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HomeMy WebLinkAboutNC0086304_Regional Office Historical File Pre 2018 (2)NIMES PERMIT NO.: NC006304 FACILITY NAME: VliU Crocck Middle School OWNER N,ILME: Cirtawba County. Schook GRADE; WW-1 eDMR PERIOD:08-2019 (Aupst .20191 PERMIT VERSION: 4,• WW- ORC; David P Mc:Corkle OR( HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active 1COUNEV: C taw 17,t o OR( cFArr NUMRER: 08*,E(;1:-:: tVEMIN DEN . 0 „3 STA'EUS: Proesscc:i SAN' PL NG LOCATION: EFFLUENT DISCHARGE NO.: 001 NO D1SCHThI lta Monthly Average tan& Mmonly Ayr, Dotty 'Maximo Doily Minnow. Artilan W661410 WOO, lc Nlorchly fiv,trcaneous: Cj 4:36 Vire CIO 2 4 2 2 0 c 0,017 0 00000 21)333 0.00606 24 2 O 000045 : 201, clt2o44115,1' MocihOy Grab BOD 00 0,5 4 I 3 1 o 3 6 kcp0560400412,066,3403. c 1:10,4•Lcusc:c.Ro,:yckc EN VW 111R No 00Io00000I- Weathcr, NOFLOW No now, HOLIDAY - No 154o44e3,361 iCIliclay Mona& h NO.: NC(' 163 NAME: Mill Creek Midt.1le School FR NAME: Catawba County Schools . ADE: WW-R eDMR PERIOD: (15201.). (May 2019) 2466 4263 PERMIT 'VERSION:10 PERMIT STATUS: Acrive cLAss: WW 1 (OUSTawba ORC; David P Mpcoride 1011 1 7 201.9 ORC CERT NUMBER: rFAVEDiNCOENPIDWR ORC HAS CHANGED: No 2 52,22 12.1221„ r"2111:211 VERSION: 1.0 I1.1.111111 01- RSTATUS; Processed R 0 S SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCIVIAGEtit.!1-(NOEGlONALOrr]CE 22,62 2.201 E1623 NI2 176 12 66 18 24 2 a 21 24 24 26 27 24 42 546631 66626 226626 W26416.23 Veck2,,, Ma2Pihky Instantaneous GnIlb Grab FLOW 1E3244 pll mr2d.01su : ' taliaRn 0 tbikkPl. 510.0242' 11 rap 166664: kkanktdp 11.222kp11. _4,2211.ARR, Oak (00006 thalp ktiektronm 8 19k, 22 2 C0310 121136 70063 11o1124.12 Monthly Grab ,rirab TM 212.22 !KOLI RR '‘k21111P121 R4 3.671 6.2 72 . 4 No R,2porting Reason: ENFR USE :No No,2v2R.cose2Recycic:. ENVV./TOR 2 No 'Visit:pion Advorso 4¼{.212h2r; N(.11"LOW No How; HOLIDAY 2 No 21 i2:iiatior; If...21[day :T NO,: NC0086304 NAME: 11iU1rcck Middle' School 'ER NAME.: Catawba County Schools ;' ,Et WWI eIDM R PERIOD: 05-2019 (May 2019) COMPLIANCE STATES: Compliant PERMIT VERSION:4,0 CLASS: WW-1 ORO David 1' McCorkki ORC HAS CHANGED; ri,t1 VERSION: 1.0 CONTACT PHONE #: 8284643.562 PERMIT STATUS: Active COUNTY: Cznawba ORC CERT NUMBER: 10881 STATUS: Processed SUBMISSION DATE: 1,1.6106/2019 067051201 9. ORC/Certifier Signature: 'id Patrick McCorkle E-Mailidavid_mgeorkle@catawbaschools.net Phone #:828-464-3562 Date By this signature, 1 certify hat this eurale ,and complete to the best of my knowledge, The perrninee shall report to the Director or the a.ppropriate 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 ,a.lso be provided within 5 days of the time the permittee becomes aware of the circumstances, lf the facility is noncompliant, please attach a list of corrective actions being taken and a time -table .for improvements to he rnad.e as required by. part .11,E,6 of the NPDES permit. 06/06/2019 PermitteelSubunitter Signature:*** Rick Sain E-'Mail:ricksain@ca.tawbaschools.net Phone 4:828-464-3562 Date Permittee Address: 1041 Shiloh Rd Claremont NC.` 286109202 Permit Expiration Dale 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 personn,e1 properly gather and evaluate the information submitted. Based on my in.quiry 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 arty 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. Ltib. CERTIFIED LAB Ati PERSON(s) COLLECTING SAMPLES: David P. M orkie CERTIFIED LARORAIORIES PARA.METER CODES Parameter (.2ode assistance m.ay be obtained by calling the NPDES Unit (9 I 9) 807-6'300 or by visiting http://portalnederir.orgiwebiwq/swpfpstripdesiforms, h(„xyrNarES Use only units of 111CaSUrement designated in the reporting facility's .NPDES permit for reporting data. * No Flow/Discharge From Site: Cheek this box if no discharge occurs and, as a result, there are no data to be entered for all (Willie parameters on the 1).N4R for entire monitoring period.. " OR(on Site?: OR( must visit lac- ity and document visitation of facility as required per I.5A NCAC 81; .0204, *** Signature of Permittee, If signedby other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 214 ,050601(2)(D). N("00866304 OWNER NAME; Catawba y Schools GRAI)E;s eDMR PER!O'U: 04-2019 (April 2019) "4 No Reporth PERMIT VE,RSiON: 4.(i CLASS: `rV11f-I C)RC: David 0 McC'orkl - ()RC HAS CHANGED; No 'VERSION: 1�O PERMIT STATUS; r'lrti% COUNTY; Catawba RC CERT NUMBER: 10881 STATUS: Prot tiled SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 00I NO DISCHARGE*: NO .NIFRLSE. _ wa Flow-Rouse;Rer- CHLORINE R—No11isita;ut1--Adverse 9 ather; N0FLOW=NoFlow : HOI-1U.r1Y No Vi.:tiLi)a-Holiday GRADE: WW-I eDMR PERIOD: dyt ttp?d.:11rc2 COMPLIANCE STATES: Co OR( ("er By this PERMIT VERSION: 4.0 CLASS: 'WW-I ORC; David P lv1cCorkl OR( HAS CHANGED: \o VERSION': I.0 CON"LA,("C PHONE #:82k-4E'43 PERMIT STATUS'. Actrve C„OL\TY; Catawba ORC( IIt"I"NEMBER:1tl 05 `0 1 r"2019 Patrick Mc("orkle I Mail.david naecurkle0 catawbasehools.net Phone 0 13 - 464-3562 Date ify that this report is nd complete to the best of my kttowleds;e. The pennittee shall report to the I. r the appropriate Regional Office any noncompliance that potentially threatens public health or the env iron nt. Any information shall be provit#ed orally Within 24 hours from the time the permittee'hecame.. aware of th.e circumstances. A trvritten submission shall also be provided Within 5 days ol`thc time the penrrittce. lreccamc aarc asf the circumstances. rrnplianf, please attach a list of corrective actions being taken and a tune -table for improvements to be made as required by part 1.I.E.6 of If the laciiity is rsor the NT'DFS permit_ Pei -mince Address: 1041 'Shiloh Re e:*** Risk Sain IITMail:rick, OS? 1 0:`2t)1 9 y°hasehools.net Phone P.;825_4 4-35(r2 I:)ate ant N( 28(109202 Permit Eapitatican L)atc: 04,a30/2020 I certify, under penalty of Iaw,, that this document aatd all attachments were prepared under no, direction or 5upetu'iston in aceaardance with a to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of tlrc pctsaan ac person who system_ or those persons directly responsible for gatl erin the information, the information submitted is„ to the best ol'mv knowledge and belieftrue„ accurate, and complete..I am aware that there are ,rgstilaea,nt pima ibr submitting odic aarformation„ including the I sssihility of fines and imprisonment ,knowing violations. LAB NAME: Water "l eels. CERTIFIED LAB 4: N C,50 PFRSO'(s)COLLECTING SAMPLES: David P Isla n,t * No Flow/Discharge from 1 Elrr entire rnatritoring 1period, he obtained by cal Lin ignated. in the repornn Rick this hcv< r no dis "o- ()RC on Site"': ()R(' must visit i'aacilit} altd eiocurtta rtt s isdat **" Signature of Perinittee: 1f signed by other than the aemritt .0506('h)(2)(I)), CERTIFIED LABORATORIES S P'ARAM E':.`1E.R. CODES tit (919) 807-6 00 or by vis designed re n FOOTNOTES NPE)L.S permit for reporting daatm caars atrrnd, as. aI result, [here were no data to he entered for all of the parameters on [he [)Iw1R n of facility a, d per 15A hk.'.'\C l'0 .0204. t on ate u4 r l5,ts NCAC 213 I:S PERMIT a NO:: r C0086304 FACILITY NAME: Mil] Creek Middle Sch OWNER NAME: Catawba Cucsrarl Sohn GRADE: WW-1 DMR, PERIOD: 03-2019 (March 2019) PERMIT VERSION: 4 CLASS: ww-1 ORC: David P McC©rk e ORC HAS CHANGED: No VERSION: 1.0 LM:,,. i ?,r� PERMIT STATUS:Active COUNTY: Catawba ORC CERT NUMBER: l STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCIA. *s"" No Reporting Reason: ENFRUS NO Flow-ReusefReeycle; ENVWTFIR - No Visitation -Adverse Weather; NOFt.OW = Na Flow; HOLIDAY * No Visitation— Holiday S PERMIT NO.: NCt)086304 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: 03.2019 (March 2019).VERSION: I.0 COMPLIANCE STATUS: Connptuiurt CONTACT PHONE #: 8284643562 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Pawrssed SUBMISSION DATE: 04r`0019 04/01/2019 ORC/Certifier Signature; David Patrick McCorkle E-Mail:david mccorkle a@catawbaschools.net Phone #:828-464-3562 Date By this signature, 1 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 04/08/2019 PermitteeJSubmalter 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 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 'Amy 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 €', tvIcCorkle CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may he obtained by calling the NPDES Unit (919) 807-6300 or by visiting http:t/portal.ncdenr.orglweb/wq/swp/ps/npdes/f Use only unit FOOTNOTES ent designated in the reporttttg 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 OMR for entire monito ** ORC on Site?: ORC must vi. t facility and documentati©n 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 he on file with the state per 15A NCAC 2B .0506(b)(2)(D). PERMIT NO.: NC0060593 • CHATY NAME: Spinnaker Bay WWIT OWNER NAME: ,Aqua North Carolina Inc GRADE: WW-2 el)MR PERIOD: 02-2019 1 chruar 2 PERMIT VERSION: 4 0 CLASS: WW-2 OR(: Dustin Allen Hester ORC DAS CHANGED: No VERSION: 10 -RMIT STATUS: Active -COUNTY: Catawba A PR -?„ 19 OR( CE RT NUMBER: 444:4Ar-11/`\":1)E•RIDWIR: E iLES NSTATUSt Processed MOORE SViLEL E REG 0 NAL OF Fte. SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO 24 30 0„(X12_ 0 002 10 002 0.11(.12 01 01113 • Otb 0. (.1(112 a•0011 (1.,.(X)2 1)1)12 0,6‹12. 0.00? 6.002 0.003 ) ow Oftit 10 0)1110 1103 0.002 :VIOL 11 005 OW 11044(0,011 4.0ln 12 7.4 CIlLORINF, SOO Claw 1411 00 1 7.7 K1.14.1-N -.Coeur Werzily Grab .01 t rowl "*" No Report*. Reason: EN FRUSE No Flow-Reuselitexycie: 1NV WEILR - Visitation - Adverse Weather; NOFLOW - No now: 'HOLIDAY No Visitation - Holiday PERMIT NO.: Ne0060593 Lrry NAME: Spinnaker Bay WWTP OWNER N.AME: Aqua NortbCarolina Inc GRADE: WW-2 elliMR. PERIOD: 02-20 P, Fehrua.ry 2019) PERMI'l VERSION: 4 0 CLASS: W W-2 ORC: Dustin Allen llestcr OR( HAS CHANGED: No VERSION: 1.0 pnotirr STATUS: Actzve COUNTY: Catawba OR(' CERT NUMBER; I004304 STATUS; Pri_rx:s.sed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Contrnue NitotaityAYoogellual Mood*, vcrwr, nall, ximsulare Ong, Ma.ingew *`"'• Ni Reporting Reason: ENFRlJSE No Flow-RetiseiRegycle; UNVIA'THR No Visitation - .A.dyerfie, Weathec NOEL OLV - No 1low; 1.101. !DAY - No Visitation Holiday PERMIT NO.: NC(060593 ACILITV NAME; Spinnaker Bay WWTP OWNER NAME: Aqua North Carolina Inc GRADE( WV-2 el)MR PERIOD: 02.-20 I 9 (February 2019) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4,0 .PERMIT STATUS; Active CLASS: WW-2 I:MINTY: Catawba. ORC: Dustin Allen Hester ORC CERT NUMBER: 1004304 ORC HAS CHANGED: No VERSION: 1,0 STATIS; Procasstxt CONTACT PRONE #: 44 SUBMISSION DATE: 01/25/2019 03/1 5/20'1 9 ORC/Certifier Signature: Dustin Allen Hester 11-Mail:daticsterrri!,aquaamerica,rom Phone .4:7044 899404 Date By this signature. I certify that this report is accurate and cotnplete to the best of my knowledge, The permitter shall report to the Director or the appropriate Regional Office any tioncomplianut that potentially threatens public health or the environment Any intbrmation shall he provided orally within 24 hours from the time the perminee became aware of the circumstances. A written submission shall also he provided within 5 days of the time -the permittee becomes aware of the circumstances. IC the facility is noncompliant, please attach a list of eon-eetive actions being taken and a timetable for improvements to be made as required by part ELL.( of the NEDES permit. 03,125/2019 -Pcrmittce/Suhrnitter Duane Rimmer E-Maikddrimmer(4iaquaamerica,com Phone 4:7 04-4 89-94 04 Date Pemlittee Address: NCSR 1844 Sherrills Ford NC 28673 Permit. Expiration Date: 04/30/2020 I 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.. Basi2d 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 duly knowledge and belief, true, accurate, and complete. 1 ant aware that there arc significant penalties for submitting false in tbrmatiom including the possibility of fines and imprisonment for knowing violations, LA B NAME; Water Tech Inc_ Aqua North Carolina CERTIFIED LA B #: 50,5035 PERSON(s) COLLECTING SAMPLES: .Dustin "'toter CTRUIFIED LABORATORIES PARAMETER ('ODES Parameter Code assistance may be obtained by calling the NPDES Unit (9191 807-6300 or by visiting futp://portalmcdermorgivieb/wq/swp/psinp&siforms. 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 lor.entire monitoring period, ** ORC on Site?: ORC must visit facility and document visitation of .facility as required per I5A NCAC 80- .0204„ *** Signature of Perm ittce: If signed by other than the perm Mee, then delegation. oft -he signatory authority must he on -tile with the state. per 1 5A NCAC 213 „0-506(b)(2)(D) et/MR PERIOD: t12 2l0I9 (Twebruaa S PERMIT NO.: NC(a0S6304 PERN1T f 'T"=RSIOIS. 4,0 C1L1"TY NAME: Mtn Creek Middle School CLASS: W -1 IYERNAM1E: Catawba (.'ounrrSchook OR(:: David P Mc( urkle sRADE: WW-I OR(." HAS CHANGED: No VERSION: 1,0 PERMI"1 STATUS: Active mOLINT\ : Catawba. ORC C E RT NUMBER: 10 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 00I NO DISCIfARGE* N( *4" No Reporfit1A? Rensosi- ENTRUST -=:vNo Flow-Reuse/Recycle cle: "NVW t[1 =No VisuOion Ad u I I�iEc; 1-IC?LID,41'-= No L'rsi'Cattiivn Holiday ES PE'RV'II 1` NO.: NC (td1SC3(it PERM I'I"VERSION . 4 NAME:<ti11 Cr ek N'NER NAME; Catawba County Schools y RA1.)k : WW-I R PERIOD: ()2.