NCG140288_DMR_20220222

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG'
Calendar Year 210'2
*Report ALL WASTEWATER monitoring data on this form (include "No Flow'/"No Dis&
the previous calendar year to the DEQ by MARCH 1 of each
Certificate of
Facility Name:
County: _
Phone Number: (_!
Certified Laboratory
NCG14
i - FILES
��1(,� ► Total no. of outfalls monitored 06
Lab #
Wastewater (WW) Discharge Outfall No. bb_
Does this outfall discharge WW to SA waters? Yes ❑ No [J
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No 50
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No fA
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No Qf}
Were there any limit violations in the calendar year? Yes ❑ No
from
Outfall No.
Daily Flow Rate,
cfs
pH,
Su
TSS,
mg/I
SS,
ml/I
Happlicable
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mg/I
Effluent
Limitations
Daily Maximum
HQWor ORW
50% of 7Q10
Inalote NOFLOWN
appllrablo
freshwater
6.0-9.0
saltwater
68-85
StandaN
30
HOW
20
HQW I OMaaM Tr, or
10
HQW, ORW, ON,
SO,PN&orany
Trou
$
No Limit
Samples above Benchmark
subject to Ti,c Responses
5
Date
Sample
Collected,
mo/dd/ r
D
L
L,,412
.2 b L
Z
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG14 M®[E®
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required hy_40-GF 122.22]
Signature I,'C /'( C
Date ,2- )- :2 Oda
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
Attn: 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 8/1/2017 — 6/30/2022
Last Revised 8-22-2017