NCG140031 DMR WW (2)

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g y PROCESS WEWA:TER—Quarterly Discharge Monitorin Re ort
GENERAL PERMIT.NO NCG140000 � •�•
CERTIFICATE OF COVERAGE NO. NCG14 - 2L .J
SAMPLE COLLECTION YEAR:
A0 14
FACILIT1(NAME i 5htho A Al,)(' • A/t
PERSON COLLECTING SAMPLES: %odd I- - ki Ch
SCy
SAMPLE QUARTER: []Jul -Sept'
COUNTY: 'Rq()do1,4h
.L Oct -Dec
QJan-March []April -June
CERTIFIED LABORATORY: ;Pc arrh J-.. Lab #
Qe,14
PHONE NO. (3;(vJ
Pro) u4icat U4k Lab #
'H
ADD TO.LISTSERVE? AYES NNO EMAIL:
LIMIT VIOLATIONS?••YES Q NO
DISCHARGING TO CLASS: EjSA
❑HQW ❑PNA []Trout . ElOther
Part A: Wastewater Monitoring Requirements.
OPTIONAL INFO:
-
Date Sample
Outfall No. Collected) Type of Wastewater
PH :
Total Suspended Settleable
TPH using
Discharge
(VE RM MD)x
(mm/dd/ r
Y)
(standard )
Solids Solids
(mg/L)
meth
method 1
SGT -HE
Duration
Total.Flow ..
- (mL/L)
•
(M L)
(minutes)
(gallons/daY)
-
6-93'4
3WIS
30 ,s 5
/A _Aq
,00t
F TRAL FILE
- - 10
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.
Z Report theabbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Sto
3 Cleanout (MD). Report more than one type if the waste -stream is commingled. ckpiles (RM), Mixing Drum
If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six monthsunless DW
notifies you to continue monitoring. , Q RO staff
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges tolsaltwaters.
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 clas '
Permit Date: 7/1%2010106/30/2015 classifications.
Last Revised 07/13/11
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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 continuously.or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow a""
NCAC 02B;.,0,224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DW • I s Per. ISA
obt�am arS�ummer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional OfficeQma the permittee cannot
report on a case-by case basis.
.�.t� Y quire an annual flow
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMW" TO; ARY INCLUDING ALL'.'IVO FLOW" "NO DISCHARGE" WITHIN 30
AT END OF MONITORING PERIOD IN CASE OF "NO FLODAYS OF RECEIPT OF SAMPLE OR
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
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons with a system designed to
those persons directly responsible for gathering the information, the information submitted is, to the. best of my knowledge and belief, true, o 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 rate, and
violetio^^"'
� knowing
(Signature of Permittee) --• �5
(Date)
Permit Date: 7/1/2010-06/30/2015
Last Revised-07/13/11
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