NCG140175 DMR WW (5)

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GENERAL PERMIT NO. MC6140000
CERTIFICATE OF COVERAGE NO. NC„ a�
FACILITY NAME: _ �f'CI GIS-% IyI )A,61!i'111,1 elf"
PERSON COLLECTING SAW7: �e D't iy1 e G /
CERTIFIED LABORATORY: Lab #� L % _
Lab #
LIMIT VIOLATIONS? YES ,® NO ©�
Para A: Wastewater Monitoring Reouirements
SAMPLE COLLECTION YEAR: 65� V / ( i
SAMPLE QUART R: ❑Jul -Sept ❑Oct -Dec [I- -MarcF
PHONE NO. (r l 6�j
ADD TO LISTSERVE? AYES ONO EMAIL:
DISCHARGING TO CLASS: ❑5A ❑HQW OPNA QTrout
OPTIONAL INFO:
QApril-June
Other
- -
Date Sample
outfall No. Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD) i
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT -HEV
(mg/L)
Total Flow
Diaration
(minutes) (gallons/day)
6-939
303s
53
(15)6
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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.
2 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-streaj; is commingled.
3 if 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. r
" pH limits are 6-9 S. U. for wastewater discharges to freshwafbrs, and 6.8-8,5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW wafers, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/l/2010-06/30/2015 Last Revised 07/13/11
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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 Ib, Section A, including the Tiered P ionse Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges .o 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 Summe 7Q !0 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. mall iotify DWQ, and the DWQ Regional Office may require an annual flow
report on a case-by-case basis.
MAIL ORIGINAL ARID ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOVii "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT ERI®OF MONITORING PERIOD IN CASE OF "IVO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN 'PEAS CERTIFICATION 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 gat,her 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 siubmitting false Information, including the possibility of fines and imprisonment for knowing
violations,"
of Permittee)
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
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