NAME: Water 'Fed Inc
CERTIFIED LAB #: ill
PERSON(s) COLLEC1 I:NG SAMPLES: John Martin
Parameter Code assistance may be obtained by calling
CERTIFIED LABORATORIES
PARAMETER CODES
NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNO 1"ES
Use only units of measuretnent 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 f<teility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: if signed by other than the perm] ttee, then delegation of the signatory authority must be on file with the state per I5A NCAC 2B
.0506(b)(2)(:D).

NPDES PERMIT NO.: NCOOh33o PERMIT VERSION:
FACILITY NAME': Killian Crossroads WWII) CLASS: WW-2
OWNER NAME; Aqua North Carolina lite ORC: John Allen Martin
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 08-2017 (August 2017) VERSION: 1.0
2400 dock
STATUS: Active
COUN'fY: Catawba
Ef 2 ri AA
/ 0 ORC CERT NUMBER: 96986
1...Mk 'SLUT 0 IN STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
1500
1 150 24 4802
0100thly Aver(Re Lim&
Monthly Mune.
Continuous
RecoTdee
FLOW
08628
(11i5ab
WNW-C.
rngd deg, c
0.025 25
0,02,5
0 026
02.5
0,027
0.025
0.025
0.024
0.021
0.019 30
25
24
21
0.02.[ 26
0.0.22
0024
0.026
0.025
0.022.
0.02
0.023
0.025
0.115
25_605690
2. X week
Grab
(IAAURINE
COUR
Weekly
Corepeeite
REID FEAR
Weekly
CompasiTe
NAILEA CND
C0530
Weekly
Composite
'INS CADE
Oral" CCATIDekite
DO TOTI.I. N
'I*** No Reporting Reason: ENFRUSE No .F low-ReuseiR ecyc le; 'EN:VW-MR No:Visitation - Advuse Weather. NOF 1,0‘V NA) Flow: HOLIDAY = .No Visitation Holiday

NPDES .PERMIT NO.: NC00633.55
FACILITY NAME: Killian. Crossroads WW1 P
OWNER NAME: Aqua North Carolina, Inc
GRADE: WW-3
eDMR PERIOD: 08-201'7 (August 2017)
PERMIT VERSION: 5.0
CLASS: WW-2
ORC:1Iohn Allen Martin
ORC HAS CHANGED: No
VERSION: LO
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATES: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: ON NO DISCHARGE*: NO (Continue)
Z400 Monk
3400 clook 11
1337
$55 1.25
24 1 1 103 T.5
1152 .75
1529 '75
24 1127 '2.0
706 10.5G
1419
.300
11
1 50 24 1 102 1225
Monthly Average
Moodily .4versigni
COM45
• Quimer1y
Composite
rogill
2 X month Mont*
GEab Compo5ite Grab
01.1.4911.5E %11435 KIRI BR
660 440 91 00mI
215,6
*"' No Reporting Reason: ENERUSE — No rlow-Ruse,'Recycle; ENLWCHR No Visitation Adverse Weather, NOFLOW Flow; HOLIDAY No 4'silatiori Holiday

NIPDES PERMIT NM: NC0063355
FACILITY NAME: Kitlian Crossroads vv-wir
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDNIR PERIOD: 08-20 17 (August 201.7)
PERMIT 'VERSION: i.0
CLASS: WW-2
ORC: John Allen Martin
ORC DAS CHANGED: No
VERSION: 1.0
PFR%1 rr sTATus: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STXFUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
'9°." No Reporting Reason; CNFRUSE - No Flow-Reuse/Recycle; FNVWITIR No Visitation - Adverse Weather; NOELOW No Flow: HOLIDAY No Visitation Holiday

•
NPDES PERMIT NO.: NC0063355
FACILITY NAME: Killian Crossroads WV TP
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eumR PERIOD: 08-2.017 1 \ugusl 2017)
PERMIT 'VERSION: 5.0
CLASS: WV-2
ORC: John Allen Martin
ORC OAS CHANGED: No.
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
Man daty Average Limit:
Monthly invartintit
Daily Maximum,
Daily Minnow:
"" No Reporting Reason': ENFR USE No Flow-RuseiRecycle: ENVWTHR - No Visitation - Adverse. Weather: NOFLOW - Row; HOL = No Visitation - Holiday

NODES PERMIT NO.: NC'tt063355
FACILITY NAME: Kinian ('rnssread'q W WT"P
OWNER NAME: „Aqua North ("arr1rna tnc
GRADE: v4 w�3
eI 4R PERIOD. 0S-201 7 (August 2(117)
COMPLIANCE STA"rLFs: compliant
ORC C:`ertifie
PERMIT %IKSION: 5,0
CLASS: W\V-2
ORC: John Allen !Martin
ORC: HAS CHANGED: No
VERSION: I,0
CONTACT PHONE #: 70'
John ,Allen Martin
PERMIT STATUS: A
COUNT l.':atuw ba
ORC CERT \1 tBER: )'969S't(
sTATCS: Prose sed
4114 SL'BNIISSFON HATE 09r'25 2017
09/2C,1d2O17
n7taquaamerica.com Phone :[phone] D
By this signature, I certify that this report: is accurate and complete to the best ofmy knowledge.
The pertnittce shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public lte lth or the ertviro'rurrent.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the ctrcurnstances, A written sub ion shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
Tithe facility is noncompliant, please attach a fist of corrective actions being taken and a tiazte table for imprc wements to be made as required by part ILE.6 of
the N'PDES permit.
ISubmitter i nature:'*""" Tluane Rimmer
quaam
25d2017
corn Phone 0:704-489-9404 Date
Permittee Address: NCSR 1S49 Sherrills Ford NC 286'73 Permit Expiration Date: 03,•3112020
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 res onsible for gathering the information, the information submitted is, to the hest 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 itnptsonmen
knowing violations.
LAB NAME: Water Tech Inc
CERTIFIED :1 AR #: 50
PERSON(s) COLLECTING SAMPLES :John Marton
CERTIFIED LABORATORIES
PARAMFIEE:R(ODES
Parameter Code assistance nay be obtained by calling the NPDLS Unit [phone] or by visiting'http://purlalit blwgiswp/p 'npde fotmis.
FOOTNOTES
Use only units of measurement designated in the reporting facility*s NPDFS permit for reporting data.
* Na ,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 DIVIR
for entire monitoring period.
*'* ORC on Site?: ORC must visit facility and document visitation of facility° as required per I5A NCA( 8C3 .4)2l)4,.
*** Signature of permittee: if signed by other than the permittee, then delegation of the ssignatory authority must be on fie vv°ath the state per I S:A NCAC 2EB
.0506(h)(2,)(D).

NPDA PERNIEr NO.: NC0063355
FACILITY NAME: Killian Crossroads ),),A)TIP
OWNER :NAME; kqua North Carolina Inc
GRADE; VVW-3
eDMR PERIOD; 07-2017 (July 2017)
11441411 clock
PERMIT VERSION: 5.0
CLASS: VIVO-2
ORC: John Allen Martin
ORC HAS CHANGED; No
'VERSION: I ,0
PERMIT STA'ITS: Active
RE C E VBEINTY; Catawba
_ORC CERT NUMBER: 9969 6
C:1C. T 11 6 201
CENTRAL, FiLE,67ATUS Processed
EMIR SECTION
SAMPLING LOCATION: EFFLUENT DISCHARGE NO,: 001 NO DISC ; NO
24110 clotk.
5449150 010010
.ontirmous 5 X week
0„O14
0.012
0013
0.029
0.022
0_027
0_025
0..023
0.019
0.025
111111111=11111
111111101111M
BIM IIIIIII
• 2,0 11111111111
ell
111•111111111M1111111111111111111111=
IMME111 IMMI
111•111111111111111111111111111111
111111•1=111•111111
1111111111111111111111 1.50
q°6 =MI MI
11111
31 1408 00
klektbly A3e443ge 0igni0
0,016
0,0.25
0.028
02120
0.024
0.023
1.7.025
0.03
0,025
01122640
0,03
114114184
< 20
C0610 C0531
C001114403ite
0I13-18 C363
COMpOSite
109 (6066
COM
6,525
**"No Ruporting Reason; ENFRUSE =No How- R enSeRrey`C ENVWFFIR -No Visitation --- Adverse Weather, NOFLOW - No Flow; HOLIDAY - No Visitation - Holiday
Composite
! 14,78
14,78

NPDEt .PERMIT NO.; NC0063355
. FACILITY NAME: Killian Crossroads WWIIP
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
el)MR .PERIOD: 07-2017 (July 2017)
PERMIT VERSION: 5.0
CLASS: WW-2
ORC: John .Allen Martin
ORC DAS CHANCED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY; Catawba
ORC CERT NUMBER: 996986
STA'FUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
Composite
DDTAL P Com
**** ND Reporting Reason: ENER USE - No Flow-Reuselftecycle; ENVINTHR No Visitation Adverse Weathei7 NOFLOW - No HMV: HOLIDAY No Visitation - Holiday.

NPl)E:tig PERMIT NO.: NC°006335 PERMIT VERSION: 5,0
F.1CIIJ 1Y NAME: Killian Crossrs:ac9 V W I"`P CLASS: W'LL'-?
OWNER NAME: Aqua North Carolina Inc ORE: John Allen Martin
GRADE: WW-$ ORC HAS C"HAN(;EI)r No
el)NIR PERIOD::03--2.017 (July 20171 VERSION: E,IJ
PERMIT STATUS: active
COL`N'FY; (:'atstwha
ORCCE:RI`NUMBER: qti40
d
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
14
7
4
xoz
1714747,17
I1a41 37431143
61
'"• No Reporting Reas11n: F,NFRI.:SE - V'o Flow-R7u.t R
` No Visital

NPDE"S PERMIT NO.: NC0063355 PERMIT VERSION: 5.0 PER:LIIT STATUS: Active
ITY NAME: Killian Crossroads WWTP CLASS: WW-2 COLN'EY: Catawba
OWNER NAME: Aqua North Carolina Ins ORC: John Allen Martin ORC CERT NUMBER: 996986
(GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 07-2017 (July 2017) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
it:
,a",ta NON.
T :NAP-S". n£7
Duly Mew, unn
za
"""" No Reponing Reason: ENFRI!SI.No flow-ReuseiRecycic; FNVW FHR No Visitation - Adverse 'Weather; NOEL OW - Nu Flow; H01 IDAY - No Visitation - Holiday

NPDES PERMIT NO.: NC0063355
, FACILITY N,AMF.: Killian Crossroads W WI 1'
OWNER NAME: Aqua North Carolina Inc
GRADE: W W-3
eDAIR PERIOD: 07-2017 (July 2017)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 5,0 PE KI 1 STATES: Active
CLASS: WW-2 COUNTY: Catawba
ORC: John Allen Martin ORC CERT NUMBER: 996986
ORC HAS CHANGED: No
VERSION: 1,0 STATUS: Processed
CONTACT PHONE #: [phone] SUBMISSION DATE: 08.2312017
08122/20 1.7
ORC/Certifier Signa u
Allen Martin E-MaHJAMartin(Aaquaamerica.com Phone 4:704-48 9-9404 Date
By this signature, 1 certify that this report is accurate and completeto 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 he made as required by part ILE() of
the NPDES permit.
08/23/2017
Permittee/Submitter Signature:*** Duane Rimmer E-Mail:ddrimmer4aquaamerica.com Phone 4:704-489-9404 Date
Permittee Address: NCSR [849 Sherrills Ford NC 28673 Permit Expiration Date: 03/3 1/2020
1 certify, under penalty °flaw, 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 arid 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 Inc
CERTIFIED LAB #: 50
PERSONOI COLLECTING SAMPLES: John Martin
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (9 19) 807-63.00 or by isinng visitinghttp:/portal..ncdenr.org/webiwq/swp/ps/npdeslforms
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 an Site?: ORC must visit facility and document IsItation visitationof 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),

NPDE:S PER2lfr NO.: NCII( 3 55
•
VACUITY NAM Kill ean Crossroads W'W I P
OWNER NAME: Aqua Non ka. (arG4&ieazt Cnc
GRADE: W"W°-3
eDNMR PERIOD: 06-201.7 (June 2( 1 7
P1 R\IIT VERSION: 5
CLASS -2
ORC: John Alen Martin
°RC HAS CHANCED: N
V11 SIGN: 1,0
RECE
j j PERM I S`1'skTLS: Ac11,e^
\i fir+ cot \"1' *: Caw,. b a
ORC" CE:RT NUMBER: ,NOYS
CENTRAL FILES
DWR SECTION
S: Prcressed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: OOI NO DISCHARGE' : NO
u.+K No Rimming Reason: I NFRI SI? -- No iglu
:us
41R - No il'isitation-Aelve.ne Vilea thee; AOl 1 Oy\ No Flow; HOFIf
Holiday

eNPDES rERmrl NO.: NC0063355
'FACILITY NAME: Killian Crossroads Pv`WTP
OWNER NAME: Aqua North Carolina Inc
GRADE: W W-3
eDMR PERIOD: 06-2017 (June 2017)
PERMIT VERSION: 5,0
CLASS: WW-2
ORC: John Allen. Martin
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996986
STATILS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
=telly
l7m, site
'TOTAL - Cone
1,401) clack
2 X month
Grab
t..-Git SE
trqr,
IIMM•1111 11.111
1====l1=11111
1.111: IMM
INIMINIM=1.111111
1.11. .111111M
1=1111=== n==11111111.=
103
I 0
IIBIM" 111111=
IIINIS===
1,1..111=111111.1
15111=E=.111.
IN11111111111111=1111
11111
111111111111E
1111111111•1111111111111111111111111
11111111111EMMEINIIII
IMEME11111
111111111111==
• 0
igrampaimii
Monthly Average Lima:
Monthly Ay-oragez
Mon ly
Componc
.1, AS
KUL1 Fitt
*"' No Reporting Reason:. ENFRUSE - No Flow-Reuse/Recycle: ENVWTHR - No Visitation - Adverse Weather; NOFLOW - No Flow; HOLIDAY No Visitation - Holiday

