WQ0004797_Monitoring - 03-2022_20220511

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DWR - NonDischarge Monitoring Report Submittal y. •4 ..
NORTH CAROLINA
Enrlranmenlel QHaffly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0004797
Name of Facility:* Clement Pappas NC LLC
Month:* March Year:* 2022
Report Information
Type* Upload Document*
Revised-NDMR, NDAR-1, NDAR-2, Signed NDAR and NDMR 1.14MB
NDMLR Revised 3-2022.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Dale I Wolfe
Signature:
a '
Date of submittal: 5/11/2022
This will be filled in automatically
Initial Review
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0004797
Is the monitoring report accepted?* Yes No
Regional Office* Asheville
Reviewer: _anonymous
Review Date: 7/28/2022

FORM-^IDAR-1 10-13 NON-DISCHARGE APP' •-ATION REPORT (NDAR-1) Page of
Permit No.: WQ0004797 Facility Name: Clement Pappas WWTF county: Henderson Month: March ( Year: 2022
t T to \ Field Name:l 2 O �` i, Field Name: 4
Did irrigation occur ' _ _ ►eFa► � ~ `---
�a �� \���� Area(acres): 4.1 -, A,,c .-\��\ Area(acres): 3.3
at this facility? �� � �'' � "�v" � ����� ��� ���°�
R Cover Crop: WheaUFescue �` vaw\\Wheat/Fescue Cover Crop: Wheat/Fescue
❑YES ❑No * m �.ti�ti ~\ Hourly Rate(in): 0.2 il*Wiy Rate(►1 \\� \\0 \ \, Hourly Rate(in): 0,2
` \\ \= Annual Rate(in):1 52 i u P 2 -K \\52\�\ Annual Rate(in): 52
Weather Freeboard k : Y �� y������ � �������� Field Irrigated? [7]YES ❑No �A� �1�ln^rgatedY ����yv � Field Irrigated? El YES ❑NO
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2 C 34 0 5 itfi.tVOt - 45 vfQ 09 y 0 09 45v 40 08 R. 0 08 I 7,830 45 0.09 0.09
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3 C _ 36 0 `5.33 011 10,444 60 0.12 0.12
4 C 38 0 6 ,¶5430' ;�,e60oy_ 5012:&!4012 ` I vv12;752 _ P,60 o y 0.11 �0.11 ' 10,441 60 [ 0.12 0,12
5 0
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9 R 49 0.8 6.081 y�4;y`�.°�,. _. 11oA A�- I. ,':,..A* �.''.4�,_ ;�
10 CL 44 0 5.75 A`
11 CL 42 0 5.5
12 0.27 W'' k� v v v
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14 C 36 0 5.08 `AIM „ ....., 1 -9,566 ,45 \,.A0.0800.08
15 CL 39 0 5.25 X115771N,0„45„ , ,; 009 ,1f31,1121o9 1•-;.,9,562 V45 r.. 008-,: y-0.08 , 7,835 45 0.09 0.09
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16 R 46 0.81 5.5 141;A,
17 PC 47 0 5.08 TX O \2\ 1. \
18 PC 41 0.09 4.83 1\771 `,S30 „:"V0,10CI 0 0G - 9,560 ... 45 \ \ OQ8* 0 08 I
19 0 -5\ \l,\.tip „ t`
20 C 43 0 4.67 oi71$ -„30\. 0,06 \0.06,,.-, 6,3730\ 30:�._ `005-,f_ 0 05_:_ 5,225 30 0.06 0.06
21 C 33 0 4,92 1;550 . 45\ 0 09",, 0.09,.,=, 9,562 451.q 0 08 Q 08 7.831 45 0,09 0.09
22 PC 46 0 5.17 ,.;1f575- ,`45 0.09 y 7\0 09,,,° 9,559 t:45' 0.08 .., 0 08.°= 7,834 45 0.09 0 09
23 R 55 2.26 5.33 vv o\�1 yv� > "v` yy y *v
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27 PC 35 0 4.17 1 \. 5 142\\ ; 20:' 0 04,V\; V0 04 ( _ . 4,246\° 20 \, 0 04 0 04
