NCG140288 DMR WW (4)

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COV RAGE NO NCG14_a
FACILITY NAME: l
PERSON COLLECTING SAM/P4ES:
CERTIFIED LABORATORY: `S1nI YA Lab
Lab #
LIMIT VIOLATIONS? YES ❑ NO
'71 -
)art A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 101 IS
SAMPLE QUtT R: []Jul -Sept ❑Oct -Dec Jan -March ❑April -June
COUNTY:
PHONE NOiQ14i
ADD TO LISTSERVE? ES ❑NO EMAIL: _.DDi1_PM(qdh6
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Other
OPTIONAL INFO:
Outfall
Z
aamNie
:. 1
:_ r :.::
Type; of Wastewater
= ;,
pHmethotl
iotas Suspenaea -
Settleable
1664A
Dischar e
Total Flow
No -:
Collected
(mm/dd/yr)
(VE, RM,MD) i ;
- (standard)
Solids
3ohds
Y
SGT HEIR
Duration
�
,_
(gallons/day)
;
(mg/�)
(mL/L)
(minutes)
r
.. 6 93a,((15)6;
DOI
5119 1
V6 TV MI)
'7
C,6IJ
C NTRAL FILFS
SECTION
If .�e.�e..-.4er e•..e•aw.v..•
L...... ..a J:--L_.-__J
f� �L_ �
.... —. .. ..__
�. _.� HUUI ,I
LCI — IC�UFL rvu now or ivo uiscnarge nere. Niease 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..
a 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 andprovisions 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.
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 submitted. 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 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/.';'
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