NCG140032 DMR WW (3)

PROCESS WASTEWATER —Quarterly Discharge Monitoring
GENERAL PERMIT No. NCG140000
CERTIFICATE.OF C VERAGE NO. NCG14 ID O
FACILITY NAME:.
PERSON COLLECTING SAMPLES: QS
CERTIFIED LABORATORY: 1Jit) v�._ L Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO&
Part A: Wastewater Monitoring Requirements
Rep a
'ib
JAN 14 2 016 42016 .
SAMPLE COLLECTION YEAR: �� CENTRAL -FIDS
IIVR SE'
SAMPLE QUART ❑1ul-Sept' NOct-Dec 1an-Marc ]April -June
COUNTY: 4 - w
PHONE NO. ( )
ADD.TO LISTSERVE? ❑YES YNO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA.'❑Trout- Other CL
.OPTIONAL INFO:
Date Sample ,'Total Suspended
1 Type of Wastewater pH .
Outfall No. Collected z -' = Solid's
(mm/dd/yr) (VE, RM, MD) (standard) ;; . '(mg/C)
Settleable
Solids
(mL/L)
TPH using
,_Discharge ;
method 1664A
6 :D,uration
SGT HEM (minutes)(gallons/day)
(mg/L)
Total Flow
7
6-93 4. 303'5
53
(15)6
-
' 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.
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.y.ou 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.
5 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: 7/1/2010-06/30/2015
Last Revised 07/13/11
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°Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VM7\ 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. 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.
MAIL ORIGINAL AND'ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL'NO FLOW" "NO DISCHARGE")- WITHIN 30 DAYS OF RECEIPT>OF SAMPLE (OR
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] - _._ ...... _ .
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 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, accu"rafe, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
vioIatt s." ► \
(Signature df Permittee)
Permit Date: 7/1/2010-06/30/2015
,/ --/ f�
(Date)
Last Revised 07/13/11
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