NPDES PERMIT NO.: NC0063355
FACILITY NAME: Killian Crossroads WW1 P
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
cE)MR PERIOD: 06-2017 (June 2017)
PERMIT VERSION; ,50
CLASS; WW-2.
ORC: John Allen Martin
ORC HAS CHANGED: No
VERSION: 1,0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CE.RT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
***• No. Reporting Reason: ENTRUST ro Flow-ReuseiRtcyele; ENVWTHR - No Visitation -- Adver,vz Weather; NOHOW No Now; HOLIDAY - No Vitilthl1011 -

NPI)ES .PERMIT NO.: NC'00633.55
FACILITY NAME: Kllliarl Crossroads W W`IP
OWNER NAME: Aqua North Carolina Inc
GRADE: W'W-3
eDMR PERIOD: 06-201.7 (June 201'7)
PERMIT VERSION: 5.0
CLASS: WW-2
ORC: John Allen Marlin
ORC HAS CHANCED: No
VERSION: l.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 996936
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
24013 slant,
0110111
'117A P-C"
d
7
24
4
10
1112
2
FYurslh
7
o No Reporting Reason:
Doily Nbairum
0da9ig Minimum:
77
7
,c Recycle ENV'W'THR — No Visitation.—Adserse Weather; ' t» LOW =- No Flow: HOLIDAY - No Visitation— Holiday

NPDES PERMIT .NO.: NC0063 55
F,a1CILITY NAME: Killian Crossroads WWTP
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eD1MR PERIOD: 06-2017 (June 20E,7)
COMPLIANCE STATUS: Compliant
PERMLT VERSION: 5.0 PERMIT STATUS: Act
COUNTY: Catawba
ORC: John Allen Martin ORC CERT NUMBER:
ORC HAS CHANGED: No
VERSION: S.)
CONTACE PHONE: #:7(74,1899404 SUBMISSION DATE: 07 12/2017
CLASS; WW-2
STATUS:, Processed
07r' 10/2(117
ORC/Certifier Signature: oho Allen Martin [e-mail] Phone 0:704-489-9404 Date
By this signature. I certify that this report is accurate and, complete to the best of my knowledge.
The permitter 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 perntittee 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
the NPDES permit.
07/ 1 2/2017
Permitter/Submitter Signature:*** Duane Rimrner E-Mail:ddrimmer(q a.quaamerica.com Phone 0,:704-489.9404 Date
Perntittee Address: NCSR 1849 Sherrills Ford NC'28673 Permit Expiration Date: 03/31/2020
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: Water Tech Inc
CERTIFIED I,AB #: 50
PERSON(s) COLLECTING SAMPLES: John Martin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by v
ing http_//portal.ncdenr.orglwebr'wq/swp/ps/npdeslfornts
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 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),

NVDES PaIM IT NO.: NC0063355
FA ClIATV NAME: 1<dlid.r. Crosoads ,\ V9 1 P
OWNER NAME: Aqua North Carolina Inc
GRADE: 4VW-3
eirdIR PERIOD: (15:520 & 7 (May 2117)
19
994914 dock
PERMIT VERSION:::
CLASS: WW-2
ORC: John Allen Marlin
r"F
tr5„, r
(.1 0 '0: 0 1
OR( HAS CHANGED: Ng:;ENTF
F55 .5 57, ,Z070—'-r55-00
VERSION; 1,0
PERMIT STATUS: Act ive
COUNTY: Catawba
ORC (FR rNUMRET6d4T4V'CDENR'DWR:
STATUS: Processed
N 44
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO D SUTLA (A:4'; NO
943 3 5
'4 059 24 059 1 '11
1412 1 0
117
41
544
29
ZZ
31
294
.10
31
922 1.50
—
930 1..0
959 2 .5
IOW
912
1107
1116 ;„,1.251
923 7.59
050 14 959 91
'14.15
59 24
11140 1.50
1423 19191
1049
2 .1
7--
5,xtm
Continuous
Recorder
mgd
k4970
• 9 10
9 027
9.074
0921
0.09
9.022
.072
R012
31123
401110
5 X 3990k
417412
111.814292
9 .1
*04*
NOW
9 ORO 06 15 01143.11
9,44
2 X wo4k. 1.4.092kly W0014:7 49,59091 11
Grab 177,5991555911e 1700399411.0 123994.05.110 • Grab
17131.04411141) HOP - C554 5111444 -0514 rss c.c.: • Imo
9L1 rnwl 95919 f.11191 onwl
7 21
4 29
91
0 211
<
,11
20
9921
10.021
0,117,51
9.076 2i
1 9.077
0:02:k 7 71
. 0.023 122
7.4
2 2 0.2
026
39213
0.92 f 11
0.92 23
971 19 24
Wonky 1t544441,17114 "
59159511144 &maw
tat 1 471
3141141414357574 0,028
24 2- 0 —17.1
49913 Miniftwav
17
—25
Q9-537ely _
C2479
rarkt, N
• 5- 0.2
5
7
95
7,82
152
10 7.5
"" No Rporting Reason: ENFRUSE - Na Fk555:-44eu9eiRec54910. ENV 44I HR N3 V Wtation — Adverse: Weather. NORM, No How, HOL DAY" - Na Visitation 1folid959

NfDES PERMIT NO.: NC0063355 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Aqua Noah Carolina Inc ORC: John Allen Martin ORC CERT NUMBER: 996986
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 05-2017 (May 2017) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
4
Compeyii Semple Tlme
F
0
s
u
t-
F
a
1,4
C
A
0
F
E
O
ORC On Site'••
P.
2
1
2
C0665
06056
38260
31616
Quarterly
2 X month
Monthly
Composite
Grate
Composite
Grab
TOTAL P-Cour
01L-GRSL'
SIIOAS
FCOLI BR
2400 clock
Iln
2400 dodo
1in
Y1BlA
mg/1
mg/1
ms I1
K/100m1
I
843
3.5
Y
2
850
2.0
Y
3
1215
1.25
Y
a
1050
24
959
1.50
Y
<5.6
<0.1
<1
S
1417
1.0
Y
6
N
7
N
8
1027
1.50
Y
9
930
1.0
Y
10
959
2S
Y
11
1050
24
1010
2.0
Y
< I
12
912
3.0
Y
13
N
14
N
15
1107
0.75
Y
16
1116
225
Y
17
923
2.50
Y
18
1050
24
959
2.0
Y
<5.6
< I
19
1435
1.0
Y
20
N
21
N
22
1040
1.50
Y
23
[423
1.50
Y
M
840
3.0
Y
25
1050
24
1008
2.0
Y
< I
26
1104
L50
Y
27
N
28
N
29
N
33
1050
24
1000
1.5
Y
< I
31
1209
2.0
Y
Monthly Arenne Until:
70
Monthly Armie;
0
0
1
Daily M..Imamt
0
0
0
D.ily Minimum:
0
0
0
•*88NoReporting Reason: ENFRUSE—NoF1ow-Reuse/Recycle; ENVWTHR=NoVisitation— AdverseWeather; NOFLOW=NoFlow; HOLIDAY= No Visitation — Holiday

STDES Pi:47MT NO:: NCO0h3.355
FACILEEY NAME: Killian Crossroads Vi/V,JP
OWNER NAME: Aqua North Carolina Inc:
GRADE: WW-
PDMR PERIOD: 05-2017 \1 2017)
PE RAIFF VERSION; '5:0
CLASS: WW-2
ORC: John Allen Martin
OR( DAS CHANGED: N(
VERSION: I
pi,;;RNirt, sTATus: AcEiv,
COUNTY: aiavla
OR( CEICE NUMBER: 99‘59.6
STA'ILS.; Proce::sed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
Monthly A‘Trage:
Daily Mavimum.
1)4Hy Minimum,
7,4
•••' No Reporting Reason: ENFRUSh Elow-RQuseRecycle; 1N VW11-IR No Viskation - Advaise WaddICG NOF L OW No Flow; 1101,I1)AY - No Visitation Blida

STEWS P R lNe:N(U 2
PERM R VERSION: 5FERMI'
rA(111VNAME: glac VWEP CLASS: «V.2
OWNER NAME; Aqua N i h Qlt : John al van n OR( CERTNUMBER: v
GRAD E w ! QR£ R! S GEm k
STATUS; Processed
FLING LOCATION: DOWNSTREAM IMSCH\RGE NO.: 001
< \1(Catawba
eDMR mom p= 1M>' q
\
12
�
14
.a
VFmm»
611141.0
:.
2.22
a
®®9Repot gR _ ar Flcs 2.Reuselfki2cycle; \\ WHIRNoVisitation Weather \a: ssri.HOLIDAY » Visitatioi

Ni'tIES PERMIT NO.: N(70063355
F.(l II'1 NAME; Kill
OWNER NAME: Aqua North Carolina In
(GRADE: WV-3
eD\IR PERIOD: 0-2011(May
COMPLIANCE STATUS: Compliant
ORC/Certifier
T
PEIL411i" V1 R5ION: 5.(b PERMIT 5I 1TLS: Active
CLASS: \V COUNTY: Y: Catawba
ORU:J hn Allen ORC CERT NUMBER 'ri
ORC. HAS CRANIAL) ; \
4°1 RSION: 1.t) 51'A1`1 S: Processed
CONTACT Pl1C)N E #: 7041(999404 SUBMISSION DATE: 021r01 12017
09 AA
06122;'201 7
ure: John Allen Martin E-i1ail;JAMartita s.atJttaamerica.eorn Phone 4:704-489-9404 Date
By this signature, I certify that this re
The pern
e and complete to the best of n"My know ledge,
report to the Director or the appropnate 'Regional OElide any noncontplitmce that potentially thre
e
ub'lic health or the environment.
Any information shall be provided orally within. 24 hours from the time the permittee became aware of. the circumstances, \ written submission .shall also be
provided within 5 days of the time the pertnittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a cattle...table for improvements to be made as required by part ILEA') of
the NPES permit:.
07td1i•'201?
Permittee,Submittef Signature:*** Duane Ritnrtter Lt-A tail:ddrarmI aquaaraterica.roan Phone 4:704-489-9404 Date
Pertnittee Address: \CSR 1849 Shemlls Ford NC 28673 Permit Expiration Date: 0313
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
systctn„ or those persons directly responsible for gathering. the information, the infonnatiatn submitted hest of my knowledg,.e and belief. (rue,
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,
L.A\1E: Water tech Enc:
CERTIFIED LAB #; 50
PERSON(s) C(;)LI.ECTI\C SAM'fPLl S: John Martin
CERTIFIED L.ABORA R
PARAMETER CODES
Paraaneter Code assistamc may be obtained by calling the NPDPS Unit (919) S07-6.300 or by v
://portal.rtcdenr.org webr`wq savpipsInpdes'fon
FOOTNt)TES
C,Ise only units of measurement designated in the reporting facility's NPDES permit. for reportaing data.
* No Plow/Discharge Fmm Site; Check this box iftmo discharge occurs and, as a result, there are no data to be entered for all of the parameters on the. Da\IR
for entire monitoring period,
** ORC on Site?! ORC nau.st tiisit farihty'and document vis
*** Signature of Pennittee: 1f signed by other than the pernaittee, then delegation of the signatory authority must be on file with the estate per 15�\ WC. AC 2B.
.050(50)(2)(.0),
ired per 15A, "CAG .0204,

NI
ACILIT
"%C). 'N '0063355
I .: dl'Iit�art t"rt:rssroads WW°I`P
OWNER NAME: An.
GRADE: WW-3
PERMIT A'"E:RSION: .4.t
( LASS: WW2
ORC: John,Allen a
,C IV D
()R( HAS CI I,A\GFE): No N
eDN1R PERIOD: 0.4-2017 (April 207) VERSION: 10
CEN? .. FILES
D\AIR SECTION
SAMPLING LOCATION: EFFLUENT ISCIHARCH NO.: 001 NO DI GUARC
ba
ORC CE"sR'E NUMBER: !346 } 6
°.•' No $lei nrtni Reason: I'NFkk S _ \ Pass -94 tsc�i e y 4 1'"s v\ % 1[VK — No VisitatiAd vase WeatIsm \OFLOV \s
ti'I'eATI:S: Processed