28 PC 33 0 4.17 7,712; n\30 0 06i *0 06 �,_: 6,373 ", +t "0 05 0.05:>.
29 CL 38 0 4.25 t4770 \ 0 06e, 006 V6 370 ., 30,. 0.05 . :`.0.05
30 CL 1 .01145714A
124 w„3 ,C 45 0 4.5 11 574 v vv 45y 0.09A F0 09 9 564 45g v0 08e 0 08
31I R 61 I 1.33 ] 4,58
Monthly Loading: 144,022. 1 15 `` 0 ==m12-444 0,00 131 742 1.10 ±i J 70,509 AREW 0.79 v
12 Month Floating Total(in): r _ _ - 12 70 . = 1-z- 5.32 _- = 13 73 -s = 8 34 i

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FORM:.NDAR-1 10-13 NON-DISCHARGE APPI '^--ATION REPORT(NDAR-1) Page_ of
Permit No.: WQ0004797 Facility Name: Clement Pappas WWTF county: Henderson [ Month: March I Year: 2022 I
[�Ic- area B \` Field Name: 8 � Faldame ti„ �0 � Field Name: 10
Did irrigation occur . . , ,,
{ � o\ Area(acres): 5,24 41*-*es M 5 25�� [ Area(acres) 4.15
at this facility? �` ��
�� O Gu V, Cover Crop: Wheat/Fescue � emsvvCrap �t(t(heal/1=escu Cover Crop: Wheat/Fescue
❑✓ YES ❑NO ►??° \ ~ \' Hourly Rate(in):. 0.2 ,Surly Ra ft,} \\�0 3 i Hourly Rate(in): 0.2
..�.r ti<,\ ..�,_. .\.eti\\\tea.
try 1 'E� \4 Annual Rate(in): 52 /lnrtua,Rate ;.. ,\ 52a\�`\ \` Annual Rate(in): 52
Weather Freeboard i �r I yE \�❑NQ. Field Irrigated? ❑YES ❑NO � 1r�rgated? �,RY � � Field Irrigated? ❑YES ❑NiO
., m \ E\ m y v rn Earn ;- :::74: --:'=-.'I,‘-'4`,_
`\ p\o Nnr maorn E �, rna mrn \ c. E m mt. a , _ c - \\\ 7; E = E �; C� U � =' R j `° � `-� - � -` � E`er -a ;. 3 E � �� v E � =o � a ���``� �\\�\�� `��� 3 E � •- v E � v u _
r E 'a rn Q _�,`a� C`� Q o a ~ •Q1 8 p •m 2 G e\ \cam\\� \tu\� °-o; ° a F ca O o X p
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F a wo ti \� r \ \. v** \ ti yam\ \'
°F in ft ft t gal. mire , irr.. -m, ; gal min in in gal. �t;mmn in 0\in gal min in in
1 PC 35 0 4.83 `2,303 °'013414,0604 SA0:06',0! 8,900 30 0.06 0.06 5,529 \..o 23, ..0.04 0.04 6,404 30 0.06 0,06
2 C 34 0 5 34555z it450 009 ,,, ,,0.09 13,360 45 0.09 0.09 , 10816 ;45.�,. , 008 ,, . . . 08\0 9,607 45 0.09 0.09
