NCG140032 DMR WW (2)

,PROCESS
WASTEWATER — Quarterly Discharge Monitoring Re pott.,R EC.E,I ED
GENERAL PERMIT NO. NCG149000 ,
CERTIFICATE OF COVERAGE NO. NCG14Q�
FACILITY NAME: ` `` ,
PERSON COLLECTING SAMPLES -i u -S
CERTIFIED LABORATORY: IVp✓` Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
OCT,.O 9 2015
CENTRAL FILES
DWR SECTION
SAMPLE COLLECTION YEAR: dO
;.-SAMPLE _QUART,R: Jul-Sept❑Oct-Dec' []Jan, -March ❑April -June
COUNTY:
PHONE NO. ( )
...ADD TO LISTSERVE? ❑YES XNO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA, ❑Trout 250ther
OPTIONAL INFO:
Date Sample
1
Outfall No. Collected
I (mm/dd/yr)
; j . Total:Suspended
Type of Wastewater I PH " '
I z ^� Solids
i (VE, RM, MD) �,.andard) i (mg/L)
Settleabla TPH using
method 1664,E
I Solids �
+ (mL/L) SGT-HEM
im /LM
(
0ischarge
Duration
(minutes)
� Total Flow
(gallons/day)'
I
a.� 303.5
I 6-9
LLk
S3 (15)5 j
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 abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM); Mixing,Qrum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
If 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 64S.U. f6r wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
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,/1/2010-06/36/2015 as, Rev sed 07/13/'

only be monitored for TPH when commingled -with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
Process wastewater discharges shallY
but instead is subject.to.benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
set to
of the
as
er
es to
rs s
Flow rate can be.measured continuously or calculated. Flow limits for wastewater disSumgmer 7Q4Wflowa aend replortthisInfor0mation t DWQeif the perlmitteep cannot
NCAC 02B .0224. Permitt,ees'who discharge wastewater to HQW waters shall obtain a
obtain a Summer 7QlQ flow for the receiving waters at the discharge location; the permittee shall notify DWQ, and the DWQ Regional Office may require an annual low
report on a.case-by-case basis.
-'ONE.COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT DF SAMPLE OR
MAIL ORIGINAL'
AND
AT END OF MONITORING PERIOD fN CASE OF "NO FLOW") TO:
Division of Water -Quality .
Attn: DWQ Central -.File; _.
1617 Mail Service -Center
Raleigh, North. CaroGr?�_; 27699-1617
if
YOU MUST SIGN THI5 CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penaliy-of law,..that this documerit'­11and all attachments were prepared udder my direction p,rs�pefvision in accordance with a system designed o
itted. Bas
assure that qualified personnel properly gather and evaluate th`einformatioa`�on submiti d is, t o the beson t of my knowledge and belief, t ue, accuho rate,ge hand stem, or
those persons directly''responsible for gathering the information; the inform
are significant penalties for submitting false information; including the possibility of fines and;imprisonment for knowing
complete. I am aware that there
viola ion /
(Date)
(Signature ermittee) -
i_ast Revs ed 07/13/11
Oao� � Oi �
Pe mit Date: i 2010 -CG -
/'30/2015 °