NCG140032 DMR WW

PROCESS WASTEWATER — Quarterly Discharge Monitoring ReportRECEIVED
GENERAL PERMIT NO. NCG140000 JUL 13 2015
CENTRAL FILES
R SECTIO&i
CERTIFICATE -OF VERAGE NO. N G14(0 6 SAMPLE COLLECTION YEAR:.
FACILITY NAME: eC `S SAMPLE QUART R: Jul -Sept ❑Oct -Dec ❑Jan -March April -June
PERSON COLLECTING SAMPLES: , e� COUNTY: _15+611P
RU",
LABORATORY: mokle Lab #
PHONE NO. ( )
Lab # ADD TO LISTSERVE? DYES ]ENO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ❑ DISCHARGING TO CLASS: DSA ❑HQW ❑PNA ❑Trout Other C
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Date Sample
1
Outfall No. Collected
(mm/dd/yr)
Total Suspended Settleable TPH usingDischarge
Type of Wastewater pH method 1664A
z Solids Solids
(VE, RM, MD) (standard) (mg/L) (mL/L) SGT -HEM'
(mg/L)
Total Flow
Duration
(minutes) (gallons/day)
- -
- 6-93'6 303'5 53-
D
-'•I -..l il: -
r,
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'abbreyiation 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:: - ,- , I ,
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.
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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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.er 15
Flow rate can be measured continuously or calculated. Flow limits or wastewater shall obtain discharges Sumto
7Q 0 flown nars shall be t hto 50% of the Summer Q
nd report th snfo mationt DWQ If the perlm tteee annot
NCAC 026.0224. Permittees who discharge wastewater to Q
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.
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North 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 directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violatiops4N' A /
(Signature of
Permit Date: 7/1/2010-06/30/2015
7-L• S
(Date)
Last Revised 07/13/11
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