NC0028941_Renewal Application_20181005

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ROY COOPER NORTH CAROLINA
GovernorEnvironmental Quality
MICHAEL S_REG_AN
Secretary
LINDA CULPEPPER
Interim Director
October 05, 2018
Thomas Roberts
Aqua North Carolina Inc
202 Mackenan Ct
Cary, NC 27511
Subject: Permit Renewal
Application No. NC0028941
Pine Valley Subdivision WWTP
Rowan County
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 5, 2018 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 1506-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit.The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,Si�
C11-'P/444
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300

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October 4, 2018
NCDENR / Division of Water Quality/ NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-0167
Re: Application for Permit Renewal
Aqua North Carolina, Inc.
Pine Valley Subdivision WWTP
NPDES No. NC0028941
Rowan County
Good Afternoon:
Enclosed are three (3) copies of the completed application Form D-WWTP. This
submittal includes the necessary attachments for your office to renew the subject
permit.
Should you need any additional information or assistance, please feel free to contact
me [phone] or by e-mail at [e-mail].
Sincerely,
AV14,0171, da, be/LTA)
Amanda Berger
Manager of Environmental Compliance
Aqua North Carolina
Enc: NPDES Application, Form D
Willowbrook NPDES Permit RECEBVED!DEN 1DWR
Cc: Laurie Ison OCT 0 5 Z018
Josepl`i Pearce
Water Resources
- - - - •- -- _ =—Shannon Becker - - _ - ,Section=.-�_: .--
- - Permitt1ng -
202 MacKenan Court,Cary, NC,27511 • 919.467.8712 • AquaAmerica.com

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to: ..
NC DEQ / DWR / NPDES
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit NC000028941
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise,please print or. type.... ..
1. Contact Information:
Owner Name AQUA NORTH CAROLINA, INC.
Facility Name PINE VALLEY SUBDIVISION WWTP
Mailing Address 202 MACKENAN COURT
City CARY
State / Zip Code NORTH CAROLINA 27511
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road NC SR 1802
City SALISBURY
State / Zip Code NORTH CAROLINA
County ROWAN
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name AQUA NORTH CAROLINA, INC.
Mailing Address 202 MACKENAN COURT
City CARY
State / Zip Code NORTH CAROLINA 27511
Telephone Number - [phone]
Fax Number [phone]
e-mail Address [e-mail]
1 of 3 Form-D 6/2017

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial El Number of Employees
- 'Residential-- - Number of Homes - 47
School ❑ Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
47 Residential Homes
Number of persons served: 119
5. Type of collection system
11 Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ►1 No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
Setman Branch
S. Frequency of Discharge: 1l Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities,provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
The 0.025 package plant consists of the following:
• Influent bar screening
• - Aeration basin - - --- -- - -
• -- Clarifier- -
• Chlorine contact chamber w/tablet chlorinator
• Tablet dichlorination
• Sludge holding tank
• Post Aeration
Continuous effluent flow meter —- -
2 of 3 Form-D 6/2017

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.025 MGD
Annual Average daily flow 0.005 MGD (for the previous 3 years)
Maximum daily flow 0.020 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes 'J No
12. Effluent Data
NEW APPLICANTS:Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples,for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average.If only one analysis is reported, report as daily maximum
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average over
the past 36 months for parameters currently in your permit. Mark other parameters "N/A".
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BODS) 22.6 2.5 MG/L
Fecal Coliform 65.0 2.3 #/100 ML
Total Suspended Solids 18.7 4.5 MG/L
Temperature (Summer) 26.0 21.9 °Celsius
Temperature (Winter) 20.0 11.0 °Celsius
pH 7.90 N/A UNITS
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NC0028941 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Amanda Berger Manager, Environmental Compliance
Printed name of Person Signing Title
AYA:a/1-- -
Signature of Applicant Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed$25,000,or by imprisonment not to exceed six months,or by both. (18 U.S.C.Section 1001
provides a punishment by a fine of not more than$25,000 or imprisonment not more than 5 years,or both,for a similar offense.)
3 of 3 Form-D 6/2017

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Aqua North Carolina, Inc. Facility x --
Pine Valley Subdivision WWTP Location
Coun : Rowan Stream Class: C (not to Scalel
Receiving Stream: Setman Branch Sub-Basin: 03-07-06
Latitude: 35°42'20" Grid/Quad: E16NE NPDES Permit: NC0028941
Longitude: B0°34'00" HUC#: 03040102

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Pine Valley WWTP l' A .,;.� "''' �`'`'
c x?vs", -a.�; 5 i ti, •. Linititg
(Avg.) 7/2018 ?iAug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 112 m�t�h�fpiCve y S0aSb>iff`,Ve MoNi,r4VE p a tine e1�'
,:;fie,sa "`,>ni. 44,104.t% . s`�'a;M: .,,.,7u 6tc,'7.A0,0�er`£
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'Its.- ;:FecalrColifornv 0 0 0 0 0.0 1 6 0 0 2.3 15 0 2 3 0.0 5 9 0.0 0.0 railidn1gi i'2 3?*,-';:r#/100ML
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.x_,_, ,_,-;,; eDeFlaw 7. ,0.005 0 007 0.007 0.004 0.004 0.006 0 010 0 013 0.016 0.011 0.013 0 020 t� 0:02OVIri-,�-r-"4,-..'„„; 74-1,04204,:'.Man Flow:H-,•
Explanation: '
Temp-(Summer) Yellow is to represent the months a Temp analysis was available. The months analyzed may change for the system your entering ,. is
Temp(Winter) If so,you can change the color to represent the months for your analysis
You may change your original to suit your needs
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SLUDGE MANAGEMENT PLAN
For
Aqua North Carolina, Inc.
No sludge will be treated on any wastewater treatment plant site operated
by Aqua N.C., Western Division
Where practical, sludge removed from a Aqua N.C., Western Division
facility will be transported via a contract hauler to another Aqua N.C.,
Western Division facility for the purpose of"seeding" a new or under
loaded plant.
Unusable (or "dead") sludge will be removed by a contract hauler and
properly disposed of in accordance with NCGS 143-215.1. Contract
haulers used by Aqua N.C., Western Division will be required to
report the quantity of sludge transported and identify the location of
the proposed disposal site if the sludge is not taken to an existing
-plant operated by Aqua N.C., Western Division. Aqua N.C., Western
Division has not entered into any agreement to accept sludge into its
facilities from plants not owned by them.
Aqua N.C., Western Division will keep records on the quantity of sludge
removed from each facility, the name of the contract hauler, and the
destination of the sludge (whether used in another plant or disposed of).
__ - The information wilLbe kept on file and will--be_made-_available to any-- -- - - -
regulatory agency having jurisdiction_over_sludge_tre-atment or disposal. __. _._ _ -
Aqua N.C., Western Division includes all of the facilities under the
jurisdiction of the Winston-Salem Regional Office.
202 MacKenan Court,Cary, NC,27511 • 919.467.8712 • AquaAmerica.com

