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NCG140050_MONITORING INFO_20190305
STORMWATER DIVISION CODING SHEET NCG PER PERMIT NO. qoc>6 D [DOC TYPE ❑ HISTORICAL FILE MONITORING REPORTS DOC DATE 030 ❑ YYYYM M DD ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — WASTEWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG140000 Calendar Year 2018 'Report ALL WASTEWATER monitoring data on this form (include "No FlovVTNo Discharge" and Limit the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG 1 4 0❑F0]0© MAR 0 9 Shelby Facility Name: y CENTRAL FILIHS SI:CTi I*J County: Cleveland Phone Number: (704 ) 529-6364 Total no. of outfalls monitored 1 Certified Laboratory Prism Lab Lab # 402 Lab # Wastewater (WW) Discharge Outfall No. 001 Does this outfall discharge WW to SA waters? Yes ❑ No ❑✓ Does this outfall discharge WW to SB or PNA waters? Yes ❑ No 0 Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ✓❑ If so, what is the 7010 flow rate? or Tidally influenced waters, 7Q10 not available ❑ Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ✓❑ Were there any limit violations in the calendar year? Yes ❑✓ No ❑ Outfall No. Daily Flow Rate, cfs pH, SU TSS, mgll SS, mill 0appflcable Non -Polar O&G (EPA Method 1664 (SGT-HEM)), mgll Effluent Limitations Daily Maximum HOW or ORW 50% of 7Q10 fntlicate NO FLOW i! applicable freshwater 6.0-9.0 saltwater �. 8-p. y V J Standard 30 HOW 0f� 2 HOW f ORW and Tr, or 10 W HOW, OR, SA, sB,PNA,orany Trout 5 No Limit Samples above Benchmark subject to Tiarad Responses 15 Date Sample Collected, molddl r`' ��a l , �`e,e• 217118 PWO01 9.9 BRL BRL 4123/18 PW 001 NO FLOW 9/26/201 B NO FLOW 10/10/18 PW 001 9.4 160 Permit Date 8t112017 — 6/3012022 Last Revised 8-22-2017 I Certificate of Coverage No. NCG14 ®CC12', CERTIFICATION "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 aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." [Required by 40 CFR §122.221 Signature Date Mail Annual Summary Wastewater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2017 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — WASTEWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG140000 Calendar Year 2018 'Report ALL WASTEWATER monitoring data on this form (include "No Flov/'1"No Discharge" and Limit-Violations),Vbrn the previous calendar year to the DEQ by MARCH 1 of each year. Rr.1' ' ° �r s,r, Certificate of Coverage No. NCG14 ®0❑ 5❑® MAR 4 5 2019 Facility Name: Kings Mountain Plant CENTRAL FILE County: Cleveland DA/ SECTION Phone Number: (704 ) 529-6364 Total no. of outfalls monitored Certified Laboratory Prism Lab Lab # 402 Lab # Wastewater (WW) Discharge Outfall No. 001 Does this outfall discharge WW to SA waters? Yes ❑ No ❑✓ Does this outfall discharge WW to SIB or PNA waters? Yes ❑ No ❑✓ Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑� If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑ Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No EZI Were there any limit violations in the calendar year? Yes ❑ No [] Outfall No. 001 Daily Flow Rate, cfs pH, Sly TSS, mgll SS, mill it applicable Non -Polar O&G (EPA Method 1664 (SGT-HEM)), mgll Effluent Daily Maximum HQW or ORW 50% of 7Q10 tlicate NO FLOW if Indicate applicable freshwater 6.0-9.0 saltwater op 6.8-8.5 Standard 30 HOW 20 HOW f ORW and Tr, or I O I HOW, ORW, SA, se,PNA,orany Trout 6 No Limit Samples above Benchmark subject to Tiered Responses 15 Date Sample Collected molddl r t�5 4 ,S j �' { f 2/7/2018 001 NO FLOW 4/23/2018 NO FLOW 9/2612018 NO FLOW 10/10/2016 NO FLOW Permit Date 8i112017 — 6/30/2022 Last Revised 8-22-2017 Certificate of Coverage No, NCG14 FWC7� CERTIFICATION "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 aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." [Required by 40 CFR §122.22] Signature Date 6 Mail Annual Summary Wastewater DMR to the NCDEQ Central Office: Note the address is correct -- Central Files is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 8/1/2017 -- 6/30/2022 Last Revised 8-22-2017 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG140000 Calendar Year 2018 'Report ALL STORMWATER monitoring data on this form (include "No FloWl"No Discharge'; and �Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH ! of�each,y9 r:V F n Certificate of Coverage No. NCG14 ®0❑ 5❑ Q❑ MA I K a Shelby Facility Name: y CENTRAL FILES County. i Cleveland "` �' ON Phone Number: (704 529-6364 Total no. of SDOs monitored Certified Laboratory