NC0064599_Regional Office Historical File Pre 2018

t pVlliir
i. MIT N1). NM/64599 PERMIT VERSIONz 4.0 PERMIT STAUTS: Activ
ie
, EITY NAME: Lake Norman Motel WWTP CLASS: WW-2. COUN-IY: Catawba
' OVINER NAME: flalina .R Genaro ORC: Greply Alexander Trornbel l' ',-,,ORL CERT NUMBERIAlIni
........
GRADE: WW-2 ORC HAS CHANGED: No
'0 3
eDMR PERIOD: 07-2 ill ly 2019) VERSION: 2.0
STATUS: Processed
, s
te%
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
Manlifil) Avtrapp Limit
Mmathly 4,trage:
12'
.12-, No frIkrikilenNoRecycle: ENV HR NiPVJ1I— Adverse Weatnef; NoFLOW "r No How: HOLIDAY r's No Visitation -Holiday

RMIT NO.: NC0064599
NAME: Take Norman Motel WWTP
OWNER NAME: Halina R Genaro
GRADE: WW-2
cDMR PERIOD: 07-2019 (July 2019)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Gregory AIexander Trombello
ORC HAS CHANGED: No
VERSION: 2.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1005905
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
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3
0750
.66
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4
HOLIDAY
5
0855
.113
Y
6
7
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1345
.75
Y
9
1235
.42
Y
10
1250
.50
Y
11
0745
.42
Y
12
1335
1.17
Y
-
- -
13
14
15
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16
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Y
23
1010
.83
Y
16,
1335
1.08
Y
17
VI
19
1345
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Y
J0
1320
1.33
Y
31
1310
.33
Y
Ma8111y Acera9. Loh:
Monday Average:
Day Minimum:
n�ty anmmem:
****NoReporting Reason: ENFRUSE—No Flow-ReusefRecycic; ENVVVTHRQNoVisitation —Adverse Weather; NOFLOW No Flow; HOLIDAY=No Visitation —Holiday

1T NO.: NC0064599
LITY NAME: Lake Norman Motel WWTP
OWNER NAME: Halina R Genaro
GRADE: WW-2
eDMR PERIOD: 07-2019 Only 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Gregory Alexander Trombello
ORC HAS CHANGED: No
VERSION: 2.0
CONTACT PRONE tf: 7049890165
61,Gv
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1005905
STATUS: Processed
SUBMISSION DATE: 09/23/2019
ORC/Certifier Signature: G
09/22/2 019
g Trombello E-Mail:[e-mail] Phone 4:704-989-0165 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 subtnission 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 7tE.6 of
the NPDES permit.
09/23/2019
PermitteefSubmitter Signature:*** Gr Trombel7'111/6/1lo E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 4491 SIanting Bridge Rd Shertills Ford NC 28673 Permit Expiration Date: 04/30/2020
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`ani aware that there arc significant -penalties for submitting false information, including the possibility of fines and'inlprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: Water Tech Labs Inc.
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Gregory Trombello
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal,ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for'entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permitter: 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).

gHTYN MEww\ nM
OWNIA, NAME:lina R Get
GRADE: WW-2
gMRPERIOD: 06 .019 (Jun ' y!f
PERMIT VP ON, 4,0
CLASS; «w2
OR :G. .A wt \
ORC HAS CHANGED:
VERSION: 1:0
'PERMIT STATUS: »w«
%!
WCHROS
SAMPLING LOCATION:EFFLgENT DISCHARG£\gz001 NO DISCI -MR
**** No RtportiwReason: ENR

NPDES PERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WWTP
OWNEkNAME: Halina R Gcnaro
GRADE: WW-2
eDMR PERIOD: 06-2019 (June 2019)
PERMIT VERSION:4.0
CLASS: WW-2
ORC: Gregory Alexander Trombello
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1005905
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
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2100 clock
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1
2
3
1245
1.75
Y
.1
1400
.50
Y
5
1310
.25
Y
6
0810
.33
Y
7
1350
.42
Y
0
9
10
1350
.50
Y
11
1350
.66
Y
12
1250
.42
Y
13
0800
.50
Y
14
1350
.66
Y
15
16
17
1340
.83
Y
19
1135
.66
Y
19
1315
.25
Y,.
20
0845
.42
Y
21
1345
.75
Y
22
23
21
1340
.83
Y
25
1340
.83
Y
26
1300
.25
Y
27
0800
.42
Y
28
1340
.83
Y
29
30
- -
Man hly Avera;e Limit:•
-
Moucdly Avera8c:
Daily Masimcm:
OlIty 31lnimum:
**" No Reporting Reason: ENFRUSE n No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation-- Holiday

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4_0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
0.
OWNEkNAME: Halina R Gcnaro ORC: Gregory Alexander Trombello ORC CERT NUMBER: 1005905
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 06-2019 (June 2019) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 07/30/2019
ORC/Certifier Signature:
07/30/2019
Trombello 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.
lithe 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.
07/30/2019
Permittee/Submitter Signature:*** G9g Trombello E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 Labs Inc.
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Gregory Trombello
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdcs/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 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 28
.0506(b)(2)(D).

NPDES PERMIT O. NC0064599
at..I.LITY NAME: Lake Norman Motel WW"TP
OWNER NAME: Halir:a R. (Jena°
GRADE: 'WW-2
eDMR PERIOD: 05-20 9 M
alOr
PERMIT VERSION: 4 PERMIT STATUS: Actiye
CLASS: VV%,V.-2 C Ot 1Cal.awba
()RC: Gregor,/ Alcxander "'Tomb:: OR( CERT NICAI DER: 1005905
11.11„11 WT7:EVEDINCDENRIDWR
()RC fi AS C'HANGEO; No
VERSION: 1
STATUS: Processed
wciRos
SAMPLING LOC T 'ON: EFFLUENT DISCHARGE NO.: 001 NO DISCHARtWaLNQGvAAL
Y.3,50 .66
atatio'N
Wet* Average Limit
Moisahly Aattage:
'Nita Maximum,
Oot Miaimatat:
%ONO
ROI
wkvkly
Grab
6:1a)
LOCI
0.7
Gnat,
LIaIta
WcrAls,
LC( WI BR
9.N65NAN
**** No Reporting Reason: ENFRUSE =No Flow-ReAlseiRecycl4; F.NVWIHR No Visitation -- Adve.rx, Wealher; NOFLOW No How:, HOLIDAY No Vhllilo.n— Holiday

NPDES PERMIT NO.: NC0064599 - PERMIT VERSION: 4.0 PERMIT STATUS: Active
F.-i:ILITY NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Halina R Gcnaro ORC: Gregory Alexander Trombello ORC CERT NUMBER: 1005905
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 05-2019 (May 2019) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
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Total Composite Time
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Operator Time On Site
it
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2433 clock
ars
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1
1250
.25
Y
2
0800
.45
Y
3
1410
.50
Y
4
5
6
1300
1.56
Y
7
1355
.75
Y
8
1310
.33
Y
9
0810
.66
Y
10
1410
.50
Y
11
t2
13
1340
.83
Y
14
1355
.42
Y
IS
1300
.42
Y
16
0740
.58
Y
17
1345
.75
Y
Is
19
20
1325
.75
Y
21
1355
.58
Y
22
1310
.33
Y
23
0800
.58
Y
2.1
1155
.25
Y
25
26
27
110LIDAY
28
1340
.83
Y
29
1240
.83
Y
30
0800
.66
Y
31
1350
.66
Y
Mon e12 Aremu Um it
Stombly Am.te:
Daily 5I991mum:
D31 y 51i3Emum:
rrrr No Reporting Reason: ENFRUSE= No Flow-Reuse/Recycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW No Flow: HOLIDAY — No Visitation —Holiday

NPDES PERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WWTP
OWNER NAME: Haling R Genaro
GRADE: WW-2
eDMR PERIOD: 05-2019 (May 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: WW-2 COUNTY: Catawba
ORC: Gregory Alexander Trombello ORC CERT NUMBER: 1005905
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed
CONTACT PHONE #: [phone] SUBMISSION DATE: 06/30/2019
06/30/2019
ORC/Certifier Signature: Gr g Trombello E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 1I.E.6 of
the NPDES permit.
-41
Permittee/Submitter Signature:*** Gr g Trombello E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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.
06/30/2019
LAB NAME: Water Tech Labs Inc.
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Gregory Trombello
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 28
.0506(b)(2)(D).

` N mb 2ER FNO.:\006=499
FACILELY\A1Ebbw nNlmWWTP
'OWNER ' \1V;F ;
R DE: WW-
RPERIOD 04-201 y6l2019
SAMPLING LOC%TIC
PERMIT VERSION: H
CLASS: W W-2
ORC:Gr o
ORC H; CHANGED: No
VERSION:
CER N1
'NT DISCHARGE NO.: 001 NO DISCH
"®No Reporting _ENRUSENo Athorse weir \ELW No How a \N
1005905

- NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
' FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
°OWNER NAME: Halina R. Genaro ORC: Gregory Alexander Trombcllo ORC CERT NUMBER: 1005905
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 04-2019 (April 2019) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
O
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-
1
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V
k-
Operator Arrival MIRE
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2400 deck
/In
2400 clack
1ln
'MIN
1
1345
.58
Y
2
1400
.50
Y
3
1300
.42
Y
4
0835
.42
Y
5
1415
.33
Y
6
1
8
1355
.58
Y
9
1425
.58
Y
10
1300
.50
Y
11
0755
.50
Y
12
1410
.42
Y
13
14
15
1335
.83
Y
16
1335
.42
Y
17
1250
.25
Y
18
0800
.58
Y
19
1320
.66
Y
20
21
z1
1340
.83
Y
23
1410
.33
Y
24
1315
25
Y
25
0705
.66
Y
26
1400
.66
Y
27
28
1140
.25
Y
29
1400
.66
Y
30
Monthly Average limit:
Monthly Attract:
Deily hlaehnum:
Daly 5ItnImom:
••" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle: ENVWTHR — No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Iloliday

NPDES PERMIT NO.: NC0064599
` FACILITY NAME: Lake Norman Motel WWTP
r OWNER NAME: Halina R Genaro
GRADE: WW-2
eDMR PERIOD: 04-2019 (April 2019)
COMPLIANCE STATUS: Compliant
ORC/Certifier Signature: G
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Gregory Alexander Trombcllo
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE f1: 7049890165
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1005905
STATUS: Processed
SUBMISSION DATE: 06/02/2019
06/02/2019
Trombello E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part Il.E.6 of
the NPDES permit.
7,4,10/
06/02/2019
Permittee/Submitter Signature:*** Gr g Trombello E-Mail:[e-mail] Phone #:[phone] Date
Perntittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 Labs Inc.
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Gregory Trombcllo
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPOES IERMIT NO.: Ne0064.599 PERMIT VERSION:40 PERMIT STATUS;AcAive
vitcurrri NAME: Lake Norman Motel' WWTP CLASS: W \V-,2 CO LiNTN: Catawba
OWNER NAME: Halina R Gegaro ORC'g ,Gregory Alaier Trotn6eRri ' , ORC CERT NUMRER: 1005905
7febEIVErYNCOENRIDWR
GRADE; W:W-2 OR( HAS °LANCED: No JUL I 1 7012
et/M11 PERIOD: 0372019 ( arch 20 VERSION: 1.,0 S'IATUS: PrtNN,
A.''"QROS
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.,: 001 NO DISCHARGV%PiypF0;0,,,,,AL
2444 clock tire 144,6c
151
10
Z7
inti (.0314
Weekty____ 2 X 'Nevi,
troafeftafictwf,,, (iff..Th Grfiff, ()cab • Grab
L.
)1,1110,' leNtr4 lilf1 IWO -
0835 „25 .00f7 17
f 0
f)S20 ff, 17
4144411414.8)ornt 454at
kloxithily1t4t44.05
111444 Maximum
Noy mi.o,i'a.rmer,
0.001 r,75
.1,714414
1)41,5,•0,,i,f5
10114 '501,154141/
W541,51)tm Wiffddff
75115
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Rae
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, M01
** No Reporting Rennin E, 'RUSE - Ne Flow,Reuw/Recycle; 1N V WIER -1 ita1111,11 Advosc Weather NOMOW — No 1OW; HO111A Y o No V isttatIon Hohday
.4)