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
'•--- _ OWNER NAME:Aqua North Carolina Inc 01W:John Allen Martin- -- -" "- - - -- 'ORCCERT NUMBER:996986 - •
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:07-2018(July 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
60050, 06610 00400 90060 CO310 C0610 C0536 31616 00329
OS t
F a
E = Z fi t R
5 $ F 1-',8Weekly 5Xweek Weekly 2 X week Weekly Weekly Weekly Weekly Weekly
u o 4 0 Recorder Grab Grab Grab Grab Grab Grab Grab Grab
6 2 0
K
8 6 F+ O O Z Fl OW TEMPO pH CIILORINE BUD-Cone NH3-N-Cone TSS-Coin FCOLI BR D0
2400 dock Flu 2400 dock etre WBMN mgd dege su ag/l mg/I rag/I mg/1 9/100m1 mg/1
I N 0.01
2 1140 .5 B 0 011 25
3 935 24 915 1.0 B 0012 25 <17 <2 <02 <2S <1
4 N - 0 012 11
r 5 1310 .5 B 0.013 25 77 <17 8,1
6 1020 .5 B 0.014 25
7 N 0.019
8 N 0 02
9 1215 ,5 0 0.014 25
10 1245 1 0 B 0 007 25
II 935 24 845 1.0 B 0.007 25 <17 2.7 1 83 7 <1
12 1215 1.0 B 0 008 25 7.1 <17 8
13 910 10 B 0.009 25 JI
14 N 0.107
t5 N 0.007
16 1145 .5 B 0 007 25
17 845 .5 B 0.007 25 -
IB 935 24 905 I0 B 0.007 25 <17 <2 <02 4.5 <I
19 1310 .5 B 0006 25 7,3 <17 8
20 1020 3 B 0 007 26
21 N 0 01
22 N 0 013
23 950 10 B 0.011 26
24 1035 24 930 1.0 B 0.011 25 <17 <2 <0,2 11,6 <I
25 605 1.0 B 0 018 26 73 <17 8
26 1310 1.0 B 0 014 26
27 810 133 B 0 014 26
28 N 0013
29 1120 5 B 0.017 26
30 910 10 B 0.018 26
31 915 10 B 0.018 26 _ -
MontblyAverage Lbnll: 0025 10 2 30 200
-
""my Arewgo 0.011645 25,363636 0 0675 04575 5.775 1 9 025
_-
Daly M.waam: 002 -- - 26" 77 0 - 2,7 1.83 116 0 81
Doty Miwmea 0 006 25 7.1 0 0 0 0 0 R
No Reporting Reason ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation-Adverse Weather;NOFLOW=No Flow; HOLIDAY No Visitation-Hobday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER-NAME:Aqua North Carolina Inc ORC:John Allen Martin "' ORC-CERT NUMBER:996986-
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:07-2018(July 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION:DOWNSTREAM DISCHARGE NO.: 001
•
00010 00300•
•
•Weekly -_ Weekly
E
2 cH Grab Grab z' ri:Mr.c o0
2400 clock deg c mVl
2
3 24 •
8 2
4
5
6
7
8
9 _
l0
11 24 8
12
13
14
1.5
16
17
28 24 7.9
19
20
21
22
23
24 7,9
25
26
27
28 _.
29
30
31
Monlby Areeaoe Wain
- Arunlbly Aremi 24 -'— - 8 - - _ _ _ _ __
D aily Mnlmum_ _ _ - - - .- —
D aily Mmbaaea: 24 7.9
9000 No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation—Adverse Weather;NOFLOW=No Flow; HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4 0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision W WTP CLASS:WW-2 COUNTY:Rowan
" _ -OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin- -"' - -' " - ORC CERT NUMBER:•996986 '-
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:07-2018(July 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION:EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
A C0600 - C0665
E
F I .1 a o
F _ g
E 3T. t C C
fi 5 E r Quarterly Quarterly
F _ s
u E c' Grab Gab
E 2 u g
U' F' O O O X TOTAL 0-Cone TOTAL P.Co.,
24011 dock Iln 2400 duel nn WHIN mpg mp/l
1 N
2 1140 .5 13
935 24 915 1 0 B 20 56 9.91
4 N
5 1310 .5 B
6 1020 ,5 B
7 N
0 N
9 1215 .5 B
l0 1245 :.0 B
Li 935 24 845 10 B
-
12 - 1215 1,11 B
13 910 1.0 B
14 N
15 N
r
16 1 145 S B
17 845 5 B
10 935 24 905 10 B
19 1310 5 B
20 1020 .5 B
21 N
- -
22 N
73 950 1.0 B
24 1035 24 930 1.0 B _
25 605 1 0 B
26 13 L0 10 B
27 810 10 B
26 N -
29 1120 .5 B
30 910 1.0 13
31 915_ 10 B
040011015 Average Llmiu
._-=dlo.wlyAverage. 2936 ---- - _ - - -- - -
9.91
_ - ..-- - - _ -Dd7M..imom: 2056 - - ---- '- - 9.9E --
.
Dolly Mioim.m. 20.56 9,91
•O**No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle, ENVWTHR=No Visitation—Adverse Weather, NOFLOW=No Flow;HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin - - ORC-CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:07-2018(July 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
00010 00500
Weekly weewy
E. Grab Grab
S w 2
TEMP-C DO
2460 clock des a mg/1
2
3 24 8.1
4
S
6
7
JO
11 24 8
12
13
14
Is
16
17
IB 24 7.9
19
20
21
22
23
24 24 7 9
25
26
27
28
29
30
31
A
MoatbyAverage Limit-
- — -- Mooihh Ai-stage: 24 - _- 7.975 - - _-
__ _ _-D+flyMsalwum 24 - �1 - - _ _ _ - - - .r..
Deily Mtmnam: 24 7,9
"t'No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle;ENVWTHR=No Visitation—Adverse Weather,,NOFLOW=No Flow; HOLIDAY No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
- OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin - ORC-CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:07-2018(July 2018) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:08/21/2018
AIL 414 08/20/2018
ORC/Certifier ignature: John Allen Martin E-Mail:[e-mail] Phone #:[phone] Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
/�'•���•-�~." �� �y � 08/21/2018
Permittee/Submitt.e Signature:*** Duane Rimmer E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address:NCSR 1802 Salisbury NC 28144 Permit Expiration Date:03/01/2019
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 managed 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.
CERTIFIED LABORATORIES
LAB NAME:Water Tech Inc,Aqua North Carolina
CERTIFIED LAB#:#50,#5035
PERSON(s)COLLECTING SAMPLES:John Martin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
**ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G-.0204```""l ` " - _- - "•_ _:__
***Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc _- - ORC:John Allen Martin - ORC CERT NUMBER:996986 " - •""
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:06-2018(June 2018) VERSION:1 0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
00050 00010 06400 50060 00718 C0610 C0530 31616 00300 '"
.P 4 a
I -o
I1
< H Weekly 5 Xwek Weekly 2 X week , Weekly Weekly Weekly Weekly Weekly
el e
w F
u` e a Recorder Glob Grab Grab Grab Grab Grab Grab Grab
v I aa
A U h O O O :t' FLOW TEMP-C pH CHLORINE 'SOD-Cone Nn3-N•Cone TS5-Cone 5COLI BR DO
2400 cher itre 2400 neck Hr. 1713OV _med dee c so ugh 51$ mg/I VI O/1.061o1 mg'I
1 • 1045 .5 B 0 007 24 ,
2 N 0.007
3 N 0.009
4 1235 1 0 0 007 24
5 935. - .5 0 0 007 24 <17
6 ' 945 .5 B 0 009 24 7.7 <17 8.1
7 1045 1140 1 13 0.013 24 6,1 1.23 18.7 .<1
8 1300 1 B , 0 0 L 24
9 A0.01
.. ._
to N 0 01 1 –
It 1345 5 0 0.01 . 24
12 ` 1327 t B 0 008 23
13 1320 .5 B 0007 24 <17
14 935 840 .5 13 0.007 24 _ 4 9 L 86 14 <1
15 1145 1 B 0.008 24 7.4 <17 - - 7 9
_.
16 N 0,009
17 N 0 007
18 950 1 B 0.008 24
L9 1150 .5 B 0006 24
a
20 1330 I a 0,008 26 <17
21 935 855 .5 B 0.006 25 7.6 <17 <2 <0.2 4.4 <1 7.8
22 910 .5 B 0 006 25 "
-
13N 0 007
24 N 0,008
25 .. 1150__ . 5 B 0008 24 ..
y
26 1215 1 B 0007 24 -
27 1245 1 B 0.008 25 <17
20 1035 935 1 B 0009 25 7.3 <17 c2 <02 1,136 <I 7,9
i
x9 915 I B 0.01 25
30 N 0 01
y �
Monlby Average Limit• „a, 10 2 X30 200
•
Monthly Avenge. 0.0082 . 24 2857 14 0 2 75 0,7725 12 675 1 7 925
— naly M..lm oe.
0.013 26 77 0 6.1 1.86 187 0 8.1
r
-- — -D.IlyMtnlmnm• 0006 23 7 3 0 0 -- 0 _4.4
****No Reporting Reason:ENFRUSE"No Flow-Reuse/Recycle,ENVWTHR No Visitation—Adverse Weather NOFLOW=No Flow, HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4 0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc"' --ORC:John Allen Martin ORC CERT NUMBER:'996986 —
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:06-2018(June 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
00910 - stool
t ,
Weekly _ Weekly
Grab Gab
q m x 7EMP-C DO
24iO clock de a m8/1
c2
3
4
5 ,
7 21 81
9
20
11
12
13
14 22 8,1
15
16
17
18
19
20
21 " _ 23 . 8 3 - .
22
23
25
26
27
2e 23 8.1
29
30
Monthly Average Limit.
Moony Araesge: 2215 8 85
_`. -- - DolyM k me. 23 - - 83 --
-^ " DollyMleimum: 21
""*NoReporting Reason.ENFRUSE—NoFlow-Reuse/Recyde;ENVWTHR=NoVisitation—AdverseWeather,NOFLOW=No Flow;HOLIDAY No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Agua'North Carolina Inc-- --ORC:John Al-len-Martin ORC-CERT NUMBER:996986 —_ . .....,_-.
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:06-2018(June 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
[O000 C0665 - - -
F
s
E o E F _ Quarterly Quarterly
fi
ti ue` 4t £ o Grab Grab
r B. 1) 2
r 5 C O O A TOTAL N-Cora TOTAL P-Cone ,
2400 dock On 2400 clock lire Y1004 mil mg/1
1 1045 .5 B . . .
2 14
3 N
4 1235 1 B
5 935 ,5 2 ...
6945 .5 B
7 1045 1140 1 . B _
6 13001 B
9 N
10 N—
11 1345 .5 6
12 1327 1 B
13 1320 .5 B
14 935 040 .5 B
IS 1145 1 e
If N
17 N
LB 950 1 B
19 1150 .5 B
20 1330 1 15 _ .
21 935 955 .5 B
22 910 .5 B
23 N
24 N .
25 1150 .5 B
24 1215 I B
27 1245 I B
28 1035 935 1 B
29 915 1 13
30 N
_ a
Monthly Average Llmli:
Morally Average-
-
__ _ Dally Mailmum
..- ____ _- _ Daily Minimum _ _ - _. ._,. — -
6060 No Reporting Reason-ENFRUSE=No Flow-Reuse/Recycle,ENVW7IIR=No Visitation—Adverse Weather,NOFLOW=No Flow, HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
--OWNERNAME:-AquaNorth Carolina Inc ORC:John Alleii Martin'~ --- ORC CERTNUMHER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:06-2018(June 2018) VERSION:1 0 STATUS:Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
_"
' 96011 00305 - "-
e �
Weeld Wackily.
E
.� Grab Grab
E
TEMP-C DO
2400 cloak degc m 1
1
2
3
5 � •
7 21 8
8
10
i1
12
13
34 22 - 6 4
15
16
17•
18
19
20
21 81
22
23 /
24
25
26
17
29 23 8.1
29
30
Monthly Average Ural
Monthly Average_ 2225 835
Daily Maximum. - --- 54 - - -
23
Daily Minimum. 21 _ - — - 8 - - -
' No Reporting Reason ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation--Adverse Weather;NOFLOW=NoFlow; HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
-- OWNER NAME:Aqua North Carolina Inc " ORC:John Allen Martin -"'' ' " ORC CERT'NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:06-2018(June 2018) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:07/19/2018
if
07/17/2018
ORC/Certifi, ignature. John Allen Martin E-Mail:[e-mail] Phone #:[phone] Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E.6 of
the NPDES permit.
`r ''�-f ,t r- �
-- -
• bt . ***rmtteeumitergriature: uane •
Rimmer E-Mail:[e-mail] Phone #:[phone]/2018
Date
Permittee Address-NCSR 1802 Salisbury NC 28144 Permit Expiration Date:03/01/2019
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 managed 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.
CERTIFIED LABORATORIES
LAB NAME:Water Tech Inc,Aqua North Carolina
CERTIFIED LAB#:#50,#5035
PERSON(s)COLLECTING SAMPLES:John Martin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
**ORC on SiteT.ORC must visit facility and document visitation of facility as required per 15A NCAC 8G:0204:-- ` '- ` __r" - -
**'k Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.:NC002894I PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
-
"GRADE:WW-3 ORC IIAS CHANGED:No --
'+
eDMR PERIOD:05-2018(May 2018) VERSION:1 0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
50050 00010 00400 50060 , C0310 C0610 CO530 31616 60300
V 8 m e
O
Az r a Weekly 5 X week Weekly 2 X week Weekly Weekly Weekly Weekly Weekly
B
e u Z. Recorder Grab Grab Grab Grab Grab Grab Grab Grab
S m:
a 6 12 0� O 0 Z FLOW TeMP-C pH CHLORINE 600-Core N113-N_Cone TSS-Come FCOLI BR DO
2400 clock Ilrr 2400 cock Hrs Y!n/N mad deg a su upll mull -moil _,. my./1 #/100m1 meal
1 1035 958 l.5 Y 0.006 16 <17 <2 <02 45 47
2 1019 .75 V 0006 19 <17
3810 15 B QA07 19 -
4 921 SO Y 0007 19 7.4 9,2
5 N 0 007
6 N 0.008
7 1154 .5 V 0 006 20
8 1130 .75 X 0008 20 <17
9 1100 1017 1.5 Y 0.009 20 <17 <2 1.78 <2.5 <I
10 1245 1.25 Y 0 006 21 7,9 8 3
II 1020 1.0 B 0.006 21
12 N 0.007
13 N 0.007
14 1043 1,0 Y 0.008 21
15 1113 .50 Y 0 01 22
16 1035 1016 .75 Y 0011 .22 20 72 062 6 <1
17 1158 5 Y 0.01 22 6,4 <17 7.7
18 925 .75 8 0008 22
19 N 0008
20 N 0008
21 1112 .75 Y 0,011.. 20
22 1126 .75 Y 0 009 22 7 <17 10
23 1100 1050 75 V 0.008 23 <17 <2 <02 3.9 25
24 L252 1 Y 0 007 24
25 940 1 B 0 006 24 '
26 N 0 007
27 N 0.007
2a N 0009 14
29 1050 .5 8 0 009 24 <17
38 1150 1110 .75 Y .0 008 24 7 7 <17 <2 0.49 3 4 . 6 7.7
31 930 .5 Y 0 007 23
1 A e
Mon Orly Avenge Llmll. 0025 10 2 10 200
MooIIly Aversge: 0007774 21.272727 2 144 0578 3.56 5,883528 8.58
Drily Maximow: 0011 24 79 20 71 1.78 6 47 - 10 ,, --_
__ _.- _ - Day MloBomm: 0006 -- l6 -- - 6.4 0 - 0 D - 0 `0 - 77 - -- - ,.
°'°'No Reporting Reason ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR-NoVisitation-Adverse Weather;NOFLOW=No Flow, HOLIDAY=NoVisitation-Iloliday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4 0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:05-2018(May 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DDISCHARGE*:NO (Continue)
1:0600 C0665
Ei _ . . ,
i= 3 A w
c a
E E.
=
E. E E _ Quarterly Quarterly
LI F, a o' ti Gratz Grab
a E o a m Iz
IS 6 12 o o' e ti TOTAL II-Cour TOTAL P-Colic
2400 clock IIrc 2400 dock Ihs YIBIN MO mo{I
I 1035 958 15 Y
2 1019 75 Y
3 810 IS B
4 921 .50 Y
5 N
6 N
7 1154 .5 Y
6 1130 :75 Y
9 1100 1017 15 Y
10 1245 1,25 Y
t 1020 1.0 B
12 N
13 N
14 1043 1,0 Y
15 1113 .50 Y
16 1035 1016 .75 _ Y
17 1158 .5 Y
1e 925 .75 B '
19 N
20 N
21 1112 .75 Y
22 1126 .75 Y
23 1100 1050 .75 Y
24 1252 1 Y
25 940 1 B
26 N -
27 N
29 N
29 1050 .5 B
30 1150 1110 .75 Y
71 930 .5 Y
Maumly Avers2e Limit
Monthly Average.
.__ ____
Daily M.slnum
— - - _ 2.2__ _, --Deily Minimum. _ _ __ _ -__ .r_ _
No Reporting Reuson:ENFRUSE No Flow-Reuse/Recycle,ENVWTFIR No Visitation—Adverse Weather,NOFLOW=No Flow,HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:05-2018(May 2018) VERSION:1 0 STATUS:Processed
SAIVMPL1] G LOCATION:DOWNSTREAM DISCHARGE NO.: 001
I T.
00010 00390
Weekly Weekly
Crab
Grab
E
TEMP-C DO
2400 dock deg C IDg.r1
1 13 9.5
3
4
5
6
7
9 t5 9.3
10
11
12
13
14
15
16 18 8.2
17
Ia
19
20
21
22
23 19 8.9
24
25
26
27
21
29
30 19 8.4
31
k
Monthly Average Lmit:
Moet Iy Average: 16,8 _ ^8 86
Dally Maskava: 19
9.5
__ _ _. - —.Dory Mimem, 13 - - -2 -- - —
F+«r No Reporting Reason ENFRUSE=No Flow-Reuse:Recycle; ENVWTHR=No Visitation—Adverse Weather,NOFLOW=No Flow, HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin - ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:05-2018(May 2018) VERSION:1:0 STATUS:Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
00010
0010
Weekly Weekly
E �
~ Grab Grab
y 2
x TEMP-c eo
2481 clod. deg a mrtf!
I 13 9 8
2
3
4
6
•7
8
9 15 92
10
11
12
_
13 ,
14
Is
16 17 8 4
17
10
19
20
21
22
23 19 8.7
24
25-
26
s26
27
28
29
30 18 8
31
Moodily Areraee
Monthly Average: 06 4
$82
Deily Mnm
y .mv : 19 _ _ _ _ _----- 98 '- _ _ _ _'__
- body Mrolmom 13 - - - — - .__--.__�.�.,-..-c-
****No Reporting Reason.ENFRUSE=No Flow-Reuse/Recycle, ENV WTHR=No Visitation—Adverse Weather,NOFLOW=No Flow,HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:05-2018(May 2018) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:06/20/2018
. 06/20/2018
ORC/Certifier 'gnature: John Allen Martin E-Mai1:[e-mail] Phone #:[phone] Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
��m ' 1 -r��-_, 06/20/2018
'i ittee/Subm'fter 4 ature:*** Duane Rimmer E-Mail•[e-mail] Phone #:[phone] Date
Permittee Address.NCSR 1802 Salisbury NC 28144 Permit Expiration Date:03/01/2019
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 managed 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.
CERTIFIED LABORATORIES
LAB NAME:Water Tech Inc,Aqua North Carolina
CERTIFIED LAB 4:#50,#5035
PERSON(s)COLLECTING SAMPLES:John Martin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire momtoringperiod.
**ORC on-Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204. _
***Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:04-2018(April 2018) VERSION:I 0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCIIARGE*: NO
50050 00510 OOHW 50960 COMI0 C0610 00570 31616 00100
eii lo`
"s
e F. Weekly 5 X week- Weekly 2 X week. Weekly Weekly Weekly Weekly Weekly
ft
v u g. Recorder Grab Grab Gab Grab Grab Grab Grab Grab
E E
A V 5 O O o Z FLOW TEMP-C pH CHLORINE HOD-Cone NII2-N-Cane TSS-Cone FCOLI BR DO
2400 clock nn 2400 clock On WB/N mgd dee c au upll mg/I mg/I mg/1 6/100m1 mg/1
1 N 0 006
2 950 l B 0 007 18
3 1028 .75 Y 0.007 17 <17
4 1100 24 1026 75 Y 0006 18 <17 <2 L43 <25 <I
5 1155 ,75 Y 0 005 16 7 1 10 5
6 915 .75 B 0.005 18
7 N 0 007
-
a 14 0 006
9 1025 .75 B 0 006 17
10 1030 24 951 .75 Y 0.005 14 <17 <2 <0.2 4 4 <I
11 1210 .75 Y 0006 14_ 7 <17 9.5
12 1215 I B 0 007 18
13 1420 .25 Y 0.005 18
14 N 0 0077
l5 N 0.009
16 1034 l 3 Y 0 005 16 -
17 1045 24 1015 .75 Y 0006 14- <17 <2 <0,2 <25 <1
18 1108 .5 Y 0.006 17 6,9 <17 9.8
19 1309 .25 Y 0.005 19
m 1036 5 Y 0.006 17
21 , N 0 005 - -
22 N 0.007
23 1108 75 Y 0.008 17 <17
-
24 1030 .5 B 0 013 14 <17
25 930 ,5 13 0.016 15 67 99
26 935 24 905 .5 B 0008 15 <2 <02 4,8 <1
27 858 .5 Y 0 007 16
2e N 0 006
z9 N 0 007
30 1032 .75 Y 0 006 16
Monthly ArrrAge 1 mit. OAss 10 2 30 200
Meolhfy Armgr, 0006833 16 380952 0 0 03575 2 3 1 9 925 >
Dilly Mammon,
0 016 19 7 L 0 0 1 43 4.8 0 105
_— ____ Day hnoinem, _ - __ - - -
0005 14 6 7 0 0 0 0 0 95
1060 No Reporting Reason:'ENFRUSE=NoFlow-Reuse/Recycle, ENVWTHR=No Visitation—Adverse Weather, NOFLOW=No How, HOLIDAY=-NoVlsitation Holiday •-----_ -,--.r.,•---- -,,•-•
i

