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Home My WebLink AboutNCG140428_COMPLETE FILE - HISTORICAL_20180627STORMWATER DIVISION CODING SHEET NCG PERMITS -PERMIT NO. /V DOC TYPE 7� HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ 6)013 bte q YYYYM M D D PROCESS WASTEWATER — Semi -Annual Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 RECEIVED CERTIFICATE OF COVERAGE NO, NCG 14 D'_y_ � $. FACILITY NAME: 4A/ Auemv Awx SAMPLE COLLECTOR: S CERTIFIED LABORATORY: iC C. Lab # /1 Lab # LIMIT VIOLATIONS? YES ❑ NO ❑ 'art H: wastewater monitoring Kequrrements JUN 27 2018 SAMPLE COLLECTION YEAR: a?D/'r� CENTRAL SAMPLE PERIOD: ❑July -December []January -June f)WR SEC COUNTY: PHONE NO.: (o?S-Z) ?9D - 5-9/2— ADD TO LISTSERVE? ❑YES []NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HCLW ❑PNA ❑Trout,Other, OPTIONAL INFO: FILES TION on- oar -Date Sample ,' Type of Wastewater Total Suspended:' Settleable Oil &Grease Discharge Total Flow Outfall No. Collected 1 2 (VE,:RM, MD).'. ,pH w (standard) Solids Solids usrng method Duration (gallons/day) (mg/L) (mVQ/ .. .,1664SGTHEM6 (minutes) 6:93,4 .. O3'S 02 fX. — / 2 -.26! B VF A.-W 7 c? 7, 9 A)R �/�4 �✓/� �/,4 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, 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 DEMLR 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. Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17 Page 1 of 2 s I ' 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 ail other water classifications. 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, Sectic n 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 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis. 04 OF MONITORING PERIOD IN CASE OF "NO FLOWTO: Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 C;L11111111Y►L 9-11az I(Iff al of fi• W RY-0ii]=8012ii 1944101 Ito YOU MUST SIGN THIS CERTIFIG4TION 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. 1 am aware that there are significa pena ties for sub in #alse inf mation, including the possibility of fines andimprisonment for knowing violations." (S' ture of Permittee) (Date).. Per t Date: 8/1/2017-06/30/2022 Last Revised 07/27/17 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report ReCeIVCD GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14_ FACILITY NAME: S� PERSON COLLECTING SAMPLES: AA,0/ .,z4,j'? CERTIFIED LABORATORY:MleRo"a Lab # r Lab # LIMIT VIOLATIONS? YES ❑ NO E Part A: Wastewater Monitoring Requirements NOV 16 2015 CENTRAL FILES DUdR SECTION 0" SAMPLE COLLECTION YEAR: SAMPLE QUARTER: Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June COUNTY: 4A1 S._ o Lj rV1 PHONE NO. (v -2) r29Q - 5 /2, ADD TO LISTSERVE? DYES ❑NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout 210ther � OPTIONAL INFO: _- Outfall No. Date SOiiple Collectedl (mm/dd/yr) Type of Wastewater z (VE, RM; MDj pH. ; (standard) : Total Suspended Solids. ., (mg>'�) Settleable Solids (m�/L) TPH using method 166�4A 6` SGT HEM (mg/L) Discharge Duration (minutes) Total Flow , (gallons/day) ,- :=303s 5a (15)s -3 1-.20 15 A/19 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. 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 Rp 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 Page 1 of 2 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. 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 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 (919) 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 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. m awa that there are signi ' ant penalties for submitting false information, including the possibility of fines and imprisonment for knowing vlolat ns." AAin--fiture of Permittee) (Date) 7ermitDate: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14� SAMPLE COLLECTION YEAR: o20i� FACILITY NAME: .5 SAMPLE QUARTER: NJul-Sept ❑Oct -Dec Dian -March ❑April -June PERSON COLLECTING SAMPLES: a!'? &; 1,U-UM COUNTY: ��S�or,J CERTIFIED LABORATORY: Mld-ft &— Lab # < ! - PHONE NO. (E?E2) 29e - 574/2- Lab # ADD TO LISTSERVE? ❑YES ❑NO EMAIL: LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Requirements DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout gOther OPTIONAL INFO: Outfall No. Date Sample 1 Collected (mm/dd/yr) Type of Wastewater RMMD} z (VE, , pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A s 5G /L) (mg/L} Discharge Duration (minutes) Total Flow 7 (gallons/day) - - - 6-93.4 303's 53 (15)6 - - r also A „I� ,✓rt 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. 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. 