NPDI?S PERMIT NO.: NC0063355 PERMIT VERSION: 5.0 PERMIT STATUS: Active
FACILITY NAME: Killian Crossroads WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin ORC CERT NUMBER: 996986
GRADE: WW-3 ORC HAS CHANGED: No
eDMR PERIOD: 04-2017 (Apri120I7) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
Ko
Ts
4F
g
a
0
IJ
F
P.Kt'
e
$
n
t°.
A.
E
O
G
F
-�
O
G
U
G
2
i
8.
aG
C0 60
00556
33260
31616
Quarterly
2 X month
Monthly
Composite
Gmb
Composite
Grab
TOTAL P-Coat
OILCRSE
h1IIAS
FCOLI SIR
2300 dock
Iln
7A ao efcc i
11n
YINN
Me
mg/i
mg/1
4/100m1
1
N
2
N
3
832
2.75
Y
4
1012
2.75
Y
5
832
20
Y
6
935
24
830
2.25
Y
333
< 5,6
< 1
7
1240
30
Y
e
N
9
N
10
958
1.25
Y
11
852
3.0
Y
12
839
25
Y
k3
1050
24
1003
225
Y
<1
14
1423
1.25
Y
15
N
16
N
17
833
225
Y
10
908
1.50
Y
19
S29
275
Y
20
1050
24
1000
20
Y
<5.6
<0.1
<1
21
847
3.0
Y
22
N
73
N
24
1413
1.5
13
29
848
125
Y
a6
1408
1.75
Y
27
1050
24
1004
1.75
Y
< 1
20
937
25
Y
29
N
3o
N
Monthly Arent' Limit:
30
Marna Am.g.
3.33
0
0
I
Daily 6Lthaamt
t3.33
0
0
0
Day Minimum.
3.33
0
0
0
66NoReportingReason:ENFRUSE=NoFlow-ReuseJRecyc1e; ENVWTHR=No Visitation — AdverseWeather, NOFLOW=No Flow: HOLIDAY = No Visitatioa — Holiday

PE
NCl 59 PER\RVJAm»fr
FACILITY NAME: Killian Crom
CLASS: VV:
OWNER NA#EAuNmh Carolina n ORG John«
GRADE>:wwa
q¥RPERmm 2017 (April 2017)
OR(Ir& CHAN GFm Ao
VERSION: G
PERM STATUS: Active
COUNTY: Catawba
OR((1RINUMBER: 9,96986
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
w
e
R on a»ar=wn R; E 7THR:NVisitation .«versrWeather: meow®»Flow; HOLIDAY=ate +on

NPlitIS PERMIT Na: N0.'0633.55
FACILITY NAME: KiI1an Crossroads W \Art?
OWNER NAME: Aqua North Carolina Inc
GRADE: WW
e)MR PERIOD; 04-2017 (April 20..11
PERMIT VERSI)N:5. 0
CI .ASS: WW-2
John Men Mri.in
OK( H. CHANCED: No
VERSION: TO
PERMIT S'EATI.-S.:
COUNTY: CatEmba
ORC CERT NUM BE R: 996986
STAT 1 IS: Er oc
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
®© No Reporting Reasorr ENFRUsrE - No flow-RemseiRmycle; ENvw-n-Ut= No Visr.tation - Adverse Weulber, NOFLOW —No Flow', 1101 0)A - No Visttailon

NPI4.ti NC,ltu(,3;i3
FAC:ILI1 \ NAME: Kiltut�n (:'
OWNER NAME: Aqua North (',+rraGirar itts
(;RAi)E: WW-3
el'INIR PERIOD: 04-2(1I7 (Apnl 2Q97)
COMPLIANCE IANC.E STATUS: C"onpiUarn
(`t•PP
PERM
C'I.ASS:
)RC: 1oh
()R(' DAS Chia\N(;E;I): No
VERSION: 1,E1
CON "I'AC I. PIION E #: 7t1 4) 4t)4
PERMIT S`IA`I`l;S:1w'C
( 011,N`I'Y. Catawha
ORC (DER 1 NLMBER:99l986
STATUS: Processed
SUBMISSION DATE: 05730120 7
Martin 1°,4MaiV:1,\Mavten rica.coin Phone. u:'?Nt -4 9-9404 Date
miry that this t :port is aa` dtcr and complete to the hest ot'tt)v knowledge
The pern)ittee shallrep+a to the Director or tare appropriate Regional Office any nuncaampliance that potentially threatens public health or the environment.
Any information shall lv( pratvrided orally within 24 hours frc to ilae time the lacrrnit¢ee ltccanae aware of the circumstances. A vvritte:ra submission shall also hc
provided within 5 days of the: titrtc the permince becomes aware of the circumstances.
If i.he facility is noncompliant please attach a list ofcurrective a;actions being taken and a tit table for improvemcnls to be made as required by part ll.h.h of
the NPDE' permit.
rioittee)Suhanittct Sigtaatnrt:*** Duane "
.Perm ince. Address: .NCSR 1849 Sherrilis 1"or 3 NC 28673 Pen
certify, under penalty of law, that this document and all attacltn
to assure that qualified personnel properly gather and evaluate tat
system, or those persons directly responsible for gatheringrate in
accurate, and complete. I am aware that there are significant pen
knowing violations.
1.AB N,'1 GiF r sa'rt r"T`c h &rtc
CERTIFIED 1.AB # 5
PERSON(s) COLLE( 1`IN(
n Manor:
I:ddriznmerta
rl
were prepared tuader my direction or supervi
formation .submitted. Based on my inquiry of l
ation. the infirm -nation submitted is, to the best ofnis knowledge and belief. true,
s for st)hanitting false int"urination, including the possibility aoh fangs d ianprisesn
0:7111-489-9 404 Date
CERTIFIED LABORATORIES
PAR.AML;"fiR CODES
Parameter (ode assishince may he obtained by calling the NPI)l S Unit [phone] or bti` crkiting, htlp,f^portal
meat designated in the rcl
barge
** (SRC; can Site?ORC must via
*** Signature of Pernaittee, lfsi;
.0506(h)(,2i(1.
ed by
1=C1CD'1 NOTES
NPDI.S permit for reporting data.,
rs and, as a result. there are no data to he
with a ,system designed
is who managed the
edcru=orkt"weh/wq/swptpsinpdeslio
and documenequired per 15A NC.A( 8(J .021:14.
her than the permitter. then delegation of the signatory authority must be o•
.
for all of the p urainc1crs on d DM R

North »e
( 4n,: w J
gMkrERIO:o
PERMIT % Rwm» S
CLASS: W!
()RC: Allen Mart
Ox HAS CHANGED:
rRS IO :in
PERM! I I. F :a6
c UNIt( ate.
ORCCER!«
S 1% Processed
SAMPLING LOCATION:EFFLUENT »I CHARGE NO.: 001 NOI SCHARGE NO
. No Reporting R_mDwUSE =» Fliiiss0Reid
m N m&©w'vtv Adverse, Wernher NOFLOW=Noma:H ,m¥=w Visitation t

WOES PERMIT NO.,: -NC:00.63355
14:ILIFY NAME: Killian Crossroads WWII'
OWNER. NAm E: Aqua North Carolina Inc
GRADE: WW- 3
eDMR PERIOD: 03-2017 (March 2017)
PERMIT VERSION: 5.0
CLASS: WW-2
ORC: John Allen Martin
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNIY: Catawba
ORC CERT NUMBER: 996986
ST,ATIlS: Processed.
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue
j
9
1
4 I : COSSO (.1141.9
. ! :
1 g I :
.(7cy109asite
si
14/556 3/320e
2 X: month Monthly
TOTAL TOTAL P - Caw
Grab
011,CRSE
Commlite
MBAS
5400 stosk /Its NM .3.4. Sirs 1393,51
I t/05
'0 Y
rtsts7 rtypA mei
,.4170
1050 24 958 2 0
st O. 1
3
4
5
1341 a so 04
1. 805 3 25
7
7.59 1 75 B:
s 1040 24 95 it 1 5 1,00
7 744 2 50 In
to 909 7' 74
tt 5.6
11
10540 0._40 B
744
I 054 2.0
15
1.0.39 0.75 Y
A6 1050 24 • 1006 1„ 75 5
17
19
912
838
2 0
2 0 ! Y
Jo ipso
t 005 i . 50
41
this Ass. -.so Litsitt
447
Matslibts Astraget
0
/11•Nignimp
0
Daay Minimum
0
No Reporting Reason: ENFRI:1SE -s"NJo How-Reuse/Recycle; FNVWTHR No Visitation - .Adverse Weather; NORMA/ - No Flow; HOLIDAY - No Visitation - Holiday

TSTAL
¥IDESPERA !N
P R !! v1 g :50
< : »
OR( C1RI
Tt Prot
DISCHARGE NOwl1
99698
R lu1\ N, ME:q:&C
OWNER NAME4A f North C. Inc
GR DR -3
+#KPERIOD: o 017(!* ah2O7
(:)RC: Mica Mar
ORC HAS CHANGED: No
¥ E RSIO'1
SAMPLING LOCATIO DOWNSTREA
4414460
Grab
aw GR #ROSINE, ENFRUSE =wF wR: e + GW «;=wVisitation .aww Wcather mF w=w Flow:, 101 '- Visitation.

\PI)LS PERM11 NO.: NC OU6,3 3j5
Ft NAMF;: Killian C'rossrnat
OWNER NAME: Aqua North Carolina. Inc
GRADE: Vb`W-3
cl)MR PERIOD: 03-.209 (NJaro61 ti17)
PERMIT VERSION: .{)
( LASS. b4"W,-2
()RC; John Allen Ma -
()RC II.AS (11AN(,I I): No
VERSION: 1 l,)
PERMIT STAT('S: ACtive..
COUNTY: Catawba,
(IRC (.-ER`I" NUMBER: 9969B6
SAMPLING LOCATION: UPSTREAM DIS IIARCE NO.: 001
206
T!MP.r
!DO
4
1,*40
4
11
4i
1R
44
41
21
2J
*4
2*
4�4
21
s9
"" No Reportir Rcrrscn : 1N 1 RU'+Es x.. No Flow-Reuse/Ro vcle; ENV V Adverse Weather NORLOW =No How ; HOLIDAY No Nish#tion

MIT NO.:N0)v113
PERMIT VERSION:
PERMIT IT ST/IJUS: Acti .°e.
T: r1"P
OWNER NA1 A.qua. Nortl
GRADE: WW-3
etTAIR PERIOD: 03-2017 (March 2017)
COMPLIANCE STATUS: Compliant
f7RC/(.`
(:LASS: W'W-2
OR(': Jt
COUNTY: Catawba
Allen Martin OltC CERT NUMBER: 996986
ORC DAS C 1t,ANCED: No
VERSION: I ,f)
CONTACT f I'ILC)NLi; T; 7044899404
S'1"a►TtIS: Processed
SIP. MISSION DATE: 4/2e 2 117
n hlttrtin Fs--5v1 tit..1,aM rtinril:tiquatimc.ric.
By this st"gnatute, 1 ccrtil that this report is accurate and complete to the hest ofrny knowledge.
The pert
ac' the appropriate Regional Office any noncompliance that tenti
Phone 4:704-489 941)4 Date
Any information shall be provided orally within 24 hours from the time the pertn.iu e became aware of the circunist
provided within 5 days of the time the permittce becomes aware of'the circumstances.
tf the facility is noncompliant., please attach .t list ofchrrective actions being taken and a tit for imprcaecme;tt
the NPDi S pcmut.
Address: NC;SR 1849 Shcrr
ender penalty of law, that this d
Rirnme:r F-vfail.del
rd NC 2867.3 Permit Lxpira'tion Dat
rtesrt and all attachments were prepared
am e
der my direction or sutwis
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
atens public health or the environ
to s A written submission shall also he
nade as required by part ll.l. �.6
01,'26/2017
Phone if:704-484-9 04 Date
:ordance with a system designed
if 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 titer submitting false 'information, including the possibility of tines and imprisons e
knowing violations.
t.AR N,+A1tE: V titer"i'ecia lwe
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: John .Martin
Parameter Code ass.
Use only units of"ntea:;urement de
by calling• t
CERTIFIED LABORATORIES
PARAM.1 "11 R CODES.
•nit [phone] or by vis
,porting t actlity'sNPDFS perm
data.
ncdenr urg'wehiss pstvp/p npdcsi'l'orms.
'No Flow/Discharge orn Site: Check this box if no discharge occurs and, as a resuh, tlhere arc no data to he entered f tr all of the parartteters on the I)lvlR
for entire monitoring period,
" ()RC on Sitei': t)RC roust visit facility and doeurnen.t visitatit tr thfiacihty as requi ed per ISA NCAC 8Ci .0.204.
*** Signature of Pertnittec: tf sib neci by other (him. the permiltec, then delegation of the signatory authority must he on file with the state per 15A NCAC 2f3
.O506(b)(21(D)

