NCG140439 DMR WW

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
_ SAMPLE COLLECTION YEAR:
CERTIFICATE OF COVERAGE NO. NCG14 �' Iq 3 q
00)�
FACILITY NAME:0,v2QAS6u We>+e - •Tem00V"-xV'y SAMPLE QUARTER: Jul -Sept ❑Oct -Dec . ❑1an-March []April -June
PERSON COLLECTING SAMPLES: Co k.G.tie lat tCOUNTY: ii c I - o,
CERTIFIED LABORATORY: Lab# PHONE NO.(1�W1
Lab # ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ❑ DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Date Sample
Outfall No..' Collected . '
(mm/dd/yr)
Type.of Wastewater ,pH
z
(VE'AM!_ (standard)
Total Suspended
Solids
Settleable
Solids
:(ML/ L)
TPRusing Discharge
method 1664A. Totalflow
Duration
SGT HEN16 (gallons/day)
(minutes) .
(rri' A
g_
363s.:
53-
y P
XW
pm
p�
CENTRAL
UVVR SECTION
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.
z 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.'
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.
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.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to SO% 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
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:
"1 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-submitfed.- 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, accurate, and
complete. I am aware that there are significant penalties4or submitting false information, including the possibility of fines and imprisonment for knowing
violations
(Signature of
(Date)
Permit Date: 7/1/2010-06/30/2015 , Last Revised 07/13/11
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