NCG140373 DMR WW (5)

PROCESS ASTE!/ AT,ER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCi a
FACILITY NAME:
PERSON COLLECTING SAMP S: j!!5%
CERTIFIED LABORATORY: Lab
' # Z
� k
LIMIT VIOLATIONS? YES []NON Lab # qa
Part A: Wa
Outfall
i If wastew�
Z Report th(
Cleanout (
3If an efflue
notifies yo
4 pH limits
5 TSS limits
Monitoring Requirements
Date Sample
Collected' ed1 Type of Wastewater
(rnrn/dd/yr) (VE, RM, MID)'
pH
(standard)
R C IVSD
JAN 21 2016
CEN l'RAL FILES
aWR S�`C7101\1
SAMPLE COLLECTION YEAR: s�®/.Sr
SAMPLE QUARTER: DJul-Sept ®Oct -Dec Elan -March
COUNTY: ,b Cw
PHONE NO. ( ?Ofk ) �'T� — D 3 Jy
ADD TO LISTSERVE? EYES KNO EMAIL:
April -June
DISCHARGING TO CLASS: ESA DHQW F]PNA ❑Trout Other
OPTIONAL INFO:
Total Suspended
Settleable
TPH using
Discharge
Solids
Solids
M 1664A Total Flow
6 Duration
(mg/L)
(mL/L)
SGT -HEM (gallons/day)'
(minutes)
(mg/L)
3035
53
(15)6 - -
.,VD 1 —%JR a
:er systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
qD). Report more than one type if the waste -stream is commingled.
it 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
to continue monitoring.
e 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
re 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

6 Process
but instf
Flow rat
NCAC 0-�
obtain a
report o
AT END i
Division
Attn: DVS
1617 M2
Raleigh,
(919) 807
vastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
id is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
, 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
3 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
iummer 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
a case-by-case basis.
E
)f Water Quality
'Q Central Files
it Service Center
Vorth Carolina 27699-1617
-6379
M
G ALL "NO FLOW". "NO DISCHARGE" WITHIN 30 DAYS
U,
"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 thII t 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
viq tion
of Perm
Permit D�te: 7/1/2010-06/30/2015
1 -/4-/4
(Date)
Last Revised 07/13/11
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