Prism Lab Lab # 402 Lab # Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No ❑✓ Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ✓❑ Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑,r If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes, enough consecutive samples below benchmarks to decrease frequency ❑ Yes, received approval from DEMLR to reduce monitoring frequency Cl Other ❑ Outfall No. Total Rainfall, inches Total Suspended Solids TSS , [) m g !1 I pH, SU Non -polar O&G (EPA Method 1664 (SGT-HEM)), mgll (VMA) N applicable New Motor Oil Usage (gallmo.) !!applicable Storm water Benchmarks Indicate NO FLOW if applicable Circle Benchmark 1 oal�� U �` {]�9 O 1 >56 gallmo. avorego requires T$5 and Non-polarOaG monitoring Date Sam le p Collected,{ molddlyr ri: �`-`n x L a.i.'. 1'P�:) 1i fg �t ; �� ,�` , w r A£ AyY: s to .� i e+ 8 ,..1, fc`'' �+ F, x rzs r y'4FC Vt`t: _fJ�,. F r''Yi ,.,. ; :f �� rr >a l? I fi I,i,' �a �lyli'iri 'eW Lfc—'4 a.. a��: P�. € _A t t € { x S fP F t' F g9ti 6 2 a'.s. i P 2/7/2018 001 BRL 9.9 04/23/2018 NO FLOW 9/26/2018 NO FLOW 10/10/2018 001 160 9.4 Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2015 Certificate of Coverage No. NCG14 20KNO CERTIFICATION "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 aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." [Required by 40 CFR §122.22] Signature Date i� Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: ❑WR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 811/2017 — 6/30/2022 Last Revised 8-22-2015 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE* RECEIVR General Permit No. NCG140000 MAR b 4 2019 Calendar Year 2018 CC-NTRAL F'ILF.q uvtrt� SiwC'�rn�� "Report ALL STORMWATER monitoring data on this form (include "No Flow'T No Discharge" and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each .year. Certificate of Coverage No. NCG14 ] 0❑ Facility Name: King's Mountain Countv: Cleveland Phone Number: ( 704 ) 529-6364 Certified Laboratory Prism Lab 5❑ RE Lab # 402 Lab # Total no. of SDOs monitored 1 Stormwater Discharge Outfall (SDO) No. p01 VMA Outfall? Yes ❑ No ❑✓ Is this outfall currently in Tier 2 for any parameter? Yes ❑ No Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑r If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes, enough consecutive samples below benchmarks to decrease frequency ❑ Yes, received approvai from DEMLR to reduce monitoring frequency ❑ Other ❑ Outfall No. Total Rainfall, inches Total Suspended Solids (TSS), m 'I pH, SU Non -polar O&G (EPA Method 1664 SGT-HEM ( ))' mgll (VMA) if applicable New Motor Oil Usage (gallmo.) If applicable Stormwater Benchmarks Indicate NO FLOW if applicable Circle Benchmark ' VUf�JO . 6.a-�� � 5 �55 g allmo, average requires 75s and Non -polar OSG monitoring Date Sample p Collected, molddlyr e.• [ I` , ' ' 6 ° 4 1. �s l� ?.e ik , , �. t { .x: i �p`:(� l L� ,b. r, ,�.- t . ti X. P1 9 a e "N f h 2/7/2018 NO FLOW 4/23/2018 NO FLOW 9/26/2018 NO FLOW 10/10/2018 NO FLOW Permit Date 811f2017 — 6/30/2022 Last Revised 8-22-2015 Certificate of Coverage No. NCG 14 D1F071C`� CERTIFICATION 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 aware that there are significant penalties for submitting false informatior}, including the possibility of fines and imprisonment for knowing violations." [Required by 40 CInR §122.22] Signature Date i� Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct — Central Riles is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2015 r . N ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE* Iriniti General Permit No. NCG140000 CENTRAL FILES Calendar Year 2018 DWR SECTION *Report ALL STORMWATER monitoring data on this form (include "No Flow"I" No Discharge" and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG14 ®® 5❑ Facility Name: Dallas County: Gaston Phone Number: (704 799-9301 Certified Laboratory Prism Lab Lab # 402 Lab # Total no. of SDOs monitored 1 Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No ❑� Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑� Was this outfall ever in Tier 2 during the past year? Yes ❑ No Q If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes, enough consecutive samples below benchmarks to decrease frequency ❑ Yes, received approval from DEMLR to reduce monitoring frequency ❑ Other ❑ Outfall No. 001 Total Rainfall, inches Total Suspended Solids (TSS}� m JI pH, SU Non -polar O&G (EPA Method 1664 SGT-HEM ( )}� mgll (VMA) It