\PI»S PFRiA
FA(":I:I"I'1' NAME: Kill
OWNER NAME: Aqua No
(;R%DIi:: W'1h`-3
elMR PERIOD:
017
7
RSI( N: 5,0
CLASS: WV-2
OR(: kiwi .ail n atalsa�
OK(:' ILVS (:'II*1M1l::LD: No
VERSION: l,l)
PERMITSTATUS: Active
l V'I1': Catawba
t1RT\INIIU(
SAMPLING LOCATION: EFFLUENT DI CIIARCE NO.: 001 NO DI A
Reason: U'NFl SE- - No How-Rcu,eiRecycle, I NVW+"I`lIR No Visrratix>n - Adverse Weather, NOFLOW No I'loec, HOLIDAY No Visitation Holiday

NPI)ES PERM Tr NO.: NC0063355
FAC!ifTY NAME: Killian Crossroads W"WTP
OWNER NAME: Anna North Catalina Inc`
GRADE: WW-3
cD.MR PERIOD: 02-2017 (February 20174
PERmrr VERSION: 5,0
ORC: John Allen Martin
OR( HAS CHANGED: No
VERSION: I 0
PERMIT STAT( S: Act ve
CiiittNTYz Catawba
ORC CERT NUMBER: c.96986
STVEUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
2 50
I.
,75
2.25
0S0
'Aumethil AulApt Limit
Monthly Averkogr.
Oak hisoLOPpot:
(50AP 56ite
TOTArn
L N - C
Maly
CM 'nitre
P
2 \ :month
loothly
.urnxxite
4."* No Reporting Reason: ENFRUSE No Fiaw-Reusefitecycic.. ENVWTHR = No Visoiapon Adverse Weathm NOFLOW No How; HOLIDAy - No visiugion - Holiday

NPI)ES PER NO.: NC()063355
F CIL,I'1'
Crossroads WWII'
OWNER NAME: Atlua.North Carolina. Inc
GRADE: W W-3
eEMR PERIOD: 02-201711'etiara ry 70171
"""" Na Re
ing Reason: FNF'RQISE <,
PERMIT VERSION: 5.0
CLASS: W W-2
OR(':,IitIui Allen Martin&
ORC HAS CHANCED: No
VERSION: i.()
PERMIT STATUS: Acii
COUNTY': Catawba
ORC CERT NUMBER.; 996986
STATISS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
FI
Rey'
V
Visitation - Adverse Wea
NAs Flaw, 1101 I ?AY No Visitation - Holiday'

NPUES PFRMTE NO:: N(T.1063,35 PERN96I
F"A('1Lf"'I`YNAME: Killian Cr(, roads W1?t="1'I> CLASS: WW-2
OWNER NAME: Aqua North Carolina 1nc RC: :Iola: Allen Alamer
GRADE: Ws\k •:3
eD IR PERIOD: 02.201.7 (1„e
**** N
Rep
ORC 1IAS CHANCED: No
VERSION: Ip
PERMIT sTATu4: ,1
(;f,)l1NEY: Catawba
OR(' C ER I" \ t r1 t1ER: '496">
d
SAPLINC LOCATION: DOWNSTREAM DISCHARGE NO.: 001
g Rein E;NI KLINFI NO 6 Iow-Rense=Rccyc1e:, V1V"VI R - ,No Vis.dverac W'cat er: NO! 1.4Jz, No Flaw; HOLIDAY = No Visu

NPDES PER.MIII NCI0063355 PERMIT VERSION: 5.0 prit.Ntrr sTivrcs: .Active
FAL:1141Y NAME: Killian Crossroads WWI P CLASS: W W-2 COUNTY: Catawba
OWNER NAME: Aqua North Carolina Inc ORC: John Allen Martin ORC CERT NUMBER: 996986
GRADE: \AIW-3. OR( HAS CHANCED: No
VERSION: I .0 STATUS: Promsse('
CONTACT PHONE At: 7044899404 SU.BMISSION D.A."11E: 03/28/201.7
eDMR PERIOD: 02-2017 (February 2017)
COMPLIANCE Compliant
ORC/Certifier
03/24/201 7
e: John Allen Martin E-N4all:TAMartin@aquaamerica,com Phone II:704-489-9404 Date
By, this signature, 11 certify that this report is accurateand complete to the bested.' my knowledge*
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environinent,
Any information Shall, be provided orally within 24 hours from the time the petmittee became aware of the circumstances. A written submission, shall also he
provided within 5 days of the time the punt Mee 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 1I.E.6 of
the NPDES permit.
Permittee/Submitter Sg
e..*** Duane Rinamer [e-mail] Phone #:[phone]
":l8/2017
D ate
Permittee Address: NCSR, 1849 Shcrrills Ford NC 28673 Permit Expiration Date: 0313E2020
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 rity knowledge and belief, -true,
accurate, and complete. 1 am aware that there are significant penalties for .submitting false information, including the possibility of tines and imprisonment for
knowing violations.
LAB NAME: Water 'red' Inc
CERTIFIED LAB 50
PERSONIs) COLLECTING SAMPLES: John Martin
CER-11FIED LAEIORA— , ES
PARAMETER CODES
Parameter Code assistance may he obtained by calling the NPDES Unit [phone] or by visiting http://portal..ncdenrorg/web/wq/swp/ps/npdes/forms,
FOOTNOTES
Use only units ofmeasurement designated in the reporting facility's NPDES pemiit 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: lf 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 NO.: NO11063355
FACILr rN t1E2 Killian Crossroads WWTP
OWSIIII NAME: :Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: .
-2017 1,1anua 21. 7
PEIRNIIrr % FI4SIO7.: 5,0
CLASS: WV-2
OR( dontAllenNiarrin
ORC HAN CHANGED: N
'VERSION: 10
PERMIT S 1 11 S:Active
COIINTV: Catawba
OR( (ART NUMBER: 99698.6
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:
6
.12 10 vv...
74017141
Contititogas 5 X week
Rettigidot Goat
41AINV 1"EMP-C
0 027
1121
v 010 8
0,014
017V,
t 4
:121
1 021
0 0 10
77 023
VI 022 12
027:
03 !
0.0 1g
7718
.021677 9 190472,
7.017
2 ,X 7,44773k
Grab
C0307
(706 I 71 (31:6.14
.Vvicirvvkly VIP741171y
Composite Composite
4711110111NE 1100 - (44774
o 20
77 20
20
0 20
20
20
< .2
N472778-Cmw
3 0 2
it, 2 0 11
114718
Weal) Weekly
777734777
Weekly
Composite bittiti Grate
Coxc. 117C014
700 77,770000 77‘&771
0.4 1 0
* " No Reporting Reason: ENFRLISE - .N0 Flow-RouseiRecycle. ENVWTH42 No Visitation - Adverse Weather, NOFLOW 1low, HOLIDAY No Visitation - Holiday
1 1 P

NPRIES PI R IFF
FACILITY NAME: Killian Crossroads WWI`N
OWNER NAME Aqua North Carolina Inc
CRADE: VW-3
etiMR PERIOI►:01-2 BI7 "..January
PERNIEr %`ERS10N: S.Cd
CLASS: : \ W-2
ORC: John Alien P�9wtn,n
OR( I1. iS C°IIr1,N(,I:D: No
FRSI ON: 1 1)
PERMIT S`1 " t S: r .Give
COUNTY: Catawba
ORC CI:R I' NI','11KFNR: 996986
SAMPLING LOCATtC)N: EFFLUENT DISCHA1 +;E NO.: 001 NO ©I: CIIA GE*: NO (Continue)
•*" No Reporting Reaurn. LNF'RI.CST
1 NVVr'"IlIR==Visitation --Ad4irVio'her„ fvC)F, l)Y. No now,
1)A = -'No VisiEa
Holiday

1 !" F R\IIT NO.: N(°Ol)6
E„
ER NAM:'. Aqua North Care
eD:MR PERIOD: 01-2O 17 (January 2l) I')
pE RYIIl°VERSION': 5..0
CLASS: .WV-2
ORC: John rAUen Man in
ORC FI %S ("BANGED: No
VERSION: 1.0
COUNTY: Catawba
ORC CERT NUMBER:
K:
STATES: I'roeessed
SAMPLING [.tt CATION: DOWNSTREAM DISCHARGE NO.: 001
E°" No Reporting Reason:1 Nl?RUS1 No Flo w-ReuseiRus,yek, ENV '1-
No Visioatioo -- Adverse Weather, NOpl.OW - No plow, FIOLI AY s„ No Visitation --1 loci

NPDES PERM iNO.:N ! Jz
(11 VIF Killian CrossroadsV g7
OWNER NR,Aqua North Ca
*J
gekPERIOD: m- l7 _ & q
CLASS: W2
OR :John Men Martin
OR( IRSCHANGED: No
VERSION: G
PERM RsT US:»6 a
COUNTY: Catab
ORC PERT NUMBER: 76986
SAMP NG LOCATION: UPSTREAM DISCHARGE NO.: 001
m,w Reporting Reason: mm ,w;-Gfl. mrgv+5a-wVisa, oiAdverse Weather; PEA=wHo HOLIDAY=wVisi

NPDES PERMIT NO.: N(:0063 55
FACILITY N.►1II-: Killian Crossroads \k \' I'P
OWNER NAME: Aqua North Carolina Inc.
R
I)E: ta' W-3
clI IR PERIOD: 0
u
COMPLIANCE S"1'.A II:S: ('ornplianr
By ikis signature, I certify tha
a
F I.R41TE`VERSION: 5,0
ORC: John Allen Martin
OR('' I1AS CHANGED: No
VERSION: 1,0
CONTACT PHONE #: 717448Sy)4U4
omplete to the hest of my knowledge.
PE:Ri1I T N4'A LE S: A�tiss
COUNTY: Carawh
ORC Ci K I \1?!VIEIII:R: 99698"ti
STATUS: Processed
The permit tee shall re -port to the Director ur (he appropriate Regional ()lftce aaty noracc)rnpliance that potenti
Any information shall be provided orally within 24 hours from the time the penninte became aware of the c
provided within 5 days of the lime the perm ittee becomes aware of the c.ir
If the facility is noncompliant, please attach a list of corrective actions bei
the NPI)F:S permit.
tames.
,u
7
treatens public health or the environment.
stances. A written submission shall also he
ken and a time -table for improvernentmade as require f hy° part 1i..1-.6 of
gttattirc *** Duane Rimmer 1:-Mail:ddrinarner a aquaarn
1 erntitttre Address: N( SR 1849 Sherrills Ford NC 28673 Permit Expiration Date. 03/3112020
1 certify, under penalty of law, that this document and rill attachments were prepared under my directit;
02/27/2017
:7(l4- I89-9404 late
supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information su.hmifted_ 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 hest 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 lines and imprisonment ,for
knowing violations.
LAB NAME: Water
17
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: John Martin
CFI;"l"11'11
P.ARAMI TER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http:/lportaLncdenr-o
p/ps/npdest'fornis,
l'(N)INO11"S
t. sc only units of measurement desifnaied in. the reporting facility's NPD1 S permit for reporting. data.
* No Flow/Discharge From She: 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 DMR
for entire monitoring period.
** ORC on Site?: ORC must visit l'aeility and docunient visitation cif faeiiity as required per 15A NCAC 8(:r .0204.
* * * Signature of pertnittee: If signed by other than the permittee, then delegation of the signatory authority must he on rile with the state per l SA NCAC:" 213
.0506(h)(2)(L)).

NPD
QAEIILI" NANi1
R Pt;Ri()I): C91 3
i han C°r ti�;5rr
North C kuoltnn 1
o V
PERMIT STAB S: Au.tavc
COUNTY:. C°ata ha
(IIC`( RT'NI, NIDER: 99,i 6,

+HOD ¥ PF R No: \C�l# 9 »
FACILITY NAME:: Killian m ,
OWNER \ : Aqua North§
GRADE: ‘11wJ
kR PERIOD: 2= » Rom,
PERM \ERSm¥ 5.2
was
OR : Iohn<<
ORSC HASCHANGED: No
'VERSION: G
PER,RSTATUS: A6w
ER } H 996986
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO OI
®® No Reporting R qF - No.Flow-RenseiRecyclet ENVVIDE
{
Adverse Weather; NOHOW =w 00« HOLIDAY ©mv &aaa.

