NCG140311 DMR WW

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000 -
CERTIFICATE OF COVERAGE NO. NCG14 0 3 L
FACILITY NAME:
PERSON COLLECTING SAMPLES: Q�.ve-)
CERTIFIED LABORATORY: rn,"e_ro (or -c- eLLab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
RECE ED
JUL 2 0 2015
CENTRALT ON
FILES
DW
SAMPLE COLLECTION YEAR: 10 [ S
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March
COUNTY: Ib46t .AjF
PHONE NO. (G!@) JrQL- Y(I YS
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
�priI Aune
DISCHARGING TO CLASS: []SA ®HCZW ❑PNA []Trout ❑Other•
OPTIONAL INFO:
Date Sample Total Suspended
Outfall No. Collected) Type of Wastewater pH
z Solids
(VE. RM, MD) (standard)
(mm/dd/yr) (mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT -HEM'
(mg/L)
Discharge
Total Flow
Duration
Duration
(minutes)
- - - 6-93'4 303'5
53
(15)6
- -
- It wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample qua rter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here. Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Reportmore 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 P,O 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.
5 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'
ater classifications.
Permit Date: 7/1/2010-06/30/2015-
Last Revised 07/13/11
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6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
b ut instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A
NCAC 0213.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 70-10 flow and report this information to DWQ. If the permittee cannot
o btain 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
report on a case-by-case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
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 designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage 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 a re at t e are significant penalties for submitting false information, including -the possibility of fines and imprisonment for knowing
violations." �1
7 7
(Signature o rmi ee) (Datef
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
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