NCG140175_DMR_20210723

RACiV PROCESS
AUG 09 2021
RAL p(:LF!-'
f,'T2 SECTION 1
WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF CO ERAGE NO. NCG14 '7 S�
FACILITY NAME: )
PERSON COLLECTING SAMPLES: LI"
CERTIFIED LABORATORY: i�� ,1P, ej e LPL Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑,---
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLE QUA TER: ❑J %�-Sept ❑Oct -Dec ❑Jan -March QAprlr-June
COUNTY:I'eXall
PHONE NO. (5?9� )
ADD TO LISTSERVE? OYES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Outfall No.
Date Sample
3
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
PH
(standard)
Total suspended
Solids
(mg/L)
Settleable
Solids
(MLA)
7PH using
method 1664A
SGT-HEO
(mg/L)
Discharge
DurationTotal
(minutes)
minutes
Flow
(gallons/day)'
6.93..
303,s
53
(15)r
I
3 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 perrnittee is required to Institute monthly monitoring for that parameter for six months, unless DWQ RD 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 HOW 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
Date of last pH meter calibration:
Last Revised 07/13/11
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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 SO% of the Summer 7Q10 Flow as per 15A
NCAC 028.02-24. Penmittees 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 IHIS i&BINUAL SUMMARY (INCLUDING ALL " O FLOW" " DISCHARGE!) RECEIPT F SAMPLE
AT END OF MONITORING PERIOD IN CASE OF ENO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
I�
i
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 property gather and evaluate the information submitted. Lased on my Inquiry of the, person or persons who manage the system, or
those persons directly responsible for gatherin 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."
Permittee)
Permit Date: 7/1/2010-06/30/2015
(Date) .
Last Revised 07/13/11
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