applicable New Motor Oil Usage (gallmo.) If applicable S torm wa ter Benchmarks Indicate NO FLOW rl applicable Circlo Benchmark 100150 6.0-9.0 15 >55 g allmo, average requires T55 and Non -polar 08Gmonitoring Date Sample Collected molddlyr,,, r , r Se f i_ 2/1/2018 PW 001 BRL 6.8 4123/2018 NO FLOW 9/26/2018 NO FLOW 10/1012018 NO FLOW Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2015 ti Certificate of Coverage No. NCG14 -010EV l' CERTIFICATION 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 aware that there are significant penalties for submitting false informatior}, including the possibility of fines and imprisonment for knowing violations." [Required by 40 CFR §122. Signature Date /J Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: . Note the address is correct — Central Files is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 8/1/2017 — 6/3012022 Last Revised 8-22-2015 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER ..+- �.r ...� .• ram,. t.e.. . SUBMIT TO CENTRAL OFFICE* General Permit No. NCG140000 CENTRAL N R FILES Calendar Year 2017 *Report ALL STORMWATER monitoring data on this form (include "No Flow i"'No Discharge" and Benchmark Exceedances) from the previous calendar year, to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG 14 ®®�© Facility Name: King's Mountain County: Cleveland Phone Number: (704 ) 750-3061 Certified Laboratory Prism Lab Lab # 402 Lab # Total no. of SDOs monitored 1 Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No ❑� Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑� Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑✓ If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes, enough consecutive samples below benchmarks to decrease frequency ❑ Yes, received approval from DEMLR to reduce monitoring frequency ❑ Other ❑ Outfall No. Total Rainfall, inches Total Suspended Solids ( ), m 1l pH, SU Non -polar O&G (EPA Method 1664TSS ( SGT-HEM)} , mgll (VMA) If applicable New Motor Oil Usage.(gal/mo.) lfapprlcablo Storm water Benchmarks Indicate NO FLOW N applicable Circle Benchmark 100/50 6.0-9.0 15 >55 gallmo, average requires T$$ and Non-polar O&G monlloring Date Sample Collected, molddlyr t:w" l 3 ky 93 t s �V. g��,� r '� 6, .4 s^,€ i .'RP .'h l 9 1 4 ��.;,�a� Y3 $sqt. qP � 3/22/2017 001 No Flow 4/21/2017 001 No Flow 9/11/2017 001 No Flow 12/12/2017 001 No Flow Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2015 Certificate of Coverage No. NCG14 ©©=S o CERTIFICATION "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 aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." [Required by 40 CFR § 122.22] Signature Date 2 Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct -- Central Files is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 8/112017 — 6/30/2022 Last Revised 8-22-2015 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140050 FACILITY NAME: Shelby PERSON COLLECTING SAMPLES: Scott Miller CERTIFIED LABORATORY: Prism Lab # 402 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitorine Requirements SAMPLE COLLECTION YEAR: 2017 RECEIVED SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June JUL 2 7 2017 COUNTY: Cleveland PHONE NO. (704) 372-2930 CENTRAL FILES ADD TO LISTSERVE? ❑YES ®NO EMAIL: DWR SECTION DISCHARGING TO CLASS: [:]SA ❑HQW OPTIONAL INFO: ❑PNA ❑Trout ®Other Outfal No. Date Sample a Collected (mm/dd/yr) Type of Wastewater z (VE, RM, MD} pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT-HEMG (mg/L) Duration (minutes) Total Flow (gallons/day) - - RM, MD- 6-93,4 303,5 53 (15)6 - - 001 6/30/17 No Flow 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 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 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. I am aware that tore ayegsignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." i -7(� ((-7 (Signature/of Permittee) (Date) Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 1-1 PROCESS WASTEWATER— Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140051 SAMPLE COLLECTION YEAR: 2017 FACILITY NAME: Gastonia (Dallas) RECEIVED SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June PERSON COLLECTING SAMPLES: Scott Miller JUL 27 2017 COUNTY: Gaston CERTIFIED LABORATORY: Prism Lab # 402 PHONE NO. (704) 372-2930 CENTRAL FILLES ADD TO LISTSERVE? ❑YES ®NO EMAIL: LIMIT VIOLATIONS? YES [:]NON DVVR SECTION DISCHARGING TO CLASS: ❑SA ❑HOW ❑PNA ❑Trout ®Other OPTIONAL INFO: Part A: Wastewater Monitoring Requirements Outfall No. Date Sample i 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 SG /L)lG (mg/L) Discharge Duration (minutes) Total Now 7 (gallons/day] - - RM, MD- 6-93,4 303'5 53 - - 001 6/22/2017 NO FLOW ` 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. 