3 C 36 0 5.33 3;344 :ii `60 3 Q„ 09` ,„0 09 17,815 60 0.13 0.13 44 424,; .`. 60 ..!0.10 `0.10 T 12,810 60 0.11 0.11
4 C 38 0 6 a?1933 . ii12 000., 0 00 ! Al`,14,421`,,.; 60 0`.10 ,.`0 10, 12,808 60 0.11 0.11
,
7 PC 65 0.18 6 i - ,, 1.. 17,810 60 0.13 0.13 1.4420 ; 60,,. ,,.0.10y .;,010 5,838 27 0.05 0.05
8 PC 45 0.65 6.08 22,303 ;` 0t.30 p`�0 06� , 0.06 8,908 30 0,06 0.06 7,208A . 30 "0.05 0 05.6
9 R 49 0.8 6.08 V4,v ww,.` .A..". > . ..�t ,.? .M , _,
10 CL 44 J 0 5.75 v v ` ``
11 CL 42 0 5.5 V` "y ��`
Z.-z_ a e __s. _ v kA y. _
12 0.27 F �n�k*y� � �\`
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14 C 36 0 5.08 3 454 45
d�_ e_ �_009A 0.09;, 8,906 30 0.06 0.06 ,72 1� _ti 30 0 05a :005s'ti
' ti,; �60 01\ t,�
15 CL 39 0 5.25 4,405 ;, 0.11 8,903 30 0.06 0.06 10,812 _„X.',45 ; 0.08 ,..,0 08y4,
16 R 46 0.81 5.5 ` itA itoa ,` 45:t vy o
17 PC 47 0 5.08 ` . �\.` . .\` .;,W " `` ` .t :. `.� t:l\\. I
18 PC 41 0.09 4.83 2 26 , �:30 0 0fx` k`0 06 8,900 30 0,06 0.06 7 209 '30 0 05y 40105f1
19 0 .. 3* V4 VI V�V�-4,e4f ,��V "\Ay\�AV,� �, S�� O, ; - -
20 C 43 0 4,67 2 202A;30`\ 006'0 06 8,910 30 0.06 0.06 `,7,20&C \� 0,3 , OQS ;;0 ,,05, �
21 C 33 0 4,92 3 3(� 45r::., 0 08, 0 08 ; 13,358 45 0.09 0.09 `3 146 13 0 02, 0 02;
22 PC 46 0 5.17 `3 -345,�,s�0 0 8y�,3`03, � 0 08q 13,133 45 0.09 0.09 "`
23 R 55 2.26 5.33 \ VW\. . A\ a ` tiS. tk
24 0 t_ \\` f\tritI \\AI Z \mot\�. , t S .\\,:\\��`i Kinkliff,
25 PC 33 0 4.58 ` yA v\ `� o `V�* ,` „t o�
,A , AO� ` �'` I4 " 1. 3`VA``��\ ..W [
27 PC 35 0 4.17 't,46T\ \ 203 0 04`` 00 04 ° �\ �\ \ p, \`
28 PC 33 0 1 4.17 2 201`* -;,30 ,0.06k1� 0.06 8,652 30 0.06 0.06 61.004 wki3.0111i keito,fo5st ilni5V
29 CL 38 0 4.25 2 202 .30 ,-0 06 `0 06 ., 8,656 30 0.06 0.06 7 200 ` 30 , :0.05 0 05
30 CL , 45 0 4.5 3 30&4 N45,� v 0 0W 0 08 1 12,337 45 0.09 0.09 T10 803 45 `0 08 0 08
31 I R 7 61 1 33 4.58 Iztt __._ . __ ...._. �tv4!Twit Ay<,: ...„z`i.,
Monthly Loading: 39 644 ,_J 01 1.11 127 617 N.0.90 47,467 0.42 pitirgill
12 Month Floating Total(in). 11 42 ] 11,21 _ = r 12 96 ai- 7.09

