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LIMIT VIOLATION DISCHARGE MONITORING REPORT (DMR) - WASTEWATER
SUBMIT TO REGIONAL OFFICE* RECEIVED/NCDEO/DWR
OCT 2 S 2021
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'Use this form if any wastewater samples have EXCEEDED A WASTEWATER LIMIT for any parMW@kSVILLE REGIONAL OFFICE
Send sample results to the DEMLR Regional Office within 30 days of receipt from the laboratory.
Certificate of Coverage No. NCG14
Facility Name: West Plant
County: Mecklenburg
Phone Number: 70( 4 )529-6364
Certified Laboratory: Waypoint Analytical
Sample Collection Period: Qtr 1 ❑ Qtr 2 ❑
If Monthly Monitoring: Month August
Person Collecting Samples: Luis 0-
Lab #
Lab #
3 1pt i.4,0 Calendar Year 2021
Discharge to HOW or ORW waters? Yes ❑ No ❑ d
Discharge to SA waters? Yes ❑ No ❑ Discharge to Tr (Trout) waters? Yes ❑ No ❑
Discharge to SB or PNA waters? Yes ❑ No ❑ If HQW, what is the 7Q10 flaw rate? or Tidal, 7Q10 not available ❑
Wastewater Monitoring Requirements
Outfall
No.
Date Sample
Collected
Daily Flow
Rate, cfs
pH,
SU
Total Suspended
Solids (TSS), mgll
Settleable
Solids,
mill
if applicable
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mg/I
-
moldd/yr
or "NO FLOWN
HQWorORW
50% of 7Q11)
Indicate NO FLOW it
applicable
freshwater
6.0-9.0
saltwater
6 $-$ 5
Stantlam!
30
HOW
20
HOW ORW>,d Tr, or PNA
10
HOW, ORW, SA. SR, PNA, or
any Trout
5
No Limit
Samples above Renchmarl,
subject to Tiered Responses
15
001
8/9/2021
6.59
33
SM 2540 D-2011
Permit Date 8/1/2017 - 6/30/2022 Last Revised 8-22-2017
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Certificate of Coverage No. NCG14 0❑ 0❑ 50 ]
CERTIFICATION
" I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and
imprisonment for kpowirN
Signature
Date
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
" [Required by 40 CFR § 122.22]
2(
Mail Limit Violation DMR to Your DEMLR Regional Office Land Quality Section:
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
(828)296-4500
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
(919)791-4200
WINSTON-SALEM REGIONAL
OFFICE
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27103
(336)776-9800
FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
225 Green Street 610 East Center Avenue/Suite 301
Systel Building Suite 714
Fayetteville, NC 28301-5043
(910)433-3300
WASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
(252)946-6481
CENTRAL OFFICE
Questions for The Central Office
Stormwater Permitting Program?
(919) 707-9220
Mooresville, NC 28115
(704)663-1699
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
(910) 796-7215
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Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2017
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