-2ttt 11 b1uar}° 2UI9) \C;E ST.A`1"US: C'aant,tta:ant. CLASS: WW-I ORC: t)avi0 P McCoride ORC:` HriS C'HANCE:.I.). Nt VERSION: B.t) CONTACT PHONE a- 8284 t.37& (.)RC'(.°ertitier Signature: Di: d Patrick RIL,(°orkle L.-it°arf:d;ry Fay this signature, PERMIT STATUS: COUNTY: Catawb1 ORC,' C:"1',.ki NUMBER: 1t)8141 d SUBMISSION WAIL: L: 03.2:,5 2) rkler<a?catawtba;choois net Phone :R28-4C4 3'02 Cate pieta: tta the I ,t of sraw' k:naw•ledge. The permittee shrill report to the Director or the appropriate Regional Office any no Any information shall, be provided orally within 24 hours ["runt the time the pernitlee became tiware tt1 provided within 5 days ot'the time the permittce becomes ci vare of the circumstances. 11'the fiei1ity nonciar.phant, please attach a list of corrective actions being taken a„nd ;i fime-table ftrr the NPD.ES permit. hat potentially threatens paid le health or the environ me the cireurn,tate,, ,M avri Pc:s-PnaCtt er'Suhrrlitter Signature.*** Rick Saitn l.-fi'lail:rick aatn(r,ctttttwha,ekrt)o Penn:thee Address: 1041 Shiloh Rd Claremont NC 256 1()9202. Pernnit Expiration [)ate 04 .5tt 2020 l certify, under penalty of law, that this document and ail attachments were prepared under my direction iu t qualified personnel properly gather and evaluate the submitted. Based on hose persons directly responsible for gathering the inturmataort, the information submitted is, accurate, and complete. 1 am aware that there are signiticatat penalties for sub knowing violations. LAB NAME: Water Tech, t.aab. CERTIFIED LAB ta. N.C".'U PERSON(s) COLLECTING ING SAMPLES: David P. McCorkde g ''l?'R`I1F11't;) C d\BORA'I ORII`S PARAILII `I`ER CODES be iatde as rectttired by part 11 1 .b of Phone #:l 28 •464-;i 562 supervision in accordance with a s uiry o the best of uty kits uding the pcxs lbll Parameter Code assistana e txtttyt be obtained by calling the \PDl..' Unit (919) S07-6300 or by visa! httpiiportal,ncidenfr utits of t~t e From eek this box ifno di Fa')(:)I°'s(fl isS NPDI: S permit for reporting data.. fiat entire rnonitorhg period. ** ORC on Site?: ()RC must i,isit faerlit azttl d teut tent a i stars srt jai' fa pity a:s regrlirect pr r l try tiC.".A(..' * ** Signature of Pertnuttee: I i'si.gned by other than the pe nnitt.ee. then delegation of the ,signatory author .0506(b)(2')(D), i des' erson or persons who managed the. dge and belief, taste, Ines and un'rprisonmer is he C:)IvtR. d n file with the state per I aA NC:AC 2B *Pnb PERMIT NM: x 'U l'ACALITY NAME: Mill Crea 9. e Lh ow*ERNAME; 2e _&Schools GRADE: * ! eDMRPERIOD: 12-20 w(Dc , 'NISI RVERSION: + CI'SS:/Y»1 O : m K * EC (RED. CO PERMIT STATES: \/E D H+&Iwo +& OR( CEK NE & CENfNALFILES DWR SECTION SAMPLING ON: EFFLUENT DISC H&RCE NO.: 001 NO DIWIIARG a » Re miw ER I 9 Processed Gel =w ElOW-Reoe'RocydLr. A\ mR=\ Vicauoil Advcrse V , +F 6 .\ : HOLMA Y \' : a> NPDE`wS PER;ti11I' NO.: NCu`L 9 6104 FAC4ITY NAME: vtall (`reek 1a,a1at1 Se.Yapoi OWNER; NAME: Casa (SRAI)E: VJW41 eDNIR PERIOD. 12420 I 8 'De r�—tuber 201 `) COMPLIANCE STATUS: Cot RS this; h PERMIT VERSION: 4 (1.,AS S: 4411' 1 OR(`: OR(' HAS CH AN(:E:1): "tits VERSION; 1.0 ('ON"1",A('1` PHONE 4: i'8464356., Patrick \ILC."orklc E-Matl:c#aa'id The peruniftee &ad11 t° wart to tlae f)iae tsar c the \ji fnformatiaata shall he proa,ided oral ly c',ithin 24 h ur5 1etarn the tune tlae 'perm cc became ars=are of provided within 5 days (tithe time the pet €'raittee becomes aware saf the circumstances, 1f the facility i, gat rtcaaixapliant, please attach a list ofcorrective acticans being taken and a 11nn -table for im. the NI"DLS pemut PERMIT S1,A 1S: COUNTY : Caaaow OU( ( 1 R E NUM RE:R 100! STATES: Processed SIfKM SSION 1).A"EE:: (11 and aaaanptete to the hest of my knowledge. Pcrani hreaitter Signature:** Rick S nal Office any Permitter rldtica : 1041 Shiloh Rd Claremont NC 286109202 1'errnit. F piraation I), 1 certify., under pe 4 h 4- nti'trr nt, instances, 8 written suhrriiassiou shal(also be rents to he made i required by part 111,E.6 of ls.net Phony!' #:828 464-1562 tt this document and all attachments were prepared under my direction or supervision in accordance a<< 9?2019 Date, to assure that i{n.ra,htied personnel properly gather and evaluate the information submitted. Based on my inquiry ofthe person or persons who managed the system, or those persons directly responsible for gathering the information, the inlornitttion submitted is, to the hest of any knowledge and belief, true, accurate, and complete. I ant aware that there are sign knowing violations, CAR S Ad►j CERTIFIED CAR #: \,C",.Sal PERSON(s) COLLECTING SAMPLES: Parameter Co(e a Ua units ** t)RC° on Site": ORC *** Signature ofPermittee. signed. O+ 6(0112DfD1, n n the re d atahmitting false information, ineludttagihee possibility of lines and imprisonment lot OR1fi,S PARAMETER, CODES he APDIS Ihinit (919) 807-6300 or by visiting htip 'porta}.,ncdennorg'neb s1q_4avpfps`npdes loans, FOOTNOTES NP1.)f S perm to Lc tttrred liar all of the parameters on the D1v1R and document va.sitaatia.trc i>1 facility as required per 15.A e perinittee, tlteaa delegation (tithe signatory aiutlaa>rity a'na.ast be on ltie as,ith the sr e per 15A NC°A(:` 2B NI'DE:S PERMIT NO.: \(()() 6 04 E C[LI[Y NAME. Mill Creek Middle School R NA.E,1L: Catawba County Schools GRADE: WW-I eDMR FLRIOD: ➢0-201 (OcioNT 2(118j CLASS: ?ERSION: 4.0 ORC: David P NVeCor RECE VED PERMITS 1"A'{ US: Ac°rive COUNTY: Cali ha ORC CERT NUN'IRER: 10881 ORC R.AS CIR\(.I D:-Letnr N r-Oki_ FILES VERSION; 2-(YDWR SECTION S I`A`LUS: Processed SAMPLING LOCATION: ..UENT DISCHARGE NO.: 001 NO DISCHARGE * +�` do Reporting Reason` ENFRIJSF ,. No. Flow -Re,. CHNE CHLORINE t)aes A'OFLO'5 No FIow. Ilul.i1,5' ==Ao Vi,<ia NPIIES PERMIT NO,: NC0086204 PAI'11.1 LSDNAME: Mill Creek Middle School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD:10-2018 it:x:1.01,er 20I8i COMPLIANCE STATUS: Crawl:ant PERM If VERSION: -4,0 CLASS: WW-1 OR( David P MeCorkle OR( HAS CHANGED: NO VERSION:: 2.0 CONTACT PHONE #: 8284643562 PERMIT StAl L SAen COI' \ 1 ("at‘nAba ORC LEHI \ UMBER: 10881 k r US Processed SUBMISSION DA".FE: r11 19:2019 201 OR C /C crtl'ter Signature: a d Pittriek McCorkle E-Nt tikdavidmecorkle@catawba.schouls.net Phone 4:82S-04-3562 'Date By this signature, 1. certify that this report s accurate and complete to the best of my knowledge, 1 he permittee shall report to the Director tn- the zippropriate Regional Office any noncompliance that potentially threatens public health or the environment„ .Any Information shall be provided. orally withitt 24 IRiars from the time the permittee became aware of the etrcumstances, A written subrnission shall also he provided within .5 d.ays of the time the permittee becomes awqare of the circumstances. lithe l'acility is noncompliant, please attach a I i.st of corrective actions being .taken and a 111102-table for improvements to he made as required by part of the N pDES permit.. 0 t /09/20 19 lrinrllee/Submitter Signature'Rick Sain 1 M411HLk ,ait06:atawhaschools.nct Phone 4:828-464-.3562 Date Perrnittce Address: 1041 Shiloh Rd Claremont NC 2861.09202 Pia not 'Expiration Date: 04/30.'2020 certify, under penalty of law, that this. document and all attachments were prepared tinder my direction or supervision in accordance with a systern designed to assure that qualified personnelproperly gather rand evaluate .the information submitted, Basedon my inquiry of the person or persons who managed the system. or those persims directly responsible fin- gathering the information, the information submitted is, to the best 1 1 my knowledge and belief, true. accurate, and ccanplete. 1 am. aw;:ire that there arc significant penalties for submitting l'aise .inlormation, including, the possibility of fines .:;ind imprisonment for knowing violations, LAB N,VNIE: Water ieelt Lab. CERTIFIED LAB # N C 50 PER.SON(s) COLLECTING SAMPLES: David P. Mc( orkle CERA] VIED LABORATORIES PARAMETER CODLS Parameter Code assistance may be obtained by calling the NPDES Unit (919i 807-000 or by r'.111052 hOp:,.'ipo a.l.ncdenr.org/wehlwq/swpips/npdesfforms. FocyrNO'rEs use only units of measurement desitmated itt the .reporting facility's NPDT:,,S permit or repo data. No Flow/Discharge From Site: Cheek this bo.‘ if no, discharge occurs and, as a result, there are no data to be entered for all. of the parameters on the DM R for entire monitoring period. OR( on Site?: °RC must visit facility ,and document visitation of fact My as. required per 1 NC,AC 8G ,0204, *** Signature of PC11114lee: If signed hy other than the penal Bee, then delegation ot the signatory :Authority most he on file with the state per 5A NC.AC 2F3 ,0506(h)(2)(D). NP➢ES PERMIT N'O.: NC00ttl 04 F-AC'IGI"R NAME.'. Mi !le School OWNER NAME: Ca wba County Schools GRADE: W''W-1 eDMR PERIOD: 90-2018 ¢CFciober 20] 8) 2400 cluck PERMIT vERSION-40 CLASS: ASS: WW-I ORC: David P McC_orkle ORC HAS CHANCED, No VERSION: 1.0 PER MIT4+TAILS: ,&etive COLON'I'l Catawba ORC CERT NUMBER:10881 RECE,VEDiNCDENROWR STATUS: Pr - SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO D[SCHARGE*VNOS Rfi ORES'v'U,„SE. Etn'(?l10NAL,.OFFICE' 34rx 14110 end. firs LAWN 5444414 04414 841404 Weekly 'Monthly .14MS0 COIN 2 X week \1an¢h.l C 0510 Gran Grub 1i400 IRO TEMP-C p11 (4440 CHLORINE , DOD- C'40a MINN -Cant TSS Calm awl I raw !+.' 10Ih11I N 4 11950 0,7h (i_4 c 0816 11 12 12 14 15 (4. i7 IR 291 22 23 24 24 244 27 20 08:2 0,00(106 1,8,4 0.00u(16 24 4Y 31 Monthly Nome Lta!Ee: ROW' 20.4 6.2 1 i.4 4.75 co 'as 16 12.010024 44 e Dully Maximum: Daily 'NioE0u1t m No Roporl.ing Reason: FNFR'USE - No Flow-RcttscrRecgcl (41, M12I76 2u.x GOO 16 u,u1)006 R s No W1sita1tic 6,2 2*4 7 NC)PE,t)00 No Flow; 1101.11)A.Y _ NO VIMItal (In Holiday NPDE:S PE IT NO.: NCO(IStr 304 EAC-Itsry NNMill (."reek rMiddle. OWNER NAPSIEs =ha Count GRADE: WW-i eOMR PERIOD: 10-201.!l (Octu COMPIIAN(`'E STATUS; Con OR afore, I tha PERM VE SIO ; 4.0 CLASS: W'W'-'l ORC: David. P tile("ctrl tc ORC HAS CHANGED; VERSION: I,(i PERMIT STATUS: Active )RC .°ERT NUMBER: STATUS': Processed CONTACT PNONII #: 214(43562 sIIItIISSICIN DATE: 11(Y 201S Patrick McCorkle l•-iblail:david mecork his report is accurate and complete to the hest of my knowledge, ir'2018 vbasc.hools,net Phone 4:82i3-464-3S62 Date °T"he permitter hall report to the Director or the appropriate Regional Office any noncotxipliance. that potenti Any intorrnat.ion Shall be provided orally within 24 hours from the time the permitter 'bare ref"the c- provided within 5 days of"the time 'the permotteebecomes aware of thc circumstances, It` the facility is noncompliant, please attach a fit of corrective action being taken and a tune-t ble for ix2t(ar the NPDES permit, Permittee,f Permittee Add I certify, under .per gnatrtrt.:*** Rick. Sain F-Mait.rfck s h Rd Claremont N(:' 286109202 Per :n public health or the env atances. A written st rtents shall also he be made as required by part 11.E .6 of )7,`20I fi n baschools.net Phone fr:828-464-356) Date 4='30 2020 that this document and all attachments were prepared under my direction or supervisi.on in 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 person dire nsible for gatherin accurate. and complete, I am aware that there are sig knowing violations. i.At3 N. watt CERTIFIED LAB #: N,C, SO PFRSON(s) COLLECTING SAMPLES: David P. McCorklc rtna'tion, the information suhmitted as, to the best of my knowledge and belief, true" ins for sttbrnittiatg false information" including, the possibility of fines sand imprisonment tc TTFI .D 'f..ABOR,ATC PARAMETER COD:ES tnce may be obtained by calling the NPDF S Unit (919) 807-6.300 or by visiting http://portal,ru-sclenr.orglweblwillswpipsirtpd.es./forms, Use only units or tneasaur rrsent * l'Vco Flow/Discharge From Site: Check. for entire monitoring period, ** ORC on Site?:: OR( must visi *** Signature of Permittee: lt iened by .050605)(2)(D), the reporting 1 FOOTNOTES emit for reporting data, and, rta a result, there arc nc da I 5,A, NCAC r`t(, ,0204. I Iitr all or the he Signatory authority must he on hie with the s'tata per 15A NCAC 2/I FACILITY NAME: : 9i68 C;r ' k I cUsU OWNER NAME: Cata taCount' elttasI GRADE: WW-t ei?MR PERIOD: bcf :III ti) VERSION: I ii AVERSION: 4,0 (LASS: RECEIVED ORC;: David P MCLQrkic y •� ORC" HAS CHANGED: No CEN1KAI. FILES DWR SECTION PERMIT STA'1'11S:.A014e COUN''1"1' 1 °as aW la ORC CE;RT NUMBER: It STATUS: Proc.eas SAL SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAR Ma dark IEr. oi3N itl 2S Ji O y Monthly ECOL4' BR h' i t aOrai mow" ND Reporting Reason: )AY ' No L.' $itat NNW,. FFi4111"L NO.: NCct(tB(104 FACILI7"Y NAME: Mill (ree OWNER NAME: Catawba County Sei (.GRADE; WW-V eUMIC PERIOD: 09 !0i8'September 2018) COMPLIANCE S A 1 LS: Comp'ittni 1L& °RC/Certifier Sig PERMIT 'VERSiON: 4.0 (°LASS: WW- ORC: t)avia,l P Mc(orkle (!R( IIAS CHANGED: N VERSION: 1.0 CONTACT PRONE #: 8284643562 PERMIT STATUS: Active COUNTY: Catawba ORC CERT N(IM1'IBt R: It STATUS: processed 51 BM1SSION C)A"TE: 10 18/20G:rt David Patrick M :Corkle C-Ma'il;davicl mcc.orkle(u=eatta baschools By this signature, E certify that this report is aecuraplete to the best of my knoIedge, 10111./2018 ne #:828-464-3562 Date Thy gaermnitiee dta11 report to the Director or the appropriate Regional (:(tTi'e any nonconxplianee that potentially threatens public health or the eus irnntTrent. Any inf€srnfation shall be provided orally within 24 hours from the time the pennttiee became aware of the circumstances. ,t written submission shall also be. provided within 5 days of the time the penuittee becomes aware ofthe circumstances, If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for inprovemeai(s to be made as required by part 11E.6 of the NPDES permit: f ernritts:i'StalirTtattar Signature:*** Rick, Mali:rick satn tr cataw=haschools.net Phone #:528-464-356 Pennittee ,Address: iO4l Shiloh Rd Claremont NC 286109202 Permit. Expiration Date: 04 30i2.020 4 certify, under penalty of law, that this document and all attachments were prepared under m.y direction or su.pxrvissrin in accordance with a system designed. to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of tic person or pa.r sins who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best ofmiy° knowledge and belief true, Ines and imprisonment for accurate, and complete" 1 ant awaare that there are s knowing violations,. 