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 /S 1 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 be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 026 .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 dir ctly 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 t erejarfi-,significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." re of Permittee) Permit Date:7/1/2010-06/30/2015 -7(lYI(7 (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140050 FACILITY NAME: Shelby PERSON COLLECTING SAMPLES: David Morris CERTIFIED LABORATORY: Prism Lab # 402 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Reauirements SAMPLE COLLECTION YEAR: 2017 SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June COUNTY: Cleveland PHONE NO. (704) 372-2930 ADD TO LISTSERVE? DYES ®NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other OPTIONAL INFO: Outfall No. Date Sample Collected (mm/dd/yr) Type of Wastewater (VE, RM, MD)' pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A S (mHEM Discharge Duration (minutes) Total Flow (gallons/day), - - RM, MD- 6-93,4 303,5 53 (15)6 - - 001 3/30/17 No Flow fit` I MAY 5 ZU / 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 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 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. I am awarg,that;t r significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date:7/1/2010-06/30/2015 5 Z// (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report ~ GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140050 FACILITY NAME: Shelby RECEIVED PERSON COLLECTING SAMPLES: Rik Jones L. CERTIFIED LABORATORY: Prism Lab # 402 JAN 2 3 Z017 LIMIT VIOLATIONS? YES [—]NON CENTRAL FILES DWR SECTION Part A: Wastewater Mnnitnrine Reauirements SAMPLE COLLECTION YEAR: 2016 SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June COUNTY: Cleveland PHONE NO. (704) 372-2930 ADD TO LISTSERVE? ❑YES ®NO EMAIL: DISCHARGING TO CLASS: [:]SA ❑HQW OPTIONAL INFO: ❑PNA ❑Trout ®Other Outfall Na. Date Sample 1 Collected (mm/dd/yr) Type of Wastewater (VE, RM, MD)' pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT-HEM' (mg/L) Duration (minutes) Total Flow � (gallons/day) - - RM, MD- 6-93,4 303.5 53 (15)6 - - 001 11/29/16 No Flow Fr_-31lp !r' if 11 �:o tlr �L( 1I,>>W7 ur_�ItD Mti yt d 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 Proc'e'n 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 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. I am awar"hat therfi are si%njficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature df Permittee) Permit Date. 711/2010-06/30/2015 � [r-7�(7 (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140050 FACILITY NAME: Shelby PERSON COLLECTING SAMPLES: David Morris CERTIFIED LABORATORY: Prism Lab # 402 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Reauirements SAMPLE COLLECTION YEAR: 2016 SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec []Jan -March ❑April -June COUNTY: Cleveland PHONE NO. QD4) 372-2930 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} - - RM, MD- 6-93'4 303,5 53 (15)6 - 001 9/22/2016 No Flow RECEIVED nf! r i v v CENTRAL W R SECTION 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. 3 if an effluent limit is exceeded twice in a row, the perm ittee 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 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 - _ 1 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 be set to 50% of the Summer 7Q10 Flow as per 1SA 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 flaw 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. I am aware Oat thefe are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ature of Permittee) Permit Date:7/1/2010-06/30/201S 1G(zY(/(,, (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report CERTIFICATE OF COVERAGE NO. NCG140050 FACILITY NAME: Shelby PERSON COLLECTING SAMPLES: CERTIFIED LABORATORY: Prism Lab # 402 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Requirements GENERAL PERMIT No. NCG140000 / Z 44; SAMPLE COLLECTION YEAR: 2016 SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec COUNTY: Cleveland PHONE NO. (704) 372-2930 ADD TO LISTSERVE? ❑YES ®NO EMAIL: ❑Jan -March ®April -June DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ®Other OPTIONAL INFO: Outfall No. Date Sample 1 Collected (mm/dd/yr) Type of Wastewater z (VE, RM, MD) pH (standard] Total Suspended Solids (mg/L) Settleable Solids {mt/L} TPH using method,1664A kr• 6 SGT-HEM (mg/L) Discharge r / Duration {rriinutes} /./ Total Flow 7 {gallons/day} - - RM, MD- 6-93,4 303.5 53 {15j6\I - - 001 6/27/2016 No Flow rl AUGe! CENTRAL F ILFS DWR SEC "ION 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. s 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. 