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PRQCE$,S WA. STEWATER - Qvorterly Discharge Monitoring Report
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF:COVERAGE NO. NC614 0 L V 'a
FACILITY NAME: VC'A-
PERSON COLLECTING AMPLES:
CERTIFIED LABORATORY: Lab #
• .. .. .._ _ Lab #
LIMIT VIOLATIONS? .YES:.❑ NO []
Part A. Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLE:QUAR,TER: Q.1pirsepi []Oct Dec. ❑Jan -March April -June
COUNTY:
PHONE NO. (3 G 1
ADDTO LISTSERVE? YES NO EMAIL:
DISCHARGING,TO CLASS: [:]SA ❑HQW QPNA QTrout {]Other
OPTIONAL INFO: ,
Outfall No.
Date Sample
Callectedl
(mm%dd/yr)
Type of Wastewater
(VE, RM, MDj2
(standard)
Total. Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 16644
SGT-HEV
(mg/L)
Discharge
Duration
{minutes)
Total Flow
gallons/dayj
30315
RECt
:1Vn
juLl
w LULL
-•
QUA R SECTION
If wastewater systems have not dischareed
in this ouarter — reoort 'No Flow' or "No
Discharge" here. Please make sure to mark the sarrir;lp nuarter ahnve.
2.Report the abbreviation for.the.type of Authorized Wastewater: Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (11M), 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 permittee is required to institute monthly monitoring for that parameter far 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.
5 TSS limits are 20 mg/L for. wastewater discharges to HQW waters,10 mg/L far Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date.::7J1/2010-06/30/2015, Last Revised 07/13/11
Page l of 2
Date of last pH meter calibration:__
. Process wastewater dis h6rges shall only be monitored for TPH when commingled with stormwaterdiseharges 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 beset to 5o% 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 ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW" "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW")1 O - =
Division of Water:Quality
Attn: DWQ Central Files:
1617 Mail Service Center -
Raleigh, North: Carolina 27699-1617
(919) 807-6379
YOU MUST SIGN.THIS CERTIFICATION FOR ANY INFORMATION REPORTED.•
- _
" I certify, under penalty of law, that this document and ail attachments were prepared under my diregIon or supervision in accordance with a system designed to
those thatqualified
direct) re oonsible.fo'rrl atherinr the evaluate the information•submitted. Based on my Inquiry of the person or'persons who manage the system,, or
q personnel _
P V _ 8 B e information, the information submitted is, to the best of my, knowledge and belief; tfue, accurate, and
complete. la ware t ere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
Violations."