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 water classifications. Permit Date: 7/l/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 5 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. 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 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"I 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 (919)807-6379 YOU MUSTSIGN THIS CERTIFICATION FOR ANYINFORMATION 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. m awa that there are signs ant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violat ns." .� {A --Nature of Permittee) Date:7/1/2010-06/30/2015 1� 1-/0 -0: 20�5 (Date) Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL. PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 O y Z R FACILITY NAME: .5,7_ o6 71I IjdRf?-&—I�LtS ' _ PERSON COLLECTING SAMPLES Z4//9-z7 CERTIFIED LABORATORY 1e ,06A C- , Lab # Lab # OPTIONAL INFO: Part A: Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR: SAMPLING PERIOD: July -December ❑ lanuary-June COUNTY C A1SL0L+1 RECEIVED Nov 16 2015 CENTRAL. FILES DWR SECTION PHONE NO. (.2SL) 22D-,S"9/2_ ADD TO LISTSERVE? ❑YES ❑NO EMAIL: DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout Other. 's Qutfall No .........:NO w Date Sam le P Collected r {mo/dd/yr OR t ,, FLOW] PH � (Standard flnits) F SS {mg/Lj Event :- Duration (minutes) Total ;. 4.- Rainfall: (m) : In Tier Monthly Monitoring? # of Months in Tier Z 2 Sampling - / 3.0 M A1A NA Al ^IA- 1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here, Please make sure to mark the sample period above. 2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit, Tier 2 Monthly sampling shall be€done until 3 consecutive samples are below the benchmark or within the benchmark range." 3 TSS benchmark values areJ100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l. For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date: 7/1/2011-60/130/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year. isi` "r'R.,•� a �.-.' .'• w..r.s .r.- R�°°�iw ;.- , r:.FOutfall �. No �,%y } I F i, a,, -,4a s`3'e' t.''�i'y .� t^ ,:.�. .,.. .Sr ¢ `Ln !'i. i 'r rs x�t��a ;, -,; „<<• R°Date Sample';' x 30, .� Coilecteil , s 1'.?" m'o/dd/ r ..k �,.. M• ? �'r.¢ ,4°'i.xa'• a Tip•...., 1 `�' ..:: - il'r. .� {'' � � �. . a;•: pH, 5 . o Standard°r- € ; E . d:. • f.19 ':Units i i` ,, ,� , � €1�,§'',`._'69R td a.4��'« Y. �9-�.TS. _ x.s, ss-:»..y- �-_a,c« C 3' ieA. t`_ .dam'. �. •,.�. ,.a�: TRH:us1rrg me[hod : `�a'1664kSGT-HE'M .)) �.;� �,, '.9�"� i 1".': x. m /L i ;:� E � ;�, ,C,1y, to I Yt� ,. �;?'' 5 rS _. {' Li�:i� `}=- �:� t'�" r - .%. :3 V.l f-d� E L f .��± J&al�Sus ended � "Solids Y ,a, R ,..., �;(m /L Y w:,.,: 1 r ;m .;,a m ,s �:�. ,rs ,��. �. ;L h �. - ,:(` Sj-41-i.{ :.''.Y•i :r,...' r,$�Erient =.Duran n, ° ;: minutes ��. v^ '•a �„ ��;g� ,ti, 3.; f - s' i'^ S '`?�1-� } ar L. � ;Total Rainf f. 1� in f � t 's Y '�.'9 «.:1h w—e^•. ;-� I isN.. h47a. .,-�;..:^" New:Mator;0il - Usa °' al/month t ,s.;:.. r i 1, �.. °: � L.:.f w,i, �•;Morithl Y ,3, g �,< r : r � (v 1_ f e �'i�•i # of:Months. _m 1 ier 2 . z San Irn t, - n ...�� ..i .�w .._ rXa�_ -'xl ..2 3 �..-:... s'... 100 3 . 3...... 1 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑ HAVE YOU CONTACTED THE REGION? YES D NO ❑ REGIONAL OFFICE CONTACT NAME: Mai! Original and one copv of this DMR (including all "No Flow" & "No Discharge"-reports)withjn 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 1 1617 Mail Service Center] Raleigh, North Carolina 27699-1617 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 dir6ction or supervision in accordance with a system designed to assure that qualified personnel properly g ther and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those p s it tly responsib a for g ering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am a are that th a are '' n'fi ant alties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signa1ur Permittee) (Date) r I Per it Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE N0. NCG14Q A� 9:2- FACILITY NAME: S^ �nxl e" PERSON COLLECTING SAMPLES: d5' Di4 CERTIFIED LABORATORY: / ld fo"d_ Lab # Lab # LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: ago/,S SAMPLE QUARTER: Xul-Sept []Oct -Dec ❑fan -March []April -tune COUNTY: 4A)546r,J PHONE NO. (a7S1 ) 29e — 5'7/2- ADD TO LISTSERVE? ❑YES ❑NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®,Other OPTIONAL INFO: Outfall No. Date Sample Collected' (mm/dd/yr) Type of Wastewater z (VE, RM, MD) pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A 6 SGT-HEM (mg/L) Discharge Duration (minutes) Total Flow 7 (gallons/day) - - - 6-93'4 303.5 53- - 31 - 201-5 OK,C a So LIL A14 WA A/H- 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. 