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PROCESS.WASTEWATER — Quarterly Discharge Monitoring Replort�E- CEIVEr)
GENERAL PERMIT NO. NCG140000 MAY 13 2015
CENTRAL FILES
CERTIFICATE OFCOVERAGE NO. NC'G140335 SAMPLE COLLECTIONYEAR: 2015 DWR SECTION
FACIL47Y NAME: Mooresville SAMPLE QUARTER: [Dui -Sept 00d -Dec glan-March DAPAI-.tune
PERSON COLLECTING SAMPLES.: Rik Jones COUNTY: f rexleii
CERTIFIED LABORATORY: Prism 'Lab # 402 PHONE NO. (784) 372-2930
ADD TO LiSTS'ERVE? DYES ONO EMAIL:
i,JNlrT VIOLATIONS? YES M. NO D
Pa I.A:'Wastewater Monitoring Requirements
DISCHARGING TO CLASS: DSA DHQW DPNA []Trout ®Other
OPTIONAL INFO:
•O�ty�i No.
Date Sample
1 Type of Wastewater
Collecteda
(mm/dd/yr) (VE, RM, NiDj
pH
(standard)
Total Suspended Settleable
Solids Solids
(mg/Q (arc!/a'
TPN using
method i6w
SGT -HEW
(MdL)
Discharge
Total Flow
4urat�ior� ,
(rninutesj (gallons/day)
-
- RM, MD-
6-93'4
3e S3
115f
- -
W1
03130113 RM
10.2
BRL SRL l
N/A
>1 >1
yf anrastewater systems have not discharged in this quarter —report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2' type g Equipment g ) p ) g
Report the abbreviation for the a of Authorized Wastewater Discharges mere: Vehicle and E ui ment Cleanin jvE ,Raw Material Stockpiles RM , Mixing Drum
CleanouttijMD). Report more than one type if the waste -stream is commingled.
3 ifaneffluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for thatparameter for six months, ,unless DWQ RO staff
,notifies you to continue monitoring.
A pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.S S.U. for discharges to saltwaters.
5 a'S-Siimits are 20 mg/L forwastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 rng/L for all other water classifications.
Per,nit nate: 7/1/2010-06/30/2015 ,Last Revised 07/13/11
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e Process wastewater discharges shall only be monitored for TPH when commingled with storrnwater 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.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to FIQ�V waters shall be set to "5095 of the Summer 7Q10 Flow as per 15A
'NCAC 0213.13224. 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 "/Q10 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: DWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1613
(919) 807-6379
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 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 dimly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aWayp that t re pf significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date: 7/1/20L0 -D5/30/2015
lP ��
(Date)
Last Revised 07/13/11
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