NCG140039 DMR WW (4)

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
Date Sample;'
N
Total Suspended,; Settleable TPH us`igg
Outfall;No. Collected)
Type of Wastewater. ;pH
jTo�alFmethod`1664AwSDuration
y)(rng/L)(minutes)a303,5
(VE, MiMD) (standard)
"
s
R . a
M MD 6-9 .
001 11/30/15
No Flow
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ❑Jul -Sept
Oct -Dec ❑Jan -March ❑April
COUNTY: Union
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO
DISCHARGING TO CLASS: ❑S [
OPTIONAL INFO:
r
i
'June
EMAIL:
]HQW ❑PNA ❑Trout ®Other
C
'If wastewater systems have not discharged in this quarterJL-
- report "No Floor "No Discharge" here. Please;make sure to mark the sample quarter above.
z
Report the abbreviation for the type of w" Authorized Wastewater Discharges here: Vehicle and E ui
cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an.effluent �; �q pmenf Cle11 aning (t/E�, Raw Material Stockpiles (RM), Mixing Drum
mit is exceeded twice in a row, the permittee is required to institute monthly monitoring for" that Parameter
/
notifies you to continue monitoring.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for dish eter for six mOn't/15 U/IIeSS DWQ RO staff
�n /
Permit Date: 7/1/2010-06/30/2015 c arges to saltwaters.
Lash Rev\se
/
/ d p7
ge3/11
N
Total Suspended,; Settleable TPH us`igg
Discharge
SGT HENI
jTo�alFmethod`1664AwSDuration
y)(rng/L)(minutes)a303,5
mgL) (mL/L)
S3A )6
C
'If wastewater systems have not discharged in this quarterJL-
- report "No Floor "No Discharge" here. Please;make sure to mark the sample quarter above.
z
Report the abbreviation for the type of w" Authorized Wastewater Discharges here: Vehicle and E ui
cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an.effluent �; �q pmenf Cle11 aning (t/E�, Raw Material Stockpiles (RM), Mixing Drum
mit is exceeded twice in a row, the permittee is required to institute monthly monitoring for" that Parameter
/
notifies you to continue monitoring.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for dish eter for six mOn't/15 U/IIeSS DWQ RO staff
�n /
Permit Date: 7/1/2010-06/30/2015 c arges to saltwaters.
Lash Rev\se
/
/ d p7
ge3/11

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 classifications.
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 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 SUMMAKY Ii
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]
DING
"NO DISCH
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 acc
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or
those persons diterfi7are
ctly responsible for gathering the information, the information submitted is, to the best of my knowledge an
I am a%Wre that significant penalties for submitting false information, including the possibility of fines and imprisonm
of Permittee)
t(21//s-
(Date)
i
I
DAYS OF REC
nce with a system designed,�to
ons who manage the system, or
belief, true, accurate, and complete.
it for knowing violations."
Permit Date: 7/1/2010-06/30/2015 Last R6 vised 07/13/11
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