NCG140231 DMR WW

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 1 ,I l
FACILITY NAME: , 'j, '-4,
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: ,�r_ro j�v �: Lab # ) I
lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 20 ( 5
SAMPLE QUARTER: []Jul -Sept []Oct -Dec ❑Jan -March
COUNTY: L40_ -
PHONE NO. (gLq ) 1?5- 901Y
ADD TO LISTSERVE? [—]YES ®NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ©Other
OPTIONAL INFO:
RECEIVED
JUL 2 0 2015
CENTRAL FILES
DWR SECTION
©April -June
Date Sample
P
Outfall No. Collected)
(mm/dd/yr)
TPH using
Total Suspended Settleable
Type of Wastewater pH method 1664A
VE, RM, D z Solids Solids
( M ) (standard) SGT-HEM6
(mg/L) (mL/L) (mg/L)
Discharge
Total Flow
Duration 7
(gallons/day)
(minutes)
- -
- 6-93'4 30s.s 53 (15)6
- -
I -
-- M 10 0.10 N/
i I wastewater systems nave not aiscnarged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample qua rter 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 DW Q P,O 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 HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all otherwater 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 stormwat er discharges from VMA areas. TPH does not have a limit for wastewater,
b ut instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' F low r ate can be measured continuously or cal culated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A l
NCAC 02B.0224. Permittees who discharge wa stewater to HQW waters shall obtain a Summer 7010 flow and report this information to DWQ. If the permittee cannot
o btain 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, North Carolina 27699-1617
(9 19) 807-6379
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that thisdocumentand all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properlytrgather and evaluate the'information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly onsible forgathering fhe information, the information submitted is,"to the best of my knowledge and belief, true, accurate, and
complete. I am aw a th t they a significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Signature of ittee) (Datef
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
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