NCG140173_DMR_20220106

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14,� L23
FACILITY NAME: &41,9 S USA IT Z li n r�-1
PERSON COLLECTING SAMPLES: ram/ / u
CERTIFIED LABORATORY: /f l �tii t /� L� 12 Lab # ,
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: r� 6
SAMPLE QUART�R: Jul -Sept 6-Dec ❑Jan -March
COUNTY: Cam/% ✓ h
PHONE NO. fx 2!C� j7L 2 7 2 i—
ADD TO USTSERVE? OYES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout
OPTIONAL INFO:
❑April -June
❑Other
Outfall No.
Date Sample
collected'
(mm/dd/yr)
Type of Wastewater
NE, RM, MD)'
pH
(standard)
Total Suspended
Solids
Settleable
mlul.)
TPH using
method J661A
SGf-HEM`
(mg/LI
Discharge
Dura(rrdn Lion utes)
Total Flow
(gallons/day)'
S
(;FCTI
ON
I
1 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 6.8-8.5 S.U. for discharges to saltwaters.
s 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
Date of last pH meter calibration:
Last Revised 07/13/11
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b 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 028.0224. 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 ORION-AL AND AL (INCLUDING LL " O FLQW. *#NO DISSHARE" F FTSAMPLE
AT END OF MONITORING PERIOD IN CASE OF "'NO FLOW"l TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699.1617 ;
[phone]
1
YOU MUST SIGN THIS CERTIFICATION FOR ANY fNFORM T10N REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supe% lsion in accordance with a system designed to
assure that qualified personttel properly gather and evaluate the information submitted. Based on my inquiry of a person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted % to the best of my klowledge and belief, true, accurate, and
complete. 1 am aware that there are significant penalties for submitting false information, Including the possibiti 'of fines and Imprisonment for knowing
violations."
Permittee)
Permit Date: 7/1/2010-06/30/2015
/ , (, , 2,& �- ?--
(Date)
Last Revised 07/13/11
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