'LAB NAME: Water Tech. I..ab CERTIFIED LAB #: N.C.50 PERSON(s) COLLECTING "TIN( SAMPLES: S: David. P, McClarkle lenaities for submitting fr CERTIFIED D LABORATORIES PARAMETER CODES Parameter C'cicle assistance may be obtained by calling tha NT'DI S Uno (9 9) 807-6300 or by 1 e only units of measurement deli gnta tee FOOTNOTES -S permit for reporting including the no: 11pona9.ne-denr.ltrg="'va°gib wq.swp,='psfnpdesr°forms: * No F lowr' DIscharge From Site: Check this box if no discharge occurs and, as N result, there are no data to be entered for all of the parameters on the L)MR t tar l;tit.tre rrlonitormg period, ** ORC on Site?: ORC must visit facilats and document visifattrin a t iaeiiity as rctluired pert .=1 vt". (,` Ca .tt (b1, *** Signature of Permittee, IT signed by other than tite pertnittmust be on file vv ith the state per 15 M NCAC'2B .0506(h)(21ED)- w NPDFS PE" 04 PE"R14I 1 % FR„SIO,? 4"REC FACILITY M1elk Middle School CLASS: AASS: WW-1 O`♦i`'LR NAME: Cal- b {"Quay Schuouls. OR(. David P McC'e:lkh GRADE: 'WW-1 eDMR PERIOD:08 2O18 (Au *I"n No Roporti ORC HAS CIIAAC;Ea0: VERSION: 2,0 \EE P1R III`Sa`tATLS:.�Aia �j CO1 NTY; Oita hd OR( CER'1' NUMBER: 1 N'I ►`VL FILES SECTION STATUS: Pr4)4iessed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO NtaaatII4 dt.ara C.ExxV Mantlat 4,smgc, Nab NNuttkonl, [May Vinommo: TIIR No ow; HOLIDAl` _= No Visial NPD S PERM' VACUITY NAME: Mill (;reekMOcidlc School OWNER NAME: Catawba Co trrtt}° Sckte>er14 GRADE: W W•I el)MMR PERIOD:08-201PCt yttgcst'01Si COMI LUkNCE STATUS; (::urtt0liatru 't14 PERMIT 4"E',RSION: 4�0 ORC: I:?:rr,aat P \1C( earktc (Dtt( HAS (HANGED: 'ss: VERSION: 2,0 CON`t'A("1" PHONE #: 82S ORClCerti'Fo r Signature: David Patrick 'tcCorkle E-Ma,il:david_rncco By this signatute, 1 ce• this report and complete to the be trf my knowledge. The rsttittee shallreport to the Director or the appropriate I'E RMIT STA'1 t�4::4rtiv COUNTY: Cataw3=ba, OR( ('ERE NILAIHE„R. 10881 Sl!t3A'ItSsl(:DN DATE: 10715='2018 t'28_464-3S02 Date al Office any noncompliance that potentially threatens public health or the tanent. Any info nta't n shall be provided orally within 24 hours Iron the time the permittee'beca.mc aware of the circumstances. A written sohtnission shall also be provided within 5 days of the time the permlttee becomes aware of the circumstanecs, If the facility is noncompliant:, please attach a list of corrective actions being taken and a timetable fray atnpraawenxents to be made as required :by part i1.E.6 of the'NPDFS permit, Rick Sato 1 -Mail:rick e Address: 1041 Shiloh Rd Claremont NC 286 whasehool:s.net Phone 4:828.464-3502 Permit Expiration Date: fi4:/30 2020 I certtl`y, under penalty of law, that this document and all ti,ttstehrnents were prepared under my direction or tiu to assure that qualified personnel properly gather and ee ;system, or those persons directly responsible for gatheri accurate, and complete. 1 am aware that there are sign itia Batat It(malti knowing violations. LAIC NAME:: Water CERTIFIED LAB #: N,C.,50 PERSON(s) C°OLLF.CIIN(; SAMPi.ES: t)at=ad P. hicCorklc n '20 Date it.eordance +a ii:la a system designed the information submitted. Based on my inquiry of the person or persons who managed the he information submitted is,, to the best 4.at'tny knowledge and belief, true, and imprisonment for nhmitting false i C°E:iRTIF1CME) I A.IIORATORWS PARAMET ation, including the Parameter Code assistance may be obtained by calling, the NPDES Unit 1919) 807-6t300 or by viaiting http?fportat nedenr.org/webtwq'swplp n * No Flow Discharge From Site: C"heck dais box **()RConSi atg period ORC:' must visit .FOOTNOTES lity°s NPDES permit for reportmg data. seharge occurs and, as a result, there- are no data to he entered for all of the parameters can the DMR ty and document visitant acility as required per G Sr't NCAC 8Ci .0204, *** Signature of Permittee if signed Ity trtlte r than the permittcc, then delegation of the signatory authority must be on flee with the state per 15A N(' .05060)(2)(D). NP.E ES PER141T NO.: NC0086304 FACILITY NAME: Mill Creek Middle School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 08-2 ?18 (Auger 2018) PERMIT VERSION: 4.0 CLASS: WW-1 ORC: David P McCorkle ORC HAS CLANGED: No PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 VERSION: 1.0 CENTRAL ; p , STATUS: Processed .�.. �f�� � i�.FIL ltr�;S DWR SECTION SAMPLING LOCATION: EFFLUENT DISCILAR, NO.: NO DISCHARGE*: O * ** No Reporting Reason, ENFRUSE No Flow ReuseiRecycle; ENV WTHR = No Vis Diverse Weath 0LIDAk = No Viouo on -1 NPD ES PERMIT NO.: NC0086304 FACILITY NAME: Mill Creek Middle Schc. OWNER NAME: Catawba County Schools GRADE: WW-I eDMR PERIOD: 08-20118 (August 20U COMPLIANCE STATUS: Complian: to PERMIT VERSION' 4.t) CLASS: WW-V ORC: David 1' McCorkte ORC HAS CHANGED: No PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 VERSION: I STATUS: Preaceeseri CONTACT PHONE A:8284 3i62 SUBMISSION DATE: 09/B92018 09/I512018 ORC/Certifier Signature: David Patrick McCarkle E-Mail:davidmccorkle@catawbaschools,nes Phone i?:828-464-3562 Date By this signature„ I certify thatthss report is accurate and complete to the bestofmy know➢edge. 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 he made as required by part ILE.6 of the NPDES permit. 09/19/2018 PermitteelSubm'itter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools,net Phone #€:828-464-3562 Date Permittee 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 N. Wataa CERTIFIED LAB #: Cat-050 PERSON(s) COLLECTING SAMPLES: David P. McCorkl PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting Itttp:. /portal.ncdenr.org/web/wq/sop/ps/npdes/forms, Use only unit FOOTNOTES urement designated in the reporting facility`s NPDES permit for reporting data. * No Flow/Discharge From Site: Cheek 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 fbr entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .02.04. ***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)(Dy. \PD b PEK#R NO, ( FACILITY NAME: W: Creek Middle SR O*&ERNAME: Catawba County Schools GRAnR w 1 eE R PERIOD: R-y a (July 2018) 7R,RVRkwO»+n (may ()RG avid. ORC HAS (N4>GFm VERSION: w PERMIT SiT E¥ Active COUNTY:( ms ORC ( RT NUMBER: IOW Kew % Procc, SAMPLING LOCATION:EFFLUENT DISCHARGE NO.: 001 NO DISCN:RGE NO .aReportingReason: wmArvI uza IR-\« a «ex way gFOWNoHow: m1 av=9 NPDES PE;d%tIT NO.: NC0086304 FACILITY NAME: Mi11 Creek Middle School OWNER NAME: Catawba County Schools GRADE: WW-1 cDMR PERIOD: 07-2018 (July 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-1 COUNTY: Catawba ORC: David P McCorkle ORC CERT NUMBER: 10881 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed CONTACT PHONE #: 8284643562 SUBMISSION DATE: 08/14/2018 53.'\ C,�,4.5>✓, 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. 08/ 13/2018 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. 08/14/2018 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee 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. 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/weblwq/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 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: 06-2018 (June 2018) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO o" e , e` o s Tosel Composltz Time I F 1- 11 '0 e` e Operator Time On Site - 8 O No Reporting Remote.... 61050 00010 00400 S0960 C0310 CO610 [Oslo 31616 Weekly Weekly Monthly 2 X week Monthly Monthly Monthly Monthly Inslnntaneous Grab Grab Grab Grab Grab Grab Grab FLOW TEMP-C pll C01LORINE HOD -Coot M13-N•Coos 75.5-Cone FCOLI ER 2400 clock 11n 2400 clock Ilion YarN mgd degc su ugn mgil mg/1 mgll S'WI00ml t 2 3 4 3 6 0902 0.3 Y 0.00006 20.1 6,4 <2 3.13 3.6 < I 7 8 9 53 11 12 13 0915 0.55 Y 0.00006 21.7 6.4 <2 3.55 11.2 <1 l4 IS 16 17 18 19 0924 0.63 Y NOFLOW 20 21 22 23 2.1 23 0838 0.63 Y NOFLOW 26 17 18 29 30 Monthly A•en8e Lim it: 0,007 l0 30 200 Monthly Average: 0.00006 20.9 0 3.34 • 7.4 1 Daily Maximum 0.00006 21.7 6.4 0 3.55 11.2 0 Daily Minimum: 0,00006 20.1 6.4 0 3.13 3.6 0 :.•. No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation —Holiday a NPDES PERMIT NO.: NC0086304 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Mill Creek Middle 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: 06-2018 (June 2018) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 07/19/2018 l.f.)SL Wat, 07/18/2018 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. Permittee/Submitter Signature:*** Rick 07/19/2018 Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee 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://portal.ncdenr.orglweb/wq/swp/ps/npdes/farms. 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 permitted, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). ,4PDE5 V ERMIT NO.: NCCh)S 04 FACILITY NAME: Mill Creek Middle School OWNER NAME: Catawba County SchooYs GRADE: WW-1. eDMR PERIOD: 06-2018 (June 2018) PER eER CLASS: WW-1 ORC: David P McCork➢e OR(' RAS CHANGED: No VERSION: I N:40 PERMI`I" STATUS: Active O TY: Catawba 0 q.'CER'T r ' 8 , STA"I'LIS: Processed. SAMPLING LOCATION: EFFLUENT DISCHARGE NO,: 001 NOO H°ARGE* •••• Na Repootistg Reason FNFRUSE t ?v'ur Flu fca Visitat,'san -- Adverse Weather: NOFLOW = .No Flolc 001 ID,AN" -_ O °FRC NPDES PERMIT NO.: NC0086304 PERMIT VERSION: 4.0 PERMIT STATUS: Active I. - FACILITY NAME: Mill Creek Middle 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 PRONE #: 8284643562 SUBMISSION DATE: 07/19/2018 WiCAAiLDL 07/18/2018 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. R ifeed/ Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschoals.net Phone #:828-464-3562 Date Permittee 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 07/19/2018 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 far 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 213 .0506(b)(2)(D). NPDES PERMIT NO.: NC0086304 FACILITY NAME: Mill Creek Middle Schaal OWNER NAME: Catawba County Schools GRADE: WW-I eDM'R PERIOD: t)018 $[av 2018) PERMIT b'ERSION: 4 .CLASS; ORC: [)avid P Mc(or... 3 a 8 ORC HAS CHANGED: VERSION: 2 R E C E VE D CENTRAL FOAL FILES OWR SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 0 PF RMI'T STATUS: Arti COUN"I'}": Catawba ORC CERT NUMBER:,. STATT.3S I"rccesscd NO SCHAR is Grub TI%1 P-t Monthly Grab grr Eitnb CHLORINE 111111111111111 MEM 11111== 1111111 1111.1MMEMIL Mit cur ILRR OD wr.e No Repoiing Reason: CNFRUSE 1' •-Reausc Recycle: 0\'\V&THR ts:o Visiasaciran Na Flow: HOLINo Visitatim NPDES PERMIT" NO.: NC00? 6104 EAC1LiTY NAME: Mill Creek. fiddle. School OWNER NAME: Catawba County Scheidt; GRADE: A'VW-1 eL)MR PERIOD; 05-iOt5 May 2015) COMPLIANCE STAI-11 . C`txrnplia:tt By this signature. 1 ce PI?Rit1IT VE:RSIO CLASS: W W,.1 0 RC:: L)ta i l 1 vfcC 4.th kte ORC HAS CHANGED: do VERSION: °y 0 CONTACT PHONE: #:'24643562 David Patrit.k McCorkle 1..ki'la npletc to the het, of rtty knowledge, PERMIT STATUS: Active CrOLtN'TY: Catawba ORC C. ER I '%L 1HER: l08tt STATUS: Processcd SUBMISSION DATE: HUI8:2W8, 10 08/2C118 et Phone #:828-464-3562 Date The permittee shall report to the Director or the appropriate R.e icrnal Office any noncompliance iftat potentially threah.ns public health or the ertvntettt Any information shall be provided orally within 24 hours from the time the pern)ittee became aware of the eA written subm provided within 5 days of the time the Iis nn.%itec becomes aware of the circumstances. If the facility is noncompliant, please attach a list of con`eetive actions being taken and a time the NPDES permit, Per mittc.e.