NCG140339_DMR_20220131

LIMIT VIOLATION DISCHARGE MONITORING REPORT (DMR) — WASTEWATER
SUBMIT TO REGIONAL OFFICE* ric n1
Environmental Quality
General Permit No. NCG140000 ;` ._; Received
*Use this form if any wastewater samples have EXCEEDED A WASTEWATER LIMIT for any parameter. JAN 3 1 2022
Send sample results to the DEMLR Regional Office withi'i 30 days of receipt from the laboratory. Winston Salem
•� Regionat Office
Certificate of Coverage No. NCG 14 0 3 IJ 9
Facility Name: Lowery Plant Sample Collection Period: Qtr 1 n Qtr 2 H Qtr 3 n Qtr 4 U Calendar Year 2021
County: Forsyth If Monthly Monitoring: Month September
Phone Number: (704 )977-0981 Person Collecting Samples: Greg Smith
Certified Laboratory: Pace Analytical Lab #
Lab #
Discharge to HQW or ORW waters? Yes 7 No I.
Discharge to SA waters? Yes ❑ No 0 Discharge to Tr (Trout) waters? Yes 0 No Li
Discharge to SB or PNA waters? Yes ❑ No ❑✓ If HQW, what is the 7Q10 flow rate? or Tidal, 7Q10 not available ❑
Wastewater Monitoring Requirements
Date Sample Daily Flow pH, Total Suspended Settleable Non-Polar O&G (EPA Method 1664
Outfall Collected Rate, cfs SU Solids (TSS), mg/I Solids, (SGT-HEM)), mg/I
No. ml/I
if applicable
Standard
HQW or ORW freshwater 30 HQW,ORW,SA,SB,PNA,or
mo/dd/yr 50% of 7Q10 6.0-9.0 HOW any Trout- No Limit
or "NO FLOW" Indicate NO FLOW d saltwater 20 5 Samples above Benchmark
applicable HOW I ORW and Tr,or PNA subject to Tiered Responses
6.8-8.5 10 15
001 12/29/2021 9.3 7.1 SM2540 0-2015
— II
Permit Date 8/1/2017—6/30/2022 Last Revised 8-22-2017
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Certificate of Coverage No. NCG1 4 0 3 3 n
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate,,and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for kn ing violations." [Required by 40 CFR§122.22]
Signature ,1-
Date /1/ti �J2z
Mail Limit Violation DMR to Your DEMLR Regional Office Land Quality Section:
ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115
[phone] Fayetteville, NC 28301-5043 [phone]
[phone]
RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE WILMINGTON REGIONAL OFFICE
3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension
Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845
[phone] [phone] [phone]
WINSTON-SALEM REGIONAL CENTRAL OFFICE
OFFICE -!Wir�cron{Sale
Questions for The Central Office h ,,
450 Hanes Mill Road, Suite 300 ,.�.,.,l� — `�, r �+ •,\t�{ 4a
Stormwater Permitting Program?
Winston-Salem, NC 27103 'P ��•�•
[phone] [phone] ��- t' I� ' ! "
t J s T� t�o'res4e. A1 y-`
�•.Fkettef ''Ile, < r, �•'
\ Wilington
Permit Date 8/1/2017—6/30/2022 Last Revised 8-22-2017
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