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILIT',t NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Halina R Gcnaro ORC: Gregory Alexander Trombello ORC CERT NUMBER: 1005905
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 03-2019 (March 2019) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
r
O
F
H
a
ii
13
U
F
6
15
F
f
4
L
Operator lime Oa Slit
-
3.
a
u
D
A
x
0
L
ti
2400 clock
11n
1460 clock
11n
VANN
1
2
0835
.25
Y
3
4
1430
.25
Y
5
1410
.50
Y
6
1310
.33
Y
7
0820
.50
Y
e
1410
.42
Y
9
10
II
1340
.66
Y
12
1350
.50
Y
13
1240
25
Y
14
0740
33
Y
15
1350
.66
Y
16
17
1800
.33
Y
1k
1355
.58
Y
19
20
1315
.25
Y
21
0815
.42
Y
22
1405
.58
Y
23
24
25
1400
.50
Y
26
1230
1.0
Y
27
1240
.50
Y
28
0800
.50
Y
29
30
1730
.25
Y
31
Mop klr A+ crepe [Smit:
31outk1y Mane:
Deily hlnimpm:
Day 31lolmpm:
•0*0 No Reporting Reason: ENFRUSE = No Flow-Reuse/Reeycle; ENVWTHR = No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0064599
FACILIA NAME: Lake Norman Motel WWTP
OWNER NAME: Halina R Genaro
GRADE: WW-2
cDMR PERIOD: 03-2019 (March 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: WW-2 COUNTY: Catawba
ORC: Gregory Alexander Trombello ORC CERT NUMBER: 1005905
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed
CONTACT PHONE #: [phone] SUBMISSION DATE: 04/30/2019
04/30/2019
ORC/Certifier Signature:
Gr g Trombello E-Mail:[e-mail]
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Phone #:[phone] Date
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table For improvements to be made as required by part II.E.6 of
the NPDES permit.
�Jyjyr� 04/30/2019
Permittee/Submitter Signature:*** Gr Trombello E-Mail:[e-mail] Phone #:[phone]I65 Date
Permittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 Labs Inc.
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Gregory Trombello
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

' rnES PJRMII'T NO.: N(.7(7(Jb45:99
EACILEIN NAME: tan 2lo el WWTP
OW'N62 NAME: 1Halina R (ie:aa� o
GRADE: LVW-2
ep\IR PERIOD: 02-2Ol
PERMIT VERSION: 4.11 VIED
CLASS: \4`ti1_'` REC.;
2:)R( Gregory Alc V
ORC DAS CHANGED': No
PERM \ 6A'fl : ActIve
COUNTY: C:::1_hs
ORC CERT NI \IE3E.R: 1005905
SAMPLE 6 LC) TLO\: EFFLUENT DISCHARGE NO.: 001 N) DISC
« No, Reporting Reason: TRI'tiE: ` No E os -Beale Roos cigi IEN;V`V\ i t4R No ‘esnottion •- Ait .i ,s Witaingt: N AI' -- No Flow: HOP„ILI,

NPDES PERMIT NO.: NC00664599
FACILITY NAME: Lake Norman Motel WWTP
OWNA. NAME: Halina 11. Genaro
GRADE: WW-2
eDMR PERIOD: 02-2019 (February 2019)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Gregory Alexander Trombello
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1005905
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
•
o
g
ua
a
B
44
i
V
a
o
e
C
A
2400 sleek
11n
2400 clock
Hn
YIBVN
1
1400
.33
Y
2
3
4
1400
.33
Y
5
1345
.58
Y
6
1310
.25
Y
7
0815
.50
Y
6
1410
.33
Y
9
10
11
1325
1.0
Y
t2
1335
.75
Y
13
1335
.33
Y
14
0825
.42
Y
15
1410
.33
Y
16
17
10
1350
.25
Y
19
1240
.75
Y
20
1305
.33
Y
21
0935
.42
Y
21
1400
.50
Y
23
24
25
1355
.25
Y
26
1330
.83
Y
27
1310
.25
Y
Zs
J _
0820
.33
Y
Mall k17 A.en2e Llmill
Homblr Arerace:
Daffy blulm.m:
Da02Minimum:
•••• No Reporting Reason: ENFRUSE G No Flow-Reuse/Retycle; ENVWTHR = No Visitation — Adverse Weather: NOFLOW = No Flow; HOLIDAY a No Visitation — Holiday

NPDES PERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WWTP
OWNEW NAME: Halina R Genaro
GRADE: WW-2
eDMR PERIOD: 02-2019 (February 2019)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: WW-2 COUNTY: Catawba
ORC: Gregory Alexander Trombcllo ORC CERT NUMBER: 1005905
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed
CONTACT PHONE #: [phone] SUBMISSION DATE: 03/30/2019
03/30/2019
ORC/Certifier Signature: G eg Trombello E-Mail:[e-mail]
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
Phone #:[phone]I65 Date
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
03/30/2019
Permittee/Submitter Signature:*** Gr g Trombello E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 Labs Inc.
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Gregory Trombcllo
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per ISA NCAC 2B
.0506(b)(2)(D).

NPDES pERmur NO.: NC0064599
FACILITY NA.ME: Lake NormanMu
OWNER NAME: lialina R Genaro
GRADE: WW-2
eDIVIR PERIOD: 01-2019 Oa rary 2019)
PERMIT VERSION: 4,0
WW-2
ORC: Gresury Alexander Trornbello
ORC DAS CHANGED: Nil ,AR 2 8 2019
VERSION: 1.0
PERMIT STATUS: Active
COUNTY; Cinawba
ORC CERT NUMBER: 1005905
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
HOI8,XxY
14
.53
325 2
42 Y
,30
405 .388
303
ONO
72
:1,1,523
54eigi 01,1119 1 994.98 41538
!12. X woric W eck
'60613
CHIA)R.Cit OIJD Cam
18eekty W8881
''106t100630800.5 160336
• deg !
0,001 3
00
d 0,7
0,2
6. 1,2
ettk W 16
I 9)6194.801
”" No Reporeleg R.on, ENFRUSE—No Flow-Reiisc.,Reryete: FNVWTHI8 - No Vlsitation -Adverse Weather; NOFLOW No rlow, HoLIDAY 0l81UtRrn - Holiday
103,Qr0115

NPDES PERMIT NO.: NC0054599 .
FACILI1NAME: Lake Norman Motel WWTP
OWNER NAME: Halina R Genaro
GRADE: WW-2
eDMR PERIOD: 01-2019 (January 2019)
• PERIIHT VERSION-4.O
CLASS: WW-2
ORC: Gregory Alexander Trombello
ORC HAS CHANGED: No
VERSION: 1.0
. PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1005905
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
ITolol Campodta Time
5 0
H
Z.
2400 dad/
Hn
200.164
Hn
MN
1
HOLIDAY
2
1325
.25
Y
3
1115
.42
Y
4
1320
?S
Y
s
6
7
1400
.33
Y
3
1400
.58
Y
9
1325
.25
Y
10
004o
.42
Y
is
1355
.50
Y
12
13
14
1405
.33
Y
15
1405
.33
Y
16
1305
.42
Y
17
0805
SN
Y
08
1720
33
Y
19
20
21
1230
SO
Y
22
1405
33
Y
23
1320
33
Y
24
10N25
A2
Y
25
1410
33
Y
26
27
2a
1405
33
Y
29
30
1245
.50
Y
31
0825
.75
Y
Mon
61y Average Ural:
Mout11y Average:
DaOy Maimum:
Deny K im.m:
'••'NoReporting Reason: ENFRUSE=No Flow-Reuse/Retytle; ENVW7HR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday

•
NPDES PERMIT NO NC0064599
FACILITY NAME: Lake Norman Motel WWTP
OWNER NAME: Halina R Genaro
GRADE: W W 2
eDMR PERIOD: 01-2019 (January 2019)
COMPLIANCE STATUS: Compliant
ORC/Certifier Signature:
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Gregory Alexander Trombcllo
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT, PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1005905
STATUS: Processed
SUBMISSION DATE: 02/27/2019
02/27/20I9
GVeg Trombcllo 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 ILE.6 of
the NPDES permit.
IjAUXPermitter/Submittcr Signature:*** Gr Trombcllo E-Mail;[e-mail] Phone 4:704-989-0165 Datc
Permittce Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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.
02/27/2019
CERTIFIED LABORATORIES
LAB NAME: Water Tech Labs Inc.
CERTIFIED LAB #: 50 •
PERSON(s) COLLECTING SAMPLES: Gregory Trombello
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 FlowtDischargc From Site: Check this box if no discharge occurs -and, as -a result, there arc 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 I5A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0064.599
IFA.CILTIN NAME: Lake Norman Motel WW1?
OWNER NAME: Halina R. Genaro
GRADE: WW-2
eDIMR .PERIOD: 12-21118 ( cumber 2018) VERSION: 1.0
PERMIT VERSION: 4 0 PERMIT STATUS: Active
r) -
cLASS:,,w, „404, Inc7., Catawba
(IRC: (irgoy Akxuld2r Trombelt4 B ,„„ 11 141 19LJKC CER1 NUMBER: 1008905
()RC ti AS CHANGED: No
St A ruS: Procestiet
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
y!!
.;n
74.
1r; !!!'•'"
50650
11111110
11141111 50060 4 0515 150610
(10530
.11616
04556
Weekly
[99291!!1111Q(91.5 RI11
Weet:1
(695
2 X 041crk
(in43
OILORENE BOD - Cow 161.1.3-11 - Cana
W eckl>
Grab
TSS CE1P1C
454.32i14
Grab
VCou
Wiy6X14
Grab
(1117-4,11.532
24011 cloak '1165 .241111 1165 2i[1,!1•1
iryad
c1224,2
21 USA r423 14121
rtrl 00yrd 411 1
14
15
16
17
141
22
24
241
22
is
14
31
V5123111R.
005.11 /AV
2111,111114 Average 1,601:
17
0.00
1141 4
0.2
!Di
1400
10101
11.0175
0
1
7,4 I i!
7,3
38
0.2
0.2,
-10
6 4
5.6
646
7 t!! 7
942
3.2
45 2 5.
312
3
2011 10
Moak hly ,066466,
flatly alaairootra
166110
011/0
13..25
17
7345 1. 4 22
0 361 312
5.475
2.4
10
12)
Flatly 1,115666r5/
No Reportiag Reason: 1NFR ISF No FlowyReusetRoeyele; EN VW 1HR Yr No Visitation Adverse Weather: NOIrl..OW - 'so Flow; HOLIDAY No Yisiwion - Holiday
1 it
5,5 )1' ft t) 0

NPDES PERMIT NO.: NC0064599
h 'ACILITY NAME: Lake Norman Motel WWTP
OWNER NAME: Halina R Genaro
GRADE: WW-2
eDMR PERIOD: 12-2018 (December 2018)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Gregory Alexander Trombello
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1005905
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
O
Composite Sample Time
Total Composite Time
E
6
O
Operator Time On Site
iii
O
No Repotting Reason""
2400 dock
Hrs
2400 clock
Firs
WHIN
1
2
1210
.25
Y
3
1030
.25
Y
4
5
1 155
.25
Y
6
0835
,42
Y
7
8
1620
.33
Y
9
10
ENVWTHR
11
1305
.25
Y
12
0925
25
Y
13
0810
.42
Y
14
1355
.25
Y
15
06
17
1405
.33
Y
IN
1310
.58
Y
19
1250
.25
Y
20
1140
.50
Y
21
1410
.50
Y
22
23
1225
.25
Y
2.1
25
HOLIDAY
26
1310
,25
Y
27
0845
.50
Y
28
1310
,25
Y
29
30
31
1230
.25
Y
lion My Average Limit
Monthly Average:
Daily Maximum:
Daily Minimam:
"•.r No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation— Holiday

