Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
NC0051608_Regional Office Historical File Pre 2018 (2)
IFS MINo:N m wB NHEH ys School OWNER \. £ Catawba.County , GRADE:W 1 eDMRPERIOm g/(August 2om PERMIT VERSION: 4> AS; ORC:mom \\ ()RC flASCHANGE) VERSION: w PERMIT STATL COUNTY: Ca ORCCER1NUMBER: S yr,, e Proccf.sed SAMPLING LOCATION: EFFLUENT DISC«ARGE NO.: 001 NO DISC S PERMIT NO.: NC0051608 PERMIT VERSION: 4.0 PERMIT STATUS: Active ,*CILITY NAME: Bandys High School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 08-2019 (August 2019) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 09/19/2019 �J as.n • \`NC C,iaJat, 09/16/2019 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone #:828-464-3562 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. 09/19/2019 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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. Lab. CERTIFIED LAB #: N. C.50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/pslnpdes/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). PP:RThT NO.: NC 005I608 PERMIT VERSIO\ 4 0 .I"1"l' NAME. C3andys High School CLASS: W'W"-1 ER NAME: Catawba County School, OR.C: David P NIcCoakle ADE: HAS CHANGED: iNo(.. D:4IR PERIOD: 07-20151 Duly 2019) VERSION: 1.0 t'1J M T S'I°A`I"1S: Ac lue COUNTY: Catawba ORC CER I' NUMBER. )ilSS € SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE* co M,1 111.111.1.11.101.1.111111.11.11 ng Ran_ E.NERL SI; =` No Flow-R.Cuse•Recycle, F yV \W`TFIR No V`isitnli,yui-- Adverw ViiNaficl; NOFI..OV .� day 'PERMIT Na: NCl/051608 PERMIT VERSKIN: 4.0 pERmrr STATUS: Active ATI( NAME: Bandys Hi0h School CLASS: WW-1 COUNTY: Cata.vha ER NAME: CaLaViba County Schwts ORC: David P McCorkle ORC CERT' NUMBER: 10881 ADE: WV -I ORC H.AS CHANtED: No DAIR PERIOD: 07-2019 (July 2019) VERSION; 1.0 STATUS: Proce;tsed COMPLIANCE: STATUS: Compliant CONFACT PHONE 4: 8284643562 SUBMISSION DATE: Ogii9/2,019 =,) 08114/2019 ORCICertifier Signature, David Patrick MeCorkle E-Mail:davidmccorkle@cata "baschools,net Phone M828-464-3562 Date By this signature. 1 certify. that this report is accurate and complete to the best of rny knowledge, The permittee shall report to the Director or the appropriate Regional Office any noncompliance that pmentially threatens public health or the environment. Any information hall be provided orally within 24 hours from the time the pennittee became aware of the circumstances. A written submission shall also he .provided within 5 days or 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. 08/19/20 19 Perrnittee/Submitter Signaturei*** Rick Sain E-Mail:ricksaingeata‘x,baschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 2,8658 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 inquiryof the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best orany knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting fake information, including the possibilityof tines and imprisonment for knowing violations, CERTIFIED L„ABORATORIES LAB NAME: Water-fech. Lab. CERTIFIED LAB 4: N. C. 50 PERSON(s) COLLECTING SAMPLES: David P. AteCiAle PARA MITER CODES Parameter Code assistance may be obtained by ca(Inig the NPDES Unit (9(9) 807-6300 or by visiting http://portal.ncdenr,orglweblwq/swpipsinpdes/forms, FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data, * No Flow/Discharge From Site: Check (his 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 d.ocument visitation of facility as required per ISA NCAC SG „0204, *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on tile with the state per I.5A NCAC 2B .0506(b)(2)(D). ndys High School DE WW- Rrrmom 06-20 19 (lune yq SAMPLING L( IMIVERSm% 4.0 CLASS m! { OR(':Davw n McCorkte OI HAS CHANGED: D VERSION: mRMEESTATUS: Aolve «OLATV: ., ORC CERTNUMBER: 10E81 STATUS: CA1 : EFFLUENT DISCHARGENOw#D| NO DISCHARGE*: NO 4mi; Rmorr E7MSE \)Flow- 1 « G HR\oVis4ation Adverse Weather *=91 Holiday NAME: Bandys High School I01)„ 06.2019 (June 2( Da PERMIT VERSE) s 4.0 CLASS: V W- I ORC: David P V1c.Corkle ORC R4S CIIA,vGEW No VERSION; LO CO\'1'AC°`1" PHONE t0 8284C43 fi Patrick Mc('orkle F-*a, ail:david mLeor'k agnature,, 1 certlfreport is tmplete to the best of my knovtedye. PERMIT STATUS:, Actave C0I.I - TX: Catawba ORC CERI` NUMBER: 10881 SUB DATE: 07 23 20B9 batschoola stet Phone; 9 'The permitiee Ira,&1 report rco the Director or the appropriate Regional Office any nevttcoartpl'alei. that potenha1iy° rchret0ens public health or the nsir e;a ertt, Any information shall be provided orally, within 24 hours from, the time the pei1nittco bectmne aryare of the circrtnastanees. A written submission shall also be provided within 5 days of the time the nominee becomes, aware oldie c-iacrnttstaznce5. lithe facility is noncompliant, please attach a list ol"corrective actions being token and a tune -table for improvements to be made as required by part I[,F.0 of the NPDE.S permit.. Rick Sain ,E-Mailrrick s€rani oatamsbasehools.ne:t Phone .828-464.3562 Date Perttlltt¢ e Address. 2500 N College Ave Newnan NC 28658 Permit Expiration Date. 04: 31) 2020 1 certify„ under penalty of law, that ¢his 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 die 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 ;signi tea it penalties for submitting rake informnation, including the possibility of Imes and imprisonment tor knowing vlo'lations. LA B NAME: Weer "feel, CERTIFIED LAD PERSON(s) COLL SAMPLES: P, McCo— CER"d[IFIED L.A3ORATORH PARAM, ER CODES Parameter Code assistance may be obtained by ea11i¢'ag tl e NPfiI S ['nit (9 9) 8( Use onl"Y *NoFlo for er ** ORC on Site?: ORC must si *** Signature of Pennine fl's ,0506(b)(2)(D,1. ent designated in the reportin laeiU Front Site; Cheek this box it no diseharee. period, Facility and document vas. ed by other than the perni FOOTNOTES NPDh.S permit for urs and, as a result, :,''portal.nedenr.org.'sseba`ssq s4sp ps='npdeSforms, g data. e no data to he entered for all of the parameter ott the DR3R fired per 1:5A NCAC 8G .0204. theca delegation eat tlae aign.atory authority must be on 1 5A NC'AC° 2E3 T NO.: INC005 i 6088 TY NAME. Bandys High School OWNER NAME: Catawba County Schools GRADE: WW-I eDMR PERIOD: 05-2019 (May 2019) PERMIT VERSION: 4.0 CLASS: LVNr'-I (RC: David P McCorklc ORC HAS CHANGED: No VERSION: 1,0 ED PERMIT STATUS: Acnse COUNTY: Catawba ORC CERT NUMBER: d.L STATUS: Processed SAPLING LOCATION: EFFLUENT DISCHARGE NO.: 0M NO DISC} Lea t It NAL OFFICE *"*" No Reporting Reason: F FRUSE _- S H v-Reuse Re yule, ENVW'TIIR No "s isitation Adverse Weather; NOFLOW" No How; HOLIDAY = No Visitation - Holiday NCL: NC0051608 ITY Bandys High School 0 'NER NAME: Catawba Couray Schools GRADE: WW-1 eDMR PERIOD: 05-2019 (May 2019) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: WW-1 ORC David P McCorkle ORC HAS CIHANGED: Nu VERSION: 1,0 CONTACT PHONE 14: 8284643562 PERMIT STiVIITIS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SUBMISSION DATE: 06/0612019 06/05/20 I 9 ORC/Certifier Signature: vid Patrick McCorkle E-Mail:davidmccorkle@catawbaschools,net Phone #:828-464-3562 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, pease attach a list of corrective actions being taken and a tirne-table or improvements to be made as required by part II,E.6 of the NPDES permit, 06106/20 [9 Permittee/Submitter Signature.*** Rick Sain E-Mail:rick_saingcatawbaschools.net Phone 4:828-464-3562 Date Permittee Address: .250,0 N College A.ve Newton NC 28658 Permit Expiration Date: 04/30/202.0 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 qualifiedpersonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons. directly responsible for gathering the information, the information submitted is, to the hest of my knowledge andbelief, 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. Lab CERTIFIED LAB #: KC 50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal,ncdenr. orgiweb/wq/swpips/npdes/fonns, FOOTNOTE. Use only units of measurement designated in the reporting facility's NPDES permit for reporting data, *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 fir entire monitoring period, ** ORC on Site?. ORC must visit facility and document silation of facility as required per I 5A NCAC SG ,0204, ".* Signature of Permittee. If signed byother than the perrnitteethen delegation of the signatory authority must be on file with the state per 15A NCAC 2B ,0506(b)(2)(D), d) /. &9_l AME: ( haG+» § MR PER mm e e (May 219( PERM V Ek9O ON. 40 CLASS &, OR( awl me +§ ORCk S ILANc D VERSION; w PERMIT b% a MAIN .c aw C CFR NEa A& \QROS SAMPLING LOCATION: EFFLENT DISCHARGE NOQd! NO D o. smog te samc ENFRUSE» 6 Flow-Rousclit NO,: NC00.5160S Bandys High School Caiawba Cowity Schools , IR PERIOD: 05-2019 I May 2019} COMPLIANCE S 1 A 1 1 compLiani PERMIT VERSION: 4..0 ClASS: WW-1 0R117.: David 1' Mc( orkle ORC HAS CHANGED: No VERSION: 1.0 CONTAGE PHONE #: X2S4643562 vuimir sTATus: Active COUNTY: Catawba ORC CERT NUMBE.R1 10881 STATUS: Processed SUBMISSION DATE: 06/06;2019 06/05/.20 I 9 ORC/Certifier Slgll4tul tavid PaPatrick McCorkle E-Mail:david_mccorkle@c,a'awbaschools.net„Phone #:828-464-3562 Date E3y this signature.. I cert accurate and complete to th.e best of my knowledge. The permittee shall report •io the Director or the appropriate Regional Office any noncompliance that potentially threatens. public health or the en Aronment. 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 pertnittce becomes aware of -the circumstances., If the facility is noncompliant, please attach a list or corrective actions being taken and a time -table for improvements to he tn.ade as required by part 1166 of the NPDES permit,. 06/06/2019 Permittee/Submitter Signaturc*** Rick Sain E-Maikrick,....saini@ca•tawhaschools.net Phone 4,828-464-3.562 Date Perrnittee Address: 2500 N College Ave Newton NC 286.58 Pennit Expiration Date 04/302020 I certify, under penalty of law, that this document and all attachments were prepared under my direction •ir 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 in formation„ the infomiation submittedis, to the best of my knowledge and belief, true, accurate, and complete, 1 am aware •that there are significant penalties for submitting false information, including the possibility of lines and imprisonment for knowing violations. LAB NAME: Water Tech. Lab. CERTIFIED LAB #: PERSONO) COLLECTING SAMPLES: David P. McCorkle CERTIFIED 1 ABORVIORIE S PARAME"FER CC/DES Parameter Code assistance may be obtained hy cal lit g the NPDFS Unit (919) 807-6300 or by visiting hitp://portaLnedenrorgfwebtwq/swpIpsittpdesiforms, FOOTNOTES Use only units of rrielsorement designated in she reporting facility's 'NPDES permit for repotting data,. No Flow'Discharge From Site, Cheek this box if no clischarge (recurs 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 ORC must visit facility and document ViSitailOn of facility as required per I 5A NCAC 80 .0204. "+ Signature. of Perm:ince: If signed by other than the perminee, then delegation of the signatory authorny must be on file with the state per I 5A NCAC 2F) ,0506(b)(2XD), PERMIr NCl/05160g FACILITN.' N.AME: Band Hiel School OWNER. 'NAME,: Catawba County Schools C.R.A10 Y.V 1 elITMR PERIOD! .04-'2019 (April .20 PERMIT 5"1ATITS: PERMIT VERSION:. 4,0 17-7 CLASS: WW- ORC:. David P AlcCorkle ORC HAS (.HN(1) N1.11, VERSION': 1.0 S E I 0 N MAY 21 2019 ORC CERT NUMBER,: 10881 STATUS: Process,: SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO 1400 cicdc “fr'24 0.43 • Maottaly (bit Max trfaT0v• 11.4 Weekly insm4114000s 0X.M006 0.,001000.5. :0 CA0)00 i X X f WIFAIP,C (.7 I 4.1, 1414141 7 X month 1X muck f.,,"031,0 2 X month (irab :A) cm. COMO ISS - Coor C061.4 .3 005 3 **.. No Roruyii nu Reason: E.NFR UNE No. Flom - Ruum.mit c0:m: FN Wcathmt; N1)F1,0 No Flow, 001 D.AY Nt VismuUon Ilidiy 2 X month Grail 110.0n-0 8414 UUM FACILITY NAME: Bandys ttigh Sell( OWNER NAME: Catawba County Schools GRADE: WW-I el»IR PERIOD;: (&4-2019 (April 20t9)1 COMPLIANCE S"I"Arl'S: Comp PERMIT VER,SION:4.0 (LASS: W W. I ORC: David P Mt.(:'e'irkle ORC HAS CHANGED: N VERSION: I t) C_oNTAC'1' PIIC)NI; : h284643562 C1RC".'Certifier Signature: Dae*d Patrick lvlc('orkle U v aikri:t "id_mccorkle(u°ca signature, l cert port is accurate and complete to the best of my knowledge. PERMIT S7"A'rt1"S: A ve COUNTY; Catawba ORC (.`ER")" NUMBER: 1008 d SUBMISSION DATE: 05101r'2019 t Phone )1:82K-464-3562 Date. The pennittee shall repor(to tI)e I iret gar csr the appropriate.. C)ffice any noncrxrnplianc.e that potentially threat is public health itt thire rnnent. Any information shall be provided orally within 24 hours fr m the dine (he laennitte.e became aware of the eirctnnstances. A written submissicttt shall also be provided within 5 days of the tams the permittee becomes awar of the eircurnstances, If the facility is noncompliant, please attach a list: of correccharts being taken and a titre -table frig ixnpro erltenl to he trade as required by part ILE.6 of the NPDES permit. Submatter Sigttatttre:** Rick Sawn L.- Address: 2500 N College .Ave Newton NC 28658 Permit f' piratiarn Date, 04/3 order penalty of law, that this document and all attachments c prepared under my directticstt o to as. ure that qualified personnel properly gather and evaluate the inlorrnatlon submitted.. Based on my in 05r' I 0120I9 vbasehools.net Phone 4:828-464-3562 upet °moon to au ortPanCe iry o,f the person or pe:rsont a system designed systean, e,r those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and bet accurate, and complete., l am aware that there are sigatiticartt penalties for su.bmittint* false information, including the possibility of fines and imprisonment for knowing vs(tlarton NAE PFRSONts) COI.t,.F(C UING SAMP1.,ES: t):xw°ld 1' ATORIE PARANIEl'l"flR (;`t')1`)1',S Parameter Code assistance may he obtained by calling the NPDI.;5 Unit (919l R0r-(a. 0C1 or by visiting ltttlt: `+petrot Use only units of rnc:asureanent de i rated in the •ret *No Flow`Discharge ** ORC on EC)C)CN O FES s N PDIIS permit tear reps r#.irtg data. t Site: ("heck this box i1' no dtrc hargc ¢Sect RC must "'" Signature of PeriniI'.te .0506Ibl(2)(D)•. Lci1ity and document \=isitatitan c ed by other than tile_ permlttee. th there a b,`wq tip'psrnpdes lorm.s. a efat t t + ba etttea"eci for tall tf the par nneters et11 the DMR y as s'equircd per I5A NCAC: KG .0204. ration of the signatory authority must be on ,tale with the state per 1 5A NE,;`A.0 2B r m 16 H mH , School i, PLIt! m:w-a w;#aw 2.119 PERM 11 Ft ON: C S« ! OR :W«4m c OR HAS CHANCE VERSION: Q GE \ rRNI11 ,IL COUNTY:Catawba ORC CERT NUMBER STATUS: Proc SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCI ate! m-Con, EMU_ "" tio RoportiReamyr. ENFR USE \Ho I »R k Aver HF \' m. m .w ; u y=w ,. , E: ifiandys High Schitcri COMPLIANCE: STATUS: Contplian't PERMITVERSION: 4.0 W'N-I d P Me("orklc ORC HAS CHANGED: No VERSION: VA CONTACT PHONE. :lfi'284643562. ORC Certifier Signature: David Patrick McCorkle. E-svfail:dtarida k➢e(ir.ct By this signature, I certify that this report is ace urate and complete trt the best of my knowledge, PERMIT S 1 A`l t S: Aerive COUNTY: Catawba OR( C"N R`i° NUMBER: 10881 STATUS: Prune SUBMISSION DATE: I : 04/08/2W9 11410 Phone #:828-464-3562 Date The permittee shall report to the Director orthe appropriate Kogional Office any noncompliance that potentially threatens public: health or the ertvirontnent, Any information shall be. provided orally within 24 hours from the Brie the pertittee became aware of the circumstances, A written submission shall also be provided within 5 days of the time the permittce becomes aware of the. eircumsta.nccs, If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table .for prcvs,ements to be made as rergusred by part ll.E.C+ of the NPDES permit, 04l08; 2019 PermitteelSttkantitte.r Signature:*** Rick Sain E-Mail:rick sain@cat°n baschools,net Phone 4:828-464-3562 Date Date: 04/30/2020 Pcnnittce Addr ess: 25910 N College Ave Newton NC 28658 Perm I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a :system dessga to assure that qualified personnel properly gather and evaluate the information sahrnitted. Based. on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information., the inforrnaootn submitted is, to the best of my knowledge and belief, true, accurate, and complete. t ant aware that there are sig knowing violations. L,AH NAMR: Water "t"ec.h. Lab, CERTIFIED LAB #: N.C.50 PI MRSON(%)COLLECTING SAMPLES: David P Parameter Code assistanc Use only units .of rncas * No Flow/Discharge 1 for entire monitoring period, *" ORC on Site`': ORC mus *** Signature of Permiuee. 