'NPIWS 'PERMIT NQ.: NCCx1633 i PERP11
FACILITY NAME: Killian Crossroads W`V I P C1..SSS: WV.-2
OWNER NAME: lira. North Carolina Inc OKC°r John Allen Manira
GRADE: W `-3 OR(:' IlAS C'IR.' NGEl). No
eD'4R PERIOD: G2 2(1Tt> T c rxtber' J6.J VERSION: T.¢3
PERMIT STAGES: fictive
COUNTY: Catawba
OR( ("FRT NI?MDER; 996936
S l A`E US: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
*"" No Reporting Reasoir ENFRJ
0 Flow-Rc2tse7Recye
T31 = No VisRation -n Adverse Wertlrcr; NOFIDW R No Flow; HOLIDAY No Visitation — holiday

NPRES PERMIT NO,: NCl
Q >NAME: Killian CrossroadsWWII'
o* tR*ANTE No& NorthCarolina ,e
GR ,b «»v,
eDMR PERIOD: m
SAMP
mR,R KIO:.
CLASS: W
O C: John 6+ lartin
ORS CIlm MAI
VERSION: m
y 4z.
OR,C(ER NIMBFR:wm¥
AT1ON:UPST REAM h1SCHARGE NOK0D!
®®N Reporting « gRaE®G my y wA av a=G\ &r.Adverse Weather, NOHLOW No Ho mt A No Visivation.lam

4r hPR,RNR:Nr 95
FACILITY @e Killian Crossroa
OWNER NAE Aqua North Ca.
GRADE: W a
+kRPERIOD: 1 016 Delber y G
EF
PERMETVERSION: 50
ORC 11,A
C HA& CHANGED: No.
VERSA m
PERMIT STATUS: Active
COUNTY: Catawba.
ORC CERT NUMBER: 9y
SAMPLING LOCATION:DOWNSTREAM O CHARGE NO.: 001
R
E qvu m= No Vishauon Adv
,R,mY=aV n

NPDES PtNO.: NC0063i i
FACILITY NAM: I dlfiaru� C'rr ro
OWNER NAIVE: Aqua North C°arohn
GRADE: WW-3
eDM1IR PERIOD; 12-2016 (
COMPLIANCE STATUS: Compi:asnt
ORC/Certifier Signature:
By this sign
y
u
PERMIT VERSION: .t0
CLASS: WW-2,
ORC: Sohn .Allen Evl irh
OR( R.AS C'Rs►sviG4 � r�
VERSION: 1.0
CONTACT PRONE tit: 70 41
k �Mail:JAMartin€'
PERM IT STATES: A uc
COIIN"I'Y: Cata,sha
ORC CE RT NI l'v10F;R 9 986
STATUS: I'rocesse
SUBMISSION' DATE: 0112,4(2017'
3/2017
quaantcriea.com Phone , 04-481)-9404 Date
cvratp'lcte to the best of my knowledge,
1'3te permit e shall report to the Director or the appropriate Regional Cii4tct any Itona:ompliance that potetagally tltreaterrs public health or the enwirunnaen',
Any information shall he provided orally within.'24 hours from the time the penult e crrnre aware vfthe circuntstanccs. A written submission shall al «o'he
provided within 5 days (tithe time the pennittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvetnems to be iiade a required by part 11.1 6 of
the NPD' permit.
nature;*** Duane Ritnmer E- 'iailyddrimm
Pcrnrittee Address: NCSR. 1849 Sherrill~ Ford NC 28673 Permit 1 xpiration Date: 0 /31/2020
1. certify, under penalty of law, that this document and all attachments were prepared under my directio
u
01424/201.7
4-489-9404 Date
ion 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, tta the best of my knowledge and belief, true,
accurate, and cornplete. 1 am aware that there are significant penalties for submitting ormation, including the possibility alines and imprisonment 1111
knowing violations.
LAB NAME; Water Tech Inc
CERTIFIED LAB
PEl(SC1N(s) COLLECTING SAMPLES: John Martin
CER`1'IFII141 AI3ORATORII:°S
PAR.AMi/`i"I;;R CODES
Parameter Code assistance may be oh "nling the N PI * Unit (919), {3`7-6300 or by' asisiting Irttp://portal..ncdenr,or `wets wgf wp/psls.
POO .'
Use only units of measurement designated in the reporting facility NPDES perrttit tctr 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 ti r all ofthe ters on the f fw'tR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G e0204.
*** Signature ofPermittee: If signed by other than the perm' ttee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(h)(2)(D)„

\Pnq JERMR NO:
»l�
PER1![VERS1O ()
FIUTYNAME: Killian Crossroads « P CliffW
OWNER MF:Aq North Carolina 1ne ORG Iohnmk Martin
GRADE: WJ OR( HAS CHANGED:
+NRPERIOD; ,- .) ',Decembery m VERSION:
Report Comments:
e>a«. mVisitation.
mli%flow 6Removed can not &fie
P. IF ST US Act' «
( Iwo aJa
cR�CCERNUMBER: w6
sly:SI:Processed

NPDES PERMIT NO,; NC t .6
FACILITY NAME: Ki1PDta.
d:
OWNER NAME: Aqua North Ca
GRADE: IRW-3
eL) IR PERIOD: I I.2016 (November 2(1
PERMIT VERSION: 5..0
°F ASS: WW-2
ORC.SePxr ,�9eaa P9arn
ORC HAS CHANGED: N(
VERSION: I.0
alAN 1 8
PI,R\II°I"SIUrls:
{il ?N'TY": ('ataw b i
ORC CERT NUMBER: 996986
L°S: Processed
SAIVIPL I'NG LOCATION: EFFLUENT DISCHARGE NO. 001 NO DISCH
'NAL OtF'Ft
•.""*..N0 Repotting IR son: tiF RUSE 4 r Gdn '=t b el t [ahh 'G TFIR

NPDES PERMIT NO.: NC0063355
FACILITY NAME: Killion Crossroads lkiwrp
OWNER NAME: Aqu North Carolina Inc
GRADE: WW-3
eDMR PERIOD: 11-2( 16 (November 2016)
PERMIT VERSION: 5„0
(LASS 1 W W2
ORC: johrt Allen :Marin
ORC HAS CHANGED: No
VERSION: 1,0
PERMIT sTATUS: Active
COUNTY; Carmba
ORC CERT NUMBEW '
STATUS: Pr -icessed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
t .105
24
24
24
2 thrsi., VOA
S5.ti
04 225 Y
(P.5
HOLIDAY
HOLIDA.Y
Viorata:ty Avtrogo Limit
Monthly Average,
MtttisoM,
Daily Mailman,
C# C0665
LiartetP,v Quarterly 2X month Monthdy
Com vgfle .2t:21r.s. 'site Grab Cam rosite
"TOTAL Cow farm, P • Co. 1011,111V0 maAs
1-10/ asfl. "I
k 5.6
•"* No Roporting, Rawl: hiNFR USE No Flow-RetisciRecycle:, NVWTI-1 R No Visitation Adve.rse WeatlIcr NOFLOW - No Flow; HOLIDAY No Visiiation Holiday

NPt}:S PERMIT Na: N(U063 355
FACIIJ t.,I°NAME: Killian Crossroads
OWNER NAME: Aqua North Cambia Inc
(:RAVE: W W-3
II (IR I'J:RIOV: I I i71 C (T aff oral :r 2016)
PERMIT VERSION: 5,0
CLASS N .2
ORC: Johu Allen Martin
ORC HAS CHA.N(;EI): N
w I RMO'% ,O
PERNII"1" STATUS: Active
COU.N' %: C"aka+n=ha
ORC CER"I` NUMBER:
s'I"AT LlS:
SAMPLING LOCATION: OWNS"I RE A 'I DISCHARGE NO.: 001
emus Nolte ra-- Adverse Meatier: A(E (.1V - No How, l((JI.

NPI)ES P
FACILON NAM
OWNER Aqua
GRADE: \VW-3
rL) IR PERIOD. 1I- ( CI"*€ove
PERMIT % E SION: 5,i)
Y CLASS: \l`bV-
ORCsti.Iohn After Manin
ORC VAS C"1IANC.E I:), No
VERSION: ;: I .lY
COUNTY: C
ORC (E➢dT
PEN l.00ATLON: UPSTREAM D[SC HA1 E NO.: 001
996986
iitx Rea. n:E\l RLSE Au Flow-Rcusx. RmyLle, B; `.A'@,-T iR1 Ni+ z7dverx 1CFuuthc.r; NOFLOµ' = \o Arrow, HOLIDAY - Holiday

NPDES PERMIT NO.: 'NC0063355
FACILITY NAME: Killian Crossroads WWTP
OWNER NAME; Aqua North Carolina Inc
GRADE: WW-3
eDNIR PERIOD: I I-2016 (November 2016)
COMPLIANCE STATUS: Compliant
PERMIT VERSION:5, PERMIT STATUS: Active
CLASS: WW-2 COUNTY: Catawba
ORC: John Allen Martin ORC CERT NUMBER: 996486
ORC HAS CHANGED.: No
VERSION: 1.0 STATUS; Processed
CONTACT PHONE 14: 7044899404 SUBMISSION DATE: 12129/2016
12/21/2016
ORC/Certifier Signature:
Allen Martin E-Mail:JAMar [e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and cotnplete to the best of my knowledge,
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 nine the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the tune 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 perrnit.
12/29/2016
Permittee/Subn Signature:*** Duane Rirnmer E-MailAtirimmer@aquaamerica,com Phone #:[phone] Date
Perrnittee Address: NCSR 1849 Shernils Ford NC 28673 Permit Expiration Date: 03/31/2020
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: Water Tech Inc
CERTIFIED LAB 8: 50
PERSON(s) COLLECTING SAMPLES: John Martin
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.neclenr.org/web/wq/swpips/npdestfomis,
FOOTNOTES
Use only units of measureinent designated in the reporling 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 oldie 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 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).

{)VHF ti FR NAME
R
Report;Ceazat r(+^
F ,"
d 'P'
qua North Car dAlm lrss°
(November JIB
hdCn:vs Removes t sc t'enormous [ ltr ° Rer srOng tsrr that [7ab:.
PERSUT It 8'C, ;,"
=Cif`I'`; Ctal
ORC CE= .T t 3FR: 99 986
1Noce e

NPUF S PERMIT NO.: NC00(3.3 5
E'ACIIJFYNAMi:. .i:llu rtt:r>s read
r
OWNER NAME:.0\q a North C,rrohnaa lit
GRADE: WW-3
eDMR PERIOD: 10-2016 (October 2016)
PERMIT VERSION: 5,0
(."LASS: !it'' -2
O'RC: John Allen A^1ttrnn
ORC IDS CHANGED: No
VERSION: 1,0
STATES: Proe
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISOJt k
w•*4 No Reporting Reaaott: 1 NFRUSF = No Flow-Rerlse ttecgcle. LNY' W'I`UR
Adverse Weather, NopLOW =No E'Cnw',
ation-Holiday

PER ,R NR:N£0„
PERMIT VEK*Q
FERN I S, ;: &
,FACILITY NAME: Q
OWNER. : Aq=N+B Ca
GRADE:
+kRPE:
!mil 0 6 >z r 201,6)
e JohnAUn Martin
OC DAS CHANGED: No
VERSION: m
COUNTY: a &
ORC(1RTx m : 996996
s fS:
SANIPLING LOCATION; EFFLUENT DISCHARGE NOaDO! NO DISCHARGE* NO (Continue
Rep 1 +-a G e ycle;. ENNWTHR®w VisRatio..2«sewer # NOFLOW=w mx L[ y=»v. _.doliddy

NIT/ES PERMIT NO.: NC0063355
FACILITY NAME: Kahan Crossroads WWTP
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
cDMR. PERIOD: 10-2016 (October 2016)
PERMIT VERSION: 5.0
CLSS: 'kW-2
OR( John Allen Martin
ORCIIAS CHANGED: No
VE.RSION: 1.0
PERNiVF STATE'S: Active
COUNTY: Catawba
ORC CERT N LAMER: 996986
STA,T US: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
*•** No 'Repotting ReasonNFRUSE'' No Flow-RenseiReeyele; ENV WITIR No Visitation - Adverse Weather; NOFLOW - No How; HOLM/AY No Visitation Holiday

N Aq PERNIR N ,<<: N( VL
FACTurryN IF: Kiliiun C adswym
-O N NAME; Aqua North Nona Inc
GRADE: Wl
el-1@R PERIOD: y m OeWbr 20161
PERMIT VERSION: 5.0
CLASS:
()R� elan« 6 Martin
cRCI i CHANGED: No
VERSION: 0
PERMIT STAlm:Active
COUNTY: Cata.wha
OR( CrmrA±A» 99496
S wrty Processed
SAMPLING LOCATION:UPSTREAM DISCHARGE NO.: 001
ENRaE=wry — ycle: ENVWTHR=NoVisitation m,Weather: mFmw=GHow: HOLIDAY No ,- .