NPDES PERMIT NO.: NC0064599
FACILITX NAME: Lake Norman Motel 4YWTP
OWNER NAME: Halina R Gcnaro
GRADE: WW-2
eDMR PERIOD: 'I1-2018 (November 2018)
2400
PERMEI VERSION: 4,0
CLASS: WW-,2
ORC: Gregory Alexander Tron1bcllr)
ORC HAS CHANGED: No
VERSION: 1,0
SAMPLING LOCATION: EFFLUENT I)
11111111111111111111
11111111111111
®_._--,:
®_.111111— ---
11111111111111 B 33 ®�II
..1230 ®� '
•_.®_I
._. tt755
420
rilon,miy ,&- 'ra0
Daily Minh
50050
Weekly
Instant'.n etas
FLOW
al
PERMIT STATUS:. ,Active
COUNTY: Catawba
ORC CERT NUMBER: 1005905
STATUS: Processed
SCIIAI .G NO.: 001 NO DISC
7,
11.4
24
O 10 6
11k
Weekly
Weekly
Grab
Weekly
MINI MINIM
-1111
111111111111111111111111111
1111111111111111111111111111
111111111111111111111111
11111111111111111111111111111111
111111111111111111111111111111111111111111111
1111111111110111111111111111111111101
111.11101111111111111111
1111111111111111111111111111
**** No Reporting Reason: ENERUSE = N'o 1°7ow-Reuse/Recycle: ENV W'I 1IR No Vis,lta:ds�o
N11FLl)W --No How-, HOLIDAY
inr
itlay

F
NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILIT`INAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Halina R Genaro ORC: Gregory Alexander Trornbcllo ORC CERT NUMBER: 1005905
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 11-2018 (November 2018) VERSION: 1 0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
0
Composite Sample Time
Total Composite Time
Operator Arrival Time
Operator Time On Site •
0
0
No Reporting Reason....
.
,
2400 clock
Hra
2400 clock
Ws
YMIN
1
1155
.75
Y
2
1535
.50
Y
3
1410
.33
Y
4
1330
.33
Y
5
1310
.42
Y
6
1255
.25
Y
7
1220
.50
Y
s
1235
.50
Y
9
10
11
12
1240
.33
Y
13
1405
.42
Y
14
1230
.25
Y
i5
0935
.75
Y
16
0635
.33
Y
IT
I8
14
1405
.33
Y
20
1250
.25
Y
21
1220
.66
Y
22
23
1315
.25
Y
24
25
26
1330
.33
Y
27
1230
.25
Y
25
0725
.33
Y
29
0755
.58
Y
30
1420
.25
Y
Monthly Average limit:
-,
Monthly Average:
Daily Maximum:
Daily hllnimom:
**** No Reporting Reason: ENFRUSE = No Flow-ReusefRecycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY =No Visitation —Holiday

r
NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITX NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Halina R Genaro ORC: Gregory Alexander Trombello ORC CERT NUMBER: 1005905
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 11-2018 (November 2018) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 12/30/2018
?AIL
-
12/30/2018
ORC/Certifier Signature: Greg Trombello 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 front the time the pennittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDES permit.
12/30/2018
Permittee/Submitter Signature:*** Grey Trombello E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 Labs Inc.
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Greg Trombello
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 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 I5A NCAC 2B
.0506(b)(2)(D).

''+a'$)E-" PERMIT NO.: NC0064599
F \CI Li'a Y NA %I.E: Lake Noranan Motel WWTP
F"a'ER 'NAME: }laIina R Genaro
GRADE: WW-2
el)y1R PERIOD: 10-2018 (October 201 S)
PERMIT VERSION: 4.0
CLASS: C
ORC: Gregor), AIL utirier'T"r
ORC HAS CIIAN
VERSION: 1.0
L FILES
Ell: 1(8)5905
SAMPLING LOCATION: EFFLUENT IIISCHA IE, NO.: 001 NO DISCHARGE*
*' 'NoRepurtlugRea-son:CNFRUSE.—Nonow-Reuse/Recycle: LNI'IA•'f4R No Visi(ati
C0530 J4MG
No Vlsiration Hoiaciu'a

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
OWNERNAME: Halina R Genaro ORC: Gregory Alexander Trombello ORC CERT NUMBER: 1005905
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 10-2018 (October 2018) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
2
a'
E
r:
`
t
E
m
F
!
O
o
P.
o
CRC On Sire!""
-
1
a
If
Z
2400 clock
We
2400 clock
His
Y7131N
1
1630
.25
Y
2
1840
.25
Y
3
1340
.25
Y
4
1200
.75
Y
5
1730
.33
Y
6
7
8
1605
.25
Y
9
1345
.50
Y
l0
1525
.42
Y
11
1140
.50
Y
12
1720
.42
Y
13
1.1
15
1705
.33
Y
i2
1600
,42
Y
.
1410
.25
Y
IN
1200
.66
Y
19
1550
.33
Y
20
21
22
1505
.66
Y
23
1330
.42
Y
24
170S
.33
Y
25
1155
.75
Y
26
1535
.50
Y
27
28
29
1730
.33
Y
30
31
1315
.25
Y
Man hly A.cn:ge Limit:
Mon211y Arersg.
Daily Maximum:
Daily Minimum:
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather, NOFLOW - No Flow; HOLIDAY = No Visitation — Holiday

NPDLI PERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WWTP
0 \ ER VAME: Halina R Genaro
GRADE: WW-2
eDMR PERIOD: 10-2018 (October 2018)
COMPLIANCE STATUS: Compliant
ORC/Certifier Signature: G
g
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: WW-2 COUNTY: Catawba
ORC: Gregory Alexander Trombello ORC CERT NUMBER: 1005905
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed
CONTACT PHONE #: [phone] SUBMISSION DATE: 11/30/2018
2ri
Trombello E-Mail:[e-mail] Phone #:[phone]
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
11/30/2018
Date
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
11/30/2018
Permittee/Submitter Signature:*** Greg Trombello E-Mail:gmctwatertgyahoo.com Phone #:[phone] Date
Permittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 submittedis, 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 Laboratories
CERTIFIED LAB a1: 50
PERSON(s) COLLECTING SAMPLES: Gregory Trombello
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/forrns.
FOOTNOTES
l 'se 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 80 .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 I5A NCAC 2B
.0506(b)(2)(D).

NPDES PETIT NO.: NC0064599
FACILITY NAME; Lake Norman Molel WWTP
OWNEL.f4AME: Halina R Genaro
GRADE: WW'2
eDMR PERIOD: 09-2018 (September 2018)
PERMIT VERSION: 4.0
ERMIT STATUS: Active
CLASS: WW-2 — -"e0UNTY: Catawba
ORC: Gregory Alexander 1 roniheUoC 0 4 20 It ORC CERT NUMBER: Pu;;;c-d.' kEVEDINCIOENRIC
ORC HAS CHANGED: No
C EN '1 HAL F L E3
DWR SE Csi 0 sTATI;s: Processed
VERSION: 111
WO R
MOORESVILLE RriGloNAL Orme:
SAMPLING. LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
42
88
4240dS0ro
12
Ho,
213
22
10
AY
501150
11,00 24 00400 00000 COIIS 4 00144 4 0330 33618 4205)
Weekly 26,ckl, W4.dIv , 2 X week Weekly' Weekly We2kll Weekly 'eekly
Instanlamous Gob ; Grab Grab 'Grab Grab 8ro313 Grab
FLOW TFAIP-U o11 cramatist non - 18113-58 - Caw Tss. C4lit 02011216 0111.-01181.
rogd :deg c
5
16
3 0
700
4
1.42
Y
113811 8384 144 1 1108
32
4
5 2 3.53
11
S.&
37
1635 1 .42
3
040 J.50
30
50
1)1201
746 30 • < 4 g 0,2
744
21
133
1.55
66
75
26
.4 3 10
22
2.3
26
27
28
2.9
30
235
1_5
13 5
5222
.42
.42
.3
00
Monthly Averago Limit ,no,
Monthly Mean.
2 0i
2.6.75
0,2 < 2.5
155
bo.it Na8ir10rn, 0
42
2,
66 < 5,6
160
5 1 40 06.297.379
42 V V.4 4 3 V 760 0
Dail) Minimum,
0.001
26
6.8
• 0
""7 No Reporting Reason: ENFRUSE —No How-Reuse/Recycle; ENVWTHR VI:ail-anal - Adverse Weather; HOLLOW Ni) Flow; HOU i)A.V 55' No Visirinion Holiday

NPDES PEAMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active.
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
OWNER1NAME: Halina R Genaro ORC: Gregory Alexander Trombello ORC CERT NUMBER: 1005905
GRADE: WW-2 ORC IIAS CHANGED: No
eDMR PERIOD: 09-2018 (September 2018) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
o
5.
IL
u
kk
F
61
a
r
2
1
21
1
e
o
b
In
a
•
a
e
a
12
.
2400 clock
Hn
2400 clock
Hn
YAWN
I
I.
3
HOLIDAY
4
1630
.42
Y
5
1310
.25
Y
6
1215
1.42
Y
7
1700
.50
Y
s
9
10
1635
.42
Y
11
1320
.33
Y
12
1640
.50
Y
13
1230
.50
Y
14
1250
,30
Y
12
16
17
1640
1.0
Y
1s
1515
.75
Y
19
1330
.66
Y
20
1030
.75
Y
21
1550
.33
Y
13
1235
42
Y
24
IS1S
.42
Y
s
26
1335
.33
Y
27
1130
.83
Y
20
1222
.33
Y
29
30
Mon hlr Menge Link:
Monthly Menge:
Dolly Minimum.
Dilly Mln2nmm:
'••! No Reporting Reason: ENFRUSE = No Flow-Rouse/Recycle: ENVWTIIR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday

NPDES PEaRMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WWTP
OWNER/NAME: Halina R Genaro
GRADE: WW-2
eDMR PERIOD: 09-2018 (September 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Gregory Alexander Trombello
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
ley
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1005905
STATUS: Processed
SUBMISSION DATE: 10/30/2018
• 10/30/2018
ORC/Certifier Signature: Greg,/Trombello E-Maii:[e-mail] Phone #:[phone]I65 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.
,{�V1� 10/30/2018
Permittee/Submitter Signature:*** G eg Trombello E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 Laboratories
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Gregory Trombello
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permitter: 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(h)(2)(D).

*PERMIT: »NCm64 g PRMRVERSION:
Gt �� NAMELake Nm_n Motel WW 7 (I W 2
4ERNAHe RG _ tR�e Gregory 9 /
GRADE: Wes! OR(H,¥ r
eD RPUIOD: 20 August 2019 VERSION: S
R>,R e +$ Act:
/)$ OR(CE, NENDIE 101
». Er
SAMPLING LOCATION: EFFLUENT DISCHARGENOJ0! NO DISC
No Repo 9R « Gwar=w +w e cF\' m;=m > w w s qrm« »1 +ram Y. � ,� w

NP9ES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
G'(WNER NAME: Halina R Genaro ORC: Gregory Alexander Trombello ORC CERT NUMBER: 1005905
GRADE: WW-2 ORC HAS CHANGED: No
eDMR PERIOD: 08-2018 (August 2018) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
Co npodlrSampk Time
a
I
I
9gg
O
8
ORC O,SiI.?
2400 clock
Hn
2400 clock
Fin
Y13/N
1325
.42
Y
2
115D
,50
Y
3
1615
.42
Y
1130
,58
Y
5
6
1955
.33
Y
7
1555
.33
Y
1330
1.0
Y
9
1115
.50
Y
1D
1535
.50
Y
tt
42
13
1605
.33
Y
14
1545
1.5
Y
15
1325
,25
Y
16
1210
.50
Y
n
1630
.33
Y
18
1350
.33
Y
1710
.25
Y
_21
1325
.33
Y
12
23
1210
,66
Y
24
1310
.50
Y
25
26
17
1420
.50
Y
28
1600
5.0
Y
29
1340
.42
Y
;.o
1310
,50
Y
31
1650
1.0
Y
Monfdt7 A•engc Limit:
Monthly ANrnge:
Dolly Maximums
Defy Mlnlnmm:
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WWTP
I,WNER NAME: Halina R Genaro
GRADE: WW-2
eDMR PERIOD: 08-2018 (August 2018)
COMPLIANCE STATUS: Compliant
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Gregory Alexander Trombello
ORC IIAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1005905
STATUS: Processed
SUBMISSION DATE: 09/30/2018
09/30/2018
ORC/Certifier Signature: Greg Tro bello E-Mail:[e-mail] yahoo.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.
09/30/2018
Permittee/Submitter Signature:*** GTrombello E-Mail:gmetwaterrQryahoo.com Phone #:[phone] Date
Permittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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. 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 Laboratories
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Gregory Trombello
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the penmittee, then delegation of the signatory authority must be on file with the state per I5A NCAC 2B
.0506(b)(2)(D).