11`signed Fb5l1Ea(b1(2)(D). .enalties for submitting false informatiosrt, iracltraling the possibility of fines and imprisonment ("ERTIF}BORA`1URI S PARAMETER CODES y be obtained by ca➢lingthe NPl)E + CYnit (919) 807.6300 or by visiting http.:;`portai n•eden.r.orgsweblwy,swvprps'npdcsiforms. nt the reporin FOOTNO1 ES y`s NPDF.S pcnnit fctr data gc ofctsrs and, as it result, there are no data fia he er y and documcttt visztra(tun of faa ility as reclttired per 15.A NCAC 8t:i .0204, Cher titian the permittee, then delegation of the signar:ew.rs authority mr.rst he on file N( &C 2B the DMR. nPt¥ MI NO NC 1lc6N PERM FACILITY ME: BandysH. School CT y w OWNER NAME: rg ba Countyate GRADE: »*q eDMRPERIOm 2 w(ebru2019) ORc:David P McCorkle OK( HA CHANGED: No +LRSIO 0 A 4 /$9 PERMIT SA bf a&a COCatawba ORC CERT' NUMBER: STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO ®®w ( R aaawr=w Flow,Re,useiRecyclei,mVWIFIR vwwa.Adverse, ,m.%o1-L(V'How; umy\:lnaw. NPDES P@Lti1IT NC.) N FACILITY TAME:. Ban OWNER NA: GRADE: WW-I eD11R PERIOD: t12y?(1[ ) (Feb 9 COMPLIANCE STATUS The perms .atu re PERMIT 1"1 RSION: 4.0 CLASS: tiY W ORC: David P Mc(. orkle ORC HAS CHANGED: No VERSION: I.0 CONTACT PHONE 8284643562 PERMIT STATUS: rYtsve COUNTY: Cara ORC CERI' NUMBI.R: 108.81 STATUS: Prr r°s eel SUBMISSION 11ISSION DA 1"E: tl3 "2 512019 ick McCarrk(e F-Mail:day orkleta hi re ore is accurate and complete to the best of my° kno 0 ./25 2019 ne 4:828-464-3 562 Date shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the enn Any information shall be provided orally within 24 hour from the time the pennittce:,became aware of the circumstances. A written submission shall also be provided within 5 days of the time the perntittee becomes aware of the circumstances. if the facility is noncompliant, please attach a list of corrective actions being taken and a flee NPD[S permit. Rick Sain L-?Y1ail:ric'k Permittee Address, 2500 N College Ave NewtonNC 28658 Permit Expiration Date: 04 ;0/2020 1 certify, under penalty if laws that. this document and ail attachments were prepared under my direction or supervisie n itt accordance with a or improvements to he made as required hy part 11 F 6 of 19 Phone 4:828-464-:i562 Date 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 di accurate, and complete. 1 am awar knowing violations, LAB NAME: Water CERTIFIED LAB #: N,C,50 -span ihle for gathering the infommation, the information submitted is, to the hest of my knowledge and belief, true, there are significant penalties for submitting false information, including the possibility of fines and imprisonment for PERSON(s) COLLECTING S.A,MPLE;S: David P, Mcorkle CERTIFIED L BC R.t1TORilES PARA M:F'1 F R C OD L;?S Parameter Code ass stance naay be obtained by- calling the NPD1 S [snit (919) 8,07-6300 or by vissitng http:^`lportal..ncdenr.org:'webrvuglswpipstnpdestforms. nits of 0 itoring t designated in the reporting facility te. ' heck this bo if tao disciaartc. trc ** ORC ran Site?: ORC; must visit facility and doe ** Signature ofPennittec: llsigned by oth rthal .0500(h((2)(D), 'DES pe i> data - and, as a result, there are nit data to be entered for all of the par»traaetet's on lee 1.3 �1R nertt v^^isitatittn of facilityr as required per l 5A. NCAC 86 ,0204, he pcnmittee, then delegation of the signatory authority must he on file with the state per I5A. NCAC 2B NPDI':S PERAII`I' NO.: t( 005i608 FACILITY NAME: Bandys High School OWNER NAME: Catawba County Schcwl GRADE: W W-1 OMR PERIOD: 01.2019 (Jao ar ° 2019) PERMIT VERSION:4.(0 CLASS: k W.-1 ORC: David P McC.urkle. ORC HAS CHANGED: No VERSION: 1.0 L FILES PERMIT STA°IIr COIN Catawba ORC C:"E':RF NUMBER: I088I SAN°IPLLNG LOCATION: EFFLUENT DISCHARGE NO.: 001. NO DISCHAR t°"* (v`o H.tQ-.xua't}I g Re-r ENFRUSIii Iwlow-Hci NPDES Pt;R.'ft'F NC FACIt,I"1"Y NAME: 13andys OWNER. NAME: Catawba Cl untr Sc GRADE;: VW-1 eDNMR PERIOD: (11= .019January 2 COMPLIANCE STATUS: Compliant PERMIT VERSION: 4_0 CLASS: WW..1 ORC.: David P McCorkle ORC HAS CEIANGED: Nt VERSION: 1.0 STATUS: Processed CON.I.ACT PHONE #: 8284643562 ORCICcrtifier Signature: David Patrick McCorkle E-Mail:davi By this .PERMIT SI°ATUS: Aeaiv . COUNTY: Catawba ORC CER'r NUMBER: I( SUBMISSION DATE: 02/1912019 02/ 1 3/2019 rrrkle@catawbaschools.net Phone #:828-464 3562 Date and complete to the best of my knowledge. The perrrtittee shall report to the Director or the appropriate Regional t)fitce atty no n( c mpliance that potential threatens public health or the enviromnenr. Any infotrttation shall be provided orally within 24 hours from the time the permitiee became aware of the e rcutrtsttnc.es. A written submission shall also he pruvltled writhin 5 days of the time the permittee becomes aware of th.e circumstances, If the facility is nctr¢compliant, please attach a list of corrective actions being taken and a timeptable for improvements tc:a be made as required by part 11.1;.6 of the NPD S pen -nit. 02/ 1 9/ 2019 Permi'Sbmitter Signature:*** Rick Sain E-Mail:rick sain:a catawbaschools.net Phone 464-35(32 Da Permittee Address. 2500 N College Ave Ne Permit. Expiration Date: 04130/2.020 I certify, under penalty of ba.w, that this docutnent and all attachments were prepared under my directi to assure that qualified personnel properly gather and evaluate the system, or those persons directly responsible For ga accurate, and compl.ete. I am aware that there are significant penalt k,nowrinu violations. LAB NAME: Water Tech, Lab. CE ICEIFIED LAB #: ;r'.C.50 PERSON(s) COLLECTING SAMPLES: David t'. \tcC"urkle nt"ornratioa submitted. Based on my in pervisicrn in a cordance with a system designed of the pea'scan or persons who tna.naged the rmation submitted. is, to the best of my knowledge and belief, true, g kalsc information, including the possibility" of fines and imprisonment fi r CERTIFIED LABORATORIES P,AR/ 41F1IR CC11)ES Parameter Code assistance may he obtained by calling the N'PUnit ('9I h0 -6300 or by s ttp:11portalrncdenr org/web pIpsi npdes/forms FOOTNOTES l_isr ronly units of measurement designated in the reporting facility's i" PDES permit for repotting; 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 1)MR. for entire monitoring period ORC on Site?: ORC must visit facility and document visitaticota of tta tlity as require *** Signature of Permitter: lf`sigtried by other than the pennittce, then delegaation of the signatory authority roust he on file with the state per I S.A.. NCAC 2.13 ,0506(b)(2)(D). C'AC' SCc NPI)F:S lour N FACILITY NAME: I' ed "1. I Gard OWNER NAME: Catawba C:'nuii GR<AI)E: WW-I e,DMR PERIOD: 01-24119 (January 20191 P ERM Fr VI R*SION: 4,0 CLASS: WW-1 ORC; David P McUork9e ORC HAS CHANGED: No, VERSION: I.11 PERMIT STATUS: Active COUNTY: Catatvb OR(:". 4"E:RCI" NUMHE:R: 10881 SAMPLING LOCATION: EFFLUENT ©ISFUR C,E NO.: 001 NO DISCHARGE*: NO " Re s3rt Real' ENTRUST ktstantatte 1tis v:Rtov(l : EVR No Vsittuon. _Ad'vt.r.tolk`o:fyze'_ NCtC1.OW = No Row; 9{i01_ID'A No t NP[flS PERMIT NO.: NC01129297 FACILITY' NAME: Frcd'I`. Ford Fligh School CLASS: WW-1 OWNER !SAME: Catawba County Schools ORC: David I' Nlc(orlrle GRADE: 1VV 1 ORC HAS (Li eD%1R PERIOD: 01-VERSION: 1,0 PERMIT VERSION: 4.1) PERMIT S"I"ATUS: Active COUNTY: Ca.tawbta ORC CER`L NUMBER 10881 STA 1 [)°: 1"atav ssad SAMPLING LOCATION: EFFLUENT DISCHARGE Nt : 001 NO DISCHARGE*: NO (Continue) a w No Rer:cr IRe�aae;12tr No Viyttisn`wart Adverse Weather.; NUFLO'.NO Flow_ 1WI_ MAV' =-No Aga !SPITES PERMIT NO,: NC0029797 FACILITY 4ME: Fred T_ Fo:ard Hogh +c OWNER NAME: Catawba County Schools GRADE; WW,I eDNR PERIOD: OI- t}1`dlantrart✓ 2(il9) COMPLIANCE STATL S: Ceanrralturnr PER 'o-1IT'A'LRSR) .4.0 CI. ASS: ORC: David P' tit'cC'orkle ORC HAS CHANGED: INrr VERSION: I (() 1 ACi" PHONE p: t1284 )4;3362 PERMIT STATUS: Active COUNTY: Catawba. ORC CE.RT NUMBER: 10 S 1'A"1"1'St Prveessed SUBMISSION DATE: 02/19/201 t) 02 13:'2019 C?RCIC"errifier Signature. David Patrick McCorkle 1:-MaiLdavid mecorkle(ucatravvhaschools.nct Phone #:82) 464-:5fi2 Date By this signature, I certify that The pertoittec sh ry knowledge. a the Director or the appropriate Regional Office any noncompliance that paatentially threatens public health or the envirot Any intooraation hall dace provided orally within 24 hours from the time the perrniftec became aware of the err-umstanccs. A written submission shall also he provided. within 5 days of the time the pcmiittee becomes aware ofth.c circumstances. IS the Gacitity is nonccantphant, plerrse attach a list of corrective actions bcin.g taken and a time -treble for improvements to be made as required try part IFE.6 of the NPDI-S permit. Pernrittee Subtrtittcr Signature:*** Rick Sain Permitter Address: 3407 Plateau Rd NC:SR. 2036 Newton NC 2ti6SS Permit (expiration Date: (} '11='2020 1 certify, under penalty of law, that this document and al! attachments were prepared under my direct icarr or supervisaon 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 hest of my knowledge and belief, true, accurate, and complete, i am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations, 0 b.. CERTIFIED LAB #: N PERSON(s)COELl CTIN ck_sain, eatavvbaschools.net Phone 4:828-464-356', Date CERTIFIED LABORATORIES arA RAI E'l li: Parameter Code assistance may bc obtained by calling the IvPD): S Unit (919) 8074 rat• by visiting http FOOTNOTES ,ehiwgr'svvp ps,.n Use on units of measurement designated in the reporting #`acility`s NPDI S permit for reporting ct<atae. * No Flow/Discharge From Site; Check this. box if no discharge occurs. and, as a result, there are no data to he entered thrall of the lrarartaeter s ore the t)\1R for entire monitoring period, ** ORC on Site?: ORC must visit facility and documett vrisitatrcrn of Cr *** Signature of Pernittec: 11'signed by other than it ,0506(b)(2)lD) then dole; required per 'I5A N. AC SCr .0204, n of the :signatory atrtho:rity° must he on Ole with th state: per 15y\ ,NCA( 2B NPDEN PE1 V11"1" �().: ti( (1f7d4(i (.`it;( PERMIT %Jl kSION: 4.0 FAC ILITVNAME: 1'1 Creek M'idd Schaa9! CLASS: WW-I OWN ER^NA:NI : Catawba County Schools ORC: P McCorkle (.GRADE, WW-1 eDMR PERIOD: 01-2014 (.G:,trauar\ 200) ORC HAS CDANGED: No YE:RSI0N: 1.0 PERMIT STI \ fL?S: , ctrovc COUNTY: Y: Catawba ORC (:ER"TNUMREIC 10881 51.12111: Processed SAMPLING LOCATIONEFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO *"" No Reporting Reason: EN FR LSE No How -Rea R Adverso li eaeClm ` OFLOW No now S PERMIT N 8 FACILITY NAME: Mill Creek O1A'NE:RNAM11E: Catawba (tr GRADE; WW-1 eDMR PERIOD: dl-.0I9 (Jana, }-2r)19) COMPLIANCE LANCE STATUS: Compliant 4 PERM' 'CVERSION: 4.0 CLASS: WW-1 ORC: David P Me.Corkle ORC HAS CHI%;NGL' ©: No ERSION: t,4) CONTACT PHONE p, 82A 4643502 ORC/Certifier Signature: David Patrick McC_orkle {-;tit david enceor By this sigma t this report is accurate and complete to the best of my knowledge,. The perrnitlee shalt report to. the Director or the appropriate Reg'iot Arty information shall be provided orally within 24 hours from the time the permit tee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the pernrittee becomes aware of the circumstances. PERMIT STATUS: Active COUNTY: Catawba ORC CERT NU IBER: 10881 STATUS: Processed SUBMISSION DATE: ti21 ba;schools.nct Phone #:828-464-3562 if the, facility is noncompliant, please attach a list a; the NPI:)LS permit, 4 being taken Permittee''a iibntiticr Signature.;*** Rick Sain I htwail:riek .s plianee tha pt teaatially thre<tteris public health. or the environment made as required by part Il,li.,6 of i9.12019 vbaschool .net Phone 4:828-464-35562 Date Pemaittee Address, 1041 Shiloh Rd Claremont NC 2861092.02 Permit Expiration Date: 04/3012,020 L certify, under penalty ()flaw, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of"iRte person or persons who :managed the system, or those persons directly responsible for gathering the information the infmltation submitted is, to the bestofttty knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the pos fines and imprisonment. for knowing violations. LAB NAME: 'a b, C1 RTI 1ED LAB ; N.0 PERSON(s)COLLEC"IING SAMPLES: i)avid P. Me-CO1kIe Parameter Code assistart'it may be uht no-. CFR'TlI 1L;D LABORATORIES PARAMETER. DES sag the NPDi S Unit (9)9) 80743(I(l(1 eir by vis. =D(:)1 wNOTL S List only units of`rnetstir'eir'tent designated in the reporting tieiirty's NPI)I.S pertrt * No Flow/Discharge From Site: Check. this box if no discharge occurs and, as ;r r for entire monitoring. period, ** ()RC on Site?: ORC" must visit faeility and document *** Signature of Permittee. Ifsigned by other than the perrraittee, then delegation of the signatory authority must be on ,05506(b)12)(D). cdenr.orglwcb,`wglav 7,/psi for reporting pd es/forms dat i tsa be c catered tsar all caf the taarutneters trrt tlae C) + IR ility as required per 15A \(:"AC 8G .0204, ith the state per I SA. NCAC 213 Ne„b PEA II NR:N«m742.33 FACILITY NAME: OWNER 'NAME: a GRADE W 1 eDMammOmm Element, :h l PERMIT VERSION: 4,0 CLASS: *»q ORO David P M> ORC HAS CHANGED: N VERSION: Lg PERM COUNTY: mb OR((ERUNUMBER: IOW STATUS: Pro SAMPLING iOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO ,R_z ammr=w wR t msv EN MI V bsitgEog E A =N1 ow: 110r.lmy=yvwLi nI0 NPUES PERMIT NO.: sNCI.07423 FACILITY'NAME: Rlackbun Flcr OWNERNASLF Catawba CountShoo GRADE: WW-1 cUviR, PERIOD: 01-2019 (Jane COM PI„,,RUANCE, STaA'I CIS:Con) PER„A11T v ERSION: 4,0 CLASS: WW-1 ORC: David P Mc( orkte OR( HAS CHANGED: Na VERSION: 1.0 CONTACT PHONE 4:82. 643562 PER 1lI'L STATUS rctiv COL'N`T : Catawba ORC CERT NUMBER: 10881 STATES: Processed SUBMISSION DATE: 01:19,"al019 OR.C.='Certifier Signature: David Patrick McCorklc E-Mail:david _mceorkle eatawbaschool:s.net Phone #:828-464-3562 By bats signeature, I eertil' ° that this report! ac and complete to the best of my knowledge. The pe:mtittee shall report to the Director or the appropriate Regiona Any information shall be provided orally within 24 hours from the ti provided within 5 days of the time the permittee'becomes aware of tlt Elate 'Ice an noncornplianee that pateny threatens pub.lie. health or the environment. permatterw became aware of the ctrcumstana:es. 5 written submission shall also be umstances. lithe facility is noncompliant, please attach a list of corrective actions being taken and a time-t the NP[-)E5 permit. le for improvements to be made as required Rick Sain E.=Mail:rtek staff wbasehool,.net Phone 4:828-464-3562 Pea-taittee Address: 4377 NC Hwy 10 W Newton NC 286518 Permit Expiration Date: 0713112020 I certify, under penalty of law, thatt this documentt and all attachments were prepared under my direr .6 of )9f21119 Date 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 gat ae,ring the intonnatton accurate, and complete. I am aware that there are signitie<ant penaltie, fiar suhmitttng false i knowing violations. I,,AB NAME: Water b, CERTIFIED LAftI(: N.C.SI➢ PERSON(s) COLLECTING SAMPLES: David P. McCorkle Parameter Code assis Use only units CERTIFIED L<=\BORATORIPS PARAMETER a, be obtained by calling the NPDL.S Llno (919) 807_630 for entire rnonitoreng period: ** ie)R(. on Site! OR.0 must visit fat *** Signature ol` Permtttee: (f is ncd .0506(h)(2)( Di, y box if •no tncl docume her than the; tic rn rmation submitted is, to the best of my' knowledge and belief, true, he possibility of fines and iinprisomnent for h ,pjlportatriedenr.orgfwcbr`w sr npdesrtorms. L()()TNO"f'ES faciltn s NPI) S permit for relrorting d tees. •heart e occurs and, as a result, there are no data to he entered for all of the parameters on the 1)MR n of fact equircd per 15.A NCa\C; 8.Cl .0204, tiaft e signatory authority must be on file with the state per 15.A NC.\( 2f`3 SPITES PERMIT N & al QUIvNAHE 2n .gam School OWNER NA MF :iC PER ,R VERSION:. REC c w /ED CENTRAL, FILES DWRSECUON SAMPLING OCAT ON:EFFLUENT DISCHARGE NOJ001 NO DtSCH HAW.; N( PERMIT STAT: r (O1 TV: «y ORC CERTNUMBER CLASS: 'NI OR :DsdPM (RC R SCl y VERSION; NPE)F,S PERMIT NO.: NC005I60S. i/IIAC 1LI'TA SAME: Flandys High Schc�ea➢ OWNER NAME?: Cat4whr t;` t:raty ul rr GRADE: WW-1 cDMR PERIOD:: 12 201ti (Dec her 2018: COMPLIANCE" STNIUS: C:coartpliennt OR( Certifier Signature, Dav By this PERMIT VERSION 4 CLASS:: ASS:: 'KW- 1 ORC:': I:)avid 4'teC'cr'k ORC" IlAS VERSION: 1.0 CONTACT PHONE #: $28464356 PERMCISIAICS. COUNTY': i ut>iwti:m ORC . 