NC0036919_Permit Issuance_20191216

D6cuSign Envelope ID: DB5949FE-9AB5-4072-A07A-ElE555534EE1
ROY COOPER
Guvrnmr
MICHAEL S. REGAN
orrcmn
LINDA CULPEPPER
ntrvomr
NORTH CAROLINA
Environmental Quality
12/16/2019
Mayor Stuart Ricks
Town of Pantego
P.O Box 87
Pantego, NC 27860-0087
Subject: Issuance of NPDES Permit NCO036919
Pantego Municipal Center W WTP
Grade I Biological WPCS
Beaufort County
Dear Mayor Ricks:
Division personnel have reviewed and approved your application for renewal of the subject permit. This permit
renewal is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency dated
October 15, 2007 (or as subsequently amended).
This final permit includes the addition of a 2,500-gallon grease trap from the draft permit previously sent
to you on October 2, 2019.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you,
you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of this
letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh, North
Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the permit. This permit does not affect the legal requirements to
obtain any other Federal, State, or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Kristin Litzenberger at 919-707-3699 or via e-
mail at [e-mail].
Sincerely,
I DoeuSlgnW
by.
8328e4WE6EMA,... -
Linda Culpepper
Director, Division of Water Resources
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mall Service Center I Raleigh, North Carolina 27699-1617
919-707-3699

DocuSign Envelope ID: DB5849FE-9AB5-4072-A07A-E1E555534EE1
Permit NCO036919
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMTT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended, the
Town of Pantego
is hereby authorized to discharge wastewater from a facility located at the
Pantego Municipal Center WWTP
142 Swamp Road
Pantego
Beaufort County
to receiving waters designated as an unnamed tributary to Pantego Creek [29-34-34-(1)] in subbasin 03-
03-07 of the Tar -Pamlico River Basin in accordance with effluent limits, monitoring requirements, and
other conditions set forth in Parts I, II, III, and IV hereof.
This permit shall become effective January 1, 2020
This permit and authorization to discharge shall expire at midnight on November 30, 2024.
Signed this day 12/16/2019
Dxup3ign�e+d/ by:
18328B44CE9EBAIA1...
'
For Linda Culpepper, Director
Division of Water Resources
By Authority of the Environmental Management Commission
Pagel of 6

DocuSlgn Envelope ID: DB5849FE-9AB5-4072-A07A-E1E555534EE1
Permit NC0036919
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES permits issued to this facility, whether for operation or discharge are hereby revoked. As of this permit
issuance, any previously issued permit bearing this number is no longer effective. Therefore, the exclusive authority to
operate and discharge from this facility arises under the permit conditions, requirements, terms, and provisions included
herein.
The Town of Pantego is hereby authorized to:
1. Continue to operate an existing 0.006 MGD wastewater treatment facility that includes the following
components:
➢ 500-gallon grease trap
➢ 2,500-gallon grease trap
➢ Dual septic tanks
➢ Recirculating sand filter
➢ 5,000-gallon recirculation tank
➢ "Perc-Rite" control system
➢ UV disinfection
➢ Flow totalizer
➢ Venturi tube -air injection unit
This facility is located at the Pantego Municipal Center (142 Swamp Road, west of Pantego) in
Beaufort County.
2. Discharge treated wastewater from said treatment works at the location specified on the attached
map into an unnamed tributary to Pantego Creek [29-34-34-(1)], currently classified C-Swamp NSW
waters in subbasin 03-03-07 of the Tar -Pamlico River Basin.
Page 2 of 6