NPI)ES PERMIT NO.: NC00641599
FACILITY NAME: Lake Norman Motel WWI°P
OWNER NAME: Haltna R Cienarc'r
GRADE,.
eIhMR PERIOD': 06-2018 (June 2018)
PERMIT VERSION; al
("LASS: W W
ORC: Dustin Kyle NIeueyeo r
OR(" IIAS CIIAN(oF:-U: t"t.s
VERSION. 2.0
SAMPLING LOCATION: EFFLUENT SCHARGE NO.: 0
PERMIT STATUS: Active
COIINT\ : Catawba
(lRC° CERT NUMBER: 11697
>sed
NO IIISC}I,R
`04• \e Reporting Reason: E FRUSE- _' No Flo . to eiRecycle, ENV WTHR V"o Y"1 ,Iidap.

4
NPDES PERMIT NO.: NC0064599 PERMIT VERSION:4,0
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Haling R Genaro ORC: Dustin Kyle Metrcycon
GRADE: WW-4. ORC HAS CIIANGED: Yes
eDMR PERIOD: 06-2018 (June 2018) VERSION: 2.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
a
A.
a
s
u
A
F
s'
V
ti
G
P
a
6o
N
g
t
i-
9
:
is n
g
u
o
a
a
e
8
a"
z
.
.
7600 Nock
Hn
2400 Oak
Hn
YIWN
1
1325
.33
Y
2
3
•
4
1705
,25
Y
1555
.42
Y
6
1340
.25
Y
7
1130
,42
Y
6
1410
.33
Y
9
10
11
1520
.25
Y
12
1530
.50
Y
13
1345
.50
Y
14
1150
.50
Y
Is
1456
.33
Y
16
17
I6
1155
.25
B
19
0915
.25
B
20
1515
.25
0
2E
1150
.25
B
32
1450
.25
B
23
24
27
1525
.25
Y
26
1405
.33
Y
27
1335
.25
Y
28
1150
,50
Y
29
1455
.63
Y
30
Monthly loamy LEmu:
hfeuddy lcm6c:
Daily 61.cim.r..
D.LIy Minimum:
"" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTI IR = No Visitation - Adverse Weather; NOFLOW = No Flow, HOLIDAY = No Visitation - Holiday

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Mctreycon
GRADE: WW-4. ORC HAS CHANCED: Yes
eDMR PERIOD: 06-2018 (June 20! 8) VERSION: 2.0
COMPLIANCE STATUS: Compliant CONTACT ('HONE I : 7049890165
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SUBMISSION DATE: 08/29/2018
08/29/2018
ORC/Certifier Signature: Dusty Kyle Metreyeon E-Mail:[e-mail] Phone #:[phone] Date
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part I1.E.6 of
the NPDES permit.
08/29/2018
Permittee/Submitter Signature:*** Dusty Kyle Metreyeon E-Mail:dmetwaterrraol.com Phone #:[phone] Date
Permittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 Tech Laboratories
CERTIFIED LAB 4: 50
PERSON(s) COLLECTING SAMPLES: Greg Trombello
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and. as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee. then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Metreycon
GRADE: WW-4. ORC HAS CHANGED: Yes
eDMR PERIOD: 06-2018 (June 2018) VERSION: 2.0
Report Comments:
Greg Trombello is ORC
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Metreycon
GRADE: WW-4, ORC HAS CHANGED: Yes
eDMR PERIOD: 06-2018 (June 2018) VERSION: 2.0
CO M IANCES[ATUS: Comp ent CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SUBMISSION DATE: 08/29/2018
•
Ofet29/20I 8
gnature: Dust Kyle Metreycon E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part I1.E.6 of
th
08/29/2018
Per • efitter Signature:*** l '(isty Kyle Metrcyeon E-Mail:dmetwatcrOaol.com Phone fi:704-506-4255 Date
Permittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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. 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 Laboratories
CERTIFIED LAB #: 50
PERSON(s) COLLECTING SAMPLES: Greg Trombello
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter.Code assistance may be obtained by calling the NPDES Unit (9I9) 807-6300 or by visiting http://portal,ncdenr.org/web/wq/swp/pslnpdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facilitys 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).

N! DES PERMIT NO.: NC0'064599
t FACILITY NAME: Lake Norman Motel Vu"tu'TP
OWNER NAME: Hanna R Genaro OR( Dos'
GRADE: WW-4. ORC iiAS CHANGE D No
eDMR PERIOD: 01-2018 January 2018) VERSION: I tl
SAMPLING LOCATION: k:l `.F
RECEIVE
4 F\ 1 9 ,r? U III." 'R(: CT;
CENTRAL FILES
DWR SECTION Ar�r
STATUS: Active
Catawba
I' NUMBER: .,
Processed
Ili; I: NO.: 001 NO IMSCU a JNO70.
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I,
NPDES PERMIT NO.: NC0064599
it FACILITY NAME: Lake Norman Motel WWTP
OWNER NAME: Halina R Genaro
GRADE: WW-4.
eDMR PERIOD: OI-2018 (January 2018)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Dustin Kyle Metreyeon
ORC HAS CI IANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
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1500
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Monthly Mango 1.1mih
Monthly /Imago:
' Daily hlacknon:
Daly Mlnlmum.
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW - No How; HOLIDAY —No Visitation --Holiday

NPDES PERMIT NO.: NC0064599 PERM1T VERSION: 4.0
50 FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Metrcycon
GRADE: WW-4. ORC HAS CHANGED: No
cDMR PERIOD: 01-2018 (January 2018) VERSION: 1.0
.COMPLIANCE STATUS: Complia CONTACT PRONE #: 7043064255
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SUBMISSION DATE: 02/26/2018
/.
02/26/2018
ORC/C rt'� Signa ure: Dus .Kyle Metreyeon E-A9ail:dmetwater(crlaol.com Phone 4:704-506-4255 Date
By this signature, 1 certify that this report is accurate and complete to the best arty knowledge.
F
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 permittce 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 pe
02/26/2018
Permits !Su mittegnature:**( Dusty Kyle Metrcyeon E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC. 28673 Pertnit Expiration Date: 04/30/2020
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 direttly responsible for gathering the information, the information submitted is. to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.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 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.: NC0064599
FACILITY NAME: Lake Norman Motel WWTP
OWNER NAME: Halina R Genaro
GRADE: WW-4.
eDMR PERIOD: 12-2017 (December 2017)
SAMPLING LOCAT
PERNIFU VERSION: 4.o PERMIT sTATuS: Active
RECEIVEDcou
,NTY: Catawba
ORC: Dust in Ky6e roctreon
OR( HAS CI IANGED: No
VERSION': I 0
OR( CERT NUMBER: 11697
APR 19 2018 REcE V LF,1 DENROWR
CENTRAL FILES STATUS: Processed
DWR SECTION
IN EFETTENT -DISCHARGE NO.: 001 NO DISCHA
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4*** No Reporting Reason: ENFRUSE -No Flow-ReusefRooyele, EN V ',NV! =NoVisitation Adverse. WOMNION'; N0)1 1.41V 2' No Flow.: F1(1I ID \Y = No Visitation Holiday

NPBES PERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WWTP
OWNER NAME: Halina R Genaro
GRADE: WW-4.
eDMR PERIOD: 12-2017 (December 2017)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Dustin kyle Metreyeon
ORC HAS CI IANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
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Mon hty Aaerace Limi$:
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Daily Maximum:
Daily Minimum:
••'• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVW HR = No Visitation — Adverse Weather: NOFLOIV = No Flow: HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
— FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
1
OWNER NAME: Halina R Genaro "ORC: Dustin Kyle Metreyeon ORC CERT NUMBER: 11697
GRADE: WW-4. ORC 11AS CHANGED: No
eDMR PERIOD: 12-2017 (December 2017) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: ant . CONTACT PHONE #: [phone] SUBMISSION DATE: 01/29/2018
01/29f2018
ure: ! usty Kyle /Metreyeon 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 Officeany noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the pennittec became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.E.6 of
the NPDE
0I/29/2018
Perm ubmi ter Signature ** Dusty Kyle Metreyeon L'•-Mail:dmetwaterreaol.com Phone #:[phone] Date
Pe Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 ofmy knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.orgfweb/wg/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 permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDESXERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WWII'
0 CNER NAME':I1abi R C;entoo
GRADE: WW-4
eUMR PERIOD: 11 -2O!7 (November 2))!7)
RECEIVED
CI
()
URI 11 t PIANt,t:cENTNAL FILES
viLksioN o DWR SECTION
PERAlIT STATIIIS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1!697
RtitEiVEDINC DEN RIDWR
1 I US: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE N(/: 001 NO DISCHM
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Reponing Reason: ENFR t,ssE , I -kw IITaI von 404,4. Wemhu: NO 41044 NIX, II14N No VitiOrAtiN, - Hohday

NPDES ['ERMIT NO.: NC0064599 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Mctrcycon
ORC IlAS (:[LANCED: No
eDMR PERIOD: 11-2017 (November 2017) VERSION: 1.0
GRADE: WW-4.
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
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hlonihk,i.erags Limit:
5lonlhl5 A. ti,r r
D.ily 51..imome
Dail. hlinimon:
**** No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTIIR = NoVisitnlion— AdverseWeather. NOFLOW = No Flow; IIOLIDAY=No Visitation — Holiday

NPDES PERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WWTP
OI(rNER NAME: Halina R Genaro
GRADE: WW-4.
eDMR PERIOD: 11-2017 (November 2017)
COMPLIANCE STATUS: Compliant
ORC/Cert
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: WW-2 COUNTY: Catawba
ORC: Dustin Kyle Metreyeun ORC CERT NUMBER: 11697
ORC HAS [:I LANCED: No
VERSION: 1 0 STATUS: Processed
CONTACT PHONE #: [phone] SUBMISSION DATE: 12/22/2017
12/22/2017
ature: Dusty Kyle M/trcyeon E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a tithe -table for improvements to be made as required by part i1.E.6 of
the NPDES permit.
12/22/2017
Permitt ef/Sty6mit r Signa ire:*** Dusty/yle Metreyeon E-Mail:dmetwaterrr,aol.com Phone #:[phone] Date
Permittee Ad ss: 491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
CERTIFIED LABORATORiES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
" ORC on Site?: ORC must visit facility and document visitation of facility as required per I5A NCAC 8G .0204.
*** Signature of Permittee: If signed by outer than the permittee, then delegation of the signatory authority must be on file with the state per I5A NCAC 2B
.0506(b)(2)(D).