1 RT NUMBER: 1020 1 seed ISSIO\ DAT 01104/2019 :ork.le [. tiittil,da,vid mcetark1e;acatavbttrchools.nc.t Phone #:.8 - 464-3562 Date this report is ttc:urate and complete to the he of knowledge - The pennitta:L, shall report the C)hrer or Any information shall be provided orally the appropriate al in 24 hours from the time the peen` provided within 5 days ofthe time the pernuttee becomes aware oldie circumstances. If the facility is noncompliant„ please attach at list ot`corrective a the NPD[ S permit, pliant! that potentiaDly dtt°caterts public heahh or .the envirottmetat- ecanic aware of eta c'irt'u.rarstattecs..A written submission shall also by taken and a t. table for int bnaiiter igtaature:* * Rick Sain 1rr Mail ricksatn,t);Ecatavvbasa Pennittee Address: 25(I0 N College Ave NctivteoINC 28658. Permit Expiration Date 04`30121)20 I certify, under penalty of law, that this document and all attachments were prepared under my direct to assure that qualified personnel properly gather and evaluate the rt system, or those persons directly responsible for g accurate, and complete. 1 am aware that there are sig knowing violations., 14I3 NAME: Lk"atea. 1"s 6o.Lstts. CER'tlIFIED:LAB#:N'.(:50 PI RSON(%) COLLECTING S,AMPLF,S: Parameter Code sud P-NicCorkle ag the infon o be made as required In part 11E6 of ubmine& Based on my inquiry of'tl thmitted is, to the best Phone -464-3562 Date in in accordance with a system designed person or persons ‘vho managed the f my' knowiz dge and belief, true, t penalties for submaating false ittfonnation, including the possibility of lines and imprisonment for CERTIFIED I rAF3I)R NTORII'iS PARAMETER COD obtained by caning the NPDE.,S I nit (919) 807-6300 or by visiti FC)OTN()"f led in tloe reportirsg facilit r"s NPI:)LS permit Nu Flow Discharge From Site: (."heck this box if no discharge incurs l7tr entire rttconitoring period. ** OR( on Site?: (.IRC must visit fa red per I, N(`,A€ SCi 0204. *** Signature of Permittce: 1f signed by other Than the perrnittee then detegatit)ra ofthc signatory auth(rir must be on .0506(b)(2)f 1)), p'ps, npdesl donne. esull., there are no dat to be entered for all of the parameters on the A NC:AC 213 PI R1"II`I \ FACILITY NA E. C3za,t OWNER NAME: Ca GRADE: 11 V I tl)$4IR P104100: 10-20 Pt R11I"1' VERSION, CLASS; WW- I RE ORC IIAS CLIA.N(Eti.IJr c� VERSION;. 2.0 1A E D COUNTY: Cai 1 r<+L FILES R SECTION (JRC (.:`FrRI` M IM': SAMPLING LOCATION: EFFI.,F,UEN I° DISCHARGE NO.: 001 NO D1SCFI *.." No Reporting Reason* y ? fiRI ,g No Flow-Rea.seiR.-c k, I�t L,,\t''iP1D y,'E� 5'i z�tt5{ays3 +.t1 cC e°'wV�;atE��e; `u'4 F"1 C1G4` 'G3 t�'I[rw: I#a:al,.1 .m4' ?4 v l+'u�,ii;aGiatr - &i lod y GRADE: Ww_9 eDMR PERIOD; to-2o➢ (Cbctoi r O ( O\IPL1A,;A("I STATUS: Compli:uu this si. David PERMIT VERSION: 4.0 CLASS; aY\\'-V ORC: t)a=i Pr�(:rkte ORC RAS CHANGED: N,r VERSION: ? tt CONTACT PRONE tt +4h43562 eCorkle 1ll-Mail:dav PI RMI COUNTY O'RCCE;RTNUMBER: 1(0011 STATUS; Pro t.4Sed SUBMISSION DATE:. 01 01) 28)l 01 0,4 2010 it eataasa'baschools.net Phone 4:828-464- 62 Date this report is accurate and complete to the best of m knowledge, e Director or the appropriate Reitsraal (7ffiee ,tttray sae Any shall he proy within 24 hours l'ron tlae tirrai the Eaerrttitt provided within 5 days of the tinwc tl'te permittee becomes aware of the circ:etrnstane lithe facility is noncompliant, please attach a list of'c corrective ae the Ivl'I.)ES permit. Perm Penn l cert,il:y under penalty of nature,"" Rick Sa.in 1 "claut;r his document and :t Permit 1.::.\la 'sure that qualified personnel properly gather and evaluate tl ,system, or those perso accurate, and eotnplcte. I an knowving,violations: :e that potentially threatens fo-ttbiicheallth or the environment, ken and tome -table l;a the e n submission shall ;also be vents tit be made as required by part I1 E, 6 of aa c.hoalls.net Phone 4:8:28µ464-:1:+62 01202_0 I under nay direction or supervis dance w uhrrtitted, Rased. on my inquiry of the person c.ir persons Ole for gathering else inlonnatiota, the snforntatiean e that there are significant penalties for tiatbmitting false i LAB NAME4 Water Tech, I_ah. ( ILRI'IE'IED LAB PIsRSON(s) COI 1DI( IIN( SAMPLES: Parameter Code ass: No 1°`Iraw'I)s, ch Iftr ctlt9ae tttcattitoring period, C)RC on Site`s', ()RC ntusl v .„ *** Signature ofPermittce. 11si () C16(b)(2)(D).. id P: M19.C"enick, tbrnttted is, to the hest of my' knowledge and belief. true, C1,:R1(lIf 1) IarOF3()123f\1ORI1:S Hain e.tllang the NPDI cilt't3 and document vlsita I by other than the permit PARA. i ttl`1' COL n delegation of the b a d rid itnprisomnent for ,ebtwq s s°P:'ps`tapet aritr te[ea°s tart tffte Dl\=1R st he cyn Cole with the: state per 1 '1. N('r'1C 213 \PUNS PERMI'1" ),; NCOO516tb11 FACILITY" AME: F3 tidys Nigh School. OWNER NAME: Catawba County School GRADE:: WW,i ef,'k1R PERIOD: i0 2OH dt?ctob s ?1118) PERMIT YERS1()\: at.iJ CLASS: WV -I OR(:: David d'I::Cctrkle OR(:" HAS CU.e .(,EI). \o VERSION; TO „R 9IT S I A1`(1Sr ORC ('F:R'1° NUMBER: I(18H V RECEl S IN DEER/DW SAMPLING LOC'A"I'IC)N: EFFLUENT DISCHARGE NO.: 001 Nn ©ISCH ,,, ; R No Viiitato Ida,lk lay I,�im OFFICE NP[)ES PERMIT.: \(005 iri08 FACILITY NAME: Raatdys High School OWNER NAME: Catawba County Schools GRADE: W'ivti-I eDMR PERIOD: In-2018 tl)etober 2018,) COMPLIANCE STATUS: Compliant. ORC=aCertifier Signature: PERMIT A"FRSi( 4 CLASS: 44`W-1 OR(`: David I' NIc-C'orkl ORC HAS (,'HA.NCFI): No VERSION: 1.0 CONi"A("'1' PHONE #: 46435,62 PERMIT STATUS: Actie COUNTY: Catawba ORC('ER"I" NUMBER: Ittls$l STATUS': Proceed SUBMISSION DATE: I 1 /07'2( I1`06`2018 Patrick. NicCorkle E-Mail:david mccork1ctc catat Phone '(,821 464_ W35(2 Date mature, 'l certify that this report is accurate and coin! l :dge. The permince shall report to t1'ae irectc'r aar the appropriate Regional Office any noncompliance that potentially biie .Any information shall be provided orally within 24 hours from the time the permit -tee became aware of the circumstances, A written sohrnvo icttr shah also be provided within 5 days attic time the permitttie%eco if the facility is noncompliant, please attach t+. list. of corrective the NPDFS permit. ubmattcr Rick E'errnittec Address: 2:500 NI Coll e c „Ave Newton N(: 28658 Pe it Expir l ee y, under penally of lawn, that this document and all attac:hme to assure that qualified personnel properly gather and evaluate the et. or cor those persons diaeetl}=' responsible for gathering the infra accurate, and complete. 1 am ae that there are signilia.ant penalt knowing violations. I,FA1I N,AME: Water Lah, CERTIFIED LAB #'t N.(:'_S0 PFRSON(s) COLILE2.,( 1"I\(; SAMPLES: * No Flow/Disc anees, aken and a timetable for irnprovenaenis to he made as required by part. 11.E.6 of ataww=baschools.net Phone #,828-464-3562 aan Date.04. i0/2020 .pared under my dir"eetlon or super vri* wn in aw.cordance w on submitted. Based on n7y inquiry of the person or persons who managed th irtt armation suhrn best of any knowledge and belief, true, hnult ng false information, incaatding the possibility of fines and imprisonrne (ER 1'IFIE;C) Lew} ()RAE'DRIE:S obtained by cal ling the N l i:)E PARAMETER CODES Ia:}'l 807-6300 or by FC}(.ITNOTFS asuresnent designated in tlt repcarttng lacxlitu"s NPDES permit for reporting data. 1°ron,a Sit, t:.heck this box if nr dtsa hat°ae (tee trr and, as a. resttlt„ tlta re at°e no d< for entire monitoring period. " OR(:° on Situ! ORC must nd document visitation rat file **'" Signature of Pennitteo, if signed by other than the penrdttec, then delega .0506(hlt 2l( D). /portal.ncden r, err 14. ehr'wvq sssp=ps,irpdes/ Date ed Or al! of the parameters on the DMR ignatory.ta.uthority must be on Ole wvith the state per 15A Nt. k(" 2E3 NIP' FS PERMIT FACILITY NAME: OWNER NAME: C:a¢aw aC°cumy Schools GRADE: WW-I uL�MRPERIOD: O9-2OIffQSeptemb UI PERMIT VERSION: 4.0 CLASS: 'WW- I ORC: Da Yid P McCt rid: ORC HAS C'HANTIED: No Y'ERSION: 1.0 RECEIVED' COLN' Catawba ORC° C ER 1 ' Li MBE. .EN1 CHI, FILES DWR SECTION slit, b Ins: SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO * No Rep( Reax,n: ENERCtSE. Net Flow-Rous iRccycIL FwN\+Y 1 HR -= No Visiration Adverse. Weather; NOFLOW No flow; HOLIDAY No Vi.Kow+tient -- FFaBida�+ ** SPL)IJ, PERMIT NO.; \C0051608 FACILITY NAME: Bandys High School OWN ER NAME: Caravh.a County Schools. GRAD i!,: VON- 1 cD.MR PERMIT: 09-2018 (September20J8) COMPLIANCE STA`l!J5: Compiiam PFRMI'1"4'L {SIC14N;4.0 CLASS: 1k ORC: L)avi OR(.` HAS CHANCE VERSION: 1,0 CONTACT PRONE #: 8.284643562 ORC=C.'ertil'°ier Signature: ()avid Patrick. ;4lcCorkle E-Mail,davidrnCcork By this signature„ T eel that, this report is accurate and c° 'The pertrtitt Any inform provided wi p rP e e best of in a PERM Fr STATUS: Sc�tivo COIJN'1''': Catawba ORC CFR'i NUMBER: 10881 STATUS: Pr s essoc SUBMISSION DATE; 101812018 '21)18 Phone #:828 464-356' Date the appropriate Regional Office any 'noncompliance that potentially threatens public health or t:h nt. shall be provided orally .within 24 hours from the time the permitt:ee became aware of the circumstances. A written submission shall also be 5 days of the time the perrnittee becomes aware of the circumstances.. If the facility is, noncompliant, please attach a list ofeorreetive actions being taken and a timetable for improvements try he made as required. by part 11 E.6 of the NPDES permit. Pe Perntittee ,d, bmitter Signature:*** Rick Stain 1--SMai,l:rick I0e18/2018 s hasehools.net Phone 4:828-464-3562 Date N College Ave Newton NC 28658 Permit Expiration Date;. 04 3(ir202,0 I, certify, under penalty, of law, that this document and all attachments were prepared under my direction or supervi to assure that qualified personnel properly gather and evaluate system, or those persons directly responsible for gathering the once with to system designed ed the information, the information submitted is, to the hest of my knowledge and belief, trite, the information submitted. Based on my inquiry ot`the person or persons accurate, and complete,, i am aware that there are significant penalties for submitting false information, including the possibility of lines and imprisonment for knowing violations. LAB NAME: Water tab. CER"i`IFID I..,,A.I3 #: N,C50 PERSON(s) COI LF( IING SAMPLES: CERTIFIED LABORATORIES P/\RaAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) S07-6300 or by vie *NoE9ct for entire ()RC on Site" *** Signature of Pert ,05t)t{h)(2)(D). units of n he reporting facilit FO(JTNO 1'G. vTPDI:;S permit ti' ng data. alport a1.neden r.org1' npdes t0mts, (Disahargc From Site, Check this hrry if no discharge occurs and, as a result, then: are no data to he entered for all of the parameters on the DMR eriod, ed by other than f " 8G ,0204. then delegation of the signatory authority must he on file with the state per 15A bit:AC 2B NPI➢iS PERMIT NO.: NC0051608 FACILITY NAME: Bandys High School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 08-2018 (August 2018) PERMIT VERSION: 4.0 CLASS: WW-1 ORC: David P McCorkin ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active OUNTY Catawba ORC CERT NUMBER: 10881 TATUS: SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: G I NO DISCH: """ No Reporting Reason: ENFR.U,SE No Flow-Reuse/Recycle; ENVWTI-IR NPr ES"PER11tIT NO.: NC Ut15' 16©8 FACILITY NAME: I3andys High School OWNER NAME: Catawba, County Schools GRADE: W W-1 eDMR PERIOD: 08 2018 All 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION:4,0 CLASS: WW-1 ORC: David P McCorkle ORC HAS CHANGED: Nts VERSION': I.t) CONTACT PHONE #: 8284643562 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed tBMISSION DATE: 09+19/2018 09/ l5/2 ORC/Certifier Signature: David. Patrick McCorkle E-Mail:david tnccorkle@catawbaschools.net Phone #:828-464-3562 By this signal tre, 1 certify that this report is accurate and complete to the best of my knowledge.. Date The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall he 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 permit -tee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a timhie tmproe exrients to be made as required'by part ILE,6 of the NPDES permit. 09/ 19/2018 Permitteet`Submttter Signature.*** Rick Sain E-.Mail.ricksa in@catawbaschools.net Phone .528-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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 si. ificant penalties for subrnitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: WatcrTech, Lab. CERTIFIED LAB #: N.C.50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle C'ERTTFIED LABORATORIES PARAMF'TER. CODES Parameter Code assistance may be obtained by calling the'NPDES Unit (919) 807-6300 or by visiting http:/i°portal'.ncdenr.or e ql swp,'pstn}pies/form s. FOOTNOTES Use only units ofrareasurerexetit designated in the reporting iiicility°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 ofthe 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 8 i .0204, *** Signature of Permittee: If signed Icy other than the perm nee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2 )(D)- Nmb N PAC 0 NER\&NIT o_ GRADE: WY q«RPERIOm 07-2 >i222018) PERM' %Kbmy} CLASS:w OCI)dPM , ORC H CHANGED: No VERSION: m PERMIT IA,E» Active t 1N :c a& ORr CERT\t BEtlaw STATUS: 'ased SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: ON \O DISCHARGE* NO .w Reporting :away yr - « w F H0t..14 \ a NPDES PJRMiT NO.: NC0051608 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Bandys High School CLASS: WW-I COUNTY: Catawba OWNERiVAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 07-2018 (July 2018) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 08/14/2018 J 08/13/2018 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone #:828-464-3562 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. •;/t 08/14/2018 Permittee/Submitter Signature:*** Rick gain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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. Lab. CERTIFIED LAB #: N.C.50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I5A NCAC 28 .0506(b)(2)(D). \PDI S PERMIT 'O ; ti 1. C:ILIT% NAME: I4rndy OWNER NAME: Catawba County St.:hrxrl+ GRADE: W'W-I el)MR PERIOD: 06-2018 Otme 018,l SAMPLING LO A PERMIT VERSION; 4,0 CLASS: W ORt : David P Nit:C Orkin ORC HAS CHANGED: Ncr:.., VERSION 1J.1 FFLUENT IBIS g R,.,.a uet. l:.MM 1 S[` b o -Reuseit,xycle, R^N"a' «'H R ' \ \'i°;t'.a6k.m :hkR cr s G PERMIT STATUS: Aun .CO[JVI"1 Catawba C)RC (F RT r NO.: 001 °MSC I :N l } A NPDES PERMIT NO.: NC0051608 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Bandys High School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 06-2018 (June 2018) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 07/19/2018 0.6,1)'nC7--'c ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone #:828-464-3562 Date By this signature, I certify that this report is accurate and complete"to the best of my knowledge. 07/18/2018 The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. Permittee/Submitter 07/19/2018 Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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. CERTIFIED LABORATORIES LAB NAME: Water Tech. Lab. CERTIFIED LAB #: N.C.50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). \PFH , PERMIT NO.: ;ti(0051608 FA(ILI:EY Ne!AME: Baudy's High School J OWNER NAME: Catawba County Schooh; GRADE: tik"W-I tUMR PERIOD: 05-2018 (May 2018) PERMIT" VERSION; 40 CLASS: ORC:: David P IL9kC.orkl OR(° HAS CHANGED: No VERSION: I.0 PERMIT STATUS: Acti (th* vha. OR(:` CER C NUMBER: I1 SAMPLING LOCATION: EFFLUENT SCHARGE NO.: dill NO DISCHittWE*: No Reporting Reason: E=.N Rouse,' n her; NORO\i No Flow; IH)I 0 NAL.. CE \Pr)FS PE:R"slll'N().s "d;."