FORM: NDAR-1 10-13 NON-DISCHARGE APPI 'r:ATION REPORT(NDAR-1) Page_ -of
Permit No.: W00004797 Facility Name: Clement Pappas WWTF t county: Henderson I Month: March I Year: 2022
` \\ \\�
\ ct4 ���� \„1,,\\\\\\ Field Name: I\\\ e4d Name \N\ ��"-\\-\ Field Name:
Did irrigation occur „ , n-� O
�� �� \may Area(acres): Area, act - �� `yam Area(acres):
at this facility? -v ,� y v vv vy ( ) ��
-; �\� t �, Cover Crop: \ \ c�rer� ci �\- ---- --4.;„„„- ----,\ Cover Crop:
❑ ❑ u \�\\\ Hourly Rate(in)• e�\Hourt Rate'►n `` Hourly Rate(in):
YES NO \�=*\ \.\-y\.,* e\\ \\�..\.., .ac\\ \\,1. \\.--,,,\.� \\\\ \\\ \g`
itt \� \� Annual Rate in nriva Rate)in -t-� \�
,, : \ , @c Uri). ..,,_ _ y \ Annual Rate(in):
\\ \\o f \ \ C 7 \\\ \\\ a 7
Weather Freeboard \t is to ^i \❑YES g�❑NO\, Field Irrigated. ❑YES ❑NO Ere)d Frrrgated7 rQtY \\\ Q No Field Irrigated. ❑YES ❑NO
• m C :- ,s \\k \\\%may, ,� \\' `\ \\ \
.0 3 o N \ \ \ \ \\ .. ,-';''-',-'7,--- �\ \ \ � \\
m a�` \\\\�\\ �, w m y v rn E >, rn ice _z- ti\\ a) -o v rn E cm
>. 0 m m rn y - _ ��. y� E' a) a) d >, c = - c A A >,
m V 2- m 0. m etF\ rn �� -y G. m
pA tom\y a E m E 'v E 3 v Vv � v• v vv y � E `o E °o
D. `o y vv v ay m x o m V--� y ces\ yx� .Cr)rn m X o m
c O a Q A- A C} � �'V O d F 0 p R Z O f • � � V VA v .- Ct O a 0 0 co 2 0
-J 5- E W m a .� �� �� AV A A� V Q i J J A L
j I- 0- m \ \ � \\\ \\� �\ \� \ IIN
vvvE v-vyv�y vyAv v ,v���\ -�
°F in ft ft gat' � Fmirt_. . in In\` gal min in in gat- min , in \�__in -' gal min in in
1 PC 35 0 4.83 7,562- \--430 41 0.06. 0 06 ti
2 C 34 0 5 1 h351- ;\\\45 , \°010 0 1©'.. ` „ ` .-;'':1! )11i,F1W,7
3 C 36 0 5.33 "13706 60 ,'012V',-"0 12 ;.\
4 C 38 I 0 ) 6 13'704 `60 0 12 012,k, vv
5 0 yvy4yr\y 4 v -
6 0 N�- y, �v, - yV 1:il
o,
7 PC 65 0.18 6 ,13 701„ 60,4 sr&0 12 , A 0.12 ,
8 PC 45 0.65 6.08 A 6;84C$}, „ib30_, y 0 06 '', 0 06,ti; v,y.
9 R 49 0.8 6-08 �i*' y\v` -14.v • w y� � . ly
10 CL 44 0 5.75 y�v, �� .e,,,= • � vv A.
11 CL 42 0 5.5 a ���
12 0.27 ���v ,
13 0 �� vv4h ��� .