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:04-2018(April 2018) VERSION:1 0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
C060U 00665
v
8 a
a 1 E E ... Quarterly Quarterly
9 E < i' .. ,. ,.
I .5 J:
5 8 el c Grab Grub
6 8 U a 1
4 v F O G O ,'c TOTAL N-Coot TOTAL P-Core
2400 clock IIre 2400 rMek Itr. Y!BiN MO Incl _
-
2950 1 B
3 1028 35 Y
4 11D0 24 1026 .75 Y 3.83 0 91
5 1155 75 Y
6 915 .75 B
7 N
I N
9 102.5 75 B
II 1030 24 951 .75 Y
I1 1210 75 Y
/2 1215 I B
/3 1420 25 Y . .
14 N
15 N
16 1034 15 Y,
17 1045 24 1015 .75 Y
18 11(18 .5 Y
19 1309 :25 Y
20 1036 S Y . .. .. . .
L N
52 N
23 1108 .75 Y
24 1030 - .5 B
25 930 .5 B
26 935 24 905 5 B
27 858 -5 Y
22' N
2Y N
30 1032 „75 Y _
r Monthly At erege Llmll:
Monthly/Creme:,3 53 0 91
Dully:u.amnm. 3 83 0 91
-- —__
Dailybnnlmom• 383 0.91
=---- 6e*l No=Repoeting'Reason-LNFRUSE=No Flow-Reuse/Recycle;ENVWTHR=No Visdation