II66
NPDES PERMIT NO.: NC0U64599
FACILITY NAME: Lake Norman Motel W WIP
OWNER NAME: l lalina R Cienaro
GRADE: WW-4.
eDMR PERIOD: 10-20I7 (October 2017)
SAMPLING LOCATION: I:FF1,F1EN"IT 1)1
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***" No Reporting Reason: FN'FRUS'F - Na Flow -Reused Recycle, LAVA',
PERMIT R1II"I" STrtTi" : Acfive
("MINTY: Catawba
E(' CERT NUMBER: 1 I(97
CENTRAL FA -
ovvR SECTION
FI ARGE NO.: 001 NO DISCHARGE*: NO
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7 1
NPDES PERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel W WTP
OWNER NAME: Halina R Genaro
GRADE: WW-4.
eDMR PERIOD: 10-2017 (October 2017)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Dustin kyle AIclrcycon
ORC HAS ('IIANGEI?: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
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8
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14
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12
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13
1303
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15
16
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17
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19
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20
1355
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21
22
23
1200
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27
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plan hlv A.eneee Limit:
NI
3lnnthh A.anBc
1341, Maximum:
NO
"" No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle: ENV WTHR - Nu Visitation - Adverse Weather- NOFLOW = No Flow: HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WWTP
OWNER NAME: Halina R Genaro
GRADE: WW-4.
eDMR PERIOD: 10-2017 (October 2017)
COMPLIANCE STATUS: Compliant
ORC/Cert Signature: Dusty K
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: WW-2 COUNTY: Catawba
ORC: Dustin Kyle Mctrcveon ORC CERT NUMBER: 11697
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed
CONTACT PHONE #: [phone] SUBMISSION DATE: 1 I/28/2017
11/28/2017
Metreyeon E-Mail:[e-mail] Phone #:[phone] Date
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit
Permitt
11/28/2017
itter Signature:*** ►gusty Kyle Metreyeon E-Mail:[e-mail] Phone 4:704-506-4255 Date
Permittee A' . ss: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swplps/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 he 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 pennittee, then delegation of the signatory authority must he on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

•
NPDES PERMIT n`()„; N'C;01 4599
FACILITY NAME: La Nrsmar� \
OWNER, NAME: Fla Iina R (aer3asra
GRADE: WW-4.
eDMR PERIOD: 08-
7' (August 22017)
VERSION:
CEN
DVVR
AEI k/ E
OR('t. ER'L NLI\1RI R:
Flies
SECT N S`I"tTUS:Praressed
7
SAMPLING LOCA'i'It)N: E114,1 DI` CHAIU I. NO.: 001 NO DISCOAR
ViEN
° '•* No Reporting Reason: 1 \I R
4re>w Elide 4x¢a`s;�e 9.wu
OfkiH
nkfkktHk
WAD
brat; tpruExKar;aCa
CFt. ,d. oars
mh
I RI,-t.'R44

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Mclreyeon
GRADE: WW-4. ORC HAS CHANCED: No
eDMR PERIOD: 08-2017 (August 2017) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
I,
O
E
F
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o
e
[J
u'
Z
�9Ili
4
Operator T6ae Oa Site
v
O
et
c
Z
2400 etoek
It»
2400 clock
1Ire
V/0/N
I
1030
.25
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2
1300
.25
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3
1130
25
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4
1250
.25
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--
s
6
7
1415
.25
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,
8
1920
.25
y
9
1215
.25
y
l0
1155
.25
Z.
It
1110
.33
y
12
13
1J
1350
.25
b
is
1030
.25
Y
16
1230
.5
y
17
1120
.25
y
to
1250
.25
y
19
20
11
1345
.25
b
21
1400
.25
b
23
1500
.25
b
24
1122
.25
y
15
1133
.33
y
26
17
25
1300
.25
b
39
1600
.25
b
30
1330
.25
b
31
1155
.25
y
plan hly Avenge Limit;
31anthly Menet,
Deily 11eeimam;
Deily Mln0n m:
"" No Reporting Reason: ENFRUSE No Flow-Rouse/Recycle; ENVWTI tP. = No Visitation — Adverse Weather. NOFLOW = No Flow: IIOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Halina R Genaro ORC: Dustin Kyle M etrcycon ORC CERT NUMBER: 11697
GRADE: WW-4. ORC HAS CHANGED: No
eDMR PERIOD: 08-2017 (August 2017) VERSION: 1.0 STATUS: Processed
COMPLIANCE STAT S: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 09/29/2017
ORC/C
09/29/2017
igna -e: DustyKyle Melrcyeon 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 pennittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES perm
09/29/2017
Pef."ttee/S .mitte ignature:** Dusty Kyle Metreycon E-Mail:[e-mail] Phone 4:704-506-4255 Date
Pe tree A . Tess: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
I certi , 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 infornation, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there arc significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per I5A NCAC SG .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

\FOES PERMIT NO.: NC0061599 PER
FAG NAME: Lake Norman Mc
OWNER NAME: Halina R Genaro
(TRADE: WW-,
eDMR PERIOD 06-2 1 I (Itamce 2017)
C.I ASS: WW-2
ORC C)u tin Kyle Metre
V 9
PERMIT STATUS: AcOve
1NTY: Catawba
ERTIYUMBER: 116
CENTRAL ,f ILE SrA°I(Is: Pro ,es e
DWR SECTION
SAMPLING LOCATION: EFFLUENT DISCILARGE. NO.: 001 NO DISCHARGEttiNfiwgooNk. i It P:':'
ORC HAS CHANGED: No
VERSION: L�U
R. r, t NFRITSF No FloA-Ruusc Rcc',ycic: 1^y`' WTI IR y i ;AdversLT WcIlthcr, NUFIXTAV . No How., 1101
s7
IDAY -'N? Vkitailon
tl
11day

NPDES PERMITNO.: NC0064599 PERMIT VERSION: 4.0
EACI I;,ITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Metreyeon
GRADE: WW-4. ORC HAS CHANGED: No
eDMR PERIOD: 06-2017 (June 2017) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 1 [697
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
a
e`
0
eat
U°
Sotal Compovee Time
P
T.
5
e
19,
O
InX
8
1
r.
tl
0
ORC Oa Site:'*
No Reporting Rrasors`•••
2100 clock
nn
2400 clock
ties
57117N
t
1150
.25
y
2
1300
.25
y
3
4
s
1530
.25
y
s
0815
.33
y
1110
.25
b
i
1100
.5
y
9
1320
.33
y
10
11
12
1000
.25
y
13
1212
.25
y
1.1
1327
.25
y
15
I130
.25
y
16
1192
.33
b
17
Ig
19
1930
.25
y
20
1140
.25
b
21
1140
.25
b
72
1120
.25
y
23
1300
.25
y
11
15
16
1430
.5
y
27
26
1033
.25
b
19
1142
.5
y
.m
1310
25
y
Moo h1y Average Mall:
Monthly Avenge:
DaAy Mariam::
Daily Mfnlmum:
""'NoReporting Reason; ENFRUSE=NoFlow-Reuse/Rccycic; ENVWTHR=No Visitation— Adverse Weather; NOFLOW=No Flow; HOLIDAY=NoVisitation— Holiday

NPDES PERMIT NO.: NC0064599
FACII,ITY NAME: Lake Norman Motel WWTP
OWNER NAME: Halina R Genaro
GRADE: WW-4.
eDMR PERIOD: 06-2017 (June 2017)
COMPLIANCE STATUS: Compliant
ORC/Cer
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: WW-2 COUNTY: Catawba
ORC: Dustin Kyle Metreyeon ORC CERT NUMBER: 11697
ORC HAS CHANGED: No
VERSION: 1.0 STATUS: Processed
CONTACT PHONE #: [phone] SUBMISSION DATE: 07/21/2017
07/21/2017
ature: D sty Kyle Metreyeon E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
Permittee
07/21/2017
Sign re:*** D sty Kyle Metreyeon E-Mail:[e-mail] Phone #:[phone] Date
Permittee Add s • 1 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Metreyeon ORC CERT NUMBER: 11697
GRADE: WW-4. ORC HAS CHANGED: No
eOMR PERIOD: 06-2017 (June 2017) VERSION: 1.0 STATUS: Processed
Report Comments:
No visitation on 6-27 due to family emergency but was visited on 7-1 Saturday within the same week. This report will not let me show that. Time 1100..,hrs..33....flow .002

``DES PERMIT NO.: NC0064S99
PERM FT VERSION:4.0
FACILITY NAME: Lake Norman Motel W\Y'TP CLASS: WW-2
OWNER NAME: Halwna R Genaro ORC. I)nsalat .yd t�hzlre era
(TRADE: W'rlE`-4° O14C HAS CHANCED: No
eDMR PERIOD: 05- 01 lay° 01a1 VERSION: 1,0
SAMPLING LO
PERMIT STATUS: Active
)UN`I"Y: Cau,$wba
ORC ('ERT NUMBER: 11697
CENTRAL I S'IA`PUS:Prccesaccl
DWVR SECTION
ATION: EFFLUENT DISCHARGE NO.: ON NO DISC ►RGE* Dos
We kl7
Guth
.." Na Reporting Beason: d NFRLrSF
rat
Weekly
.k FrFl
Weekly Weekly
[Praia Grab
GCMG F' 6A2.9ft
sot I 6!''IC.().1 mrl
47
3au _ KCO2 3.4 =; 55.6
Reese Recycle; ENV WI HR o No Vii iaati
1
ST ?.3 U i7
.Il3A' ivirn47mt-1Iv11day

Pf PDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Metrcycon ORC CERT NUMBER: 11697
GRADE: WW-4. 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)
s
i'
a
e'
u
F
I11.
e
a
r
Operator Time On Site
19
-
G
u
o
a
x
..Y.0
.
a`
z
•
2400 clack
IIre
2400 ebek
111:1
V!n!N
I
1400
.25
Y
2
1220
.25
B
3
1330
.25
Y
4
0815
.33
Y
5
1315
.5
Y
6
7
6
1400
.25
Y
9
1230
,25
Y
10
1400
.25
Y
11
1130
.25
Y
IS
1250
.33
Y
13
11
IS
1910
.25
Y
16
1117
.25
Y
17
1500
.25
B
111
1440
.25
B
19
1200
.25
B
20
21
22
1340
.25
Y
23
1340
.25
Y
24
1055
.25
B
23
1140
33
Y
26
1244
,25
Y
27
23
29
HOLIDAY
34
1[50
.25
Y
31
1325
.25
Y
Mon k , Averege Lima:
•
Moodily Average.
[rally SLalmum:
Deily311nhouro:
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; EN V WTHR = NG Visitation Adverse Weather, NOFLOW = No Flow; HOLIDAY =No Visitation — Holiday

%
NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Metreyeon ORC CERT NUMBER: 11697
GRADE: WW-4. ORC HAS CHANGED: No
el/MR PERIOD: 05-2017 (May 2017) VERSION: 1.0 STATUS: Processed
COMPLIANCE STATUS: Co ,,; liant CONTACT PHO:NF-#j045064255 SUBMISSION DATE: 06/23/2017
ORC/Certifie
06/23/2017
ture: rusty K e Meireycon E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
06/23/2017
Permittee/Submitter Signatusty Kyle Metreyg6n E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 4441 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPJES PERMIT NO.: NCOONFS IY
FACILITY NAME Norman Motet WWTI'
OWNER NAME: Flslina R Cortaro
GRADE: WW-4a
eDMR PERIOD: OIw )F7"f,Marc h 2OI7)
FERMI"1 VERSION: I()
CLASS; WW-2
ORC:
ORC 1➢AS C1ANC
VERSION: V ()
SAMPLING LOCATION: EFFLUENT DI,
"*" * No Report R,..asuon: EN RUSF. 'fv4x Flt�w-Rc
"R,
(g
M AY'
P1:R.M➢rSTATUS: Active
)UN`CY: Catavvta
Jet
ORC CERT NUMBER: 11697
::ENTRAL FILESSIATUS: Procestitd
EMi"R SECTION
LAR(;E NO.: 001 NO DISCI
= Pda ` i%itation

NIk!)ES PERMIT" NO.: NC t?11 9'I
EACI IA TY NA , Lt+kc. Norrn
OWNER NAME: Flalina R Gen¢tro
GRADE;: WW.4,
cDMR PERIOD: 03-2017 (March 20171
aRSI(1N:.1t1
(.LASS:
(IRC: (art #eta Kyle. ;1 eirtyeaon
(IRC OAS CRAN( EO: '
VERSION: I .(i
YERNllT STATUS: Active.
COUNTY: Catawba
OR(:' CERT NUMBER: 11(97
S°1 , l S: Proce',
SAMPLING LOCATION: EFFLUENT I)I ,C H RG NO.: 001 N() DISCHARGE*: NO (Continue)
**** P. Reporting Remote ON) RGSG = No '1 Mow-RewseY`RRc3,..le
No Visitation ro Holiday

