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erly,Discharge Monitoring Report
GEWRALPERMIT NO. NCG140000
SEP 0
CERTIFICATE OF COVERAGE No. NCG14 0 0 1
..FACILITY *NAME -'�'"-�'-''&h6hXo J&i(f, AGY
PERSON COLLECTING SAMPLES:
C , ERTIVED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES [:] NO
Part A:'Wastewater monitoring Requirements
bate 54mpl
a e
Type
`m�of
Type of Wastewater
.1
Outfall No. .;.Collected"
VE�
/(VE,
yr�
m/dd/y MP)'.
(m
r)
PH
(standard)',..
SAMPLE COLLECTION YEAR: ;0/5- CENTRAL FILEG
DWR
SAMPLE QUARTER: �ul-SePt E]Oct-DW Ejjan-March! 41%Fp'9rJtJ"june
COUNTY: , 1P
PHONE NO.
ADD TO LISTSERVE? E]YES E]NO EMAIL:
DISCHARGING TO CLASS:
OPTIONAL : ONAL INFO: EISA E]HQW E]PNA E]Trout .'E]Other,-.
di qds cjear�d &.wL: ql�l el'P 0 )SO JO
Tot TPH using
al Suspended `.Settleable
Solids Solids method16644 Discharge
M6 Duration Total Flow .
(mg/L) ML/L) SGT -HE (minutes)(gallons/day)7
IA3.S (m L)
. ....... ....
I If wastewater systems have not discharged in this quarter —report "No Flow" or o Discharge" here. Please make sure to mark the sample quarter above.
2 No Discharge" i,
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning. (VE), Raw klaterial Stockpiles, (R M), Mixing Drum
3
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.
.4
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 discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classification . ons.
Permit Date: 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 stormwater dischar es from
but instead is subject to benchmarks and provisions of Part IV Section A including the Tiered Response Action.
VMA areas. TPH does not have a limit for wastewater,,
] - ..1 1 Ell -Y'-..=1_:.1 •,.�
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 NCAC 026 0224 Permittees_who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. I f p ISA
obtaina Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require
�. >>a,nfi_., : s . Q the permittee cannot
report;on.a,case-by-cese,(iasis. y an annual flow
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL `.`NO FLOW" "NO
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW" DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
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:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system de
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or echo y signed to
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true
persons who manage the system, or
complete. I am aware that the�(are significant penalties for submitting false information, including the possibility of fines and imprisonment for
.� l ,accurate, and
violatio^� knowing
(Si na ure ;n
Date
g o ermittee)
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/1.1
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