`Submitter Signatures'** Rick Sain E- .1ail:ric! Permit'teeAddr'ess: 1041. Shiloh RA Claremont NC 286109202 Permit Expiration Date: 04130/. I certify, under penalty ()flaw, that this document and all attachments were prepared under my di. super lade as required by part I1.E.6 of 464-3562 2 0 18 Date orclanee with a system designed to assure that eltwaliiied personnel properly gather <tncl 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 info ation submitted is, io the. best ,of my knowledge and belief,' true, accurate, and complete, 1 ani aware that there are significant penalties I'or submitting false information „ including the possibility of fines. and imprisonment. for knowing'. iolations,. LAB NAME: Witter Iech. t..aa. CERTIFIED LAB tt: As( 5o PERSON(s) COLLECTING IN(, SAMPLES: "orkle (;E:RTIFiEL) 1.,r\BORA"T°C. PAR.ANTEIi1 (01)FS nee may be obtained by calling ¢he NPI)l?S Unit 1919) 80,-6300 or by visiting http /portal.nedetar.or fw .blwgiswp'pstnpdes/forms, i.ise, only unit trottneasttt°emattdesign:rte No Flow Discharge From Site. Check this box for entire monitoring period. **' ORC on Site?: ORC must visit ** Signature of Permitteeti If signed .0506l b)(2) 11)1'I FO1I)lN011-S NPDI S I)errrut for reporlang data. ere ztre no data to be entered for :tll of the parm-peters on the D's1R quired per 15A NCAC `t(.i ,0204, n of the signatory authority must he on ide- with the state per 15,1 NCAC 2E1 4 \PDFS PERMIT NCi.. NC( t? C3O4 FACIE le Schaaf OWNER \A,_MF: CaLawha Cowry Schc GRADE: WW- ell MR PERIOD: 05 r'„No PERMIT VERSION:4A) CLASS: 1 °Wm V OR( David P McCur ORC HAS CHANGE VERSION; 1,0 PERMIT S I i1 S: rviai> C O N'I`V: Caul ORC" CFR`1' NUMBER: 10MI ETV. '[1 STATUS: Pr^d SAti'iPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCIAR 1 Reason:: NERI :tiI 'aT t°4ro -Rti nse Rccyele, hNVWEI P< .- IDA' ONAL aoRe NPDI S PEKMI7' NO,: WOW:, .FACILITY NAME: Mild' Creek. Middle School OWNER NAME: Catawba_County Sehcacrl5 GRADE: lA°+A`-1 cDMR PERIOD:—1'(Sll()ytaw,,?(tt5) COM.PUI"AP3CE STATUS; C°omplirt PERMIT VERS' 1- 4,0 CLASS: WW-1 ORC: David P McCorklr ORC HAS CHANGED: No PERMIT rATUS: Active COUNTY: NTT: Catawba ORC CERT NUMBER: 10881 VERSION: P:0 S°1A.Tt.lS: Prw,,eess COST ACV PHONE 4:246435 2 SUBMISSION DrA"LE: tlh.'13.`2(1Ih 061 ORC`("ertifier .Signature: David Patrick M1LCorkle E=Mail.clavid_"mccorkle o catavc=baschools.net Phone : 28-464-3562 Date By la 1 a s accurate artd complete to the hest of nay knowledge, The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment, Any informationsh.ail be provided orally within 24 hours from the time the permitter became aware of the circumstances, ,A written submission shall also be provided within 5 days ofthe time the pernutteebecomes aware of the circumstanccse 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 of the h'PIJFS permit. Permit San E?-ylail;riek"_saa Permitter tkddre s: 1041 Shiloh Rd Claremont hC ?Et6I UV202 Permit Expiration Date: tI4';3C)l2OE2(3 1 certify, under penalty of laws, that this a Phone ?(:.s?,5-464-3562 Date Ids were prepared under my dorection or super visicaaa in accordance with a sy4em designed to assure that qualified personnel properly gather and evaluate the inl aaa'taatican submitted, Based on my in ns who managed the system, or those persons directly responsible for gathering the infornation, the information submitted is, to the "best of my knowledge and belief, titre, accurate, and complete, I am aware that there are si knowing violations, I...AB NAME: Water"Foeh. Lah CERTIFIED LAB d: NC 3t1 PERSON(s) COLLECTING SA.%1PLESt David P. Mc=Ccrrkle alltea 11 r subrnitting false information, including the possibility of fines and imprisonment tear CERTIFIED LABORATORIES PARAMETER CODES Para or Code a cooance may he obtained by calling, the NPI•)I?,S Unit (919) S07-6300 or by' visiting h.;'portal ii•denr,orct."pslnptiesP'fomts. *No Flow/Discharge From Site: Check I. for entire monitoring period. ** ORC tan Site"": ORC must t isit t`acilit4 *** Signature ofPernittee; If signed C15016(h1(2 )f D), the reporting Ia box if nodischar and document visitati lPDF°S permit fir r rt porting data, rs and, as a result, there are no data to he entered or all of the parameters on the DIM c permittee. then delee n )4, ith the state per 15A NCAC 2E3' NPDFS PERMIT Nth: Ni'' 108(00 FA(:'LL1Tv NAME: Milk Creek bl�Jtk@e; ¢N' OWNER ER NAME: : Catawba County Schools GRADE: 1b 4ti-➢ eDMRPERIOD: ( -211 : pril,'>1IIh) PERI'41.1T V RSION: 1J CLASS: WW-1 ('� PERMIT STATUS: Active RECEIVE DCOUNTYCatawba OR(.: David I' McCorklk OR(.; CERT" NUMBER: kifti tMAYa t 1118 OR(' HAS CHANGED htdt VERSION: 1.0 CENTw-L FILES Sl 'i'1't[S: Psaaae s e OWR SECTION CAS SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO I)ISCCIVAMVP- R No Vistratton 4 v me Weather: NO11...Ol4 = No irlow: HOL117,.A.V No Visitation - Holiday ECERv NC N I R WQR()� MOORESVILLE REG )NA(., OFFICE SPEWS PERMIT "(),: N( (lt»g304 FACILi"LV` NAME: Mill Creek Middle Schuo1 OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: (l4-21118 (April 2018) ("OMPLFA\CI STATUS: Compliant, ORC iC:er PER MI'p` VERSION: 4.0 CLASS: WW, R ORC: David 1'' \31cCorkle ORC HAS CHANGED: No VERSION: I.t) C()\'1 (1 PHONE it: 8284643j()2 Sienature: David Patrick \i (orkle-hfa.il:david d complete to the bc.s L`L➢e pennitfee s1➢all report, to the i)irector or the. appropt°fate Regtonr Any inti)rm,1 n. shall be provided orthin 24 hours from the t provided within 5 days of the time t}t pes lithe facility is noncompliant, please aria the NPI)tS permit my .know ledge, PERMIT STA"1`IIS: Active COLy'i1 Catawba ORC CER f NUMBER: Itltt! d Stt BM ISS1O\ DA'1 F . tt5 ' 2912f) 18 )ffiece any noncompliance that potentia omes aware of the circumstances, wWt 05/ 1 br'2018 8-464-3562 Date ns Public health ear the en ootunent e aware oi°the circumstances. A writtct being taken and a tinge -gable .for intprovemcnts to he made as required by part ILF,(r of Permittt4e,?ie➢b.mitter Signature.*** Rick Saito I.•\9ail°rick aai atawhaschools.net Phone #:8128-464-3562 Permittee.Address: 1041 Shiloh Rd Clarem.o t NC 86109202 Permit Expiration Date, 04/30/2020 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or su Date ordatnee with a system designed to assure that qualified personnel properly gather and evaluate the anfbnnation submitted. Based on my inquiry of the person or persons who managed the sy torn, or tltar e persons directly responsible for gathering the int°orrnatlon, the intitnnalion submitted is, to the be of°rny= knowledge and belief, true, accurate, and completed 'f am. aware that there are significant penalties for submitting false inlortnation, including the possibility of fines and imprisonment fo knowing violations, 1d.sAB NAt1F: %Niter ice. CERTIFIED 1 I3 #: PH RSO,A(sl COLLECTING SAMPLES: David P. A1e( y-Lie ("ER`I`IFIEL) L.AL3OR.d\ 1011115 Pe\R:\dip"'U R CODES arameter Grade aasistanee nay he o. 'tined by calling th I)L S l.dnit (919) t desi ha rcoortine facilitt,s NP * No Flow'i.)ischarge E"rom Site: C`lt ck this hot for entire monitoring period, ** (SRC on Site": DRC must Visit tacihtv and document visit1 o *** Signature of Permittces 1 .O5O6(h)(2).(D). than the penni,ttee,. 300i or by visi. FOO"f ts0"1`ES enr.or°g,trweb wglswpfpsinpdeslforms, h,aroe occurs and, as a result, there are no data to he entered for all of the parameters on the D\IR ed per I SA NCr\( 8(i .0204. ry NC°AC° 2R NE Iit=MS I E R.Mtl` NO.: \C008 b?i14 I= 1Ctl.,t`f k` ti'`A94tk:: Mill (.:reek Middle OWNER. NAME: Catawba County Schools. GRAf)Et `wW-1 et7 `tR .PERIOD: )22-20 February 018,1 PER: I" V'ERSL(i\, CLASS: WW-1 ()RC: David P McCorkle ORC:` HAS CHANGED: VERSION: I.0 PERMIT STATUS: Acti Catawba OR C'E:RT NUMBER: I0881 .TUS: Proessed SAMPLING LOCATIONEFFLUENT DISCHARGE NO.: ON NO DISCHARGE*: NO "" No .Reporting Ra.rnr: ENFRLSE = 1'. ROW-Reuseltogcley 1°NVWTHit No Vi itatiort ... Woalher, NOR., )V1 No. How; HOLIDAY — No Vtirit:ation -- Hokday NPDES ,PIE„RMIT NO.: NC0086304 FACILTIN NAME: Mat Creek Middle School OWNER NAME: Catawba County Schools GRADE: VVI eDMR PERIOD: 02-201,8 (February 2018) COMPLIANCE STATUS:: Compliant PERM TT VERSION: 40 CLASS: WNV-1 ORC: David P McCorkle ORC HAS CHANGED: No VERSION: 1,0 CONTACT PRONE, #: 8284643562 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 ST.ATIS: Processed SUBMISSION DATE: 03/.22/2018 03101/2018 °RC/Certifier Signature: David Patrick McCorkle E-Mail:davidmccorkle@lcatawbaschools,net Phone #:828-464-356.2 Date By this signature. I certify that this report is accurateand complete to the best of my kn.ow ledge,. 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 permit:tee became aware of the circumstances, A %vritten submission shall also bc provided withinS days of the time the permittee becomes aware of the eircumstances., If the .facility is noncompliant, please attach a list ofcorrective actions being, taken, and a, nine -table for improvements to he made as iequlred. by pail ILE,6 of NPDES permit. 03122/20 18 Perm, ee1Submitter Signature:*** Rick Sain 'E-Mail:rick_sain@catawbaschool.s.net Phone #:828-464-3562 Date Permittee Address: 1.041 Shiloh Rd Claremont NC 286109202 Permit Expiration Date 0413012020 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 Llie 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 cornplele 1 am aware that there are significant penalties for submitting false infonnation, including the possibility of fines and imprisonment for knowing violations. LAB NAME: 'Water ImIL Lab, CERTIFIED LAB #: N.C. 50 PERSON(s) COLLECTING SAMPLES: David IcCo -.le Parameter Code assist CERTIFIED LABORATORIES PARAMETER CODES CC may be obtained by calling the NPDES Unit (9(9) 801-6)00 or by, visiting hitp://portal.ncdenr,orglweb/wq/swpipslimdesPforms, 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 he entered for all cif the parameters on the DMR for entire monitoring period. " ORC on Site 'OK must visit facility and document visitation of facility as required per 15A NCAC 86 .0204, Signature of Permittee: If signed by other thanthe permiitee, then delegation of the signatory authority must be on file with the state per ISA NCAC 2R ,0506(b)(28D). NPDES PERMIT;' NO.: NC0086304 FACILITY NAME: Mill Creek Middle School OWNER NAME: Catawba County Schools GRADE: WW-I eDMR PERIOD: 12-2017 (December 2017) 1400 cloak 4 4 lD 14 1b 17 10 19 22 22. 24 25 27 20 29 PERMIT VERSION: 4.0 CLASS: WW-1 ORC: David P McCorkle ORC HAS CHANGED:', No PERMIT STATUS: Active }}COUNTY: Catawba QRC CERT NUMBER: 10881 STATUS: Processed, C•Ebt ° Y7,,:3i 3 lL SAMPLING L©CATI©N: EFFLUENT DISCHARGE NO.: 001 NO DISCI H. 2400 cloak. 0.25 0852 0.3 Y/BIN AY HOLIDAY HOLIDAY HOLIDAY HOLIDAY VERSION: 1.0 50050 00010 Weekly Weekly Monthly 2 X week lnatantaracoua Grab Grab Grab FLAW TEMP-C PH CHLOkt09 mgd deg e 0.00006 0.00006 Mandily Avenge. Limit: 0.007 Mena: Avenge: 915 ug1 10.8 6,4 Daily Mulm.m, 0,00006 12.4 D.Oy Minimum0,00006 C0310 C0610 Monthly Monthly Monthly Crab Grab NH3-14- Cant TSS • Cane Grab POD- Cone mgFl 15.9 8.55 5.2 6,1 12.3 6,4 8.5 6.1 14 15.9 9,6 12:3 5.2 ••4* No Reporting Reason: ENFRUSE - No Flow-Reuso/Recycle; ENVWT11R - No Visitn -- Adverse WeerElet; NOFLOW = No Flow, HOLIDAY = No Visitation - Holiday 31414 Grab PCOL I BR 91100m1 �I NPDES PERMIT NC0086304 PERMIT VERSION: 4 0 PERMIT STATUS: Active FACILITY NAME: Mill Creek Middle 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 eD1MR PERIOD: 12-20/7 (December 201 7) VERSION: 1,0 STATUS: Processed COMPLIANCE STATUS: Cornyant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 01 /18/2018 \C \Q 01/11/2018 ifkr Signature; David Patrick McCorkle E-Mail:davidrnceorkle@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 bring taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 01/1 /2018 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sai atawbaschools.net Phone #:828-464-3562 Date Permittee 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. 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 hrtp://portaLncdenr org/web/wq/swpips/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 I 5A 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 213 .0506(b)(2)(D), N'PDES PER.MITSVC)a: NC4Jtllib3#I Fftrl TYNAM.Er: Mill. Creeks iddlc SGlae PERMIT YERSIONx d,0 PERMIT STATa`Active. CLASS: ASS: W W91 OWNER NAME: Catawba County Schools ORC: David P GRADE: WW--1 cDMR PERIO U 201 (Novem ORC IIA.S CHANGED: NGED: No VERSION: ➢.l) 'NEIN SECTION TION NINON COUNTY: Catawba ORC CE.RT NUMBER: 10881 `I"LJS: Pre i } SAIMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO ENFRUSF_ No i°'l¢re>I2 scd7tetryEGte; Fi. Saba I'IUR=Nc Nisi a NPDES PERMIT NO.: NC0086304 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Mill Creek Middle School CLASS: WW-1 COUNTY: Catawba i OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 11-2017 (November 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 12/18/2017 12/06/2017 ORC/Certifier Signature: D vid 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. 12/18/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 104I 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. McCorklc 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). &PDES PERMIT :Ni i!w FACILITY NAME: Mill cr OWNER NAME: , ,Gm1% GR gE Now, m#R PERIODI ) fl 2r *"' No Rcilortir SAPSAMPI ING LOC FR5FNo nomew m PERMIT VERSION: 4 CLASS: WA ORr:)tiPy 3E ORC SC,: c m x VERSION: w EFFLUENT DISCHARGE NO:001 NO D1SCH,RG[5 NO PERMITSTATUS: Active ORC CER ,NLAmER: »« 7a,=9 Visitation Adverse W i :NOFLOV 'NO How; .HOLIDAY No Vi$it NPDES PERMIT NO.: NC0086304 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Mill Creek Middle School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANCED: No eDMR PERIOD: 10-2017 (October 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 11/15/2017 11/08/2017 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. 11/15/2017 Permittee/Submitter' Signature:*** Rick Sain E-MaiI:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee 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. 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). NAG PER- TN KAo L NAME: My y ;School OWNER NAME; or a0 «\ C De -I t:DMR PERIOD:. 