NCG140351 DMR WW (2)

PROCESS WASTEWATER -- Quarterly Discharge Monitoring .Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 D $ I
FACILITY NAME:
PERSON COLLECTING SAMPLES: 1�1fZrJ� I I �Mue�S
CERTIFIED LABORATORY: dr-�Q jy�.��„'( Lab # 1 Z
Lab # 4-0
LIMIT VIOLATIONS? YES []NO g
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: oZD/,/-
SAMPLE QUARTER: ❑Jul -Sept Oct -Dec ❑Jan -March
COUNTY: (-A8A2TzUS
PHONE NO. (Z�t) 3;3-039D
ADD TO LISTSERVE? ❑YES [ENO EMAIL:
DISCHARGING TO CLASS: [—]SA ❑HQW ❑PNA ❑Trout 1
OPTIONAL INFO:
AN 15 2015
TRAL FILES
R SECTION
❑April -June
Date Sample
�
Outfall No. Collected
Type of Wastewater pH Total Suspended
Settleable
TPH using
Discharge
(rrim/dd/yr)
(VE, RM, IM Df s Solids
(standard)
Solids
method 1664A
6 Duration
SGT -HEM
Total Flow
(gallons/day)'
(mg/L)
(mL/L)
(mg/L) (minutes)
_
6-934 303.5 3
5
(15)6
-
' 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.1
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixin
Cleanout (MD). Report more than one type if the waste-strearn is commingled. g Drum
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.
5 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
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

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a lin
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 HQVV waters shall be set to 50% of the Summer 7Q10 FI
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the per
obtain a Summer 70,10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require
report on a case-by-case basis.
ORIGINAL AND ONE COPY OF
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]
"NO FLOW", "NO D
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
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage tl
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and .belief, true, accurate;
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knov
vj'olations."
(Signature of
Permit Date: 7/1/2010-06/30/2015
/y 7x.
(Date)
for wastewater,
)w as per 15A
nittee cannot
an annual flow
designed to
9e system, or
.and
ring
Last Revised 07/13/11
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