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4 0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:04-2018(April 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
•
00010 00300
Weekly Weekly
Grab Grab
$ y z rt Mem uo
2400 dock dee a mg/1
x ,
3
4 16 95
5
6
7
g _
9
10 - 11 112
I1
l2
13
14
It
16
17 10 10.9
IN
19
20
21
22
23
24
26 13 10.1
26
27
26
29
30
Monthly Average Limit
Mos Ialy Avenge. 12 5 105
Pally Maximum_
16 11.2
-^ —
- -
Mar/roam
10 9.8 --'-
—= -"''"°""'""No'Repotting R'asst)n ENFRUSE=146 Flow-Reuse/Recycle.ENVWTHR6 No Visitatiiin=Ad'veehe Wu`thcr;NOFLOW ViSitatrart'='Flulitlay '-`

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:04-2018(April 2018) VERSION:LO STATUS:Processed
SAMPLING LOCATION:DOWNSTREAM DISCIGE NO.: 001
U0010 00300
E Weekly Weekly
Grab _ Grab
hn c° TEMF.0 DO
240001.6 dekc mg/1
2
3
4 16 9.6
5
6
7
9
10 11 I I
ll
12
13
14
15
16
17 11 10 7
Is
19
20
21
22
23
24
23 13 102
26
27
28
29
30
MonITy A•a.ge Lrmn.
Mnelmy Average. 12.75
10.375
Daily Mailmmo: 16
11
DaayMinim.m. 11 9.6
"" ""'n"*"No'Reibiting'Reasbri:'ENFRUSE=1VoFloiv=ReuselRe4cib;EUVW11R=N Visitailon—'AfiverseWea`t7ier;NO1+LoW=';WF(6w;IIOLID'A"`Y_liL VisiiaCon"Dolic(ay `— M