NIPDES FERMI E NO.: NC0063'355
FACILITY NAME: Killian Crossroads WW1TP
OWNER NAME: Aqua North Carolina Inc,
GRADE: WW-3
eD,MR PERIOD10-2016 IOctobeI 20 l)
COMPLIANCE: Compliant
PERAIFF VERSION: 5,0
CLASS: WW-2
ORC: John Allen Martin
ORC IRS CHANGED: No
VERSION: I:(.1
CONTACT PIIIONEI 7044899404
PERMIT STATUS: Active
COUNTY: Cata+sta
ORC CERT NUMBER: 996986
STATUS: Processed
SUBMISSION DATE: 1 1/23/2016
I 1122/2016
ORC/Certifier Signatur"John, Allen Martin E-MI.JA.MartinAaquaamerieacom Phone #:[phone] Date
By this signature. I certify that this report is accurate and complete to the t3estof my knowledge.
'The permittee shall report to the Director or the appropriate Regional, Office any noncompliance that potentially threatens public health or the etwiron.ment.
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 tirne-table for improvements to be made as required by part I1 E.6 of
the NPDES pennit,
11/23/2016
ermittee/SuVer Signature:1** Doane Itirrirtter F-Mall:dclrittimer',i/aquaarrierica.com Phone P:704-489-9404 Date
Penn ittee Address: NCSR 1849 Sliertills Ford NC 28673 Permit Expiration Date: (13/3 I /2020
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 oldie 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 crimple-Ie1 an aware that there are signifiekuu penalties for submitting false inthimatiom including the possibility of fines and imprisonment fir
knowing violations:
LAB NAME: Water 'Tech Inc
CERTIFIED LAB ill: .50
PERSON(s) COLLECEING SAMPLES,: John Mnrtin
CERTIFIED L., ORATORIES
PA RAMEIER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit (91 9) 807-6300 or byvisiting http://portatriedenrairg/web/wq/swp/ps/npdes/forms,
RR/I-NOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data
*No Elow/Diseharge From Site: Cheek 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 1 5A NCA( 8G .02.04.
*** Signature of Permittee: lfsigned by other than the pennittee, then delegation of the signatory authority ,must be on file with the state per 15A. NCAC 2B
.0506(b)(2)(D).

NPDL.ti PaNIT'N° NO.: NC:(
4
FACILITY N,\II Killian (
OWNER NAME: .Aqua
GRADE: W'W-3
eI)IIAIR PERIOD: 09-2f 0 Fa
PFRMI1' N ERSI
CLASS:Wk
72
UR(. jolin \fl
OR(: HAS CHANGED:
VERSION: RSION: I 0
PERMIT ti'1' 1`1 1 S: rA‘'$it'
STATES: Processed
SAMPLING.:'A'TION: EFFLUENT » AR E NO.: ON NO DISCHARGE*; N
Daily Matiimnn:
Daily Minimum:
•"w* NoReponiag Rcas F'Pk" E i � t1 R w� i � E� ''I"11 v� L'ias lts;��y— Rt t W' lCllcl; C kfl. Vb` � r 9f:.1 i 1 i�' ai, isaa<luiaal.._ i€s1s�
RECEIVED
NOV 2 1 'alb
CENTRAL FILES
DWR SECTION

NPI)1(:S PERMIT NO:: NC00633,55
FACILITY NAME: KiVhan Crossroads \AWIP
OWNER NAME: :Aqua North Carolina Me
CRADE) WW-1
MAI R PERIOD: 09-2016 (September 2016)
PERMI'l VERSION: 5i)„)
CLASS: WW-2
ORC: John AlMr: Martin
Ok( 11 iS CUANGED:
VERSION: 1 ,()
PERMIT STATES) Active
COENTA': Catavba
O)(C ( NUNIBER: 996986
STA:rt,IS Proek',55;ed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continu
015
I4k)1
0436
OW
Mod y 1mcramtIoffl
Monday A minium
I)dMumimum:
OMIT Minimum:
. trterdy
CmipoNitc
YrA.L N t one
o4
COMIMat
Io,L P (Mac
M06.111:),
( rI11061're
met
162):
29
0 0,129
II)Terting Region EiNERt:S1) No Flow-ReuseRecycte, KNVW1111; , No Visliaiion ¼I ather NOFLOW" No Flow, HOLIC)A - No Vi5itation 111o4clay

\P1)ES PERMIT \U.: "r(:"041(.3S
fl\lA}4IEr"1'
NAME: Aq.uila * i=eph (audace a Iar
(,KtI)I: WW-$
tll\IR PERI(l1_1:4i+�%EBai p%i'8071?i:9''d§I(rp
4
PERMIT !"ERSlO\.
(.1 ASS: \k V-2
ORC:
ORC NAS CIRAIACE1
VERSION; 1,0
PE.R'fl r STATUS:
US:.\
(; 1/PIE 1"1`z C aaa pin
0RC CER'I \I liWR. 4 i()9; r,
SAMPLING LOCATION, UPSTREA 41 I iSCHARCI NO.: 001
00 40)
1)
4
'MUSE No Flow..Eu uasi R v*eei EN

INPOES PERMIT NO.: NCI:1063355
FACILITY NAME: Killian Crossroads WWTP
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
cOMR PERIOD: 09-2016 (September 20161
pER1r1 VERSION: 5.0
CLASS: .WW-2:
OR.C: John .A.1 len Martin
OR( HAS CHANGED: No
VERSION: .0
PERM IF STATUS: Active
COUNTY: Calawba
OR( ('IRT NUMBER: 996986
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM. DISCHARGE NO.: 001
**** Nu Reporting ReASOTE ENFR.USE No Flow-RetretRecyc lc: ENVWTHR No Visitaiion Adverse Weailier: NO11..,OW No 1ow; HOLIDAY ,- No Visliation Holiday

P1)1.S PERMIT NO
EAC:`IEH \ NAME:
(R%1)F. \'\\'-i
eTAIRPERIOI):O)2111t
COMPLIANCE (. mplf:n
OR( /Certi fier Signature:
'Die peni'r
PEx'& 1I'I`
ORS'
()RC" HAS CTIA\(F F); No
VERSION
("UN"1"r%(1 P11
ti44' .$)4t)TMl
lAtst rrlira
e. and complete to the best
port to the Director or the approp
any information shall be provided orally within 24 hours
provided within 1 days of the time the permIneccnnt s
I f the fac
the N11DF per
'compliant, please attach a list of
()RC (:I.lif \I""`MMBE{R:90(i`l<`6
S LA`f I. S: Process'
S1`U11iSSft)\ DATE: 1 : I01 7/2016
, noncompliance that potentially threatens public health or the environntient,
nitkcer, became avvare of the circunrstaunces, cA written submission shall also be
being taken and to tiro
improvements to be rnade as y pant ItF,6 of
ne. Rim mer k:«Mail:ddriinni.rfa;itq ail isre.ri
;Shcrrills Ford NC 28677 Permit Expiration Date: 0.3,= i I �2112f)
1(e.rtif , under penalty of law, that this document avid all attachments were prepared under my direction o
to assure that qualified personnel properly gather and evaluate the infiirnnation suhnzitteci. Based on my inquiry of the person or persons who managed the
it those persons directly responsible for ptatheri
: 70 -489
9 4 (14
submitted is, to Ole hest of my knowledge and belief; true,,
d cornplete. I am aware that there are signitic,rns penalties firr submitting false irrterrnna
i E.R'1'1111° 1
L A 13 NAME,:'tW ter) t h Iintw
CERTIFIED IEI) LABTh 50
PP.Rti)S(a) C"C)I..1 1 C'TUNG SAMPLE.
11aAI4A.yd111
Ri
2 t) l 6
1)ate
d
ding the possibility of lines and imprisontmernt for
nit (919) f)7-62ttGl or bow v isiisr http //portal.ncderv.n rg?ttlwglswpipsinpdesiforrns,
nt desig:nated in the reporting facility `s NPI)l:' pent
.k this, box if no discharge: occurs acrid ans ar
P
(7RC on Site?: ()RC roust visit tatihty and document visitnticnn exf laeility as required. pet 15A N(:"AC f6Ci ,0204.
ling data.
* ** Signature t
() C)6(h)(2)(1)),
rnnittew a
1 by other than the permittee,
`the parameters on the [)MR
authority roust iv on the \a ilh the

WOES l'„"ERM IT NO.: NOV63355
,FACILITY NAME: Killian Crossroads NVWFP
OWNER NAME: Aqua North Carolina Inc
GRADE.: WW-3
e,DMR 'PERIOD: 08-2016 (August 2016)
PERMIT VERSION: 5 (1
CLASS: WV -
OR(: John Allen Martin
OR( ETAS CHANGED; No
VERSION; 1 0
PERMIc STATUS; Activc:
COUNTY: Catawba
OR( CERT NUMBER.;
sTATus: processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DIS
0.0222
0 0222
0 trl 71
00147
**** No Repotting Reason: ENFRUSE No Flow-ReLise/Reeyde ENV ‘AITIR - No Visization .Adverse Weather NOFLOW No rh7w; HOLIDAY,- No Visitation -Holiday
1 7 2016
CENTRAL PiLES
DWR SECTION

NPDES,PERMIT NO.: NC006335.5
FACI LEIN NAAIE: Killian. Crossroads wwrP
OWNER NAME: Aqua North Carol:no inc.
GRADE: WAVT3
eDAIR PERIOD:
-2016 (August 2(6:
PERMIT VERSION:
CLASS: WW-2
ORC: John Allen Martin
ORC HAS CHANGED: No
VERSION: I .0
PERMIF sTATus: Active
COuNTV: Catay.-ba
ORC CERT NUMBER: 996986
STA I ES: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
100
1,3833„.
1,116666
1 4333
2.16066
'33.433
Monthly Averagr.,
Composoc
'IOTA', N- Cone
Cot V,41.Et-
TOTAL P
myill
,
Monitay
:**14Knatte
I
**** No Repotting Reason. fiNFRI.Jtiti No FlowsRousciftecycle: ENVWTHR - No Visitation - Adverso VitatIncr;, NOFLOW No Flow: HOLEDAY No Visitation - Holiday

NPDES:PERMIT NO.: NC0063355
FACILITY NAME: Killian Crossroads WW'1P
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
cDMR PERIOD: 08-2016 (August 2016)
PERMIT VERSION: 5.f
CLASS: W W-2
()RC: John Allen [Vltutin
ORC I1.AS CHANGED: No
VERSION: 1.(1
PERMI`r STATUS: Active
COUNTY: Catawba
()RC CERT NUMBER: 99(5986
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
.rrr No Reporting R cal: 1 NFRU SE — No Flour-ReuseJRexycle; ENVR — No Vi51tai1ou -- Adverse Weather; N(7FLOW = No Flow, I-10LID ..1 No Visitation—.alolr"da)

NPDES PERMIT NO.: NC0(J6.3355
FACILITY N.;\ ME: ian Crossroads WAVIT
OWNER NAME: Aqua North Carolina Inc
GRADE: WW-3
eDMR PERIOD: .08-2016.(Augost 2016)
PERMIT VERSION: 5.9
CLASS: WV-2
ORC John Al:a
ORC RAS CHANGED; No
VERSION: 1.0
PERMIT STATLIS Active
COUNTY: Catawba
OR( CERT .Nt3MBER: 99686
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
"*. No Rttpo 'maw Reason. ENTRUST -- No Flow-Reuse.accyck: ENVWTHR - No Visilitrion - Adverse Wather; NOEL" - No Flow HOLIDAY No Visitazion Holiday

ES PERMIT" NO..'NC.(tl63355 PERMIT
-FACILITY NAME: : llian Crussroa& W W"i`P
OWNER NAME: Agora North Car�tirra
(.:RAiDE: WW-3
eDMR PERIOD: U8-2016 (Aug °t2dl,t£
COMPLIANCE: Compliant
ORC/Certifier Signatu
:By this signature, 1 certify that. tin -
WOOS' - 0
(.LASS. WW-2
OR(: John. Allen Ma
PERMIT STATES: Active
C 01iNTl : (' oawba
ORC" (."ER'I NI!\IIIER: 99(0010
ORC HAS CUANC;E.ID: No
VERSION: 1 0 STATUS: Processed
l:(7NTA("t. PHONE i#: 7044 19404 SUBMISSION DATE : 0912 /2ti16
Allen Mar
lAA=1irtiagttaanierica.coan Phone :[phone]
e and complete to the Iaest of°niy knowledge.
he 1)irec for or the appropriate Regio
y rtoncomplianec; that pot
Any irtfcrnrruton shall l provided orally within 24 hours from the titre the petrnittoe It c
provided within 5 days attic time the pennittee becomes aware of the eircurnstattces.
If the facility is noncompliant, please attach a list of corrective actions being taken and a t
the NPI)IS permit.
Perm
:are
ate ns public health or the environment..
Ins s. A written submission shrill also be
table for improvements to be trade as required by part .iLE,6 of
uane Ritnnt r I ibtaul:ddrimmcr4rizgjuaamerica,e`-on Phone #:704-48Q 9404
Pennittee address: NCSR 1849 Sherrills ford NC 28673 Permit 1 spiration )ate: 0313112020
I certify, under penalty of law, that this document and all attachments were prepared under niy diree0on or supervision on accordance
Date
n 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 helief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false inform
knowing violations.
LAB NAME: Water y°ech Inc
CERTIFIED LAB#:50
PERS0'(s) (Mt?t LEC;'L
Parameter Code assistance may I obtained. by
Use only units
in
CF.R 11I°`Iltt) LABI.)RATORIE
PARAMETER CODES
NPI)t S knit f919) 807-6300 or by
FOO !N()"1"LS
nt designated in the reporting fac:ilitv'c NPDES permit Corr reporting data,
eluding the ixassihility of fines and imprisonment for
http://porta.l.'ncdenr,org/web/ww°q/s-wp/ps/npdesifon'io
* No Flow/Discharge From Site: Cheek this box if no discharge occurs and, a a result, there arc no data to he entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?: OR( must vdsit facility and document %i iiat on of"facility as require per 15A NCA.0 8Cr .0204.
* * * Signature of Perri ittee: If signed by other than the
_0506(b)(2)(D)
then delegation of the signatory authority trust be on file With the state pc I5A NCAC 2B

