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HomeMy WebLinkAboutNCG020354_2021 DMR_20220824STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM Calendar Year 2021 Individual NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No_ NCG❑E[�]❑3 ❑5 ❑ This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: Brickhaven No. 2 Mine Tract "A" County: Chatham Phone Number: (50 974-8073 Outfall No. 1 Total no. of SDOs monitored 6 Is this outfall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past year? If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑� Yes ❑ No 0 Yes ❑ No ❑■ Parameter, (units) Total TSS SS Turbidity Non -Polar New Motor Total Total Zinc Total Fluoride Rainfall, inches (mg/1) (ml,l) (NTU) O&G, mg/i_ VMA(gal/Mo.) Oil Usage Aluminum m 1L Recov. as Zn (mglL) m IL Benchmark N/A 1 100 50 50 15 - 0.75 0.126 6 Date Sample Collected, m m/dd/yy 06/15/21 1.94 25.2 <0.1 32.0 NIA NIA - - 09/29/21 1.60 20.0 <0.1 18.7 NIA NIA - - - ovVU-1-104 - kjW RV IG f%I II 1UG] UIVIf\ Last revised W212018 Additional Outfall Attachment Outfall No. 1 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 0 Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No 0 Parameter, (units) Total Rainfall, inches Total Hardness pH Total Antimony (mg1L) Total Arsenic (mg/L) Chromium Ill (mg1L) Benchmark NIA NIA 6-9 0.34 0.15 0.905 Date Sample Collected, mmiddlyy 06/15/21 1.94 - - - - 09/29/21 1.60 - - - - - SWU-264 - Generic Annual DMR Last revised 5/02/2098 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete_ I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature Date 08I08/202 For questions, contact your local Regional Office: DWQ Reqional Office Contact Information: Aslhnvill 1S1IE\ ILLE REGIONAL OFFICE 2(.190 US 1-Irghxva) 70 Swannanoa. NC 28778 (828) 296-4500 RALEIGH REGIONAL OFFICE 3800 Barr4ti Drive Raleigh. N( 27609 (919) 791-4200 FAYETTEVILLE REGIONAL OFFICE 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 ( 91O) 433-3300 WASHINGTON REGIONAL OFFICE 943 Washington Square Mall Washington, NC 27889 (22) 946-6481 W.INSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE 450 Hanes Mill Rd, Suite 300 1617 Mail Service Center Winston-Salem. NC 27105 Raleigh, NC 27699-1617 (336) 776-9800 (919) 807-6-00 MOORESVILLE REGIONAL OFFICE 610 bast Center Avenue:/Smite 301 Mooresville. NC 28115 (704)663-1699 WILMINGTON REGIONAL OFFICE 127 Cardinal Drive Lxtensiun Wilmington, NC 28405-2845 (910) 796-7215 7o preserve proft& and enhance North Camfina's water...' SWU-264 - Generic Annual DMR Last revised &V2/2018 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM Calendar Year 2021 Individual NPDES Permit No. NCS❑❑❑❑UU or Certificate of Coverage (COC) No. NCG o❑❑0❑❑❑ This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: Brickhaven No. 2 Mine Tract "A" County: Chatham Phnne Number: ( 502 ) 974-8073 Total no. of SDOs monitored 6 Outfall No. 2 is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑■ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No 0 Parameter, (units) Total TSS SS Turbidity Non -Polar New Motor Total Total Zinc Total Fluoride Rainfall, (mg/1) (ml,l) (NTU) O&G, mglL Oil Usage Aluminum Recov. as Zn (mglL) inches NM A(gal/Mo.) m IL m /L Benchmark N/A 100 0.1 50 15 - 0.75 0.126 6 Date Sample Collected, m mld dly y 1.94 18.6 0.1 19.5 NIA NIA - - - 06/22/21 12/08/21 0.54 10.6 <0.1 16.7 NIA NIA - - - SWU-264 - Generic Annual DMR Last revised 5/02/2018 Additional Outfall Attachment Outfall No. 2 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑■ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑1■ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑■ Parameter, (units) Total Total pH Total Antimony Total Arsenic Chromium III Rainfall, Hardness (mg/L) (mglL) (mg/L) inches Benchmark N/A NIA 6-9 0.34 0.15 0.905 Date Sample