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 Prods,, 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 instfad is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. ' Fldw 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. I am awarq that t#ere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signattfre of Permittee) (Date) Permit Date: 7/1/2010-06/30/201S Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly u115charse :^^:?itnring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140050 FACILITY NAME: Shelby PERSON COLLECTING SAMPLES: CERTIFIED LABORATORY: Prism Lab # 402 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Reauirements SAMPLE COLLECTION YEAR: 2016 SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June COUNTY: Cleveland PHONE NO. (704) 372-2930 ADD TO LISTSERVE? DYES ®NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other OPTIONAL INFO: Outfall Na. Date Sample 1 Collected (mm/dd/yr} Type of Wastewater {VE, RM, MD)' pH (standard) Total Suspended Solids [mg/L] Settleable Solids [mL/L) TPH usingDischarge method 1664A SGT-HEM' (mg/L} Duration (minutes] Total Flow , [gallons/day] - - RM, MD- 6-93'4 303'5 53 (15)6 - - 001 3/30/2016 No Flow p i -r F wr= r MAY-4 �J f GAIT A1 c1E co b RF�,TICi 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 Cieanout (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. 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 s Process wastewater discharges shall only be monitored for T PH vtihcn 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 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. I am aware that thereire significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." nature of Permitteej Permit Date: 7/1/2010-06/30/2015 (Date) Last Revised 07/13/11 Page 2 of 2 • r _ PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140050 FACILITY NAME: Shelby PERSON COLLECTING SAMPLES: Rik Jones CERTIFIED LABORATORY: Prism Lab # 402 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitorine Reauirements SAMPLE COLLECTION YEAR: 2015 SAMPLE QUARTER: []Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June COUNTY: Cleveland PHONE NO. (704) 372-2930 ADD TO LISTSERVE? [—]YES ®NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW OPTIONAL INFO: ❑PNA ❑Trout ®Other Outfall No. Date Sample 1 Collected (mm/dd/yr) Type of Wastewater (VE, RM, MD)2 pH (standard) Total Suspended Solids (mg/L) . Settleable Solids (mL/L) TPH usingDischarge method 1664A SG7 HEM' (mg/L) Duration (minutes) Total Flow (gallons/day), - - RM, MD- 6-93.4 303.5 !ti .,._53_ (15)6 - - 001 11/30/15 RM No Flow 'FEB 2 4 . U b CFNTA A I DWR SFr, n� ` 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. 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 a" i� r�4`+ 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. ' Fpw rscl%%�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 dir tly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am awal+g that tjereare significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permitteej Permit Date:7/1/2010-06/30/2015 Z 71( (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Reep�o���v ® GENERAL PERMIT No. NCG140000 FEB .0 b 2016 CERTIFICATE OF COVERAGE NO. NCG140050 FACILITY NAME: Shelby PERSON COLLECTING SAMPLES: Rik Jones CERTIFIED LABORATORY: Prism Lab # 402 LIMIT VIOLATIONS? YES ❑ NO Part Ac Wastewater Monitorine Requirements CENTRAL FILES SAMPLE COLLECTION YEAR: 2015 MAI-R SECTION SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June COUNTY: Cleveland PHONE NO. (704) 372-2930 ADD TO LISTSERVE? OYES ®NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW OPTIONAL INFO: ❑PNA ❑Trout ®Other Outfall No. Date Sample Collected (mm/dd/yr) Type of Wastewater (VE, RM, MD)' pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SG7-HEM' (mg/L) Duration (minutes) Total