NCG140143 DMR WW

PROFESS WASTEWATER - Quarterly Discharge Monitoring Rept
GENERAL PERMIT No. NC6140000
RECEIVED
CERTIFICATE OF COVERAGE NO. NCIG1401, 43 MAY 13 2015 sAmPLI: C01LEcTI®1V YEAR: 2alS
FjACtUTY NAME: King
PERSON COLLECTING SAMPLES: Tony Hardison
CERTIFIED LABORATORY: Research & Analytical
13 MIT VIO'dAMONS? YES [] NO N
-PartA.- Wastewater Monitoring Requirements
CENTRAL FILES SAMPLE QUARTER: Ljltzi-Sept LjOct--Dec 2ghn-March L_jApril-June
DWR SECTION COUNTtr: Forsyth
Lab # 34 RHONE NO. [phone]
ADD TO LISTSERM nYES ZNO EMAIL:
DISCHARGING TO SSS: []SA '[]HQW []PNA []Trout MOther
OPTIONAL INFO:
Outfall No.
-Date'Sample
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(m910
Settleable
Solids
(Mt/L)
TPH using
method 1664A
SGT-HE&f
(Mg/4
D6s¢ kWe
Duration
Duration
Iminutes)
Flow
(gallons/day)
-
-
RM, MD-
6-93A
3e'
53
(15)5
-
-
001
03/27115
No Flow
1f wastewatersystems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please snake 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.
' PH limits are 6-9 5.U. for wastewater discharges to freshwaters; and 6.8=8.5 S.U. for discharges to saltwaters.
s TSS larnits are 20 mg/L for wastewater discharges to .HQW waters, 10 mg/L for Trout and PNA waters, and 30 ng/L for allother water classifications.
Permit Date: 711/2010-06130/2015 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 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 HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
IVCAC 028.0224. 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, North Carolina 27699-1617
{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 Vectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
lam Vvffre tha#thgM are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
5/f /r,-)
(Sign ture of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
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