NC0022691_202105VRR_20211027_20211027

DMR REVIEW RECORD
Winston-Salem Regional Office
Facility Name: Autumn Forest MHC WWTP Permit Number: NC0022691
Report Period: May 2021
Prior Assessments: 0 Enforcement Factor: 1.00
Waterbody
Outfall # Outfall Description Waterbody Name Classification
001 Effluent to UT Reedy Fork Reedy Fork (Hardys Mill Pond) WS-V;NSW
Monthly Average Limit Violations
Sample Location: Outfall 001 - Effluent
Violation Unit of Limit Calculated % Over
Date Parameter Frequency Measure Value Value Limit
Action
5/31/2021 Nitrogen, Ammonia Total (as N) - Weekly mg/I 2 2.00 2.3
Concentration
Daily Limit Violations
Sample Location: Outfall 001 - Effluent
Violation Unit of Limit Calculated % Over
Date Parameter Frequency Measure Value Value Limit
Action
5/16/2021 Chlorine, Total Residual
2 X week ug/I 17 18 5.9 No Action, BPJ
Other Violations/Staff Remarks: DMR remarks say, "There was a high ammonia on the loth sample. the rest of the
samples where great"
Recommend NOD or NA.
Supervisor Remarks: Jenny — NOD
Lon NOD
NOD2021 LV0202
Completed by: Ron Boone Date: 20211027
Assistant Regional
Supervisor Sign -off: Jenny Graznak Date: 10/28/2021
Regional
Supervisor Sign -off: LTS Date: 11/1/2021

Prior 12-Month Enforcement History
Permit Number: NC0022691 Report Period: May 2021
Limit Violation
Sample Location: Outfall 001 - Effluent
Violation Report Violation
Date Period Parameter Type
NOD
NOV CPA
1/27/2021 1-2021 Coliform, Fecal MF, MFC
Broth, 44.5 C
Daily Maximum
Exceeded
NOV-2021-LV-0512
12/16/2020 12-2020 Coliform, Fecal MF, MFC
Broth, 44.5 C
Daily Maximum
Exceeded
NOV-2021-LM-0030
8/26/2020 8-2020 BOD, 5-Day (20 Deg. C) -
Concentration
Daily Maximum
Exceeded
NOV-2020-LV-0802
Monitoring Violation
Sample Location: Outfall 001 - Effluent
Violation Report Violation
Date Period Parameter Type
NOD
NOV CPA
12/5/2020 12-2020 BOD, 5-Day (20 Deg. C) - Frequency Violation NOV-2021-LM-0030
Concentration
12/5/2020 12-2020 Coliform, Fecal MF, MFC Frequency Violation NOV-2021-LM-0030
Broth, 44.5 C
12/5/2020 12-2020 Nitrogen, Ammonia Total (as Frequency Violation NOV-2021-LM-0030
N) - Concentration
12/5/2020 12-2020 Phosphorus, Total (as P) - Frequency Violation NOV-2021-LM-0030
Concentration
12/5/2020 12-2020 Solids, Total Suspended -
Concentration
Frequency Violation NOV-2021-LM-0030
7/4/2020 7-2020 Chlorine, Total Residual Frequency Violation NOV-2020-MV-0150