NCG020257_DMR_20220203 (2)

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year ZO L 1
'Report ALL WASTEWATER monitoring data on this form (include "No Flow"/'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 nnnn
Facility Name: _ c. k ,; It� M o u n rain C
County: _ m r, L o 1 I
Phone Number: (_b 7 1 b73
Certified Laboratory+s /{s!n e v ilie,Lab #
Lab #
To a1 tio: o� ou alfs onitored r
-�h i g 10r'[
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑
Does this outfall discharge WW to SB or PNA waters?
Yes [I
No ❑
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No ❑
If so, what is the 7010 flow rate?
Does this outfall discharge WW to Trout or Tidally influenced waters,
7010 not available ❑
Were there any limit violations in the calendar e elate sled waters?
Yes ❑
No
No ❑
Y
Yes ❑
No rl
Outfall No.
� If
Effluent
Limitations
Daily Flow pH, I TSS, I SS,
Rate, cfs SU mg/I MIA
lfaPp/lub/e
HOW or ORW
50% of
7010
Mo. Ave / Dally Mas. I Indicate NO FLOW
Happlicable
Date Sample
Collected,
freshwater
6.0-9.0
saltwater
6.8.8.5
7
25/45
HOW or ORW
20/30
HOW or ORW
end Tr or PHA
HOW, ORW,
s0. SB, PHA
orany Trout
0.1/0.2
Lv
Discharge
Upstream
Downstream
FUU41
Coliform,
Turbidity,
(U) Turbidity,
(D) Turbidity,
co"00 ml
NTU
NTU
NTU
SA
No Limit
N/A
N/A
Circle Water
Quality Standard
that applies:
water OuelNY
Standard applies
Water Ouallry
Standard applies
N/A
50/25/10
Permit Date 10/1/2015 — 9/30/2020
Last Revised in-p-p01.5

Z5'7
c.;:iificate of Coverage No. NCG02027*
c ` .. I � Z mi, T -, Zn, vrc'a Yogi Total
�llylkl'q g/I ChlcrWe, Fluoride, Hardness,
mg/i mg/I mg/l
Abk -- AfA N/A NIA NIA
V`1�2_ 2-
""n,,7401OCI .,gCifiC to this Cnr.,

Certificate of Coverage No. NCG02 QQQ©
Additional Outfail Attachment (make copies as needed for additional outfalls
Wastewater (WW) Discharge Outfall No. It 2
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No
Does this outfall discharge WW to HOW or ORW waters? Yes ❑ No ❑
If so, what is the 7010 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year reported? Yes ❑ No ❑
Outfit ^N j l i No. I Daily Flow I pH, I TSS,
�Z Rate, cfs SU mg/I
Effluent
HOW or ORW
freshwater
/-
Limitations
50% of
6.0-9.0
„oW5/ a5W
7010
"Thwa18r
20/30
Mo. Ave / Dally Max.
Mdleete NO FLOW
6.8-8.5
NOW or ORW
pU Tr ar PNA
Happpeab/e
10/15
)ate Sample
Collected,
7,
SS,
ml/I
Nappl/eable
HOW, ORW,
SA, SB, PNA,
orany Trout
0.1/0.2
e- o,
L
Discharge
Upstream
Downstream
Coliform,
Turbidity,
(U) Turbidity,
(D) Turbidity,
col/100 ml
NTU
NTU
tarn
10At
No Limit
Circle Water
Quality Standard
that applies:
50/25/10
N/A N/A
Wrier Welk N/A
Standard epplles S. derd eppm
Permit Date 10/1/2015 — 9/30/2020
1 ast Revised in-2_2n1b

is ;:,-iificate of Coverage No. NCG02U-k f
2-57
i
.-:Lai Nl, T' _a6 zn' Y¢�d�,V Td$&f Total
,~ RO/r, All Morrlde, Fluoride, Hardness,
mgli mg/I mgll
- a.,VA NIA NIA NIA
ob�Z�/ua�. 6,tiS LO—�U I
0112-1/2,azj __417 _.4roo
�^ q:?nrirolkno ' IeCifiC to this COC