(I(Nritb) FACILITY N,d"4F Banays Ilieh Sch ra>t OWNER NAME: Catawba County Schools GRADE: W eDAIK PERIOD: 05-20I8. (N1rr'y 't)dag COMPLIANCE sTA`TItS: pliant prtaviletf witltira w days If the facility is nc,ncot the NP:DI S pertnit, Perm PERMIT' JAzea's COUNTY: Catawba OK(` (I RT NUMBER: ltS 1 PERMIT VERSION ; 4.0 CLASS: L1 W-.I (MC.1ki.tatt I' k t (urkt'c OK(.' R,'A.S CHANGED! \n VERSION; I.0 CONTACT PHONE #8464.3 0 2 d Ftatrtck Mc 1 "v3ail:clavid rnccorklc (catatvltasahools fief Phone :828-4(4-35ti2 Dst hat this report is accurate and complete to the hest of the Director or the appropriate any noncotnpfiance that potentiall 1 Ea or the environment, be provided orally within 24 hours, t"rona the time the pertntttee became aware of the c:ircurn ttrac.cs. i vvratte:n stahtttissiott Sh of the time he permitter becomes aware of the circumstances, ntsliant. olettst tttacl°t ,a list of° can ectivxc atcliotfis l,cattc taketl and a time -table for hrnitt ** Rick Sain 1..-'v1;til;rick s".a pro vcrnents to he made its required by part 11-[':,6 schools.net Phone )r:tl2`c-4(i4-.3562 Permil.tee Address. 2500 N Colh ge <t44c Newton N( 2,8658 Permit Expiration Date: 04°30/2020 I certify% under penalty of law, that this ciocurnent and all atutchments were prepared under my direction or superv=i on itt bt to assure that qualified personnel properly" gather and evaluate the information submitted, Based on my inquiry orahe. persot system., or those persons directly responsible for ,gathering the infcnnaation, the information submitted is, to the hest of my know cn:t1taes I'or submitting fake information, including the f)Ossfbiay cif toner and imprssonr n accurate, and complete, l am aware that there arc si knowing v=i LAB.AAME: Water leth CERTIFIED LAB b: N<(', 51) PER O%(.1 COI,LE°("TI' (, SAMPLES: S: i)t parameter Code also 1 se only tuti * Nu How/Discharge 1 ror for entire moutR, ing lai rto •" ()RC on Sure f)RC must **'' Signature ofFerrnittee: l .0506(b)(21(D), Date. P.A.R,z\MI "FER CODES may he oohtained by calling the NPDE `, Unit I9'141) 807-630O or by visit hula: °`lacrrtal.trclenr,at i1'` taei&i f signed by other than the palm atce,then delegation of the signatory tun 4- ance sthasr"le designed the R ith the slate per 1 5-1'' NCAC 213 NPDES PERMIT NO.: NC005 1608 FACILITY NAME: I3andys High Schizo OWNER NAME; Catawba County School GRADE; WW-i e0 MR PERIOD: 04-2018 (April 2018) 16 17 to IS t9 61 22 6.7 24 29 96 21 19 zo PERMIT VERSION:4,0 CLASS: WW.I David P Mc(orkle ORC HAS CHANGED; N. VERSION; I,0 PERMIT STATUS: Active CF F DCOUNTY: Catawba ORC CERT NUM Wit( N WQROS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO D 11.16RGEAENO4A 1 zone t Donk lln ON Oak Week Grob 0.00505 5,2 001005 t 5.2 kotroet Lima, 6617 Vlonllat A rttnet .11.000048 1;2%05 Doily Alotinguret : 11tlatIO5 NI04 2CA ;EN 1rtAL FILES STATUS: Prwessed DWR SECTION 2 X month Grob PH 2 X week Gott; CHLORINE 2 X month Coot 2 X month THS- Coot •••• No Reporting ReasonEN FRUSE , No klow-ReusetRecycle ENVWTHR No Visiaaion - AdverseW891her, NOFLOW - Haw; HOLIDAY z No Visitation Holiday 2 X month Grab 0200 IR NPDES PERMIT NO.: NC0051608 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Bandys High School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools GRADE: WW-I eDMR PERIOD: 04-2018 (April 2018) COMPLIANCE STATUS: Compliant NR7-z ORC: David P McCorkle ORC CERT NUMBER: 10881 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed CONTACT PHONE 1#: 8284643562 SUBMISSION DATE: 05/29/2018 05/16/2018 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mceorkle@catawbaschools.net Phone 4:828-464-3562 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. k,e;e) 05/29/2018 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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. Lab. CERTIFIED LAB #: N.c. 50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. *No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). 4- NPDES PERMIT NO.: NC0051608 PERMIT VERSION: 4.0 FACILITY NAME: Bandys High School CLASS: WW-I OWNER NAME: Catawba County Schools ORC: David P McCorkle GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 04-2018 (April 2018) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO b i e I g d Toul Camporier Time Oprraear Arrival Mac Operator Tlmr On Site i, O 11 mp s` 5 . x le 50050 50010 60120 50060 C0316 C0610 C0530 31616 Weekly Weekly 2 X month 2 X week 2 X month 2 X month 2 X month 2 X month instantaneous Grab Grab Grab Grab Grab Grab Grab FLOW 7E4=P-C pll CHLORINE BOO - Cast \713-\-Case 7SS-Cons FCOW BR 2460 sleek Hn 2400 el9ek tin YB/N mgd deg a su sglL mg/1 mgll mg/1 0/100m1 t 2 0850 0.43 Y <20 3 4 5 6 0920 038 Y 0.00005 9.8 <20 7 a 9 0927 0.3 Y <20 10 It 0945 0.3 Y 0.000043 11.3 6.2 < 20 21.9 13.6 10 < 1 12 13 14 15 16 0902 0.43 Y < 20 17 15 19 0912 0.23 Y 000005 15.2 <20 20 21 22 23 0916 0.36 Y <20 24 0932 043 Y 0.00005 15.2 6.4 <20 <2 0.77 3.6 < 1 25 26 27 2s 29 30 Monthly Avenge Limit: 0615 30 , 7.7 30 200 11sa1h ly Average: 0.000048 _ 12.875 _ 0 10.95 7.185 6.8 l Oanyll,atmam: 0.00005 15.2 6.4 0 21.9 13.6 10 0 nany 3[ffirmem: 0,000043 9.8 6.2 0 0 0.77 3.6 0 "•• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation -Adverse Weather; NOFLOW - No Flow: HOLIDAY - No Visitation - Holiday 1PDES PERMTTNTT.: NC 051f+(11{ PERMIT VERSION; 4.0 FACILITY NA.M..E. Hamdy°s l)l It ea -hoot CLASS: W-1 OWNER NAME: Catawba Clcounty SchoolOR(': C3avid is i to rklc GRADE: WW-1 ORC HAS CHANGED; ,D; No eDMR PERIOD: 04-20l1 t<m VERSION: 1.0 CONTACT_ PHONE #: 528484, 5_ pail 2018) COMPLIANCE STATUS: Compliant ORC Signature: Da d Patrick \1cCtorkl!e L3 i4eait:aletvidmccorklc ca signature, I certify that thin report is accurate and complete to the best' of my knowledge. 'Che pen Any inforntaticrn shall he provided orally within 24 hours provided. within 5 days of the time the pean1 t1ec becomes aware of t ae circumstances, If the facility is noncompliant, please attach a list of convective actions being taken and a the NPDES permit. Perm PERT 1IT STALES: A tira COUNTY: Catawba ORC(PFRI NUMBER: 10851 Si 4'1"I S; f eoL0, ST.BMISSION DATE 05 29./2015 Director or the appr'aprtale Regional Office any noncompliance that poky -Mall 05/16/20I8 828-4(14-3562 Date public health or the th.e. tirne the permitted became aware of the cite t'snees, r\ written submission shall also he provements to he made its required by part C11 .6 or t)' 2 Signature.*** Rie;k Sain E-Mail:rick s<trnraclatwrwha.schoaals.nei. Phone 4:828-464-3562 Permittee Ad.dres.s 2500 f` College Ave Newton 28658 Permit. Expiration Daie 0413012020 I" certify., under penalty of law. that this document and all attachments were prepared under my direction or supet°m�0oon in accordance my°it)t a s +stet''. designed to assure that qualified personnel properly gather and emalu.ate the information suhrnitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering flue infonnation, the information .submitted is, to the hest of my knowledge. and hel ef, trite accurate, and complete, l am aware that there are sig knowing v n5 LAB NAME: W'atv:r Tech, Cab, CERTIFIED LAB i(: PERSOS(s) COLLECTING IS(i SAMPLES: David P. AleCorkle penalties. for submitting false inlonrtatioon, including the possibility of Nines and 1. C:°1 R'i IPIf:D l...m 13C)RA`i°OR ES AR.=WMETER CODE. obtained by calling the NPI)ES Unit (919) 807-6300 or by visiting http: poortal.ncdenr.org'webt'wy hvcpEps:npdes furors. I se only° tarot, o) nteasurenteto de.sigitated * Ito t low'1)ischar e ly'rom Site: Cho: th for entire nwmtormg persod. ** ORC on Site?: OlRC mustrvsit fa�fifw is box 9I`no disc:h. FO +PDES [NOTES C)TI S tg data. aecttrti turd, as a re:suit, there tare no data to be entered for all `th nd document visitant n of Cecil per 15, ( (` 8Ci .0204 arameae.rs tc f)MR *** Signature of Perrnittee, if signed by other than the perrnittee, then delegation ()Ethic signatory authoritye tmrt,tst he on file with the state per 15fA NCAC 2E3 .0506(,b)(2)t[ ), NPOItS PERMIT VERSION: 40 FACILITY NAME: • High S 2 CLASS: f\; OWNER ME: Ow e@ o > O :D uPmCorkk GRADE: w ! OR(H: CHANGED: \ eD RPEROD:0 8(.February > >; VERSION: ze 7RNR q S : Catawba oR C STATUS' MOO RESV SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC «rasa Avg «., ;w. w + m'1„0 :HOLIDAY ARGE+:NO NPD�S PERT NO.: NC0051608 FACILITY NAME: Bandys High School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 02-2018 (February 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: WW-1 ORC: David P McCorkle ORC HAS CHANGED: No VERSION: 2.0 CONTACT PHONE #: 8284643562 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SUBMISSION DATE: 07/19/2018 07/17/2018 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone #:828-464-3562 By this signature, 1 certify that this report is accurate and complete to the best of my knowledge. Date The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part Ii.E.6 of the NPDES permit. Permittee/Submitter 07/19/2018 Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone 4:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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. Lab. CERTIFIED LAB #: N.C. 50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NAES PERMIT NO.: \( 0O51hW4 FACILITY NAME: Bandys Ifi h Sihoo OWNER NAME: Catawba Cowin( Sehoois GRADE:: WW-I eDMR PERIOD: 02-201S Wellman; 20I8) NO 4.41 RCCF.:RT' SAMPLING LOCATION: EFFLUENT ©) CHARGE NO.: 001 N() BER: 108 Reakei NFRI.'tiI{-NoHow-RcvSc'Rvcycic, F1aNVW"fFII '``oV''isitatioau NooVisitation Fkstithey PERMIT +ERSIC 40 CLASS: WAN' -I ORC: David P McCorkte ORC: HAS CHANGED: No VERSION: 1.0 NPIES Pk:Rb11"i N FA.CILI"Ll° NAME:: OWNER NAME: Cara. GRADE: WW-I ys High School eDMR PERIOD; 02-2018 IF:: COMPLIANCE STATUS: (:ornphaat Signattire „ PERMIT VERSION: 4,0 CLASS: WW-1 ORC:, David P b1 ("orkke. ORC HAS CHANGED: No VERSION; L(t CONTACT PHONE #: 8284641562 PERM.L'i" STATUS: ,active COUNTY: Catawba ORC CE .ICI NUMBER: 10881 STATUS: Processed SUBMISSION DATE: 03/22 20i s yid Patrick Mc('orkle E lviail,david mccorklelazcataiv hascho©ls.net Phone it:828-464-3562 By this signature, 1 certify that this report is accurate and complete to the best of my knowledge, Date The pennitlee shall report to the Director or the appropriate Regional. Office any norrcomphance that potentially threatens publie heath or the environment, Any information shalt be provided orally within 24 hours from the t€me the pennittee became aware ache 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 he made as rcquired'by per; H.lw..b of the h PDES permit. A/e...._ Permitter,/"Submitter Signature:*** Rick Salo 1 'vla.il:rick_tiaintzcata.sv"baschools.net Phone )t.828-4(i4•;)562 ti)ale Permittee Address: 2500 N College Ave Newton ton NC 2 3ts55 Pettatit Expiration Date 04`30/.2020 i certify, under penalty of law, that this document and all attachrnents were prepared under my direction of supervision in accordance with a stet d igned to assure that qualified ,personnel properly gather and evaluate the information submitted. Based on my inquiry o'fthe person or persons who managed the system, or those persons directly responsible for gathering the information, the inforna.tion submitted is, to the best of my, knowledge and belief; true, 03i22'201 fS accurate, and c:omplc knowing 'violations. LAB NAME: CERTIFIED LAB #: Lab. 50 aware that there are significant penalties for submitting false ittfcortatattcan„ including the possibility of fines and imprisonment for PERS(➢Nm COLLECTING SAMPLES: Cork (rLo(`"l"lE)F:l)1,.v13C` AlC)RILS PARAMETE>R. Ct be obtained by calling the hiPDES Unit (919) 807-6300 eor by visiti F(:)O`FN OTES I I r only units of axtea.surenacnt designated in the reporting facility's NPDLS permit for reporting data. * No Flow/Discharge From Si for cntirc monitoring period, * * ORC on Site?: ORC must visit facility and docurner Y.nvdp,'ps/npdesliOnns. is box. if nvr discharge occurs and, as a result, there are no data to be. entered for all ot`the parameters on the OMR f facility as required per 15A NCAC 8G .0204. *** Signature of Pernitlee: if signed by outer than the penmflee. then delegation of the signatory authority must be on Itle with the state per 15A. NCAC 2B .0506(b)(2)(0), NPDES PERMIT NO.s NC0051gw1#i FACILITY NAME: H ndvs High Scbtsit1 OWNER NAME. Catawba County Schools GRADE: WW-tl eDMR PERIOD: I2-20 i 7 (D Lerner 2017) 4 7 6k 7.44.10 dock PERMIT VERSION; 4.i CLASS : WW-! OR.C: David P McCor1tle ORC 11 kS CHANGED: No VERSION: 1.0 Li V PERMIT STATES: Active iNTY: Catawba ORC CERT NUMBER: STATUS PR. e4se 1 SAMPLING LOCA'I"ION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NG UM cf.& 1.4 44 I 15 50050 nnlmtcrvus Grab PLO% rVi1P-C 0 CSb;K14.9 14,S 19 14442 d1 c4 - x 4 xr tec�Y.1 tan 4° 3194 "1111 No Reporting Reason; ENFR11SE _:: 12 s.a 20, AY No 14 4. n¢447n Holiday NP'DES PERMiT NO.: NC005160S FACILITY NAME: Bandys High School OWNER. NAME: Catawba County Schools GRADE: WV-1 eDMR .PERIOD: 12-2017 (December 2017) COMPLIANCE STATUS: Compliant PER%IIT V°'ERStO ; 4(' CLASS: ORC: David t' M C'oakte ORC IIAS CHANGED: No VER.SION: 1.0 CONTACT PRONE tk 21t4643,562 OR.UJCertifier Signature: David Patrick a\lc(orkle E:-Mail:d€tr°id rrtccorkle Lure, I certify that this report is aeeu plete to the best of my knowledge, PERMIT STATUS: .Acove COUNTY: Catawba. ORC CERT NUMBER: 1.0881 STATUS; Processed SUBMISSION DATE: 01/18,' 2 net. Phone 4:828 4fa4- 3562 Date The Term inee shall report to the Director or the appropriate Regional Office any noncompliance that p neatens public health or the enviors rent. Any information shall be provided orally within 24 hours firo the.'titne the. perrnittce became aware ot'the circumstances. A written submission shall also be provided within 5 days of the time the perniit¢'ee becomes aware of tfre circumstances, If the facility is noncompliant, please attach a list of connective actions being taken and a :rote -table for improvements to be made as required by part 11.E.,6 of the'N;PDES permit, t) I:"1 8/2018 Permittee,'Subrni3tet Signature:*** Rick Saito E- Iail:riek, sainf0 cafawbaschools.net Phone #:528-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 2Su5S .Pernut 'Expiration Date: 04130<2020 I certify, under penalty of Saw, that this document and all attachments were prepared under my direction or supervision in accordance with a systent designed to assure that qualified personnel properly gather and evaluate the indorrnation submitted. Based on my inc}uir ° of fie- person or persons who managed the system, or those persons directly responsible tut gathering the information, the information submitted is, to the best (Wryly knowledge and belief, true, accurate, and complete.I. am aware that there are significant penalties for submitting false intbrtnation, including the possibility of fines and. imprisonment for knowing violations. LAB :NAME: Water Tech Lab. CERTIFIED LAB #: N.C. 50 PERSON(s) COLLECTING SAMPLES: David P. Mc-t. orkle C'l RTIFII-D L.ABORATORItiS PARAMETER CODES be obtained by eallitag the NIPDES'Jtrit (919) 807-6 M or by visitint 'http `.lpoltal modem.organ'wehfwq,s sp;'ps,'npdesr'frr FOOTNOTES Use only units of nteasurentent designated in the reporting factDES permit for reporting data. * No Flow/Discharge Er Site; Check this how if no discharge occurs and, as a result, there are no data to he entered toot sill of'the parameters on the DMR. for entst°e ntouitoring period. ** ORC on Site?: ORC must visit facility attd doe'ument visttation olthcility as reuluire d per I 5A .NCAC SG .02.04. *** Signature of Pennittee: If signed by other than the permittee, then delegation of the signatory authority must he on file with the state per 15A NCAC 2B .0506(b)(2,)(D). NPIk*ES PERMIT NO: Ihd1ti FACILITY NAME: Batldys High School OWNER NAME; Catawba Coumy'Schools GRA„D,E: WW-I eDMR PER I h '2'I I7 (NoNtirn r 017, PERMIT V E:RSION: 4.0 CLASS: WW- I ORC: David P McCorkle ORC HAS CHANGED; VERSION: 1.0 SAMPLING LOCATION: EFFLUENT D 566150 IM610 004444 Lo; tantaneou, 2496 rimik hire x 4 4 19.8 6,3 E4.01641e 16.3 PERMIT STATUS; Active COUNTY: Catawba t7RC C.ER't' NUMBER; IOhw I STA"FUS: Proie;,sed NO ItISCHGE*: NO C:0316 (336 ' 3:+116 k a i:. mom1 7 1 ayttet lI U,4 fWlm1 Daily 664 2 17.46 2061 4,4 5 """" No Rcp>nrtit4q tZa'Is. R.NNNt1ka.153cf e yelc; ENV 11 No Visitatirll3— h ivdnd 4Vc ¢hul; NCII°L(,3W :w Nn HOW; 11(11IDJAY .