NCG140439 DMR WW (2)

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 o. q 3 q SAMPLE COLLECTION YEAR: Z 10 1 S—
FACILITY NAME• r ee ntboro *J+e v n V v ho vt Loo - Te ✓ e. 6o,,c,, I SAMPLE QUARTER: ❑Jul -Sept SOct-Dec . []Jan -March ❑April -June
PERSON. COLLECTING SAMPLES: ,+COUNTY: Gv( 14 or d
CERTIFIED LABORATORY:. Lab # PHONE NO.('7 o 4/) 671- 0 362
Lab # ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ❑• DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Part A: Wastewater Monitorine Reauirements
Date Sample 4
i Type,of Wastewater; ', , pH
Outfall No. Gollected,.Y z
s ��r (VE RM, MD) (standard)
(mm/dd/yr)
TotaLSuspended
Solids,.
(mB/Lh
Settleable
-
Solids,
(mL/L)
TPH using
Discharge,
method;1664A. Total:Flow
Duration
SGT-HEIVl6 (gallons/day)''
(minutes),
- -
&43""
3 .5
3Q
5 3 .
5)6
/ Q
Q1
Crl l JTRAL t- IL nO
DV11
JCIr i i I�
- It 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 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.
° 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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e 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,
but instead is subject oto 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 be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain.a Summer 7410 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.
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
I
"I certify, under penalt
assure that qualified. p,
those persons directly.
complete. I am aware
violations."
L
of law, that this document ana an attacnments were prepared under my.direction or supervision in accordance with a system designed to
sonnel properly gather and evaluate the'informatiorrsubmitted. Based on my inquiry of the person or persons who manage the system, or
�sponsible for gathering the information, the information submittedis, to the best of my knowledge and belief, true, accurate, and
tat there are significant penalties -for submitting false information, including the possibility of fines and imprisonment for knowing
(Signature of Permittee)
Permit Date: 7/l/2010-06/-30/2015
0 VO41204
(Date)
Last Revised 07/13/11
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