NCG020001 DMR WW

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR —WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year ) 0 ) S
"Report ALL WASTEWATER monitoring data on this form (include "No Flow"P'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 UUUU CIV
Facility Name:r i 0t h of lP_ QiAar l'
County: Wa ke J
S
Phone Number: () X66 —//00 Total ncCBWi-
�itored
ry EMU ab Lab #
Certified Laborato U L myQ- DWR SS�
_
Lab #
Wastewater (WW) Discharge Outfall No.
Daily`Flow
Rate; cfs:
,...
_
",kpK' ;
SU: °'
.; .
�w
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No [�
Does this outfall discharge WW to SA waters?
Yes ❑
No [+7f
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No [�
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No 12f
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No [0
Were there any limit violations in the calendar year?
Yes ❑
No [�r
Outfall No.'
Daily`Flow
Rate; cfs:
,...
_
",kpK' ;
SU: °'
.; .
�w
...TSS,
° : tmg/I
SSI.,-,
ml/I ° _
,raPpl;cable
Discharge
Turbidity,
U :.
NT
Upstream
(Uj Tu'rbidity,
'Do'wnstream
{D) Turbidity,
�NTU
Fecal
Coliform,
co1/100 mf
SA
Effluent
Limitations
Mo. Ave / Daily Max.
HQW or ORIN
50% of
7Q10
Indicate NO FLOW
ifapplicable
freshwater
6.0-9.0
saltwater
6.8-8.5
Industrial Sand
25/45
HQW orORW
20/30
HQWorORW
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:
25/10
N/A
Water Quality
Standard applies
N/A
Water Quality
Standard applies
N/A
DateSample
x" Collected,` .
mo/dd/r_ a
3 q S
N -a'
<0.I
CI
0
No F to
0
14011
6.3
0 S
F lav✓
1.1
.5
<, 1
3. S
W14c,
dd Flow
7.7
1
1.
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®®®D-1
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 ry
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]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015