Effluent
NPDES PERMIT NO NC0063355 Discharge No, 001 Month: *
ul
Facility Name: Killians Crossroads WWTP Class
Operator in Responsible Charge (ORC): John Martin Grade:
_ (2)
PERSON(S) COLLECTING SAMPLES Operators
2016
Certified Laboratory (1): Water Tech Labs Inc
CHECK BOX IF ORC HAS CHANGED
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
cJ
Year:
CountyP
(SIGNATU OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIG URE, CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE,
50050 00010 0040050060
FLOW
EFF•
INF C]
RS WHIN MD
4
Holliday
838
048
1403
AVERAGE
MAXIMUM
MINIMUM
0 p, (C)!Grab (G)
Monthly Ivrmt
0 023
0.020
0 D' 4
0 019
0.018
020
0.024
0.0 6
0..020
0017
0 024
0 02
0 021
0 021
0 031
0 015
16 00300 0
00310 06
0 0 0 00
<2 0 <0 2
<2 0 <0 2
0053
0 0
<2 5
Catawba
-9404
7:0:1,,K;1.)EN P.,ory0,1 R
MOOR E ET FL F.: G NALOFF te
0 00665 00556 38260 T
ENTER. PARAMETER CODE .AeovE.
NAME AND UNITS BELOW
OIL &
GREASE
MG/L MGL
0 0
<5 6
<5 6
0 00
<0 1
<0 1

Facility Status: (Please check one of the following):
Ail monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncornp iant
lithe facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc,
and a time table Mr improvements to be made.
"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. 1 am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations,"
Thomas, J Roberts, President, Aqua North Carolina, Inc.
Signature of Permittee **
Date
Permittee Address
202 MACKENAN COURT, CARY, NC 27511
00010
00076
00080
0008.2
Temperature
Turbidity
Color (Pt -Co)
Color (ADM1)
00095 Conductivity
00300 Dissolved Oxygen
003 ill BOD5
00340 COD
00400 pH
00530 'rota' Suspended
Residue
00545 Sellable matter
Phone Number
919-467-8712
00556 Oil & Grease
00600 Total Nitrogen,
00610 Ammonia Nitrogen
00625 Total 'Kjeldhal
Nitrogen
00630 Nitrates/Nitrites
00665 Total Phosphorous
00720 Cyanide
00745 Total Sulfide
00927 Total Magnesium
00929 Total Sodium
00940 Total Chloride
PARAMETER CODES
00951 Total Fluoride
01002 Total Arsenic
01027 Cadmium
01032 Hexavalent Chromium
01034 Chromium
01037 Total Cobalt
01042 Copper
01045 Iron
01051 Lead
Parameter Code assistance may be obtained by calling the Water Quality Coin
Permit Exp, Date
March 31, 2020
01067 Nickel 50060 Total
0 077 Silver Residual
01092 Zinc Chlorine
01105 Aluminum
01147 'IT otal Selenium 71880 Formaldehyde
31616 Fecal Coliform 71900 Mercury
32730 Total Phenolics 81551. Xylene
34235 Benzene
34481 Toluene
38260 MI3AS
39516 PCBs.
50050 Flow
'mice Group at [phone], extension 581 or 534,
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data.
* ORC must visit facility and document visitation of facilityas required per 15A NCAC 8A.0202 (b) (5) (B).
** I f signed by other than the perrnittee, delegation of signatory authority must be on file with the State per 15A NCAC 2B4O506 (b)
(2)
KILLIANS CROSSROADS NC0063355

Upstream Downstream
NPDES Permit No,: NC0063355 Discharge No,: 001 Month: July Year: 2016
Facility Name: Killians Crossroads WWTP County: Catawba
Stream: Lake Norman (Reed Creek) Stream: Lake Norman (Reed Creek)
Location: NCSR 1849 Location: +1- 4000 R. downstream
DATE
Time
via 2400. Clock
00010
I
Dssoved :.. oe
a
Oxygen 0
r" V `Kly
00400
31616
E
o
00095
00800
00665
u o
C
S.U.
000ML
uMhos
MGIL
MGtL
22
13,
14
1030
24
6-5
15
16
17
18
19
20
21
1017
25
6.3
22
23
2
a�4
25
26
27
28
1027
25
6,2
29
30
31
AVERAGE
24
6.5
MAXIMUM
25
6,9
MINIMUM
22
6,2
00010
ro
FIRS
00300
MGIL
00400 31616
S.U. /100ML
00095 00600 00665
uMhos MG/L MG/L
29
7,0
1010 31
1006
31
6.8
6,6
1012
31
31
31
6.5
6.7
7.0
29
65

Effluent
S PERMIT NO. NC0063355.w__ Discharge No.: 001 Month, June Year; 2016u, nw
�� s WWTP Class. II County: Catawba
Ili#y Name: Killiana Crossroads
perator in Responsible Charge (ORC): John Martin Grade: III Pig 704-489-9404
Certified Laboratory (1): Water Tech Labs Inc (2)
f ^ 4 ? Operators
CHECK BOX 1F%1RC HAS CHANGED � F'ERS�3N S COLLECTING SAMPLES © eR�
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL, SERVICE CENTER
RALEIGH, NC 27699.1617
03
0
0
cc
0
HRS MOWN
Y
1 1005 2.
2 1001 1.5 Y
3 1223 1 Y
4
28
29 1400
1007
AVERAGE
MAXIMUM
NI Iw U
p (C)1Grab (0)
Monthly limit
Daily Maximum
50050
FLOW
EFF 1.1
INF CB
>- w
MGD
0.022
0.019
0.020
0.023
0,024
0.023
0.019
0 020
0,016
0,018
0.024
0.018
0.025
0.018
0.011
0.02'
4
4
26
25
24
25
25
26
27
27
28
28
4
o
d
7) r.I I k,
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.' I'0'i
(SIG 4 URE OF OPERATOR IN RESPONSIBLE CHARGE)
10Y T SFC.,NATURE, I CERTIFY THAT THIS REPORT IS
UNITS UG'
7.0
7.1
<20
25
26 <20
0.028 26
0-024 28 7.3 <20
0.014
0.050
24
G
NL
6,9 I' <20
NL.
28
00310 00610
0,0 0-07 0.0
<2.0 0.36 <2,5
<2,0
22.5
<0 2
C
40
20.0
6 00300 0
<2.5 <1 7.0
C G G C C G
30.0 200 NL NL 30,0
45.0 400 >6,0 50.0
DATE
260
NAME AND UNITS BELOW
ix'
O
©
GREASE
L MG(L
0.0 0.00
<0.1
<5,6 <0 1
C

nitoring data and sartnp
uencies me 't perST,1.St req
All monitoring data and sampling frequencies do NOT rneet permit r'equirernents
p ltant
Noncompliant
If 'the facility is noncompliant, please comment on connective actions being taken in respect to equipment, operation, maintenance, etc.
and a time table for improvements to be made.
"I certify, under penalty of law, that this document and all attachments were prepared wider 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 tines and imprisonment for knowing violations."
Pert
202
tee Address
ACKENAN COURT, CARY, NC 27511
00010 Temperature
00076 Turbidity
00080 Color (Pt -Co)
0008'2 Color (AIDMI)
00095 Conductivity
00300 Dissolved Oxyger
00310 BOD5
00 340 COD
00400 pH
00530 "total Suspended
Res id.ue
00545 Settable matter
Para
00556 Oil & Grease
0060.0 Total Nitrogen
00610 Ammonia Nitrog
00625 Total Kjeldhal
Nitrogen
00630 Nitrates/.Nitrites
00665 Total Phosphorous
00720 Cyanide
00745 Total Sulfide
00927 Total Magnesium
00929 Total Sodium
00940 Total Chloride
eter (.ode assistance may b
Thomas, J. Roberts, President, Aqua North Carolina, Inc.
Phone Number
919-467-8712.
Permit Exp. Date
March 31, 2020
PARAN ETER CODES
00951 Total Fluoride
01002 Total Arsenic
01027 Cadmium
01067 Nickel
01077 Silver
01092 Zinc
01105 Alurnunu.
01032 I-1exavalent Chromium 0114'7 Total Selenium
01034 Chromium 31616 Fecal Coliform
32730 Total Phenolics
01037 'Total Cobalt 34235 Benzene
01042 Copper 34481 Toluene
38260 MBAS
01045 Iron 395'16 PCBs
01051 Lead 50050 Flow
50060 'rota)
Residual
Chlorine
71880 Formaldehyde
71900 Mercury
81551 Xylene
obtained by calling, the Water Quality Compliance Group at [phone], extension 581 or 534.
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean, Use only units designated in the reporting
facility's permit for reporting data.
* ORC must visit fa
y and docu
** it -signed by other than the pern
(2) (D).
ent
0
delegation of
quired per 15A 'NCAC 8A.0202 b) (5) (B).
ttthority must be on tile with the State per 15A NCAC 213.0506 ( )
KILLIA.NS CROSSROADS NC0063355

Upstream Downstream
NPDES Permit No.: NC0063355 Discharge No.: 001 Month: June Year: 2016
Facility Name: Killians Crossroads WWTP County: Catawba
Str ;am: Lake Norman (Reed Creek) Stream: Lake Norman (Reed Creek)
Location: NCSR 1849 Location: +I- 4000 if downstream
00010 00300 004
00095 00600 00665
27 7.4
29 78
7.1

Comp. (C)/Grab (G)
Monthly limit
Daily Maximum
50050 00010 00400
Effluent
PERMIT NO. NC0063355 Discharge No.: Month: May Year: 2016
Facility Name: Killians Crossroads WWTP Class: II , County: Catawba
Operator in Responsible Charge (ORC): John Martin Grade: III Phone: [phone]
Certified Laboratory (1): Water Tech Labs Inc (2)
CHECK BOX IF ORC HAS CHANGED CD PERSON() COLLECTING SAMPLES Operators
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
(SIGH URE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
BY T SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
as
FLOW
a pa EFF t•
Q
INF ED w a. w Q
U
HRS HRS YiB/N MGD
0.030
2 639 2.5 Y 0.018 23
00310 00610 00530 31616 00300 00600 00665 00
© 9
J �
z
LU
>w CC
} H
COX J ""• OIL &
0F GREASE MBAS
8260
PAR'AME.T6R CODE AN
NAME AND UNITS BELOW
UNITS UG/L MG/L MG/L MGIL #J100ML MG/L MG/L MG/L MG/L MG/L
3 Y 0.023 22
4 8 Y 0.020 22 <20
000 2.5
5 i i 8 ®®
933 0.5
37 0.75
!IN
14
4
25
27
46
04
MAXIMUM
0.018 2 �®
019
028
0.015 22
<20
<20
2.0
2
2,5
f
<1 8.7 �®
MINIMUM 0.01 19 7,1 <20 <2.0 <0.2 <2.5 <1 8.0 <5.6 <0.1
G C
G G G C C C G
0.050 NL 6/9 NL 15,0 4,0 30.0 200
28 22.5 20.0 45.0 400 >6
NL ' NL
G
30,0
60.0
C

A
01
l'acility Status: (Please check one ot the following):
'I ring data and sampling frequencies meet permit requirements
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncomp iant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc,
and a time table for improvements to be made.
certify, under penalty of law, that this document and al] 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. 1 am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Thomas, J, Roberts, President, Aqua North Carolina, Inc,
ri tee (Please print or
Signature of Permitt
**
Date
Permittee Address
202 MACKENAN COURT, CARY, NC 27511
Phone Number
919-467-8712
Permit Exp, Date
March 31, 2020
PARAMETER CODES
00010 Temperature 00556 Oil & Grease 00951 Total Fluoride 01067 Nickel 50060 Total
00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual
00080 Color (Pt -Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine
00082 Color (ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum
Nitrogen
00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium01147 Total Selenium 71880 Formaldehyde
00300 Dissolved Oxygen 0 I 034 Chromium 31616 Fecal Coliforrn 71900 Mercury
00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene
00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene
00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene
00530 Total Suspended 00927 Total Magnesium 38260 NIBAS
Residue 00929 Total Sodium 01045 Iron 39516 PCBs
00545 Settable matter 00940 Total Chloride 01051 Lead 50050 Flow
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], extension 581 or 534.
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean, Use only units designated in the reporting
facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B).
** If signed by other than the permittee, delegation of signatory authority must be on the with the State per 15A NCAC 213,0506 (b)
(2) (D).
KILLIANS CROSSROADS NC0063355

Upstream Downstream
NPDES Permit No.: NC0063355 Discharge No.: 001 Month; May Year: 2016
Facility Name
Stream:
Location:
2
3
4
7
12
14
15
17
18
19
20
21
22
31
AVERAGE
MAXIMUM
MINIMUM
O0010
17
17
18
KiI fans Crossroads WWTP
Lake Norman (Reed Creek)
NCSR 1849
78
7.8
00400 31616 00095
00600
County: Catawba
Stream: Lake Norman (Reed Creek)
Location: +I- 4000 ft. downstream

