NCG140006 DMR WW (2)

PROCESS WASTEWATER — Quarterly Discharge MonitoringAe.p6rt
GENERAL PERMITNO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 0 SAMPLE COLLECTION YEAR:
NAME: 2- SAMPLEQUARTER: []Jul -Sept []Oct-bec. []Jan -march; XApril-June
FACILITY
COUNTY: Ale
PERSON COLLECTING SAMPLES-
-7 - le -S -Z
PHONE NO. -57
CERTIFIED LABORATORY: Lab
Wb # ADD TO LISTSERVE? []YES, []NO EMAIL.
LIMIT VIOLATIONS? YES FI 140 F] DISCHARGING TO CLASS:— []SA PHQW F]Trout []Other
OPTIONAL INFO:
n +.A•Wastewater Monitoring Requirements
4
If wastewater sys tems have not discharged in this quarter -7 report "No Flow". or "No Discharge" here. Please make 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 (Mb). Report more than one type if the waste -stream is commingled.
3 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.
4 pH limits'are 6-9 S.U. forwasteWater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
TSS limits are 20 mg/L forwa L for Trout and PNA waters, and 30 mg/L for all other water classific'at'ions.
w steWate*�,di�chargestbl­!,Q waters, 10 mg/
Permit Date: 7/1/2010-06/30/2015; Last Revised 07/13/11
Page 1 of 2
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4
If wastewater sys tems have not discharged in this quarter -7 report "No Flow". or "No Discharge" here. Please make 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 (Mb). Report more than one type if the waste -stream is commingled.
3 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.
4 pH limits'are 6-9 S.U. forwasteWater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
TSS limits are 20 mg/L forwa L for Trout and PNA waters, and 30 mg/L for all other water classific'at'ions.
w steWate*�,di�chargestbl­!,Q waters, 10 mg/
Permit Date: 7/1/2010-06/30/2015; Last Revised 07/13/11
Page 1 of 2

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 Sumner 7Q10 Flow as per 15A_
NCAC 0.2B;0.224. Permitteeg w.- ho discharge wastewater to HQW waters shall -obtain a Summe? �Q10flow and report this information to DWQ. If the permittee carinot
obtain a Summer 7Q10 flow. for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office inay require an annual flow
report on a case-by-case basis.
MAIL URIGINAL AND ONE COPY.OF'
AT END OF MONITORING PERIOD 111
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617.
[phone]
IUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS�iOF RECEIPT OF SAM
"NO FLOW") TO-
YOU
O YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
" 1 certify, under penalty of .law, that this document and all attachments wereprepared under my direction or supervision irr 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 whIo 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. I 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
Last Revised 07/13/11
p -age 2 of 2