NCG140032_DMR_20201223

PROCESS WASTEWATER —Semi -Annual Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
jAN 11 2021
CERTIFICATE OF COVERAGE NO. N G140 O 3 .Z
FACILITY NAME:
SAMPLE COLLECTOR:
CERTIFIED LABORATORY: Lab #
Lab #
LIMrrVIOLAT1ONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: A0 10 NTR,el- FIL=S
SAMPLE PERIOD: 21uly-December ❑January -June,
COUNTY: I
PHONE NO.: (&Tj - G!
ADDTO LISTSERVE? DYES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout oOth
OPTIONAL INFO:
er C
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mt/L)
Non -Polar
Oil & Grease
using method
1664SGT-HENf
(mg/0
Discharge
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
-
6_93,4
401,1
53
(15)6
-
-
O
' 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.
= 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 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.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

m
3
00
N
N
cri
N
V
0
w
N
a
N
N
d �
( � TL
W
?• 0 M
'N�o�
c" .0,%
3 a4 =r
i'
CLM CL
to
m o
cr w■g. d c 3
o 0 1
.3
cr M o a
od
Q•�O n
Er C Cr =
a•3cr
Al
cr a m
N �v
068.E
w
� m o B.
cr a
FL
CLto
33�••3c
0 0
CS 0
' o
-+ � � 0
cro
• tp 0
1' 7
o R o '
2 ? o
co
Q- =
s"
� 3 3
o a
N � N
3 0 QQ
d Yp
Q.
�a0
y th
� r
o
0/
� �0 1-1 >
v ct
. o =r
V
Z -• O
w O N -CCn
? .P+
N fD cu
0 M
: En
o, r ,n o
v
Cl) m
W '^
W
Ol
N
V
O
Z
w
0
.i o+ W
3 0 N
00 m O cn
o C- tun' 3
., N N N N
V ;p
O ((D 3 Cr m
�.
3 a' m N
m��,o
mo m�
o 3 Q
3-3•� � �o
O p. 3 0,
M 2: n 3 ao a,
mOn : m rt
< =mr-
�
m GQ
0 m O N m
E 'q 3 Q
r OU '< O0 -G u;
v� N -% N m
r+mm 53�a
tn o m
m c 0 3 "'
a 0 0 0
�_C. m=
�a10
O N -�
M d
r3 = m
g
° rt o
y 3
w o D :
= o
I
�0g�0Q
a CL 3
m :3 3. o
3 m d °,° On
Ln m 3- m 0
m C -. o- c
m 3 0_
3.3 m r*
a t
ma 70 0 Z
° 3 D
o
A m m m
r 3 D Q w
z a 3
CL 3 -1 w
o a
0 = JU o
m 3
� hM <o
0 m K°'
M m o D o
d
3 3 l!7
� �+
o °'
v°+ �m
rn rt =
CL
r�
m V1 W
c N �.
3�
M °
M *
-1 �, o
m to < tA
n�3o m
CU T 3
m rt
c��
u
3
0 O m
Q
a w D a
0 Z �p
o cr
F=�

_0
m
A W N 4
T --j K =h
N 0 ni
rr
m
d
.-*
_S
S i0i N
N =, N
3 w 3
Do
<-
N
N
M 0
Q- d CQ
0
3 c H
V
S
N N o
w
c
M m
o
a- N a
No
M
r* n
N
3O ,rt 3
— �
w
0
m 0 0
,-.
0
C
O m C a
ro��M
_ �. ,+
i'n N S
sum o
�=,—CM M
cm w
0 0 fu
a- R.
o
D = S 0
fOQ
mAm
o o
A
o,0_m
Cl
a 3
1Cn nl � C 0
a. o 3
S w
c
0.z�
c D ? 3 m
-tip
o A v
3 ° m not
N
: m r�r fD
S R rt
: S
J�;►
��
O A o
r- 0 1 mm 3
ro 33cm N �
c
• v0i S
'a (D
( 3
r�
�ro
� o
aCL
o�
o
N
3
n�i d
N
OQ
F--� m
C
O N
N Q
OV
N
F-►
z
z
o
z
n
c/
m
o
O
D
S
p
0
Z3��
_0
1
to
�
OQ
V
C
7
A
s
0
so M
N
N
0
N
N 0
7
N
1
N
A
lu:
z
A
0
Q
Jm
T_
0
m
m
O
voc:
D O A
pro
G)8
m
o<
o
M
❑
•�� o
m
❑
ig � /
O ^
Elm
fD
Cr
p
rn
r
El
D
n
0
O
v 1
O
ZE
0
X
rrl
C)
y
v
0
1
fD
3.
0
_z
0
^z
1.1
TI
0
eoo",�)
140�
lo�

VPSIr-
1"0IL12. YG111611=IVIGIISL61943114-16P%bLIVIL'1•9vI91w8..SO...y....
Outfall
No.
Date Sample
Collected
(mo/dd/yr)l
pH
(Standard
Units)
.....•.....w....w...-.w-��..•v-
Non-Polar
Oil & Grease tafnp
method 1664
SGT-HEM
(mg/0
-o-'-"'--"------
Total
Suspended
Solids
(Mg/0(in)
---•---------
Total
Rainfall4
New Motor Oil Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier 2
Sampling2
6-92
152
100Z3
HAS YOUVACILITY 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:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) 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
YOU MUST SIGN THLS CERTIFICATION FOR ANY INFORMATION REPABTED:
"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 significa p nalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
12-�-�
(Signature of ermittee) (Date)
Permit Date: 8/1/2017-6/30/2022 Last Revised 07/27/17
Page 2 of 2
i