NCG140308 DMR WW (2)

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report RECEIVE®
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 a 6 8
FACILITY NAME:
PERSON COLLECTING SAMPLES: FAML e.Jc aneL
CERTIFIED LABORATORY: Ac.,— .d --./y 1c lab #. / Z
Lab # Va
LIMIT VIOLATIONS? YES ❑ NO Dfl
Pert A: Wastewater Monitoring Reaulrements
SAMPLE COLLECTION YEAR: oZe/-'
SAMPLE QUARTER: ❑Jul -Sept []Oct -Dec tan -March
COUNTY: Mec_1jyu.ra/
PHONE NO. 70 _ 3 r.T - D 3 9y
ADD TO LISTSERVE? YES ❑ NO® EMAIL:
DISCHARGING TO: ❑SA WATERS ❑HQW ❑PNA ❑Trout
APF 10 2015
CENTRAL FILES
SWR SECTION
[]April -June
Date Semple
Outfall No. Collected' Type of Wastewater pH
(VE, RM, MD)2 • (standard)
(mm/dd/yr) )
Total Suspended
Solids
(mg/L)
Settleable
Solids
(ml./L)
TPH using
method 164A
S mg/
Discharge
Duration Total Flow �
n
(minutes) (gallons/day)
- 643A30ss
Vl=^ 2� nag
�D
53
P
?BID Z
If wastewater systems have net dtarharvori in thtc .,,.n.te.
2 - - - - - --••-•1-....._.j__'-- - I aFVI L 1401-10W or No Discharge- here. Please 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.
31f 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 saitwaters.
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
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s 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,caiculated. 'Flow Urn Its for wastewater discharges to HQW waters shall be set to 5090 of the Summer 7Q10 Flow as per 15A
NCAC 0213.0224. Permittees,who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWa 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 REPOMD:
"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 parsons 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
viola li(io s."
Signature of Permittee) ( e)
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/06/11
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