DocuSign Envelope ID: DB5849FE-9AB5-4072-A07A-EIE555534EE1
Permit NCO036919
PART I
A. (1.) EFFLUENT LIMITS AND MONITORING REQUIREMENTS
[ 15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
During the period beginning upon the effective date of the permit and lasting until expiration, the Permittee is
authorized to discharge from outfall 001. Such discharges shall be limited and monitored' by the Permittee as
specified below:
t .
PARAM ETES
LiNIiTS
MONITORING
RE UIREMENT
Monthly
Weekly
�D' ily
`Measurem�e>at
_
Satgple TYPe
Sample :-
[eDMR Codes] '
Average .
Average
Max!
Fr t�enc _ -_
Locahon�- .
Flow [50050]
0.006
Weekly
Instantaneous
Influent or
MGD
Effluent
BOD, 5-day (20°C)3
Influent &
(April 1— October 31)
5.0 mg/L
7.5 mg/L
21Month
Grab
Effluent
CO310
BOD, 5-day (200C)3
Influent &
(November 1— March 31)
10.0 mg/L
15.0 mg/L
2/Month
Grab
Effluent ffluent
Total Suspended Solids3
30.0 mg/L
45.0 mg/L
2/Month
Grab
Influent &
CO530
Effluent
NH3 as N JC0610]
(April 1— October 31
2.0 mg/L
6.0 mg/L
2/Month
Grab
Effluent
NH3 as N JC0610]
November 1— March 31
4.0 mg/L
12.0 mg/L
2/Month
Grab
Effluent
Dissolved Oxygen (mg/L)
00300
Daily average not less than 6.0 mg/L
Weekly
Grab
Effluent
Dissolved Oxygen (mg/L)
Weekly
Grab
U & D
00300
Fecal Coliform P1616J
200 / 100
400 / 100 ml
2/Month
Grab
Effluent
(geometric mean
ml
Temperature °C 00010
Daily
Grab
Effluent
Temperature °C 00010
Weekly
Grab
U & D
Total Kjeldahl Nitrogen (mg/L)
Monthly
Grab
Effluent
KN 00625
Nitrate / Nitrite Nitrogen (mg/L)
Monthly
Grab
Effluent
NO2+NO3 00630
Total Nitrogen (mg/L)
Monthly
Calculated
Effluent
NO2+NO3+TKN 0600
Total Phosphorus (mg/L)
Monthly
Grab
Effluent
C0665
H 00400
> 6.0 and < 9.0 standard units
2/Month
Grab
Effluent
Footnotes:
1. The permittee shall submit discharge monitoring reports electronically using the Division's eDMR system [see
A. (4)].
2. U: at least 100 feet upstream from the outfall. D: at least 300 feet downstream from the outfall.
3. The monthly average effluent BOD5 and Total Suspended Solids concentrations shall not exceed 15% of the
respective influent value (85% removal). The monthly average and weekly average limits apply to the
effluent concentrations.
4. See Condition A. (3.) for instructions should the facility's permitted UV system fail and an alternate means of
disinfection is required. Total Residual Chlorine monitoring requirements and limits are applicable if chlorine
compounds are used for disinfection.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS.
Page 3 of 6

DocuSlgn Envelope ID: DB5849FE-9AB5-4072-A07A-E1 E555534EE1
Permit NCO036919
A. (2.) NUTRIENT REDUCTION REQUIREMENT
[NCGS 143-215.1 (b)]
Dischargers to the Tar -Pamlico River are subject to the requirements, terms, and conditions of the Tar -Pamlico
Nutrient Sensitive Waters (NSW) Implementation Strategy: Phase III adopted April 14, 2005. Non-members of
the Tar -Pamlico Association will maintain or receive permit effluent limits for Total Nitrogen and for Total
Phosphorus concentrations as defined in the Strategy. Any revisions to the Strategy during the life of this permit
are applicable.
If requirements other than those listed in this permit are adopted as part of a revision to the Strategy, the Division
reserves the right to reopen this permit and include those requirements.
A. (3.) TEMPORARY MEANS OF DISINFECTION
[NCGS 143-215.1 (b); NCGS 143-215.66]
In the event that the wastewater treatment plant's ultraviolet (UV) disinfection system should fail, underperform,
or otherwise be removed from effective service, the permittee or his agent should immediately inform the Water
Quality Operations staff of the Washington Regional Office of this development and discuss temporary, alternate
means for disinfection of the effluent.
If chlorine compounds are used as temporary means of disinfection, the total residual chlorine (TRC)
concentration of the effluent must be monitored on a daily basis while this method of disinfection is in use and
values must be reported on the discharge monitoring report. TRC in the effluent may not exceed 17 µg/L;
therefore, dechlorination methods may also be necessary to ensure protection of water quality in the receiving
stream.
In the event that TRC monitoring should occur, the Division shall consider all effluent TRC values reported
below 50 µg/L to be in compliance with the permit. However, the Permittee shall continue to record and submit
all values reported by a North Carolina certified laboratory (including field certified), even if these values fall
below 50 jig/L.
Use of a disinfection system other than the permitted UV system during circumstances not deemed as emergency
and/or temporary (replacement of lamps, lamp cleaning or maintenance, etc.) will be considered a violation of the
terms of this permit.
A. (4.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[NCGS 143-215.1(b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and program reports.
The final NPDES Electronic Reporting Rule was adopted and became effective on December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections within Part II of this permit
(Standard Conditions for NPDES Permits):
• Section B. (11.)
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Signatory Requirements
Reporting
Records Retention
Monitoring Reports
1. Reporting [Supersedes Section D. (2.) and Section E. (5.) (a)1
The permittee shall report discharge monitoring data electronically using the NC DWR's Electronic Discharge
Monitoring Report (eDMR) internet application.
Page 4 of 6

