NCG140031 DMR WW

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14_ Q L L
FACILITY NAME: Ml yc , / y)G
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: _ Lab #
Lab #
LIMIT VIOLATIONS? YES [] NO S
Part A: Wastewater Monitoring Reauirements
SAMPLE COLLECTION YEAR: Ao/5
SAMPLE QUARTER: OJul-Sept []Oct -Dec QJan-March dAprif-June
COUNTY: Adolph
PHONE NO. (331p ) (p -7a - 09TI
ADD TO LISTSERVE? []YES ®,NO EMAIL.
DISCHARGING TO CLASS: []SA []HQW []PNA Trout ❑Other
OPTIONAL INFO: /S C/PC1�d — ft BYe � �` C fS
Date Sample
Outfall No. Collected'
(mm/dd/yr)
Total Suspended
Type of Wastewater pH MD)' RMd
, , (standard) Solids
(VE(mg/L)
- Alo M
- 6-93'0 3e
Settleable TPH using
method 16644 Discharge Total Flow
Solids Duration
(MLA) SGT-HEM6 (gallons/day)'
Imeh I (minutes)
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
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?•- _'.101 �+iiF7^�'b:
e Process wastewater.discharges shall only be monitored for TPH when commingled with stormwater discharges from VM
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. A areas. TPH does not have a limit for wastewater,
Flow rate can be measured cofltinuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the S t
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DW
= :`••_=:: • • . •.• .- • "Su 7Q10 Flow as per 1SA
obtain- a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require it
�.-c ' �•. °•- -, - Q. If the permittee cannot
report;on a case;by-case basis. q annual flow
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,sY em designed to
manage the system, or
complete. I am aware that they are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violation- accurate, and
(Signature of Permittee
(Date)
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
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