N4JWS PERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WW7P
OWNER NAME: Halina R Genaro
GRADE: WW-4.
eDNIR PERIOD:R.201y (March 2017)
COMPLIANCE STATUS Co
Du
K v
PERMIT VERSION, 4.
CLASS: WW-2
ORC: Dustin Kyle Moreyeoft
ORC HAS CHANLEO: No
VERSION: 1.0
CON't ACT PHONE 4: 7045064235
e Metreyen
PERMIT STATEs Active.
COUNTY: Catawba
ORC ('ERT NUMBER: 11697
sTA'EUS: PrOcessed
SURMISSION DATE:N/28/2017
04/28/2017
E-Mail:•[e-mail] Phone, 4:704-506-4255 Date
By this signature, I certify that this report is ticcurate and complete 10 OW bk'Si. Of in V knOWICLII.N,
The, perm:Rice 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 perinittee becomes tiware 4.4 Ow circumstances..
If the facility is noncompliant, please attach a lii of corrective '.1C[i.(111:, heiie taken and ret ihk for imprrivements to he made as required by pan I1 E,6
the NPDES • .mit,
04/28
uhrntu4"gnature:* * Kyle Meircycon E-Mail.dmetwaterOaol,com Phone 4255#.704-506-Date
Pert -:ttee ddress; 4491 Slanting Bridge Rd Sherrills Ford NC '28673 Permit Expiration Date: 04/30/2020
1 certify, under penalty of law, that this document and all attachments were prepared under rny direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and c valuate the infoonation s'ufunit Led. Based on my inquiry of the person or persons who managed the
system, or those, persons directly responsible for gathering the information. the informatimi Slidmulued. to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties Inc submitting false information, including the possibility of tines and imprisonment for
knowing violations,
LAB NAME:
CERTIFIED LAB 4:
PERSON(s) COLLECTING SAMPLES:
CERTIFIED 1.A BORATO0R IES
PARAMETER CODE
Parameter Code assistance may he obtained by callinge inFs uni( (910„0 61)7-63(x) or by V noting hitp://portal.ncdent orgAvehiwq/swp/p/npdesiforms.
I;OctTNOTES
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 ;:tiid, as a result, there :ire no data to be entered for all of the parameters on
for entire monitoring period.
ORC on Site?: ORC must visit :facility and document visitation of Ik iliI t required per I5A NC A( 8G .02.04,
*** Signature of Permittee; If signed by other than the permitti c. then delegation of the signatory,. authority. must he on file with the state per I 5A NCAC"2B
.0506(b)(2)(D).

t
NPDE.S PERMIT NO.: NC'11064599
FA(ILIPY NAME: Lake Norman Mot 9
OWNER NAME: 1-la0na R j naro
GRADE; WWH4.
eDMR PERIOD. 02-2017 (February 2017r
PERMIT VERSION:4.0
CLASS; 'WW-2
ORC: Duiin Ky c \1ktu'r^. 3`a
ORC. HAS CHANGED: NO
VERSION: 1_0
OW R. SE
Active
C C'ERT NUMBER: 11697
SAMPLING LOCATION: EFFLUENT DISC IIAR F NO.: 001 NO
Fwa Nei Repenting it e.;+ars1°RUSC4= No How wckf, EN 11iR P No V r,17 21.1rnu
B N"L1ClN= = N'u 1"I01 01/D AY -'NO ViSilaetam
1alday

NPDFS PERMIT NO.: NC0064 99
FACILITY NAME: Lake Norman Motel WWII'
OWNER. NAME: H dtna R Gcnaro
GR.kIW: W V-4,
eDMtR PERIOD: 02;2017 (Fehrud \ 0a?I
PERMIT VVF.RSION:1A:
CI ASS: W\V-
ORC: Dustin Kyle Mercy con
()RC HAS CHANGED: N„
VERSION: 1.0
PERM I"1" ST„%Tye
COUNTY: Catawba.
ORU (".ERT NUMBER: '.I I697
s"rATt Processed
SAMPLING L©CATION: EFFLUENT I)ISCIIARGE NO.: 0 NO DISCHARGE*: NO (Continue)
Rt Oir. kNFRUSE = No HowNvArrI IR =,No Yiohl000 Ath-er, Wcailter NOFLOW = 1n How li01..11)A\ = No VisittiII ri - IlArbiday

NP tE.S PERMIT NO.:. NC0064599 PERMIT VERSION: -4.tt
FA ILI'TY NAME: Lake Norman Motel WW `I'f CLASS: WW-2
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Mee cticon
GRADE; WW-4. ORC HAS CHANGED; No
eDMR PERIOD: 02-2017 (February 2t)17) VERSION: 141
COMPL
ure: CDusty .Kyle Met
4
PERMIT STA11 S: A
COUNTY: Catawba
ORC CERT NUMB.E.
STATUS: Processed
iv
697
SUBMISSION DATE: 03/27i°2017
03/27/2017
Mai1:dmetwttter(t tcr1.cont Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noucotnplirtncc that p
ly threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the perm! • 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 m, taken and a time-tabl
the NPDES permit.
Per
btnittet gnature:" Dusts' Kyle Metrcycon F-hlail:r
Pernitt ddress: 4491 Slanting'Bridge Rd Sheri -ills Ford NC 28673 Permit
improvements to be m: tired by part ii.E.C, of
Date: 04/30/2020
03/27/2017
m 'Phone: 0:704-506-4255 Date
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the informaticna 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.' am aware that there are significant pcnalries for submitting1 false. information, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
Parameter Code assista
y
CFI1FlU.t) I.
PAR,a4MF,1
brained by calling the NF171:,8 17nit i")I')) 807-6300 or by visiting http://portal.ncdenr.org/'+sreb/wq/ssspips/ 'npdes/forms
)RATURIF,S
f ()(7TNUTLS
Use only units of measurement designated in the reporting lily's NPI)ES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no dtschargat occurs and, as a result, there aro no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC mustviit facility and document visitation of d per I5A NCAC 8G .0204.
*** Signature of Permince: 1f signed by other than the permittee, then delegation the signatcary authority must he on file with the spate per I 5A NCAC 2B
,0506(b)(2)(D).

1KnbPERMIT Nr<:N q,w
FACILITY NAME: Lake Norman a w * e
OWNER *AMR G!, + R& em
GRADE: W +
AMR PERIOD:M= 17 (January yo)
PERM RVERSION: 40
CLASS: Ws
OR :f) ,
Awe *¥oI .I) No
VERSION: n
PER1ISTATUS: Active
{ . T%: Cfaunvbra
BUR n97
SAMPLING LOCATION: EFFLUENT DISCHARGE NOu0! NO DISC
***.w ReporEing ReaSOITmwA)-Nil 1 u

'LNPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Metreycon
GRADE: WW-4. ORC HAS CIIANGED: No
eDMR PERIOD: 01-2017 (January 2017) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
2u
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2400 dock
Hn
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I
2
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3
1115
.25
b
4
1415
.25
y
5
1050
.33
y
6
1155
.25
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7
8
9
1112
.25
to
1420
.25
11
1330
.25
p
12
1100
.33
v
13
1330
.25
y
14
IS
16
HOLIDAY
17
1210
.25
b
I8
1340
.33
y
19
1100
.33
y
20
1330
.25
y
21
22
23
1235
-.25
Y
21
1340
.25
y
25
1125
.25
b
36
I100
.25
y
27
1330
.25
y
28
29
30
1330
.25
b
31
1300
,25
b
Monthly A.emge Limit:
,
Month', Aim -mum
Pally Maximum:
l3 llv Minimum:
ii*Y No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow;. HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Mctreyeon ORC CERT NUMBER: 11697
GRADE: WW-4. ORC HAS CHANGED: No
eDMR PERIOD: 01-2017 (January 2017) VERSION: 1,0 STATUS: Processed
COMPLIANCE STATUS: A^liant CONTACT ('HONE # IC1*064255 SUBMISSION DATE: 02/27/2017
ORC/Certifier Si
02/27/2017
y Kyle etreyeon E-Mail:dmetwateruaol.com Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDES permit.
Permittee/Submitter Signat.re.® Dusty
02/27/2017
Metrey on E-Mail:[e-mail] Phone 4:704-506-4255 Date
Permittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 inlormation 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:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and. as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and documentvisitation of facility as required per 15A NCAC 8G .0204.
*** Signature ofPermittee: if signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I5A NCAC 2B
.0506(b)(2)(D).

NPOES PERMIT NO.: NC006d599
FACILITY NAME: hake Norman Motel 14'lk FF'
OWNER NAME: Halina R Genaro
(;BADE: WW-a.
eDMR PERIOD 12-2016 (December 2016)
PERMf1 VERSION 0
CLASS: 1A 1k-_
(1R(': Dustin F.yle M
(1R(' 11AS CHANCED: \r
VERSION: 1.0
SAMPLING LOCA'IIt)N: EFFLUENT DIS
MIEN
© .f821EN- _
IE
®__■ 1111®
IN=11111111111N11111
®_■®
.!-.1
.11•1.11111
MINN= NUM
MEMO BEEN
®111111. ISn�®11111
®11111.=
®_
11111=MINIMM111111
._ ■_
I II t3i)5EMI
III INN
IN INN
LY
naoh hlinimunn
FLOW
Id
PERMIT STARS: Active
OR(' ('
F E B a 0 ,R
CENTRAL L 5
DWR SECTION'
l: NO.: 001 Nt) DISCIIA;
wha
R"I NIA'1BER. 11697
fitiCENEE
rocesved
RI
No Reporte Reason LNFRI Sl = No Flow -Reese Recy'ele: CityA'14`"1t 112
0
NI,:I,N -C:Rna
wee l
MINIM
=MIN
IMM
1101111111111111111111111
in
No Flow: FRAL.1 )r;l' NCr L'isflaeon Holiday

NPDES PERMIT NO.: NC0064599 PERNIIT VERSION: 4.0
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Hal ina R Genaro ORC: Dustin Kyle Metreyeon
GRADE: WW-4. ORC HAS CHANGED: No
eDMR PERIOD: 12-2016 (December 2016) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO:: 001. NO DISCHARGE*: NO (Continue)
11
"a
g
7.
I.
F
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u
4
P.
9
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F,
_
.c
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,-.1
€
`0
~%
o`
ORC On SROT•
`;
j
.
=
z
'
2100 clack
Hn
2400 dock
Hn
Y10M -
1
1130
.25
y
2
1820
.25
y
3
J
s
1410
.25
y
6
1220
.25
b
7
1530
.25
b
9
1100
,33
y
9
1410
.25
y
I0
11
12
1415
33
y
13
1305
.25
b
1*
1430
.25
y
15
1110
.25
y
16
1412
.25
y
17
IS
l9
1500
.25
b
20
1415
.33
y
21
1445
.33
y
22
1100
.25
y
23
1330
-.25
y
2*
25
26
HOLIDAY
27
1155
.25
y
1e
1305
.25
b
29
1100
.33
y
30
1330
.25
y
31
Monthly Menge Limit:
Munlhl5 Al emge:
Oily Mo‘imum:
Daily Minimum:
*9** No Reporting Reason: ENFRUSE -No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday

NPDES PERMIT NO.: NC0064599 PERMIT VERSION:4.0
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Mctreyeon
GRADE: WW-4. ORC.11AS CHANGED: No
eDMR PERIOD: 12-2016 (December 2016) VERSION: 1.0
COMPLIANCE STATUS: Compliant CONTACT PHONE #: [phone]
ORC/Cer fier
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SUBMISSION DATE: 01/27/2017
01/27/2017
aturc ■-sty Kyl Mctreyeon E-Mail:dntetwatercraol.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 permittce became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
Permittee/Submitt
r
01/27/2017
ture:** Dusty le Mctreyeon E-Mail:druetwateraaol.com Phone #:[phone] Date
Permittee Address: 449i Siting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portaLncdenr.org/web/wq/swp/pslnpdeslforms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NI;DE S PERMIT N()..: NC0064599
FACILITY NAME: Fake Norman Motel \
OWNER NAME: Fialina R Genaro
GRADE: WW-4.
eDMR PERIOD: I0-2016 (October 2016)
:« " Nei Rep
PIRA
CLASS:
OL&( Du:am Kyle '\Ie:lrmeon
VERSION: 1 Fy
F'I:RMTL STATUS: Arta
C01. NTY: Catawba
ORC" (`ERT NUMBER: 1 I697
SAMPLING LOCATION: EMI UEN"T DI i(:I .n R(F NO.: 001 NO DISCHAC E NO:„
gReuxon:FN'FRUSE hfoHo -Rel elkeL•ycic: IEaJ VW.IHR ° Fs i�et';E=r
el.er,c, i4 ember P OF 1.i;114 - No Flew, 11(11,I1) \V "tied A?vauiatit9n - Iloloda.y
RECEIVED
DEC05 7016
CENTRAL FILES
DWR SECTION

