NCG140329_DMR_20220301

PROCESS WASTEWATER— Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG14Q000
CERTIFICATE OF CqVERAGE NO. NCG140 J
FACILITYNAME: —11-i ��1m V�Ma,rl,1 ,_
PERSON COLLEciIN SAG MPLES: 8Co
CERTIFIED LABORATORY:_(%)1�770 v4- Lab#�_
Lab #
LIMIT VIOLATIONS? YES NO ❑
Part A: Wastewater Monitorine Reouirements
SAMPLE COLLECTION YEAR: ; O �-"
SAMPLE QUART R: ❑Jul -Sept ❑Oct -Dec �n-March
COUNTY: I, rLX
PHONE NO. ( Y'X) 5'37 - 3;�2­3
ADD TOUSTSERVE? ❑YES P40 EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout [Ether
OPTIONAL INFO:
❑April -June
Outfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
p H
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(m I s
TPH using
B
method 1664A
sGr-HEM" (mg/L)
Discharge
Duration
) (minutes
Total Flow
(gallons/day)'
-
6-93''
3&'s
S3
(15)"
-
-
I
o� 07
kr� M
S
21-7
D
R SECTI
_•••, .IaVe nv. wxuaigeu ui um yum w,—,epun. no riow or No uiscnarge- nere. Piease 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.
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.
TSS limits are 20 mg/L for wastewater discharges to FIQW 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 Last Revised 07/13/11
Page 1 of 2

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NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
forguidaoce on filliiiq out this jinn, pleas-, visit: hUp:U nrp tal nc(enr.uz, w lr,': 1 q
Permit No.: jj&/`—/_/—/_/_ j_/ 1 or ettifiyate of Coverage No.: N/C%%;; -�{ Q,
Facility Na ne: ; �i m v 0) atlz' At Kt.4,Xj ,TIC .
County: .�+ `` Phone No.
Inspector: PLn
Date of Inspection: O O 7- --------
Time of Inspection: 8' a
Total Event Precipitation (inches): S21S2
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event' (requirements vary, depending on the permit).
---_..........
. __._._.._-.. ----
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
Sy thi�Xfgn)AYure, I certifyXat thjsr%port is accurate and complete to the best of my knowledge:
/Z
of Permittee or
Palae 1 of 2

1. Outfall Description: 1
11
Outfall No. _� Structure (pipe, ditch, etc.) 5d''
Receiving Stream: _6IMS cif e-k
Describe the industrial activities that occur within the outfall drainage area: Qwdy -4 k C t L f
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 1Vow^
3. Odor: Describe any di tinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 9 Ae-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 U 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious indicators of Stormwater Pollution:
List and describe / 0I\e—,
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
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