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martm ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:04-2018(April 2018) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:05/25/2018
�rA 05/18/2018
ORC/Certifier ignature: John Allen Martin E-Mai1:[e-mail] Phone..#:[phone] Date_
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
05/25/2018
Permittee/Submitter Signature:*** Duane Rimmer E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address:NCSR 1802 Salisbury NC 28144 Permit Expiration Date:03/01/2019
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 managed 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.
CERTIFIED LABORATORIES
LAB NAME:Water Tech Inc
CERTIFIED LAB#:50
PERSON(s)COLLECTING SAMPLES:John Martin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
_ __ for entire monitoring period_, ____
**ORC on Site?:ORC must visit facility and document visitation of facility as required per I 5A NCAC 8G.0204.
***Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:03-2018(March 2018) VERSION:L0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
50050 000111 00400 50060 C0310 C0510 CO510 31516 00300
i .2 I. , _ ., . - -- -
1 I `e_
E 5 Weekly 5 X week Weekly 2 X week Weekly Weekly Weekly Weekly Weekly-
y ' IL-
2 e` Recorder Grab Grab Grab Gab Grab Grab Grab Gal:
`
A u' F= O O o A' FLOW TEMRC pH CHLORINE ROD-Coot NI13-N-Cane TSS-Cone FCOLI RR 1)0
2400 clock am 2400 clock Hn Yt71/Ir mgd degc su WI mg/I mg/I mg/1 0/100m1 mg/I
1 1050 1.5 B 0
2 940 3 0 B 0
3 N 0
4 N 0
5 915 15 B 0
6 925 125 B 0 003 11
7 1130 I.5 B 0003 13 <17
8 930 24 9,0 1.5 B 0.005 13 6.8 <17 <2 <0.2 4-5 </ 11.5
9 910 15 B 0005 II
t0 N 0 007
,r
11 N 0.009
12 1140 1.5 13 0.013 11
13 1025 ,75 B 0 004 10
14 1345 5 B 0 007 10
15 1145 24 1040 15 B 0004 11 6,7 <17 <2 <0.2 <2.5 <1 11,4
16 1020 1.0 B 0 005 I I <17
17 N 0 006
18 N 0 006
19 1142 10 Y 0 007 12
20 937 .75 Y 0.012 11
21 1330 .75 B 0.01 11 21
22- 1040 24 1030 125 Y 0.01 1I 69 <17 72 <02 52 26 106
23 959 .75 Y 0.006 l0
24 N 0 008
25 N - 0011
26 1129 .5 Y 0007 10
27 1154 .75 Y 0.007 10 <17
28 1045 24 1038 .75 Y 0.006 13 7 2 <17 <2 <0.2 4 4 <I 10
29 1224 .5 Y 0.006 14
311 1027 .5 B 0006 14
31 I _ N - 0 013
` '
1,14381119 Average L4011. 0.025 10 4 30 200
Maarob Average: 0.006 11.421053 2.625 1.8 0 3 525 2258101 10 875
Duly Mulm.,m.
-_ 0.013 14 7.2 21 7.2 0_ _ 52______ 26-____ _ 115 , ,_
Deily Minimum. 0 10 67 0 0 0 0 0 10
=-- ****NoReporting Reason.ENFRUSE---oFlow=Reasr/Recyele;ENVW`1NR<NoVisitatloo=AdverseWeather-NOFLOW=No Fluw;'FIOI:II7AIr ViSitetion'=II"oliday'-- -` - ` -'—� `"'

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:03-2018(March 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION:DOWNSTREAM DISCHARGE NO.: 001
00044 00300
Weekly Weekly
Grab Grab
r
o „ 7 TEMP-C DO
?ADO clack deg c moll
2
3
4
6
7
6 15 119
9
10
11
12
13
14
15 14 11.7
16
17
18
19
20
21
22 9 118
23
24
25
26
27
8 12 10.7
29
30
31
Monthly Average Limit-
Montbly Avenge: 12 5 11.525
Dally Maaimam:
Dolly Minwtonr 19 10.7
'"'� ""1*# T,1o12eportingReasori ENFRUSE=11oFloW-Reuse%Recycle;1401 flirt=No Visltation—AdverseWeather,NOFLOW

NPDES PERMIT NO. NC0028941 PERMIT VERSION:4 0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:03-2018(March 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION:EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:NO (Continue)
00600 00663
I6
E 8 F h
I
F c 'a
E 2233 i Quarterly Quarterly
u ` :26ti o 8. Grab Grab
aa sa gi E e a
a U' F o O O X TOTAL N-Coco TOTAL P-Cone -
2400 dock lin 2400 clock Ars YBIN mglt mg91
1 1050 13 B
2 940 3.0 B
3 N
4 N
5 915 i 5 B
6 925 125 B
7 1130 13 B
0 930 24 910 13 B
9 910 1.5 B
to N
It N
12 1140 1 5 B
13 1025 .75 B
14 1345 .5 ,B
15 1145 24 1040 15 B
16 1020 1 0 B
17 N
10 N
19 1144 1.0 Y
20 937 -75 Y
21 1330 .75 B
22 1040 24 1030 125 .Y
S3 959 .75 Y
74 N
25 N
26 1129 .5 V
27 1154 75 Y
28 1045 24 1038 .75 Y
29 1224 .5 Y
30 1022 .5 9
31 -N
- w
Monthly Average Limit
Monthly AcornCC
D.fly Mulmum
_ --- Dolly Minimum: - _ -. .__
-- - --*"**No Reporting Reason-ENFRUSE=No Flow-Reuse/Recycle: ENVPPTIIR=No Visitation,AdJerse Weather-NOFLOW=No F1ow;'HOLIDAY=tiu Visildtier.11-loliday"" ' " ' 7 7- "`6'

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER 996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:03-2018(March 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION:UPSTREAM DISCHARGE NO.: 001
00410 00300
Weekly Weekly
Er Grab Grab
a
q y' TEMP-C o0
2400 clock deg c mg.R
2
3
5
6
8 15 11
9
10
11
12
13
10
14 12
16
17
18
19
TO
21
$ 11
23
24
25
26
27
28 12 10 8
29
30
31
Monthly Average itmit:
Mo.131y Average: 1225 114
D.ny M.Mm.m 15
12
Darty Mmumame 8 10 8
****No-Reporting Reason.ENFRUSE=No`Fiow-Rcuse/Ree cid;`l'NVWTHR=No-Visitation=AdvelseWe`atEer;"NOFLOW=NoEMT:E.aLIDAY=NOVisifatio`n=Ifolia "'

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER 996986
GRADE:WW-3 ORC HAS CHANGED:No •
eDMR PERIOD:03-2018(March 2018) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBIYIISSION DATE:04/26/2018
iL22.-. .a ') 04/24/2018
ORC/Certifier Signa re: John Allen Martin E-MaII:[e-mail] Phone #:[phone] Date
•
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a het of corrective actions being taken and a time-table for improvements to be made as required by part If.E.6 of
the NPDES permit.
04/26/2018
Permittee/Submitter argnature.*** Duane Rimmer E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address:NCSR 1802 Salisbury NC 28144 Permit Expiration Date:03/01/2019
I certify,under penalty of law,that this document and all attachments were preparedunder 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 managed 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.
CERTIFIED LABORATORIES
LAB NAME:Water Tech Inc
CERIIFIED LAB#:50
PERSON(s)COLLECTING SAMPLES:John Martin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
**ORC on Site?:OR-C-mustvisit-facility and-document visitation of facility as required per 15A NCAC 8G.0204: -— -N —T—— M___..___-
***Signature of Permittee:If signed by other than.,the permittee,then delegation,of the.signatory_authoritymust.be.on file mitt-utile state pet15A NCAC-2B,_�. -•.0506(b)(2)(D).

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:9%986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:03-2018(March 2018) VERSION:1.0 STATUS:Processed
Report Comments:
Missing self testing and or sampling from 3/1/18 to 3/5/18 due to Plant Repairs and no discharge.Per Wes Bell from DWR
•
�,,.�.:...—.�..�,.,,�.,..za___�.-,;_.....m......_..—._...,�--Z',t! _rc�✓.__a.�-'fl',y_._ti.........<.�,�._.._ _�. ....w..,- ,...._.._z.s..aw_...._......_�.,.-�.��s_ f;�.:wa...,_.:-_-,-.__.._,a4, _._ ,.:__a-._.l.-_,.