NPDES PERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WWTP
,,OWNER NAME: Halina R Genaro
GRADE: WW-4.
eDMR PERIOD: 10-2016 (October 2016)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Dustin Kyle Melrcyeon
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
ci
c
Composite Sample
Time
Total Composite Time
g
It
w
Te
k
0
Operator Time On Site
iz
1
0
.2
e
a`
2c`s
2400 clock
Ws
2400 clock
Hrs
YIIUN
1
2
3
0900
.5
y
4
1320
.25
y
5
1830
.25
6
1100
.25
-y
y
7
1620
.25 -
y
8
9
10
1300
,33
y
11
1130
.25
y
12
1330
,25
b
13
1044
.33
14
1330
.25
y
15
16
17
0900
.25
y
18
1120
.25
y
19
1105
.25
b
20
1100
.25
y
21
1350
.25
y
22
23
24
1330
33
y
25
1350
.25
y
26
1050
.33
b
27
1100
.25
y
28
1330
.25
y
29
30
31
—
1330 `25
y
Monthly Average I.imil:
.
Monthly Average:
Daily Minimum:
Doily Minimum:
•••• No Reporting Reason: ENFRUSE = No Flow-Reuse'Recycle: ENV`1'1'f IR = Na Visitation - Ads arse Weather; NDFLOIV = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WWTP
1OWNER NAME: Halina R Genaro
GRADE: WW-4.
eDMR PERIOD: 10-2016 (October 2016)
COMPLIANC ompliant
OR
c
s
PERMIT VERSION: 4,0
CLASS: WW-2
ORC: Dustin Kyle Metreyeon
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SUBMISSION DATE: 11/29/2016
sty Kyle Metreyeon E-Mail:dmetwaterrraol.com Phone #:[phone],
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
11/29/2016
Date
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
Ifthe facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of
the NPDES permit.
Permittee/
bmit
11/29/2016
r Sign'ture:*** Drfsty .Kyle Metreyeon E-Mail:dmctwaterrraol.com Phone #:[phone] Date
Permittee Addre 49I Slanting Bridge Rd Slterrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 infornation submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
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 arc 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).

4 PERMIT NO.: NCOO64 99 PE:RM1`I"'`E:KO'.: 4.0
FACILITY NAME: Lake Norman vfole
MINER NAME: Haling 12 Genaro
GRADE: WW-4.
eDMR PERIOD: 09-2016 (September
C`I,Ati4. V 1V-2
ORC: I4ti:461 Kali. hlclrotieon
OR(_ DAS CHANCED: iv
VERSION: 1.0
OR(°(`IK`I'NUMBER: 11h97
SAMPLING LOCATION: EFFLUENT I)1SCIIARG NO.: 001 0DISCHARGE*:
Irra ra gloat u:, Grab
RUSE No Iow,,Retas R ycla irtn - II'day

NP1,1ES PERMIT NO.: NC0064599 PERNIIT VERSION: 4A
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
MINER NAME: Halina R Genaro ORC: Dustin Kyle Melrcyeon
GRADE: WW-4. ORC HAS CHANGED: No
eDMR PERIOD: 09-2016 (September 2016) VERSION; 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
u
c
0E
cn
o E
u F.
Total Composite Time
E
1=
q
I
d
:I
0
Operator Time On Site
ORC On Site?""
No Reporting
Reason•".
2400clock
Hrs
2400clock
Hrs
YB/N
1
1050
.25
y
2
1130
3
4
5
1000
.25
y
6
1925
.33
y
7
1220
.5
y
8
0900
.5
y
9
1240
.25
y
10
11
12
1130
33
b
13
0940
25
b
14
1040
.25
b
15
1225
.25
b
16
1000
.25
b
17
18
19
1710
.33
y
20
1530
.5
y
21
1820
.25
y
22
1045
.25
y
23
1330
.25
y
24
25
26
1330
.33
y
27
1150
.25
y
28
1230
.25
y
29
1050
.25
y
30
1330
.25
y
Monthly Average Limi l:
NIanthly Avcrnge:
Daily Minimum:
Daily Minimum:
**** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPI ES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Motel WWII" CLASS: WW-2 COUNTY: Catawba
OW)IlER NAME: Halina R Genaro ORC: Dustin Kyle Metreyeon ORC CERT NUMBER: 11697
GRADE: WW-4. ORC IIAS CHANGED: No
eDMR PERIOD: 09-2016 (September 2016) VERSION: 1.0 STATUS: Processed
COMPLIANCE: Compliant CONTACT PHONE #: [phone] SUBMISSION DATE: 10/28/2016
ORC/Certi 'er
10/28/2016
Dusty Kyle fyfetreyeon E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
10/28/2016
Permittee/Submitter Sig s"ure:*** Dusty le MctreyeoiL.'E-Mail:dmetwaiercraol.com Phone #:[phone] Date
Pennittee Address: 4491 Slanting Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/fonns.
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).

F'ERM1IT dC.: NC'0064599
Ea FEF t%' NAME: I akee Norman Motel WW"I I.°
OWNER NAME: !Mina R Genarn
GRADE:
eDMiR PERIOD: 08- C I (August 201
P F. R M I'"E' S
S`1 1*71S: P'royed
SAMPLING LOCATI( N: ;NT DISCHARGE NO,: i11(f1 NO DISC
0 .Repo : E'4P=R1 SF _,[ `,'n FVas°.w[1[+eu5t Rc�:rear, F V VW[ I IK No. 1
,;;'ACAI ha[ aritl lea' ti[xEloyNc. 1[016{lAt
liday

IDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2 COUNTY: Catawba
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Metreycon ORC CERT NUMBER: 11697
GRADE: WW-4. ORC HAS CIIANGED: No
eDMR PERIOD: 08-2016 (August 2016) VERSION: 1.0
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
q
Composite Sample
Time
Total Composite Time
Operator Arrival Time
Operator Time On Site
ORC On Site?""
0
6A. q
2400 clock
Hrs
2400 clock
Hrs
Y/B/N
1
1050
25
y
2
0950
.33
y
3
1120
.33
y
4
1100
.25
r
5
1050
.33
y
6
7
8
1130
.25
y
9
1020
.25
y
10
0900
.66
y
11
0940
.23
y
12
1000
.25
y
13
14
15
1340
.25
y
16
1730
.25
y
17
1830
.25
,y
18
1050
.25
y
19
1305
.25
y
20
21
22
1720
.5
y
23
0830
33
y
24
1430
.33
y
25
1049
.25
y
26
0930
.25
y
27
28
29
1220
.25
y
30
1200
.25
y
31
1820
.25
y
Monthly Average Limit:
Monthly Avtraen:
Daily Minimum:
Daily Minimum:
' °' So Reporting Reason: ENFRUSE No Flow-Reuse/Recycle; ENVWTHR = No Visitation —Adverse Weather; NOI I.OW No Flow: HOLIDAY = No Visitaion — Holiday

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4 0
4
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Halina R Genaro ORC: Dustm Kyle Mctrcpcon
GRADE: WW-4. ORC I1AS CIIANGED: Nn
eDMR PERIOD: 08-2016 (August 2016) VERSION: 1.0
COMPLIANCE: Comte t CONTACT PHONE #: [phone]
/
ORC/C rt
PERMIT' STATUS: Active
COUNTY: Catawba
ORC CERT NLIp113E11: 11697
STATUS: Processed
SUBMISSION DATE: 09/30/2016
09/30/2016
gnat ire: Dusty Kyle Metreyeon E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please att_ a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
Permittee/Submitter
09/30/2016
e:*** f usty Kyle Metreyeon 11-Mail:[e-mail] aol.com Phone #:[phone] Date
Permittee Address: 4491 Sian " _ Bridge Rd Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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 LABORATORIIiS
LAB NAME:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting hilp://portal.nedenr.org/web/wq/swp/pshmdes/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 permitter. 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.: NC0064599
FACILITY NAME.: Lake Namran Motel VoV TI'
OWNER NAME: Haling R Genato
GRADE: Vv'W-4
eDMR PERIOD:07-20 t6 201()
PERMIT VERSION: 71,0
cl.„ASS: WW-2
ORC: Dustio Kyle Metreyeefi
ORC IIAS LAIANGED: No
ERSION: I 0
SAMPLING LOCATION: EFFLUENT
PERVI IF ST ATI Acove
COUNTy Catawba
OR( L:ERI MAHLER: r
STATUS: Proces,wd
-ENEDINCTIENRDWA
28,35 17 1: 23 8:5, b73.
VVQ11(X3
'C1IARGE NO.: 001 NO DiscliAlithti,NoGtoNAL orncE
40333310 04100
V : 1.1154
At" 4E3 :deg
3 0 605
4 LIDA
030
• 6 540;
.25
00 'Z5
.330
39_ 33
1;055 .25
20
30 .33
93011
10,30
1055
1020 , 5
10.40 0.`Y
0950 53
I1011 25 !ra
1230 37314
Month]) Avermgr
Ninnthly veragb:
Daily NUN:14MM:
013335 5513330333313;
ZS 25
4.
-5536
Weekly
a 375,6
511 06111 3 616
Vackar 2 6553 33/88313 55563 /3' 3585,418
:5685 6631 Grab Grab=
't OA N14 , 7 62008 • ' 5-1535.503 Tarari 747605
:35 056 :30051 ; 03671
5 5553738 38533 3 4
**** No Reporting Reason ENFRLTSE - No F4'"R CAISCiR.ecycle: EN V WTHR No VT Said WU Ad el -SC \VCeither, 54.131...0532 No Flom, P-101„11) A 5' '5' o Vootaion 1161131555
2(11.6
k:ro
cy,,P,AR

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Haling R Genera ORC: Dustin Kyle Mctreyeon
GRADE: WW-4. ORC HAS CHANGED: No
eD111R PERIOD: 07-2016 (July 2016) VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE: NO (Continue)
al
Composite Sample
Time
a
F=
8
0
U
12
Operator Arrivni Time
1 Operator Time On Site
ORC On Site?"
0
a a
a
z a.
,
2400 dock
Hes
2400 dock
Hrs
MIN
1
1005
.25
y
2
3
4
HOLIDAY
5
1030
.25
y
6
1540
.33
y
7
1100
.25
y
8
1000
.25
y
9
10
II
1130
.33
y
12
0930
,33
y
13
1030
.5
y
14
1055
.25
y
15
1020
.5
y
16
17
18
1130
.33
y
19
0930
.33
y
20
1030
.5
y
21
1055
.25
y
22
1020
.5
y
23
21
25
1040
.5
y
26
0950
.33
y
27
1040
25
y
28
1100
,25
y
29
1230
.33
y
30
31
Monthly Average Limit:
Monthly Average:
Daily Masimu m:
Daily Minimum:
' No Reporting Reason_ ENFRI]SE No Flow-Reuse/Recycle; ENVWTHR = No Visitation —Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday

NPDES PERMIT NO.: NC0064599
FACILITY NAME: Lake Norman Motel WWTP
OWNER NAME: Halina R Genaro
GRADE: WW-4.
eDMR PERIOD: 07-2016 (July 2016)
COMPLIANCE: Compliant
PERMIT VERSION: 4.0 PERMIT STATUS: Active
CLASS: WW-2 COUNTY: Catawba
ORC: Dustin Kyle Metreveon ORC CERT NUMBER: 11697
ORC IIAS CHANGED: No
VERSION: 1.0 STATUS: Processed
CONTACT PIIONE #: 7045064255 SUBMISSION DATE: 08/30/2016
08/30/2016
ORC/CertifL'/ ignature: ❑usty yle Metreyeogf E-Mail:[e-mail] Phone 4:704-506-4255 Date
By this signature, 1 .t this report is accurate and complete to the best env 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 permittce became aware of the circumstances. A written submission shall also be
prm ided within 5 days of the time the permittee becomes aware of the circumstances.
if the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part i1.E.6 of
the NPDES . - . it.
08/30/2016
ter Signature: "**Dusty Kyle Metreyeon E-Mail:[e-mail] Phone 4:704-506-4255 Date
Permittee Address: 4491 Slanting Bridge lid Sherrills Ford NC 28673 Permit Expiration Date: 04/30/2020
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:
CERTIFIED LAB #:
PERSON(s) COLLECTING SAMPLES:
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 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).