14 C 36 0 5.08 y
15 CL 39 0 5.25 i\ \
_s,
16 R 46 0.81 5.5 r - -A may,4
t
17 PC 47 0 5.08 '''''`V .-. 7- \"`4'. \ \
18 PC 41 0.09 4.83 :�`y R..- kt �b..;� : . ..
._,._ il .,, _" `' >
tiff
19 0 \\\\ \\ ;.*� .. W \- � \
\. \\
20 C 43 0 4.67 \., ~:tI A \.4 f- _ a,�\\\ t
21 C 33 0 4.92 Avg yv yv v
22 PC 46 _ 0 5.17
23 R ` 55 2.26 5.33 ,,��- v�, _
24 0 \;.K t\..`.,:. ; it. 4 :.P-A \ : -lit:**4
25 PC 33 0 4.58 a v y , - \
26 0 [ V -vim vA \ V \-\ , `\ [ -- _- v \ \ - y �� V
271 PC 35 _ 0 ¶ 4.17 \ � „ ,4 `tr.Nq
28 PC 33 0 4.17y A� y '1A�� [ y vA oy v
29 CL 38 1 0 4,25 v N v y v
30. CL I 45 0 4.5 .,,l...., . .:,y . <�� ;,,, y 4y-A1
31 R 61 1.33 4.58y�v vyv ` ;v
Monthly Loading 66 872 0 57 0 0,00 0 0 00 0 0.00
12 Month Floating Total(in) __ _� ° �11 06; -_ _ - -4-. �7� _ 71 = -N
a -_ '_ _%_ - -

FORM•_NDAR-1 10-13 NON-DISCHARGE APPI"ATION REPORT(NDAR-1) Page , of
Did the application rates exceed the limits in Attachment B of your permit? 2 Compliant ❑Non-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 Compliant ❑Non-Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? E Compliant ❑Non-Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant ❑Non-Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E Compliant ❑Non-Compliant
If the facility is non-compliant,please explain in the space below the reason(s)the facility was not in compliance. Provide in your explanation the date(s)of the non-compliance and describe the corrective
action(s)taken.Attach additional sheets if necessary.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Dale I Wolfe Permittee:
Clement Pappas NC LLC
Certification No.: 987551 Signing Official: Blake Kehoe
Grade: SI Phone Number: 828-458-7447 Signing Officials Title: Director of Engineering
Has the ORC changed since the previous NDAR-1? ®Yes No Phone Number: 828-693-0711 ext 1707 Permit Exp.: 7/31/26
/17 ft/d //
in a
Signature Date Signature Date
By this signature,I certify that this report is accurrate and complete to the best of my knowledge. 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 all qualified personnel properly gathered and evaluated the information submitted.Based on my
inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the
information submitted is,to the best of my knowledge and belief,true,accurate,and complete_I am aware that there are significant
penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations,
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM:NDMR 03-12 NON-DISCHARGE MONITORING REPORT(NDMR) Page of
Permit No.: WQ0004797 i Facility Name: Clement Pappas WWTF j County: Henderson I Month: March I Year: 2022
PPI: 001 I Flow Measuring Point: ❑� Influent ❑Effluent E No flow generated Parameter Monitoring Point: ❑Influent E Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code - 50050 00310 00916 31616 00927 00610 00625 00600 00340 I 00400 00665 00931 00929 70300 I 00530