Flow (gallons/day)' - - RM, MD- 6-93,4 303's 53 (15)6 - - 001 11/30/15 RM No Flow 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 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 r�� 6 P;ffll�ctss' 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 personsAhere ectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. [a ayrr a th are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." re of Permittee) Permit Date:7/1/2010-06/30/2015 Y id (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report y GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140050 RECEIVED FACILITY NAME: Shelby d'E PERSON COLLECTING SAMPLES: Rik Jones OCT 2 3 2015 CERTIFIED LABORATORY: Prism Lab## 402 CENTRAL FILES LIMIT VIOLATIONS? YES ❑ NO ® DWR SECTION Part A: Wastewater MonitorinE Reauirements SAMPLE COLLECTION YEAR: 2015 SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March COUNTY: Cleveland PHONE NO. (704) 372-2930 ADD TO LISTSERVE? ❑YES ®NO EMAIL: DISCHARGING TO CLASS: []SA ❑HQW OPTIONAL INFO: VAprii- une� ❑PNA ❑Trout ®Other Outfall No. Date Sample 1 Collected (mm/dd/yr) Type of Wastewater (VE, RM, MD)' pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT-HEM" (mg/L) Duration (minutes) Total Flow � {gallons/day) - - RM, MD- 6-93,4 303.5 53 (15f - - 001 09/28/15 RM No Flow ' 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. 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 insE�-;d 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 7Q10 Flow as per 1SA 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. I am?pv4pre th#t tV�re are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 7/1/2010-06/30/2015 (,Iif (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140050 FACILITY NAME: Shelby PERSON COLLECTING SAMPLES: Rik Jones RECEIVED CERTIFIED LABORATORY: Prism Lab ## 402 JUL 2 4 2015 LIMIT VIOLATIONS? YES [] NO CENTRAL FILES DWR SECTION Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: 2015 SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June COUNTY: Cleveland PHONE NO. (704) 372-2930 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) T p Solids (mg/L) Solids (mL/L) method 1664A SGT HEM6 (mg/L) Duration (minutes) Total Flow � (gallons/day) - - RM, MD- 6-93'a 303's 53 001 06/26/201S RM No Flow otal5us ended Settleable TPH using Discharge 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. 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 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, • - butt 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 be set to 50% of the Summer 7Q10 Flow as per 1SA 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"M: 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 rectl responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I an f a�+jare tlt tare significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." re of Permittee) Permit Date-.7/1/2010-06/30/2015 -7(()/,3, (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly DischargeMonitoring Report CERTIFICATE OF COVERAGE NO. NCG140050 FACILITY NAME: Shelby PERSON COLLECTING SAMPLES: Rilc Jones CERTIFIED LABORATORY: Prism Lab # 402 LIMIT VIOLATIONS? YES ❑.NO'® Part A. Wastewater Monitoring Requirements GENERAL PERMIT NO. NCG140000 RECEIVED MAY 13 2015 CENTRAL FILES DWR SECTION SAMPLE COLLECTION YEAR: 2015 SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec ®lan-March []April -!tine COUNTY: Cleveland PHONE NO. (704) 372-2930 ADD TO LISTSERVE? ❑YES ZNO EMAIL: DISCHARGING TO CLASS: []SA ❑14QW []PNA E]Trout Mother OPTIONAL INFO: Outfall No. Date Sample x Collected (mm/dd/Yr) Type of Wastewater RIVI2 (VE, , MD} PH (standard) Total Suspended Solids (mi/L) Settleable Solids (m TPH using method 1664.4 (mb/L(L/L( SGT/L) Discharge Duration (minutes) Total Flow 7 (gallansJday) - - RM, MD- 6-93,4 303.s 53 (15)5 - - 001 03/30/1S RM 8.3 BRL BRL N/A >1 >1 l.lf 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 (IVID). 