NPDES PERMIT NO.: NC0064599 PERMIT VERSION: 4.0
FACILITY NAME: Lake Norman Motel WWTP CLASS: WW-2
OWNER NAME: Halina R Genaro ORC: Dustin Kyle Mctreyeon
GRADE: WW-4. ORC HAS CHANGED: No
eDMR PERIOD: 07-2016 (July 2016) VERSION: 1,0
Report Comments:
First EDMR submittal
PERMIT STATUS: Active
COUNTY: Catawba
ORC CERT NUMBER: 11697
STATUS: Processed

Effluent
NPDE PERMIT NO. NC0064589 Discharge No 001 Month: Year.
Fac (ity Nance: Lake Norman Mom' Class: II County:
Operator in Responsible Charge (ORC): Dusty rnetreyeon Grade.
Certified Laboratory (1): Water Tech Labs Inc
CHECK BOX IP CRC HAS CHANGED c' PER
Mali ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALJTY
(SIGN
BY THIS S
ACCURATE AND
i Phone: 704-5O6-4 i
Metwrataer. �,
G S MPLES
'i CEIy''E„I ;i1?-

Facility Status; (Please elteck one of the following)
If the fad,' y no
improvemen
All monitoring data and sarnpling frequencies meet permit requirement
(including weekly averages, if applicable)
All monitoring data and sapiing frequencies do NOT meet pe
Compliant
Noncompliant
pliant, pls+e attach a list of corrective actions be taken and a time -table for
de as required by Part II.E.6 of the NPDES permit.
qutremen
d
ent and all attachments were prepared under my direction or supervision
that qualified personnel properly gather and evaluate the information
submitted. Based t'tn 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."
Phone Number
Permit Expiration
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDADDITIONAL CERTIFIED LABORATORIES
PA METER CODES
Certification No.
Certification No.
Certification No_
Certification No..
Parameter Code assistance may be obtained by calling„ the NPDES Unit at [phone] or by visiting the Surface
Water Pion Section's web site at 1)2cl,enr.state.nc.us/wqs and linking to the unit's information pages.
in the retortintx facility's NPD
No Flow/Discharge From Site: Check this box if no disch
entered for all of the parameters an the DMR for the
** ORC On Site?: ORC must visit facility and document visitation o
*** Signature of Permittee: If signed by other than the permittee, then
file with the state per 15A NCAC 2B .0506(b)(2)(D).
u
a
d
ult, there are n
ing period.
required per 15A NCAC 8G .0204_
delegation of the signatory authority must be on
Page 2

3
Effluent �,r�f
NPDES PERMIT NO. NCC 45R9 Discharge No.: 001 Month; / ! !/9'Y Year
Facility Name Llrlte N n Iidlcxl l CIa Il .._ County:
Operator in Responsible
Certified Laboratory (1):
CHECK BOX 1F ONC HAS CHANGED
Mail ORIGINAL and ONE COPY to;
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
UT THIS 31
ACCURATE AHD
IV
N RE PO '.I5LE CHARGE) DATE
THAT THIS REPORT
PLETE TO THE BEST OF MY K'NOWLECX3E

Facility Status: (Please check one of the (ollowing)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
All monitoring data and sampling frequences do NOT meet perrnit requfrernen
N
If du facility is noncompliant, please attach a list of corrective actions he tikes
improvements to be made as required by Part ILE.6 of the NPDES permit." ,
"I certify, under penalty of law, that this document and all attachments were prepared under
in accordance with a system designed to assure that qualified personnel properly gather and ehiaethe*
submitted, Based on my inquiry of the person or persons who managed the system, or those persons
for gathering the information, the information submitted is, to the best of my knowledge and beliet, true.„
complete. I am aware that there are significant penalties for submitting false information, including the
fines and imprisonment for knowing violations."
Compliant
A.
Certified (2) Certification No.
Certified Laboratory (3) Certification No.
Certified Laboratory (4) Certification No.
Certified Laboratory (5) Certification No.
PARAMETER -CODES
000
'1''',W11,1taiornaNto4'
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by via71g,
Water Protection Section's web site at h20.enr.state.ncAislyigs and linking to the unit's information
Use only units of measurement designated in the gfacIitys
for report* dinar
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 [)MR for the entire monitoring period.
ORC On Site?: ORC must visit facility and document visitation of facility as required per ISA NCAC 8G .0204.
**
*** Signature of Permittee: If sly ed by other than the pennittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).

Effluent
NPDES PERMIT NO. NC0O64&9 Dmonarge No.:.
Fad My Name: Lae Norman MOM
©Array' in Rasponsible Charge (ORC);
Codified Laboratory (1); Water Tech Labs
CHECK Nox r ow HAS CHANGED
Mad ORIGINAL and ONE COPY tix
ATTN: CENTRAL FILES
DIMON OR WATER QUAUTY
1.17" IIAL =MICE CENTER
RAI.EIGH, NC > -1817
X
SU /L
30.0
45.0
NCO
q

Fait
tY
us: (Please check one of the fol
All monitoring data and sampling frequencies meet permit requi
including weekly averages, if applicable)
All monitoring data and sr ttnpiing
If
the licflitr is tteip
improvements to be made as real
nt ies do NOT meet permit equir
Compliant
frequerrients
Noncompliant
f corrective actions being, taken and a time -table for
y Pal t II.E.6 oldie NPOES permit.
ty of law, that this document and all aitachtttcnts were prepared under my direction or supervision
tem designed to assure that qualified personnel properly gather and evaluate the information
y inquiry of the person or persons who managed the system, or those persons directly responsible
ntt"on, the information submitted is, to the best of my knowledge and belief, true, accurate, and
there are significant penalties for submitting false information, including the possibility of
knowing violations."
Certified Laboratory +(2)
Laboratory (3)
Laboratory (4)
Laboratory (5)
Phone Number
e-mail address
TE 'IED i.ABORAT
PARAMETER:CODES
Certification No.
Certification No.
Certification No,
Certification No.
y be obtained by calling the NPDES Unit at [phone] or by visiting
b site at h2Q.enr,state.nc.us/wgs and linking to the unit's information pages.
e reporting facility's NPDES permit for reporting data_
* No f i©wfDiscbarte From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all ofthe prnets on the DMR for the entire monitoring period.
** ORC On Sits?: ORC must visit facility and document, visitation of facility as required per 15A NCAC 8G .0204.
*** Signatere of Perxatttee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the State per 15A NCAC 2f3 .11511E(bX2)(1)).
Page 2

Effluent.
NPDES PERMIT NO, _ NC0064599 Discharge No.: 001
Facility Name: Lake Norman Motel
Operator in Responsible Charge (ORC): Dusty metreyeon
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 27899-1617
6
8
AVERAGE
AX MLI(O
MINIMUM
PE
(SIG
BY TH
ACCURATEA
Comp, ()/Grab (t) G G
Frr u ' 1. +k llw
Monthly Iirrllt (Avg) NL 6r
idly M imum ►
Month; r Year ZO
Class: County: l;atawha
Grade: IV P,
(2) ._..__ J1let titer,
0 ECT G SAMPLES Oper
PERATOR IN
CERTIFY THA
TO THE BEST
0tI
tEPORT IS
F MY K IOMEi E.
E

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
All monitoring data and sampling frequencies do NOT meet perrnit requirements
Noncompliant
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.
"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 °fifty knowledge and belief, true, accurate,and,
complete. I am aware that there are significant penalties for submitting false infomiation, including the possibility of
fines and imprisonment for knowing violations." ' •
Permittee Address
Phone Number
ofrmitteeC Date
unless submitted electronically)
e-mail address
Permit E?cOira029,11 Date,„
Certified Laboratory
Certified Laboratory (3)
Certified Laboratory (4)
Certified LaboratOry (5)
ADIMTIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No,
Certification No,
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 733-50 3 or by visiting the Surface
Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the unit's information pages. '
'se only un
of easurement designated in the reporting faailftV'S NPDES peimit 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 pararneters on the DMR for the entire monitoring period,
** ORC On Site?: ORC must visit facility and document visitation of facility as required per I5A NCAC 8G MO&
*** Signature of Perrnittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per I5A NCAC 2B .0506(b)(2)(D).
Page 2

CHECK SOX IF ORC HAS CHANGED
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1817 MAIL SERVICE CENTER
RALEIGH, NC 27699.1617
FLOW
y c EFF f♦
d =E p, INF El
0
HRS HRS YON MGO
2m1/3
3 %49‘^�
0
4
15 7:
16 /
21
AVERAGE
MAXIMUM
MINIMUM
Comp. (CyGrab (G)
Frrequency
Monthly lirnit (Avg)
Idly Maximum
■
Effluent
NPQES PERMIT NODischarge No : 001 Mom: Year:
Facility Names N Class II County: CatacutA
Operator in ResGrade: I Phone; 704-506-4255
Certified Laboratory (1): Waier Tech Lal Ire (2
T
NL
G
k 11wk
0
0
1/wk 1:t
30.© 200
45,0
ECHARGE) DATE
NL
NL

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
All monitoring data and sampling frequencies do NOT meet permit
Compliant
ents
Noncompliant
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.
"Icertify, 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 (Attie 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 possibilityof
fines and imprisonment for knowing violations."
Sig:
4uired
ei ittee" - Date
7 submitted electronically)
Permidee Address
A
Phone Number
e-mail address
LABORATORWS,
Certified Laboratory (2) Certification No.
Certified Laboratory (3) Certification No.
Certified Laboratory (4) Certification No.
Certified Laboratory (5) Certification No,
PARAMETER CODES
Permit Expiration Date ,
Parameter Code assistance may be obtained by calling the NPDES Unit at (9 t9) 733-5083 or byvisiting the Surface
Water Protection Section's web site at h2o.enr.state,nc.us/wqs and linking to the unit's information pages.
ly units of measurement designated in the reporting facility's NPDES pe!mit for reporting
No Flow/Discharge From Site: Check this box ifno discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC &3 0204„
***Signature of Permittee: lf signed by other than the pennittee, then the delegation of the signatory authority must be on
file with the state per I5A NCAC 2B .0506(bX2XD).
Page 2

(2)
TING SAMP
GN :T O PE f A.TOR,tN RESPONSIBLE CHARGE) DATE
BY TM1X ATURE, I CERTIFY TM
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
Effluent
NPDES PERMIT NO. NC0064599 ©ischarje No.. I1 M©nth, Year:
Facility Name: Lake Norman MotelClass: II County:
O Responsible Charge(ORC): Dusty m�
Operator ine�adrrs ( ) � etreyeun _ Grade: _^_.� I�r" Plxane: 7Q4-
Certfied Laboratory (1): Water Tech Labs Inc
Mail ORIGINAL and ONE COPY to 1 X
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
CHECK SOX IF ORC HAS CHANGED

Facility Status: (Please check one of the following)
A1I monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
All monitoring data and sampling frequencies do NOT meet permit requirements
Compliant
Noncompliant
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of
fines and imprisonment for knowing violations."
ermittee (Please print or ty
uired unless su
4*
Date
itted electronically)
Permittee Address
Phone Number
e-mail address
Permit Expiration Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the Surface
Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
*** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per ISA NCAC 2B .0506(b)(2)(D).
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