NCG020274 DMR WW

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR),— WASTEWATER
-- SUBMIT TO CENTRAL OFFICE* -
General Permit No. NCG020000
Calendar Year
*Report ALL WASTEWATER monitoring data on this form (include "No Flow'T'No Discharge", and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of.Coverage No. NCG02 0❑ a❑00 /�
Facility Name: 7%e�� e Qt(7z �OYi� G�S�9 - /she
County: 12 1,Y-CXe /l 3
Phone Number: (979 ) 765- -762! Total no. of outfalls monitored
Certified Laboratory >677_5 Lab # 6 OO
Lab #
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes 2" No ❑
Does this outfall discharge WW to SA waters? Yes ©— No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No 9 --
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No D ---
If so, what is the 7Q10 flow rate? AJ A or Tidally influenced waters, 7Q10ilable ❑ '
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ©� No
Were there any limit violations in the calendar year? Yes ❑ No K
Ou all No.''
rm._ 0 t
Daily.'Flow
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
mI/I
if applicable
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
SA),
Effluent
Limitations
Mo. Ave I Daily Max.
HQW or ORIN
50% of
7Q10
Indicate NO FLOW
if applicable
freshwater
6.0-9.0
saltwater
6.8-8.5
IndustrialAMN
2 /45
HQ
20/30
HQW or ORW
and Tr or PNA
HQW, ORIN,
SA, Se, PNA,
or any Trout
0.1 /0.2
No Limit
Circle Water
Quality Standard
that appli
50/2 /1
N/A
Water Quality
Standard applies
N/A
Water Quality
Standard applies
N/A
Date Sample
Collected,
mo/ddl r
r�
FEB:
1,6 zgilB
CENTRAL
FILES
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 QFz�Q©
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No. V/7, _D Z
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes [ No ❑
Does this outfall discharge WW to SA waters? Yes 2- No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No [-
Does this outfall discharge WW to HOW or. ORW waters? Yes ❑ No [�
If so, what is the 7Q10 flow rate? PJ11q or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes [D--- No El
Were there any limit violations in the calendar year reported? Yes E] No E.
O all. NO.
._0.2
Daily Flow
pH,
TSS,
SS,
rnl/I --4
ifapplicable
Discharge
-Turbidity,
NTU
Upstream
-(U),Turbidity,
NTU
Downstream
(D) Turbidity;-
NTU
Fecal
Coliform,
eoi/1`01YIn ''
SA
Effluent
Limitations
Mo. Ave I Daily Max.
HQW or ORIN
50% of
7010
Indicate NO FLOW
if applicable
freshwater
6.0-9.0
saltwater
6.8-$.5
Industrial S
251 rJ
HQW or'Di�W
20/30
HQW or ORIN
and Tr or PNA
10/15
HQW, ORW,
SA, SB, PNA,
or any Trout
0.1 /0.2
No Limit
Circle Water
Quality Standard
that applies -
50/25
N/A
Water Quality
Standard applies
N/A
Water Quality
Standard applies
N/A
Date Sample
Collected,
mo/dd/ r
A7, /
l .0
L 0, I
%.
N �q
aw
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ©❑2 ❑7 ❑i�
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No. A -03
Daily Flow
Kate; cfs
pH,
Sid,
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?'
Yes [
No ❑
Does this outfall discharge WW to SA waters?
Yes
No ❑'
Does this outfall discharge WW to SB or PNA waters? .
Yes ❑
'No
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No
If so, what is the 7Q10 flow rate? itl A or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes [.'.
No'❑
Were there any limit. violations in the calendar year reported?
Yes ❑
No a-
QutfalL IVoo
Daily Flow
Kate; cfs
pH,
Sid,
TSS,
rri fl
SS,
• �imlfl
ifapplicable
Discharge'
�T urbidit ,
NTU
Upstream
ii Turbidity,
NTU
Downstream
D `°Turbidit ,
NTU
' Fecal
. Coliform,
col/100 mi
SA
Effluent50%
Limitations
Mo. Ave I Daily Max.
