NCG140169 DMR WW (2)

PROCESS WASTEWATER - Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. N CG140000
CERTIFICATE OF COVERAGE NO NCG14 01,,E a
FACILITY NAME:
PERSON COLLECTING SAMPLES: fww-iZ&#jA112Q l:e
CERTIFIED LABORATORY: Lab #
Lab # --
LIMIT VIOLATIONS?. YES Q NO
SAMPLE COLLECTION YEAR: a ID I!
SAMPLE QUARTER: ' NJul-Sept ❑Oct -Dec []Jan -March []April -June
COUNTY: 1`oa-sw rl :
PHONE NO. (yA-%(-)
ADD TO LISTSERVE? []YES .[]NO EMAIL:
DISCHARGING TO CLASS: [ISA []HQW []FNA QTraut[]Other
'OPTIONAL INFO:
I:
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e
Date SamplType of Wastewater
Outfall No. Collected z
(VE, RM, MD)
(mm/dd/yr)
Total Suspended
pH Solids
(standard)
(mg/L)
Settleable
Solids
lmL/L)
TPH using
method 1664A
SGT NEM6
(mg/L) .
Discharge Total Flow
Duration r
minutes) . (gallons/day)
- -
64'4 303'5
53
(15)6
t .
i
1 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..
i. 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.
If an effluent limit is'exceeded`tWice In a row, the permittee is required to institute monthly monitoring for that parameter for six months, t nless DWQ RO staff
notifies you to continue monitoring. ` !'
rJ
4 pH limits'are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saitwaters.
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 classii ications.r
Permit Date: 7/1/2010-06/30/2015 '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 5096 of the Summer 7Q10 Flow as -per 15A
NCAC 026.0224. 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.
i -
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Division of Water Quality `" F
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU:MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"L certify, under.penalfy of law, that this document and all attachments were prepared under my direction or supervision in accordance with a sysfen 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 directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true; accur,#te, 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
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