- No VisihaiOn �. Y NPSIES PERMIT NO.: NC0051608 FACILITY NAME: Bandys High School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 11-2017 (November 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: WW-1 ORC: David P McCorkle ORC HAS CHANGED: No VERSION: 1.0 CONTACT PEIONE #: 8284643562 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SUBMISSION DATE: 12/18/2017 12/06/2017 Signature: Dbvid Patrick McCorkle E-Mail:david mccorkle catawbaschools.net Phone #:828-464-3562 Date ORC/Certifier g _ @ 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 Iist 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. feee=k 12/18/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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, Lab. CERTIFIED LAB #: N.C. 50 PERSON(s) COLLECTING SAMPLES: David P. McCorklc CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.orglweb/wq/swp/pslnpdes/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). NPDESPERMIT *R:N005 Qum NAME: Idandyv O% E NAME: Idarwa (ray Scho.olv GRADE: *\-1 mMR PERIOD: 017(October 5 m PERMET VERSION: +, CEA SS: -I ORC; a 'yc Q m ORC 1 S CHANGED:No VERSION: 9 PFHT a:aye 1Catiisibd ORC GERT NUMBER: R SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 \OJMSC# RGE« NO ®®yReporting R EyR £ »FPinuwiikecyclei F\ mR=G Visitation- Adverse Weather; N CO =NFi HOLIDAY w�x i NPDES PERMIT NO.: NC0051608 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Bandys High School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMIR PERIOD: 10-2017 (October 2017) VERSION: 1,0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 11/15/2017 NIXLI).) tO )3a 1 1 /08/2017 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone #:828-464-3562 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 11/15/20I7 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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. lab. CERTIFIED LAB #: N.C. 50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). »PDES 1,LRATIT NO:N 1018 FACILITY' NAME: aa ys,.Fligh School OWNER NAME CatWAs Dmy£,wx GRADE: WWL1 .mmPERmm 30l 5 e PERMIT VERSION: CLASS: * a } ORC: dPM CoR2 ORC ma CHANGED: x VERSION*, PERMIT STATUS: G COUNTY: a a ORC CERT NUMBER: R SAMPLING LOCATION:EFFLUENT DISCI ¥RG£ NO.: 001 NO DISCHARGE*: NO tkl,,TallTot/chffil ©a A 'Reporting. ReaGF1a3E=» Hew-Reuse/Recycle; av lk=w Dwa NPDES PERMIT NO.: NC005 1608 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Bandys High School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 09-2017 (September2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 10/26/2017 10/12/2017 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone #:828-464-3562 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 the NPDES permit. 10/26/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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. Lab. CERTIFIED LAB It: N. C. 50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. " * ORC on Site'?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). STDEs PERMIT NO,.: NC0o5 608. FACILITY NAME: Randys.111g44School. OWNER NAME: Catavd7ta County Schools GRADE:. WW-1 rDNIR PERIOD: 06-.2017 (Tune 2017) PERMIT VERSION: 4 0 CLASS: WW-1 ORC: David P McCorkle ORC HAS CHANGED: No VERSION: 2,0 PERMIT STATUS: Active rOUN'TY: Catawba OR( cERT NUMBER: 10881 Prneesed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: ZOO dot* k2 b,Ult1 507 1)934 4 1,101,1„ NOR OW NOF15 0 W NOFLOV,1 151061„0 W ' 'LOW NOF NOF .11.55 N5'11, bitobtRy Awbratt Lbwit Mobtitlib Avebsgt, HaRy Mokonor Daily 'Mummy 0 0000.0 7.1.6 66 0 1i 3 15 11 6100041 1 OWN 3 tEMP-45: rrlon111. Grab, 2. X wea inth Grab Grab CHLORINE ROD - Cow, 5.5 2 X month CibAb bd13-1.S. -.Cobb Collo 51,6E6 1 ,n111, Z X mon.1 Groh 'Ns - coot, If20L1 BR in -1 .15 1 No Reporting Reason: ENFRUSE - No Floss-Reuse/Recyclei ENVWTIIR - No Visitation Adverse Weather; NOFLOW -No Flow', HOLIDA`x" - No Visitation - Holiday 11;RIbr. NPDES PERMIT NO.: NC0051608 FACILITY NAME: Bandys High School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 06-2017 (June 2017) COMPLIANCE STATUS: Compliant Dca)T. 'An% PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-I COUNTY: Catawba ORC: David P McCorkle ORC CERT NUMBER: 10881 ORC HAS CHANGED: No VERSION: 2.0 STATUS: Processed CONTACT PHONE #: 8284643562 SUBMISSION DATE: 10/12/2017 10/03/20I7 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone #:828-464-3562 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. 10/12/2017 Permitter/Submitter Signature:*** Rick Sain E-MaiI:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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. Lab. CERTIFIED LAB #: N.C.50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. *No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. "* ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. "* Signature of Pernittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Ni DES PERMIT NO.: NC0051608 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Bandys High School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 06-2017 (June 2017) VERSION: 2.0 STATES: Processed Report Comments: School out for the summer! 6-9-17 NPDES PERMIT NO.: NC0051508 PERMIT VERSION: 4 0 i FACILITY NAME: Dandys High School OWNER NAME: Catawba County Schools CLASS: WW-1 F:: -NTY: Catawba ORC; Dar i4.1 1' McCockle ORC CERI' / N11114 B ER: r*611 tvEDAr1Dr1N11i.ny V R GRADE: WW-I ORC HAS CHANGED: No eDMR PERIOD: 06-2017 (June 2017) VERSION: 1,0 RAL F ,trATUS: Processed D\NR SECT 0 N tv100RE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAIR PERMIT STATUS: Active ,110ROS -1'iONAL OFft a i , g : . 4 s 11.. s E. 1 ! i = 5 t crt E 'N:".. , ....'..-', . le' 2144(1 dock ftra 24131) dock Uri NAN 15 ADM 043440 C14331(1 C-0610 C01331) 3(616 Instantane m 3444314y AvepAge Limit 0,61:5 Weeld 2 X month ' ' X wawa 2 X oxrnlh X math 2 X month 2 X m<o (1 OM Grab : Grab Grab (ab Grab Grab 11:M1,C pit C`litiODIDD KM- Ca N1-134v - Com -FAS - Cuipt 443013 HU AD , ug,11 anal. mgl : rawi Allonitly A (crape( 0,000043 21.6 2141 2 t,6 Dully Alailausnai (30004)43 DAlly Minimum( 440001343 6,6 , 20 < 20 5, 0 11) 8a 80 5 8 1.15 11 1 511 1115 1 i 0 11 0 3,15 ****' No Reporting Reason: ENFRUSE No Flow-ReaseiReeyelei ENVWTHR —N Visitation — Adve.rse Vitaaiher, NOPLOW No Flow; FIOLIDAY —No 'Visitation — Holiday NPDES PERMIT NO.: NC0051608 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Bandys High School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorle ORC CERT NUMBER: I0881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 06-2017 (June 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 07/11/2017 �JJ91.J -r '_lrg c,„,sb.„ 07/10/2017 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone #:828-464-3562 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit 07/11/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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. Lab. CERTIFIED LAB #: N.C.50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting httpa/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 be entered for all of the parameters an 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.: NC0051608 PERMIT VERSION: 4.0 PERMIT STATUS: Active i FACILITY NAME: Bandys High School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 06-2017 (June 2017) VERSION: 1.0 STATUS: Processed Report Comments: School out for the summer! NPDES PERMIT NO.: NC0051608 AMITY NAME: Bandys High School OWNER NAME: Catawba County Schools GRADE: WW-I el/MR PERIOD: 05-2017 (May 2017) PERMIT VERSION: 4 / PERMIT STATUS: Active CLASS: WW-1 R ECEIVF DCOUNTY: Catawba ORC: David P McCorkle /UN I 9 40? ORC CER1 NUMBER: 10881' ORC HAS CHANGED: No — CENTRAL FtLFS DWR SEC, -noN, VERSION: LO STATUS: Processed LING LOCATION: EFFLUENT DISCHARGE NO.: 00i NO DISCHARGE*. SAMPLING NO Z4110 k1Ir400,tock 11 11,11M 17 18 0916 0.63 50050 011011 Weakly Weakly Instarbtomms Grab Ft !tam Ttaiabtt mtd ge 0,00005 • 1224 50660 C0310 C.0610 2 X month 2 2 week 2 X month • 2 X month Grab (rah Grab Grab 69 011,010INE ROD CM. 17113-16 C66, .03576 . 31616 2 X morth 2 X atonal Ctrah Grab 373117,17.4o6 16,9 0,4 .0 '2 20 . < 20 o 20 12.5 < 20 <211 6.5 , 20 : < 20 < 20 '2 10.3 111 07110001 11.3 o / 36 ZOO 6,25 ! 0,95 /3 45 21,5 6,5 12.5 11.53 15.6 13.4 6.4 ,5 0 0.32 11.3 m• No Reporting Reason: ENFR USE. = No Flow-ReuserRecycle; ENVWTHR —Nc, Vis411ion — Adverse Weather; NOFI OW —No Flow, UM:WAY b.':No Vi5na7iori Holiday M NPDES PERMIT NO.: NC0051608 FACILITY NAME: Bandys High School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 05-2017 (May 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: WW-1 ORC: David P McCorkle ORC HAS CHANGED: No VERSION: 1,0 CONTACT PHONE #: 8284643562 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SUBMISSION DATE: 0610812017 (0'f. s Ca Q _ 06/07/2017 ORC/Certifier Signature: Davi Patrick McCorkle E-Mail:david_mecorkle@eatawbasehools.net g _ catawbasehools.net Phone #:828-464-3562 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. 06/08/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone 4:828-464-3562 Date Permittee Address: 2500 N CoIlege Ave Newton NC 28658 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 alines and imprisonment for knowing violations. LAB NAME: Water Tech. Lab. CERTIFIED LAB #: N.C. 50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http //portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data, * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I5A NCAC 2B .0506(b)(2)(D). NPDFS PERMIT NO.: NC005 1608 FACILITY NAME: Dzindys High School OWNER NAME: Catawba County Schools GRADE: WW-I c:DMIt PERIOD: 04-2017 (April 2017) 2406 chw24, PERMIT VERSION: 4,0 CLASS1 WW-I ORC: David P McCork ORC DAS CHANGED: No VERSION:11 PERMET STATUS: Active COUNTY; Catawba ORC CEILI NUIMIER: 108/4 STATUS: Procesk,t1 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:','NO::::, 240 clock I 10 1 IUIAY 0012117A HOLIDAY HOL 11,M121, ROL DAy Mmottil, vcrowt 42,20,0, Mocatdy A*crage, tostoraccerso 0 porartt otroottS 0 00005 VC ft* 1 Circt, 4212102 I 2 X month 2 X 2 20 2 X crnonn 81)11 - Conn 2 X month 2 :sC month Tani. Conn m C1)414 to 2,990607 "" No Reporting Reason: FN}Rt SI No Flow-RcusclRecycle; liNVW11111 - No Visitation - Adverse Weather; NOFLOW -No Plow; 1101.1DAY Visitation - Holiday 441,00ml ,73205 NPDES PERMIT NO.: NC0051608 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Bandys High School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 04-2017 (April2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PRONE #: 8284643562 SUBMISSION DATE: 05/18/2017 {\3 Cam! ) t 05/11/2017 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone #:828-464-3562 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The pennittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the perrnittee 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. lee /44-4^;-- 05/18/2017 Permittee/Submitter Signature:'** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 Permit Expiration Date: 04/30/2020 I certify, under penalty of law, that this document and ail 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. CERTIFIED LABORATORIES LAB NAME: Water Tech. Lech. CERTIFIED LAB #: N.C. 50 PERSON(s) COLLECTING SAMPLES: David P. McCorklc PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting httpJ/portal.ncdenr.org/web/wq/swp/pslnpdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 1SA NCAC 8G .0204. "' ' ' Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NrifEs PERMIT NO,: NC005 FACILITY NAME: Handys Hifhl School OliNER NAME: Catawba County Schools GRADE: W eDMR PERIOD: 01-2017 (January 2017) PERMIT 'VERSION:4.0 PERMIT STATUS: Active k[77s-elk/tED COUNTY: Catawba CI„ASS: WW- 1 , - ORE; David ()RC HAS CHANGED: No VERSION:2U CEN'TRAL FILES STATUS: Processed DWR SECTION ORC CERT NUMBER: 10481 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO Day Nfin,11.... No Reportiog Reason. ENFRUSE No Flaw-ReaseiRecycle;rNvwI1IR- No Visitatioi)- Advene Wcatho-; NOELOW No Flow; HOLIDAY No V iskation - Holiday NPDES PERMIT NO.: NC0051608 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Bandys High School CLASS: WW-1 COUNTY: Catawba UjVNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 01-2017 (January 2017) VERSION: 2.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 05/18/2017 05/10/2017 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone #:828-464-3562 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 05/18/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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. Lab. CERTIFIED LAB #: N.C.50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No FIow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for alI 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). NPUF PERMI1 NO.:NC00 1ddli FACILITY NAME: l3andys I'litth School OWNER NAME: Catawba County Schools GRADE: WW-I eDNIR PERIOD: 03-2017 (March 2017) PERMIT VER.FI( .N: 4,0 CLASS; WW-1 ORC: David P Mc . orklc ORC HAS CHANGED: No VERSION: 1,01 M A ! 0 1 l,j.I,..r: PERMIT STATUS: (".(LINTY: Catawba ORC CER1 NUMB STATUS: Prone SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCIIAi *•** No Rcp or ng Reason: ENFRUSE ==No Flow-Reuse/R";cvele; ENV WTHR -N'.) Visatat1 a X wee', ctan (111.oRI .F: Adverse Wearier:,, NOFLOW No Flow„ HOLIDAY No' Visitation Flco4'idav NriEDES PERMIT NO.: NC0051608 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Bandys High School CLASS: WW-I COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 03-2017 (March 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 04/20/2017 04/05/2017 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone ##:828-464-3562 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 04/20/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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. Lab. CERTIFIED LAB #: N.C.50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). • NPOES PERMIT NO.: NC005 1608 FACILITY NAME: l3andy5 High School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 02-2017 (February 20171 PERMIT VERSION40 CLASS: WW-1 MC: David P MeCorkle ORC HAS CHANCED No VERSION: 1 gi PERMIT STATUS: Active a C CERT NUMBER,: 10881 vIR TUS: Proce:ssed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: NI NO DISCHARGE*: NO 091219 0908 0930 0,26 Ot My Ammo 'Limit Monthly Among*: Daily M6441911111., Daily Olinlintonz ,830043 96 64 8,9 8.45 M.OW m 0.00005 di 0000 d4 3 164 .105 16. I 025 6.5 Grab MOUNT, , 20 ,20 20 370318 01004 C4Vit (IWO 2 X month 01 .73 2. X month 014 11 3 13.6 **" 1221 Re -porting Rmson: riNFRLFSE INn Flove-Reuse-fRecyelei liNVRITHR ---No Visliation Adverse Weather; NOFLOW No How; HOLIDAY No Visitation - Holiday 2 X month "NPDES PERMIT NO.: NC0051608 FACILITY NAME: Bandys High School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 02-2017 (February 2017) COMPLIANCE STATUS: Compliant 01,16 V, PERMIT VERSION: 4.0 CLASS: WW-I ORC: David P McCorkle ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8284643562 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SUBMISSION DATE: 03/03/2017 03/03/2017 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone ##:828-464-3562 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 03/03/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 2500 N College Ave Newton NC 28658 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. Lab. CERTIFIED LAB #: N.C.50 PERSON(s) COLLECTING SAMPLES: David P. McCorklc CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.orglweblwq/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). NPAES PERMIT NO.: NC0074233 FACILITY NAME: Blackburn Elementary School OWNER NAME: Catawba County Schools GRADE: WW-I eDMR PERIOD: 02-2017 (February 2017) PERMIT VERSION: 4.0 CLASS: WW-1 ORC: David P McCorkle ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO 4 Composite Sample Time Total Composite Time E F 1: 2rdo O rz 0 O 2 F 0 e z a 0 1 m 0. m 2 59050 00010 60400 56060 C0310 C0610 C0530 31616 Weekly Weekly 2 X month Weekly 2 X month 2 X month 2 X month 2 X month Instantaneous Grab Grab Grab Grab Grab Grab Grab FLOW TEMP-C pH G LO1410B BOO -Caw 1/113-N-Cone TSS-Con e FCOLIBR 2400 dock lira 2400 rloek Iln YIB/N mgd deg c su ugA mg/1 mg/1 mpg k/100ml 1 2 1020 036 Y 0.000043 9.8 6.4 <20 <2 288 8.5 35 3 4 5 6 7 8 9 10 1016 0.43 Y 0.000643 11.3 <20 it 12 13 14 0955 035 Y 0.000043 10.5 6.4 <20 3 3.58 5.4 15 15 16 17 18 l9 20 21 22 23 24 1012 0.3 Y 0.000043 12.4 <20 25 26 27 28 notably wvemse Limit• O.0i5 30 12 36 200 Monthly Average: 0.000043 11 0 1.5 3.23 6.95 22.912878 OallyMulmum: 0.000043 12.4 6.4 0 3 3.58 8.5 35 Flatly Mtalmam: 0.000043 9.8 6.4 0 0 288 5.4 15 r0s* No Reporting Reason: ENFIWSE = No Flow-Rcuse/Recycle; ENVWTHR=No Visitation -Adverse Weatbet; NOFLOW =No Flow; HOLIDAY No Visitation -Holiday "NPDES PERMIT NO.: NC0074233 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Blackburn Elementary School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCort(le ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 02-2017 (February 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 03/03/2017 JcjjJ?) 