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 water classifications. Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 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. 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 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 (919) 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 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. m awa that there are signisAant penalties for submitting false information, including the possibility of fines and imprisonment for knowing {�l"gnature of Permitteej Date:7/1/2010-06/30/2015 9/0 • C;2e/15- (Date) Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM r1 GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG�714 0 FACILITY NAME: 5, _ •V06MV (30ee [ } s PERSON COLLECTING SAMPLES zbD/_-- CERTIFIED LABORATORY / 1e,1PV,&4 e— Lab # // Lab # OPTIONAL INFO: Part A: Stormwater Monitoring Requirements SAMPLE COLLECTION YEAR: 4201 SAMPLING PERIOD: ,July -December ❑ January -June COUNTY QN5d_O1c) PHONE NO. (1S2) ,290 -S9/Z ADD TO LISTSERVE? ❑YES ❑NO EMAIL: DISCHARGING TO CLASS: []SA ❑HQW ❑PNA []Trout KOther Outfall No. Date Sample Collected (mo/dd/yr OR NO FLOW)' pH [Standard Units) TSS (mg/L) Event Duration (minutes) Total a Rainfall [inj In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier z 2 Sampling - 6-9 100 , - - - - / -3/-fors G.s 3.0 n/A A14 Al n/A- ' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I, For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year. Outfall No. Date Sample Collected {mo/dd/yr}i pH {Standard Units} TPH using method 1664A SGT-HEM {mg/L} Total Suspended Solids (mg/L) Event Duration {minutes} Total Rainfalla (in) New Motor. Oil Usage (gal/month} In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 2 Sampling 6-9 15 100 ' - - - - - HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE CUTFALL (INCLUDING -VEHICLE MAINTENANCE)? YES ❑ NO ❑ HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑ - REGIONAL OFFICE CONTACT NAME: Mail Original and one coov of this DMR (including all "No Flow" & "No Discharge" reports) 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 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 g ther and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those pe s it tly responsib a for g ering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am a are that th a are n'fi ant aloes for submitting false information, including the possibility of fines and imprisonment for knowing violations." 9 /0 dU/-57 (SigzDate� Permittee) (Date) Per/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 PROCESS WASTEWATER —Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG14 O `� g FACILITY NAME: S�(il.�e"'/ ,�illl7atJ %�i9RK PERSON COLLECTING SAMPLES: _e,9,01E G9ir_-t-uln CERTIFIED LABORATORY: SG.S Lab # gel Lab # LIMIT VIOLATIONS? YES 0 N026 Part A. Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: dew S SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec NJan-March ❑April -June COUNTY: GNS O PHONE NO. [a ;?�jD- Sq/ 2- ADD TO LISTSERVE? []YES ❑NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other OPTIONAL INFO: -- Outfall iYo: --Date Sample 'A' 1 Collected (mm/dd/yrj P" Typeof Wastewater - z = [VE, RM; MDj pli [standard] Total Suspended" Solids n. .. [mg/L) Settleable _,Solids-= "[mL/L]: TPH using method•T664A-=, s SGT HEM pischarge Duration [minutes]-' : Total.Flow (gallons/ _ . a-: _ _ ., .. = - ..-fi-93.4 _. :: -. -303s 53 {15j6 - - -a7- s , A10 6 As NA .v✓� - 7—�5 N. 7. S. N S Al A).4 r. P NIP) re:nF ni c�i r _ DWR . F(:Tlr)N ' If wastewater systems have not discharged in this quarter— report "No Flaw" 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. - 3 If an effluent limit is exceeded twice in a raw, 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 Page 1 of 2 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 irwstead 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 be set to 50% of the Summer 70,10 Flow as per 15A NCAC 02B .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 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 (919) 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 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 direct) responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am•aware t t there are significa t penalties for submitting; false information, including the possibility of fines and imprisonment for knowing violations,,./I / f of Permittee) Perry jMate: 7/1/2010-06/30/2015 G- y �n�s (Date) Last Revised 07/13/11 Page 2 of 2