NCG140392 DMR WW

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140392
FACILITY NAME: Winston-Salem
PERSON COLLECTING SAMPLES: Robert Crews
CERTIFIED LABORATORY: Research and Analytical Lab # 34
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
RECEIVLE COLLECTION YEAR: 2014
JAN 2 O ZS&PLE QUARTER: ❑Jul -Sept ®Oct -Dec [_]Jan -March []April -June
CENTRAL FI COUNTY: Forsyth
DWR SE, -TINE NO. [phone]
TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other
OPTIONAL INFO:
Date Sample
Outfall No. Collected'
(mm/dd/yr)
of Wastewater
(VE, RM, MD)
(VE,
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT -H
(mg/L) L)
Duration
(minutes)
Total Flow
(gallons/day)
- -
RM, MD-
6-93'4
303'5
53
(15)6
-
-
001 12/22/14
RM
No Flow
i 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.
2 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 I 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.
5 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 Last Revised 07/13/11
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6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas.-TPH does not have -a limit foc 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 beset to 50% of,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 -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") TO: _
Division -of Water Quality-
Attn: DWQ,Central Files `
1617 Mail Service Center =
Raleigh;'NorEh Carolina 27699-1617.'
[phone] ,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, 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 that,qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system, or
those -persons di ctly sponsible for gathering the information, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete.
I am ew a th t her a significant penalties for submitting false Information, Including the possibility of fines and Imprisonment for knowing violations.""
t th k
(Signat re of Permittee) _' (Date),-
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
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