To 0 E R c a
m ,o E C w a0i `o E s o E > to v N
E :; 3 0 o o d w Q' o = '„° sue, r v_ m cv_
a E F o O cu _ c E Y Y o 0 0. o Q- '5 0 m -o o N o o a o
8 U P u_ co I I u O co E ._ 1•- U H C 0 Vs Ce 0 I- y W H H W
re 0 O re U U Q c Z Z t N Q W 0 N
0 I- a
24-hr hrs GPD mg/L mg/L #/100 mL', mg/L mg/L mg/L mg/L mg/L su mg/L Ratio mg/L mg/L mg/L
1 08:00 1 8 61,348 i
2 08:00 a 8 47,284 814 [ 10.2 130000 6.37 (0.1 196 197 9220 6.7 27.6 1.4 50.6 <.125 3340
I a ]
[ 3 08:00 8 51,548
4 08:00 8 42,968
to
5 37,832
6 i 37,832
7 08:00 8 37,832
i-
8 08:00 8 62,040
9 08:00 ' 8 52,152
10 08:00 I 8 50,936
11 08:00 8 43,068
12 32,087
13 32,087 [ I
141 08:00 8 32,087 t
15 08:00 8 51,200 [
16 08:00 8 47,776
17 08:00 t 8 58,172
18 08:00 8 54,560
19 l 38,905
20 38,905 F
21 08:00 8 38,905
22 08:00 8 34,048 I ]
23 08:00 8 52,648
24 08:00 2 60,598
25 08:00 8 60,598 IMMII
26 37,819
27 09:00 i 3 37,819
28 08:00 8 37,819
29 j 08:00 8 37,784
3
30 08:00 8 47,528
31 08:00 8 56,196
Average: 45,561 814.00 10.20 130,000 6.37 <0.10 196.00 197.00 9,220.00 27.60 1.40 50.60 <125.00 3,340.00 Daily Maximum: 62,040 814.00 10.20 130,000 L 6.37 4 0.10 196.00 197.00 9,220.00 6.70 27.60 1.40 50.60 4 125.00 3,340.00
Daily Minimum: 32,087 814.00 10.20 130,000 6.37 1< 0.10 196.00 197.00 . 9,220.00 1 6.70 27.60 1.40 50.60 4125.00 3,340.00
Sampling Type: Recorder Grab Grab Grab Grab Grab Grab j Grab Grab Grab Grab Calculated Grab Grab Grab
Monthly Avg.Limit: 99,900
Daily Limit:
Sample Frequency: Continuous 3 X Year 3 X Year 13 X Year 3 X Year 3 X Year 3 X Year 3 X Year 3 X Year 3 X Year 3 X Year 3 X Year 3 X Year 3 X Year 3 X Year

FORM: NDMR 03-12 NON-DISCHARGE MOP"TORING REPORT(NDMR) Page_ of
Permit No.: W00004797 Facility Name: Clement Pappas WWTF County: Henderson Month: March Year: 2022
PPI: 002 Flow Measuring Point: E Influent ❑Effluent ❑No flow generated Parameter Monitoring Point: ❑Influent E Effluent ❑Groundwater Lowering ❑Surface Water
Parameter Code o� \ \ 81 •\�\�`t4\ \\\\ ` �\
Qt 00940 31v 00610 00620 V 00400 �00665v 70300 ��, �V� y \-_ ��
•. ��A'� aA�AA\y \v .-v�., AA�� \ � \� A._ ��� v��. ��
m 0 m �� v - �y .*----7. �
> rir. a� � y =-a vter y � �y t. ,�
E o \ti v� y� �� . ca > v : �\ -- \�
>. a E _ � o \, z �y_ 46 o - <\yam vw�... �y �A� y
m - f- in ,., E tiresvv a __ o u) .o Ate, A y-\V` � y-
C,) H t -�v\ v,� � w � s ����\ � \�A ?�
O U E \ ti;A �� _ !n � mowA a \�. t. iy- y
_ - may' .._ �- ��`\ VA�.�� �� �V
O cc
o _ a � A3V ` 0 ,��\ -�VyA\ yV`v
ice, O nt. \\ .., _.�...� �\ \�\
24-hr hrs mg/L o=Q-1, mg/L 4-iC su iiiv \z. mg/L \\\,\\\ 4 \*U ` `\` \;
2 08:00 8 \ \ l*\ ,
: cam ; _ „�.�, •\ `C�,\a- \�o\Q"'\� �\a\\ \\\ ti\��\\ \ 1 �\. �\\\
3 08:00 8 ;� \ \ � \ \
\ \\ \ \z o \ s: \ c
4 08:00 8 - \ � \\ �\ \ \ \
�\ j - \ ,a. \\\ .\:',7`,.\��.\\\_ - \\.V\ \ >� \\\ fin; \-kr.'\
6 v\\ \ �:
7 08:00 8 \\\�\° � �\`-4 \\\\`\\
yV\\V� \�V� . -
8 08 00 8 0\V ,\ \ \ \, ti \.
