NCG140262 DMR WW

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' PROCESS WASTEWATER -Quarterly,®ischarge Monitoring Report
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GENERAL PERMIT:NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 Z
SAMPLE COLLECTION YEAR: 20
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FACILITY NAME: Y i^cds ` AI;17<G - 7 7
SAMPLE -QUARTER: , ❑JUI-Sept
❑Oct -Dec ;aJan-March;
❑April -June
PERSON COLLECTING SAMPLES: ,!g7 ,' /% d 7�-�
COUNTY: /t&lk/ i//%V
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CERTIFIED LABORATORY: Lab #
PHONE NO. ( l!d 1 ZgL1,
h 7
. .. Lab #::...
O,L TSERVE? ❑YES ❑NO EMAIL �:
ADD T IS AI
LIMIT VIOLATIONS? YES ❑ NO ❑
DISCHARGING TO CLASS: ❑SA
❑HQW ❑PNA ❑Trout ❑Other -E G
OPTIONAL INFO:
Pamk Wastewater Monitoring Requirements
Date Sample = = - _ Total Suspended - Settleable
SPH usin 9
= _Discharge
Qutfall No,
1 Type of Wastewater pH
Collected _ z _ - Z. Solids Solids
(VE, RM,_MDI {standard) =
method 1664A I
- Duration
SGT HEII/16 _
Total Flow
�.
(gallons/day)
(mm/dd/Yr) )
I {rnmutes)
_
(►nil) I..
Cr93 4303
--71-
5' S3 (1�)6
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i 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 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 DWQ RO staff
notifies you to continue monitoring.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U.'for discharges to saltwaters..
s TSS limits are 20 mg/L for wastewater di�chargies to HQW wate-rs,'10 mg/L. for Trout and PNA waters, and 30 mg/L for all other water classifications. e .
Permit Date: 7/1/2010706/30/2015.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
NCAC 02B;0224. Permittee9who discharge wastewater to HQW waters shall obtain a Summer;'Q10 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 Vinay require an annual flow
report on a case-by-case basis.
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MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE ((
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]
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YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED -
certify, under penalty of taw, that this .document and all attachments wereprepared 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 inquiryof 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of.fines and imprisonment for knowing
violations."
(Signature of Permittee) (Date)
Permit Date:7/1/2010-06/30/2015. I. Last 'Revised 07/13/11
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