HOW or ORW
of
7Q10
Indicate NO FLOW
ifapplicable
freshwater
6.0-9.0
saltwater
6.8-8.5
IndustriFRW
25/HOW,ORW,
HOW o
20/30
HOW or ORIN
and Tr or PNA
10/15
SA, SB, PNA,
or any Trout
0.1 /0.2
No Limit
circle Water
Quality Standard
that applies:
50/2 10
N/A
Water Quality
Standard applies
N/A
Water Quality
Standard applies
N/A
Date Sample
Collected,
mo/dd/yr. .
/.2 6 /5
r 557 I
-7,0
'7
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ©®❑7
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 knowing violations."
[Required by 40 CFR §122.22]
Signature �—►-
Date 2--9 2v /6 G
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
1
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG020274
%AI--A�------•M--°�— ----^
vvdZPLewarrr
invrntvnng Requirements, ,uppoementai
Parameters
.. .. -
.. ..
is
utfall..
isI ,+_.`1a�
o�
.: .
- f.
.. Date •Sam le
. p .,
, t ..
Collected .
r, , ,
4� _�'`°,�,41�4'-rii�;�j �
'TAT
------ yr
is �(0 aol5
.. '.. -r:
s Total ,
•, ...._., .._ ., ....- +,
,. � ,..
. Alumin.;,,�"i
_ ; .�
AI :. :'...
), 9
No Limit
-7 t,
y;.�..�k k*' x>;M , sz
_- '..'. ..,F, ""' _
TotaFC erg
°PP„
?:'.. ,-p.,c,•e•e�.:'
ny f .,. ,, t.:
'.: �,.tr,i'q G.
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....,F:. Cu
, .
...z. .. Y m /l=
�
;No Limit
<0-00
k'.. { •t`"
�j��
'�.•sn,M�}.Yee},
"' n s, s.l,
tal Lei`
ToT
d
a �,y.
a
A'.,. 1• u, ,f f+ h
, .
-�, ,
I�Pb),Zn
Km
No Limit
<D•050
.T �n� N:.' r-s+,r,�-
,c's., qtr
�f „+`4,,
M�
, I*N�ckel
Tota
bb. s: v.4r. a"'.ro., �i
,. t'• '"• ....':..
,
-
Nb -Limit
•co•oro
r 1
zw'. ay:r �„ �fi
us _
tat Z
,To me
�"s"--• . •L rEs:, e
a!°, �.. st'",^'t,'�`S
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`� �
� ,7 , s
f
m /1-
9
-No:Lirriit
r
'° ..` u+. .-
, �,,+, xwk4.Ls4 A.
. T. otal
Cf ,.wc
>K Chloride .
yf
�
No °L' �rnit '.
a�,�
y �x ..g',' '`""
w w:::�
r 1� .k.
,Total:
Fluori y.,
•^.a-
l;No Limit
,~ �
t.o2
y-.;:'.r.t :.t,
��y '�+Fr+,'`�
,, as
Ha�dne
x .
_ _
:y�, No
Limit
/8 ID
PM _oZ
19'11b 90/5
1
X0.005
0.005
40.0190
X 0.050
1-0-0/0
go. oto
0 . oto
o . 013
Zo
I � .
53
� •�`�
Sa
3p
1
17•rr
Permit Date 10/1/2015 — 9/30/2020
Revised 11716-2015 for Supplemental Monitoring Specific to this COC
Page 3 of 4

Certificate of Coverage No. NCG020274
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 knowing violations." [Required by 40 CFR §122.221
Signature r�---
Date 2 3 /'n -o/6
Mail Limit Violation DMR to Your DEMLR Regional Office Land Quality Section:
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27103
(336)7 76-9800
Permit bate 10/1/2015 -9/30/2020
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
CEN r� �=®EFICE
Questions for The Central Office
Stormwater Permitting Program?
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone].
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
Revised 11-16-2015 for Supplemental Monitoring Specific to this COC
Page 4 of 4