4ff 03/03/2017 ORC/Certifier Signature: I1avid Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone #:828-464-3562 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 03/03/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 4377 NC Hwy 10 W Newton NC 28658 Permit Expiration Date: 07/31/2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted_ Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Water Tech.Lab. CERTIFIED LAB #: N.C.50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 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 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.: NC0029297 PERMIT VERSION: 4.0 FACILITY NAME: Fred T. Foard High School CLASS: WW-I OWNER NAME: Catawba County Schools ORC: David P McCorkle GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 02-2017 (February 2017) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO g g i2 1. U° F :; u 12 F '� C c O . N o' G II le1-Weekly 8.tJ a Z 50050 00010 00400 50060 C0310 C0610 C0530 31616 00300 Weekly 2 X month 2 X week 2 X month 2 X month 2 X month 2 X month Weekly Instantaneous Gab Grab Grab Grab Grab Grab Grab Grab FLOW TEMFC pH CIILORINE DOD -Coot N1L3,N-Case TBS-Cone FCOLI BR DO 2400 clack Des 2400 t3o.k Ike Yn3Ri mgd degc au ugJl mgJl mg/1 mg/1 NlI00m1 mgll I 1250 0.53 Y 12.8 < 20 2 1049 031 Y 0.00006 9.9 6.3 <20 <2 7.8 12.3 <1 8.32 3 4 5 6 7 8 1012 0.41 Y 11.3 <20 9 10 1100 0.4 Y 0.00006 11.8 <20 7.72 II 31 13 1250 0.5 Y 13.4 <20 14 1025 0.25 Y 0.00006 10.1 6.5 <20 <2 8.7 6.2 88 8.68 15 16 17 16 19 30 1032 0.53 Y 12.8 <20 ' 21 21 23 24 I045 0.51 Y 0.00006 12.6 <20 8.23 25 26 27 28 1loathly Avenge Liruln 003 30 30 Y 100 nla.tn1yArar Br. 0-00006 11.8375 0 0 825 9.25 9380832 8.2375 Daily Minimum: 0.00006 13A 6.5 0 0 8.7 12.3 88 8.68 Daily ntmlmum: 0.00006 9.9 63 0 0 7.8 62 0 7.72 **** No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation - AdverseWeather, NOFLOW =No Flow; HOLIDAY=NoVisitation- Holiday - NPDES PERMIT NO.: NC0029297 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Fred T. Foard High School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 02-2017 (February 2017) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) a' 4: I 9 c3 1 U H ` ' Operator Thar On Sim yt. b o r. 'a $ z` 2400 clock Ha 2400 dock 11n Y/W7 1 1250 053 Y 1 1049 ,031 Y 3 4 5 6 7 6 1012 0.41 Y 9 10 1100 0.4 Y 11 12 13 1250 0.5 Y 14 1025 025 V 15 16 17 1a 19 10 1032 0.53 Y 21 22 23 24 1045 0.51 Y 15 26 27 26 3fo . My mirage Lboll: Monthly Average: Doily Mnalmorot Duly MFolmom: "" No Reporting Reason: ENFRUSE =No Flow-ReusefRecycic; ENVWTHR= No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY =No Visitation— Holiday NPDES PERMIT NO.: NC0029297 FACILITY NAME: Fred T. Foard high School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 02-2017 (February 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: WW-1 ORC: David P McCorkle ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8284643562 (ct‘110) T, s PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SUBMISSION DATE: 03/03/2017 03/03/2017 ORC/Certifier Signature: Da id Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone #:828-464-3562 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permitter shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the 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. 03/03/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 3407 Plateau Rd NCSR 2036 Newton NC 28658 Permit Expiration Date: 07/31/2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of #-roes and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Water Tech. Lab. CERTIFIED LAB #: N.C. 50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2) (D). NPDES PERMIT NO.: NC0086304 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Mill Creek Middle School CLASS: WW-1 COUNTY: Catawba O 4'NER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE; WW-1 ORC HAS CHANGED: No eDMR PERIOD: 02-2017 (February 2017) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO a N r ya 6 4 e S 9 u 2 F } z •0 C C h G `e PI_ m O Z a o • 9 . e 2 58050 00010 00400 50060 C0310 C0610 C0530 31616 Weekly Weekly Monthly 2 X week Monthly Monthly Monthly Monthly Grab Instantaneous Grab Grab Grob Grab Grab Grab FLOW TEMPO pH CHLORINE BOO -Cone N113-N-Cone TSS-Cane FCOLI RR 1400 Nock urn 2400 dock nra Y/B/N mgd deg a so ug/l mg/I mg/1 mg/1 fill 00m1 1 2 0858 036 Y 0.00006 11.2 6.2 <2 82 3.7 < 1 3 4 5 6 7 8 9 10 0908 0.25 Y 0.00006 10.6 LI I2 13 14 0850 025 Y 0.00006 103 6.4 <2 9.75 3.3 <I 15 16 l7 18 19 20 21 22 23 24 0915 0.28 Y 0.00006 11.6 25 26 17 28 pieathly Average Limit 0007 30 30 , 2110 Moathiy Average: 0.00006 10.925 0 8.975 3.5 1 palty:Nuimum: 0.00006 11.6 6.4 0 9.75 3.7 0 Hairy nmaimnm: 0.00006 103 62 0 8.2 33 0 ss«•NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=NoVisitation — Adverse Weather; NOFLOW=No Flow; HOLIDAY = No Visitation— Holiday KNPDES PERMIT NO.: NC0086304 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Mill Creek Middle School CLASS: WW-1 COUNTY: Catawba ORC: David P McCorkie ORC CERT NUMBER: 10881 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed CONTACT PHONE 11: 8284643562 SUBMISSION DATE: 03/03/2017 OCVNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 02-2017 (February 2017) COMPLIANCE STATUS: Compliant S Da 03/03/2017 Sig nature: gnature: id Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone #:828-464-3562 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 03/03/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Pennittee Address: 1041 Shiloh Rd Claremont NC 286109202 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. Lab. CERTIFIED LAB #: N.C. 50 PERSON(s) COLLECTING SAMPLES: David P. McCorkle PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http:l/portal.ncdenr.orglweb/wq/swp/ps/npdeslforms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 1SA NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPD1 S PERMIT NO.: t :CO 01 FACILITY :NAME: Bandys High School OWNER NAME: Catawba County Schools GRADE: WW-1 eDVIR PERIOD; 12-201fi EDeire abcr' GIC PERMIT Y'ERSICy m 4,0 CLASS: WW-1 ORC: David P Mc( rkle ORC HAS CHANGED: No VERSION: 1 1) PFIdMIT ST.AT.:Sr Actot=c Processed bt: 10881 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: OM NO DISCHARGE*: N'U C= : s 0 0000 **" No Reporting, R si m ENFG t— ycIo, ENV 0 Il IR < No Visit:alio Y..: Nu Visitation-- 11u1 Y NPDES PERMIT NO.: NC,005 1608 FACILITY NAME: Elandys High School OWNER NAME: C,ataseba ('olanty Schools. GRADE: WWd eDM R PERIOD: 12-2016 (December 2016) COMPLIANCE STATUS: Compliant PERMIT 'VERSION: 4,0 CLASS: WV,;,- ORC: David P MeCorkle ORC IUS CIEVNGED: No VERSION: 1.0 CONTACT PRONE 8284643562 .PERMIT STATUS: Active COUNTY:. Catawba ORC CERT NUMBE :11 STATUS: Processed SUBMISSION DATE; 01/13,2017 01/06/2017 ORCiCertifter S g „ature: )avid Patrick McCorkle E-Mail:david_rnecorkle@cat awbaschools.net Phone #:828-464-3562 Date By this signature, I certify that this report is accurate and complete to the 'best of my knowledge, The pcmince 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 perminee became aware of the circumstances —A written submission shall also be provided within 5 days of th.e time the pennittee becomes aware of the circumstances, lithe facility is noncompliant, please attach a list of corrective actions being taken and a time -table Ihr 'improvements to he made as required by part II,E„.6 of the NPDES permit, 01/.13,20 7 Permittee,Submitter Signature:*** Rick Sain E-Mail:rick_sain0l,catawbaschools,net Phone ft828-464-3562 Date 'Permittee Address: '2500 N College Ave Newton NC 28658 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 ray knowledge and belief, true, :accurate, and complete. I am aware .that there are significant :penalties for submitting false infomtation, including the possibility of fines and imprisonment. for :knowing violations, CERTIFIED LABORATORIES LAB NAME: Water Tcch, lab. CERTIFIED .LAB N. C. SO PERSON%) COLLECTING SAMPLES: David P. .1 7cerkle PA.R A M ETER CODES Parameter Code assistance n ay be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portaLnedenr.org/web/wq/swpipsinpdestfonns, FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES pennit 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 OMR for entire monitoring period, ** ORC on Site?: ORC must visit facilityand document visitation of faci /icy as required per 15A 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 I5A NCAC 2B ,0506(b)(2)(D), NPDES PERMIT NO.: NC0074233 FACILITY NAME: Blackburn Elementary School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 12-2016 (December 2016) PERMIT VERSION: 4.0 CLASS: WW-1 ORC: David P McCorkle ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO a F s V F di 7 k= 4 7 1: < e` 0 c A 2 Cgg E � r O` u O a a a G Z 00050 OHO 00400 50060 COSWO C0610 C0530 31616 Weekly Weekly 2 X month Weekly 2 X month 2 X month 2 X month 2 X moatb Instantaneous Grab Grab Grab Grab Grab Grab Grab FLOW TE31P-C pn CHLORINE BOO-Coae ]C13.N-Conn 1S5-Cone FYOLIBR 2400 dodo lira 1400 dock firs YAWN mgd deg c au ugll mg/1 mg/ mrf1 a/100ml 1 t 3 4 5 6 7 1000 036 Y 0.00005 12.5 6.4 <20 <2 2.85 3.8 <1 11 9 10 11 12 13 14 1008 0.25 Y 0.00005 11.6 <20 IS 16 17 16 19 20 1045 038 Y 0.000043 9.9 63 <20 2.7 8.9 4 <I 21 22 r3 24 25 26 HOLIDAY 27 HOLIDAY as HOLIDAY 29 HOLIDAY 30 HOLIDAY 31 31oothly Avenge Limit OAt, 30 12 30 200 Maathly Avenge: 0.000048 11333333 0 135 5.875 3.9 1 Daily laden®° 0.00005 12.5 6.4 0 2.7 8.9 4 0 mtlynlletmam: 0.000043 9.9 6.3 D 0 2.85 3.8 0 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR=NoVisitation -- Adverse Weather; NOFLOW = No Flow; HOLIDAY No Visitation — Holiday NPDES PERMIT NO.: NC00742 FACILITY NAME: Blackburn Element OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 12-2016 (December 2016) COMPLIANCE STATUS: Compliant PERMIT v ERSi©N: 4.0 CLASS; WW-I ORC: David P MCC.orkle ()RC HAS CHANGED: No VERSION: 1,0 CONTACT PHONE 4: 8284643562 PERMIT STATUS: Active COUNTY; Catawba ORC CERT NUMBER: 1.0881 STATUS: Processed SUBMISSION DATE: 01/13r'2017 '(i6/201 7 ORC/Certifier Signature,' David Patrick bteCorklc E-Mail:dawid_mccorklegcatawbaschools.net Phone 4:82'€1-464-35.62 Date By this signature,) certify that this report is accurate and complete to the best ol'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 infomtation 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 tinge 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 past I11,E.6 of the NPDES permit Pcrmittee/Submi Sig oalure: 01/13/2017 Rick Sain E-Maikrick_sain@catawbaschools.net Phone #:828-464-3562 Date Peranittee Address. 4377 NC Hwy 10 W Newton NC 28658 Permit Expiration Date: 07/3112020 I certify, under penalty of law, that this document and all attaelunents were prepared under my direction or supervision 2n accordance with a system designed to assure that qualified personnel properly gather and evaluate the intbrntation submitted. Based on my inquiry of the person or persons who managed the system, or those persons. directly responsible for gathering the infomation, the information submitted is, to the hest of my knowledge and belief, true, accurate, and complete. I. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment 'for knowing violations. TAB NAME: Water CERTIFIED LAB #: PERSON(s) COLLECTING SAMPLES: David 1'. MCcorklc Parameter Code assistance array be obtained by callii CERTIFIED) LABORATORIES PARAMETER CODES Unit (919) 807-6300 or by visitirog http:/i'poataLrtedenr.org/iveb/vvq/swp/ps(npdes/ 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 he entered for all of the parameters on the DMR for entire monitoring period, ORC on Site?: ORC must visit facility and document visi.Iaaion of facility as required per I.SA NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must he on file with the state per 1.5A. NCAC 28 .0506(b)(2)(D). NPDES PERMIT NO.: NC0029297 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Fred T. Foard High School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 12-2016 (December 2016) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO F y A q F 1. El a [?-' ■wurcnWVJW.+ dO 7S o i3 V o a a a S 50050 03010 00900 50060 C0310 C0610 C0510 31616 03300 Weekly Weekly Weekly 2 X month 2 X week 2 X month 2 X month 2 X month 2 X month Week Grab 1nstantaneou5 Grab Grab Grab Grab Grab Grab Grab FLOW TEMPT Pn CHLORINE SOD. Cane N113-N-Cone MS -Cone FCOLI RR D0 1900 clock 1[n 2400 dock An VOX mgd deg c su ugll mgA mg11 mg/1 0II00m1 mgll 2 3 4 5 1000 0.5 Y 12.6 <20 6 7 1030 D.3 Y 0.00006 12.5 6.3 <20 28 8.8 12 <1 7.65 s 9 10 11 12 13 0938 0.58 Y 102 <20 11 1050 0.5 Y 0.00006 11.8 <20 7.55 15 16 17 t8 10 1012 0.3 Y 10.8 <20 20 1115 03 Y 0.00005 8.8 <20 8.58 21 22 23 24 20 26 HOL113AY 27 HOLIDAY 28 HOLIDAY 26 HOLIDAY 30 HOLIDAY 31 A Mon hly Average Math 0., 30 ]D I 700 Monday Avenge: 0.000057 _ 11.116667 0 28 8.8 12 1 7.9215667 Dillyhladmnm: 0.00006 12.6 6.3 0 28 8.8 12 0 8.58 Dilly Mtalmnna 0.00005 8.8 63 0 28 8.8 12 0 7.55 '••* No Reporting Reason: ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR=No Visitation -Adverse Weather; NOFLOW =No Flow; HOLIDAY = No Visitation Holiday NPDES PERMIT NO.: NC0029297 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Fred T. Foard High School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-I ORC HAS CHANGED: No eDMR PERIOD: 12-2016 (December 2016) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) C 1.1 U 1 e F' Operate r ArMtal tlmr s o P. O . O 0 N n a . 2480 dock Fire 2400 dock Uri Y18W21 2 3 4 5 1000 0.5 Y 6 7 1030 0.3 Y B 9 10 11 12 13 0938 0.58 Y 14 1050 05 Y 15 16 17 18 19 1012 0.3 Y 10 1115 0.3 Y 21 22 23 24 23 26 HOLIDAY 27 HOLIDAY 28 HOLIDAY 29 HOLIDAY 30 HOLIDAY 31 Monthly Avenge Limit: Monthly Average: Daly Maximum: Dolly Minimums ••••NoReporting Reason: ENFRUSE=NoFlow-Rcuse/Recycle; ENVWTHR=NoVisitation — Adverse Weather; NOFLOW=No Flow; HOLIDAY —No Visitation — Holiday NPDFS PERMIT NO.: 1NCO029297 PERiMIT VERSION: 4.0 PERMIT STATI,IS: Asti VC FACILITY NAME: Fred T, Foard I1i,gh. School. C"LASS:'W-'I COUNTY: Catawba OWNER NAME: Catawba County Schools OR( David P lVtcCo•kle ORC CERT,'NUMBE.R: I1»0 l GRADE: WW-1 eDMR PERIOD: t2-2t3tfn(t?ewers btr tf16.1 VERSION:: to STATUS: Processed COMPLIANCE STATUS: Cornpl[:root CONTACT PHONE #:82846w4:3562 ORC/Certifier ,Signature: By this sii ORC HAS CHANGED: No SUBMISSION HATE: 0111 312t117 01l06 2,0l7 iwk 1vicC crrkle F-Mail,davidm.ccorkleF,a..'