NCG140172_DMR_20211210

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF C VERAGE NO. N G14 0/ 7 Z
FACILITY NAME: S v 1 N
PERSON COLLECTiN MPLES:
CERTIFIED LABORATORY: Lab
Lab q
LIMIT VIOLATIONS? YES [j NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR*
SAMPLE QUA�T�R: ul-Sept _]Oct-Dec❑Jan-March ❑April -June
COUNTY: .I—/t
PHONE NO. (2ce•/ ) 9711 ^ Ci.T% 6
ADDTOUSTSERVE? []YES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [—]trout []Other
OPTIONAL INFO:
Outfall No.
Date Sample
(mmColl/dd/yr)
Type of Wastewater
(VE, RM, MD)z
PH
(standard)
Total Suspended
(mg/L)
Settleable
Solids
uslnpeable
method 1661A
method
SGT.HEM`
(mg/L)
Discharge
Duraion
(minutes) t
Total Flow
(gallons/day)'
-
-
-
6-9r..
53
(15)s
°r
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 DWQ RO staff
notifies you to continue monitoring.
PH limits are 6-9 S.U. for wastewater discharges to freshwaters, and G.".5 S.U. for discharges to saltwaters.
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:7/1/2030-06/30/2015 Last Revised 07/13/11
t/
Date of last pH meter calibration: ao (J Page l of 2

6 Process wastewater discharges shall only be i
but instead is subject to benchmarks and pro
Flow rate can be measured continuously or c
NCAC 028.02-24. Permittees who discharge M
obtain a Summer 7Q10 flow for the receiving
report on a case -by -case basis.
red for TPH when commingled with stormwater discharges from V�A areas. TPH does not have a limit for wastewater,
of Part N, Section A, Including the Tiered Response Action.
.d. Flow limits for wastewater discharges to HQW waters shall be let to SO% of the Summer 7Q10 Flow as per 15A
iter to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
MAIL ORIGINAL AND -ONE COPY OF THIS ANNUAL SUMMARY IINCWDING ALL "NO FLOW". NO DISCHARGE"i WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF :NO FLOW" 1 TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
i
YOU MUST SIGN THIS [F.RNFI[ATI)AAFOR_AN"NFORMATION REPORTED:
"t certify,, under penalty of law, that this document'and all attachments were prepared under my direction or supervisi� n in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the informatlon submitted. Based on my inquiryof the p rson or persons who manage the system, or
those persons directly responsible for gathering tht information, the Info, ma an submitted % to the best of my kn dge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false Information, including the posslbllity of nos and imprisonment for knowing
violations." _ ,. - 1
r ? (o
(Dwe) .
i
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/21
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