0920 7 PERMIT VERSmy+, CLASS: W: ()RC: Wady McCorkIe ORE HAS CHANGED \ VERSmyG PERMIT STty t\T Catawba ORCCERINUMBER: S:Processed SA PL1NGLOCATION :££FLUENT D C„ RGEN 001 :NO »|\CHARGE* \0 No ReportiogR Dr «w\ ,iday - NPDES PERMIT NO.: NC0086304 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Mill Creek Middle 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 (September 2017) VERSION: 1.0 STATUS: Processed CONIPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 10/26/2017 10/11/2017 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 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.I3.6 of the NPDES permit. oeze 10/26/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee 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. LAB NAME: Water Tech. Lab. CERTIFIED LAB i : 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). PERMIT \O.: NC0086304 GRADE: W 9 eL)V1R 1'ERIO11: PERMIT YERSION':4 CLASS: W'W-9 ORC: .David. P V9cCorkle ORC HAS CHANGED No V'E.RSIOV: 2.0 PERMIT STATUS: r cii 70LINTV: Catawba ORC CER.T \t U3EERa 105 STATUS; F'roct ssed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAR ;E*: O instantaneous 0.28 • NOFLOµ' ROD-&:asG' �sativ13�tm @ fsiPCftfl%' ?*.2 �, 8.4 •••' No Reporting. Reason: FNFRLSF No Flow•Ret erR wcle, FN'YWTHR . No 4' i1 t o a• OW No How; HOLIDAY =No Vi na "r55 - Cate mg•1 1+'CG NPDES PERMIT NO.; 'WonM0;304 FACILITY NAME: ( )ANER NAME: Catawba. Coo,mi Schools GRADE. Y4`1l`-1 eDMR PERIOD: 06-2017 (June 2017j COMPLIANCE SitATI]S: Compliant PERMUr vERS1or 4 0 PER.MTT STATUS: Active CLASS: WV-1 COUNTY: Catawba ORC: David P McCa rk]e ORC CERT" \UMBER: 10881 ORC 11A.S CHANGED;, No VERSION: 2.0 STATUS: Processed CONTACT PHONE tt: S2846-43562 SURMISSIO\ DATE; I0/12"2017 ORC; ertifier Signature. Da Patrick IcC By this signature, I certify that this report is accurate and complete to the best of my knowledge. The perm 10106120117 a w'haschools,net Phone 4:825-464-3a62 Date the D.i.rectt r or the appropriate Regional CJfftce arty noncompliance that potentially threatens public 'health or the environment, Any information shall be provided orally within 24 hours from the time the permiCtee became aware of the eircumstances. 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 tine -table for tntprovt the NPDES pemut, Permi'tte'e/Sub o be made as required by part 11E.6 of 1002/2017 Signature.*** Rick Sain saittgeatawbaschools.net Phone 4:828-464-3562 Date Permi'ttee Address: 1041 Shiloh Rd Claremont NC 286109202 Permit Expiration Date: 04a30/2020 i certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision ha accordance with a system designed to assure that qualified personnel properlygather and evaluate the information submitted, Based on my inquiry ofthe'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 tines and imprisonment for knowing violations, LAB NAME.: Water Tech. Lab. CERTIFIED LAB N.C.SU PERSON(s) COLLECTING SAMPLES: David P. MLCorScle CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the i° PDES Unit (919) 807-6300 or by visiting http: Jport.al.ncdenr.orglweblwglswpps:npdesJforms, FOOTNO TS Lse only units of measurement designated in the reporting facility"s NPDES permit for reporting data, * 1"Vo 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 period. ORC onSate?. ORC must v^isle facility and document Yisi clity as required per 15A C C 0204, *** Signature of Permitted If signed by other than the pernuttee, then delegation of the signatory au.t ority trust be on file with the state per LSA NCAC 2B .0506(h)(2)(D). ..NPDES PERMIT NO.: NC0086304 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Mill Creek Middle School CLASS: WW-1 COUNTY: Catawba C VNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No cDMR PERIOD: 06-2017 (June 2017) VERSION: 2.0 STATUS: Processed Report Comments: School out for the sununerl 6-9-17 \PDES PERMIT NO.: NC00K610d FACILITY 'NAME: Mill Creek Middle School OWNER NAME: Catawba. County Schools GRADE WW-1 eDMR PERIOD:07-2017 (July '2©17) PERMIT VERSION4 CLASS: WW-1 ORC: David P McCorkl OKC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Act a re COUNTY: Catawba OKC C:ERT NL MBI R: IOMJ STATIwI,Sr Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC EHNPFtE1SF No flow-Reu.velRecycle.; t.AVyN"fOR = No', i dat r — Adverse Wcatherr, N(:}J"LOW'* No Flow; HOLIDAY -ff No 'ON ew �kJalld' •NPDES PERMIT NO.: NC0086304 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Mill Creek Middle School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCurkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 07-2017 (July 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 08/14/2017 Lillst&LN0 08/07/2017 ORC/Certifier Signature: David Patrick McCorkle E-MaiI: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. - 08/14/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 1041 Shiloh Rd Claremont NC 286I09202 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. McCorklc PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (9I9) 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 arena 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 I5A NCAC 8G .0204. *** Signature of Permittec: 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). iNPDES PERMIT NO.: NC0086304 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Mi1I Creek Middle 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: 07-2017 (July 2017) VERSION: 1.0 STATUS: Processed Report Comments: School out for summer no flow. -NPDES PERMIT NO.: NC0029297 PERMIT VERSION: 4.0 FACILITY NAME: Fred T. Foard High School CLASS: WW-1 OWNER NAME: Catawba County Schools ORC: David P McCorkle GRADE: WW-I ORC HAS CHANCED: No eDMR PERIOD: 07-2017 (July 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 F .11 e d F S 8 h' >g By o 21 tz kd 0 y o o f m & i 50050 00010 00400 50060 C0310 C0610 C0530 31616 00300 Wccldy Weekly 2 X month 2 X week 2 X month 2 X month 2 X month 2 X month Weekly Grab Instantaneous Grab Grab Grab Grab Grab Grab Grab FLOW TEMP.0 PH CIILORINE ROD -Caw N003-N-Cake TSS•Coae FCO13BR DO 2409 deck lln 2400 dock [In PION mgd deg c 6o agll rng/1 mg11 mg/I #ll0Oml mg71 3 2 3 1102 0.48 Y NOFLOW 5 6 7 B 9 10 1038 0-36 Y NOFLOW 11 12 13 1 15 [6 17 l9 1023 03 Y NOFLOW 19 20 21 22 23 24 1106 026 Y NOFLOW 25 26 27 26 29 30 31 Monthly Average Limit: p,py 30 13 20 top Monthly Average: Dull !automat: Daily 1llldmom: ****NoReporting Reason: ENFRUSE=No Flow-Rcuse/Recycle; ENVWTIOR=NoVisitation— AdverseWcather; NOFLOW =No Flow; HOLIDAY =No Visitation —Holiday NPDES PERMIT NO.: NC0029297 PERMIT VERSION: 4.0 FACILITY NAME: Fred T. Foard High School CLASS: WW-1 OWNER NAME: Catawba County Schools ORC: David P McCorkle GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 07-2017 (July 2017) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) 1 N AN. u 1= Operator Arrival Vine F N. g S u 04. c No Rrpordng Reason••re 2400 dock nn 2400 clock Ms WM 1 3 1102 0.48 Y NOFLOW 4 5 6 7 a 9 13 1038 036 Y NOFLOW 11 12 13 14 15 16 17 18 1623 03 Y NOFLOW 19 20 21 21 23 24 1106 0.26 Y NOFLOW 25 26 27 28 29 30 31 Monthly Average 11ailn Moatbly Avenge: Daily Minimum: Daily Mldmnm: "«NoReporting Reason: ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=NoVisitation— AdverseWeather; NOFLOW --- NoFlow; HOLIDAY= No Visitation — Holiday -NPDES PERMIT NO.: NC0029297 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Fred T. Foard High School CLASS: WW-t COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 07-2017 (July 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 08/14/2017 Ocia2) 11-�'C9.r-� 08/07/2017 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_ • 08/14/2017 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 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 I5A 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 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: 07-2017 (July 20171 VERSION: 1.0 STATUS: Processed Report Comments: School out no flow. .NPDES PERMIT NO.: NC0074233 PACII ITY NAME: Blackburn Elementary School OWNER NAME: Catawba County Schools GRADE: WW-1 cDMR PERIOD: 07-2017 (July 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 5 A F ,i a diE° 5 F 9 U' a C t a O 0 CIe 1 r O a 6'. u 00 = c z 50050 00010 00400 50560 C0310 C0610 C0530 31616 Weekly Weekly 2 X month Weekly 2 X month 2X womb 2 X thumb 2 X math histantaaeous Grab Grab Grab Grab Grab Grab Grab FLOW TE.MP.0 PH CHLORINE 80D-Cass M13-1•-Coat 'I53-Cow FCOLI BR 2400 dock IIn 2400 [lock fln WHIN mgddeg c au ll6%1 mg I mg/1 mg11 61100m1 t 2 3 1103 0.25 Y NOFLOW 4 6 7 8 9 10 1013 0.11 Y NOFLOW 11 12 13 14 I5 16 17 18 0953 031 Y NOFLOW 19 20 21 22 23 24 1016 036 Y NOFLOW 23 26 27 2s 29 30 31 Sloatbly Average lima: 8A15 30 6 30 250 Monthly Average: Daily Minimums D.0y Minimum •••• No Reporting Reason: ENFRUSE =No Flow-Rease/Recycle; ENVWTHR= No Visitation —Adve se Weather; 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 McCorklc ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CUTANGED: No eDMR PERIOD: 07-2017 (July 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 08/14/2017 inc,4 C,at_ 08/07/2017 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. b7e-e-;-/z- 08/14/2017 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. CERTIFIED LABORATORIES LAB NAME: Water Tech. Lab. 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 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 ISA NCAC 80 .0204. *** Signature of Permittee: If signed by other than the pemiittee, then delegation of the signatory authority must be on file with the state per ISA NCAC 2B .0506(b) (2)(D). NPDES PERMIT NO.: NC0074233 FACILITY NAME: Blackburn Elementary School OWNER NAME: Catawba County Schools GRADE: WW-1 cDMR PERIOD: 07-2017 (July 2017) Report Comments: School out for summer no flow. 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 NPDES PERMIT NO.: NC0051608 PERMIT VERSION: 4.0 FACILITY NAME: Handys High School CLASS: WW-1 OWNER NAME: Catawba County Schools ORC: David P McCorkle GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 07-2017 (July 2017) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO S. U 1 3 = 2 0 a 2 6 u O 2 - 50050 00010 00400 50060 C0310 C0610 C01311 31616 Weekly Weekly 2 X month 2 X week 2 X month 2 X month 2 X month 2 X month tnslnntsacuac Grab Grab Grab Grab Grab Grab Graba F1OW TFMMRC p11 C11LOR1NE B0D-Cott N113-N-Cs. c TBS-Gee FCOU BR 2404 dock Ma 2100 dock nn WV& mgd deg a su og/l m8/I mg/l mg/ it/100m1 1 2 3 0852 0.38 Y NOFLOW 6 S 6 7 e 9 10 0938 0.4 Y NOFLOW 11 12 13 11 15 16 17 10 0850 0.3 Y NOFLOW 19 - 10 21 22 23 28 0932 0.15 Y NOFLOW 2s 76 27 28 25 30 31 Mnr akryAvenee 1.7m11: QOlS 30 7.7 30 200 Monthly Arrrag Daily Maximums Daly M18183m1: •a'*No Reporting Reason: ENFRUSE=NoFlow-Rcuse/Rccycle; ENVWTHR=No Visitation —Adverse Weather; NOFLOW=No Flow; HOLIDAY = No Visitation — Holiday NI'DLS PERMIT NO,: N(0051608 FAC'INAME: I3andys high School OWNER NAME Catawba County Sehoo GRADE: WW-1 e.DMR PERIOD:07-20t7liuh 2017t IANCE STATUS: Cumplianr PERMIT VERSION:4.0 CLAoSS: WW-1 ORC; David P McC rkle: ORC 1-IAS CHANGED; Nu VERSION: I.0 CONTACT PHONE #: 8284643562 PERMIT STATES: Activ COUNTY: Catawba ORC; CERT NUMBER: t01ktl STATUS: Proc SUBMISSION DATE; 08114t201 7 7./20 1'7 ORC"/'Certifier Signature: David Patrick McCorkle l-Mail:davide mccorkle(ieratawbaschools.nct Phone #d:828-464562 Date By this signature, 1 certify that this report is accurate and complete to the best t my knowledge.. The permi'ttee shall report to the Director or the :appropriate Re al Office ,any no Ccrntpli 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 orthe tirne the pen'taittee becomes aware of the circumstances, If the facility is noncompliant, please attach a list of corrective actions being takes and a time-'tz*de for improvements to be rnade as red by part Il.L,6 of the NPDES permit.. 08/ 14/2017 hrtaitter Signature:*** Rick. Sain E-Mail:rick._ sain(ri?,.c„alawhasc.hools.net Phone #:828-464-3562 Date \ddress. 2500 N College Ave Newton NC 28658 Permit Ex itan Date: 04/30/2020 I eertify, under penalty of law, that this document and all attachments were prepared under my direct rvision 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 .per aota who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best ofmy .knowledge and belief, true, accurate, and complete. l .air aware that there are significant penalties for submitting false information, including the .possibility of lines and imprisonment for knowing violation& LAB NAME: Water "tech. I...ah. CERTIFIED LAB #: :50 PERSON(s) COLLECTING SAMPLES: David P, Cark.be C ERT1HED LABORATORIES PA.RAMLTF,R CODUS Parameter Code assistance may be obtained by calling the NPDLS Unit (919) 80)7-6300 or by visiting http://portal.ncdenr.urgJwebfwq/ wpfpsrnpdes:`forms, Use only FOO'FN OTE S eas went 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 pt meters ern the fi fR for entire monitoring period. *'* ORC on Site?: ORC must visit facility and document visit atican offacaltty as required per 15A NCAC 8G..0204. *"* Signature of Perrnittee: lf;si,gned bye' other than the permitter then delegation of the signatory authority roust be on the with the state per 15A NCAC 2If .0506(b)(2)(D). .NPDES PERMIT NO.: NC0051608 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACIL,ITYNAME: 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 cDMR PERIOD: 07-2017 (July 2017) VERSION: 1.0 STATUS: Processed Report Comments: School out for the summer no flow. pAlilir ES PERMIT N(l.: NCilt863U4 Clld"I"Y NAME: Mill Creek •diddle School. OWNER NAME: Catawba County Schools GRAVE: WW-1 elMR PERIOD:. 