Collected, mm/ddlyy 06/22/21 1.94 - - - 12/08/21 0.54 - - - - - SWU-264 - Generic Annual DMR last revised 510212018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the Signature Date 08/08/2022 lity of fines and imprisonment for knowing violations," For questions, contact your local Regional Office: DWQ Regional Office Contact Information: Aaher ill ASHEVILLE REGIONAL OFFICE 2090 US Highwa\ 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 Rd, Suitc 300 Winston-Salem, NC 27105 (336) 776-9800 FAVETTEVILLE REGIONAL OFFICE 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 (910) 4 33-3300 WASHINGTON REGIONAL OFFICE 943 Washington Square Mall Washine,ton. NC 27889 (252) 946-6481 CENTRAL OFFICE 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 807-6300 MOORESVILLE REGIONAL OFFICE 610 1.ast Certtei• AvenuelSuite 301 Mooresville. NC 28115 (704) 663-1699 W'ILMINGTON REGIONAL OFFICE 127 Cardinal Drk e Extension Wilmington, NC 28405-2845 (910)796-7215 -To preserve, prntect and enhance North Comma's ivater ." SWU-264 - Generic Annual DMR Last revised &0212018 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM Calendar Year 2021 Individual NPDES Permit No. Certificate of Coverage (COC) No NCSuuuuuu NCGE01EO731❑0 This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: Brickhaven No 2 Mine Tract "A" County: Chatham Outfall No. 3 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 0 Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ■❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Parameter, (units) Total TSS SS Turbidity Non -Polar New Motor Total Total Zinc Total Fluoride Rainfall, (mgll) (ml,l) (NTU) O&G, mglL Oil Usage Aluminum Recov. as Zn (mg/L) inches MA allmo. m IL m /L Benchmark NIA 100 0.1 50 15 - 0.75 0.126 6 Date Sample Collected, mmlddlyy 0.26 8.3 a <0.1 - 18.8 04/06/21 NIA NIA - - - 09/15/21 2.98 14.8 <0.1 25.1 NIA NIA - - SWU-264 - Generic Annual DMR Last revised 5/022018 Additional Outfall Attachment Outfall No. 3 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑R Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑■ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Parameter, (units) Total Rainfall, inches Total Hardness pH Total Antimony (mg/L) Total Arsenic (mg/L) Chromium III (mglL) Benchmark N/A NIA 6-9 0.34 0.15 0.905 Date Sample Collected, mmlddlyy 04/06/21 0,26 - - - - 09/15/21 2.98 - - - - - SWU-264 - Generic Annual DMR Last revised 5/02/2018 " 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 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 possi lity fnes and imprisonment for knowing violations." Signature Date 08/08/20 QWQ Regional Office Contact Information: For questions, contact your local Regional Office: a -A '.Aahevill ASHEVILLE RECIONAL OFFICE 2090 US 70 Swannanoa. NC 28778 (828) 296-4500 R:ALEIGH REGIONAL OFFICE 3800 Barrett Drive Raleigh. NC 27609 (919) 7914200 FAYETTEVILLE REGIONAL OFFICE 225 Green Street Systel Building Suite 714 Fayetteville. NC 28301-5043 (910) 4 33100 WASHINGT.ON REGIONAL. OFFICE 943 \N'ashinWton Scluart Mall Washington. NC 27889 (252) 946-6481 WINSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE 450 Hanes Mill Rd, Suite 300 1617 Mail Service Center Winston-Salem. NC 27105 Raleigh. NC 27699-1617 (336) 776-9800 (919) 807-6300 MOORESVILLE REGIONAL OFFICE 610 Fast Center Avenue/Suite: 101 Mooresville. NC 28115 (704) 663-1699 WILMINGTON REGIONAL OFFICE 127 Cardinal Drive Lstensiun Wilmington. NC 28405-2845 (910)796-7215 —' 'To preserve. proll�Ct Dun and enhance North Carckna's wafer_* SWU-264 - Generic Annual DMR Last revised 5/02/2018 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) 1 SPPP Annual Update DATA REVIEW FORM Calendar Year 2021 Individual NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCG❑❑2 ❑c ❑❑ ❑ This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: Brickhaven No. 2 Mine Tract "A" County: Chatham Phone Number: (6 ) 974-8073 Outfall No. 4 Total no, of SDOs monitored 6 Is this outfall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past year? If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑■ Yes ❑ No ❑■ Yes ❑ No ❑■ Parameter, (units) Total TSS SS Turbidity Non -Polar New Motor Total Total Zinc Total Fluoride Rainfall, (mg/1) (ml,l) (NTU) O&G, mglL Oil Usage Aluminum Recov. as Zn (mglL) inches MA allmo. m IL rn /L Benchmark N/A 100 0.1 50 15 - 0.75 1 0.126 1 6 Date Sample Collected, mmlddlyy 04/06/21 0.26 11.2 <0.1 15.4 NIA NIA - - - 09/15/21 2.98 6.0 <0.1 11.6 NIA NIA - - - JVV 1J-ZV-t - VGI ICI IL MI 111 Val L MIN Last revised 5/02/2013 Additional Outfall Attachment Outfall No. 4 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑■ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑� If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑■ Parameter, (units) Total Rainfall, inches Total Hardness pH Total Antimony (mglL) Total Arsenic (mg/L) Chromium III (mglL) Benchmark N/A NIA 6-9 0.34 0.15 0.905 Date Sample Collected, mmlddlyy 04/06/21 0.26 - - - - - 09/15/21 2.98 - - - - - ------------- SWU-264 - Generic Annual DMR Last revised W2/2018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the poss*ility_of fines and imprisonment for knowing violations." Signature Date 08) For questions, contact your local Regional Office: DWQ Regional Office Contact Information: Asheviil ASHEVILLE REGION'kL OFFICE 2090 US I lighway 70 Swannanoa. NC 28778 (828) 296-4500 R.ALEIGH REGIONAL OFFICE 3800 Barrett Drive Raleigh. NC 27609 (919) 791-4200 F,AI ETTEVILLE REGIONAL OFFICE 22� Green Street Systel Building Suite 714 Fayetteville. NC 28301-5043 (910) 433-3300 WASHINGTON REGIONAL OFFICE 943 Washington Square Mall Washington. NC 27889 (252) 946-6481 WINSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE 450 Hanes Nlili 1W. SLlitl' 3100 1617 Mail Ser\ice Center Winston-Salem, NC 27105 Raleigh, NC 27699-1617 (336) 776-9800 (919) 807-6300 MOORESVILLE REGIONAL OFFICE 610 Last Center 11\ enue;5uite 101 Mooresville, NC 28115 (704)663-1699 WILMINGTON REGIONAL OFFICE 127 Cardinal Drive E xtcnsion Wilmington. NC 28405-2845 (910) 796-7215 `To preserve, prrXect and enhar*e North Caiukina's water.." SWU-264 - Generic Annual DMR Last revised W2/2048 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM Calendar Year 2021 Individual NPDES Permit No. NCSE]00❑❑5 or Certificate of Coverage (COC) No. NCG000000 This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: Brickhoven No. 2 Mine Tract "A" County: Chatham Phone Number: (502 ) 974-8073 Total no. of SDOs monitored 6 Outfall No. 6 Is this outfall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past year? If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑■ Yes ❑ No ❑■ Yes ❑ No [j Parameter, (units) Total Rainfall, inches TSS (mg/l) SS (ml,l) Turbidity (NTU) Non -Polar O&G, mglL MA New Motor Oil Usage allmo. Total Aluminum m IL Total Zinc Reoov. as Zn m IL Total Fluoride (mg/L) Benchmark NIA 100 0.1 50 15 - 0.75 0.126 6 Date Sample Collected, mm/ddlyy- k - 05/17/21 0.89 7.8 <0.1 7.1 NIA NIA - - 09/15/21 2.98 10.2 <0.1 12.1 N/A NIA - - - SVVU-2b4 - uenenc Hnnuai uivIK Last revised 5/02/2018 Additional Outfall Attachment Outfall No. 6 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑� Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑� If this outfail was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑■ Parameter, (units) Total Total pH Total Antimony Total Arsenic Chromium III Rainfall, Hardness (mg/L) (mg/L) (mg/L) inches Benchmark N/A NIA 6-9 0.34 0.15 0.905 Date Sample Collected, mmlddlyy 05/17/21 0.89 - - - - - 09/15/21 2.98 - - - - SWU-264 - Generic Annual DMR Last revised W212018 