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ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
General Permit No. NCG020000
CalendarYeart
'ReportALLWASTEWATER monitoring�.data on. this form,(include "Np® lovv" No•Discharge" and LimitVialations) from-
tBie�previous-�lendar year t6 the'iiEQ ,,by MARCH I of each ,year.
Certificate of Coverage No. N 'G02 MM ``29l"
Facility Name: H a nsa trl A a S req cAeS - F- I i ; d�,
County: H a c nom,=±
Phone Number: (11) 3 F1b- 2,9 A G Total no. of outfalls monitored
Certified LaboratoryPr-'Ce t1 C11 +; CI -0 lab # Vd W lOG 7
son "re" S Lab # 15 RECEPYAS
Wastewater (WW) Discharge Outfall No. E)6 FEB .2 6 21,16
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No CENTRAL FIL ES
Does this outfall discharge WW to SA waters? Yes ❑ No DIAIR SECTI N
Does this outfall discharge WW to SIB or PNA waters? Yes ® NoO
Does this outfall discharge WW to NOW or ORW waters? Yes ❑ No 1,9
If so, what is the 7010 flown rate? or `tidally influenced waters, 7010 not available ❑
Does this outfall discharge 1lVW to Trout (Tr) designated waters? Yes ❑ NoN
Were there any limit violations in the calendar year? Yes ❑ No
outfall No.
GG d
Daily Flown
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
mill
dapprrcable
Discharge
Turbidity,
NTU
Upstream
(t1) Turbidity,
ITU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 mi
SA
-
KQWorORW
%�p8t 50% of
�,S/p%/ ��®d$� ��15
Q
K0, AVC r Dairy Ma;L rndrear®INO FLOW
(/appDCabm
freshwater
6.0-9.®
Saltwater
6.6��•6
-
IntlustHalSantl
25/45
-
HgWaroRw
HQWor,ORW
@pg Hr bi pm
1®17 5
HQYJ,ORW,
sa,',ORW
or enY Yrout
t
0.1/0.2
- -
No Limit
Clrcle Water
QuL%Itrnderd
fhatapplleS:
50/25/10
- - -_
N/A
Water Quatity
StallardapWo
- -
NIA
Water Quality
Siandardoweg
-
I��
Date Sample
Collected,
moldy! r
10),10IN6
O.q 5"
-150
3,3
<O.. 1
3 a
—
10 / i,3 15-
®�'j 5
9 aQ
3.7
K /A
9 a G
—
Penn it Date 10/1/2015 e 5/30/2020
Last Revised 10-2-2015
�M
Certificate of Coverage No. NCG02 ®OQ®
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
Signc-
Date
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 (919) 807-6300
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
(919) 707-9220
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015