DocuSign Envelope ID: D85849FE-9A65-0072-A07A-E1 E555534EE7
Permit NCO036919
Monitoring results obtained during the previous month(s) shall be summarized for each month and submitted
electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring data and submit
DMRs electronically using the internet. The eDMR system may be accessed at:
https:Hdeq.nc.gov/about/divisions/water-resources/edmr.
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being
physically located in an area where less than 10 percent of the households have broadband access, then a
temporary waiver from the NPDES electronic reporting requirements may be granted and discharge monitoring
data may be submitted on paper DMR forms (MR 1, 1.1, 2, 3) or alternative forms approved by the Director.
Duplicate signed copies shall be submitted to the following address:
NC DEQ / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
See "How to Request a Waiver from Electronic Reporting" section below.
Regardless of the submission method, the first DMR is due on the last day of the month following the issuance of
the permit or in the case of a new facility, on the last day of the month following the commencement of discharge.
Starting on December 21, 2020, the permittee must electronically report the following compliance monitoring
data and reports, when applicable:
• Sewer Overflow/Bypass Event Reports;
• Pretreatment Program Annual Reports; and
• Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to Request a Waiver from
Electronic Reporting" section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41(I)(9), the permittee must identify the initial recipient at the time of each
electronic submission. The permittee should use the EPA's website resources to identify the initial recipient for
the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means the entity (EPA or the
state authorized by EPA to implement the NPDES program) that is the designated entity for receiving electronic
NPDES data [see 40 CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting tool for each type of
electronic submission and for each state. Instructions on how to access and use the appropriate electronic
reporting tool will be available as well. Information on EPA's NPDES Electronic Reporting Rule is found at:
httl)s://www. federalreizister.gov/documents/2015/ 10/22/2015-24954/national-pollutant-discharge-elimination-
system-nodes-e I ectronic-reoorti ne-rul e
Electronic submissions must start by the dates listed in the "Reporting Requirements" section above
Page 5 of 6

DocuSign Envelope ID: DB5849FE-9AB54072-A07A-E1E555534EE1
Permit NC0036919
3. How to Reauest a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain an electronic
reporting waiver, a permittee must first submit an electronic reporting waiver request to the Division. Requests
for temporary electronic reporting waivers must be submitted in writing to the Division for written approval at
least sixty (60) days prior to the date the facility would be required under this permit to begin submitting
monitoring data and reports. The duration of a temporary waiver shall not exceed 5 years and shall thereupon
expire. At such time, monitoring data and reports shall be submitted electronically to the Division unless the
permittee re -applies for and is granted a new temporary electronic reporting waiver by the Division. Approved
electronic reporting waivers are not transferrable. Only permittees with an approved reporting waiver request
may submit monitoring data and reports on paper to the Division for the period that the approved reporting waiver
request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are found on the following
web page:
httv://deci.nc.gov/about/divisions/water-resources/edmr
4. Signatory Requirements [Supplements Section B. (11.) (b) and Supersedes Section B. (11.) (d)l
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II, Section B.
(I I.)(a) or by a duly authorized representative of that person as described in Part II, Section B. (I 1.)(b). A person,
and not a position, must be delegated signatory authority for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user account and
login credentials to access the eDMR system. For more information on North Carolina's eDMR system,
registering for eDMR and obtaining an eDMR user account, please visit the following web page:
http://deg. nc. pov/about/divisions/water-resources/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make the following
certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
"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 forgathering 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 offtnes and imprisonmentfor knowing violations. "
5. Records Retention [Supplements Section D. (6.
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These
records or copies shall be maintained for a period of at least 3 years from the date of the report. This period may
be extended by request of the Director at any time (40 CFR 122.41 ].
Page 6 of 6

DecuSign Envelope ID: DBW9FE-9AB5-4072-A07A-E1E555534EEt
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Outfall001
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p
NCO036919 - Pantego Municipal Center
Facility
Latitude:35°35'20" Longitude:76°40'00'
Location
USGS Quad: Pantego, N.C. Subbasin: 03.03.07
Stream Class: C-Swamp NSW
Receiving Stream: UT to Pantego Creek
B County
Stream Index: 29.34-34-(1)
✓VQ�l7lG
Map
P not to scale