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 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 1V, 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 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 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 LOR AT END OF MONITORING PER1013 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: "1 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 di #tly responsible forgathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aIN# a tha erg gre significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signaiure of Permittee) (Date) Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 r�� r 1 PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140050 FACILITY NAME: Shelby PERSON COLLECTING SAMPLES: Rik Jones CERTIFIED LABORATORY: Prism Lab # 402 LIMIT VIOLATIONS? YES []NO Part A: Wastewater Monitoring Reauirements SAMPLE COLLECTION YEAR: 2014 SAMPLE QUARTER: []Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June [)COUNTY: Cleveland RECEIVE PHONE NO. (704) 372-2930 JAN 2 0 2015 ADD TO LIST5ERVE? ❑YES ®NO EMAIL: CENTRAL FILES DISCHARGING TO CLASS: ❑SA ❑HQW DWR SECTION OPTIONAL INFO: ❑PNA ❑Trout ®Other Dutfall No. Date Sample 1 Collected (mm/dd/yr) Type of Wastewater (VE, RM, MD)' pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method I664A SGT-HEN1� (mg/L) Duration (minutes) Total Flow (gallons/day)' - - RM, MD- 6-93,4 303,s 53 (15)6 - 001 12/31/14 No Flow ' 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 Cieanout (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 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 eV .6 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. 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 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 70,10 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 qualifi personnel properly gather and evaluate the Information submitted. Based on my Inquiry of the person or persons who manage the system, or those persons di ctly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am awae tha erglte significant penalties for submitting false Information, Including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 7/1/2010-06/30/2015 Ible (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER —Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140050 FACILITY NAME: Shelby PERSON COLLECTING SAMPLES. Rik Jones CERTIFIED LABORATORY: Prism Lab #! 402 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitorine Reouirements SAMPLE COLLECTION YEAR: 2014 SAMPLE QUARTER: ®Jul -Sept []Oct -Dec ❑Jan -March April -June COUNTY: Cleveland PHONE NO. (704) 372-2930 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 2 (VE, RM, MD} pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A 6 SG /L) (mg/L) Duration (minutes) Total Flow 7 (gallons/day)' - - RM, MD- 6-93'4 303'5 53 (15)6 - - 001 9/23/14 No Flow ME rT T � 1 . 1 RAL F ILES FILE S MR SEC I nI DWR SECTIO ' 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. 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. S TSS limps are 20 mg/L for wastewatei disdiarges to HQVV 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 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 ftectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. l am a&re thptkheWare significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 7/1/2010-06/30/2015 (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report CERTIFICATE OF COVERAGE NO. NCG140050 FACILITY NAME: Shelby PERSON COLLECTING SAMPLES: David Morris CERTIFIED LABORATORY: Prism Lab # 402 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Requirements GENERAL PERMIT No. NCG140000 SAMPLE COLLECTION YEAR: 2014 SAMPLE QUARTER: [_]Jul -Sept ❑Oct -Dec Dian -march ®April -June COUNTY: Cleveland PHONE NO. (704) 372-2930 ADD TO LISTSERVE? DYES ®NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW []PNA ❑Trout ®Other OPTIONAL INFO: Outfall No. Date Sample 1 Collected (mm/dd/yr) Type of Wastewater (VE, RM, MD)' pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT-HEM' (mg/L) Duration (minutes) Total Flow , (gallons/day) - - RM, MD- 6-93,4 303,5 53 (15)6 - - 001 6/23/14 No Flow 1. r o �f11h JWL "'.. CF TRAL FILES WQ 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. 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. 