NCG140138 DMR WW (4)

PR®CESS WASTEWATER — Quarterly Discharge Monitoring Report RECEIVED
GENERAL PERMIT N0. NCG140000 .
CERTIFICATE OF COVERAGE NO. NCG14._�2 57 .
FACILITY NAME:
PERSON COLLECTING SAMPLES: 4ff]WV
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO.
Part A: Wastewater Monitoring Requirements
MAR 1 12016
CENTRAL FILES
SAMPLE COLLECTION YEAR: DWR SECTION
SAMPLE QUARTER: [_]Jul -Sept Oct -Dec Jan -March ❑April -June
COUNTY: V
PHONE NO. ( )
ADD TO LISTSERVE? []YES NO EMA L:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout XjOthera45
OPTIONAL INFO:
-
Date Sample
1 Type of Wastewater pH
Outfall' No. Collected Z .
(VE, RM; MD) (standard)
(mm/dd./yr)
Total Suspended Settleable
Solids Solids
(mg/L) (mL/L)(mg/L)
TPH using
Discharge.
method 1664A Total Flow
6 Duration
SGT -HEM (gallons/day)
(minutes) .
- - 6-93'4
303'5 53
(15)6
MD
i
AD
491
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 (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
,. ,• �e 1 of 2
09

6
Proc0 1
ess wastewater discharges shall only be monitored for TPH when commingled w6' n stormwater discharges from VMA areas. TPH does not have a limit for v� , ewater,
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 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.
AT END OF MONITORING PERIOD IN CASE OF "
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Cente l
Raleigh, North Carolina 27699-1617
[phone]
"I certify, under penalty i
assure that qualified per!
those persons directly re
complete. I am aware th
violations."
re of
MCL
law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
nnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
onsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
3�
/(.Dat
Permit Date: 7/1/2010-06'/30/2015 u Last Revised0 e 2
7g/1 2