05-2017 (May 3:017) PERMIT VERSION: 4J �"'+� PERMIT TATUS: Active frlaASS `AW-1 EIr. EI V F" C'(JUN7Y Catawha... ORC: David P McCorkle ()RC HAS CHANGED: Nt ENTF2AL RLE VERSION:1.(1 DWR SECTION ORC CERT NUMBER: (118 I = u STATUS:1'rc SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 11I1 NO I11S 'HAR *a*a No Reporting Rean:Eta&Rt No Flow-R useiRo. .R. No.. Visitation- Averse Weather; N(» OW ., No Floe; HOLIDAY No Visitati DES PERMIT NO.: NC0086304 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Mill Creek Middle School CLASS: WW-1 COUNTY: Catawba OWNER NAME: Catawba County Schools ORC: David P McCorlde ORC CERT NUMBER: 10881 GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 05-2017 (May 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 06/08/2017 06/07/2017 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 11.E.6 of the NPDES permit. 06/08/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee 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. 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://portatncdenr.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). MIT Na; NC0086304 11J1 NAME: Mill Creek Middle School ER NAME: CiaawhivCounty Schools G Ei eUMR PERIOD: 04-201'7 (April 20171 1.'4430.di PERMIT RSO:4O RECEIVED PERMIT STATUS; Active CLASS; WW-1 ORC: David P McCerkle ORC HAS CHANGED: NeeENTRAL. FiLES EWR SECTFON VERSION: ,1„0 M AY 2 4 '41011 couriTV: Catawba ORC CERT NUMBER.: 10881 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: 0 55 5519 (125 HOLTD.AY HOLMAN' HOLIDA Y HOLIDAY HOLIDAY 0,00006 1.1 011006 o woof, rt:MP-C de Mon y 2 X week Grab CHIORINE ci221 COMP 730 022 4252 Grab Tkk,,(2.02 *.". No Repot/ing Reason: ENFRUSE No Flow-RewiefRucycle; FiNVWTHR No Viisiiation - Adverse Weather; NOFLOW No Flo vs• HOLIDAY -No Visitation - Hoficlay :minty Go*, 11011815 PERi1IIT NO.: NC0086304 PERMIT VERSION: 4.0 PERMIT STATUS: Active ILTTYNAME: Mill Creek Middle School CLASS: WW-1 COUNTY: Catawba WNER NAME: Catawba County Schools ORC: David P McCorkle ORC CERT NUMBER: 10881 GRADE: WW-I ORC HAS CHANGED: No eDMR PERIOD: 04-2017 (April 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBMISSION DATE: 05/18/2017 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 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. 05/18/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee Address: 1041 Shiloh Rd Claremont NC 286 109202 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.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 I5A 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). NPVES PERMIT NO.: NC0086304 FACILITY NAME: Mill Creek Middle School 01A (-ER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 03-20E7 (March 2017) PERMIT VERSION: 4.(, CLASS: WW-I ORC: David P MeCorkle ORC HAS CH.1NGEDt No VERSION:: I,0 PERMIT STATUS: Active EIE*INTY: Catawba MAY ,„ORC CERT NUMBER: 0 1 ?r,o/ CENTRAL FILEiTATus: processed D'VVR SEC1 fON SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISeitNIMEt,:zN0a0N.,,,td„,, •*** No Reporting Reason. ENFRUSE No now-Reu5eac-cychr, ENVWTHR - No Visitation — Adverse Weather; NOFLOW Flow; HOLIDAY No Visitation — Holiday NPDES PERMIT NO.: NC0086304 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACSILITY NAME: Mill Creek Middle School CLASS: WW-1 COUNTY: Catawba O\i!‘IER 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 eOza ) )4A)..k_d 04/05/2017 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mccorkle@catawbaschools.net Phone i#: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: 104I Shiloh Rd Claremont NC 286109202 Permit Expiration Date: 04/30/2020 I certify, under penalty of law, that this document and all attaclunents 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 offices 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 I5A NCAC 80 .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 NCI108()304 KAU!, ITVNAME: Mill Creek Middle School OWNER NAME: Catawba Coimiy Shook GRADE: WW 1 eDMR PERIOD: 01-2017 (January 2017) PER.MIF VERSION: 4A0 r r F....STATUS: Active CUASS: "'"" COUNTY: (.7atawbo, ORC: D4vid P McCork Fi 17 Z:017 ORC CERT NUMBER: 10881 L,t:N r<AL VERSION: 1,0 LS Ec"rioN STATCS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISC4A Moathily Attilgt Mwthly Averagt, Daily %Wm.,: No 'Reporting R-on: FNFRUSE = No Row-RensofRocycle; ENV — No VisitatIon Adverse WearhorOFLOW - Flow; HOLIDAY = No Visnarien — Holiday rs cysi „ c.,7 E NPDES PERMIT NO.: NC0086304 FACILITY NAME: Mill Creek Middle School OWNER NAME: Catawba County Schools GRADE: WW-1 eDIVIR PERIOD: 01-2017 (January 2017) COMPLIANCE STATUS: Compliant kkcipz PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-1 COUNTY: Catawba ORC: David P McCorkle ORC CERT NUMBER: 10881 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed CONTACT PHONE #: 8284643562 SUBMISSION DATE: 02/13/2017 02/07/2017 ORC/Certifier Signature: lkavid 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 ILE.6 of the NPDES permit. 4.6a, 02/13/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:riek_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee 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. LAB NAME: Water Tech. Lab. CERTIFIED LAB #: N.C. 50 PERSON(s) COLLECTING SAMPLES: David 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). NPDES PERMIT NO.: NC0029297 PERMIT VERSION: 4.0 FACILITY NAME: Fred T. Foard High School CLASS: WW-1 OWNER NAME: Catawba County Schools ORC: David P McCorkle GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 01-2017 (January 2017) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO P 1& all E24 2 F 6 a2. ti F E. 0 Operator Time On Site N o' p 8. A'a Z 50050 10010 00403 50060 C0310 C0610 C0530 31616 00300 Weekly Weekly 2 X month 2 X week 2 X mouth 2 X month 2 X month 2 X month Weekly lnsl5nl$acOu55 Grab Grab Grab Grab Grab Grab Grab Grab FLOW TEMP-C p11 CHLORINE ROD -Cone Nn1N-Cone TSS -Caoc FCOIJ DR 1)0 2400 dock His 2400 crock Ha YIIN:i mFd deg Su ng'1 myl mgll mgli #i100m! mgA 1 2 3 a 1100 0.4 Y 9.2 <20 5 1049 021 Y 0,00006 11.2 6.4 <20 27.5 12.2 12 250 8.33 6 7 0 9 10 11 1015 03 Y 9.8 <20 12 1035 055 Y 0.00006 10.6 <20 7.6 13 11 IS 16 17 1030 0.45 Y 9.8 <20 16 1050 0.6 Y 0.00006 10.6 6.6 <20 <2 12.4 12 <1 812 19 20 21 22 23 21 25 1350 05 Y 129 < 20 26 1415 0.36 Y 0.00006 13.6 <20 7,64 27 2a 29 30 31 Dion h1y karmic Limit 0.03 30 30 200 Moodily Avenge: . 0.00006 10.9625 0 13.75 123 12 15.811322 8.0475 Duly Maximum: 0.00006 13.6 _ 6.6 0 27.5 12.4 12 250 633 Hwy n00111dm3: 0,00006 9.2 6.4 0 0 12.2 12 0 7.8 **** No Reporting Reason: ENFRUSE =No Flow-Rouse/Recycle; ENVYTHR-No Visitation -Adverse Weather; NOFLOWRNoFlow; HOLIDAY=NoVisitation- Holiday 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: 01-2017 (January 2017) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) 4 s E et M u 3 e% , a p o = O y 0 .E.r V 0 No Reponing ReasonTM'• 2400 clock Eris 1400 clack Elm YIWN 2 3 4 1100 0.4 Y 5 1049 021 Y 6 7 II 9 10 11 1015 03 Y 1: 1035 0.55 Y 13 14 15 16 17 1030 0.45 Y 18 1050 0.6 Y 19 20 11 22 13 14 25 1350 0.5 Y 16 1415 0.33 Y 21 28 29 30 31 Man bly Average Limit: Man:hly Avenge: D.1101.n1mnme AOy Mlnlenen: ••••NoReporting Reason: ENFRUSE=No Flow-Reuse/Reeycde; ENVWTI-IR=NoVisitation — 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 Schaal 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: 01-2017 (January 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8284643562 SUBNIISSION DATE: 02/13/2017 Q 02/07/2017 ORC/Certifier Signature: David Patrick McCorkle E-Mail:david_mecorkle@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. 02/13/2017 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 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/forrns. 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.: NC0074233 FACILITY NAME: Blackburn Elementary School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 01-2017 (January 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 a U° B 17.'a'$ u W° E P < C O Operator lime On She o as I 9 > 8 z 00050 00010 00400 50062 C0310 C0610 COS30 31616 Weekly Weekly 2 X month Weekly 2 X month 2 X mouth 2 X month 2 X mouth instantaneous Grab Grab Grab Grab Grab Grab Grab FLOW TEMP-C pll cI1.ORJNe Bolt -Come n113-N-Come 7SS-Cane FCO11 BR 2400 dads gn 2400 dock Iln riaN mgd deg c su vail mg/1 mg/l mg/1 0/100m! 1 2 3 f 5 1024 03 Y 11.5 6.5 <20 <2 9.05 43 <1 6 7 8 9 10 11 12 1420 0.25 Y 12.5 < 20 13 L 14 15 16 17 la 1142 0.41 Y 12.1 6.8 <20 11 6.2 4.3 <1 19 20 21 22 23 24 25 26 1316 036 Y 13.2 <20 27 23 29 30 31 Mom My Awns limit. 0.015 _ 30 I 12 30 200 M°°ikayA"er' 12325 0 5.5 7.625 4.3 1 Daily 31uimnm: 132 6.8 0 11 9.05 43 0 Daily Mtaimom, 11.5 65 0 0 62 43 0 ° No Reporting Reason: ENFRUSE No Flow-Reuse/Reeycle;ENVWTEKR=NoVisitation—AdverseWeathe; NOFLOW=No Flow; HOLIDAY =NoVisitation —Holiday NPDES PERMIT NO.: NC0074233 FACILITY NAME: Blackburn Elementary School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 01-2017 (January 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-1 COUNTY: Catawba ORC: David P McCorkle ORC CERT NUMBER: 10881 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed CONTACT PHONE #: 8284643562 SUBMISSION DATE: 02/13/2017 JLP. mil? c tiOs_. 02/07/2017 ORC/Certifier Signature: David Patrick McCorkle E-MaiL•david_mccorkle(acatawbaschools.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 1I.E.6 of the NPDES permit. 02/13/2017 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 McCorkle CERTIFIED LABORATORIES 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/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.: NC0051608 PERMIT VERSION: 4.0 FACILITY NAME: Bandys High School CLASS: WW-1 OWNER NAME: Catawba County Schools ORC: David P McCorkle GRADE: WW-1 ORC HAS CHANGED: No eDMR PERIOD: 01-2017 (January 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 e f '2'Weekly 2 3 e V .9 t fi U° H t• Operamr Arrival Time Operator Time On Slte y a'o ec O 2 50050 00010 00400 S0061 C0310 C0610 COS30 31614 Weekly 2 X month 2 X week 2 X month 2 X month 2 X month 2 X month Instantaneous Grab Grab Clab Grub Grub Grab Grab FLOW TE11P-C pn Ci1LA112iE BCD -Cone 0113-4-Cone TSB- Cone FCOL1 BR 2400 clack Firs 2600 clack 104 VW: mgd deg a su ug/1 mg/1 mg11 mg/1 _ 0/100m1 1 z 3 4 0901 0.28 Y <20 5 0936 026 Y 0.00005 11.5 6.4 <20 5.5 8.25 52 <1 6 7 e 9 10 11 0931 0.41 Y <20 11 0900 0.58 Y 0.006043 10.8 <20 13 14 15 16 t7 0923 0.4 Y <20 Ca 0928 0.46 Y 6.00005 12 6.6 <20 24.2 8.85 15.6 2 19 20 21 22 23 24 23 0920 02 Y < 20 28- 1040 03 Y 0.060043 12.4 <20 27 211 29 30 31 . 11onthly Ave .ge limit 0.015 30 12 30 200 Maarhl3 Avenge: 0006048 8.575011 0 14.85 8.55 10.4 1.414214 osylrwmam: 0.00005 12 12.4 0 24.2 8.85 15.6 2 13.413.10°1mom6 0.000043 0.000043 6.4 0 5.5 8.25 5.2 0 "•"NoReporting Reason: ENFRUSE=NoFlow-ReuselRecycle; ENVWTHR=NoVisitation -Adverse Weather; NOFLOW = No Flow; HOLIDAY=NoVisitation- Holiday NPDES PERMIT NO.: NC0051608 Fre#CILITY NAME: Bandys High School OWNER NAME: Catawba County Schools GRADE: WW-1 eDMR PERIOD: 01-2017 (January 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: WW-1 COUNTY: Catawba ORC: David P McCorkle ORC CERT NUMBER: 10881 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed CONTACT PHONE #: 8284643562 SUBMISSION DATE: 02/13/2017 �_ " S �Q 02/07/2017 ORC/Certifier Signature: 'Avid 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. 02/13/2017 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/forrns. 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 I5A NCAC 8G .0204. ** * Signature of Pemuttee: 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). PERMIT NO.: NC0086304 MY NAME: HOI Creek Middle School ERNAME: Catawba County- Schools s RA IF WW ; 1( December PERMIT VERSION: 4,0 CLASS: WAV71 ORC: David P McCorkle ORC HIAS CHANGED: No LH AIL 1 4 Z017 VERSION; 2.0 E N .L E OW S ECT1(11)N PERMIT STATUS: Active COUNTY: Caivba ORC CERT NUMBEIti STATUS. ProceAsed . VEDINC 11i1NRIDWR SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISt;RARGLE" :40/1a al.k, Week ly ssraraantoa4 Fray, a orriOria WWI Ilph HOL IDA Y 0LIDA `I LIDA :HOLDAY. Ntourbla Aaeragt 44anth Vaity MAXIMUM, 08019 fy Grab TEA111,0 IIad "n"."""' i I 90006 9 9_11666 Ctis„OXINE: 41019-Ctinc (04(14 CO-5.30 Nt.,f)thly • AL OFFICE NI/mth Gab (Iirat, KAM DR 4.5 **** No Reporting Reason: EN ESE No Flinv-RetiseiRecyc le; ENV WITIR -No Visita on -Adverse Weather, NUFLOW No Flow; HOLMAN' =No Visitation - Holiday PERMTT NO.: NC0086304 LITY NAME: Mill Creek Middle School ER NAME: Catawba County Schools RADE: WW-1 eDMR PERIOD: 12-2016 (December 2016) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: WW-1 ORC: David P McCorkle ORC HAS CHANGED: No VERSION: 2.0 CONTACT PHONE #: 828-464-35 u:AVT. 5 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 10881 STATUS: Processed SUBMISSION DATE: 06/29/2017 06/28/2017 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. 06/29/2017 Permittee/Submitter Signature:*** Rick Sain E-Mail:rick_sain@catawbaschools.net Phone #:828-464-3562 Date Permittee 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. 