.catawbaschools.net Phone l S28-464.2562 certify that this report is accurate and c.araatpiete to the best of my kncry °ledge. The perraTittee slta'li repert to the Director or the appropriate Reg ona1 Office any noncompltatmcr that potentially threat.enspubhc health or the environment. Any information shall be provided orally within 24 hour from the time the pertnittce became aware of the circumstances, A written submission shall also be provided within 5 days of the time the perniittee becomes aware of the circumstances, lithe facility is noncompliant, please attach a list of coffee the NPDES permit, ion being taken and a time -table for improvc^ments to be made as required by part lLE,6 of Ptrmitt e✓Su%amatter Signature:*** Rick Sain E-Mail:rii.ku 01113/2017 catawhaschools-net Phone #:828-464-3562 Date Penta ttee Address:3407 Plateau Rd NCSR 2036 Newton NC 28658 Permit Expiration Date: 07/31/2020 1 certify, under penalty of law, that this document and :r11 attachments were prepared under my direction or supervision in accordance with a system desired 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 infurmation submitted is,, to the best of my knowledge and belief, true, accurate, and complete, l am aware that there are significant penalties for submitting false in6wmatiion, including the possibility of lines and imprisonmem for knowing violations_ LAB NAME: Water Tech. l,ab. CERTIFIED LAB#: N.G.50 PERSON(s) COLLECTiN(. SAMPLES. t)rayid P, htl' ee:ride CERTIFIED LABORATORIES PARAME'1"ER CODES Parameter Code assistance tnay be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http:/✓po cden .org/weblwq/s nlns/ 'Corals, FC)C)'FN OT lT,S Use only units of measurement designated in die reporting fa.cility',s NPDFS 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 8Ci' .0204, *** Signature of Permitter: if signed by other than the permittce, then delegation of the signatory authority must be on the with the state per 15A NC'AC 2'fi ,0506(b)(2)(I)), NPDES PERMIT NO.: NC0086304 PERMIT VERSION: 4.0 FACILITY NAME: Mill Creek Middle School CLASS: WW-1 OWNER NAME: Catawba County Schools ORC: David P McCorkle GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 12-2016 (December 2016) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO r. 4 `a P e ,� = s` '5‘N E It 8 a u Operator Arrival Time A a 8 it:v 9 d' C O i 2 8 s Z 51056 00910 90400 50060 COMO C0610 C0330 31616 Weekly Weekly Monthly 2Xweek Monthly Monthly Monthly Monthly Instantaneous Grab Grab Grab Grab Grab Grab Grab FLOW 'MUM tin CHLORINE ROD -Coat N=LLIY - Coat TSS-Coot FCOLI RR 2400 e1xk Ha 2400 clock Hrs VMS mgd doge su u6ll mg/1 mg/1 mg)/ 1111O0m1 t 2 3 4 5 6 7 0854 0.13 Y 0.00006 1111 6.4 6.1 112 7,5 < l — 9 ID 11 12 a 14 0840 0.35 Y 0.00006 10.3 15 16 17 18 19 20 0955 028 Y 0.00006 9 6.4 3.8 12.4 4.5 < I 21 22 23 24 23 26 27 28 29 30 31 314ahly Average Limit: 60DT 36 30 200 Monthly 4Yera` 0.00006 10.136667 4.95 11.8 6 I Day Srwmam: 0.00006 11.11 6.4 6,1 12.4 7.5 0 D.OyMtolmnm: 0.00006 9 6.4 3.8 112 45 0 •••• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation —Adverse Weather; NOFLOW = No Flow; HOLIDAY No Visitation — Holiday NPDES PERMIT NO,: NC0086304 FACILITY NAME: Mill Creek ,fiddle School ONVNT.:R NAME: Catawba tiba County Schools GRADE: WW-I. eD'MR PERIOD: I 1-20,16 (December 201 ra) COMPLIANCE STATUS: ('o n hart PERMIT VERSION: 4,0 CLASS: 'Vv W - l ORC: David P McCorkle ORC HAS CHANCED; No VERSION: 1,0 CONTACT PHONE #: 828-464 ;35 PERMI`i' STA7 I S: ,A<aive COUNTY: Catawba ORC CERT NI 1BER: 108 1 STATUS: Processed SUBMISSION DATE: 01/13/2017 1) I /06/201 7 ORCrClcrtifier Signature: l avid Patrick Mc(orklc E-Mail:david mccoakiO4atawbaschools.net Phone #:K28-464-3 62 Date Bythis signature, I certify decoct and colete to the best of rn knowledge. The perrnit1ee 5ha61 report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health Or the ens=°ir nanend. Any information shall be provided orally within 24 hours fmnr the tune the permitter became aware of"the circumstances. A written submission shall also be provided within 5 days of the time the l.7errnittee becomes aware of the circumstances, lithe facility the NI'DES perm ncompliant, please attach a list of correct actions being taker) and ame-table for improvements to be n ad.c, as required 0.1/1d.t""2d(7 Per mittcc'Subtnattcr Signature:*** Rick Sat`ra baschools.nct Phone 4:82K-464-3562 Date Pennittec Address, 1041 Shiloh Rd Claremont NC2861.09202 'Permit, Expiration Date 04/ 0/2©20 I certify, under, penalty of law, that this document and all attachments were prepared under nay direction or supervision a system des%gned 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 int'urmation. submitted is, to the best of my knowledge and belief, tnte, accurate, and complete° 1 arn' aware that there arc 4tglrlfteant penalties for submitting false inhumation, including the possibility of fines and lmprtsonnten knowing violations. LAB NAME: Water'Tech. Lab, CERTIFIED LAB #; N,C .s() PERSON(s) COLLECTING SAMPLES: David P, MC:corkle CERT) 1.ED .F..ABORATORIES PARAMETER CODES Parameter .ode assistance may be obtained by calling the 'NPDES Unit (919) 807-6300 or by visiting tattp:/1porta Use only units of measurement designated in the rcportin ity's NPDES permit for reporting data. nedenr-ti a/ wTe b iw q /s w p i ps/ n pd e s f form s, * No Flow/Discharge Frorn Site: Cheek this box if no discharge oe urs and, as a result, there nee no data to be entered for all of the parameters on the DMR for entire monitoring period_ ** ORC on Site`: ORC must visit filcilit ' and document visitation of°fac_ility as require tf per t5A NCAC SU .0204, *** Signature of Permittee: 11'signed by other than the permittee, then delegation of the signatory. authority must be on file with the state per 15A NCAC 213 .0506(b)(2)(D). *`. DES PERMIT NO.: NC'00516(b 1 FACILITY NAME: Handy's High School OWNER NAME: <'atov<ha County Schools GRADE: WW-1 I)AIR PERIOD: I I-tll i 1'"1c vcn7Fs ?i'Dlf PERMIT VERSION: 4,0 (:LASS: WW-1 ORC:: David I' M Cor ORC HAS CHANGEI VERSION: 1,0 AN �R PERMIT STA`FUS: Active COUNTY: Catawba. C RC: C.ERT NUMBER: I0* l STATUS: Pros sed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHW 1 NFR1kSli No 1low-RciselRccycle; I4NV1,47Ml2 No VisitzaioiAdverse Wejlllor Nt11 L(:IW Nei Flow: 'HOLIDAY ti$o'SYIshatio AL C ±lCE h Its NPDl1sti PERMIT NO,: tiC'tltf5Ih0 * FA(.7UiTY NAME: li':indys High School OWNER NAME;: Catawba ('aunty Schoe GRADE 'W W -1 (AMR PERIOD: 1I-20I6 COMPLIANCE STATUS: PEIRMIT'. F RSION 4,0 CLASS: w W-I ()RC: David i' McC:.orklr: ORC" HAS CHANGE, I)t No VERSION: 1.tt CONTACT PHONE #t: 8284643562 rr°it5 Iatriuk hficCorkle Fi-Matf:david By this sis nature: I certify tlttat this report is 0 ttplete to the hest eaf my knowledge. The perrnittcc shall report to fire I)lreett r or tla appropriate filet o Any information shall he provided orally wtthitt heaurs from the provided within 5 days of the time the permutee b ctontes:tvu tr°t: atf PERMIT STATUS: Active COUNTY: Catawba. ORC CERT NUMIWK: TABS 1 STATUS: Prate sed SUBMISSION DATE; ; 121222016 Phone #:828-464-:3:5f 2 Date ee any noncompliance that Nam. tially threatens puhlie health or the environment: e permittee became aware of the ciretrrtrst:att(es, rvritteu suhnussient shall also he mistances. If the facility is noncotnpiiatn., please attach a list of"corrective actions being taken and a time -table for improvements to he •made as .re:c stir t by part lipid,( of the NPDFS permit, Pernrittee,tSubmi't'ter St _nature.*** Rick Sairt F-h>fail:rieck aan1aeatawha Permittee Address: 2500 N College Ave Newton \C 286.58 Permit Expiration Date: 04/ 0/2021"1 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in. accordance with to systean designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on niy inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the in..forntation submitted is, to the best of my knowledge and belief, truce, accurate, and complete. 1 tarn aware that there are significant penalties for submitting false information, including the possibility. of fines and imprisonment fs k.nowing violations: I,AB NAME: War CERTIFIED Af3 #t:.5it N,t`. PER`tiNO) t:"(ILL (TrIN 1 SAMPLES: ray. be (1htautted by calling the NP' AR()RATC)R1F'S I'ARAMETER CODES .net Phone #:828-464-35. 2 i'nit (919) 807--6300 or by yisitang http:/','`por N CE1 ,S Use only units o.fineasurernent designated in rite relrrarting facility's NPDES permit for reporting data. *' No Flow/Discharge From Site: Check this for entire monitoring period. ORC on Site?: OR( muse *** Signature of Pernrittee It°signed by other than the perniirl 0506(h)(2)(1)). x y arrd document vim e. occurs and. as a result, there are no data to h n of facility as req then delegation of the si I5A NCAC pr Date °p• pss# npries `t'orms. 'meters on the FAIR try authority must he on file with the state per NCAC 2B NPDES PERMIT NO.: NC00S 1608 EAC1LITV NAME: 13andys High School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 10-2016 (October 2010) PERMIT VERSION: 4.0 CLASS: WW-I ORC: David P McCorkle ORC HAS CHANGED: No VERSION: 1..0 PERMIT STATUS: Active 40UNTV; Catawba ORC CERT NUMBER: 10881 i` (: C STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 901 NO DISCHARGE*: Nao nrt ) I—,?4-`,,\i' LE R1- Cfr)N L • 00050 06916 66460 Weakly Weekly 19i-5t21fl1atl1C633. Crab n d dog c 93 22.0 htna#Uiy Average fink: i60f 2 X mo 0:0216 C0629 00230 31616 .k "} X rnanlh ' 2 X month. ;2 wmoalh 2 X mono!. Grab Grab j d7mb },atir C3k: 6WID-Unne 22301..0 BR nt9wT+I YA1sLI) '.N1'ld",44 00 36 "... 7.7 30 200 it 20.57'5 7.55 94 21.2132133 Daily 5€aX&A1#pkMG O'.Ot7d,Hb5 22.8 8.2 14.5 25 Daily nun 19.2 4,3 •"Y° No Reporting Reason: ENFRUSI,1— No Flow -Re Reeycic; E\NW 5 HR = No Viaitation NOF":IOW ==No Fiosxry FIO5,IDAY= No Visitation-- Holiday NPDES FACILITY NA i4 E; i andys High School OWNER NAME: CaCounty Schools CRANE: WW,•1 cOMR PERIOD: U) 2016.(O tuber 2Cli 6) 'CO051608 PERMIT VERSION: 4,0 CLASS: WW-1 ORC; ITavcrl P Cvlc C'lorl le. ORC HAS CHANCE CI: N VERSION: I PERMIT STATUS: Act€vo COUNTY: Catawba OR(' CE:RT NUMBER: 1610 1 S'I'.^,"I'US: Processed SA PLING LOCATION: INFLUENT DISCHARGE NO.: 001. wort.1 NFRI SE No Flow—Reuse/Re NoViaitatiaAdverse Weather; U*LOW—N F NPDES PERMIT NO.: NC0051608 FAILITY NAME: 13andys High School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 10-2016 (October 201 6) COMPLIANCE STATUS: Compliant .tint , 4 i t 1 5 PERMIT VERSION: 4.0 CLASS: WW-1 ORC: David P McCorkle ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8284643562 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SUBMISSION DATE: 12/22/2016 11/14/2016 ORC/Certifier Signature David Patrick McCorkle E-Mail:david_mccorkl.e4icatawbaschools.net Phone 4:828-464-3562 Date By this signature, 1 certify that this report is accurate and complete to the hest of my knowledge. The penuittee 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 ll.E.6 of the NPDES permit.. 12/22/2016 Perm%'Ctee/Submitter Signature:*** Rick Sain E-Mail:rick sawn(/,catawbascchools,net Phone #:828-464-3562. f)at Perm.ittee Address: 250.0 N College Ave Newton NC 28658 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. l am aware that there are significant penalties for submitting false information, including the possibility of lines and imprisonment fo knowing violations. LAB :NAME: Water tech lab CERTIFIED LAB #: Nc50 PERSON(s) COLLECTING SAMPLES: David rnccorkle CERTiFIE.D 'LABORATORIES PARAMETER COi]ES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting lit FOOTNOTES denr_org/"weh/wq/s wp/ps/npdes/forms. Use only units of roea_surement designated in the reporting facility's 'NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box 'lino 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:ntust visit faeihity and document visitation of facility as required per 1SA NCAC 8G .0204. *** Signature of Penlaittee: If signed by other than the perrnittee, then delegation of the signatory authority must be on file with the state per I SA NCAC 2B ..0506(b)(2)(D). CERTE 1 k,.A`,O1 CHECK BOX IF ORC HAS GLOM) Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617MAIL SERVICE CENTER a'7Ei)9-16I7 C 1 t7 aR .l Ian "�.,. i i 'N oe�a�"="aT No ILOW U:: CILARCE FROM SITE HYMN SIGNATURELtCERTIFY ` HAT U ACCURATE AND COMPLETE TO THE BEST Y/Da d IOLa C UNITS r /L PaICJ7, @IC fl RT IS P,t,,#<AMETER CODE ABOVE NA40 Ai�iC) IJ1SI;,)3CQ4 The perm threatens public health or the en permittee became airfare of the c pe iittee- becomes aware of the c A written submission shal r lit•,c; that pc,tntar�tt,lYd, 4 hours from the time the so he provided \wittsir°I 5 days of the time the If the facility is noncompliant, please attach a list of corrective actions being taken and a titrre-table for improvements to be made as required by Part ELE.b of the NPDES permit. "I certify, undsrpenalnrofltaw, that this docmrnerrt and a]I attachments were prepared under m fn accordance with a system designed to assure that qualified personnel properly gather and evaluate tl sLrbtmitted, Based on my inquiry of the person or persons who managed the syste a, or those persons directly responsible for gathering tire information, the infor' submitted is, to the best of my knowledge and belief, true, accurate, and complete, lam aware that there are significant penalties f'or submitting false in;oriatatiort,, includin the possibility of fines and imprisonment for knowing violations" P'erninee Address J`'hc c rami Certified Laboratory (2) Certified Labctatnry° (3) Certified Laboratory (4) Certified Laboratot-'' (5) Parameter Code asses http:r`lport_aal node r.orafw=else/w ADDITION AL CERTIFIEDLAII©I.O I:ES Certificate Use only units of rruassur luro * No Flo's%/Dischar entered .for all of the parsunerers on the DMR fo " ORC On Site?: ORC must visit facility: and doeurneu ***Signature ofPermittee. Ifisigtr ci by other than the punt file with the state per 1 5A NC AC 2B .0 506(1)(2)(D). PARAMETERI CODES NPDES Unit at (919) f03-6300 or by, ES permit for te-I)O OFi;TT.,1 tasl ORIOI I ATTN: CENTRAL 1?i4"itii() V' OF WAT E. 1617 MAIL SERVICE CE CENTER (r Z CT� T i i�ads 'ETRE.Pt CT:UR. i' °t i°d MPL TE 00110 a E 1TER PARAMETER GET v NAME ANN UNITS FELOV'V three ens public perm ttee became a ar of th perrnitte.0 hecOin .S aware o l.f t e fadlhty i p]ea shall ]aL fp.t.v of corrective acti improvements to be made as required by Part C1. .6 of the NPDES pc "1 ce if}°, under pennatltfµ of is Icrordance with a system d for gather the informa complete,1 am aware that fines and imprisonment for knowingvioia T ed borator iced Laboratory (3) ietl i aborator :Y (:A)) Certified Laboratory" Usti!, Only units 0t measr No Floss°,[Thscharge t=rwn Site. Chsa entered. for all of the parameters on the l:)MR for the OI:C On Site?: ORC must visit facility and document visitation of faacilii * * * Signatnrc of Pcrrnittec: Tf siiened by^ outer than the ricrnninr.e, then rho. delr,t; 1e with thr: 5,1 'NCAC 213 . 506 hhfno`l. h •rise, ra ,signed to assure to t. of the person or ifonaation sub re sia rtipar.atnt tar. qualified perssounel rsons who managed hours fir( 15 days ing taken and a ti per] r Ys :tither and evaluate the ar those persons dire edge and belieef, true, accurate, and nation, including the possibilit', of the time the Plcaase print or type) (l�equirred trnlcss submitted electronically) Cr X 1 ci j Q F PARAMETER CODES address TORQES for rreaortmg data. herr .re. no data to be y auttaori 2o EIti T NPDES PERMIT NO. i ' P DISCHARGE NO.b 0 P MONTH fi FACILfl Y NAME CLASS_ COL CERTIFIED LABORATORY I) '?