NCG140330 DMR WW (3)

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14Q 3
FACILITY NAME:" ' /' ' /e
PERSON COLLECTING AMPLE 4 M'
CERTIFIED LABORATORY: e-ebcrC
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: Jul -Sept ❑Oct -Dec an -March ❑April -June
COUNTY:_h4k l ' X
Lab &jhjgj6& IX/F[THONE NO. (ZS2-) T37— ff
_Lab ADD TO LISTSERVE? ❑YES 290 EMAIL:
ApR 0 a 2015 DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [-]Trout her
OPTIONAL INFO:
CENTFRP.L FI ^ES
:.Outfall No. " k
„
.,', DatetSam le'" E y_, -``_r, Total Sus ended�Disch`ar
F• . YP
T e,o :,Wastewater H P
f
-:Collected. ;,, :.. - ,. ,...;.4 Solids n3 Solids a,
�; Z w , °f,k .� r.
�. �,, � - (VE,• RM,, MD) .� (standard) �� .., �; �, � ,.� ,
eih d 1664A
x Total Flow4.
y n, r:
Duratio ,-
,� SGT HEIVIs � ,; ,(gallons/day) �.
.. _;.
i
:.. { p ar z .• � '., -tiz 303 5a b 7' f :,.',� 3 �
.,... -'� ..,o,.. at . x ^' '%�. s?"* P ':+�-. �. �-�: ' ,r `w6 9 a� :� �`� .�', .�• �::�: i �s5 �S'p
�; fi r�. �i� .a � t r,� .�r 5..
15�6r „+. e � R � -, �
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 (RM), 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 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
Page 1 of 2

e Process wastewater discl
but instead is subject to k
Flow rate can be measun
NCAC 026 .0224. Permitt
obtain a Summer 7Q10 fl
report on a case-by-case
Division of Water Quali
Attn: DWQ Central File
1617 Mail Service Cent
Raleigh, North Carolina
[phone]
rges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
nchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
�s who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
v for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
27699-1617
En
F
"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 awarelthat there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
(Signature of Per ' tee) (D to
it Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
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