NCG140039 DMR WW (3)

PROCESS WASTEWATER —Quarterly. Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140039
FACILITY NAME: Matthews
PERSON COLLECTING SAMPLES: Rik Jones
CERTIFIED LABORATORY: Prism Lab # 402
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June
p (;ENr- OUNTY: Union
PHONE NO. [phone]
Fig 0 5 2016 ADD TO LISTSERVE? ❑YES ®NO EMAIL:
On NRIPT OPTIONAL CLASS: ❑SA ❑HQW ❑PNA [—]Trout ®Other
� G� O ONFO:
Date Sample
1
Type of Wastewater pHs:
TotalSuspended
Settleable
TPH using;
Discharge.
method 1664;4 Total Flow
Outfall No:. Collected
z
(VE, RM:MD) (standard)
Solids
Solids
Duration
SGT HEIR : (gallons/day)'
(mm/dd/yr)
(mL/L)
(minutes),;
_
RM; MD 6-93'4
3035 .-.
53
(1S)6 -
001 11/30/15
No Flow
II wC�LCWOIeI �)y�LCI1D IIdVe IIULUULIIdIgeU 111 LI11b gUdl LCI — rePUI L IVu rruw ur rvo uiscndrge here. riedse mdKe sure to marK ine sample -quarter aoove.
2 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 I 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.
° 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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U 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 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.
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, thatthis 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 person directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am avpre at tPre are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 7/1/2010-06/30/2015
�(Y /G
(Date)
Last Revised 07/13/11
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