NCG020023_2021 DMR_20220301

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR _ WASTEWATER
SUBMIT TO *0ENTRALOFFICE*
General Permit No. NCG020000
Calendar Year
*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 p❑®❑2
Facility Name: V A.4"5: l % M i t-Ne'wj S , L if, c -
Countyy: /lUa re -
Phone Number: (gJram6 Total no, ofoutfalls monitored
Certified Laboratory*
Lab #
Wastewater (WW) Discharge Outfall No. 001, 9X;'t—
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No ET
Does this outfall discharge WW to SA waters?
Yes ❑
No 21-
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No X'
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No Rj"
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout jr) designated waters?
Yes ❑
No P?'
Were there any limit violations in the calendar year?
Yes ❑
No
O tfall No i
Darly Flow
Rate, cfs .
pH
SU
TSS,
mgll
S5;
mi11
ifappucable
Discharge
Turb�d�ty,
Upstream
(U); Turbidity,
N.TiJ'
pawnstream
(D) Turbidity,
NTU
Fecal
Colifrm,
col/100 mi
SA . .
Effluent
Limitations
Mo. Ave I Daily Max.
HQWorORW
50%. of
7Q10
Indicate NO FLOW
IfaPRllcable
1
freshwater
6.0-9.U.
Saltwater `
6.878.5.
Industrial Sand
25145
HQW orORW
20130
HOW orORW
VW Tr of PNA
1Oil 5 .:
HQyy ORW,
SA, SS, PNA,
orany7rout
�••2..
_
No Limit
Circle Water
Auallty Standard
that applies:
50/2511
... I
NIA
WaterQuallty
Standard applies
N/A
Water Quality
Standard applies
N/A
Date:Sampl1. e
w�
MMI*
�'
)��l,
o •:11
3 0 o 4,FOA
-*75
2L. &
661-loo
14
6• l ��.
;?7JV0m%
7.70
3 .
.o
D q .; .
O•D
o
100
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ©D❑®©
Additional Outfall Attachment (make copies as needed for additional outfalls)
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 SIB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No ❑
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 ❑
Were there any limit violations in the calendar year reported?
Yes ❑
No ❑
Outfall No
Daily Flow
Rafe, cfs:`
pH,
SL
TSS,
mgll
SS,
ml.11
Itappltsabia
I3.ischarge
"fc�rb�dwty,
NTU::;
Upstream
(tJ) Turl,icii#y,
NTU
Downstream
.(D) Turb�drty;
NTU
eca
Calrform,
col/140 ml:;
S%#
Effluent
Limitations
Mo. Ave I Dally Max.
HQW or ORW
50016 of
7Q10
Indicate NO FLOW
lfappllcable
freshwater
6.0-9.0
saltwater
6•$-$•5
Industrial Sand
25/45
HQW orORW
I
HQWOo ORW
and Tr or PNA
1011
HQW, ORW,
SA, SB, PNA,
or any Trout
U.1/0.1)
No Limit
Circle Water
Quality
alit Stan applies:
50/25/10
N/A
Water Quality
Standard applies
NIA
Water Quality
Standard applies
NIA
Date
o.�:ddl
",.. '
%1
"1 �.: ::.
♦'`.'
ky.. d'
w.. b' C`vi .•ix 4`k- p
.J,.. !il K )',I"
Ci u�vp1.?'U
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 Q�F 1❑0
Additional Outfail Attachment (make copies as needed for additional outfalls)
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 SIB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HQW 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 jr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year reported?
Yes ❑
No ❑
Outfafl No
Daily FI w
Rate, cfs
pH,
St1
7SS, ::
mgll
SS,
mf(E
)f app?rcabra
©ischarge
Turbidity,
Upstream
(li) Turbidity,
Downstream .;
jD) Turbidity,
T.0
Fecal
Gal1form, .
colMC30.mE
SA
Effluent
CimilFc3f1.'o/l
Mo. Ave 1 Dslly Max.
HOW or ORW
50% of
7Q10
Indicate NO FLOW.
. )f applicable
freshwater
6.0-9.0
saltwater
6.8-8.6
Industrial Sand
25/43
HOW of ORW
20130
HOW or ORW
and Tr or PNA
10/1 rJ
HOW, ORW,
sA, S,oR
oranyTrout
0-1/0-G.
No Limit
Circe Water
Q thppl es tat applies:
V
N/A
WaterQuatily
Standard applies
N/A
Water Quality
Standard applies
NIA
fi z
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0FOJ F2--1N
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 by 40 GFR §122,22]
Signature
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (not D,EMLR)
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 10/1 /2015 — 9/30/2020
Last Revised 10-2-2015