NCG140169_MONITORING INFO_20200113

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑❑// HISTORICAL FILE
LYKMONITORING REPORTS
DOC DATE
❑ Dd 3
YYYYMMDD

PROCESS WASTEWATER— Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 0 _L g
FACILITY NAME: peps
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab 9 34
Lab #
LIMIT VIOLATIONS? YES ❑ NO
W R t
SAMPLE COLLECTION YEAR: OZC7)�
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June
COUNTY: )'DZSd'Yh -
PHONE NO. (316) i$S-"_A979
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout []Other
OPTIONAL INFO:
mtw astewater
Outf all No.
Mom tonng equlremens
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
SGT HEA4s
(mg/L)
g Dischar e
Duration
(minutes)
----
Total Flow
(gallons/day)'
6-93.a
303.5
53
(15)6
-
0
1 dv
uc o NO
cis E
I i# �+ v•(
'S l a
JH V
I-
...
_. ... ...
. _..__ -_
'if wastewater systems have not discharged Inthisquarter— report "No Flow' or "No uiscnarge- here. riease omhe soi a •v Mar, �._ �=•r� •+��• •-• r----
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.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. r:�•
3 TS5 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 alimit 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 to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028 .0224. Permittees who discharge wastewater to HOW 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
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.,
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the, person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for knowing
(Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
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STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
CERTIFICATE OF COVERAGE NO. NCG14 0 L C�
FACILITY NAME: 9N Mlnle,
PERSON COLLECTING SAMPLES
CERTIFIED LABO
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
GENERAL PERMIT No. NCG140000
Lab tt
SAMPLE COLLECTION YEAR: -1 0 I 1
SAMPLING PERIOD: M July -December ❑ January -June
COUNTY I'o'1s f'FLl
PHONE NO. (a261
ADD TO LISTSERVE? [—]YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout, ❑Other
Outfall Na.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
PH
(Standard
Units)
TSS
(mg/L)
Event
Duration -
(minutes)
Total
,
Rainfall
(in)
In Tier 2
Monthly_
Monitoring?
(y/n)
k of Months in Tier
.Z
2 Sampling
-
-
6-91
1002'3
-
-
-
-
AC5
PIf, tJ
T0
xlo
Re--+,
s (ac
n "
CENTRAL FILES
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.
r 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/l.
° For each sampled measurable storm event the total precipitation must be recorded using data From an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Date of last pH meter calibration: Ailre i Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintennnrn Artivit i en....i+—;__ n
Outfall
No.
--
Date Sample
Collected
----- -• - -••••-•
pH
(Standard
Units)
6-9
•^s 9-4ulI r11enas
TPH using method
1664A SGT-HEM
(mg/L)
1s
for rauimes usmg> 55
Total Suspended
Solids
(mg/L)
- 100,
gal of new motor
Event
Duration
(minutes)
-
oil/month —
Total
Rainfall'
(in)
averaged over a calendar
New
U(mo/dd/yr)'
(gal/
year.
=Oil,g
of Months
inTier22
b
Lot.tJ
HAS YOUR FAULI I HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE QUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO [ ' HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME: .,
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
fl1
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.
am aware that there are significant p ties rsubmitting false information, including the possibility of fines and imprisonment for knowing violations."
9
(Signature of Permittee)
(Date)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2