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the po i lity of fines and imprisonment for knowing violations." Signature Date 08/08/2 2 For questions, contact your local Regional Office: DWQ Regional Office Contact Information: ASHEVILLE REGIONAL OFFICE 1-090 US Highway 70 S,vannanoa. NC 28778 (828) 296-4500 RALEIGH REGIONAL OFFICE 3800 Barrett Drive Raleigh. NC 27609 (919) 791-4200 WINSTON-SALEM REGIONAL OFFICE 450 1 iancs N1 it l Rd, Suite 300 Winston-Salem, NC 27105 (336) 776-9800 FOlFA IT If.LF:REGIONALOFFICE vreen Street SN stel Building Suite 714 Fayetteville. NC 28301-5043 (91014;; 3_100 WASHINGTON REGIONAL OFFICE 943 Washington Square Mall Washington, NC 27889 (252) 946-6481 CENTRAL OFFICE 1617 Mail Service Center Ralcijh. NC 27699-1617 (919) 807-6300 MOORESVILLE REGIONAL OFFICE 610 bast Center Avenue/Suite 101 Mooresville, NC 28115 (704)663-1699 WILMINGTON REGIONAL OFFICE 127 Cardinal Drive Estc:n,ion Wilmington. NC 28405-2845 (910) 796-7215 'To preserve, protect Ljand enhance - _J North Gerohna's sveter...' J SWU-264 - Generic Annual DMR Last revised 5/02/2018 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) 1 SPPP Annual Update DATA REVIEW FORM Calendar Year 2021 Individual NPDES Permit No. NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No. NCGE 0❑1_510 This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: Brickhaven No, 2 Mine Tract "A" County: Chatham Phone Number: (502 _) 974-8073 Outfall No. 7 Total no. of SDOs monitored 6 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑■ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑■ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Parameter, (units) Total TSS SS Turbidity Non -Polar New Motor Total Total Zinc Total Fluoride Rainfall, (mg/l) (ml,l) (NTU) O&G, mg/L Oil Usage Aluminum Recov. as Zn (mg/L) inches VMA allmo. m IL m IL Benchmark N/A 100 0.1 50 15 - 0.75 0.126 6 Date Sample Collected, mmldd/yy- 0.10 12.8 <0.1 19.0 NIA NIA - - 03/26/21 11/30/21 0.54 <4.17 <0.1 30.5 NIA NIA - - - SWU-264 - Generic Annual DMR Last revised 5/02/2018 Additional Outfall Attachment Outfall No. 7 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑■ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWO to reduce monitoring frequency ❑ Other Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑■ Parameter, (units) Total Total pH Total Antimony Total Arsenic Chromium III Rainfall, Hardness (mglL) (mglL) (mglL) inches Benchmark NIA NIA 6-9 0.34 0.15 0,905 Date Sample Collected, mmlddlyy 03/26/21 0.10 - - - - - 11I30121 0.54 SWU-264 - Generic Annual AMR Last revised 5102a098 "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 knowledg and belief true accurate and complete. I am aware that there are significant penalties for submitting false information, , including the pos lit, of fines and imprisonment for knowing violations." Signature Date 08/08/2022 For questions, contact your local Regional Office: E)WQ Regional Office Contact_ Information: Aihavill kSHI?VILLE REGIONAl, OFFICE 2090 US I ighwa% 70 Swannanoa. NC 28778 (828) 296-4500 RALEIGH REGIONAL OFFICE 3800 Barrett Dri\ e Raleigh. NC 27609 (919) 791-4200 WI:NSTON-SALEM REGIONAL OFFICE 450 1 lanes tiiill Rd. Suite 300 Winston-Salem. NC 27105 (336)776-9800 F,AYETTEVILLE REGIONAL OFFICE 25 Green Strut Systel Building Suite 714 Fayetteville. NC 28301-5043 (910) 433_„00 WASHINGTON REGIONAL OFFICE. 943 Washington Syutlre Mall Washington. NC 27889 (252) 946-6481 CENTRAL OFFICE 1617 Mail Service Center Raleigh. NC 27699-1617 (919) 807-6300 MOORESVILLE REGIONAL OFFICE 610 Last Centur ANcrIue Suite 301 Mooresville. NC 28115 (704)663-1699 V1ILNIIN'GTON REGIONAL OFFICE 127 Cardinal Drive Extension Wilmington. NC 28405-2845 1 (910) 796-7215 "To preserve. Protect and enhance North Cardona's water..° SWU-264 - Generic Annual DMR Last revised 510212018