NCG140006_MONITORING INFO_20151005

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV L& j4DU�
DOC TYPE
❑ HISTORICAL FILE
.K MONITORING REPORTS
DOC DATE
J
❑ `�lc6 I D D16
YYYYM M DD

I
PROCESS WASTEWATER — Quarterly,Discharge Monitoring Report
GENERAL PERMIT No, NCG140000
I
CERTIFICATE OF COVERAGE NO. NCG14 67061 G
FACILITY. NAME: 2—
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLE -QUARTER: ❑Jul -Sept ❑Oct -Dec 2Jan-March ❑April -tune
COUNTY:
PHONE NO. (q10 G 7S
ADD TO LISTSERVE? ❑YES ❑NO EMAIL: F
DISCHARGING TO CLASS:, []SA ❑HQW ❑PN i ❑Trout ❑Other C �/
OPTIONAL INFO:
'`
Outfall No.
Date Sample
- 1
Collected , `
mm
-.
7, .r-a
Type of Wastewater
} z �� r
VEr RM"MD ; ,
( F 5
y` , -
pH �# - ?
=-,'rtSoiids
"h sta'ridarcij
g
Total Suspended -
x _ _ �* -' _ _ j;
-
Settleable
; *
:Solids x
_ �i.
TPH usrn
�.i: g
method 1664A
i{= _
SGT_:HEA96
mb1�
Discharge
":
' Duration- 3
=i -- s
k(minutes),,
�` t
Total Flow
L� 7_
F allons da
%- L
0,7
—Fv I r
�L FILES
I
W
' If wastewater systems have not discharged in this quarter- report "No Flow" or "No Discharge" here. Please make sure to mark the sar6ple 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.
3 if 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..
5 TSS limits are 20 mg/L for wastewaterdi�charges 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; i Last Revised 07/13/11
` Page 1 of 2
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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,
but 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 02B .0224. Permitteei'vho'discharge wastewater to HQW waters shall obtain a Summe? VQ10 flow and report this information to DWQ. If the permittee c'arinot
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
report on a, case -by -rase basis.
i
iVIM114JnlV IIVML MIV LI%JIYL t-L/rl.Vr. I f71.7 MJAIVVML'.7V IVI IVIMnI I I IV\.L%J Litt V V MLL IV rL%JVV IYW L71a41 IMnVL I VV I I141� �
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]
,I
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 responsible4ar gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of.fines and imprisonment for knowing
violations.": ' !
-_ .. 9 515
(Signature of Permittee) (Date)
I
m
Permit. Date: 7/1/2010-06/30/2015 Last'Revised 07/13/11
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- PROCESS WASTEWATER — Quarterly _Discharge Monitoring Report
GENERAL PERMIT.NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 (J C-
FACILITY..NAME:-/,) iYl C G / 2—
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
4. Lab #. ;
LIMIT VIOLATIONS? YES ❑ NO ❑
Monitoring
Part A: Wastewater M t; Requirements
SAMPLE COLLECTION YEAR: 015
SAMPLE'QUARTER: ❑Jul -Sept []Oct -Dec &Jan -March ❑April -June
COUNTY:
PHONE NO. Gi'/U
ADD TO LISTSERVE? ❑YES ❑NO EMAIL: I
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PN A�! []Trout ❑Other C=6, /
OPTIONAL INFO:
r
` .6i ...
:OutfallNo.
•
=F. 5arri le
Aate p
-; - di
Collette
{mm/ddl,Yr} 4
- cF -' t �f � '"°,� �
: , - t _f 4s;v
:, ; T e of Wastewater-;,
,.:'..yp_1 _ 4,
ice` zr
t , _� )
i t�'� � � �'` �� °:
'F:t_
N:. ,,'J
.F
`{standard) s
_
� x� -:..r . S =�: •
TotahSuspended
'=>�sscF_�—
f� Sohds�
h i ; §�
�}
s �<' �.; lam=
Settleable,
t Solids r
Fk _ r
*�
TPH us�n- r !,
.- R� M,
method 1664A
.aw d
h SGT liENlG
= g
�r< _= r
Dischar e
g
a,r .� '� ,
`:Duration-
k..`{gallons/day)
{minutes)
` ` - �-
'Total Flow
'; :'..:..;'-'i I' ,.
-.7f;.= -. -�..-F f:
't _ •,t.
:.��-F �. __FFh�tY:.._�=I'
�'��s 'W�.-_.- r+�r+
-{r.- �S+.y `s-�
„t r..ti�_. _ ° '+'7�.-�`'�`-1.-�-
"�i
_,.'�C_rt��;. ���
I
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 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.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters..
5 TS5 limits are 20 mg/L for wastev),a er_di�charges to H'QW 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
Page 1 of 2
. I

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 to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 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 02B .0224. Permittee3 tiuho'discharge'wastewater to HQW waters shall -obtain a Summe? VQ10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer7Q10 flow, forth feceiving waters at the discharge location, the permit -tee shall notify DWQ, and the DWQ Regional Office inay require an annual flow
report on a Case -by -case basis.
f
MAIL ORIGINAL AND ONE COPY OF.THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYSIOF
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] =1.
PLE
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 iqualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons wh10 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 aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
-_violations."
(Signature of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last�Revised 07/13/11
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