NCG140033 DMR WW (3)

PROCESS WASTEWATER — Quarterly Discharge Monitoring Rep
GENERAL PERMIT NO. NCG140000 9 C E IVE D
CERTIFICATE OF COVERAGE NO. NCG14 O 2
FACILITY NAME: <usC7�.►c e�//..,,�,�„r �mtr,,,�,9
PERSON COLLECTING SAMPLES: C 4
CERTIFIED LABORATORY:
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater
APR, 1 0 2015
SAMPLE COLLECTION YEAR: Zo/ J� CENTRAL FILES
SAMPLE QUARTER: []Jul -Sept []Oct -Dec 1XJarWRM SEgZQNune
COUNTY: _GQsToiV
PHONE NO. %D D 39D
ADD TO LISTSERVE? YES [] NO[0 EMAIL:
DISCHARGING TO: OSA WATERS 0HQW E]PNA Drout
Date Sample Total Suspended Settleable
Outfall No. Collected' Type of Wastewater PH
(VE, RM, MDf (standard) Solids Solids
(mm/dd/yrj (mg/L) (mUl)
-3 __mss
TPHttsfng Discharge
method 1664A Duration Total Flow
SGT-HEM6 7
rh,sii S (minutes) (gallons/day)
s
` 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.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleanin
g (VE), Raw Material Stockpiles (RM), 'Mixing Drum
a Cleanout (MD). Report more than one type If the waste -stream is commingled.
If an effluent limit Is exceeded twice to 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.
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 07/06/11
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 Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 5090 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.
MAIL ORIGINALAND ONE COPY OFTHIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW" "NO DISCHARGE") WITHIN 3QDAYS 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 CFR 71FlCA77ON 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 penalties for submitting false information, Including the possibility of fines and imprisonment for knowing
M
Permit Date: 7/1/2010-06/30/2015
[� /J
(Date)
Last Revised 07/06/11
Page 2 of 2