NCG140179 DMR WW (4)

PROCESS WAST EWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
SAMPLE COLLECTION YEAR: I ",
— ---- ---- CERTIFICATE-OF_COVE . GE N0...N-CG14D-'L-'TA­-
FACILITY
4 �_`__ _.-.. _ __ _
. SAMPLE QUARTER: Jul -Set Oct -Dec Jan -March A r 14une
FACILITY NAME:
PERSON COLLECTING SAMPLES: COUNTY: Y-�*166-�
CERTIFIED LABORATORY: i'�L Lab # _..3 PHONE NO. &U }3
------- -- _. ADD TQLISTSERVE7_ YES ____[]NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ❑ DISCHARGING TO CLASS: ❑SA ❑FIQW ❑PNA LITrout Other el C
OPTIONAL INFO:VIOL-
Part
9'LPart A: Wastewater Monitoring Requirements
Date Sample Total Suspended Settleable
Outfall No. Collected' Type of Wastewater pH
Solids Solids
(VE, RM, MD)' (standard)
- - -- - (mm/dd/Yr}- - ---- ---- - — -- - -- -- - (mg��) - - - - - - imL/L}
TPH using Discharge
method 1664A Total Flow
Duration ,
SGT -HEM' (gallons/day}
-- - - - (minutes) - — --
(mg/t)-- - - --
6-93'' 3035.. 53
(15), _
i I
- ---
- - — _ - h - - -
AKI
E iNTRAL rl _ES
D NR SECTION
i
' 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. - -- - -- -
a 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 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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e 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 028 .0224. Permittees who discharge wastewater to HOW 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_D_WQ, and -the .D.WQ.-Regional-Office-.may-require -an-annual-flow
-��---_-- -report on a case-by-case basis.
MAILORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE IOR
AT END OF MONITORING. PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
-----------161.7_Mail-.Ser-v.ice Center: --------------------------------=------------- ----- _--------------------------------------------------- _-_-- -- - -- -
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST S1GN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
I certify, under penalty of law, that this document and all attachments were prepared undermy 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 Pyresponsible-for
complete s I s- aware that gatheringthe information, the -information submitted is, to the best of my knowledge and -belief, true, accurate, and
are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Signature of Permittee) (Date)
Permit Date. 7/1/2010-06/30/2015
Last Revised 07/13/11
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