Certificate of Coverage No. NCG02 U0E]0
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge outfall No._�3
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑
Does this outfall discharge WW to SIB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No ❑
If so, what is the 7010 flow rate? or Tidally influenced waters,
Does this outfall discharge WW to Trout
7010 not available ❑
(Tr) designated waters?
Were there any limit violations in the calendar reported?
Yes ❑
No ❑
year
Yes ❑
No ❑
Outfall No.
c�' (' 0
Effluent
Limitations
Mo. Ave I Daily Max.
Date Sample
Collected,
mo/dd/ r
0 li _01
Daily Flow
Rate, cfs
MOW or ORW
50%of
7010
Indicate NO FLOW
If applicable
pH,
SU
freshwater
6.0-9.0
saltwater
6.8-8.5
TSS,
mg/I
Industrial Sand
25/45
HOWorORW
20/30
HOWorORW
ADl Tr or PNA
10/15
SS,
aM I/Ib�
HOW,ORW,
SA, SR, PNA
or any Trout
0.1/0.2
Discharge
Turbidity,
NTU
No Limit
m
Circle Water
aalltyStandard
that applies:
50/25/10
Upstream
(U) Turbidity,
NTU
N/A
Water Quality
Standardeppllea
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
SA
N/A
Water Quality
Standard applies
N/A
c%�• ZL L:%L
9vu
�
U`l c1
O U Z
—7
L
O t
3 U
S S
Permit Date 10/1/2015 — 9/30/2020
1ast Revised in-p-2015

of
Additional Outfall Attachment (make copies as needed for dd tio�nalt utfalls) ge No. NCG02 00E]K][Z
Wastewater (WW) Discharge Outfall No. -ui� I V,g1�
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Does
Yes ❑
No ❑
this outfall discharge WW to SA waters?
Does this outfall discharge WW to
Yes ❑
No ❑
SB or PNA waters?
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No ❑
If so, what is the 7Q10 flow rate?
Yes ❑
No ❑
ed waters,
Does this outfall discharge WW to Trout (Tr) —designated ywaters?c
7QNOo not available ❑
Were there any limit violations in the calendar year reported?
Yes
Yes ❑
No ❑
Outfall No.
Daily Flow
C )#�
Rate, cfs
Effluent
HOW or ORW
Limitations
50% of
7Q10
Mo. Ave I Oelly Max.
Mdlcate NO FLOW
Happllcable
Date Sample
Collected,
mo/dd/ r
03/01 r,zl
PH,
TSS,
SU
mg/1
rreshweter
Induettlel San,
25/45
6.0-9.0
HOW or ORW
eeltweter
6.8-8.5
20/30
How.,00
LnnQ Tr or PNA
10/15
lA
SS, Discharge Upstream Downstream
ml/I Turbidity, (U) Turbi
NTU dity, (D) Turbidity,
I,.ppllcable NTU
NTU
HOW, ""
SA, SIB, PNA, No Limit
or any Trout Circle Water
0.1 /0.2 athet e-lftySl,nde"
50/25/10
N/A N/A
Water Oualtty Water Ouel
Standard applies Standard eppll ea
Coliform,
col/100 ml
N/A
Permit Date 10/1 /2015 — 9/30/2020
lastRPO;Prl /n-2-2Ms

(:.;-"ificate of Coverage No. NCG02027
,
�LlvI l
- f-
j
ewl Mi,
::•Lo/!
Tc -aE Xn, �rcta;
-TOW
Total
_ ._
(
--g/I Chloride,
Fluoride,
Hardness,
mg/l
mg/I
NIA
N/A
N/A
1
'rfir to this (-Or;

Certificate of Coverage No. NCG02 EJQM(?]
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under m direction or
supervision in accordance with a system designed to assure that qualified personnel properly y
evaluate the information submitted. Based on my inquiry of the person or persons p p y gather and
those persons directly responsible for gatheringthe information, p p ,sons who manage the system, or
n, 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
[Required by 40 CFR §122.22] n%� violations."
Signature S�tN
Date _ V e.14 3 ZZ-L
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
A, ttn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Rav sP.d 14-2-2n 1.5