NCG140031 - DMR WW

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-' ..- \'•:.'\ :'''2- PROCESS WASTEWATER— Quarterly Discharge Monitoring Report
• GENERAL PERMIT NO. NCG140000
J ��J�` - SAMPLE COLLECTION YEAR: (AO i eta
CERTIFICATE OF COVERAGE/nt"w _ NO:-NCG14'�--��'��i�
FACILITY NAME: )ehRh .. / MY SAMPLE QUA ER: [Jul-Sept [ Oct-Dec []Jan-March OApril-June -
PERSON COLLECTING SAMPLES: COUNTY: �"ph
CERTIFIED LABORATORY: _Lab# PHONE NO.(33 0 ) (p?d, -Ogs7
Lab# ADD TO LISTSERVE? OYES ONO EMAIL:
LIMIT VIOLATIONS? YES O NO[YI, DISCHARGING TO CLASS: OSA OHQW OPNA ['Trout ['Other
OPTIONAL INFO: !' /J' -/J ifs. c/eooed 0/4- —./et/t/6. low
Part A:Wastewater Monitoring Requirements
Date Sample Total Suspended Settleable TPH using Dischar
Outfall No. CollectedType of Wastewater pH method 1664A ge Total Flow
(VE,RM,MD)2 (standard) Solids Solids Duration 7
(mm/dd/yr) (mg/L) (mL/L) SGT-HEhl6 (minutes)mg/L (�Ilons/daY)
- AJO -b/S i✓t e- 6-93' 30 (
3.s _ 53 ( j5)6 -
(15)6 -
4
JAN (WO 2Gli
C EN'!R.A FL ; -
DW1� SFC";TICMI
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.
31f 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:7/1/2010-06/30/2015 Last Revised 07/13/11
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:1;,- J-a-`'{ems ,:._ ..,.,:;--�;,k ai S' V't:', - i• ^ie`• -
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' . Process wastewaterldlsch rgeessshall•only be monitored for TPH when commingled with stormwater discharges from VMA areas.TPH does not t wastewater,,
instead is subject to`ber, mardcs and provisions of Part IV Section A,including the Tiered Response Action. c
T -mit,, 3. • +-•..k.ys j- aid gr„ ,-;5g 4.•.. is , have a limit for wastewater,,
- Flow,rate can be measure co►tinuousiy or calculated. Flowi•limits for wastewater discharges to HQW waters shall be set to 50%of the Summer 7Q10 Flow a"s per
NCAC 02B.0224:Permittees wh•
o discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ.If the permittee cannot
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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 an annual flow
reporton a case-by-case basis.
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MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY(INCLUDING ALL"NO FLOW","NO DISCHARGE")WITHIN 30 DAYS
AT END OF MONITORING PERIOD IN CASE OF"NO FLOW')TO: OF RECEIPT OF SAMPLE(OR
Division of Water Quality '
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Attn:DWQ Central Files _ _
1617 Mail Service Center _ _
Raleigh,North Carolina 27699-1617 --
[phone] - .
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YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
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"I ce•rtify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who system designed,
those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,
managet the dystem,or
complete.'I am aware that them ace significant penalties for submitting false information,including the possibility of fines and i e,accurate,and
violatiot'�" _ imprisonment for knowing
, _
(Signature of Permittee) s
(Date)
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Permit Date:7/1/2010-06/30/2015 i
Last Revised 07/13/11
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