_ _ CERTIFICATION NO. (fist additional laboratories on tf ba ksiJe/page 2 o 'this OPERATOR IN RESPONSIT3LE CHARGE (ORC) PERSON(S) COLLECTING SAMPLESTO CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 FLAIL SERVICE CENTER RALEIGH, NC 276994617 GRADE ' CERTIFICATION NO. ORC PHONE 50. NO FLOW l DISCHARGE FROM (SIGNAT R O O E'RAF R I RP t lSIBLE Clf. Eb BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE T OF MY KNOWLEDGE. DATE DWO Form MR-1 ((11!co v 0 Ail monitoring data and sampling frequencies rtteet petit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT sheet permit requirements Noncompliant The permittee shall report to the Director or the appropriate Regi0nal 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 pernittee becomes aware of the circumstances, a ility is nraneosnpliant, 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 systetn, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Required unless submitted electronically) oX y e a 'KIN- h r . Phone Number e-mail address Certified Laboratory Certified Laboratory Certified Laboratory Certified Laboratory (5) ADD CERTIFIED ABORATORIES ETER CODES Cettitr€cation No, Certification No. Certification No. Certification No, Parameter Code assistance may be obtained by calling the NPDES Unit at (919 http://portal.ncdenr.org/webiwg/swpIps/npdeslappforms 7-6300 or by vis units of rn No Flow/Discharge nate( repo 1) ttid, as a result, there are no data to be entered for all of the parameters on the DMR for the entire rnoperiod, �' * ORC' On Site?: OR.0 must visit facility and document, visitation of facility as required per 15A NCAC 8G ,t1204.. Signature alPermittee: If signed by other than the permittee, then the &legat'on ofthc signatory authority mast be on file with the state per 15A. NCAC 2B .05060)(2)(D), F Site: Check this box if no dis. 7Nit'D FERN' dY CIL:F CTT, 3 CIJFL7i BOX If ORC HAS CHANGED Mai? ORIGINAL and ONE COPY tO: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1..617 p"LIIL SERVICE CEN'C,I;R lu. C f 9 -I617 x (21,F. C ER I1 3 (RADII ORO P1 `(L NO FLOW 1 OISCIItIRGE FROM iIT1. NYTHIS ,SIGNATURF, I CERTIFY THAT TFI IS REPORT IS ACCURATE AND COMPLETE TO TIIE BEST OF MY K:SOtVTLEDGT 50060 0030 006 =.lw az �Ic Q W I {4U ED We tsinfendot U C41, 0 0 00600 IIO`! NO. sNTER, PARAMETER CODE ABOVE NAME AND UNITS BEI.O'r`I' 3 : 11 monitor The permil threatens public heal persnittee became aw rreu l$tances. A iAlitwn s becomes aware of the cire..RrtE itun es. If the facility is noncompliant, please attach a list of correctir e acttr ns improvements to be made as required by Part lLE.6 of the NPDES per "I certify, under penalty of law, that this document and all attachments were prepared der my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the rntsnntntiztiotn submitted, Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the hest of my knowledge and belief, tnne, accurate, and complete. I am aware that there are significant pe submitting false information, including the possibility of fines and i mprisoamen.t for knowing violations: days Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) Farattnrter Code ar http: uired nay be ,o wq/swp/psinpdes! No Flow/Discharge From S entered for all at the parameters on the [)\11. OI(C On Site?: ORC: must visit facility and document e, 444 Signature ofPerrnitteer Ifsigned by other than the prrnnttee, then the delegation file with the state ner 15A NCAC 213 ,O5O6(b)(2)( )). PARAr ilinni tl pforms, ing taken and a time -table for btnitted electronically) Certification No. Certification No, c, NPf Unit at (9I9) 8O7-630O or d, as a result, there g period., 0 data to be 204. .ist be on OPERATOR IN R: PERSONS) COLLECTiNG SAM CHECK BOX IF ORC RAN CHANGER Mail ORIGENAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 16t7 MAIL SERVICE CENTER RALEIGILNC 27699-1.617 GRADE,_ ORC C P:-P JNE NO FLOW 1Y I'LIfSSIC' 3Ai"1 R JCERt FY"IT1sT ACCURATE AND COMPL.ET'ETOT(IE i 004 0 0060 $ 00310 I10610 I C10 4I wi'I6 OST OF RT IS 1(..NO WI EDOE. ENTER PAR.ANIS.TER 00DC. A t NAME AND UNITS BELOW The �f l .tee Sh'atll 3 ,pxort td the D.sectcr or the a.pproptiare Regional Office any noncomp threatens public heaitp t1S t1?e• ei "'ironment, Any in ormation Shall be praytti l orall " 4'lta tt1 ? llo rrs r irl th tin permIttee became aware e1 t1 circumstances. A w1"tv`.te submission shall also be provided within 5 day S of the time permirtee `'',comes aware of the circumstances.. lithe facil pliant, please attach a I'r •forttiation, the information submitted is, to the best of my knowledge and belief, true, accura complete. I am aware that there are fines and imprisonment for knowing violations." .ions beiag taken and a thee -table for irnprovcments to'be made as required by Part: IIE.6 of the NP . S permit, "I certify, tinder penaltyE of law,. that this docuniertt and al! attachments were prepared r:ttdel my dire ti hr accordance with a system designed to assure that qualified personnel properly gather and evaluate tl subnitted. Based on my inquiry of the person or persons who managed the syslern.., or those persons d for gathering Certified Laboratory (2) Certified Laboratory" (3) Certified Laboratory (4) Certified Laboratory (5) Parameter Code a http;//portal,neden.r.orf�' t penalties for submitting false information, inelu.ding the possibility of Da submitted electronically) TIONAL C MUD LABOR. OR rtitication. No. 'nation No. No. Ce PARAMETER CODES No, calling the NPDES t"Jnit at. (?19) 807-6300 or ss/aappforms. nl'y units of nreasureme.nt designated in the rega'rrtittg facility"at " No FlowiDischairge Front Site. Check. this box entered for all of the parameters un the I" ORC OnSite?: ORC must visit facility trod document visitatir ' Signature of P'eranitteer It signed by other then the peraaittee, file with the state. Der I5A NCAC 2B .0S06(1))(2)( ftI S Ir'rmit for repo: C11a:80.0 04. h rflp` trolls', be en P MR.5 iN(S) CHECK BOX IT ORC. ERS CHANGED Mail ORIGINAL and ONE COPY to: A,TTN: CENTRAL FILES DIVISION OF WATER QUALITY 1611 NEAR., SERVICE CENTER L, NC 27699.16F.7 'ER1,GE NO FLOW P DISCHARGE FROM S. 1 F CISi I3 k''T`11 S1GNAT RT 1 E T7"IFYTHAT "THIS REPORT IS ACCURA.TE A7 D CO 4PLETE TO THE BEST OF MY KNOWLEDGE, 0t)Cii# 1111 i [ O 086 t 9 ; (I0S t1 a31S 1, Ot1311t3 C?t l EU —Ft PARA: TEk3 C8D5 A OV tE AAttr UNIT 8ELtVL YnOttin,,i oto. of the moifbdrini4 data anti fidiqueriefes moo°. ricrran roydretnenis tincludiir nveyages, appl;d,:.ntdc) nwnitoring dtita and sirilp ing fri,xpuencies do "14\lOT incet permit requirements Compliant Nonerlinpliant The parrninee shaII report tO the Director or the arrropriar . eciona! etflic,c any noncornpliarce that potontia!ly threatens public health or the environment, Any information shall bc provided orally within 24 hours titm the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permit tee 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 ILE.6 of the NPDES permit. "I certi.fy, under penalty of law, that this documentand 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., used on my inquiry of the person or persons ',Om 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." c44qi 4A Pr1nLl1eL Address Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) Permittec (Please print .°449j/e, Signaturc of Pe ee*** Date' (Required unless submitted electronically) 0.X 0 I 0»euJfch Phone Number adiliesx _vcg-rs-60 Permit Expiation Dale °NAL I;RIIFIED LABORATORIES cluu7LL Certification No. Certification No. Certification No. PAItAMETER CODES Certification No, To 2,0W 1."-‘ Parameter Code assistance may be obtained by canine the NPDES Unit at (919) 807-6300 or by visiting http://poit a Liicdenr•orglwebhglswpipsInpdeslapploi ms. Use on] V units of measurement desig,nated in the„ st facility's NIMES permit fOr [eporting data, * No Flow/Discharge From Sitei 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, " ()RC On Site?: ORO must visit facility and doeurrimIt vi.sitation of fiicility as requ red pet 15A NCAC 8G .0201. *** Signature of perm lacer If signeii by other than the pernistrre, then the ddcgation of the, signatory .autherity .mest be .en file with the stafp. nee 1 NCAC .0.506(1.421(I)). "CTING SAMPLE , CHECK BON IF Ci mai, oaf[NAL aid ONE COPY 1(Y ATTN: CENTRAL FILES DIVISION OF WATER QUALITY ltii7 MAEL SERVICE CENTER 1i11; 1 27699.1617 holy Li NO IQOW / DISCHARGE FROM S T .. T1S SICNATURE, C C'F„RH Y TWAT T111SR R PRAT AND COMPLETE TO THE BHT OF M" 1C TER PAPA PETER EABOVE NAME A MT `ddEiordI1 4limltZtO%Lli .'J1.;:4Ei` P_ESPONSTb'LE c P E RS 0 IThCO[1rGIIvt, a T L1- CHECK BOX IF ORO HAS CHA`r`GEII [y'x�af ORIGNAL and ONE COPY to: AT TN: CENTRAL FILES DIVISION OF WATER QUALITY 16 7 hf.11L SERVICE CENTER RALEIGEI. NC 27699460 TRACE IiY11i15STG: «.TLRE,10ERT1FY ACLLR. "LE &ND GJ�1LLE"ER ]O 00530 1 1616 C[kC Pi 9'111S REPORT 1S ES']"OiF;',TY KNOWLEDGE LEDGE.. 00600 N ENTER PARAM EER CODE ABOVE NAME AND UNrt I TS BELO M1i a C) N0 I �, 0 0. The pe s public health or the environment. Any perrnittec became aware of Llie circumstances. A written suhm l;& rntrtte-c becomes aware of the circumstances.. I also b t.,t' vided wiftk n 5 das,'s f the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for mprovernents to be made as required by Part 1LE.6 of the NPDES permit, 1 certify, underp in accordance with a system c submitted. Based on my for gathering the inf'drmation, the info complete. I arrn aware that there are si fines and imprisonment for knowing v Permute rlttdre,ss Certified Laboratory° (2) Certified Laboratory(3) Certified Laboratory (4) Certified Laboratory (5) httpstfp hat this document and all attachments were prepared under my direction or supervision d to assure that qualified personnel properly gather and evaluate the Mforrnation person or persons who managed the systctra, or t so a perscans directly responsible on submitted is, to the best of my knowledge and belief, true, accurate, and penalties for sulrnait ations." false information, including the possibility (Required unless submitted electronically) 1a\O R"rIVIED LABORA"TOI:UES Code assistance txiav l e obtai. a0.n.cdenr. Use only uni No flow/Discharp PARAMETER CODES ,pipslnpdesfappfomns NPDES Unit at ied in the Check this he Certification Certification No,. 6 ta. 0 and, a, a result, there are no data to be entered for all of the parauneters on the DMR for " ORC On Site?, ORC.must ust visit taciltt ° sr " Signature of Permittees'If signed by other thin file with the state per 15A NCAC 213 .0506(h)(2)(D). umcnt visitation of ory authov must he on NPDES PERMIT NO., FACILITY NAME. CERTIFIED LABORATORY (list additional laboratories on the backside/pate 2 OPERATOR IN RESPONSIBLE CHARGE (ORC) PERSON(S) COLLECTING SAMPLES 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 276994617 50050 UV Tcetion AVERAGE EF ' ,LTENT CLASS COU'N CERTIF'ICATK) NO, GRADE, } CERTIFICATION N ORC PHONE NO FLOW / DISCHARGE FROM SITE NATuR.F; iF OPER "lO RDSFOt BY THIS SIGNATURE, (CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE LEST OF DIY KNOWLEDGE 00310 00610 00600 001"06 (LC DATE ENTER PARAMETER CODE ABOVE NAME AND UNITS BELOW DWQ Form MR-1 (11/04) Facil to (Please cl'teck one of the following) titoring data and sampling frequencies meet permit (including weekly averages, if applicable) All monitoring data and samp NOT meet permit requirements The permittee shall report to the Director er 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 timetable 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," Certified Laborat' (2) Certified 'Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) atuie of Peranittee*** Date (Required unless submitted electronically) ADDITIONAL CERTIFIED LABORATORIES q w be Co 4 1f �. ►-1;: S Certification No. Certification No, Certification No. Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 8O7.6 00 or by visi http://portal'.ncdenr.org/weblwq/swpips/npdeslappforms. only units of measurement designated in th g facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a rt'suEt, entered for al] of the parameters on the DN1R for the entire monitoring period. ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 86.0204. *** Signature of Permittee: if signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2E1 .O5O6(b)(2)(D). no data to be NPDES PERMIT FACMLITY NAME _.,3 CERTIFIED LABORATOR (list additional laboratories on the backside/page 2 OPERATOR IN RESPONSIBLE CHARGE (ORC PERSON(S) COLLECTING SAMPLES, + : CHECK BOX IF ORC HAS CHANGED Mail OR.IGINAI, and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGII, NC 27699.1617 EFFLUENT DI'CH ARGE NO. CATION NO, GRADE ! CERTIFICATION NO ORC PHONE` NO FLOW / DISC S BY THIS SIGNATU ACCURATE AND C El eaIDR I ' R O SII CE CHARGE:) I CERTIFY TILATTIIIS REPORT IS IPLETE T( THE BEST OF MY KNOWLEDGE, RGE FROM SITE * DATE [) W'Q Form MR -I (11104) Facility Status: (Please check one of the followi All monitoring data and sampling &equettctes meet, permit requirements (including weekly averages, if applicable) All monitoring data and sarrrplug frequencies do NOT .meet permit requirements Noncompliant The pern ittee 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 1 ct'ive actions being taken and a time -table fo 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, 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Certified Laboratory' (2) Certified Laboratory (3) Certified Laboratory° (4) Certified.. Laboratory (5.) Perrttittee (Please printor type, Signature o (Required unle ION; L CERTIFIEDLABORATORIES PARAMETER CODES Certification No, Certification No, Certification No, Certification No, Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by vis http:///portabncdenr.org/webs/'wq/swp/'psInpdes/appfomts. Use only units o ignated in the reporting facili'ty's NPDES permit eportirrg data, No Flow/Discharge From Site: Check this box if no discharge occurs and, as a resu'It, 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 80O.0204. *"* Signature of Permitter: If signed by other than the permittee, then the delegation of the signatory authority must he on file with the state per 15A NCAC 2B .0506(b)(2)(D). o data to be NPDES PERMIT NO \C:.,C FACILITY NAME is CERTIFIED LABORATORY (list additional laboratories on the backside/page 2 OPERATOR IN RE.SPONSIBLI CHARGE (©RC)- PERSON(S) COLLECTING SAMPLES CHECK BOX IF ORC'HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 NIXIE SERVICE CENTER RALEIGH, NC 27699-1647 EFT DISCIL\R F NO MONTI CLASS CERTIFICATION NO,. GRADE- ) _ CE RTIF ORC PI -LONE NO FLOW / 1.9ISCHARGE FROM SITE t &C N ETC ROF OP'R roFL 11"r EsPON BY THIS SIGNATURE, I CERTIFY TIIAT TIIIS RF1'ORT 15 ACCLI ATE AND COMPLETE TOTIIEBEST OFMYKNOWLEDGE, <0 LL J LL© 00300 CATION NO ENT t pmAINETER CODE A$OVE NhM1 ANI3"UNITS BELOW DWQ Form MR-1 (11104) Facility Status; (Please check ttrre of the follow All monitoring data and sampi'ing frequencies meet permit requircrnents (including weekly averages, if applicable) 0 data and sampling frequencies do NOT meet permit requirements Noncompliant The permiee shall report to the Director or the appropriate IIteional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the perrnittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the perrnittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and completed I am aware that there are significant penalties for submitting false information, including the possibility of Ines and imprisonment for knowing violations," Certified Laboratory (2) Certified. Laboratory (3) Certified Laboratory (4) Certified Laboratory (S) RTIFIFD LABORAI" tl2IES 'PAR. ti'IETER CODES Certification No, Cenification No. Certification No. Certification No, 5 o Parameter Code assistance may be obtained by calhug the NPDES Unit at (919) 807-63d0 or by visiting http.,i'portaLncdenr.org;'web,`wgfsw ,ps.npdes;'appfortus. Usa asure.ntent d'esirnated in lade repotting reporting da.t;r= No Flow/Discharge From Site: Checkthis box if no discharge occurs and, as a result, there arc no data to be entered for all ot"the parameters On the DMR for t:he entire monitoring period. ** ORC On Site?: ORC rust visit facility and doctmtent visitation of facility as required per 15A, yCAC 8er ,0204. * Signature of Permittee: tfsigned by other than the perm ttee, then the delegation aft.he signatory authority must be on. tl with the state per 15A N("A.0 2B .0506())(2)(D). NPDES PERMIT NO, FACILITY NAME CERTIFIED LABORATORY (list additional laboratories on the backside/page 2 EFFLUENT DISCI-{ARGE IO O fONTI CLASS__ COTTN CERTIFICATION NO. OPERATOR INRESPONSIBLE CHARGE (ORC , GRADE t CERTIFICATION NO. PERSON(S) COLLECTING SAMPLES ;a ORC PHONE CHECK BOX IF ORC HAS CHANGED Mall ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL: SERVICE CENTER RALEIGU, NC 27699-,1617 iR 1N REST'ON BY THISStGNAT1JRE,10ERTIFY THATTHIS REPORT IS ACCURATE AND COMPLETE TO TH> BEST OF MY KNOWLEDGE, NO FLOW / DISCHARGE FROM SITE * E••—J DATE. ARAMETEI3.,C©SE E AND UNITS-BEts DWQ Font MR -I (11./041 Facility St;ttus; ('Please check one of the follow AEI monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirement Compliant Noncompliant The permittee shall report to the Director or the appropriate Regional Office any none otnpliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the tirne 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 is 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. "I certify, tender penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate the information submitted„ Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of rny knowledge and belief, true, accurate, and complete. 1 am. aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Certified Lab Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) e pri Signature of Pe ,Cq Date (Required unless submitted electronically) ADM I NAL CERTIFIED L.A:BOR 'TIES '3u q PARAMETER CODES Certification No. Certification No, Certification No, Certification No. Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by visiti http:/lportal.ncderir.orgfweb/wq/swplps/npdeslappforins. Use only units of gnated in the reporting facility's i'113L:S permit for reporting data, No FtowlDischarge From Site: Check this box if no discharge occu at d, as a result, there are no data to be entered for all of the parameters on the DMR for the entire rnonitc?ring period, ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A. NCAC 8G ,0204. Signature o'fPermittee: If signed by other than the perrnilte:e, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2f3 .0506(b)(2)(D).