DocuSign Envelope ID: DB5849FE-9AB54072-A07A-E1 E555534EE1
FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Kristin Litzenber er 9/19/2019
Permit Number
NCO036919
Facility Name
Pante o Municipal Center WWTP
Basin Name/Sub-basin number
03-03-07
Receiving Stream
UT Pante o Creek
Stream Classification in Permit
C-Swamp NSW
Does permit need Daily Max NH3 limits?
No — already resent
Does permit need TRC limits/language?
N/A UV disinfection
Does permit have toxicity testing?
No
Does permit have Special Conditions?
Yes - Tar -Pamlico nutrient reo ever
Does permit have instream monitoring?
Yes - Dissolved Oxygen and Temperature
Is the stream impaired (on 303(d) list)?
For whatparameter?
No
Any obvious compliance concerns?
No. No enforcements since 2009.One violation
in 2018.
Any permit modifications since lastpermit?
None.
New expiration date
11/30/2024
Comments on Draft Permit
➢ Added Regulatory Citations.
➢ Added Section A. (3.) - Temporary
means of disinfection
➢ Updated table footnotes.
➢ Updated Section A. (4.).
This page has been printed on scrap paper to save money and reduce our
program's environmental impact. Disregard any content on the back of
this page.

Affidavit of Publication
STATE OF NORTH CAROLINA
COUNTY OF BEAUFORT
Ann Potter, being duly sworn, on oath says she
is and during all times herein stated has been an
employee of Washington Newsmedia, Inc. publisher
and printer of the The Washington Daily News (the
"Newspaper'), has full knowledge of the facts herein
stated as follows:
1. The Newspaper printed the copy of the matter
attached hereto (the "Notice") was copied from the
columns of the ewspaper and was printed and
published in the English language on the following
days and dates:
10/03/19
2. The sum charged by the Newspaper for said
publication is the actual lowest classified rate paid
Y commercial customer for an advertisement of
similar size and frequency in the same newspaper
in which the Notice was published.
3. There are no agreements between the News-
paper, publisher, manager or printer and the officer
or attorney charged with the duty of placing the at-
tached legal advertising notice whereby any advan-
tage, gain or profit accrued to said officer or attorney
SIGNED%
Ann Potter, Employee
Subscribed and sworn to before me this
3rd Day of October, 2019
INOTAR),
Amy M. Whitaker, Notary Public G AOBLI,G
Beaufort County, NC
My commission expires 08-25-2023 '9oRTrw,cS�.:.
Account # WNL00006744WNL/LoC
Ad # 908472
NCDENR(WNL)
1617 MAIL SERVICE CENTER
RALEIGH NC 27699
North Carolnia Environmental
Management Commission,
Unit Mal Service Center
NOES
Raleigh, NC 27699.1617
NNotice PDES Wastewater Issue
The North Carolina Environ-
mental Management Com-
mission proposes to issue
NPDES wastewater dischargea
Permit to the person(s) listed
below. Written comments re-
garding the proposed permit
will be accepted until 30 days
after the publish date of this
notice. The Director of the NC
Division of Water e
Resourcs
(DWR) may hold a public hear-
ing should there be a signifi-
cant degree of public interest.
Please mail comments and/or
information requests to DWR
at the above address. Interest-
ed persons may visit the DWR
at 612 N. Salisbury Street, Ra-
leigh, NC to review information
on
on file. Additional informal
i
on NPDES permits and this n
lice may be found on our web.
1-1-1 lown of ALF
role requested renewal of NP-
DES permit NC0021521/Auro-
ra WWTP in Beaufort County.
Facility discharges to South
Creek/Ter-Pamlico River Basin.
Currently, dissolved oxygen,
enterocooci, and total residual
chlorine are water quality lim-
ited. Town of Parts, request-
ed renewal of NPDES permit
NC0036919JPantego Munici-
pal center WW p in Beaufort
County. Facility discharges to
an unnamed tributary to Pan-
tego Creekrrar-Pamlico River
Basin. Currently, ammonia ni-
trogen, dissolved oxygen, fecal
coliform, and SOD are water
Quality limited.

