NCG140172 DMR WW (4)

GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG14 j 7 Z
FACILITY NAME: Dnn�.6 M : hoP CtmiC u CC1�
PERSON COLLECTING SAM
CERTIFIED LABORATORY:=_
LIMIT VIOLATIONS? YES iU NO
Part A: Wastewater Monitoring Requirements
DU 3 0 2015
CEI lT L FILEq
SAMPLE COLLECTION YEAR: 0 / S'
SAMPLE QUARTER: []Jul -Sept ct-Dec ❑Jan -March
COUNTY:rP�
PHONE NO. (ZY) 7 2 41!q -
ADD
SrADD TO LISTSERVE? []YES [gN9—EMAIL:
DISCHARGING TO CLA55: E]SA ❑HQW ❑PNA QTrout
OPTIONAL INFO:
[]April -June
QOther
Date Sample ON Total Suspended Settleable
Type of Wastewater pH
Outfall No. Collected' Solids Solids
(rnm/dd/yr) (VE, RM, MD)' (standard► (mg/L) (ml/L)
TPH using Discharge
method 1664A
Duration
SGT•HEM; (minutes)
(mg/L)
Total Flow
,
(gallons/day)
6-93,4 303,5 53
(15), -
l= 8' L-
G 57^!
O.0o2 3
i
1 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.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RIVI), Mixing Drum
Cleanout (MD), Report more than one type if the waste -stream is commingled.
3 I 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 dischargesto 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
Page 1 of 2

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 P:-onse Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater dischargekth 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 Summe;;7Q 10 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 "all' iotify DWQ, and the DWQ Regional Office may require an annual flow
report on a case-by-case basis.
MAIL ORIGINAL AND ONE COPYO_F THIS ANNUAL SUMMARY INCLUDING ALL "NO FLO% i,_"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 S16N THIS CERTI810TlON 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 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 penaltiesfor submitting false information, including the possibility of fines and imprisonment for knowing
violations."
Z�� fy_,�
(Sign re of Permittee)
Permit Date: 7/1/2010-06/30/2015
12-2-1 rZca s
(Date)
Last Revised 07/13/11
Page 2 of 2