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 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 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 T 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 rec�hq responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am avytkre the t e are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 7/1/2010-06/30/2015 (C (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140050 SAMPLE COLLECTION YEAR: 2014 FACILITY NAME: Shelby SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June PERSON COLLECTING SAMPLES: Rik Jones COUNTY: Cleveland CERTIFIED LABORATORY: Prism Lab # 402 PHONE NO. (704) 372-2930 ADD TO LISTSERVE? []YES ®NO EMAIL: LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Requirements DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other OPTIONAL INFO: Outfall No. Date Sample 1 Collected (mm/dd/yr} Type of Wastewater x (VE, RM, MD) pH (standard) Total Suspended Solids (mg/L} Settleable Solids (mL/L} TPH usingDischarge method 1664A SG -HEM' (mg/L} Duration (minutes) Total Flow 7 (gallons/day) - - RM, MD- 6-93.4 303.5 53 (15)6 - - 001 1/11/14 RM 8.9 BRL .1 N/A 930 1 CENTRALFILES I)WQIEIOG 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. 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. J Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 ,. ,. _ .,: r .. .. � i - - .. �' i ' ._ _ 5 .. _ } � _ . _ ' - 1 •f c 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 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: T 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 per nnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons dectly pole for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware too herg s ficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." re of Permit Date:7/1/2010-06/30/2015 c2 r(f t (Date) Last Revised 07/13/11 Page 2 of 2 L �j PROCESS WASTEWATER — Quarterly Discharge Monitoring Report CERTIFICATE OF COVERAGE NO. NCG140050' FACILITY NAME: Shelby PERSON COLLECTING SAMPLES: Rik Jones CERTIFIED LABORATORY: Prism Lab # 402 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Requirements GENERAL PERMIT No. NCG140000 SAMPLE COLLECTION YEAR: 2014 SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March []April -June COUNTY: Cleveland PHONE NO. (704) 372-2930 ADD TO LISTSERVE? []YES ®NO EMAIL: DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other OPTIONAL INFO: Outfail No. Date Sample Collected' (mm/dd/yr) Type of Wastewater � (VE, RM, MD) pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT-HEM' (mg/L) Duration (minutes) Total Flow (gallons/day) - - RM, MD- 6-93'4 303,5 53 (15)6 - - 001 1111/14 RM 9.9 BRL .1 N/A 930 1 i '%ICLft:1 VI -1 l r r, _ Lu 411 LUII CENTRAI Fu c c_ DWQ/S0G 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. ° 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. 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 ali personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system, or those perso d' tly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. l aqn r NarA here are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for knowing violations." re of Permittee) _ �(`l f �� (Date) Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM CERTIFICATE OF COVERAGE NO. NCG140051 FACILITY NAME: Gastonia PERSON COLLECTING SAMPLES: Rik Jones CERTIFIED LABORATORY: Prism Lab # 402 OPTIONAL INFO: Part A: Stormwater Monitoring Requirements GENERAL PERMIT NO. NCG140000 SAMPLE COLLECTION YEAR: 2014 SAMPLING PERIOD: ❑ July -December ® January -June COUNTY Gaston PHONE NO. (704) 372-2930 ADD TO LISTSERVE? ❑YES ®NO EMAIL: DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ®Other Outfiail No. Date Sample Collected (mo/dd/yr OR NO FLOW)' pH (Standard Units] TSS (mg/L) Event Duration (minutes} Total Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Sampling' - - 6-9 100 2,3- - - - 001 1/10/14 6.5 BRL 930 1.45 N N R I`--Mf I1 / = n CENTRAL EIL 'S UVVU/80G 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. Z 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/I, 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]1 PH (Standard Units) TPH using method 1664A SGT--HEM (mg/L) Total Suspend Solids (mg/L) Event Duration (minutes) Total a Rainfall [in] New Motor Oil Usage (gal/month) In Tier 2ed Monthly Monitoring? [y/n) # of Months in Tier 2 2 Sampling 6-9 15 100 2,3- - 001 1/10/14 6.5 BRL BRL 930 1.45 >55gals No N/A HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO HAVE YOU CONTACTED THE REGION? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mooresville NCDENR Mail Original and one cony of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample for 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 q),Ware ified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those rsonire responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am Av aye tl significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." KAIIJ 0 �1-1 // r ISIgHature of P rmittee) (Date) Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2