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4A PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:02-2018(February 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
318184 00010 00400 50060 0.0310 C0610 C0530 31616 00300
tE ,`p F h o
D. F gg e D ,
m E tE p i Weekly 5Xweek Weekly 2 X week Weekly Weekly Weekly Weekly Weekly
s fi m `
u 2 C u Recorder xGrab Grab Grab Grab Grab Grab Grab Grab
E E m
A U Y O O O L FLAW TEMP-C 911 CHLORINE ROD-Cone Nn3-h-Cent MS-Cute FCOLr BR DO
2400 clock Iln 3400 clock On YI1/N ,mgd deg a su 0105 mg/1 mQ/I moil #1100m1 moil
1 ,0810 , 5 Y 0.001 9
Z 0804 1.5 Y 0
3 N 0 ,
4 N 0.007
5 1026 1 Y 0 004 10
6 1030 24 1010 L75 Y 0,003 10 <17 53 <0 2 <2.5 16
7 1155 .75 Y 0 01 10 <17
0 1045 01 B L ,0.004 11
9 1056 75 Y 0 003 10 6.7 10.9
10 N 0.004
It N 0006
12 1216 .50 Y 0,004 13
13 1015 24 1007 .75 Y 0.003 13 7,6 19 69 <0.2 <25 14 108
14 837 4.0 Y 0 009 10 <17
15 - 1230 1 Y 0
16 11011 Y 0
17 N 0 ,
IB N 0
19 1220 25 Y 0
24 1137 2.5 Y 0
21 1020 4 5 B 0
22 910 6 B . 0 ,
23 1238 ,03 B 0
24 N -
N 0
36 1233 1 5 B 0
27 1240 1 5 A 0
28 1220 15. B 0 -
Monthly Avenge LimIL 0.025 10 4 30 200
Moony AYec*ge- 0.002148 10666667 475 6.1 0 0 14.96663 1085
Daily Maximum. 0.01 13 7.6 19 69 0 ,0 16 109
Dela Minimum. 0 9 6.7 0 •5 3 0 0 14 10 8
****No Reporting Reason-ENFRUSE=No Flow-Reuse/Recycle;ENVWTHR=No Vlsltatlon—Adverse Weather,NOFLOW=No Flow;HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4 0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:02-2018(February 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
00010 00300
a
Weekly Weekly
3
172- Gab Gab
O wt. 'c TEMP-C DO
2400 dock deg c mcg
2
4
s
6 7 128
7
9
10
11
It
13 LO 11.8
14
15
16
17
Jr
19
20
21
22
23 14 _ 13
24
25
26
27
14 12
Methly Average limit.
Momhly Average 1125 124
D.lty Maximum. 14
13
Daily Minimum: 7 118
****NoReporting Reason-ENFRUSE=NoFlow-Reu,c/Recycle, ENVWTHR=NoVisitation—AdverseWeather, NOFLOW=No Flow. HOLIDAY=NoVisitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:02-2018(February 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
i C0603 C0665
sz g Quarterly Quarterly
g ® 1- y
u I e 6 Grab Grab
C fi TOTAL N-Cone TOTAL P-Cone
U H g Q O 7
2400 dock 1ln 2450 clock 11rs WWII mei mgll
1 0810 5 Y
2 0804 1 5 Y
3 N
4 N
5 1026 1 , Y
6 1030 24 1010 1,75 Y
7 1155 .75 Y
8 1045 I B
9 1056 .75 V
Io N
I1 N
12 1216 .50 Y
13 1015 24 1007 .75 Y
14 837 4.0 Y
I5 1230 1 Y
16 1101 1 Y
17 N
Is N
t9 1220 2.5 Y
20 1137 25 V
11 1020 4 5 B.
22 910 6 B
23 1236 1.5 B
24 N
25 N
26 1233 1 S B
27 1240 15 B
20 1220 15 B
8Ioolhly Avrragc Ltmll. _ �•-.
Monthly Aruuge.
Duly Manmum.
Daily Mlotmnm.
****No Reporting Reason.ENFRUSE=No Flow-Reuse/Recycle;ENVWTHR=NoVisitation—Adverse Weather,NOFLOW=NoFlow,HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Marlin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:02-2018(February 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
• 00010 66000'
• Weekly Weekly
Grab Grab
p' ,8 TEMP-C DO
2700 clock dez c m• •.
2
•
3
5
6 7 12,8
7
<
9
10
11
12
13 10 11
14
Is
16
17
18
19
20
21
22
23 i4 12.5
24
25
26
27
23 14 , 12
Maathly Average 1,6 it:
Mental,Acerae: 11.25 12 075
Deny M*nmum: 14 12 8
Daily M1Wmum. 7
IT
****No Reporting Reason'ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation--Advetse Weather,NOFLOW=No Flow; HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4 0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:02-2018(February 2018) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:03/22/2018
A- 41.1 03/21/2018
ORC/Ce fier _Signature: John Allen Martin ,E-Mail:[e-mail] Phone #:[phone] - Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E.6 of
the NPDES permit
03/22/2018
Permittee/Submi ter Signature.*** Duane Rimmer E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address:NCSR 1802 Salisbury NC 28144 Permit Expiration Date:03/01/2019
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,un my inquiry of the person or persons who managed 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.
CER 1 IFIED LABORATORIES
LAB NAME:Water Tech Inc
CERTIFIED LAB#:50
PERSON(s)COLLECTING SAMPLES:,John Martin
PARAMETER CODES
Parameter Code assistance maybe obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
**ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
***Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:02-2018(February 2018) VERSION:1.0 STATUS:Processed
Report Comments:
No Effluent Self Testing or Samples done on 2/2/18 and from 2/15/18 thin 2/28/18 due to Clarifier Maintenance and Repairs.