Effluent
PERMIT NO. NC0063355 Discharge No.: 001 Month April Year, 203ta
Ili Name: Killians Crossroads WWTP Class: II County Catawba
pera or in Responsible Charge (ORC): John Martin Grade: Phone, 704
Certified Laboratory (1): Water Tech Labs Inc (2)
ON(S) COLLECTING SAMPLES
CHECK BOX IF ORC HAS CHANGED
Mali ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
St T; RE OF OPERATOR !N RESPONSIBLE" CHARGE)
BY 10016 SNGNATURE, I CERTIFY THAT THIS REPORT 6
ACCURATE ANt3 COMPLETE TO THE BEST OF MY KNOWLEDGE.
E
FLOW
0010 00400 50
T
a
13
1132
927
955
1002
Y
Y0 014
3
225 `d
2,5 Y
00310 0061
U
0
00530
00300
9.0
6
z
W
0
0
-J
4
N
0
H
0
ENTER PARAMETER CODE ABOVE
NAME AND UNITS BELOW
_<2-_
6.9
AVERAGE
MAXIMUM
MINIMUM
Comp, (C)/Grab (G)
0.028
Monthly limit 0.050
Daily Maximum
NL
■
G
NL
C
■7,24
G C C C
15.0 4,0 I 30.0 200
22.5
45,0 400 >6.0
NL NL

Facility Status: (Please check one t
he fo
ing):
All monitoring data and sampling frequencies trteet permit requirements
All monitoring data and sampling frequencies do NOT me
per
equirements
Noncomp iant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation,
and a time table for in°iprovements to be made.
aintenance
"1 certif5s, under penalty of law, that this document and all attachments w°ere 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_"
Thomas, J. Roberts, President, Aqua North Carolina, Inc.
Signature of l 'erm'ittee **
Date
Pernnittee Address
202 MACKENAN COURT, CARY, NC 27511
00010 Temperature
00076 Turbidity
00080 Color (Pt -Co)
00082 Color (ADM!)
00556 Oil & Grease
00600 Total Nitrogen
00610 Ammonia Nitrogen
00625 Total Kjeld.hal
Nitrogen
00095 Conductivity 00630 Nitrates/Nitrites
00300 Dissolved Oxygen
00310 BOD,$
00340 COD
00400 pH
00530 Total Suspended
Residue
00545 Settable matter
00665 Total Phosphorous
00720 Cyanide
00745 Total Sulfide
00927 "total Magnesium
00929 Total Sodium
00940 Total Chloride
Phone Number
919-467-8712
PARAMETER CODES
00951 Total Fluoride
01002 Total Arsenic
01027 Cadmium
01067 Nickel
01077 Silver
01092 Zinc
01105 Aluminum
Permit Exp. Date
March 31, 2020
01032 Hexavalent Chromium 01147 Total Selenium
01034 Chromium
01037 Total. Cobalt
0I042 Copper
01045 Iron
01051 Lead
Parameter Code assistance may be obtained by eallingthe Water Qu
The monthly average for fecal coliform i to be reported as a GEO
liicility's permit for reporting data,
31616 Fecal Coliform
32730 Total Phenolics
34235 Benzene
34481 Toluene
38260 MBAS
39516.PCBs
50050 Flow
50060 Total
Residual
Chlorine
71880
71900
81551
Formaldehyde
Mercury
Xylene
lity Compliance Group at [phone], extension 581 or 534.
ETTRIC mean. Use only units designated in th
ORC must visit facility and document visitation of facility as required per 15A NCAC 8A,0202 (b) (5) (B)..
* * If signed by other than the permittee, delegation of signatory authority
(?) (I)).
eporting
ust be on file with the State per 15A NCAC 28.0506 (b)
KILLIANS CROSSROADS NC0063355

Upstream
DES Permit No.: NC0063355
Discharge No.: 001 Month:
Downstream
April Year: 2016
Facility Name: Killians Crossroads WVVTP County: Catawba
Stream: Lake Norman (Reed Creek) Stream: Lake Norman (Reed Creek)
Location: NCSR 1849 Location. +/- 4000 ft. downstream
nR5
MINIM
111.11111111111111111.1111
24
25
26
27
022
2s
30
31
AVERAGE 4
77
MAXIMUM 7 8.77
MINIMUM
12

Effluent
NPDES PERMIT NO NC0063355 _ Discharge No.: 001 Month:
Facility Name Kilfians Crossroads WWTP Class
Operator in Responsible Charge (ORC) John Martin Grade:
Certified Laboratory (1) Water Tech Labs Inc (2
CHECK BOX IF ORC HAS CHANG 17'
Mail ORIGINAL and ONE COPY to
ATTN: CENTRAL FILES mAR o
DIVISION OF WATER QUALITY CENTR
1617 MAIL SERVICE IGCENTER DWR RALEH, NC 27699-1617 S
28
29
30
31
HRS
1 75
2 25
0 75
846
1051
1009
1000
855
AVERAGE
Comp_ (C)/Grab
Mopthly limit
Daily Maximum
February Year:
County
2016
Catawba
Phone. [phone]
) PERSON(S) COLLECTING SAMPLES Operators
201
(SIG
RE OF OPERATOR IN RESPONSIBLE CHARGE
FILEsBY THWSIGIATURE, I CERTIFY THAT THIS REPORT IS
cTIoN ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE,
JDATE
0310 00610 005300 00600 2 0
it/100,ML
ENTER PARAMETER CODE ABOVE
NAME ANO UNITS BELOvv
GREASE M1tAS
MOIL
0 00
EFIF
N
MGD
0 096
0 018
0 019
0,020
0.020
0.0 7
0017
018
0,016
0.0 '6
0019
0 021
0 021
0 026
0 050

Facility Status! (Please check one ,of the 'following):
All ronitorhig data arid sampling frequencies meet permit requirements
All monitoringdata and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect toequipment, operation, maintenance, etc,
and a time table for improvements to be made,
"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 ofthe 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, 1 am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Thomas, J. Roberts, President, Aqua North Carolina, Inc,
Signature of Perrnittee **
Date
Permittee Address
202 MACKENAN COURT, CARY, NC 27511
00010 Temperature
00076 Turbidity
00080 Color
00082 Color (ADM1)
00095 Conductivity
00300 Dissolved Oxygen
00310 BOD5
00340 COD
00400 pH
00530 Total Suspended
Residue
00545 Senable matter
Phone Number
919-467-8712
Permit Exp. Date
March 31, 2020
00556 Oil. & Grease
00600 Total. N itrogen
00610 .Ammonia Nitrogen
00625 Total Kjeldhal
Nitrogen
00630 Nitrates/Nitrites
00665 Total Phosphorous
00720 Cyanide
00745 Total Sulfide
00927 Total Magnesium
00929 Total Sodium
00940 Total Chloride
PARAMETER CODES
00951 Total Fluoride
01002 Total Arsenic
01027 Cadmium
01032 Ilexavalent Chromi
01034 Chromium
01037 Total Cobalt
01042 Copper
01045 Iron
01051 Lead
01067 Nickel
01077 Silver
01092 Zinc
01105 Aluminum
50060 Total
Residual
Chlorine
m 01147 Total Selenium 71880 Formaldehyde
31616 Fecal Conform 71900 Mercury
32730 Total Phenolics 81551 Xylene
34235 Benzene
34481 Toluene
38260 MBAS
39516 PCBs
50050 flow
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], extension 581 or 534.
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data,
ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B),
1fsigned by other than the permittee„ delegation of signatory authority must be on file with the State per I5A NCAC 2B.0506 (b)
(2) (D).
KILLIANS CROSSROADS NC0063355

U pstream
Downstream
NPDES Permit No.: NC0063355 Discharge No.: 001 Month: February Year: 2016
Facility Name: Killians Crossroads WWTP County: Catawba
Stream: Lake Norman (Reed Creek) Stream: Lake Norman (Reed Creek)
Location: NCSR 1849 Location: +1- 4000 if downstream
4
00010 00300 00400
E°
iz o
HRS C MG/ S.U,
1023 10 10 3
31616
1100ML
00095 00600 00665
uMh
e
0
coo
z
MG/L MG/L
7
030
4
12.5
12
13
14
15
16
17
12.2
19
20
21
22
23
24 1028 9 11.2
25
26
27
28
29
30
31
AVERAGE
MAXIMUM
MINIMUM
7 11.6
10 12.5
4 10,3
00010
00400
oom
__ 11___—
__-1111.___
11=M11=11=M1111111MMIIIIIII
1010 ® 10.00 __—_
_____
1111111
IMIIMMM1015 ®®____
_--___11111—
1005 9 ®_--__
—____IIIII—
11•11111111MIIMMEMMIIIIIIII
_____11111
® 10.7 __--_
--____--
=® 1 .a Mil_ __
10,0 _-111111_—
00095
00665
HRS
014

Effluent
DES PERMIT NO. NC0063355 Discharge No.: 001 Month: January Year: 2016
acility Name: Killians Crossroads WWTP Class II County: Catawba
Operator in Responsible Charge (ORC): John Martin Grade: Ili Phone [phone]
Certified Laboratory (1): Water Tech Labs Inc _ (2)
CHECK BOX IF ORC HAS CHANGED PE;"SON(S) COLLECTING SAMP
Mail ORIGINAL and ONE COPY to
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
E
50050 00010
04
(SIG URE OF O'•ERATOR IN RESPONS
BY THIS SIGNATURE; I CERTIFY THAT THIS REPORT 15
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DATE
060
31616
I 0066'
3826
FLOW ww
EFF In
INF CI
IHo tIRS
Holiday
Ul
NIT
l L.
Cr 0 c
G�
C >Z
w
u QX
TOTAL NITROGEN
ENTER PARAMETER CODE ABOVE
NAME AND.LINIT5 BELOW.
OIL & MBAS
Gf EASF
MG/L MG+L
2
3
4
14
1050 1,2
07
AVERAGE
MINIMUM
Comp. (C)/Grab (G)
®
0.020
0.01
4 71
G G
<20
0.0
0 00
02
00
2 <2.5
Monthly lirn4
NL
NL5, 4.0 30.
Daily Maximum
28 2 20.0 45,

Al
Facility Status: (Please check one of the foliowir
All monitoring data and sampling ffrequenc.ies meet permit requirements
rnon
ing data anti satttpling frequencies do NOT meet perrrait requirements
Compliant
Noncomp iant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc,
and a time table for improvernents to be made.
"I certify, under penalty of law, fh as 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. 1 am aware that, there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations,"
Thomas„ J. Roberts, President, Aqua North Carolina, Inc,
Signature of
Date
Permittee Address
202 MACKENAN COURT, CARY, NC 27511
00010 Temperature
00076 Turbidity
00080 Color (Pt -Co)
00082 Color (ADMI)
00095 Conductivity
00300 Dissolved Oxygen
00310 BOD3 00665
00340 COD 00720
00400 pH 00745
00530 Total. Suspended 00927
'Residue 00929
00545 Settable matter 00940
Phone Number
919-467-8712
Permit Exp, Date
March 31, 2020
00556 Oil & Grease
00600 Total Nitrogen
00610 Ammonia Nitrogen
00625 Total Kjeldhal
Nitrogen
00630 Nitrates/Nitrites
Total Phosphorous
Cyanide
Total Sulfide
Total Magnesium
Total Sodium
Total Chloride
PARAMETER CODES
00951 Total Fluoride
01002 Total Arsenic
01027 Cadmium
01032 Hexavalent Chromium
01034 Chromium
01037 `I"otal Cobalt
01042 Copper
01045 Iron
01051 Lead
Parameter Code assistance may be obtained by calling the Water Qu
`fire monthly average for fecal coliforna is to
facility's. permit for reporting data.
po
lit Complianc
01067 Nickel
01077 Silver
01092 Zinc
01105 Aluminum
50060 Total
Residual
Chlorine
01147 Total. Selenium 7'1880 Farmaldehyde
31616 Fecal Colifo.rm 71900 Mercury
32730 Total Phenolics 81551 Xylene
3423,5 Benzene
34481 Toluene
38260 MBAS
39516 PCBs
50050 Flow
Group at [phone], extension 581 o
d as a GEOMETRIC mean. Use only tint
ORC must v"rs t facility and document visitation of fac�
** If signed by other than the permitt
(2) (.D).
, delegation of
designated in the reporting
as required per 15A NCAC 8A.0202 (b) (5) (B),
natory authority must be on file w
State per 15A NCAC 2I3.0506
34.
b)
KILLIANS CROSSROADS NC0063355

Upstream Downstream
Permit No.: NC0063355 Discharge No.:. 001 Month: January Year: 2016
cility Name: Killians Crossroads WWTP County Catawba
Stream: Lake Norman (Reed Creek) Stream: Lake Norman (Reed Creek)
Location: NCSR 1849 Location: +1- 4000 ft. downstream
18
19
20
21
22
23
MINIMUM
00010 00300 00400
11.8
00600 00
0
HRS
0300 00400 1616
GIL S,U. /10
0095 00800 0086
MGIL
010 9 11.2
005
2.4
030 8 11.7
12.4
5 11,2