NCG140031 DMR WW (4)

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 '0 9 L
FACILITY NAME: "ice } IY V T)C
PERSON COLLECTING SAMPLES: % d P. f—icArmdson
CERTIFIED LABORATORY: 4seo,-ch 4' Lab # NC.�
.. /+.l h CQ./ �S Lab #
LIMIT VIOLATIONS? YES NO
Part A: Wastewater Monitoring Requirements
DEC 0 2 2095
SAMPLE COLLECTION YEAR: .0 S ENTRAL IL
Cn
SAMPLE QUARTER: []Jul -Sept aOct-Dec 101RI , WApril-June
COUNTY: RQridOl p h
PHONE NO. ( �,U) &7a -OqV
.ADD TO LISTSERVE? []YES. []NO EMAIL:
DISCHARGING TO CLASS: []SA F]HQW []PNA []Trout []Other
OPTIONAL INFO:
Date Sample
Outfall No. Collected
(mm/dd/yr)
Type of.Wastewater
:
(VE, RM, MD) ::.
H
p.
(standard)
)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(MLA)
TPH.using - Discharge
method 1664A Total Flow
Duration
SGT.-HEhl6 (minutes) (gallons/daY)
)
_ -
001 114-M
_
6-93.a
8.
303s
4�,
16
MD -5
If wastewater systems have not discharged
in this quarter — report
"No Flow" or "No
D'isc h "k
here. Pl
Z ease make sure to mark the sample quarter above.
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.
3If 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.
4 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/l/2010-06/30/2015
Last Revised 07/13/11
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rocess
wastewater,disc'li"' I krgess a only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,.
'but instead"
is subject ,t6,binchmarks and provisions
7 of Part IV, Section A, including the Tiered Response Action.
FloW —rate can be measured coptinbously or its for discha�ges
7: ­­... to HQ
Who discharge 0% of the Summer 7Q10 Flow per 13A
C 026 0224 Permittees arge wastew . afer to HQW waters shall obtain, a' Summer Wwaters shall be*sefio'S'
0mmer 7Q10 flow report this information to DWQ. If the permittee cannot
e
ow for the receiving waters at the discharge location the permittee shall notify DWO, and the DW Regional Office may require an annual flow
JIG— , . _ , . , - -:... . I .
report on a casetby case ba sis.
AT END OF MONITORING PERIOD IN CASE OF "NO FL DW") TO: CEIPT OF SA
MPLE (0
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh,- North Carolina 27699-1617
807-6379
.......... .....
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED. -
"I certify, under penalty of law, that -this document and all attachments were prepared unde
r my direction or.supervision c
assure. that'qualifiedperi personnel properly gather and evaluate the information submitted. Bas6d on a system designed to
on n in ac ordance with
those persons directly responsible for gathering the information,my inquiry of the person or Persons who manage the system, or
comiplete. I am aware that theme are -sig significant the information submitted is, to the best of my knowledge and belief, true, accurate, and
p cant penalties for submitting false information, including the possibility of fines and imprisonment for k
violatjo:i­
nowing
—(Signature of Permittee)
(Date)
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
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