NCG140011 DMR WW 20210429

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
CERTIFICATE OF COVERAGE NO. NCG14 0 1 1 9
FACILITY NAME: SALISBURY Pit# 114
PERSON COLLECTING SAMPLES: Matt Daniel
CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
GENERAL PERMIT NO. NCG140000
RECRIVED SAMPLE COLLECTION YEAR: 2021
MAY I n 9 SAMPLE QUARTER: ®Jan -March
1 QTR
V Orig — State
0 Copy — State
0 Copy — Plant
0 Copy - File
[]April -June ❑Jul -Sept ❑Oct -Dec
U41 COUNTY: ROWAN
CENT ,qL FILES PHONE NO. [phone]
DWR SECTION ADD TO USTSERVE? ❑YES ®NO EMAIL: _
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: WS-V B
OPTIONAL INFO:
Non -Polar
Date Sample
Type of Wastewater
pH
Total Suspended
Settleable
Oil&Grease
Discharge
Total Flow
Outfall No.
Collected i
(VE, RM, MD) z
(standard)
Solids
Solids
using method
Duration
(gallons/day) '
( mmected')
(mg/L)
(mL/L)
16645GT--HEM6
(minutes)
(mg/L)
-
-
-
6-934
30e,5
53
(15)6
-
-
1
NO FLOW
VE RM MD
-
-
N/A
N A
-
N A
4
2/18/21
RM
1 7.95
1 16.0
1 N/A
NO
2
N/A
Discharge was result of rain event. - SW comingles
with Process Water
' 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.
' If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff notifies you to
continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters,10 mg/L for Trout and PNA waters, and 30 mg/Lfor all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to
benchmarks and provisions of Part IV, 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 DEMLR. If the permittee cannot obtain a Summer 7Q10flow for the receiving waters atthe
discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on a case -by -case basis.
Permit Date:B/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

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 Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN 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 saitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date:8/1/2017-06/30/2022
-f71 IZ4
(Da e)
Last Revised 07/27/17
Page 2 of 2