9 08:00 8 \?\\\\ -\\ \ : -
10 08:00 8 \\\�\\\ io��4 1�`\ `
08:00 t1 \\ ._ \\ ` \\ \\ \ \\` \\ o:
I
08:00 Jo ,\\�y yvyy : y kyvy_. �.. y' y\ .
08:00 ~ \s\\~ \\\� >..�. \\ \ \ \:
g�A.e c
_r
08:00 ;�\ \\� \. \ ...__c. _.... ..8 \\�\�: \, \_;; _ .__ -
08:00 .-'
18 08:00 8 MtiK \f\\7_\ \ \ 14 \, �° \`\\
:NAe.
20 weiiiN VAVv V i y\,
21 08:00 . via „ .. M:
08:00 \\\��` \\\ \\\` \ \\\\\ \e
e��_ �_ � a�_ v v,.�yv y. _ o,
\ \\ \\\ \\
I
08:00 -�\ \ \\\. \\\,\. \
08:00 \\ " .:8
ti—,\ \44—s- --.\ \mac\ .,- \\M.\-\\ \\: .\c\\c\i - _\ \ \\\.
\O.\\aVvte .\\ _\ , \\\:c mac\ \\ �a\ \'t t\'. \ \\ \ \_\
I 09:00 3 \\�y_ w yVA \ T
A vy v yy
08:00 8 \ \ \ \\ \\\ iw
\\\\ \ \ :: \ \%
29 08:00 8 •
\\'11- a\ \ \, a\\\\ 4\ ,
\ \\\�\\ tip\mow\ . \\\�\��-\\\:. \ \\\. - - \\\.\\ :.\ .,\\ \ \\°,
30 08:00 8 \� \ \\ \ \\\ \\ a \
V�\\: �w,�aay y\ \ .A: y oA*4 \ y ..�y��y��yy �.v�� .yy
31 08:00 8 \--11 ti\�\\"'\\' \\` w \`_ \, \ \ \\\\ O
_--
Average: \ \\ \\\ \ '\\\tip\ \\\\ _ \ ` \ \\ \
ays
Daily Maximum: \ \yv \ \
y \ \A \ \ti\„y w
4 Daily Minimum: y�oyvim 1,4 "vAtiV �j- w�,y VFFigtO Av�.V :,_, A
Sampling Type: Grab Z Grab \ Grab`r: Grab ' Grab \ Grab Grab Grab ,\\W \ \t.
Monthly Avg. Limit: syv v� w y�
v.�2. `d V- ,may.. .�
Daily Limit: ," y v.\t , o v`v
Sample Frequency: �X Years 2 X Year 2XYear, 2 X Year 2?C Year 2 X Year 2 X Year= 2 X Year e .Z ' ::

FORM-NDMR 03-12 NON-DISCHARGE MOI"TORING REPORT (NDMR) Page_ of
Sampling Person(s) Certified Laboratories
Name: Danielle Schuler Name: Pace Analytical
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? 0 Compliant ❑Non-Compliant
If the facility is non-compliant,please explain in the space below the reason(s)the facility was not in compliance. Provide in your explanation the date(s)of the non-compliance and describe the corrective
action(s)taken.Attach additional sheets if necessary.
Operator in Responsible Charge(ORC)Certification Permittee Certification
ORC: Dale I Wolfe Permittee: Clement Pappas NC LLC
Certification No.: 987551 Signing Official: Blake Kehoe
Grade: SI Phone Number: 828-458-7447 Signing Official's Title: Director of Engineering
Has the ORC changed since the previous NDMR? ❑Yes 0 No Phone Number: 828-693-0711 ext1707 Permit Expiration: 7/31/2026
il
Cji _
tek liff C74 d—.Z.
Signature/ Date Signature Date
By this signature,I certify that this report is accurrate and complete to the best of my knowledge. 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 all qualified personnel properly gathered and evaluated the information
submitted.Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for
gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am
aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for
knowing violations.
-
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617