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 (9I9) 807-6300 or by visiting http://portal.ncdenr.org/weblwq/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 germittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NC0086304 PE:RW:1' 'VERSION: 4,0 .AME: Mill Creek Middle School CLASS: WW1 NAME: Catawba County Schools ORC: David P MeCorkle Ei WW-.l ORC HAS CHANGED: No PERIOD: t I.-2 1.6 (November 2016) VERSION: 40 N 2 t PERMIT STA'FUS: Active COUNTY: Catawba. ORC CERT NUMBER: O1" STATliS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO cluck In! 1..)„271 Ndoothly Avvrw-gt Limit Motab4 kotragt, .11.00006 Crab I 7,9 2 week CAC AILORINt BOO - Cot. Monad 4113-4 - Com, na TSS - Cott wQROS !1.02.5 4..25 ”" No Rtpuranx Reason ENFRUSE NoFlow-RozeRecycle: ENVWTHR Ne VisiWion — Adverse Weather; NE FLOW 2 No Row; 1101,IDAY No Visimion— Holiday MothN (kat, FC01,1 BR WI IOW 1T NO.: NC00S6304 NAME: Mill Creek Middle School NAME: Catawba County Schools DE: WW-1 MR PERIOD: 11-2016 (November 2016) 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 CERI NUMBER: 10881 STATUS: Processed SUBMISSION DATE: 12/212016 1 2/1 5/201 6 ORC/Certifier Signature: David. Patrick McCorkle .E.-Mail:david._wccorkle(ai.catawbaschools,net Phone :825-464-3562 Date Ry this signature, I certify that this report is accurate and complete to the hest of my knowledge, The pertnittee 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 11E,6 of the NPDES permit, Permittee/Submitter Sig 12122/2016 Rick Sain E.-Mai1,ricksain(a)catawrbaschools.nct Phone M828-464-3562 Date Permittee 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of tines and imprisonment for knowing violations. LAB NAME: Water tech lab. CERTIFIED LAB'#: 50 n.c. PERSON(s) COLLECTING SAMPLES: David MCcorkle CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDFS Unit (919) 807-6300 or by visiting http://portal.nedenrorg/web/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 docnnnent visitation of facility as required per 15A NCAC 8G .0204. **'* Signature of Permittee: If signed by other than the perrmttee, then delegation of the signatory authority must be on file with the state per .15A NCAC 2..B ,0506(b)(2)(D). I NPDES PERMIT NOa: NCI6344 FACILITY NAME_ Mill Crock Midd OWNER NAME: Catawba County Sci GRADE: WW-31 cDMR PERIOD: 10-20 16 Oc PERMIT VERS ON: 4,0 CLASS: W W- I OR(": David P McCoride (.)RC HAS CHANGED: Nu VERSION: 1.0 PERMIT STATUS: Active C"+ hlNTY: Catawba ORC (:FaRT NUMBER: 10881 S'I'A'1'(1S: Pw hosed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DIS 24,00 dusk AL OFiCE COMO 1btoS WnedIL Weekly Mhwevthlt^ 2 X week. Monthly ,l+%aant l Monthly Moony (,rnh Gmub pll ier.taR};:nr ROD, Cunt Sk"#R9-0- rawc 110-Clam FY'UC.dRR 0850 fl7.4 men #1I00in4 0,1101911 1.9,4 9'8.a 6.2 0912 h1nuAkly .i sums: 0.04.4xt "*"" No Reporting, Reason. F.NFRL) i 18.8 799 7 414214 41 2 41(0usc Rccyh:le; 1 iNVW°rF'IR Na VisitaHran—Advet'si; Wlafher NOFLOW No Flow; 11(0 IT')AY No Visltari 3.5 0 NPDES PERMIT NO.a'tiCa'1O863t14 FACILITY NAME: Mill Crock Middle School OWNER NAME: Catimha County Schools GRADE: %VW-1 eRMR PERIOD: 10-2016 (C3ctnber 2016) C"OMPLiANCE STATUS: C; p PERMIT VERSION: 4,0 CLASS: WW-I ORC: David P McCaride: ORC HAS CHANCED: No VERSION: I.0 CONTACT PHONE #: 8284643562 PERMIT 5I:4'Pt: S: Active COUNTY: Catawba (.)RC CERT NUMBER: 108S I STATUS: Pro SUBMISSION DATE: 12/22120 I I/I412016 ORC/Certifier Signature: David Patrick Mc(orkle F•Mail.david mnccorkle(acatawhta chools.net Phon28-464 35ti2 Date 13y ti ha.r this repot ccurate d complete to the best of my knovvied The pennittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the envinrnment, Any information shall be provided orally within 24 hours from the time the per mittce became aware of the circumstances. A written submission shall also lv provided within 5 days ofthe time the pemtittee become; aware oldie circumstances. If the facility is noncompliant, please. attach a list of corrective actions being taken and a imiertahle air improvernent-s to he made as required by pit 11.E.( of the NPDES permit.. b. 12/22/2010 Rick Sain F,-Mail.rick... sain(a;;,catawbaschoo1s.,net Phone # 828-464-3562 Date itfee Address: 1041, Shiloh. Rd Claremont NC 2861.09202 Permit Expiration Date: 04130/2020 ify,. under penalty of law, that this document and all attachments were prepared under my direction or supervis cordance 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 infomsation submitted is, to the best of my knowledge and belief, true, accurate, and complete, I ani aware that there are significant penalties for submitting false infi:arrnation, including the possibility of, lines and imprisonment Tor knowine violations. LAB NAME: Aa"atertealm lah CERTIFIED LAB #: NcSO PERSON(s) COLLECTING SAMPLES: David inecori Paraineter Code assi, CERTIF1F1) LABORATORIES PARAMFa.'I`FR CC) ,y he obtained by calling the NPDES 1.1nit. (919) 807-6300 or hy visiting http://portal.ncdc.ni orgttveh/wq/swp/p,s/npdes forms. FOO'I'NU'I"E.S 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 odors and, as a result, there are no data to he entered for all limr entire nmoniloring period. ** ORC on Site?: ORC trust visit 1' ility and doewnent visatalion of facty as required per 15A NCAC ) G .0204, ion of the si *** Signature of Permittee: if signed hy other than the permittce, .0506(b)(2)(D). parameters on the DM.R vary authority must be on Iilc with the state per 15A NCAC 2B FAC1L1 TY CFRFWD LABOR_ ,I`=)\ OPERATOR IN RESPONSIBLE CHARGL PERSONS) COLLECTING SAMPLES CHECK BOX IF ORC HAS CHANGED Mall ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MaULSERVICE CENTER RLALEIGH. NC 276994617 GRADE CEll PE CAT:ON NO NO FLOW IDISCHARGE FROM SITE* I F.3I OPE tTO BY THIS SIGNATURE,. 1 CERTIFY IRA ACCURATE AND COMPLETE TO THE MG1L CHAT THIS REPORT IS EST OF hIY KNOWLEDGE. ETERCODE ABOVE • F1Fii'1'S.BILOVY DWQ Fonts MR -I (11/04) and saul'p clrid"utt.1w:ekl1y averages, data and same apph iOT ttt.et permit reguir The pert, tree shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health er 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 3;I.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 Laboratory (2) Certified Laboratory (3) Certified. Laboratory (4) Certified Laboratory (5) SigitJre of Perini tee** r Date (Required unless submitted electronically) :DDITIONAE CFRq IPIf D I AB©R. DRIES PARAMETER CODES 'ert"shc�ation No, Certification No, Ceasiiicatron No, Certification No. Parameter Code assistance may be obtained by calling the NPDES Unit at ( l9) 8Gr7 Oq or by visiting http:/Ipertal.ncdenr.orgiweb/wq/swp/psinpdeslapprortns. Use csa ly units of measurement designated in the reporting faculty's NPDES ing data. * No Flaw/Discharge From Site: Check this b� : lfino discharge occurs and, as a result, there are no data to be entered for all of the. parameters on the DMMR for the entire monitoring period, ** ORC ©n Site?: ORC must visit facility and document visitation of facility as required per ISA NCAC 8G .0204. *' * Signature of Peitfee: If signed by other than the permittee„ then the delegation of the signatory authority must be se file mvith the. state per I SA NCAC 2 _O506(b)(2)(D). Page 2 NPDES PLP.MIT NC; FA,CiLITY CERITHED LABC+ TOR n OPERATOR IN RESPONSIBLE CHARGE PERSON(S) COLLECTING SAMPLESTO CHECK BOX IF ORC HAS CHANGED Mali ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 16I7 MAIL SERVICE CENTER RALEIGH. NC 27699.1617 f%i ENT b A r: C` R ri CA"nO Nil. .ORC .O FLOW" / DISCHARGE FRONT SITE ,NATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY TFUS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE 9EST OF MY KNOWLEDGE. ENTER PARAMETER CO NAME AND UNITS B DWQ Farm MR-1 (I 1104) FaciUt . Stat=s. r (Please cheek one of the fr?lk::,t ii Ail mom in2 data and sampling fequercies meet petmi (includin°g weekly average,, if applicable) All ii1oni'orirg data and sampli eq cries do NOT meet permit requirements Noncompliant The per rtee 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 improvements to be made as required by Part ILE.6 of the NPDES per "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." U1-14 CO Perrnittee Address Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ig taken and a time -table for Signature of Peatrtittee*** Date (Required unless submitted electronically) ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No. Certification No. Certification No, Certification. No, Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-63t00 or by vi http:/lportaLncdenr.org!web/wq/swpips/npdes/appform s. Use only units of measurement designated in the reporting facility's NPDES permit for reprtin data, * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data t€a be 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 80.0204. *** 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 2B .0506(b)(2)(D)• Page 2 PLR: i:ACiLITYN. E CERY dED L3 :! OR G RESPONSIBLE CHARGE PERSON(S) COLLECTING SAMPL[ CHECK BOX IF OR£ HAS CHANGED y2 OR[(3NAL and ONE COeY ATTNCENTRAL F&b DIVISION OF WATER QUALITY br MAIL SERVICE CENTER R LEIG 7( .\!«! G 1 OECPH m NO FLOW/ # A/\ 2 CHAR�G9 `'iQEf ,agEGmTIFAT REPORT Em## anmxrR&m mlESTOFM'q LEDGE t°f isro,tiror The pernsittee shall rcpor to the Director or the appiopri threatens public heart or the environment. Any inform. perntittee became aware of the circumstances. A written permittee becomes aware of the circumstances. t prim%t requrei ppiicable) Noncornpfiant ite p.eiona.l Office any noncompliance that potentially ion shall be provided orally within 24 hours from the time the submission shall also be provided within 5 days of the time the If the facility is noncompliant, please attach a list of corrective actions hero improvements to be made as required by Part II,E,fi of the NPDES permit.. ify, 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 forsubmitting false information, including the possibility of fines and imprisonment for knowing violations." Cube Pcr7riittee Address Ptxone Nsim'rcr Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) parameter Code as, httpri7portal.ncdenr or 'wt taken and Signature ofPern (Required unless s (3'o e e mail addr PAR; Tv ly°fER CODES ation No, _ ration No, Certification No, Certification No. Permit Expiration Date be obtained by calling the NPDES Unit at (919) 807-6300 or by visiti v!psinpdes/appforms. de.gnad itt the re po�rtirtg faoiliys NRZS penriit for reporting data. * No Ftotw/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for a9l of Esc parameters on the D1.1R for the entire monitoring period. *" ORC On Site?: ORC must visit facility and doe'ument visitation of facility as required per 1 SA NCAC 80.0204, *"* Signature of Perm if signed by other than the permittee, then the delegation of the signatory authority roast he on fife with the state per 15A.NCAC 2B .0,506(b)(2)(D)• Paget CEF{ 1 ; OPERATOR O:II'. 7e s/i;n=�37iy4 Ci.fiv; p l 1..RA l OR [' E.:���.,C O19'.JiLk PERSON(S) COLLECTING SA^vtPLL CHECK BOX IF ORC HAS CI -LANCED Mt:ii? ORIGINAL and ONE COPY to: ATTSt CENTRAL FILES DWISIO'r OF WATER QUALITY 1617 MATE SERVICE CENTER i, NC 276994.6 FLO EF INE 'ROM SITE Or BY MIS SIGNATURE, I CERTIFY TSLAT TII IS REI 47RT IS ACCURATE AND COMPLETE TO THE BEST OF :MY KNOWLEDGE. EN E'R PARAMETER CODE ABOVE NAME AND UNITS BELOW The perm shah i77r t P the Director or the apprc threatens public 12,eafth r th n `iron tt,i t. f1,ny info oration shall! per nittee became aware of tiro circurtattances. A v,Titten sub pezimttee becomes aware of the c rcttt?rstarrcc If the facility' is noncompli:trtt, please attach a list of corrective a impravemerrts to be made as required by Part 11.E.6 of the NPD to 24 ho ided within 5 days ins being taken and a time -table for ,permit. "I certify, under penalty of law, that this document and all tsttachn:rcnts were prepared under my dirt-cltort cr supervision in accordance with a system designed to assure that qualified personnel properly' gather and evaluate the infornsation 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." boratory% (3) oratory ( .aboratory (5) PARAN?fft, COI),ES Certification No. Certification No. Certification No, Certification No. Parameter Code assistance may be obtained by calling, the NPDES Unit at (91.9) 8O7-63300 or by http:,///porta1,ncdren.r.orpf weh/wvglstiwpipslnpdes/apploans. de ifiattd in the report`in NP[)ES permit for repotti * No lF lowfbisc:har e Froui Site. Cheek tins box 'id, as a result, there are no data to be entered for all of the parameters on the t)NlR for the entire monitoring, period. ORC On Site?: ORC must visit f il,ty and document visitation of facility as required per 15A NCAL. 8 3 .0204. "" Signature of Perrsnittee:: if signed by ether than the penrtitt?rr, that the delegation of the signatory authority ust be on file tvith the state ner 15A NC;a"aC 213 ,O5.0i)(b)(2)(D1. dd f `s'" nal lab( CT RC HAS CHANCED 1;a � O.R :ANAL. and ONE COPY to: ATTN; CENTRAL FILES DIVISION' OF WATER QUALITY 1617 NWT, SERVICE CENTER " 276m9 FLO E_FF 1NE C rton!hly 1.ir„a I II B C11,191) * ELO I)i'SCHARGE FROM OM SITE Y'TWS SIC {.1T UR1, 1 CE.R' AT MS REPORT IS ACCU COMPLETE TO THEBEST OEN1Y1CNOWLEL E. TER PARAMETER CODE ABOVE NAME AND UNITS BELOW „a co nit@ lcte l aria a 'are tha tines and imprisonrrnent for k.n Certified Laboratory (5) The p= rmIt threatens public health ear al perrnittee became aware ofh.e circumstances, A written s;usiot shal pennittee becomes aware of the circa€.ttt sr. 5 cltr is of the time the If the facility is noncompliant, please attach a list t f corrective actions being taken and a time -table for irnproventerrt to be made as required by Part ILE.6 of the NPDES permit. "1 certify, under penalty of latv° that this document and all attachments in accordance with. a system designed to assure that qualified personnel p submitted, Based cant my inquiry of the person or p inf trin atitiafit, the information sub pcna DDIT Phone Sonnb":er repared uncle rn ly gather and evaluate owledge and' belief, trite, accurate, and nation, utclu€ding the pit sil ilaty of e-mail adress CERTIF'IEI) LABOR. "DRIES ES Certify Certiticatic Certification No, Certification No, Parameter Code assistance may be obtained by calling the NPi?ES Unit at (919) 807-6300 or by visiting http:!