NCG020209 DMR WW

General Permit No. NCG020000
Calendar Year 2� ©15'
°report ALL
Certificate of Coverage No. NCG02 0®LgE]
Facility Name: "a rl.So n A Q :, t`2Q c�` e S `-- � c3 e-►`� � u— c-� y
County: Wakf I
Phone Number: H 19) 3 5t- 2-9 G Total no. of outfalls monitored I
Certified Laboratory �_e 11 C3 i m C,_a I lab W W 067
Lab# 531
f6m, `
Wastewater Discharge Outfall No. lb® !
Daily Flow
Rate, c%
pal,
SU
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ®
No
Does this outfall discharge WW to Sly waters?
Yes ❑
NOE
Does this outfall discharge WW to SB or PNA waters?
Yes ®
Noo
Does this outfall discharge WW to HQW or ORW waters?
Yes ®
No
If so, what is the 7010 flog rate? or Tidally influenced waters,
7010 not available
Does this outfall discharge VM to 'trout (Tr) designated waters?
Yes ❑
No
Were there any limit violations In the calendar year?
Yes ❑
N®
Outfall No.
Daily Flow
Rate, c%
pal,
SU
TSS,
mgfi
SS,
mull
Ilawficabla
Discharge
Turbidity,
NTU
Upstream
(t8) Turbidity,
NTU
Downstream
(0) Turbidity,
NTU
Decal
Ooliforin,
col/100 ani
SA
- •- ---- - - -
w®vaorO�eu,
dUgng; 5(M of
®�� �9��� yq 41�
RAo, dve l.Dally,{�u 'InOcele ANO FLOW'
- ---
sr@sl�water
600=6.0
"eflnvrefleP
-InausulalSand,•
'6'46
4i�W OP,O�W
20/30
g Yr or PRlfa'
SA; S®, �alk. S@, P ,
OP etly TPoa6
- -- -
R!I�°;Amit
Cleele Water
�eallsysfandar+�
50125110
- - - -- --- .--
Nle
W&@�P Bual(ty
SFa�ar�app�e
-- --- -- ---- -
_i� A
tlHa@¢P �11ty',
`'�tea�4edo es
- -- - -
�, ppg�
Bate Sample
Collected,
5-
®.
c`7.3
A
c�
g1D
0 -7Ll Zi5
0-, 1 1
!MICAC
a<6,3
0, Iro
t4 Z741�-
©
O.OL
u O
<A -S_
N A-
1A
--
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Permit Date 10/1/2016 e 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NGG02 ❑®[J[]
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]
Sign,,
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 10/1/2015 — 9/30/2020
Last Revised 10-2-2015