NCG140231_MONITORING INFO_20180109

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
C� MONITORING REPORTS
DOC DATE
❑ O?D I � o I
YYYYMMDD

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
, GENERAL PERMIT No. NCG140000
CERTIFICATCOF COVERAGE NO. N SAMPLE COLLECTION YEAR:y
FACILITY NAME: cCo r I OQ SAMPLE QUARTER: [Jul -Sept ❑Oct -Dec []Jan -March ❑April -June
PERSON COLLECTING SAMPLES: I, COUNTY: Z.2,
CERTIFIED LABORATORY: teLab # f _ r PHONE NO.
Lab # Q�r~r1,ABl5,TO LISTSERVE? ❑YES ❑NO EMAIL:
LIMIT VIOLATIONS? YES []NO ❑
Part A. Wastewater Monitoring Requirements
SDJ�4BIARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ©Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
a
(VE, RM, MD)
tN,..,�fl({rlL��1�Sa
pH
(standard)
?i{'JLC .,�,._
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPA using
method 1664A
6
SGT-HEM ,
(mg/L)
Discharge
Duration
(minutes)
Total Flow 7
(gallons/day)
-
6-93'4
303•s
53
(15),
-
i
-131
I,,CI
<0,1D
JF - M
-7,90
ID, I
' 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
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6 Process wastewater discharges shall only be monitored for TPH when commingled w`eth stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Pirt 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.OFRECEIPT 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 pen of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that quali ed pe sonnet properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons ' irectly r so risible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. l awar that here are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." r
(Signat#lof Permittee)
10- 3
(Date)
Permit.Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
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