NCG140292 DMR WW (6)

PROCESS WASTEWATER= Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000-
CERTIFICATE OF COVERAGE NO. NCG140292
FACILITY NAME: GB#1 =
PERSON COLLECTING SAMPLES: Daniel Brown
CERTIFIED LABORATORY: Prism Lab # 402-
LIMIT VIOLATIONS? YES _❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2014
`/ AMPLEQUARTER:.❑Jul-Sept ZOct-Dec, [:]Jan -March ❑April -June
I �/ UOUNTY: Guilford
��N 2 0 205 PHONE NO. (704) $72-2930
. ADD TO LISTSERVE? [:]YES ®NO EMAIL:
CENTRAL FILES DISCHARGING TO CLASS: OSA ❑HQW ❑PNA ❑Trout ®Other
QWR SECTION OPTIONAL INFO:
.°Date Sample
i
Outfall No. 'Collected
{mm/dd/yr)
Type of Wastewater _ pH
2
(VE, RM, MD) '(standard)
Tofal Suspended = .
Solids
':(mg/t)
'Settleable `
Solids
" " y
method -1664A
SGT.-HEIV>6
(mg/L)
Discharge .
Duration
(minute`s),
Total Flow
,
(gallons/day),.
- -, -
RM,'MD ;. 6-93'4
3035
5s
(15)6
001 12/23/2014
No. Flow _
11 wastewater systems nave not aiscnargeo in tnis quarter— report ivo riow_ or No uiscnarge-- here. Nlease make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleahout (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 679 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:
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 DWO and the DWQ Regional Office may-require_an annual flow
report on.a case-by-case basis. -
MAIL _ORIGINAL AND ONE E 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: -
" i certify, under penalty of law, that this document and all attachments were prepare- d'under my direction.or.supervision in accordance with a system designed to -
assure -that qualified ersonnel properly gather and evaluate the information submitted. Based on my Inquiry of the.person_or persons who manage the system, or
those persons direc res ble for gathering the 'information, the information submitted is to the best of my knowledge and belief, true, accurate, and complete.
1 am awar that th a s' nificant+penalties for submitting false information,. including the possibility of fines and imprisonment for knowing violations."
{ g ur of Permittee} (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
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