/portail.ncdear, org/wtieblwtiq!swpffp 'npdeslapptorms. `pwoltin No Flow/Discharge From Site: Chc entered for all of the parameters on the 1) v1 '" CRC On Site,?; ORC must visit facility and drac.niner * Signature of Perrnittee: If ss�Yred by other than the perm file with the state ner 1 5A NCAC y authority detest be on CHECK BOX IF Mail GRIG[NAL and ONE COPY to ATTN: CENTRAL FILES IllYISIoN OF WATER QUALITY 1(7 NIA TLSERVICE CENTER °IGII. N L7ti4I.I \ ER Monthly' CRC Pi CE`, RT1"1Ctw DISCHARGE I f613i"I ITE BY TIIIS SIGNATURE, { CERTIFY THAT THIS REPORT IS ACCUR iTR AND COMPLETE TO THE BEST OF MY KNOWI EDGE, 0400 i 00610 I t? I3I0 1 006 TER PARAMETER COCE All NAME ANT) UNITS ©"EL©W All monit ."sng data of The pa ta,tc'w:e s tall report to tl threatens public health or the et pertnittee became aware of the circut sta perznittee becomes aware of the circumstances. If the facyilt itnprovemen. 'Tittetl Suhn Office ar!vnoncor it be provided orally wi shall also be provided hr?ur•s from th its 5 days of the time the ancompliant, please attach a list of correetive actions being taken and a time -table for be made as required by Part JLE.6 of the NPDES permit. "I ce.rtity under penalty of law, that this document and all attachments were prepared L n cr super rision 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 fbr 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 uhmittii tg 'false information, ineluding the possibility of fines and inaprisorunent for knowing violations." Certified Lab story` Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) LI c, 5igaa i (Required un submitted electronically) RIMED LABORATORIES IkMETER CODE Certification No. Certification No. Certification No, Parameter Code assistance .may k e obtained by calling. the NPDES bruit at (i l 9) 807-6 http:/!portalmoden,r.orgfweb/'wq/swpips/rapcleslappforams. Use only au atcd in ttu reportingfaeitrty'sNPDES permit for reporting data. No Flow/Discharge From Site. C.:tleci thi %s if al di har c. c cur ata;l, s a result, t ae,re. ar rto a1<rta entered for all of the paranacters on the J)biR. for the eztlsre t:aonitc�rirat p ORC On Site?: ORC must visit faui] ty aril doourstcts# is tat'rr ra of tOrtlity as required per l `A NCAC SO .0201. nature of Permittee: If signed by other than the pennittee, then the delegation of the signatory authority n'un.t be on file with the state ner 1 SA NCAC 2B .05D6(b)12)(D), CHARGE PERSON(S) CC? , . , ` a".}?E.C_K BOX IF ORC HAS CITANG3:i_T Mai d O JGINAL and ONE COPY to: ATTN: CENTRAL FILS nrVIlCiN OF WATER QUALITY 1617 MAII. SERVICE CENTER RLI1S , C 79-1617 BY THIS SIGNATURE, ACCURATE AND COM ETE°T F5T OF MY KNOWLEDGE DGE ENTER PARAMETER CcXR ABOVE NAME MD UNGTS BELOW EFFLUENT PDEb PERM IT DSIARGE MONT FACILITY NAME_A13-_ CLASS CERTIFIED LABORATORY (1) CERTIFICA (list additional laboratories on the b,rcksi OPERATOR IN RESPONSIBLE CHARGE G PERSON(S) COLLECTING SAMPLES CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1.617 NIAIL'SERVICE CENTER RALEIGII, NC 27699.1617 Monthly imid GRADE CERTIFICATION NO. n ORC PFIONE� " ` 6, q ,) NO FLOW / DISCHARGE FROM SITE NATURE, 1' CERTIFY THAT THIS RE ACCURATE AND COMPLETE TO THE BEST OF M NTER PARAMETER C ?DE ABOV NAME AU. LJEL©W DWQ Form MR•I ( Facility Status: (Please check ctrte of the followi onitorhtg data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and saartpfing frequencies do NOT meet permit requirernen Noncompliant 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 penvtittee 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 noncornpliant, please attach a list of corrective actions being taken and a tint able for improvements to be made as required by Part .6 of the NPDES permit. "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 hest arm; 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." d ied Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) t;Requirc.d unless submirted electroniea'lIy ADD1TIONAE +C:'F'RTIFIE D LA.I ORATORIES PARAMETER CODES Certification No.. Certification No. Certification No, Certification No. Parameter Code a_ssis nce may be obtained by calling the NAPDES Unit at (9I9) 507-6300 or by vis http:/rportal.ttcdenr.or 4eblwq/swpfps/npdes/appforms. e only ing facllit,y's i il'f)PS perm Po g data. No FlowiDischarge 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 ©MR for the entire monitoring period, ORC On Site?: ORC must visit facility and document visitation off ciliiy as regt,ired per 15A NCAC 8G .0204. "** Signature of Perntittee: I.f signed by other than the permittee, then the delegtory authority must be en file with the state per 15A NCAC 2B .0506(1))(2)(D). NPDES PERMIT NO . AC: i FACILITY NAME ` V' lL CERTIFIED LABORATORY (list additional laboratories on the backsidelpage 2 pf OPERATOR IN RESPONSIBLE CHARGE (ORC PERSONS) COLLECTING SAMPLES ..w CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATT N: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 EFFLUENT DISCHARGE NO._4 ND MONTH YEAR r CLASS CD CERTIFICATION NO. GRADE 1 CERTIFI;CA" ICiN NO.1 ' ORC PHONE )NC) R ' NO FLOW / DISCHARGE FROM SITE "J (SIGNATURE OF OPERATOR IPRESPONSIBLI CHARGE) BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT I5 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I t1 DATE , ENTER PARAMETER CODE ABOVE NAME AND UNITS BELOW J H Qa f-vr C4 DWQ Form MR-1 (11/04) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit r equirenrents (including weekly averages, if applicable) Ali monitoring data and samplingfrequencies dti NO"I meet permit requirements Compliant Noncompliant The pemurtee 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 ©rally 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 t%nte-table for improvements to be made as required by Part ILE.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 imprisomnent for knowing violations." Address Certified Laboratory (2 Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) Phone Number Signattire• of Pennittee*** Date (Required unless submitted electronically) o "c e-mac ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES cation No. Certification No. Certification No. Certification No. Permit Expiration Date Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by vis http:/,Iportal.ncdenr.org/web/wq!swp/ps/npdes/app fo rms. Use only units of measurement designated in the reporting facility's NPDES permit forreporting 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 DN1R for the 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 perrnittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). ZO NPDES PERMIT NO C— FACILITY NAME i`\ `l l CERTIFIED LABORATORY (I) (list additional laboratories on the backe,'I age 2 ofths OPERATOR, IN RESPONSIBLE CH°IARGE (ORC) PERSON(S) COLLECTING SAMPLES-7 C CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF (WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGFI, NC 27699-1617 EFFLUENT DISCHARGE N t) h1C)NTN � ().." r�YEAR CL.ASS _ COUNTY CERTIF=YC,11'ION NO, 0 GRADE CERTII°ICATION NO ORC PHONE NO FLOW / DISCHARGE FROM OPER.ITOR IhI RE IC II3LE CII LIEGE BY -THE SIGNATURE, 6 CF,RTIFY'REA.'TTRiS RI/PORT IS ACCI RATE ,AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 30 z J 1.0 0 ©X C0--I- ce ©y 00 I 5 z a 5 L�- ENTER Rop,wrg, CODE ABOVE NA:4E"'0410M DP,rQ Form MR-1 (1I/04) Facility Statust (Please cheek one of the following) All monitoring data and sampling freque;t in s m eet pertnit requirements (including weekly averages if applicable) All monitoring data and sampling frequencies do NO'"C meet pe q n Noncompliant The perrnitt.ee 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 noncornpliant, 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 or the NPDES permit. "I certify, under penalty ofla,,v, that this docuruent 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 wiAo 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 Laboratory ( Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) Phorr ADDITIONAL CERTIFIED I,,.,R0 Co - PARAMETER CODES TORIES Certify Certiii pion No. Parameter Code assistance txaay be obtained by calling the NPDES Unit at (9.1.9) 807-6sd0 or' by nisi http:/(portal ucdenr.orglweb/wq/swpttpsinpdes!appforms. Use only on. c frneasuremcnt designated in the repo permit for reporting data, No HowlDisciarge Front Site: Check this box if ncr discharge occurs. and, as a result, there are no data to be entered for all of the parameters on the OMR for the 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 perTr inec, :hen the delegation of the signatory authority rnrrst he en file with the state per 15A 'NCA.0 2B .0.506(b)(2)(D1. \E D._S PLPOv.Ii 1 ti [:AC iLITy ;,;. NIE CFR LF;ED LABOR.A l-tbor; rsyes Or, d Ii N RESPONSIBLE Cr PERSG\(S) COLLECTING CHECK BOX IF ORC HAS CH. Mail ORIGINAL and ON,9 ATT„Sz CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER. RALEIGH. NC 27699-1.617 ' _ C \Ci\. yu �B" � 6n e1 ' r CRC Pir [ `:E ' — i t. tiC FLOW / DISCHARGE FROd1 SITE TOR BY THIS SIGNATURE, ! CERTIFY T IT TRIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF KY KNOWLEDGE. CHARCL.) DATE NTER PARAMETER CO NAME ANO UNITS B DWQ Form MR -I (11/O4 SIA",.[!S: (Plinase dyed: one uf thu All monitoring., data and sampling. frequencies -neet permit requirements kincludinu rweek.ly averages, iCapplicablei Ali monit'oring. data and sampling ii-equencres do NOT rrieec permit requirements Coin Inant Noncompliant 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 permirtee became aware of the circumstances, A written submission shall also be provided within 5 days of the time the penninee 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.E6 of the NPDESperm it. "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 Laboratory (2) Cc Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) e of P Dat (Required unless submitted electronically) ADDITIONAL CERTLFIED LALtORATOR(ES CO1 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 visiting http://portal,ncdenr.oreweb/wq/swpfpstripdesiaPpforms. Use only units of measurement designated in the reporting facility's NPDES ing 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 the entire monitoring period, " ORC On Site?: ORC must visit facility and document visitation of facility as required per .15ANCAC SG .0204,. *** Signature of .Permitteei ]f signed by other than the permit -tee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2.3 .0506(b)(2)(D), Page 2 OPERATO c IN RE PERSON(S) COLLECTING SAKI., CHECK BOX IF ORC HAS CiirA;NGE[ Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISIOcN OF WATER QUALITY 161.7 MAIL SERVICE CENTER RALEIGH, NC 276991617 .CENT GRADE I ORC PHONE S0 FLOW I DISCHARGE FROM SI TG'RB GP i PEPATO2 RESPONSI£1 .E CHARGE) BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. ATE DWQ Form MR -I (11/04) Eticiilty Sr.] tutir cheek one et' the foihnxing) Al I monitorinc: data and sarnpilll'a frequencies meet penn4 requirements (includin,/. weekly averac:es, applicable) raarUtoring data and satnpling frequencies do 1\lOT meet permit re.quirements M:rneoinpliant The permittee shall report to the Director or the appropriate Regiona! Office any noncompliance that potentially threatens public health or the environment. Any hi formation shall be provided orally within 24 hours from the time the permittee became aware ate circumstances. A written submission shall also be provided within 5 days of the time the permittee 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 11.1E6 of the NPDES.permit. "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, 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations," Perrnittee Add e Permittect (Please print or type) Sign (Required unless submitted electronically') 4--- *** Date c31 Neu e-mail acithess Certified Laborito (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIEDLABORATORIES PARAMETER CODES Certification No, Certification No. Certification No, Certification No, Permit ExpiAion Dale „2,02, 0 Parameter Code assistance may he obtained by calling the NPDES Unit at (919) 07-63OO or by visiting http://portatnederir,org/weblwq/swpipstripdeslappforms. Use only ca.sorernen ,signa d the repo y's NPDES petrnit forreporting data. * No Flow/Discharge roin 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 DM?, for the entire monitoring period, " ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC SG .0204, *" Signature of Permitteet If signed by other than the permittee, then the delegation of the signatory authority niust be on file with the state per 15A NCAC 28 .0506(b)(2)(D), Page 2