NCG140329_DMR_20230722

PROCESS WASTEWATER— Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCGiA 3 _114
FACILITY NAME:
PERSON COLLECTIN SA PLES: to n ti
CERTIFIED LABORATORY: 01,ilo me Lab#�_
Lab ff
LIMIT VIOLATIONS? YES Q NO
Part A: Wastewater Monitorine Reauirementc
SAMPLE COLLECTION YEAR: 90173 ��/
SAMPLE QUARTER: E]Jul-Sept []Oct -Dec QJan-March L)April-June
COUNTY:I�)i F. y
PHONE NO. (15a.1 S37
ADD TO LISTSERVE? AYES [v]NO EMAIL:
DISCHARGING TO CLASS: QSA E]HQW QPNA []Trout gFlther
OPTIONAL INFO:
Outfall No.
Date Sample
Collected)
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT HEN16
(mg/L)
Discharge
Duration
(minutes)
Total Row
(gallons/day)
I
G,21 ?3
VE 4M M
6-93"
$.os
303,s
_L
If wastewater systems
have not dischar
ed In thi t
"N
z g s quar er—report o 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.
3 if 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.
4 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 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
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G Processwastewater 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.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50%oi the Summer 7Q10 Flow as per 15A
NCAC 02B .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 aSummer 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 RECEIFTOF SAMPLE (OR
AT ENDOF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Divisionof Water Quality
Attn: DWQ Central Files
1617 IVbil Service Center
Raleigh,North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certifl, 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 chat qualified personnel properly gather and evaluate the Information submitted. Based an 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
complee. I amAware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
/1 Y - D: �J- 3
of Perm eel (Date)
gte:7/1/2010-06/32015 7.f 0/LastRevisecJil 1.
J1 � �/a?.n2

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidonce onfilling out thisform, please visit. bttp://portalncdenrnrg/web/lr/nndes-stormwat
Permit No.: jg/-C/ /_/_/_/_/_/_/ or Certificate of Coverage No.:
Facility Name: k,%/ m*.cy,%G R4.1M45_, r-Ac,
County: Malt'{,*- Phone No. �s�-537-3a�3
Inspector: dtn
Date of Inspection: I ?-3
Time of Inspection: 7:15' .^
Total Event Precipitation (inches): 0+2N I \A
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
E(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
i obtains approval from the local DWQ Regional Office.
By thjP15grtature, I cert"at this report is accurate and complete to the best of my knowledge:
of
or Designee)
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SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. I_ Structure (pipe, e ditch, etc.)
Receiving Stream: _Qelli Cretlk
DescrtibI the in
dd1ustrial activities that occur within the outfall
-i A`'4AAW, 5t1N . i J— U.'), t r— 1. __ .. 1 e. _ , . . .
D,h�
}
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: -LLB )- $lp,,,in
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): A)pAS-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 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:
1 0 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 0 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 10
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
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.
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