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4M PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:01-2018(January 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION:DOWNSTREAM DISCHARGE NO.: 001
00010 08
Weekly Weekly
Grab Grab
.0 E
p y y TEMP.0 DO
2400 clack deg c mgli
2
3 2 12 6
4
5
6
a
__
9
10 7 LO 2
11
12
13
14
1s
16
17 3 12
18
19
20
21 .. _.,....... _ _,.
22
23 11
24
25
26
27
28
29
30 7 12.7
31
Monthly Avenge LfmIL
Mont6{y Avenge. 6 11.6
-- _ -Davy Maximum- 11 12.7 _
-.___ _ _ - Daily Mlaunon• - - 10.2
4`***NoReporting Reason:ENFRUSE=No Flow-Reuse/Recycle, ENVWTHR No Visitation—Adverse Weather;NOFLOW=No Flow;HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER 996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:01-2018(January 2018) VERSION:1 0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
30030 00010 00400 50060 C0310 C0610 C0030 31616 00740
EE -
F O
E Weekly 5 X week Weekly 2 X week Weekly Weekly Weekly Weekly Weekly
I. a F = i
a 6C 1 o° a Reconlor Grab Grab Grab Grab Grab Grab Grab Grab
E E c C a
8 U ft; O e Z FLOW TEMP-C FE CHLORINE BOO-Cons 5113-6/-Coot TSS-Cone FCOLI BR DO
2400 clock ID, 2400 Hoek Ms WB/14 mel deer so ue:1i mg11 m2Jl men 0/lOOsel ma/1
1 N 0.003 11
2 1228 ,50 Y 0 003 5
3 1115 24 1037 75 Y 0003 4 <17 <2 <0.2 75 <1
4 1445 .50 Y 0.003 6 7„2 <17 8 8
5 1 115 .75 13 0 002 5
6 N 0.003
7 N 0.007
a 1241 .50 Y 0 003 6
9 1226 .75 Y 0.003 8 <17
10 1120 24 1110 .75 Y 0002 7 6.8 <17 <2 <02 43 <1 83
Ir 1226 ,25 Y 0.003 8
12 1049 .25 Y 0 003 9
13 N 0.002 - - .
14 N 0 003
13 1139 .50 Y 0 002 8
16 1055 .50 Y 0003 9 <17
17 1010 24 958 .50 Y 0,003 6 <17 4.2 <02 4.7 65
III 1112 .25 6 0 003 6
19 1043 75 Y 0.003 8 67 11,6
w N 0.004
11 N 0003
22 1204 150 Y 0003 10
23 1010 24 949 .75 Y 0.003 10 24 e 2 <02 4 <1
24 1310 1 Y 0 002 10 <17
25 1252 .50 Y 0.002 10 71 111
26 1202 125 Y 0.002 11
27 N 0.003
2E N 0.006
29 935 .50 D 0.006 12
30 1025 24 1012 1.0 Y 0.003 12 <17 <2 <02 33 <1
31 1332 .50 Y J0.003 9 67 <17 11.8
I
Mouthy Average Limn 0020 10 4 30 200
Monthly Avenge.
0.003 8136364 . 2.4 084 0 4.76 2304532 1032
--'_—
Duly Meoom 0006 12 72 24 4,2 0 75 65 110
e,
_,-- - - Dolly tdlofmom 0.002 4 - G 7 0 0 0 3.3 0
°°°°No ReporiirigReoson.ENFRUSE-'No Flow-ReusefRecycle,ENVWTI1R=NoVisitation-Adverse Weather;NOFLOW=No Flow; HOLIDAY=No Visitation-Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4 0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:01-2018(January 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
00600 0061
e
,
ea
ti F E lw
x m o Ia4
s eS E
Quarterly Quarterly
11 B 2o` Grab Gab
r 0' n U 67
C U it O O O z' TOTALS-Cu,,, TOTAL P-Cane
2400 clock 11re 2400 clock Dm VIM mrll mull
t N
2 1225 .50 Y
3 1115 24 1037 .75 Y 12,9 2.41
4 1445 .50 Y
0 1115 .75 B
6 N
7 N
g 1241 50 Y
9 1226 .75 Y
to 1120 24 1110 .75 Y
11 1226 .25 Y
12 1040 25 Y
13 N
14 N
15 • 1139 .50 Y
16 1055 50 Y
17 1010 24 955 .50 V
is 1112 .25 B
19 1043 .75 Y
20 N ,
T1 N
22 1204 1.50 Y
rJ 1010 24 949 .75 Y
34 1310 1 Y
50 1252 50 Y
26 1202 1 25 Y
27 N
26 N
29 935 .50 B
30 1025 24 1012 1.0 Y
31 1332 .50 Y
Moodily Average Limit.
Monthly Average: 12.9 2.41
Daily Maelmam• 12 9 241
. _ - - --__ _-Only MilLnum. 12.9 - - - 241 - - - - - _— __ - __
'11"No Reporting Reason.ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=NoVisitation-Adverse Weather,NOFLOW=No Flow, HOLIDAY=NoVisitation-Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:01-2018(January 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
00010 00300
•
Weakly Weekly
Grab Grab
TEMP-C DO
2400 clock deg r mg0
2
.3 2 12.8
4
5
6
7
0
i0 _ 3 10.3
11
12
13
14
15
16
17 3 , 12.3 ..
18
19
20
21
22
23 It 10,9
24
25
26
27
20
I9
30 6 _ 13
31
Monthly Average limtt-
Monthly Average: 5.4
11.86
_ __ _. D.ty M.a mom• 1I
13
10.3
0 06 No Reporting Reason-ENFRUSE=No How-Reuse/Recycle,ENVWTHR—No Visitation—Adverse Weather;NOFLOW=No Flow, HOLIDAY No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:01-2018(January 2018) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE 4:7044899404 SUBMISSION DATE:02/21/2018
02/14/2018
ORC/Certifier Signature: n Allen Martin E-Mai1:[e-mail] Phone #:704-,489-9404 Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E.6 of
the NPDES permit.
e--00 -
02/21/2018
ermittee/Submit . ignature:*** Duane Rimmer E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address:NCSR 1802 Salisbury NC 28144 Permit Expiration Date:03/01/2019
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 managed 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.
CERTIFIED LABORATORIES
LAB NAME:Water Tech Mc
CERTIFIED LAB it:50
PERSON(s)COLLECTING SAMPLES:John Martin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
"No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring Reiiod._ ----_--- _-_-__--_ _--- -.---__ - _ __ —_--_ --- _ .-
**ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
***Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:.996986 ___ --
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:12-2017(December 2017) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCIIARGE NO.: 001 NO DISCHARGE*: NO
- 50050 01010 00400 50060 C0310 C0610 C0530 31616 00300 .
Aa •
S 3- y c
' F
t 2 1 C : i 9.
e`
a S '< P' n $ Weekly 5X week Weekly 2 X week Weekly Weekly Weekly Weekly Weekly
LI E E u Gr
R 2. ecorder Grab Grab ab Grab Grab Grab Grab Grab
E E I I uy
o' U' r' O O O Zo FLOW TEMP-C pll CHLORINE 130D-Cone 5111344-ConeTSS-Coon PCOLI BR DO
•
2400 dusk Iles 2400 clerk Bre Y/B/N mgd deg c MI up/I my/1 my/l mg/1 #/100ml mg/l.
I 1125 SO Y --- 0 003 12
2 N 0.004
3 N 0.003
4 1317 25 Y 0.003 II
5 1115 24 1107 .50 Y 0003 11 <17 <2 <02 <2.5 <t
,
6 1143 50 Y 0.004 13
7 1219 .75 Y 0.003 13 7 <17 84
9 937 50 Y . 0004 11 ..
9 N 0.004
10 N 0.004
11 1100 50 Y 0.003 9
12 1123 50 Y 0.003 10
13 1030 24 1020 .75 Y 0.003 9 <17 3.9 <0 2 4 3 <1
14 1350 75 Y 0003 10 69 <L7 93
15 1105 50 Y 0 004 10
16 N 0 003
37N 0.002
I3 1134 .50 Y 12.003 10 44
19 1100 - 24 1045 75 Y 0 004 11 <17 4,4 <0 2 10.7 <l
20 922 30 Y 0 003 12
21 1252 .50 Y 0 004 14 7 4 9_1
22 1132 25 Y 0.003 13
23 N 0 004
24 N 0 004
u N 0.003 H
26 1020 30 19 0 003 10 7.2 10,1
27 1315 .50 13 0 004 11 <17
13 1050 24 1040 35 B 0.002 8 23 6 9 <0.2 6 <1
29 1030 .50 13 0002 5
30 N 0 003
31 N 0004
Monthly Awenn Lingle 0025 10 4 30 200
- _ _ ______ —__Monthly 4somge: ,_-
D 00329 113 65 8.375 3.8
Daily Msdmume
11 - 0.004 14 74 44 69 0 10.7 0 - 10.1
Daily Minimum. 0.002, 5 6,9 0 0 0 0 0 8.4
•***NoReporting Reason:ENFRUSE=No Flow-Reuse/Recycle, ENVWTHR=No Visitation—Adverse Weather;NOFLOW=No Flow; HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc ORC:John Allen Martin ORC CERT NUMBER:996986 ---- .- __
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:12-2017(December 2017) VERSION:1 0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
. , C0600 . -- - 00665
F• ~ ~ O a
a I _ r Quarterly . _ ,- Quarterly
Ts'• u i t o' 2 Grab Grub
E P g. a iY C7
O' 3 F O C O z TOTAL N-Cone TOTAL P-Cone
2400 click 11n 2400 clod. Nee Y1919 mg/1 mlr/I _
1 1125 .50 Y
_
2 N
3 N
4 1317 25 Y
—
5 1115 24 1107 50 Y
6 1143 50 Y
7 1219 .75 Y - _-
8 937 .50 Y
9 N
t0 N
tt 1100 50 Y
12 1123 50 Y
13 1030 24 1020 .75 Y
14 1350 -75 Y
16 1105 .50 Y
16 N
17 N
18 1134 .50 Y
19 1100 24 1046 .75 Y
20 922 .50 Y
21 1252 .50 Y
22 1132 .25 Y
23 N - -
24 N
25 N
24 1020 .50 B
�7 1315 .50 B
28 1050 24 1040 .75 B
29 1030 .50 B
30 N
at N
Monthly Avenge Limit.
____ ______________ _ _.__ Mealbly Avcnge. _ _ ___ _-_ _ _-- ., _.__ _._ ___,__— ._ _ -
Daily Maximum.
****NoDaily 7,11rnueor
ReportingReason:ENFRUSE—NoFlow-Reuse/Recycle; ENVWTHR=NoVisitation—AdverseWeather,NOFLOW=No Flow;HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc- ORC:John Allen Martin ORC CERT NUMBER:996986 •-_
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:12-2017(December 20172 VERSION:1 0 STATUS:Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
- - 80010 , . , 95300
fi
Weekly Wkly
. �
Grab Grab
TEM P-C DO2400 clock clogs mg(1
1
2
4
5 12 10 6
6
7
9
10
/1
12
13 5 12.9
14
15
16
17
111
19 7 I1,9
20
21
22
23
24
25
26
27
284 8
29
30
31
Monthly Avenge Limit:
_ • __ —_._ _---___ _ Monthly Arrow: 7 _ _ 10,85
Dolly Mulmum:
12 12.9
Dolly MlNmom- 4 .8 . - ...
•«""NoReporting Reason:ENFRUSE=NoFlow-Reuse/Recycle; ENVWTHR=No Visitation—Adverse Weather;NOFLOW=No Flow; HOT IDAY=NoVisitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina-Inc • - - ORC:John Allen Martin ORC CERT NUMBER:996986 - ---• •--_ - --- -. -
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:12-2017(December 2017) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION:DOWNSTREAM DISCHARGE NO.: 001
soots , ' 69300
Weekly Weekly
Grab Grub
d N tt
q -
TEMP-C DO
2400 cloak deg c mpg
1
2
3
4
$ 12 10.5
6
7
9
10
11
12
13 5 12.8
14
15
16
17
18
19 8 1L7
20
21
22
23
24
25
26
27
78 5 8
29
30
11
Monthly Amyna Limit:
_ _ _ _ _ _—._-.—— _ Maothiynraeage - _ _ _
__ 10,75 _ _ -_ ___, _.__ _ __ . _
7.5
Daily Maximum:
It Daily
Minimum. 5
5*04 No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation—Adverse Weather,NOFLOW=No Flow; HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4 0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
OWNER NAME:Aqua North Carolina Inc - - ORC:John Allen Martin -. - ORC CERT NUMBER:996986—-- _ ._---- -- - _„-_.
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:12-2017(December2017) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:01/22/2018
Ni 04§-
01/17/2018
ORC/Certifier Si ature: John Allen Martin -E-Mail:[e-mail]- Phone #:[phone] ' Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E.6 of
the NPDES permit.
01/22/2018
Permittee/Submif er Signature:*** Duane Rimmer E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address:NCSR 1802 Salisbury NC 28144 Permit Expiration Date:03/01/2019
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 managed the
system,or those persons directly responsible for gathering-the information,the information submitted is,to the best of my laiowledge and belief,true,
accurate,and complete.lam aware that-there are significant penalties for submitting false information,including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:Water Tech Inc
CERTIFIED LAB#:50
PERSON(s)COLLECTING SAMPLES:John Martin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring peiiod.----
_**"ORGon.Site?:-ORG must visit facility and•document visitation-offacility-as-required-per-1SA NCAG8G-.0204 t- — � —==�__ �..�.—=�z w=_
***Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine-Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
-OWNER NAME:Aqua-North Carolina Inc - -"ORC:John Allen Martin ORC CERT NUMBER:996986-'--- - '- - _.
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:11-2017(November 2017) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION:EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
- .. r 50050 '00010 00400 ' ' 58064 C0310 COM' ' CO ' 31616 00300'
I
F `a jy e
r cI
e sE weekly 5 X week Weekly 2 X week Weekly Weekly Weekly Weekly Weekly
iri
3 a a a a Recorder Grab Grab Grab Grab Grab Grab Grab Gab
e` u
7 U N O O O g SLOW TEMP-C pB CHLORINE DOD-Cnna NH3-N•Coon TSS-Core FCOLT BR DO
240D clock Ms 2409 cock Ms YAON mod dap c su upjl mg/I mg/1 mrll 12/160m1 m1;11
1 1145 1102 1.0 V 0003 16 78 <20 5S <0.2 5 <1 97
2 1153 50 Y 0,003 16 <20
3 1116 0,50 B 0.002 18
4 N 0.004
5 N 0.003
6 1148 0,50 B 0 003 20
1025 50 Y 0.003 20
8 1035 1023 -75 Y 0 004 18 6 2 <0 2 4.3 <1 -
9 1220 75 Y 0003 17 <17
18 1026 .75 Y 0 003 15 7 5 19 9.9
12 N 0,003 ^
12 N 0,003
13 1111 1.0 Y 0.003 12
74 950 .75 Y 0,002 12
15 1105 1055 75 Y 0.002 12 <17 <2 % 5,6 <1
16 1238 .50 Y 0,002 13 7 3 <17 8 6
17 822 0 50 B 0,003 12
IF N 0,002
79 N 0 004
20 1200 .75 Y 0,003 11 <17
Si 1040 1040 2.0 Y 0003 12 <17 <2 <02 4 12
R
22 1322 .25 Y 0 003 14 7 2 92
23 N 0,003 H
24 N 0 003 H
75 N 0 002
26 N . 0 003
17 1109 SO Y 0 002 10
28 1152 1 75 Y 0 001 11
29 1055 1022 I0 Y 0003 10 till 41 <02 6 <1
30 1205 SO Y 0002 Il 75 <17 8.8
Monthly Average Lund: 0025 10 4 30 200
MonthlyAren6< 0.002767 14 19 3.16 0 490 1.643752 9.24
---___ _ .- _ Defy Mamma, _ _ _ _ _ ____ _ -_ _
0004 20 7.0 w 62 0 6 12 9.9
Daily MWmym`
—_'
*0•*NoReporting Reason.ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation-Adverse Weather,NOFLOW=No Flow; HOLIDAY=No Visitation-Holiday