Town of Pantego
PO Box 87
Pantego NC 27860
May 31, 2019
Mr. Wren Thedford,
The town of Pantego is requesting the renewal of the permit for our Waste Water Plant
Facility. The required application for the renewal is attached. Thank you for your assistance.
Thank you,
Bobbie Ricks
Town Clerk
zsz - qW FJ'oy
P,ECEIVED/NCDEQ/DWR
JUN 0 6 2019
Water Quality
Permitting Section

Mail the complete application to:
NC DEQ / DV1'li / NI'DES
1617 Mail Service Center, Raleigli, NC 27699-1617
NPDES Permit SC00
B`j on are completing this form in computer use the TAB key or the up - down arrows to more from one field to the nest. To
check the boxes, click 7 our mouse on top of the box. Otheru ise, please prim or tlpe.
1. Contact Information:
Owner Name ��'�jn n7//-�-
Facility Name �//�//�//����////v\ �a•�1 /�� - ' 9c
\flailing Address U E 11) x T
City o� �i �t C
State / Zip Code
Telephone Number Q 2-5 2 255 L C.r -4)�
Fax Number 0 2—C i 2—_C11
e-mail Address
RECEIVED/NCDE9/DWR
JUN 0 6 2919
Water Quality
Permitting Section
-TI�e . WJo 1e9 c�n�
If
2. Location of 0[cilin. producing discharge: Ck5J C4-`1r-�� " jr, 1 ll'q Sy"�
,ek here i same address as above Street
Street Address or State Road
City
State /'/_ip Code
County
3. Operator Information:
:Vane of the f m, public organization or other entire that operates the (acllav (vote that this is not referring to the Operator
to Responsible Charge or ORQ
Name///+''' /� ! e
Mailing Address I _" ' C)� �
City — � e / l i�
Stale /Zip Code /\)c
'Telephone Number O ,/ `J
- 252- 35-2S32
Pax Number O
2:;2 Gi' 2,� 38
A. Population served: ar / /0
5. Doovvou receive industrial waste'
��o ) Yes (if you hate an approved pre-treatment program, must complete Form 2A)
6. Type of collection system
Separate (sanitary sewer only
Combined (storm sewer and sanitary sewer)
7. Ou t f:d I Information:

a Safari si 1—.' 1:33 PM 1 560% =01,
Pantego x
1-4a,nt,ego
Ilf X�
�17051—
Pantego
Pantego, NC 27860
n

r '
Number of separate discharge points
fNA tOutfall Identification number(s)
Is the outfall equipped with a diffuser? Yes No
8. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
T64%-K45C) C4-Vek-
� a
9. Frequency of Discharge: Continuous Intermittent
If intermittent:
Days per week discharge occurs_ Duration:
10. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and phosphorus. If the
space provided is not sufficient, attach the description of the treatment system in a separate sheet of paper.
•5oo 4l(�n feAs-e-
• S po<- �s
• Reci(ct too �9 saPA- N%
• 500o a l (o n �reu r C.�.l �tq1
RrC '-( Lan*o f Sy S*�
V V Ck,W14
n
V 3 A�m
-Kbe --cue ON% I-C
11. Flow nm tio orn.
Treatment Plant Design flow _MGD 0000
Annual Average daily flow MGD (for the previous 3 years) ' O� L.• I 1
Maximum daily flow MGD (for the previous 3 years) V V 61
12. Is this facility located on Indian country?
Yes No
13. Effluent Data
Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples, for all other parameters 24-hour
composite sampling shall be used. Effluent testing data must be based on at least three samples and must' be no more than four and one half
years old.
Parameter
Daily
Maximum
z qG,
Monthly
Average
Units of
Measurement
Number of
Samples
Biochemical Oxygen Demand (BOD.)
!��Lt
Fecal Coliform
2(� •(Q{p
sty Al
CvIf
Total Suspended Solids
,
Temperature (Summer)
Temperature (Winter)
°
pH
.5�
�' ,S
S . 4j .Lf
JLow- DWI P"'-5

}
14. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES W off
Dredge or fill (Section 404 or CWA)
PSD (CAA)
Special Order of Consen� (SOC)
Non-anairmnt program (CAA)
Other
15. APPLICANT CERTIFICATION
Permit Number
I certify that I am familiar with the information contained in the application and that to the best of my knowledge and
belief such information is true, complete, and accurate.
Printed name of Person Signing
W�g.aW,c of
Alighant
0-er1Q.
Title
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or
certification in any application, record, report, plan, or other document film or required to be maintained under Article 21 or regulations of
the Environmental Management Commission implementing that Article, or who falsifies, tampers with, or knowly traders inaccurate any
recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed S25,000, or by
imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $25,000 or
imprisonment not more than 5 years, or both, for a similar effuse.)