NCG020164 DMR WW

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CalendarGeneral Permit No. NCG020000
Year
°Reoort,ALLWAST,EWATER monitoringidata on1-hisf®rine (Incidde'Nb.FlouatPNo Discharge",and,Limit'Violations) from-
ti�e,previgusvcaiendar year to.the DEQ by MARC, H 9 ,of each year.
Certificate of Coverage No. NCG02
Facility Dame: t!0, rl.5�0Y) A 0 -,re4 cct(
County: Ca c neo+
Phone Number: ( ) 3 fib- ?-9 Li CQ
Certified Laboratory y�Ctiee %hol V +11 C11r,I
- C' r4ne_ - a r -r
Total no. of outfalls monitored
lab # (00
_ab# 15312-
5312
Wastewater (WW) Discharge Outfall No. 0 b t
Is this an industrial sand urine (See 40 CFR §436 Subpart D)?
Yes ®
No
Does this outfall discharge WW to SA ranters?
Yes ®
No 91
Does this outfall discharge WW to S® or PNA ranters?
Yes ®
No
Does this outfall discharge WW to HQW or ORW waters?
Yes ®
NoTO
If so, what is the 7010 flow rate? or Tidally influenced waters,
7010 not available
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No o
Were there any limit violations In the calendar year?
No -MA-
o' A -A-
A -Pl� ims i1 wn 4-nr+A mD,4 , cJu,*- 4h A.n Ah!®®Ai.a _, . 94 Iwl-ti
o[— -
oG--
Fecal
Outfall No. Daily Flow ply, TSS, SS, Discharge Upstream Downstream Coliform,
®d I Rate, cfs SU mg/l mill Turbidity, (U) Turbidity, (D) Turbidity, col/100 ml
NTU NTU NTU SA
iodustMalliattd
26/46 HQWIPRWI
Effluent 60%of "6.®-9.0 HowaroRw sa,SB, PNA, R!®.L.Imlt WA NIA
L9@'9iliadons ��.�� saltwater ��/��' oranYrout Circle Water water Quality WaterQuauty NIA
®.'I/®.� �� IM� re �n9erdapptka t�ddaede�dcs
i�lo,,Ave1Dally,Klan MddeatehtOFLOW' �ggTr.orPP1H
f%apoiieaMe 'I ®/1I�, 60126/10
Date Sample -
Collected,
dl X;n t L G.8G 30 cooia N/A
0 ✓' I I I as 9 5 — -- — — --
® 4f 1.43 /I5 I .. I I G,73 33 <a -I d t ©. I — —
D 5 Eel I S' 1. 14 G.49— -- �— — —
® o i I I 6.13
Rvi
- G.S5 — I — —
0 15 i i l Ga 5 O — — -- -- — —
23h . I ' . I D —y — -- — — —
�a/s I/i5 Elk E Io t
Derr►itt Data 10/1/2015 a 9/30/2020
Last Revised 90-2-2095
VMA does oc..c.tr +U,. ard nAr Cu rcj t16,,+ 44-e o,t 5fbrc_!)e area c1m.-5'34o 44,x:1-
koo,5n n.+CejQ'r-etJt�ct✓6jo�t ®cC.asio+►JI SavnpleS0-k0PPF-5-WI wil�l�esaV%9)-M
.;varl-izrl-y iMvQ ngswl. -f i�I4 rjeekwr2J <S'.0 J/., on 9/1 -7/1157a, -J ---. )o/i3/19%
Fecal
Derr►itt Data 10/1/2015 a 9/30/2020
Last Revised 90-2-2095
VMA does oc..c.tr +U,. ard nAr Cu rcj t16,,+ 44-e o,t 5fbrc_!)e area c1m.-5'34o 44,x:1-
koo,5n n.+CejQ'r-etJt�ct✓6jo�t ®cC.asio+►JI SavnpleS0-k0PPF-5-WI wil�l�esaV%9)-M
.;varl-izrl-y iMvQ ngswl. -f i�I4 rjeekwr2J <S'.0 J/., on 9/1 -7/1157a, -J ---. )o/i3/19%

ME
Certificate of Coverage No. NCG02 ®U]®[j]
CERTIFICATION
I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in acoordance 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 �\ "-1' '0 cLP1-LNQA/A
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 [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1 0111201 5 - 9/30/2020
Last Revised 10-2-2015