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NPDES PERMIT NO.NCO072702 DISCHARGE NO.001 MONTH December YEAR 2014
FACILITY NAME Glenda Drive Water Facility CLASS B COUNTY Carteret
CERTIFIED LABORATORY Envriomental Chemist Inc CERTIFICATION NO.DLS#33729
(list additional laboratories on the backsidelpage 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE(ORC)Frank Sansone GRADE B CERTIFICATION NO.978150
PERSON(S)COLLECTING SAMPLES ORC PHONE(252)728-2130
CHECK BOR HP ORC HAS CHANGED NO FLOW/DISCHARGE FROM SITE•
Mail ORIGINAL and ONE COPY to: i
ATTN:CENTRAL FILES x r A
DIVISION OF WATER QUALITYT9IJMV=OF OPERA ITJK LN RESPONSIBLE CHARGE) VAIL
1617 MAIL SERVICE CENTER BY THIS SIGNATURE,I CERTIFY IFY THAT THIS REPORT 13 •,` '
RALEIGH,NC 27699-1617 ACCURATE AND COM UM TO THE BEST OF MY KNOWLEDGE.
~ 1 50050 --00400 1 1 00530 01051 00610 1 00480 1 00094 01042 i 01092 I * :
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Facility Status:(Please check one of the following)
All monitoring data and sampling frequencies meet permite requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permite requirements
Noncomplant
If the facility is noncompliant,please comment on corrective actions being taken in respect to equipment,operation,maintence,ect.,
and a time table for improvements to be made.
The water softner in regereration filter bed was disturbed to a point when it discharged,fine particles of media was carried out.The breakup of the
media bed is due to the facility just being returned back into service from Clear Well Maintance.
Sample chambers and any related pipeing have been deaned.
"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 property 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."
Donovan H.Willis
Permittee(Please print or type)
Signature of Permittee** Date
P.O.Box 390 Beaufort NC 28516 252-7283175 July 312017
Permittee Address Phone Number Permit Exp.Date
PARAMETER CODES
oo010 Temperature 00556 Oil&Grease 00951 Total Fluoride 101067 Nickel 5oo6o Total
00076 Turbidity oo600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual
00080 Color(Pt-Co) 00610 Ammonia Nitrogen 01092 Zinc Chlorine
00082 Color(ADMI) 00625 Total Kjeldhal 01027 Cadmium oiio5 Aluminum
Nitrogen
00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde
003oo Dissolved Oxygen mo34 Chromium 31616 Fecal Coliform 71900 Mercury
00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene
00340 COD 00720 Cyanide 01037 Total Colbalt 34235 Benzene
00400 pH 00745 Total Sulfide 01042 Copper 34481 Toluene
00530 Total Supended 00927 Total Magnesium 38260 MBAS
Residue 00929 Total Sodium 01045 Iron 39516 PCBs
oo545 Settable Matter oo94o Total Chloride o4o51 Lead 5005o Flow
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at(919)733-5083,extension 581 or 534.
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting.
facility's permit for reporting data.
*ORC must visit facility and document visitation of facility per 15A NCAC 8A.0202(b)(5)(B)
**If signed by other then the permittee,delegation of signatory authority must be on file with the state per 15A NCAC 26.0506(b)
(2)(D)