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PROCESS WASTEWATER — Quarterly Discharge Monitoring Report 0 Copy state
GENERAL PERMIT NO. NCG140000 0 Copy - Plant
0 Copy - File
CERTIFICATE OF COVERAGE NO. NCG14 0 07 8 SAMPLE COLLECTION YEAR � '
FACILITY NAME: Chandler Concrete Company - Madison Pit. 106 SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec Dian -March' ❑April -June
PERSON COLLECTING SAMPLES:
'CERTIFIED LABORATORY:Pace Analytical Lab #633
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
COUNTY: Rockingham
PHONE NO. ( 336) 548 - 4299
ADD TO LISTSERVE? DYES ®NO EMAIL:
DISCHARGING TO CLASS: DSA [-]HQW ❑PNA ❑Trout ®Other: C
OPTIONAL INFO:
Date Sample iw
p
1 1� Type of Wastewater
Outfall No. Collected z
(VE, RM, MD)
(mm/dd/yr) ,
TPH using
Total Suspended Settleable
pH method 1664A
Solids Solids
(standard) 6
SGT -HEM
� (mg/L) (mL/L)
(mg/L)
Discharge
Duration
..(minutes)
Total Flow
(gallons/day)
6:9s. 303s 5s (15)6
_
1 NO FLOW VE RM MD
N/A
No Qualifying Discharge During this Period - 0 V 0 2 2015
Fl"r9Z
A 1
iT wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sureP hrr*66f '}s' N quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Matenaf oc piles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If 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.
4 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.
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.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
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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
(919) 807-6379
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 respoOble for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware thaVoere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
re of Permittee)
"10 1 -?e -Z
(D e) / '
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
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