NPDES PERMIT NO.:N00028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
--OWNER NAME:-Aqua North Carolina Inc - - -• ORC:-John Allen Martin - ORCCERT-NUMBER: -- -.- - -•
GRADE:WW-3, ORC HAS CHANGED:No
eDMR PERIOD:11-2017(November 2017) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION:DOWNSTREAM DISCHARGE NO.: 001
. , 66619. 06100
if
e e Wieldy Wieldy
F C
Grab Grab
TEMP-C - n0 - -
2.100 dock deg c rtyl
1 13 9.9
2
3
4
6
7 ,.
8 15 87
9
10
Il
12
13
14
15 11 97
16
17 -
18
19
20
21 l0 12<1
22
23
24
25
26
27
28
29 9 _ 19.7
30
Mmav Average Limlle
Monmly Average: 11.6
10 34
Dsib Maahnune_ ... __ _ ____
15 12.7
Dolly Miummm•
**a*No Reporting Reason-ENFRUSE=No Flow-Reuse/Recycle; ENb W`fHR=No Visitation—Adverse Weather;NOPLOW=No Flow,HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4M PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
--- - -OWNER NAME:Aqua North_Carolina-Inc -- - • •ORC:John Allen Martin -- .._ --- ORE CERT-NUMBER:_996986- - - -•----
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:11-2017(November 2017) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
_ .-. -
E tif. e quarterly Quarterly
s Y'' r. -
IS t. s` c` o Grab Grab
v 2 ` C C
A L t= O O O T' TOTAL 10-Come TOTAL P-Cane
,2400tack tlra 2400 dark lira YBOY mg/1 mall
1 1145 1102 1,0 Y
2 1153 '.50 Y
3 11 16 0 50 B - k
4 N
5 N
6 1148 050 B
7 -1025 -50 Y
8 1035 1023 .75 Y
9 1220 .75 Y -
10 1026 .75 Y, -
u N
II N
13 fill 1.0 Y _
t4 950 .75 Y
15 1105 1055 .75 Y
-
16 1238 50 ,Y ^.
17 822 450 B -
. . -
18 N
19 N
20 1200 .75 Y ,
zt 1040 1040 20 Y
22 1322 25 Y
23 N
24 N
25 T.
24 N
17 1109 .50 Y
28 1152 1 75 Y
29 1055 1022 1 0 Y
30 1205 .50 Y - .
Momfbly Average Limit
Monthly Average.
---- Dally M1tavmam .. __ _ __ ___.__ _ _. _ _ _.
Daily Minimum.
..4.------,--,,,—,
asaxHoReporting Reason.ENFRUSE=NoFlow-Reuse/Recycle, ENVWTHR=No Visitation—Adverse Weather; NOFLOW=No Flow,HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
----,.--rOW'NER.LSAME:..Aqua North-Carolina-Inc - •--- ORC:John Allen Martin -- OReCERIINUMBERr996986—=
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:11-2017(November 2017) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
- 00010- -- ._ - 00300 r. ,
e Weekly Weekly
Grab Grob
G 7
TEMP-C DO
2400 clock_, degc tac'I
1 13 10
3
4
5
6
7
8 15 8.8
9
10
11
42
13
14
15 10 9 8
16
17
18
19
20 -'
Z1 10 13
22
23
24
25
26
27
28
29 9 11
Monthly Average Limit
Monthly Average- 11,4 1052
• - Dally Mazlmam. 15 - 13 - _ - _ '
Dally Minimum -
_ - —Y _ _ .. • —
"�**No Reporting Reason ENFRUSE=No Flow-Reuse/Recycle, ENVWTHR=No Visitation—Adverse Weather;NOFLOW=No Flow,HOLIDAY=No Visitation—Holiday

NPDES PERMIT NO.:NC0028941 PERMIT VERSION:4.0 PERMIT STATUS:Active
FACILITY NAME:Pine Valley Subdivision WWTP CLASS:WW-2 COUNTY:Rowan
-- r---O.WNERNAME:•Aqua-North Carolina Inc ORC:John Allen Martin •- - - - --' -'-'-OR€'CERT•NUMBER:996986--- •— -
GRADE:WW-3 ORC HAS CHANGED:No
eDMR PERIOD:11-2017(November 2017) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:12/19/2017
/ 12/18/2017
ORC/Certifier Signaturatur Allen-Martin E-Mai1:JAMartin@aquaamerica,com Phone #:[phone] Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part 11.E.6 of
the NPDES permit.
12/19/2017
Permittee/Submitter Signature;*** Duane Rimmer E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address:NCSR 1802 Salisbury NC 28144 Permit Expiration Date:03/01/2019
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 managed 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.
CERTIFIED LABORATORIES
LAB NAME:Water Tech Inc
CERTIFIED LAB#:50
PERSON(s)COLLECTING SAMPLES:John Martin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
*No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period. _ �,_
_-,-- -- -ORC--on-Slte2:-ORC-must-visit facility-and-document visitation'of
***Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).